Four Hundred and Sixty-Two Very Hard

The gauze pulled up the stones in the stomach. After the electric drill destroyed most of the stones, although they became smaller, they could not be taken out from the small incision.

The incision is so small that you can barely fit your middle finger in, not even your thumb. It's so small, and the damage is so small. If you don't use your brain to remove this kind of stone, it will almost become a stomachache.

"Alice pliers." Zhang Fan put down the electric drill and started asking for pliers.

"Principal Zhang, can you use a larger needle-nose pliers? Last time you broke the instrument, the leader scolded me." The nurse held the Alice pliers in her hand but refused to give it to Zhang Fan, crying while speaking Sound up.

Head nurse, despite being gentle and polite to high-level doctors, she is actually a fierce woman. That's right, the nurse in charge of the operating room can't be fierce. First of all, an aseptic operation must remind the surrounding doctors and nurses all the time. This is the last line of defense in surgery.

To put it bluntly, the effect is not good, only yelling and cursing will work, so the nurses are also very afraid that the head nurse will get angry.

"It's okay, give it to me. I'll do the surgery later. I'll tell the head nurse that I won't trouble you. Needle-nose pliers can't get in." Zhang Fan said to the little nurse with a smile. known things.

"Don't say I said it, or the head nurse..." The little nurse gave Zhang Fan the Alice forceps.

"Don't worry, I won't say anything. We are in the same group!" Zhang Fanyi said, the little nurse was happy, and happily wiped the surgical instruments.

When the operation is handed over to the doctor, it will be bloody. At this time, the nurse must wipe it clean before the blood coagulates. So the nurses on the operating table are also very busy.

"I just like to set up a table with Zhang Yuan." The little nurse said with a smile.

"Doctor Li, how many patients do you have?" Zhang Fan asked the attending doctor on the stage while holding the stone with force after taking Alice's forceps.

"Mr. Zhang, I still have fifteen patients. I only had five patients today. Otherwise, I would have twenty patients." The attending doctor showed off his number of patients.

Zhao Quanping, the director of general surgery, became angry, "It's fine if you don't have any talent in surgery, but you don't even have a high EQ. Isn't this obviously going to take your patient away, stupid!"

"Oh, you have to pay attention to your body. I think Dr. Li is very good at attending general surgery. But you can't call yourself good. You have to bring the doctors under you to be called good. Leave this patient to Ma Yichen and go down." In the future, you must check it out, and I will ask you if something happens."

"OK,

Okay, Zhang Yard, don't worry, I must worry about letting Xiao Ma take care of this patient and improve the medical level as soon as possible. "

Dr. Li was happy, Zhang Fan didn't treat him like an outsider in his tone of voice!

"Hey! The level of surgery is high, and he can talk. If he is not a leader, whoever will be the leader." Zhao Pingquan felt emotional in his heart, and looked at his apprentice again, and he couldn't help but get angry, "You two idiots!"

Zhang Fan was able to do this, first of all thanks to the credit for selling instant noodles back then, with this bowl of wine at the bottom, compared to other technical dogs, Zhang Fan's EQ is well-trained.

Coupled with the promotion of the position, the improvement of vision, and because of Ouyang's beating, Batu's teaching, Lao Gao's example, Zhang Fan's overall view, and dealing with people have all improved to a certain extent.

How to deal with people is actually a very important skill. Relying on flattery and oppression is not the right way.

"Ma Yichen, can you manage this patient well?" Zhang Fan looked at Ma Yichen and asked.

"Zhang Yuan, don't worry, I will take care of it." Ma Yichen was also very happy when the leader gave him the opportunity.

"Okay, I'll leave this patient number to you." Zhang Fan nodded. At this moment, Lao Zhao coughed, and the meaning was obvious, "I'm the director of general surgery!"

"If you don't understand, please ask Director Zhao. In terms of tea and general medicine, our Director Zhao is the first knife."

"Okay, stop fooling me. You! You have practiced, have you taken down the hepatobiliary department of the affiliated hospital?" Old Zhao admired Zhang Fan very much, so he didn't pursue it. Otherwise, it would be strange for Zhang Fan to intervene in the department's work directly in front of him and not quarrel.

"Well, I've made several appointments for surgery, and I'm going this weekend, why don't you go too?" At this time, the operation is simple, just like squeezing walnuts, just squeeze it. So Zhang Fan was also happy to say a few words.

"You're flattering me! You should bring more ponies. But let's say it first, don't take it to the hepatobiliary surgery, I don't agree with it." Old Zhao said with wide eyes.

"Okay, don't worry, definitely not." Zhang Fan smiled. As for whether he will or not, it depends on Ma Yichen's talent.

"Girl, come and give me the needle holder. Alice is dead, she can't hold it anymore." Zhang Fan handed Alice to the nurse, and the little nurse was about to cry holding the Alice forceps.

When Zhang Fan went to the operating table, the head nurse usually arranged the latest and best surgical instruments. Originally, he thought it was general surgery, so the instruments should not be damaged.

As a result, the new Alice pliers are already a bit bent! Can this still work! The little nurse held the pliers and looked over and over in distress.

"Hehe, it's okay girl, don't worry, I'll tell your head nurse later. She won't criticize you."

"Well! You must tell the head nurse that Alice's forceps are all crooked. Now you need to use the needle holder again!"

"It's okay, don't worry." Zhang Fan said cheerfully. Medical care, especially Western medicine, is actually a big waste. If Zhang Fan is like this, the equipment that costs tens of dollars will not be used. In the past, the conditions in the country were not good, and everything was used many times.

Now that the conditions are good, there are not many things that can be reused, and almost all of them are disposable. Although the cost has increased, the security has been greatly improved.

"You orthopedic surgeons are rough! Even good needle holders can be used crookedly. Give them to our general surgery doctors. After retirement, they won't break. I will use your orthopedic instruments and general surgery instruments in the future. Separate." Old Zhao said unevenly.

"Well, next time I will use my own equipment, and I have a set of imported equipment." Zhang Fan said proudly. It's not that Zhang Fan didn't like to use his own special equipment in the past, but because his status has not reached his status, he dedicated a set of equipment. Speaking of other things, the nurses in the equipment department will not disinfect you, and you, a small resident doctor, can't do it anymore.

But now it's different. This is also the benefit of being a leader.

"Which country?"

"German!"

"If you have a chance, get me one too." Lao Zhao knew what was going on as soon as he heard it, but compared with orthopedics, the general surgery department did not pay much attention to equipment manufacturers.

"Okay!" Zhang Fan squeezed the stone hard while holding the needle holder.

The hardness of this stone is too hard. Gallstones are crispy. Not to mention the use of equipment, you can knead the noodles with your hands. Kidney stones are a little harder, but it doesn't take so much effort.

This stomach stone is too hard, and it is not for nothing if it can survive strong acid corrosion. "Come on, Doctor Li, squeeze it for a while, my hands are sore!" The handle of the needle holder is relatively thin, Zhang Fan squeezed it for a while, and his hands started to hurt.

Zhang Fan really couldn't pinch it anymore. It was really troublesome to pinch a stone as big as a child's head one by one. Dr. Li took the needle holder and began to pinch it. After ten times of pinching, he embarrassedly handed the needle holder to Ma Yichen, but he couldn't do it anymore.

The pony took his hand and squeezed it a dozen times. "Looking at Zhang Yuan holding it easily, I thought it was very simple, but it turns out that the stone is so hard, like a block of iron."

"Got it, Zhang Yuan usually exercises a lot. When you all slept in early in the morning, Zhang Yuan started running." The head nurse came in at some point.

Old Zhao was old, so Zhang Fan didn't let him do this pure physical work. Hearing the head nurse came in, Zhang Fan took the needle holder and spoke. The little equipment nurse stared at Zhang Fan with wide eyes, she was afraid that Zhang Fan would involve her.

"Head nurse, I have caused trouble for you again." Zhang Fan said with a smile.

"Look at what you said, I'm happy to do whatever you want." The head nurse helped Zhang Fan wipe his sweaty forehead, and adjusted Zhang Fan's surgical gown from behind.

Then he said to the itinerant nurse: "For Zhang Yuan, please wear the surgical gown looser. It will be too tight and the operation will take a long time. It will be uncomfortable."

"Okay, head nurse." The itinerant nurse smiled.

"It's quite suitable, head nurse. I broke a few more instruments. Nurse Xiao Wang told me several times, but this operation can't be done, the stone is too hard."

"Oh! Let me see." Then he lay behind Zhang Fan, stood on the small stool and looked at the equipment over Zhang Fan's shoulder. Zhang Fan seemed to feel something.

"Oh my God, Zhang Yuan, you are so strong. It's so hard that you can bend it. Next time I make an instrument report, you should sign it early. The former vice president said we were eating instruments, are you You know, right!" The head nurse said with a smile.

"No problem, there is no problem at all, don't worry." Zhang Fan smiled, and then moved slightly ahead of him. Although it was already attached to the operating table, Zhang Fan still went a little ahead.

"Yuan Zhang is easy to talk to! I like such a leader." After finishing speaking, the head nurse shook her slightly thick willow waist and went out.

Three people directly destroyed the three needle holders. "It's really too strong. This thing is almost the same as cement with a lower grade." Zhang Fan said while rubbing his sore mouth.

Zhang Fan began to pinch the rocks that had been crushed into small pieces, one by one, and the small curved plate directly filled the whole plate. Finally, the gauze was slowly raised, and the stone was finally taken out.

"This patient, after returning home, must advocate gastrointestinal decompression, and don't rush to let him eat. Both gastric mucosal protection and acid-suppressing drugs are used.

If necessary, give him several more intestinal gavages, the stomach can't digest this stuff, and don't let the remaining scum enter the intestinal tract and form an obstruction. "Zhang Fan explained to Ma Yichen.

"Okay, Zhang Yuan." Ma Yichen was also very happy that the leader appreciated it.

After Zhang Fan explained the matter, he began to sew. "Zhang Yuan, is the ulcer treated or not?" the attending doctor asked.

"No need, this kind of ulcer is caused by the friction of this stone. As long as the stone is gone, you can take some medicine to suppress acid and protect the gastric mucosa, and it will recover on its own. But this patient's wife is a troublesome thing." Zhang Fan said to After finishing speaking with the attending physician, he said to Lao Zhao again.

"Yes, her liver hydatid surgery has already been done once in the local hospital, and now it has recurred again. The surgery is more troublesome."

"Director Zhao, please invite my senior brother, Professor Zhao Jingjin from Bird City tomorrow, and let's have a consultation together. See if there is a better way."

"Okay, conventional surgery is not enough. We have to think of a better way."

Zhang Fan sewed up the stomach body layer by layer. The small hole that was opened did not cause much damage, so it should be fine to recover.

"Yuan Zhang, Director Zhao, I also often have stomach pains, let me see if it works someday." The operation is almost over, and the head nurse didn't make things difficult for the little nurse, and the little nurse with equipment, this meeting will also be lively.

"If you don't eat on time, you still lose weight, right?" Old Zhao didn't speak, but Zhang Fan continued.

"Hmm! It's okay if you don't lose weight." The little girl is also a man!

"How old are you, don't ruin your stomach just to lose weight, you can go to the gym!" Old Zhao laughed.

"Lazy! My legs are almost broken after get off work, and I don't even want to walk. I don't have the strength to exercise. And I started to feel nauseous after eating some chocolate recently! Please tell me about it, Yard Zhang!" The little girl said deliberately, this guy has the head nurse potential.

"This stomach, it has two mouths, the entrance is called the ben (ben) gate, just like the fuel injection port of a car, and the exit is called the pylorus, which connects to the duodenum.

There is a sphincter at the cardia, which is like a valve. After food enters the stomach, the switch is closed, so reflux generally does not occur.

But once a lot of fat and alcohol are used, reflux will occur. Many people don’t say eat more and drink more, just eat a little and drink a little, and reflux symptoms will appear, so if this happens, avoid eating chocolate. High-fat, alcoholic foods too.

If it regurgitates for a long time, the esophagus will be corroded, corroded and corroded, the esophageal mucosa will be damaged and start to recover, and then it will start to be corroded again, repeating this eroded place repeatedly, cell proliferation and mutation, maybe cancer cells will appear . "

Zhang Fan also knew that the little girl did it on purpose, but since I started talking, I have to make it clear.

"Oh my god, that's horrible. Chocolate is my favorite. White chocolate too."

"You're so greedy, you probably won't be able to lose weight." Director Zhao said with a smile.

"Director Zhao, you hate me. I've decided not to eat chocolate anymore!"

"Well, I quit eating too!"

"Haha, for Director Zhao's health, I'd better eat some!"

The operation went well, and several people talked and laughed to finish the operation.

"You must worry about it, and you must pay attention to the postoperative recovery." Zhang Fan deliberately explained to Ma Yichen.

"Zhang Yuan, don't worry, the task will definitely be completed. Let the patient be discharged in a healthy manner." Ma Yichen patted his chest and agreed.

"That's good."

Uncle Jinya, who had his teeth removed, had a plastic gastrointestinal decompression tube inserted into his nose. A faint bloody liquid could be seen inside the tube. He was pushed out of the operating room by nurses and anesthesiologists.

The old man has no teeth, his upper lip and lower lip are shrunk together, and because of living customs, he has a long beard around his lips, which is weird. It seemed to be a strange kind of flower. After Zhang Fan looked at it, he decided not to keep it in the future.