In cardiothoracic surgery, Zhang Fan began to be on duty alone. Compared with other departments, cardiothoracic surgery is much easier. The nurses have time to sit and chat together. Zhang Fan just reads and studies in the department. Studying medicine is a lifetime thing. Just have to learn.
The departments of this hospital are very fair. Those who are busy have more money and those who are idle have less money. Many older nurses want to come to the cardiothoracic surgery department. There are few patients, and they don’t have to suffer when they work night shifts, so the doctors don’t want to come.
Zhang Fan’s first cardiothoracic surgery patient came. At around 8 o’clock in the evening, 120 sent a patient. A male patient in his 60s had sudden shortness of breath, coughing, and difficulty breathing. He was sent directly to the hospital. Cardiology.
The doctor in the Department of Cardiology is Zhang Fanzhuan's tutor, Dr. Ye Jingye. She checked and found that the old man's heart was fine, except for a little tachycardia. However, the old man's left chest breath sound disappeared on auscultation of the lungs, and the sound of percussion was bulging. "Hurry up, call the cardiothoracic surgery department and ask their doctors to come over for consultation!" Ye Jing said to the nurse on duty.
The consultation in the hospital must be arrived within five minutes. Although the surgery building and the internal medicine building have access, they are not the same building. Zhang Fan had to run there, carrying a stethoscope, all the way through the corridors and across the yard. This kind of situation happens every day in the hospital, and doctors and nurses will get out of the way in advance when they see it.
After Ouyang came to power, this rule became more stringent, if not, the bonus would be deducted. Zhang Fan went to the Cardiology Department, Ye Jing saw that it was Zhang Fan, and was very surprised, but now is not the time to recall the past, when Ye Jing had an accident, Zhang Fan didn't say anything, Ye Jing was also very grateful to Zhang Fan.
"Dr. Zhang, come and see, spontaneous pneumothorax, I asked about the medical history, no history of injury!"
Zhang Fan lightly showed Ye Jing a smiling face, and then quickly turned into a serious face. The hospital has an emergency case, and the patient is in pain. If you smile again, it may happen to people who don’t understand. dispute.
Zhang Fan quickly did a physical examination, and found that the old man was getting more and more out of breath, "No! I need to operate immediately. Hurry up and transfer the patient's things to the cardiothoracic surgery department." said the doctor and nurse.
"Okay, hurry up. We'll contact you when we're done." Ye Jing said to Zhang Fan.
"Okay, I'll go first." Zhang Fan helped the nurse push the patient and ran towards the surgery, and called the director of the cardiothoracic surgery while running, but the call was connected, and the director's wife answered, "He's drunk! "
Zhang Fan hung up immediately, and then called Tang Xiong, the chief in charge outside his chest. Tang Xiong was from Xiang, his ancestors came to the frontier with Zuo Zongtang's troops, and he was the descendant of fighting against Tsarist Russia. Later, he settled here and could no longer see the south. The shadow of a person, with a big beard, is very popular.
"Brother, a patient with a ruptured pulmonary bulla is about to appear, and now he is suffocating badly. He needs an operation. Come quickly."
Tang Xiong didn't talk nonsense, he was planning to have sex with his wife, but he took off his pants, but a phone call came and he had to leave now. While his wife was gnashing his teeth, Tang Xiong left the house.
The operating room is ready. Before there was no laparoscopy, this was considered a major operation, and the chest had to be opened! It is not too big to have laparoscopic surgery now, but the difficulty is not small. Tang Xiong is the attending doctor who has just been promoted, and he still cannot do laparoscopic surgery outside the chest.
This is the difficulty of thoracic surgery. General surgery doctors can perform laparoscopic appendix surgery in one year, and gallbladder surgery in three to four years. Try thoracic surgery. The mirror is clear. One can clearly see the beating of the heart, the pulsation of the major vessels, and a slight tremor of the hand, puncturing a vessel in the chest cavity, it is over, and there is no chance of rescue.
The abdominal fault tolerance rate is a bit higher, so this department cannot develop in the Northwest, and no one is willing to learn it. The risk is high, the difficulty is high, and the source of disease is not many. Many people have heart problems and need surgery. As long as the conditions are a little bit able to go, almost all the families go to the provincial capital hospital, and they directly avoid the top three in the area.
"Brother, I won't win if you ask me to come, I can't do this operation." Tang Xiong went to the department to see that the director was not there, and when he asked again, it turned out that the director was drunk! Tang Xiong was dumbfounded. It's okay if he doesn't come. Once he comes, the patient will die, and it will be troublesome! Although anxious, but not angry.
"I'm going, can you help me with the mirror?" Zhang Fan looked at the x-ray and said to Tang Xiong.
"No, this is not a joke, that! Can you really do that thoracoscopy?" Zhang Fan could hear Tang Xiong spitting.
"Okay, it's not a big problem. This patient's bulla is on the edge. It's easy to do. Just go in and clamp it. Who supplied the equipment here." As soon as Zhang Fan said this, Tang Xiong said He became a little more stable, and he even knew about the equipment dealer, so it seemed that he had done a lot of surgeries. Moreover, Zhang Fan is someone who has been appointed by the dean, so he should be reliable.
"I'll contact you now, it won't delay your surgery, which one do you want to use? Domestic clips or imported?" Tang Xiong asked. He is not the chief surgeon and has no right to decide.
"The kind you usually use, just use that kind. You are more familiar with this than me." Zhang Fan handed over the decision-making power to Tang Xiong. If you can still call people over, you'll be damned!
When Zhang Fan said this, Tang Xiong ran faster, he understood what Zhang Fan meant! Tang Xiong rushed to do everything from signing to talking, "Doctor Zhang, it's done!"
"Okay, let's go to the surgery!" Zhang Fan led the way into the operating room.
With the development of science and technology, the operation is more and more convenient and simple. In the past, the operation required a thoracotomy, incision of the bullae, and careful suturing of the leaking part. The operation took at least five or six hours. Now no more, long strips of absorbable bio clips. Just clamp it along the bullae, click, click, the sound is beautiful, the damage is small, and the operation time is also short, but this is based on RMB, and it costs 3,000 yuan with one click! Three thousand with one click.
Tang Xiong held the mirror, looked at the clamp that Zhang Fan was operating from the monitor, and began to clamp the bulla little by little. Before the operation, Tang Xiong had nothing to worry about, but when he saw the beating heart and the pulsating aorta on the monitor, he started to sweat a little.
Looking quietly at Zhang Fan who was focused, he didn't seem like the kind of rash person. The arrow is on the string and has to be fired, and it is too late to stop it now, the mirror has entered the chest cavity! He couldn't do it anymore, so he had to cooperate with all his strength. If something happened, Tang Xiong would have to bear the main responsibility. Who made him the superior doctor.
Zhang Fan didn't pay attention to Tang Xiong at all. As soon as he had the operation, it can be said that Zhang Fan didn't recognize his relatives. Little by little, the forceps were exchanged to peel off the lung tissue. The old man's lungs were no longer pink, but rather dark red, with various black and gray spots inside.
"The mirror is too high, be careful of the artery next to it. Pull it back a little bit, yes!" Zhang Fan directed Tang Xiong while looking at the monitor.
After the separation is completed, clamping begins. Tang Xiong feels relieved when the operation is done. Zhang Fan is very skilled in the operation. The separation and peeling movements are gentle and accurate, not to mention fast. It’s not like their director, doing laparoscopic surgery, feels like flying an airplane. ! He scolded and scolded the doctors below.
Start clamping, click, click, click Zhang Fan used four clips, Tang Xiong's face was smiling like a flower, if it wasn't covered by the mask, he would definitely be able to see the back tooth socket!
After clamping, gently cut off the bulla, said to the nurse: "Tissue bag." Then put the cut tissue in, and said to Tang Xiong: "Doctor Tang, this patient number is yours." , I will leave the medical examination to you."
"How embarrassing, you are on duty and you are treated, otherwise I will never help you again in the future!" Tang Xiong said very firmly, he is a person who wants to face, he has already received benefits from the surgical instruments, and even robbed the patient, It's really bad. So Tang Xiong is also very persistent.
"Okay then, Brother Tang, I'm sorry to trouble you today, go home quickly, my sister-in-law is probably in a hurry!" Zhang Fan's polite words made Tang Xiong blush!
"Okay, okay! I'll go back quickly. You just have to work hard!" Tang Xiong hurriedly took off his surgical gown and handwashing gown while supporting him. "Hey! I have to wait on the tigress when I go back, my waist! I have to let the Chinese medicine take care of it when I find time!"
Zhang Fan began to issue doctor's orders to deal with patients. This patient is also an aborigine in Chasu City, and several of his children contacted Shao Hua's father in a roundabout way.
Shao Hua's father has been a farm worker all his life, and it's really not that many times he was asked to come to the door. This time, the secretary of the former farm brought the patient's family members to the door. Old Shao blushed and glowed. He has face, that's what this person is like. When the high-ranking secretary came to ask for it, Lao Shao probably didn't hear anything clearly, so he agreed!
Shao Hua's mother trembled with anger. There were so many people that it was hard to say anything. After the person who came to the door left, he said to Lao Shao: "What are you talking about? It's okay. Why are you causing trouble for Zhang Fan? How can Zhang Fan think of you? Look at Huazi."
"It should be nothing. I'll ask first. If it doesn't work, forget it." Lao Shao's head cooled down when he heard it. Yes, his daughter's happiness is beyond heaven. Don't make things difficult for your daughter. In the evening, when eating, the old Shao Qiqi couldn't tell Ai Ai, because recently, the old man bullied Zhang Fan too much when playing chess. Zhang Fan, who is often killed, has become a polished commander!
The meal was almost finished, and Shao Hua's mother stepped on Shao Hua's father under the table.
"Well, Zhang Fan, it's very simple for your doctor to take care of the patients more, explain to the nurses, and arrange a ward with fewer people. Trouble?"
As soon as Zhang Fan heard it, he knew that the old man wanted something from him. Because the old man never took the initiative to talk about the hospital with Zhang Fan. Zhang Fan thought for a while and said, "It's not too difficult, what's the matter, uncle?"
"A friend of an old colleague of mine is hospitalized. I want you to take care of me and say hello to the nurse. My colleague's friend is not young anymore, and the children at home are not at ease."
"It's okay!" Zhang Fan said. "But I also have a request, and I want to talk to my uncle."
Old Shao's expression changed! Shao Hua's mother's face was also a bit unsightly, and Zhang Fan would have been happier if she refused directly than trading with each other! Shao Hua looked at Zhang Fan, although she believed that Zhang Fan was not the kind of person who would care about everything, but today this was really surprising, Shao Hua bit his chopsticks and waited for Zhang Fan's next words, but did not stop him. She believed in Zhang Fan.