After entering the department, Wang Yanan was not very attentive to Zhang Fan, serving tea and water to ask his health and wellbeing. Zhang Fan, who was concerned, was terrified, "Tell me, what is it, if you can promise, I will definitely promise, if you can't promise, it's useless to burn incense for me." Zhang Fan really couldn't take it anymore, so he asked.
"How do I treat you? You find a girlfriend, and I'll help you speak well. Yesterday, Shao Hua was going to leave, but I forcibly held her back. Let's see if you have a conscience today!"
"What's the matter? I'm scared to say it. If borrowing a car really doesn't work, I'll be responsible to you and your family. It's not that I don't want to." Zhang Fan thought she wanted to borrow a car. Her skills were too rough, and Zhang Fan was really afraid of accidents.
"It's useless to talk less, and I won't find you if I use a car. Yesterday I accepted a man with a broken collarbone. Will you let me be the surgeon today." Impatient, Wang Yanan really turned his face and refused to recognize anyone.
"Is this the attitude of asking for help?" Zhang Fan joked.
"I'll call Shao Hua right now and tell you about you and the nurse in the operating room~~~" Wang Yanan made Zhang Fan annoyed.
"Comrade Wang Yanan, after the consideration of the superior, I agree with you to perform the surgery today, but let me see the film first. If it is badly broken, then I will get the next one. Where did this patient come from? It was not our turn to admit the patient yesterday. ah."
"Here, it's very simple. It's not as fast as breaking a bone. It's just an oblique fracture. I can do it!" Wang Yanan looked at Zhang Fan eagerly.
"Well, the fracture is not very serious. Let me tell you. Below is the tip of the lung. If you are not careful, you will hurt the lung. Be careful." Zhang Fan warned again.
"I know, I've done it with you many times." Wang Yanan's tone was much better. Although she was impatient, she had to listen when it came to professionalism. This is the upper and lower levels of surgery. Dare not to listen! If it's against you, stop your operation directly.
The head nurse in the operating room walked back and forth, staring at each operating room, which was her territory, patrolling her territory like a lioness. If anyone's actions do not conform to the aseptic operation, she can pull you up to review the aseptic operation rules.
Zhang Fan stood next to the operating table, with his hands hanging on his chest, watching Wang Yanan operate, disinfect, and spread the drape, step by step was very standard, no problem could be found, the patient was a non-creative fracture, cut along the fracture end To cut the skin, Zhang Fan held the gauze and gently pulled the skin. First, it could remove the bleeding at any time, and second, it could help the surgeon to cut the skin better.
The skin on the clavicle was very thin, and it quickly entered the fracture site. Although the film showed that the fracture was not severe, it was different when the wound was opened. There were tiny fragments, bleeding, and congestion. Wang Yanan was a little flustered.
Zhang Fan didn't make a sound. At this time, she had to adjust by herself, depending on her comprehension of surgery and tissue anatomy. Blood sucking, hemostasis, cleaning of broken bones, and bone setting, although not very skilled, are already very good.
This is the difference between the assistant and the operator. The assistant follows the operator's train of thought. Doing a good job in the operator's vision and assisting the operator is equivalent to the operator's third and fourth hands. You don't need to think, you must closely follow the surgeon. train of thought.
The chief surgeon has to consider the steps of the operation. The books are all conventional treatment, there are tens of thousands of injuries, there can only be one classification, and it is impossible for all of them to be the same, it depends on the level of your surgeon and your usual accumulation. In a pile of bloody rotten meat, finding the blood vessel you are looking for depends on a deep understanding of normal tissue structure.
When the fracture end is broken, whether to fix the distal end or the proximal end first, looking through surgical books, there is no fixed statement. This is a matter of experience. Novices rely on the masters to pass on their experience slowly, accumulating thick and thin, and wait until they reach a certain level. , I can also start to sum up experience, which is the improvement of clinical medical technology.
The equipment nurse was in a daze of boredom, because it was slow! After all, he is a novice and cannot be compared with old doctors. One is to be careful, and the other is not confident. Sometimes he has to look at Zhang Fan, wanting Zhang Fan to be sure, because there is no mistake, Zhang Fan keeps silent. If Wang Yanan can overcome this hurdle, the road ahead will be easy in the future. This is a state of mind improvement. If she can perform the first operation by herself, it will be of great help to her future improvement.
Finally started to fix. This is what Zhang Fan is most worried about. If he accidentally punctures the tip of the lung, whichever hole Wang Yanan fixes, Zhang Fan puts the bone stripping knife under the collarbone to prevent Wang Yanan from being unable to control his strength and the electric drill piercing through it. There is also a bone knife pad.
After the fixation was completed, Zhang Fan stretched out his hand and touched the broken end, and it was still aligned. He let out a long sigh of relief, standing on the stage for novices, sometimes he is more tired than performing surgery himself, and he is always in fear.
A few days ago, there was a medical accident in the obstetrics and gynecology department. The doctor was transferred to sew up the incision for a woman who had a caesarean section. As a result, the fat layer was too thick, and the force was not applied well. Accidentally, the needle fell out of the needle holder. The contraction drives the fat layer to shrink, and the fat layer is full of grease. In just a few seconds, the stitches can't be found.
Hurry up to contact the orthopedic operating room, push the C-arm for half a day, only to find out, and then take the X-ray for more than half an hour with the instructor, and then take out the stitches, it is not responsible for the transfer to the doctor, the instructor The teacher was overwhelmed by the head of the gynecology department, and cleaned up in front of the general practitioner and nurses. The teacher who was wronged couldn't speak. This is the responsibility of the teacher!
"Zhang Fan, can you do it?" Zhang Fan didn't speak, and Wang Yanan was extremely worried. She really likes surgery, and she really wants others to recognize her in surgery. She doesn't gain a foothold in surgery only by relationships.
"Not bad! It's pretty good. It's better than my first operation. It's just that I lack confidence. Go back and read more books and firmly engrave the anatomical relationship in your mind. You won't hesitate like today."
"I remember! I will work hard." Zhang Fan's praise and recognition made her extremely happy, and the hard work of more than half a year was not in vain. Although I am very excited, I still have to be a ninja, and the operation is not over yet.
"Xiao Yin, take a mobile phone and take a picture of this collarbone. This is Wang Yanan's debut work, and it's commemorative."
Fortunately, he was wearing a mask and hat. Wang Yanan didn't know what to think, and his face turned red! "Okay, master and apprentice, can you hurry up, there is still an operation for tibia and fibula fractures. Xue Fei has come to see it several times. I thought it was a clavicle, so I arranged it in the front. I didn't expect to do it. Broken femur."
Ever since Zhang Fan rejected Xiao Yin, she was a little angry with Zhang Fan. He always likes to use words to stimulate Zhang Fan. In surgery, Zhang Fan's faults are usually not found, but Wang Yanan he took is a novice, so he started to mutter and complain.
"Hurry up and take the photo, Xue Fei is in a hurry, let him come to me." Zhang Fan didn't want to let her have any regrets about his apprentice's first operation, and now that Zhang Fan has a practicing certificate, he is no longer the same person he used to be. Anyone can pinch a small transfer doctor. When it's time to speak, you must speak, otherwise some people will come to the top.