In the dermatology department of the city hospital, a middle-aged woman was moaning. Her head was sweating from the pain, and it could be seen that she was enduring the pain. A man silently held her hand, it should be husband and wife. From the perspective of clothing, the economic conditions are not very good. The legs of the men's trousers are all hairy. They should be in a good relationship. The expression of the woman's body in pain and the man's heart in pain can be seen at a glance.
After Zhang Fan arrived at the department, Guli Nazha was calling the operating room, and Qi Miguel introduced the situation to Zhang Fan. The patient couple, who are foreigners, opened a small restaurant in Chasu City. They got up at 4:00 in the morning and went to bed at 11:00 in the evening. As a result, they were too tired, and the woman accidentally spilled boiling water on their feet.
At that time, in a hurry, they took off the shoes and socks, and the skin was peeled off. Not to mention, they applied soy sauce again, and the wound was severely damaged. The saddest thing is that the medical insurance cannot be used here. They are from other places, and it is still unknown whether they can be reimbursed when they go to the local area in the future. The current situation is that skin grafting is necessary, and the operation cost is not small. The patient himself asked for conservative treatment, and the family members insisted on surgery. One cared about money, and the other cared about people.
Zhang Fan went over to check the injury, and found that 1/3 of his right foot was burnt, and the depth was not bad, but he took off his socks too quickly at that time, and there were several deep point wounds, which were torn off.
Speaking of burns, I will say a few words. After a general burn, please do not take off the clothes on the burnt area immediately. The skin has already adhered to the clothes. Once you take it off, it will cause secondary injury. This second injury Worse than the first injury.
The general treatment method is to wash with a lot of cold water and tap water, let the tap water take away the heat from the scalded area to prevent further damage, and do not apply soy sauce or toothpaste, which is useless and easy to cause infection! Infect! Infect!
"Skin grafting is needed, and the cost should be collected as soon as possible. After entering the operating room half an hour later, the doctor and Dr. Zhang will prepare to talk and sign." Director Guli Nazha said to the family members and Zhang Fan after finishing the phone call.
"Okay!" Zhang Fan replied.
"I'm looking for money now, how much is still missing?" the patient's husband asked.
"Prepare fifteen thousand, you paid five thousand."
"Doctor, can we not have an operation? It will cost too much money." The patient endured the pain and said intermittently.
"Don't worry, nothing will happen. You don't have to worry about the money. As long as you can recover, we can still make money. The doctor has troubled you. I'll call now to collect money."
"If you don't want to collect money, you can collect eight or nine thousand first, and do the surgery first. Then slowly collect later." Gu Li Nazha is tall and fat, but she has an extremely soft heart. This time I emphasized that the doctors in the department abide by the rules and regulations, but she often takes the lead in breaking the rules. It is really rare. I hope there are more doctors like this, although it is a bit difficult.
Half an hour later, the patient's husband came in sweating profusely, holding a bill of payment, "Doctor, I have collected 10,000 yuan, and I can perform the operation, I can perform the operation!" Anxiously excited.
Is it more than ten thousand? Not many, some people don’t even have enough to eat, but for families struggling on the poverty line, it’s not a small amount. Many people can’t feel this kind of embarrassment. They have no choice but to look at their relatives Or I am struggling in pain.
"Give me a doctor's order, use penicillin as an antibiotic, give some glucose, saline and vitamin 6, and stop using other medicines!" Guli Nazha said to Zhang Fan. Basically, this is the cheapest drug. Many tertiary hospitals don’t know how to use penicillin anymore. For various reasons, the antibiotic worth 60 cents was injected into the scalded patient’s body.
In the operating room, after anesthesia and disinfection, the soy sauce applied after burns has penetrated into the muscle layer without the protection of the skin. "Hey! Dr. Zhang must be careful and disinfect thoroughly, otherwise the skin graft will fail if it is infected later."
"Okay!" Zhang Fan replied.
After eating, Shao Hua walked on the street alone. She didn't know much about the profession of a doctor before, but after Zhang Fan intervened in her life, she began to have a little understanding, Zhang Fan's vomiting, nausea medical records that can make people vomit, going to the county in the middle of the night for surgery, eating until the end of the day Halfway through, before finishing the sentence, it was really not easy to throw down the chopsticks and run away.
At the beginning of the operation, choose the skin first. The skin on the inner thigh of the opposite normal leg has rich blood supply, thick enough skin, and good ductility, which is especially suitable for skin grafting.
Many people have never seen a skin grafting knife. With one click at both ends, the skin is completely removed with a gentle push. It is best to use the whole piece of skin grafting method for scalds of this area, and the survival rate of spot skin grafting is not high. What is point skin grafting is to cut the skin into small pieces and put them on the wound.
Zhang Fan's subordinates are very agile, Qi MiG, as the old attending doctor of the dermatology department, is not Zhang Fan's opponent. Zhang Fan, who was originally the second assistant, gradually became the first assistant, and his cooperation was more comfortable than that of MiG.
"Doctor Zhang, when will you be scheduled?" Guli Nazha asked halfway through the operation. This was her and Zhang Fan's first surgery, and she was very satisfied with Zhang Fan's skills. Skilled and standard operation, it is estimated that this kind of skin grafting operation is done frequently.
"I don't know, hey! There are still many departments to be transferred."
"Why don't I talk to the dean, you just stay in our department and forget it. Our department is all old people, and we haven't admitted young people in the past few years. After you come, you will be the director after we retire in a few years. .”
"Hehe. In the future, Director Zhang, I'll have to treat you later." Qi Miguel said heartlessly, his tone was not jealous, but teasing. The atmosphere in this department is really good.
Zhang Fan gritted his teeth and went for a physical examination that day, and he still maintained a kind heart to the patients, which made Guli Nazha very satisfied with Zhang Fan. Attitude and mentality are the ultimate thing. Skills can be cultivated, but attitude and mentality are really difficult to change.
"Hehe." Zhang Fan smirked and didn't say anything else. The dermatology department was too small to meet his requirements. The director said something, so he couldn't refuse directly.
The operation was very successful, but this operation is only the first step in the treatment. The dressing change in the later stage and nursing care are very important. If one is not careful and the skin graft becomes infected, it may fail. And diet is also very important, and the protein loss after scalding is also very serious.
The husband of the sick patient outside the operating room was nailed to the door of the operation all the time. Slowly getting better, life has hope. As a result, his own woman suffered such a big crime again.
He was so distressed that he wanted to replace her. The more he thought about it, the more frustrated he became. How can he not be tired after working for more than ten hours a day? He is praying, praying to the gods and Buddhas all over the sky, how helpless, now he can only pray.
After the operation, Qi Miguel specially explained some precautions to the family members. When the patient’s husband took out a red envelope with trembling hands, Zhang Fan burst into tears. How similar, when his father was hospitalized, his mother might also be Like this.
fragile? No! I hope Zhang Fan can keep this fragility forever!