Four Hundred and Ninety Small Holes, Big Tricks

A short, black man in Huaguo once said that a bike repairer wouldn't hate selling pancakes. Because he can't hate it. Only colleagues can't wait to die together.

If you add a country to this condition, it will be more prominent. Don't look like everyone is a civilized person. To be honest, the simplest thing is that many doctors from the magic city of Huaguo go to Jinmaoguo for further training. You can't get into their most high-end operating room at all, and they don't say it clearly, but you just can't get in. Why, not only Chinese people can't get in, but other people who are not of Golden Retriever nationality can't get in either.

The same goes for Maruko Country. At that time, a group of doctors from Wanzi Kingdom came to Huaguo, but they were not called Zhongyong Hospital after success. This is also one of the reasons why the Hua people abandoned the meatball country and learned from the Golden Retriever.

So there was such a saying later, science has no nationalities, but scientists have nationalities.

People from the Hua Kingdom look down on the people from the Wanzi Kingdom, and so does Zhang Fan. Don't look at cooperating with people from the Maruko Kingdom, but in the past six months, apart from communicating with them in their daily work, Zhang Fan invited them to a meal, invited them to come to their house for a sit-down, Zhang Fan never once.

Zhang Fan and Ouyang are very similar in this point, probably because of their willingness to be educated when they were young. After all, the generation who grew up watching tunnel warfare, landmine warfare, and the small soldier Zhang Ga, even if they don’t say it, they are still small balls in their hearts. with.

Moreover, Zhang Fan has no intention of interacting with the local tyrants of the Maruko Kingdom. For example, the guy from the Emirates, he and Zhang Fan made phone calls and sent text messages from time to time, although most of the time it was the guy from the Emirates who showed off to Zhang Fan, but Zhang Fan never felt that the other party was superficial.

For example, the son of the tribe of the Stan Kingdom, from time to time, took the money and ran to Huaguo to spend, and came to Zhang Fan several times.

But for the local tyrants of the Shangwanzi Kingdom, Zhang Fan is really a naked transaction where he pays and I come from a family. If it wasn't for the in-depth cooperation this time, Zhang Fan wouldn't have come to Wanzi Kingdom. Two million is a one-shot deal. Want something else? There are no doors.

So, some industries pay attention to a child's work, but education is not a child's work. Learning after growing up is definitely utilitarian. For money and girls, only childhood education can be as serious as a brand. For example, the movies I watched back then, all kinds of resistance to the Maruko Kingdom, although I felt that it seemed inappropriate when I became an adult, but deep down in my heart, there was always a villain shouting: "Little Maruko!"

The people of Huaguo look down on the country of Wanzi, and the country of Wanzi looks down on the people of Huaguo. The business is in full swing, but in fact there is not much friendship, so the Chinese people look down on the Chinese who went to the meatball country.

In Shun Tian's operating room, Zhang Fan entered the operating room with an extremely calm disdainful attitude.

He felt that Maruko is the best in the country, where can he be so good?

In the observation room of the operating room, many people came from Maruko Country. Not only the chaebols, but also a large number of scientists have come here, the most prominent is the immunology master Tasuke Honjo of Maruko Country, who also came to the observation room.

"You are very young, this doctor." Honjosuke said softly to the head of Shun Tendo's medical department.

"That's right, but his gastrointestinal skills are almost reaching the stage of mastery."

"Really? I wonder how his pancreas skills are?" Honjosuke asked softly. The old man seemed to be whispering like he hadn't eaten enough rice.

"Why, your research needs..."

"Yeah, my current research has also reached a bottleneck. If I have a master operator to help me, I don't think I need to cooperate with Golden Retriever Country in my research. The operation of the pancreas is too difficult. If it is not handled properly, it will Leading to a substantial change in the experimental data."

The old man's face was wrinkled into a chrysanthemum.

The old man's research direction is cancer therapy. Many times, he thinks about it, but he can't do it. Because cancer therapy in living surgery is like a bullet,

There are also guns. But without a sharpshooter, the bullets couldn't hit where they expected.

When Zhang Fan entered the operating room, he frowned slightly, because he felt uncomfortable, and he didn't feel that he could control the operating room. In the operating room, no matter whether it was a nurse or a doctor, they were all talking nonsense, and he couldn't hear it. Understand.

It's like driving a car. Even though he knows how to drive, all the data are in words that Zhang Fan can't understand. Although it doesn't affect driving, it still makes Zhang Fan feel uncomfortable.

The female translator, choose these words that need to be translated for Zhang Fan to translate.

It was like someone chewed his food and then fed him mouth to mouth, Zhang Fan was a little annoyed.

"How are you doing with this kind of surgery?" The local tyrant looked at Zhang Fan in the operating room, and asked the Chinese doctor without looking back.

The Chinese doctor swallowed, and then said awkwardly: "This kind of operation is more difficult."

"Oh!" The local tyrant nodded. They are all from the cultural circle of Chinese characters, and he immediately understood that his personal doctor could not perform this kind of operation.

Speaking of the Chinese character circle, there is a rather peculiar place, such as the country of meatballs, people really affirm that their culture comes from the country of Hua on the other side, and they keep emphasizing that their culture is authentic, and then they want to After leaving Yashan, there will be no China. Huaguo's culture has been broken, and they are the continuators.

The Bangzi Country in another Chinese character circle is different. Not only does it not recognize their cultural traditions, but it also tries to deny or change their culture. In the end, the names of the people all over the country are read in the same way. These are two countries. s difference.

Sterilize and start the operation.

Pancreas, Hua Guo didn't pay much attention to it in the early years. Because from ancient times to the present, the pancreas patients in Huaguo have not been particularly tall, which is the difference in diet structure. For example, Europe and the United States, these guys have been drinking alcohol since ancient times, so Europeans and Americans know better what is back pain.

Pancreatic cancer is even more terrifying, which is still a common tumor. This disease is more common in male patients, and the age of onset is usually in the forties. The most frightening thing about this kind of cancer is that it is not easy to find, that is to say, this thing likes to hide and pretend.

Once diagnosed, not only resection or chemotherapy, the prognosis is quite poor. The 5-year survival rate of resection patients is less than 5%, ranking fourth in the mortality rate of malignant tumors. Most of these things are pancreatic ductal carcinomas, and they are more frequent in the head of the pancreas.

Therefore, when patients are diagnosed at the hospital, often pancreatic cancer patients have developed cholangiocarcinoma, pancreatic cancer, and even lymphatic and liver metastases.

What exactly is the pancreas? How to describe this stuff.

To put it nicely, it looks like a maple leaf. The head of the pancreas is the tail of the maple leaf. This place fuses with the cystic duct and then opens into the duodenum. The stomach is connected to the duodenum, which means that after the stomach acid comes out, it will converge with the solution discharged from the gallbladder and pancreas.

But there is a little distance from the stomach to the opening of the gallbladder and pancreas. This place is particularly prone to duodenal ulcers, because this section of the duodenum directly receives gastric acid, which is why young people are prone to duodenal ulcers. The reason is that young people secrete a lot of gastric acid. If the diet is not fixed, and if you are hungry and full, you will definitely not be able to escape the duodenal ulcer.

Because gastric acid secretion is the same as the ebb and flow of the tide, it is regular. You don’t eat at noon, but the stomach doesn’t care whether you eat or not, it secretes gastric juice as usual at twelve o’clock, but if you don’t eat, the concentration of gastric acid is very high, because there is no dilution of food.

Then the stomach acid stays and the intestines burn and rot. Therefore, many young people feel abdominal pain when it is almost time to eat, and it will be different after eating a meal. Don't think about it, this is a duodenal ulcer!

Gastric ulcer and duodenal ulcer can be detected early, and they have symptoms. Pancreatic cancer has no specific symptoms, so it is often a good person, and nothing is inappropriate. As a result, when the disease occurs, Before everyone understands it, people will disappear.

According to the current evidence-based medicine, if a person over 40 years old has unexplained weight loss and abdominal pain, no matter what the situation is, he must go to the hospital for examination. It may be pancreatic cancer!

Once pancreatic cancer is diagnosed, the first treatment is surgery. Don’t even think about any folk remedies or special medicines. It can be clearly said that there are no special medicines at present. World-class millionaires are all hung up on this disease. You can imagine how terrible this disease is.

"start!"

"start!"

Zhang Fan felt that it was too awkward. This operating room was like a repeater, he said a sentence, then the translator said a sentence, and finally the nurse repeated a sentence.

Fortunately, the female translator is a medical translator, otherwise the regular translator would probably cry.

"Supine position, head high and feet low, disinfect the chest and abdomen below the level of your head, including the sides." After Zhang Fan confirmed the disinfection, he began the operation.

"Knife! Choose the central position to operate." Fortunately, although the assistant is not part of Zhang Fan's team, he has cooperated with Zhang Fan many times during the past six months in Chasu, so there is still a tacit understanding. After Zhang Fan finished speaking, he had already started to enter the state.

The principles of tumor surgery are different from those of general surgery. For example, cholecystectomy, even if the stomach is resected, can actually reduce the opening area, so the opening area is reduced. This is to reduce damage and reduce unnecessary damage.

Therefore, it is difficult for doctors to perform ordinary operations. A small hole can only fit a finger, but doctors have to do things with two hands, so skills are very important.

But tumor surgery is different, you can open as much as you can, because after the doctor enters the tumor lesion, he has to check whether there is tumor metastasis around the tumor.

Therefore, this kind of operation is often done in the middle, that is, like cutting open a pig, it is directly opened from the middle of the patient's stomach, from top to bottom.

The stomach and intestines are all displayed at once.