One Hundred and Seventy-Nine, a Little Scary

"Don't you mean experts? What's the matter?" Ordinary people even dare to challenge the government, but they will never fight with doctors in hospitals.

However, the husband of this pregnant woman is not an ordinary person. Although he is a small section chief, he has a stronger temper than the chief of their bureau. After seeing Zhang Fan, he looked at the director of the Central Hospital quite dissatisfied.

The director of the central hospital introduced awkwardly: "This is the book of our frontier health court."

"Oh, but my daughter-in-law now wants an expert in obstetrics and gynecology. Why did you call the book here and delay the work of the book?"

Hearing that Zhang Fan was a book, and he was still so young, he compared it horizontally, and felt that his father might not be as senior as the book's father, and his voice instantly became much smoother from an octave higher.

Zhang Fan glanced at the other party. He was dressed in a foreign style, with a fluffy half-length hairstyle, especially a tuft of beard on the lower lip, and a hairy chin, just like hanging a hedgehog. I don’t know if it’s for looks, or For ease of use. Plaid shirt, overalls khaki canvas pants, and combat boots on his feet.

It is more reliable to say that he is an adventurer than a civil servant.

"Because she is a pregnant woman, and the diagnosis is suspected to be acute appendicitis. This situation is actually a general issue. If you have any objections to me, you can directly say that the patient's family has the right to choose a doctor."

"No, no, that's, that's, this, there are so many people, I'm not in a good mood for pregnant women..."

A pinch of hair is strong when it is weak, and weak when it is strong. The other party is younger than you, and the official position is older than you, and it immediately becomes very reasonable.

"Okay, we are professionals here. If you have nothing to do, go out first and don't interfere with our normal work." After speaking, he turned to the director of the central hospital and said: "The former central hospital was the pacesetter of frontier hospitals. Now Why are there no rules for the family members of patients, pregnant women are prone to allergies, look at the flower baskets placed around, is this a flower shop that sells flowers?"

The director of the Central Hospital knew that although Zhang Fan was talking about himself, he was actually referring to Sang and Huai.

"Sometimes, under special circumstances, we can only..."

"What is a special situation? These are all excuses. Don't think that because you have a high position, you know everything. In the medical field, you are the experts. A group of experts listen to the orders of a few outsiders. Are you idiots or the idiots who gave the orders? You are dereliction of duty , I will warn you once today, if you don’t want to do it, say it earlier, and rectify it today, if you don’t do it well, you will give up your position.”

The few people Zhang Fan spoke of were sweating.

Especially pregnant women's husbands,

And the dean of the Central Hospital has now realized what official authority is.

"Why, you're not going out yet? If you're not going out, I'll go out."

"Don't, don't, don't, I'm leaving now, I'm leaving now!"

The pregnant woman's husband backed away, gritted his teeth, and hurried out the door, and after he went out, he closed the door gently, for fear of offending the old man.

"Brother, is this convenient for you? I'll ask someone."

After this guy went out, he was a little unwilling. When he came to the hospital, he was kicked out by others. If he didn't give himself face, he had to give face to his father.

During my interview, the examiner politely only asked one question, "Is your father in good health?"

But today, although I was very humble when I came out, I was still quite upset in my heart.

The mouse has a mouse way, the person who called this call is also a second generation, younger than him, but his father is not as powerful as his father, so it is the elder brother!

"Who messed with you? Judging from your tone, you are angry. If you mess with him, let your old man mess with him."

"I've done it, but I just don't feel relieved. Didn't I just return to the frontier? I'm not familiar with the heads, so I only know a few of you."

"Who, how did you do it?"

"Zhang Fan, when I saw my daughter-in-law at the doctor today, the teeth were not right when I entered the door. If someone didn't pull me, I would definitely let him know today why the flowers are so red!"

"Zhang Fan from Chasu? Did you hit him?"

"A slap in the face will make you honest."

"My mother, you are amazing, you are my brother, that's enough, hurry up and find your father, don't say you know me!" Then he hung up the phone directly.

This guy hangs up the phone neatly, and after hanging up, he patted his forehead, and some of the same kind around him asked, "What's wrong with Zhang Fan? You messed with him, buddy advises you to bear it, you know No, the first person to visit this year on the first day of the new year is Zhang Fan from Chasu."

"Damn, do you think I'm stupid? I don't know yet. I don't even go to tea now. I'm afraid that something wrong will affect my father. It's Yan San. Yan San said he cheated on Zhang Fan. A slap in the face. Let's stop messing around here, hurry home and find each mother, I guess Yan San's position is loose."

After finishing speaking, several people dispersed and left. After a while, the phone number of the director of the Central Hospital went red like the barrel of a machine gun.

"Nothing!"

"Nothing!" The director of the Central Hospital kept explaining.

And the husband of the pregnant woman, listening to the busy tone on the phone, muttered in his heart:

"I'm going, who is this person? I dare not mess with anyone who claims to be the king of the frontier. I still have brains." After hanging up the phone, the pregnant woman's husband didn't dare to call his own father, and he hesitated for a long time. , felt that something was wrong, and then called my old lady and asked her to come to the hospital to see her daughter-in-law.

He went straight out to Vientiane Exchange, "A Rolex worth 400,000 yuan! Want to make an appointment? Do you want to buy a bound watch from another brand?"

This guy has a cannibalistic expression on his face, and what he thinks in his heart is, it’s fine for Zhang Fan to bully me, he is also a pavilion leader, and even a watch seller dares to bully me.

After finishing speaking, he called the boss of Frontier Mixc.

I bought the watch, tore off the label, threw away the box, and ran to the hospital in a hurry.

In the obstetrics and gynecology department of the central hospital, Zhang Fan held a discussion on the condition of the two departments of general obstetrics and gynecology.

"The patient's white blood cells were significantly elevated, and the McBurney's point tenderness was obvious. Because the patient is a pregnant woman, the current examination is only abdominal color ultrasound, which shows obvious organ enlargement in the appendix area. Combined with the patient's abdominal tenderness, if it is not treated in time, there is a risk of perforation."

The attending doctor reported his condition, and Zhang Fan listened to the other party's report while doing the physical examination.

"What is your treatment plan?"

"Currently, the patient is in severe pain and surgery is necessary, but surgery is life-threatening to the pregnant woman. It is recommended to stop the pregnancy before surgery."

"What about the family members' opinions?" Zhang Fan didn't say anything, but asked the family members' opinions instead.

"The opinion of the patient's family is to try not to stop the pregnancy."

Zhang Fan nodded.

Where is the appendicitis? In layman's terms, it is the junction of the small intestine and the large intestine, and there is an extra blind path like a bud.

In herbivores, this is the intestinal tube, and in humans, it is a strip of meat that is thinner and longer than a child's bud.

In the early days, the appendix was operated by laparotomy, and later by laparoscopy. Now a professor at the first university of Nanhe University has performed an anorectal colonoscopy.

Laparoscopy is relatively simple. First, a hole is made in the stomach, and then a large amount of nitrogen dioxide is blown up like a balloon, and then two holes are made, the lens is inserted, and the appendix is ​​cut.

Abdominal appendectomy is also one of the basic operations of laparoscopy.

The biggest advantage of colonoscopic surgery is to preserve the appendix and eliminate inflammation.

But the limitations of this technique are also obvious.

For example, this kind of operation can be used for fecal stone obstruction, which is a bit obvious. There is no medical incision, and no anesthesia is required.

But to be honest, this thing is very uncomfortable. Anyone who has had a colonoscopy understands it. For those who have never had it, they can’t describe it no matter what. It’s like a person’s hand is inserted into your intestines.

For ordinary people, this kind of operation is a bit uncomfortable, and the benefits are obvious, but it is not suitable for pregnant women. Once it enters the anus, the appendix probably has not yet arrived, and the child will have to be tossed.

Laparoscopic surgery also has a big disadvantage, that is, pregnant women will have a hypoxic state after anesthesia. This state is nothing to ordinary people, but this kind of anesthesia may cause oxygen deficiency to the fetus, which may lead to Brain Injury.

So now it is a dilemma. The reason for this is not only the problem of the patient and the patient's family, but also the problem of the hospital. In order not to take responsibility, the hospital did not give definite guidance to the patient in the first trimester. It is also a very important reason.

After Zhang Fan listened to the report and checked his body, he gently closed his eyes.

Everyone turned their attention to Zhang Fan, what should we do now? Is it really necessary to stop pregnancy?

"Preparing for the operation, I will talk to the patient and his family."

After speaking, the doctors in the ward collectively breathed a sigh of relief. Now that Zhang Fan is willing to talk, the responsibility and pressure are on Zhang Fan.

Whether it is to stop the pregnancy or not to stop the pregnancy, they have no pressure, anyway, there is a taller child on top.

"It's not a big problem, it's a minor operation, don't worry." After comforting the patient a few words, Zhang Fan called the patient's family to the office.

"If you want a baby, you have to operate now as soon as possible."

"Zhang Tingchang, is it through the intestines? I heard that this kind of surgical technique is difficult..." The mother-in-law of the pregnant woman seemed to have done her homework.

Zhang Fan shook his head, "This type of operation is not suitable for the patient, it will cause the fetus to be born prematurely..."

In the operating room, Zhang Fan had already brushed his hands and dressed, getting ready.

"Dilute 10ml lidocaine to 20ml, syringe ready."

After saying this, the anesthesiologist was stunned, "Yuan Zhang, do you want local anesthesia?"

"It's a match!"

"The appendix is ​​numb?"

"right!"

"Isn't it a little risky?"

"Won't!"

Zhang Fan shook his head.

For a moment, the doctors and nurses in the operating room were dumbfounded. They had seen appendix surgery before, but they had never seen appendix surgery performed under local anesthesia. It was even more unexpected that Zhang Yuan would perform appendectomy under local anesthesia on pregnant women.

It was so quiet in the operating room that no one even spoke. For them, this kind of thing is not very medical ethics.

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