Three Hundred and Seventy-Eighth Rush Operation

It was raining heavily. After waking up in the morning, Zhang Fan found that it was raining outside. Looking out the window, the rain on the street had started to bubble. "It's not even summer, yet it's raining so much!" Zhang Fan said to himself in bewilderment.

"Zhang Fan, come and wash your face quickly. Give me a walk after dinner. It's raining heavily. I have to go to work early today. One of my clients has made an appointment with me, and I'm going to give him a loan today."

When Zhang Fan was staring out the window in a daze, Shao Hua shouted loudly in the bathroom. "Okay!" After Zhang Fan entered the bathroom, he saw Shao Hua blowing his hair again.

"Go early, you still wash your hair, come and let me blow it for you, it's raining outside, if you don't dry it, you'll catch a cold easily." Zhang Fan found the hair dryer in Shao Hua's hand, and started to help Shao Hua dry his hair.

"Isn't it forgotten? I only remembered it when I heard it was raining. One of my clients is engaged in civil engineering. He can only rest when it rains, so I remembered it.

One of my clients looks bitter and bitter, and seems to have a good relationship with our president. If he is negligent, he will sue. The last time I sued Xiao Liu from our department, it was because he didn't take the initiative. water. "Shao Hua was talking while enjoying Zhang Fan's service.

His jet-black hair was like satin. Zhang Fan gently shook the hair dryer, looking for strands of hair that hadn't dried yet.

"Are you all ready? The meal is ready. Come and eat." Shao Hua's mother shouted at the dinner table.

"It's coming, it's coming soon." Shao Hua agreed.

Milk tea, naan, side dishes, and some sausages, protein, fat, and vitamins are all complete. "The heavy rain started to fall last night. Such a heavy rain is rare. There must be something troublesome." The old man looked out the window with a cup of milk tea. After Zhang Fan sat down, he said to Zhang Fan.

Before Zhang Fan could reply, Shao Hua's mother sent her back: "Hurry up and eat, it's a day of God and God. After eating, accompany me to the vegetable market to buy some food, and the food at home is gone."

"Hmph, what do you know!" The old man was stunned and drank the milk tea in one gulp.

"Hurry up, let's go. I'm too late." Shao Hua shouted after taking some naan bread casually. After Zhang Fan finished eating in two mouthfuls, he also started eating and putting on his shoes and went out.

"I know I have something to do today, so I don't get up early. If I don't eat well every day, it will affect Zhang Fan's ability to eat well. If this happens, I won't cook anymore." The old lady suddenly became angry when she saw that more than half of the meal was left. .

"Hey, I got it, my dear old lady, let's go. Be careful, the road is slippery when it rains, if not, just wait until we get off work to buy vegetables." Shao Hua comforted his old lady with a smile.

"You can't count on it! Go ahead. Wear hot spots," the old lady calmed down. The old man frowned when he heard his old woman's non-stop nagging, and muttered to himself: "It's not a child!"

Zhang Fan drove Shao Hua to work. The speed of the car was very slow in the rain, and the road was still a little bit heavy. "There was a car accident ahead." Zhang Fan poked his head and saw the road ahead.

"is it serious?"

"It shouldn't be serious, and the speed is not serious either. It's probably a scratch."

After a while, Zhang Fan sent Shao Hua to the work unit, "I'm leaving, be careful on the road. I put an umbrella on your car, it's right behind."

"Okay, you should pay attention too."

It’s better to rain than snow in the frontier. You don’t have to go to work early when it’s raining. If it’s snowing, you can’t do it. When it snows, you have to blow the charge and you have to go to work half an hour earlier.

When Zhang Fan arrived at the unit, there was a bit of water at the gate of the hospital. "It's been down all night, and it hasn't stopped." In the surgery building, Zhang Fan saw the director of chest surgery.

"Yeah, I guess there were a lot of car accidents today." The two chatted casually before arriving at their respective floors.

Despite the rain, the work of the hospital continued as usual. Patients with hallux valgus were pulled to the operating room early. After routine disinfection, Zhang Fan took Wang Yanan to start the operation.

Hallux valgus, a small hallux valgus, has almost two hundred surgical methods. It is not a good thing to have many surgical methods, because it means that everyone is not sure which surgical method is the best.

They are constantly exploring.

Of course, Zhang Fan has an advantage, because of the system, he knows which spells are the future trend, but this kind of thing can only be done by himself, and others will not believe it when he tells it to others.

For this kind of thing, there must be data, and only data can convince others, but now Huaguo's evidence-based medicine can't take care of this kind of minor surgery. Do it yourself, and it is estimated that there may be some convincing data when you retire.

"Zhang Fan, let's use that kind of operation. Last night I read the operation materials all night. There are too many of this operation. No matter how I look at it, I think it has advantages." Wang Yanan is very labor-intensive. Once you have done it and encountered it, do your homework in private.

Zhang Fan looked at the girl with bags under her eyes and said, "That's right, if you don't have any advantages, you might be eliminated. Let's use the combined method of release surgery and cartilage correction."

"Um, I've never seen this kind of operation before." Wang Yanan lowered his head for a while to think, then raised his head and said affirmatively.

"Have you read all the more than two hundred methods?" Zhang Fan was a little surprised, he didn't expect this girl to be so smart.

"Well, it's over." Wang Yanan said a little proudly.

"Don't be so stupid, you will grow old very quickly." Zhang Fan said casually, it was nonsense, if you are not a doctor, why should you be a doctor?

"Hey, there are more and more graduate students, and I'm a girl, and Xue Fei is unreliable. You might leave one day. If I lose my liver, I might suddenly lose my position someday." The girl said with emotion.

"Eh! Your uncle~~" Zhang Fan felt that it was inappropriate, and immediately changed it and said, "Ask me directly if you don't understand, don't be impatient, the operation is gradual." Zhang Fan ignored himself.

"My uncle will retire sooner or later, and I have to be anxious. I have to study with you. Although I can't reach your level of hard work, at least I have to do half of it, or I will become Xue Xianyu."

"Okay, as long as you have confidence, let's start." Zhang Fan felt that this girl thought clearly, so he didn't say much. They are all adults, and they choose their own path and walk on their own. You don't need to look for persuasion.

This operation is actually not difficult, the difficulty lies in the control of the angle, the angle formed by the toe joint, if the control is not good, it is very easy to relapse.

This kind of angle is not prescribed, but must be considered in all aspects, such as the weight of the patient, whether he is engaged in heavy physical labor, etc. If the consideration is not comprehensive, it will plant the root of disaster. So sometimes when you go to see a doctor, don't hide your occupation.

"Start!" Zhang Fan said and started the operation.

Firstly, a 5cm longitudinal incision is made between the first and second toes on the dorsal side of the great toe, extending to the space between the metatarsal heads.

Having said this, Zhang Fan pulled the dorsal peroneal cutaneous nerve and vein of the great toe to the tibial side.

Then continue to separate along the deep side of the capsule of the hallux metatarsophalangeal joint, cut off the transverse metatarsal ligament, and cut the transverse head and oblique head of the adductor hallucis muscle from the base of the proximal phalanx and the lateral sesamoid.

Then it is bluntly dissected proximally, and the end is sutured with thick silk thread, leaving a long thread for later use. The hypertrophic lateral joint capsule was cut along the joint line from the dorsal midline to the plantar side, so that the big toe could move inward, and then tied and fixed.

While doing it, Zhang Fan explained to Wang Yanan. It would be too difficult to explore the operation by yourself, and you must be guided by a teacher. Having a good teacher can save you a lot of detours.

The operation was quick and ended in just over half an hour. "Next time there is such an operation, can I do it?" Wang Yanan said to Zhang Fan while wearing a plaster cast.

"Do you understand?" Zhang Fan asked.

"Understood. You taught me very detailed, I think I should be able to."

"That's fine." Zhang Fan nodded. In fact, this operation is also simple. It is to incise the skin and muscles, open the tendon, loosen the thumb joint, and then adjust it to the position to be restored, then suture it and put a plaster on it.

At this moment, Lao Gao came in, "I reckon your surgery is over. Hurry up and get ready. Two car accident casualties came. Both of them had open fractures. They must be operated on as soon as possible."

"Where is the fracture?" Zhang Fan asked.

"One ulna and radius, one femur." Lao Gao said, and went out of the operating room to the operating room of another group.

"You send the patient back to the ward, give a good doctor's order, and then come up, I will grab the femur. Remember to explain clearly to the patient's family that the big toe must be fixed in the corrected position with a plaster bandage, and the plaster bandage can be removed after 3 weeks to practice activities and wear it. Shoes to walk." Zhang Fan made a special statement after putting on the plaster.

"Okay, don't worry. I'll go down and sneak Xue Feiti up. I know that you will definitely get the patient back. I have confidence in you. Come on!" The girl deliberately made a gesture of pumping her fists and cheering.

"OK! Don't worry." Zhang Fan smiled.

When it rains, the road is slippery and there are more accidents. The wounded who came were a driver and a passenger in a three-span. Sanbangzi is actually a motorcycle with a tin box. The rain was so heavy that he couldn't see the road clearly and got into a head-on collision with a car.

The driver and passengers of the car were not broken, and it turned out to be too tragic.

When Zhang Fan went out, he went to the conference room of the operating room. Inside, Lao Gao, the deputy director, and Xu Xian are watching a movie.

"Director, where is the patient?" It will be delivered right away, this is the film, you should watch it first. While talking, Lao Gao moved away from the computer, because it is a local area network, and after the radiology department took the film, it will be displayed on the computer here.

"The ulna and radius are not very broken. The femur is quite heavy."

"Yeah, which one are you doing?" Lao Gao asked.

"Let's do the femur. Dr. Xu and his team have been exhausted recently. Let's share some of the workload with them."

"It's okay, we can still do it!"

"It's better if we have nothing to do. We have all rested for a long time. We are a new force. We do femurs. What do you say, director and deputy director?"

"Hehe, that's fine. Let's do the femur."

"Look, hehe, this is Dr. Zhang, he is overbearing." The deputy director said with a smile, and said something to Xu Xian with a pun.

"Eh!" Xu Xian had no choice. In the Department of Orthopedics, if Zhang Fan spoke up, Lao Gao would definitely agree. Even if Lao Gao was not there, the deputy director would have to weigh Zhang Fan's mouth if Zhang Fan spoke up. The technology is here. He had to think about it.

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