Two Hundred and Five Aura
I don't know who said it, but if you want to play a certain game, you must have seen at least 100,000 games before you can be regarded as an expert.
It’s absolutely not, it’s hard to say, but medically, a change of this magnitude will definitely lead to a difference in the level of doctors.
The simplest one is that Li Jiapo and Hua Guo had a relatively mild and friendly period in the early years.
There was such a team of medical teams who came to the frontier. At that time, the medical teams were all doctors with academic qualifications, and they were all young heroes under the age of thirty-five.
At that time, most of the doctors in the frontier were specialists, and all of them had excellent undergraduate degrees.
At that time, in order to support the scene, the leader even pulled out the old gray-haired professor from the medical school.
At the discussion stage of the meeting, it can be imagined that the frontier doctors all retreated, and their research, from tissue embryos to future molecular biology, was more advanced than one research.
Frontier doctors are like students. Really, in Ouyang's words, they were like students back then, adoring others with an extremely longing gaze.
After the discussion period is over, we will enter the operation observation. At that time, Doctor Bianjiang felt that he was such a high-end doctor, such a senior doctor.
No matter what, let people not underestimate the frontiers too much, and Huaguo should not be underestimated too much.
The doctors who perform the surgery are all masters from medical competitions. Really, the whole frontier has drawn a group of masters regardless of north and south, regardless of east and west.
At that time, several operations were arranged, ranging from simple appendix, gallbladder, hernia, and finally gastric resection.
Doctor Hua Guo went to the operating table first, and performed the observation operation first, crackling, and after the gallbladder was removed, the subsequent operations were stopped by others.
Why?
Because these doctors on the stage are too slippery, under the old shadowless lamp, they don't even have advanced surgical gowns.
Relying on the superb surgical skills honed over the years, the doctors in Li Jiapo were directly ashamed, and they dared not even observe the operation.
With the spirit and energy they have forged in the most difficult moment, Huaguo Medical has the possibility of struggling to catch up.
Therefore, in the medical industry, especially in basic hospitals, doctors must rely on time and hard work to polish.
Often what patients need is a perfect operation, not a perfect theory.
When Zhang Fan picked up the knife, Zhou Desen looked at Zhang Fan with all his attention.
Conventional thinking, what can a doctor who has graduated from a bachelor's degree have graduated for two years?
For a simple appendix that can be cut off neatly, this is already considered a lot of hard work.
They all came from this line of work. The most difficult time for doctors is the first few years after graduation.
Pull the hook every day, pull the hook every day, if you want to get started, first take the qualification certificate, then get it, and then look at the teacher's face, don't let go, you first pull the hook.
Therefore, he felt that Zhang Fan was talented, but he was probably like a child spoiled by teachers and superiors.
I feel that I am a genius, I can do anything, and there is no problem with any surgery.
I didn’t watch the operation of the chief’s child at that time, and I haven’t done anything yet. Did the teacher pull a group of people to help.
Hulala pulled almost half of the general foreign experts from North China from the other side of China to Bird City.
What is this for? Is it for surgery? It's time to be scary.
Even if the boss of Bird City is dying, he doesn't have the energy to summon so many experts at once.
What kind of treatment is this? It's like a hideous brat walking around causing trouble.
Then there is a group of people who hold stinky feet, such as Lao Xu, such as Zhao Jingjin from the Central Hospital.
Because the brat got into trouble, he can magnify his moves, he can shake people, his master is Mr. Lu, his uncle is Mr. Wu, and his master's master is Mr. Qiu.
I can't scare you to death!
Seeing Zhang Fan holding the knife, Lao Zhou couldn't stop sighing in his heart, "Could it be that medical care has started to pay attention to social status now?
You have such great resources, you don't want to be an equipment dealer, thank you, why bother to do this business! "
However, the superior can designate who will perform the operation and who will be the assistant.
However, he, Zhou Desen, is not a fool. As long as Zhang Fan feels unfamiliar during the operation today, he must have a good chat with Lao Xu. As the dean, you can't be so stupid.
"Be serious, turn on the lights!" Watching Zhang Fan start to take the knife, Zhou Desen said something to the itinerant nurse.
Regardless of whether Zhang Fan is a brat or not, he must first fulfill his responsibilities as a doctor, and this is also to prevent Zhang Fan from having excuses.
Zhang Fan, who was on the operating table, didn't know why, but his face, which was not sharp and angular, was so serious under the shadowless lamp.
The slightly wrinkled forehead and focused eyes can't help but make others slowly enter a focused attitude, perhaps this is the aura.
The knife cut across the skin, and the skin stained with yellow iodophor was gently separated.
Like a child's mouth, it split open instantly.
The superficial venous capillaries are like a female worm hiding in a hole and spitting outward.
And the superficial arterial capillaries, like a grumpy male bug, stand at the hole and bark red urine at the doctor.
Snapped! After the electric knife was passed by, the worms were all scalded and blocked the urethra.
In the originally quiet operating room, apart from the beeping of instruments, there was only the sound of Luo Tie scalding meat.
Zhang Fan's method is very ingenious. But these are the basics of doctors, and there is nothing surprising in doing them well.
Zhou Desen nodded softly in his heart, "It's still a bit of a foundation, and the disciples of the ancestors still have something."
Then he looked up at Zhang Fan, "It's just that he has a bad temper and is a bit arrogant, what a pity!"
People are like this, without strength and ability, no matter how handsome or beautiful you are, you will be despised by others.
I don't know why.
Cutting the skin, the superficial capillaries cannot be avoided, but Zhang Fan perfectly avoided the blood vessels under the skin.
The cracked skin, under the yellow skin, is a layer of white dermis, and under the dermis is a layer of whiter white mucous membrane tissue like eggshell membrane.
There is very little fat layer in the neck. If it is the abdomen, the yellow fat layer will follow after the skin is cut.
Zhang Fan put down the scalpel, turned his fingers into knives, and gently slid along the gap between muscles.
Just like a killer whale, the flesh-colored muscles are separated, one layer, two layers.
Without using a pull hook, and without the help of others, Zhang Fan's left thumb and index finger were separated, the tiger's mouth was opened, and the index finger of his right hand was like a hook.
Just like an old tailor cutting a complete fabric, like water, the muscles are separated.
Then, fat tumors appear. There are obvious differences in the appearance of benign tumors and malignant tumors.
The benign ones are like a naive fat man, harmless to humans and animals, and seem to be shy, like the big fat boy next door, who always secretly looks at the pretty sister on the street.
And malignant tumors are completely bandits and bullies. The first thing they grow is to show their teeth and claws, with a rotten mouth and broken teeth.
And it is extremely aggressive. It can be said that many malignant tumors are like an army composed of coagulated blood clots and coagulated thick phlegm and rotten flesh.
Benign tumors generally have no obvious new blood vessels on the surface, while malignant tumors not only eat nutrients from other tissues, but also produce blood vessels to directly capture nutrients from the body.
Really, an advanced malignant tumor is directly like a bag of rotten meat, with fresh blood vessels on the surface, and when the rotten meat is cut, the inside is full of rotten meat and putrid liquid.
After Zhang Fan freed from the tissue, a benign tumor appeared, just like a peeled, half-boiled egg.
There is a little yellowish fat hanging on the surface of the tumor, and when it is touched lightly, it seems that it lacks support, and it looks like it is about to fall.
This thing is just like the egg white has just solidified, but the egg yolk has just turned into sugar. It definitely makes people want to take a quick sip before letting it flow out.
"Gauze!" Zhang Fan didn't say much from the beginning to the end, and he was doing the operation quietly.
Zhou Desen kept staring at Zhang Fan, while the other doctors were comparing Zhang Fan and Zhou Desen in their hearts.
"Well, he seems to be a little faster than the director, and a little softer than the director, maybe because of his slender fingers."
And Zhou Desen looked at it more advanced, "I didn't hesitate at all when hiding from the arteries, it seems that I have a little foundation.
Well, when hiding the recurrent laryngeal nerve, it seems that this kid has done no less than a thousand neck surgeries. "
Zhang Fan didn't have any thoughts in his heart.
His mind is the tissues and organs in front of him, just like a child playing with building blocks, focus!
How to describe the peeling of benign tumors, it is like a child swallowing an egg in one gulp, and parents are afraid that the child will be choked.
It has to be taken out, squeeze the mouth and index finger to stuff it in, and then take it out bit by bit.
Dissection of benign tumors is similar.
However, everything has a root, and this thing also has a root. Its fattened and enlarged body is not adhered to other parts of the body, but it does not mean that people have no heels.
Many tumors often have a pedicle at the bottom, and the better the tumor, the deeper the pedicle.
Sometimes it is connected to a blood vessel, and sometimes it is connected to a nerve, especially when it is not connected, the equipment cannot detect it at all.
If the rash stripping is not bleeding, it will cause nerve damage, just like when you take off your clothes, they are obviously bibs, but you can't find the belt with all your might, and you tore the pants recklessly, this is inappropriate, welcome to you Definitely a slap.
Therefore, when peeling off the tumor, it is actually three times with the fingers on the left side, and then three times on the right side, extending to the end bit by bit.
Then shake it gently, and use experience to judge whether this thing is connected to blood vessels or nerves.
Is it possible to peel it off under direct vision? Yes, for example, in places with a large operating space, the abdominal cavity is fine. No matter how big the stomach is, even if the stomach is turned over, there is no problem at all.
But the neck is not good, if you want to look straight, do you have to open the neck completely? Impossible, even when eating sheep's neck, there is no way to open it all.
In the neck, the incision is only a little bit, for the sake of beauty, it can be as small as possible, and the operation completed by inserting the index finger cannot make an incision as big as a thumb.
This is the bottom line of medicine.
After Zhang Fan freed the surrounding connections, he closed his eyes, and then gently shook the separated tumors around him.
The strength of the tumor movement was fed back to the brain from the hands, and Zhang Fan directly created a three-dimensional anatomical map in his mind.
"No adhesion!" Zhang Fan really opened his eyes, he was sure.
When Zhang Fan's hand left the tumor, Zhou Desen also put it on the tumor.
"Knife!"
Zhang Fan said something to the equipment nurse.
When Zhou Desen heard this, his hair stood on end.
From the surgery to the most important step of the surgery, all the steps are quite good.
Why do you have to mess around at the last step?
Shouldn't you use your fingers to separate it? The bottom is either an artery or a nerve, so why use a knife.
Zhou Desen spread his five fingers to cover the wound, "Doctor Zhang, why did you use a knife? Don't you know what tissue is underneath here?"
Zhang Fan looked at him, and he stared at Zhang Fan unwaveringly, although his tone was questioning.
But, from now on, he has put Zhang Fan on the same level as him.
"Have you ever seen Qiu's style of swordsmanship? Have you seen the serious Qiu's style of swordsmanship?"
Zhang Fan asked softly.
"Eh!" Zhou Desen sweated, you are not bullying.
"No matter how precise the knife technique is, there will be accidents!" Zhou Desen reluctantly said to Zhang Fan.
Situation is stronger than people, this kid has seen the world.
"Hehe, if you separate by hand, the damage caused by blunt separation will be more serious, and this is not a muscle, so the effect of separating with a sharp weapon is better.
Come on, help me pull the hook! Let the surgical field be clearer. "
After speaking to Zhou Desen, Zhang Fan turned to the second assistant beside him and said, "Wrap the tumor with gauze."
Zhou Desen looked at Zhang Fan, hoping to see panic in Zhang Fan's eyes, but no!
"Are you sure? Can you?"
"I'm sure, I can!"
This is the aura!