Wang Qian bought another set for Zhang Fan from head to toe. Maybe Zhang Fan didn't want to, because she was still not happy. Her children went abroad to study, and the old man was busy with his career. It was better to go to work, but he was very bored after work. She

The identity of the old man made her

It is not convenient for her to make casual friends with others. She has noticed Zhang Fan's simple temperament and his affection for Batu, so she particularly appreciates Zhang Fan, who not only has high medical skills but also has a good character. Li Xiao, Dong Hua and Zhang Fan

Fan also has pretty good reviews.

Wang Qian's workplace gave her some shopping cards, but she didn't know who gave them to her. After going to the shopping mall, Zhang Fan sent Wang Qian home and asked her to stay for a meal before leaving. Before leaving, he gave her a cigarette and another.

It's for tea. Zhang Fan does this every time he comes, making him embarrassed to come to Wang Qian's house.

After Dong Hua got to know Li Xiao through that double dunk, Wang Qian helped speak again, and finally got a chance to meet the big leader. The result was very good, County Magistrate D. These are far, far away from Zhang Fan, regardless of the agent

Regardless of whether it's formal or not, Zhang Fan doesn't feel anything. This is also the tragedy of a technical man. He only has technology in his eyes and thinks that technology is the king.

The Chinese New Year is coming, and the hospital is giving out various benefits. Rice, flour, oil, and even vermicelli are distributed. In Ouyang's first year in office, she wants everyone to celebrate with her. Zhao Jun does not work the night shift, and Zhang Fan cannot work the night shift. This

This month is Zhang Fan's most leisurely time in more than a year.

In the early morning, the Department of Hepatobiliary Surgery has an operation today. It is a disease that is particularly common in the northwest: hepatic hydatid, also known as hepatic hydatid disease. It is mainly prevalent in provinces with developed animal husbandry. The cause of the disease is canine tapeworms that parasitize in the small intestine of dogs and are excreted in the feces.

The excreted eggs often adhere to the hair of dogs and sheep. People become infected after swallowing food contaminated by the eggs. The eggs are passed through the intestines

Due to the action of internal digestive juice, the larvae are expelled, pass through the intestinal mucosa, enter the portal vein system, and are mostly blocked in the liver. After 3 weeks in the body, the larvae develop into hydatid cysts. The hydatid cyst gradually develops in the liver

As it grows older, it may cause compression symptoms of nearby organs depending on its location, and complications such as infection, rupture, spread, and cavity organ obstruction may occur.

In layman's terms, in pastoral areas, you must be careful with water sources and food that come into contact with dogs or are contaminated by dog ​​feces. Otherwise, you will get liver hydatid. These worms will parasitize and multiply in the human liver. Over time,

As the disease progresses, there will be more and more worms, and they will get bigger and bigger. The liver will be suppressed and squeezed, causing nausea, vomiting, and jaundice.

There are a lot of surgeries in the department today. Several transfer patients are rushing to do gallbladder surgery, but they are unwilling to undergo surgery for liver hydatid. It is too disgusting. If you open a big bag of white worms, a patient with trypophobia will faint.

It's easy to relapse if the surgery is not done cleanly, and the eggs are easy to remain. Zhao Jun is the surgeon, and this is the first time Zhang Fan has been on stage with him to cooperate.

Zhang Fan's cooperation made Zhao Jun very comfortable during laparotomy, hemostasis, and blood suction. He had a good vision. Zhang Fan had already prepared for him what he wanted to do next. After the internal capsule was removed, the lesion was directly cleaned with alcohol. The operation was basically

After it was completed, all that was left was suturing. Zhao Jun consciously wanted to see Zhang Fan's skills, so he said to Zhang Fan: "General surgery is not the same as orthopedics. Are you familiar with abdominal suturing? How about you do the suturing?"

Although I have heard that Zhang Fan is very good in orthopedics, I have never seen it with my own eyes, and I am not reassured. So I just made sure first. Zhang Fan raised his head and glanced at Zhao Jun and said, "Okay, Director Zhao, it should be fine."

After that, he started to suture the peritoneum, fascia, and muscles so fast that even the nurse could not keep up with the threading of the instruments. He was extremely skilled and his hands were very nimble. Zhang Fan didn't mean to show off, that's how fast he was.

Zhao Jun looked at Zhang Fan's sutures, pondered for a moment and then said: "Zhang Fan, I have been in the liver and gallbladder surgery for a month. How did the surgery go? Are you familiar with the liver and gallbladder surgeries now?" He regarded Zhang Fan as a resident doctor who was agile and agile.

, a very normal inquiry and a bit appreciative, the basics are really solid. Zhang Fan has been depressed for the past month, and without considering Zhao Jun's feelings, he said directly: "Hepatobiliary surgery is not difficult."

"Uh!" Zhao Jun choked, "Okay, let's arrange a gallbladder tomorrow. Can you do it?"

"Okay." I've already said it, so there's no point in begging for mercy or saying soft words. It's unnecessary.

Zhao Jun is really angry. You can say that his skills are not good, but you can't say that hepatobiliary surgery is not difficult. It simply means that it has negated half of his life's hard work and honor. It is impossible not to be angry. In the border areas, due to factors in pastoral areas, hepatobiliary surgery is very difficult.

Hua Guo was able to queue up and have a seat. Even though he was angry, he would not argue with Zhang Fan in a verbal argument. It was too childish.

At the morning meeting the next day, after discussing today's surgery, Zhao Jun said: "The hospital organized the transfer of admitted doctors to different departments. The purpose is to make young doctors familiar with the basic diseases of each department and able to complete simple basic operations. We cannot go through the motions.

The doctor who is about to transfer to another department is about to leave the hospital. Our department will organize an examination, and the test results will be written in the transfer report. Today, Dr. Zhang Fan will perform the gallbladder surgery on the fifth bed as his discharge examination."

As soon as he said this, the faces of several other transfer departments turned pale. Even if they had to undergo surgery every day, it had only been a month. During the gallbladder removal surgery, the director was awake and talking nonsense! He still had to write it in the transfer report.

, doesn’t it cost people’s lives?

Zhao Jun is also angry. In the general surgery of the hospital, the liver and gallbladder are the first to be separated. But so far, apart from the liver hydatid surgery, it has been excellent. The remaining surgery is the removal of the gallbladder. The other surgeries are not ideal. Now

Even pancreatic cysts are not done much. The old director of general surgery often said that they should not be separated out. So after hearing Zhang Fan's words yesterday, I planned to let him do it today to show Zhang Fan whether it is difficult or not.

Although he was angry, he chose a patient who was not old, whose gallbladder adhesions were not serious, and whose operation was very difficult. He just wanted everyone to understand that hepatobiliary surgery is not easy, and he personally assisted Zhang Fan.

In the operating room, general laparoscopic surgeries and punching are not performed by transfer surgeons for fear of accidents, poor control of strength, and trouble of puncture of internal organs. After brushing his hands and disinfecting, Zhang Fan started the operation. Zhao Jun was originally prepared to do so.

Let him try it out. If his technique is unfamiliar, he won't let him do it directly. Then he will criticize a few words and tell him to be down-to-earth and not too ambitious. As a result, Zhang Fan has no problem at all from the moment he drills the holes.

The cystic duct was exposed, the cystic artery was separated and ligated, the gallbladder was removed, and the bleeding was stopped. He was extremely proficient in doing it all. Originally, he planned to stop Zhang Fan if he was not even proficient in holding a mirror. As a result, he changed from worry at the beginning to relief to peace of mind.

Shocked, Zhao Jun did not say a word during the whole process. After the operation was over, the air was deflated and the stoma was sutured, Zhao Jun got off the operating table and left the operating room directly.

The second assistant, who was the attending surgeon, was also very surprised, "Dr. Zhang, you are so awesome. You can't even say a word to the boss. This surgery was done cleanly and neatly. I can't even reach this level. What other department are you transferring to?"

, let the boss talk to the dean and let him go directly to our department."

Zhao Jun left the operating room and returned to the director's office. He sat in a chair and froze for a long time. After quitting smoking for a long time, he lit a cigarette. "Shouldn't grassroots hospitals really separate the liver and gallbladder? Is it really that simple?"

His worldview almost collapsed.

The next day, I continued to let the doctor who was transferred to another department perform the operation. Something almost happened when he was drilling holes, so I asked Zhao Jun to drive him off the operating table. The doctor who was transferred to another department even cried. In total, for a month, he was not allowed to perform any drilling operations.

Can you pass the exam? Although Zhao Jun chased people away, he was not angry, but quite happy. A special case, Zhang Fan is a special case, and it is still difficult for the liver and gallbladder. When I think about it, I feel a lot more balanced.

In the director's office, Zhang Fan sat opposite Zhao Jun. Old Zhao sent a cigarette to Zhang Fan. After Zhang Fan lit it for Zhao Jun neatly, Zhao Jun said: "Yes, I have worked hard this month. In fact,

There is a lot of potential for people with a strong liver and gallbladder. Liver transplantation and pancreatic tumors are all world-class difficult surgeries. How about it? Are you interested? If you are interested, after transferring to the department, I will go to the dean to ask for someone." Zhang Fan is excellent, he feels it.

, then you can’t let it go.

At present, systems such as liver transplantation have not yet been opened, but there are really many liver and gallbladder surgeries. There are particularly many stones due to eating habits in the northwest, and in pastoral areas, the number of liver hydatid is the highest in the country. His purpose is

It doesn't matter which department it is, "Director, you think highly of me and give me face. As long as other departments don't want me, I will come." Zhang Fan didn't nail down his words, because there are also many general surgery, urology, and thoracic surgeries.
Chapter completed!