Path of Medicine With a System Chapter 481

Chapter 481: Unicorn Finger

Zhang Fan arrived at the operating room, and the director of anesthesia just came out of the office. When he saw Zhang Fan, he smiled bitterly.

"Zhang Yuan, the fat patient in orthopedics is too troublesome!"

"What's wrong?" Zhang Fan asked curiously.

"You will know when you will be in the operating room. I won't say anything. I just called me and asked me to help carry people."

"Okay, you go first, I'll change after getting dressed." Zhang Fan nodded.

The head nurse in the operating room made a small dressing room for Zhang Fan. Although it was not large, there was a small sofa and a small table.

Change your hand clothes and wear a hat and mask.

The hand-washing clothes in the hospital, because they are made of cotton, and because of frequent high-pressure and high-temperature disinfection, are often soaked with disinfectant, and they look worn-out.

Because it is a pure cotton product, it wo n't crackle like some centuries-old boutique clothes, covered with static electricity.

When entering the operating room, Zhang Fan almost laughed. The fat boss is because his right leg Achilles tendon is broken.

The trousers were just off the right side, and the white, fat legs and fat were hanging on the edge of the operating table, as if the unsmoked fat was hanging on the wall beam.

In Huaguo's operating bed, there were some magic products in the hospital in the early years, with the nameplate: Magic Capital Third Surgical Instrument Factory.

I don't know why. It is probably because they can't make money or they don't have enough money. They don't think so. In the mid-to-late 1990s, Huaguo's products launched into the medical market.

The old operating table is very crude. If you want to move the operating table, don't think about it without twenty strong men.

What kind of old-fashioned operating table is, the average person really has no concept.

It's not easy to explain, so I can only briefly talk about it.

People who are a little older do not know if they remember the state-owned barber shop.

There were a few aunts inside, and a few very comfortable chairs.

There is a large iron cymbal under the chair, and there are various magic levers around the chair, which can be turned and can be used as a bed.

When this chair is placed, it is actually an operating table.

The earliest surgeons were both hairdressers. So in the early years of the operating room, many things were similar to those in the barber shop.

Even now, the three-color rotating sign hanging on the door of many barber shops actually represents arteriovenous blood vessels and nerves.

The products of the third instrument factory of Modu entered the first three years and were eliminated by the third-class hospitals. Because of Marukuni and Germany, they have developed new operating tables.

All of their operating beds have become automatic remote control. And because of the battery, it can run as an electric vehicle at critical moments.

This feature seems to be very tasteless, but in a pinch, it can save lives.

The things in Maruko are very stingy, the beds are not expensive, but there are a lot of additional things, and the total price is down. One operation is long, millions!

However, because there are hospitals in developed cities, they support the western counterparts.

The operating beds of Chasu City Hospital are relatively advanced, and they are all made in Germany.

However, even after the extension board of the operating table has been opened, the fat boss hangs on the edge of the bed after the fat boss lays down.

"Zhang Yuan! You can only put a small table under his feet.

However, the height cannot be adjusted, and surgery may be tiring. "

The head nurse was also helping. After seeing Zhang Fan, the head nurse stood up straight, and it was too troublesome to bend down because ...

"Okay, then put a suitable table." Zhang Fan was okay. The operating table can be adjusted in height, but ordinary tables do not have this function.

The table cannot adjust the height and position, but only the doctor can adjust himself.

Someone kneeling for surgery and squatting for surgery may sound like nonsense. In fact, this is a routine operation for many special operations.

"Zhang Yuan, the patient is too heavy, and you can't give too much anesthetic, otherwise the dose will exceed the standard." The anesthesiologist also began to say something.

"This is your consultation with the anesthesiology department." This Zhang Fan really dare not intervene.

Medicine is divided into several university subjects. The others that are involved in this operation, let alone say that anesthesia and clinical disciplines, are directly different disciplines.

Zhang Fan really dare not give any advice to others.

"It is estimated that the anesthesia effect is not good, and the weight is too large. When you are in the surgery in Zhang Yuan, try to be as fast as possible."

The director of the anesthesia department is helpless. For patients of this size, the dose of anesthesia is too difficult to control.

Less medicine is not effective, and more medicine may make patients never wake up.

"Okay." Zhang Fan agreed, then looked at Xu Xian and Wang Yanan, "Who are you lifting your feet?"

"Eh!" Xu Xianhan all came down, didn't this mean he let him lift his feet. Zhang Fan is the leader, Wang Yanan is the girl, and he is the only one.

But, looking at the thick legs of the fat boss elephant, he was a little bad.

"Hehe, let Xu Xian lift her leg, I disinfect, rest assured, I'm fast!"

Although wearing a mask, Wang Yanan's eyes can be seen, anyone knows she is very happy.

Disinfection, surgical disinfection is very strict, generally required to sterilize to the knife edge of about 15cm.

Because the patient has an Achilles tendon rupture, he must lift his lower limbs, starting from the Achilles tendon, and disinfecting to the lower edge of the knee.

And the toe seam is the point. Here is the place where dirt and dirt are hidden. The sweat glands are rich, and the skin is thickened to form wrinkles for wear resistance.

This is also the reason why some people's feet, although not athlete's foot, can still stink the dog.

Wang Yanan started disinfecting after washing his hands. Disinfection of lower limb surgery is not troublesome. Routine disinfection is sufficient, but it is too much trouble for people who raise their feet.

From the place where the calf and footsteps were connected, Wang Yanan started to disinfect by holding oval pliers and holding an iodophor cotton ball.

At this time, Xu Xian held the patient's instep with both hands and lifted it up, her legs were too thick.

Lifting a distance of more than ten centimeters from the bed, Xu Xian's energy for milk was used, and he was fangs and grinned directly under the mask.

At this time, the time to test Xu Xian's arm strength came, was it a unicorn arm?

With Wang Yanan's disinfection scope is shrinking.

Xu Xian grasped the patient's instep from both hands and began to slowly become a big thumb holding the patient.

It's not even mentioned, but Wang Yanan should also use the oval forceps to wipe the back and forth between the patient's feet with the iodine cotton ball.

This calf has at least thirty pounds! Xu Xian took a breath.

Blushing and reddening his neck, one hand held the wrist of the other hand, the thumb and the index finger of the other hand, tightly pinching the fleshy bigfoot thumb.

I have been single for many years, otherwise this action will not be able to lift people who got married early.

Xu Xian's heart shouted again, "Ah! Ah! Ah! Hurry, hurry, **** is coming out!"

Wang Yanan was very fast, leaving only a big thumb in the end without disinfection.

As soon as she turned and Zhang Fan turned back to back, Zhang Fan held the small sheet in the surgical bag in his hand and quickly spread it to the operating table.

"Okay, let it go!"

Xu Xian, gently laying down the patient's feet, sweat directly soaked in his hand-washing clothes.

While panting, holding on to his right hand Kirin finger that he usually exercises.

After Wang Yanan disinfected his big toe, he took a pair of sterile gloves from the surgical nurse.

"This is not working. It's too small. How big is the largest surgical glove in our hospital?" Wang Yanan asked.

Because the toes are relatively polluted and too close to the surgical area, they must be wrapped with gloves.

"Half-eight!"

"Change the number eight and a half."

Girls' surgical gloves are generally size six and a half, thinner boys are size seven, and hands are larger, size seven and a half, or size eight.

Zhang Fan is 1.80 meters tall and usually wears 7 and a half. It is conceivable how fat the fat boss's feet are, and the thinner trotters are probably not as heavy as hiss.

Put on gloves. Shop single, four small singles up and down, two middle singles up and down, one hole towel in the middle.

When these lists were covered, the fat body of the fat boss disappeared.

There is only one flesh foot with a rubber hat, which stands alone on the green operation sheet.

The fat feet contaminated with iodine are as fat and greasy as the comic bugs in the cartoon.

Sports medicine, one country in Asia counts one, and it is not very good. Bangziguo Medical is a European and American system directly copied.

But they took a different approach and led the world in plastic surgery.

Don't underestimate this plastic surgery, the authoritative experts in spinal plastic surgery, the country of great majority. As for facial reshaping, they have rushed out of the universe.

Although Maruko's medical system doesn't seem to be well-known, the Eight Classics is the most perfect country combining Chinese and Western medicine.

Especially in the field of endoscopes, no one in the world is an opponent.

As long as we talk about endoscope, there is no way to bypass Marukuni, an Olympus endoscope, which is directly a contradiction in existence.

Muscles can be divided into three categories: cardiac muscle, smooth muscles (muscles in the internal organs and blood vessel walls), and skeletal muscles.

For skeletal muscle, there are too many classifications. There are long and short, feather-like muscles.

The most peculiar is the orbicularis muscle, which has similar muscle structure to the lips and anus. It's like a finger made of rubber.

And there are experts in Chinese medicine to treat hemorrhoids, and do acupuncture directly on the mouth, but it is strange that it is effective for hemorrhoids!

Skeletal muscles are like rubber bands that stick to two bones.

Under the command of the brain, skeletal muscles begin to contract and stretch, pulling on the connected bones to perform various actions.

This is also the only muscle that the brain can command. People have their own systems.

Bone movement, a lot of muscles mobilized, synergistic synergy, antagonistic antagonism. Uncoordinated muscles can't perform fine movements.

There is no antagonistic muscle, a simple football action, maybe you can kick your knees back.

The muscles of the calf, the abdomen in the middle, the tendons on both ends, a section hanging on the femur, and one hanging on the lower end of the calf.

The telescoping relies on the abdomen of skeletal muscles, while the fixation relies on tendons. The tensile strength of the tendon is more than a hundred times that of the abdomen.

Why have you heard of a tendon rupture, but never heard of a muscle rupture. Although the tendon is strong, it has no contractile function.

Therefore, when violence occurs, the tendon will sacrifice itself to absorb a large amount of energy, thereby protecting the bones and muscle abdomen.

A tendon rupture can be considered a rupture if it is torn a little. And according to time, it is divided into acute fracture and chronic fracture.

Many athletes, because of this acute and chronic problem, have fallen out with their teams.

There is a talk in this. Tendons can be said to have no blood vessels to supply nutrition. It lives against a thin film covering the muscle surface.

Give a little bit of nutrition in the blood to the film, and give it to the tendon after eating and drinking. As you get older, the less nutrients the membrane delivers, the more susceptible your tendons are to injury.

Acute tendon rupture, called an acute rupture that is operated within 48 hours, is relatively better. Once over 48 hours, it is called chronic tendon rupture.

Once more than 48 hours, both surgery and conservative treatment are very troublesome, and the effect after recovery is very poor.

However, after the tendon rupture surgery, athletes may not be able to continue to maintain a competitive state.

As long as the tendon is not completely ruptured, many teams give athletes a pain-killing needle, and then apply some fixed measures.

In this way, athletes can continue to play, as for the future of athletes, this is not their consideration.

Therefore, often athletes will fall over with the team after tendon injury. Dayao's thumb tendon, I didn't know why I chose conservative treatment, but ...

For the repair of tendons, the gold standard is open surgical repair. And what kind of plaster is fixed, wearing inflatable walking boots, the effect is not as good as the effect of open surgery.

Fat people have a lot of fat. The fat is very strange. As long as it is what the human body eats, whether it is alcohol or nutrition, it must be tasted.

Fat boss, more than two hundred pounds, full of fat, just taste a little, the amount of medicine needed is very scary. The anesthesiologist did not dare to give it anymore, and no longer woke up because he was afraid of fat people.

After the anesthesia was stable, the fat man quickly went to sleep. Fan Zhang, Wang Yanan and Xu Xian also started surgery.

"Alcohol, sharp knife. Hurry up, the amount of anaesthetic is not enough." Zhang Fan said quickly, starting to disinfect the moving knife.

The scalpel was scratched across the skin without waiting for Zhang Fan to bluntly separate them. The plump yellow fat particles directly squeezed out of the wound just like pinching Japanese tofu.

"Too fat, the hooks are slippery!" Wang Yanan hung up for a long time, but he didn't catch the skin of the fat man. The fat was too fat.

"Electric knife, attractor." Zhang Fan ignored Wang Yanan. With the bleeding, Zhang Fan used the electric knife to stop bleeding, and a little smoke had risen.

There is a saying in surgery that you can judge the surgeon's level from the smell of electric paste in the operating room.

Electric knife electrocoagulation, the point is that until the end, the action must be fast, fast.

When the burnt smell of burning hair appeared, this doctor's level was extremely poor.

Because he absolutely roasted the hair follicles in the skin with an electric knife, the skin is absolutely forbidden to use the electric knife.

And smelling a lot of scorching and scorching smells, indicating that this doctor is of average level,

It must be that the blood vessels have not been seen clearly. It is not a point method to stop bleeding, but a flat discharge knife directly, and a large area of ​​electrocoagulation.

Only the slight smell of roast meat. Such as roasted fatty meat, the flavour of the meat when cooked and not burnt can evoke the flavour of appetite.

So this doctor is at least a master in the use of the electric knife.

Of course, Zhang Fan's electric knife is absolutely master-level. In the system, he doesn't know how many times he has used it.

When he uses the electric knife, especially at meals, he can definitely hear someone swallowing.

Don't talk about others, sometimes, even Zhang Fan himself will be fooled by the green smoke he made.

Skilled, so far.

To the extreme is art.

Of course, if the bleeding is severe, Zhang Fan will not use the electric knife, just hang the suture.

The incision for tendon repair is very long. For the choice of incision, some doctors believe in small incisions, while others prefer large openings.

And Zhang Fan believes in one sentence: everything starts from reality and cannot be dogmatic.

The healing of the incision is from one side to the other, not from one end to the other. A suitable incision is the beginning of a surgery.

The blade swims in the fat, gently, like a steel boat breaking the waves in the yellow lake.

Open the skin and cut the fat. The tendon of the fat boss was revealed in front of Zhang Fan.

(End of this chapter)

Chapter end