v2 Chapter 1491： I didn't understand it!

Chapter 1491 I didn’t understand it!

Academician took a look, dear, this Zhang Fan is so wild! "I reserve my opinion!" The old man shouted, while busy preparing according to Zhang Fan's instructions.

In the case of the patient, the doctor is no longer able to intervene, and this group of monsters are here, otherwise the average doctor does not know what to do now.

Old man, there must be some opinions, because this guide was compiled by others. What is clear is that Zhang Fan feels that he is not good enough and does not walk according to the way he has drawn out. This makes the old man feel that he has received a great humiliation.

Although I am quite dissatisfied in my heart, there is still some practice ethics. The guidelines are no bigger than the rules and regulations, no bigger than the industry laws.

Medical clinical guidelines, this thing is not the first in China, various university subjects, such as heart and breathing, every year, the world authoritative organization of heart and breathing publishes some deletions and changes. It’s hard to say that China started that year.

But this thing is more exotic in China. In foreign countries, the treatment is changed according to the latest research. In fact, it is a shout: blood pressure cannot be maintained at 140, everyone should pay attention.

In China, this guide is customized by the Chinese Medical Association, and most of them are copied from the latest foreign guides and then modified. The publication is published by the Department of Health.

At first, no one took this thing seriously! Later, the health care unit and the medical insurance unit were fooled by the hospitals and doctors below, and they were unable to make ends meet every year, so this thing was taken seriously.

Then, many experts were invited to revise and formulate this guide every year, but far from the original purpose, the guide became a framework, such as appendix surgery, what drugs to use before surgery, what drugs to use after surgery, and stay in the hospital for a few days. How much does it cost.

People have formulated it for you. As long as this specification is exceeded, I will not reimburse you for hospital reimbursement.

There is a good thing about this. The leaders in charge of health and medical insurance have something to base on, just like a primary school exam, they have a reference answer. It is not so easy for doctors and hospitals to fool leaders. Unlike before, deceiving health leaders is like deceiving fools.

This stuff, people who are in the industry still need to be experts.

There is also a bad side, medical treatment is not such a simple matter. If there is a special situation, what about the treatment principles beyond the guidelines?

If it succeeds, everyone will say that this doctor is awesome, and the clinical guidelines all deny such treatment, but he cured the patient!

But what if it fails?

So, after the guide, the top hospitals go down, and there is no genius!

Because of going beyond this standard to treat, doctors will put themselves in great danger. Without a strong backing, doctors dare not have the opportunity to open up their brains.

So, medical treatment has a taste of assembly line. Get a literate dog in, and you can also prescribe treatment for your patients!

Of course, this advantage outweighs the disadvantages, but for a genius doctor like Zhang Fan in the eyes of outsiders, it is a reference for the guide.

……

Diuretic diuretic, strong heart, dehydrated dehydration. It can be said that all patients in the country may not be able to receive this treatment for just a few.

The young leaders in the medical industry can only do miscellaneous tasks here, and they don’t even have the right to speak.

At this time, there was only one verbal doctor's order. Six or seven academicians, under Zhang Fan's mobilization, hurriedly did the corresponding work.

Occasionally, the old men looked at each other once in a while, and they could see an aggrieved look in each other's eyes.

Disinfecting, spreading towels, and clicking, the shadowless lamp turned on.

The director of the nursing department quickly put on the surgical gown for Zhang Fan, “Dean, don’t take off your hat, this patient is...”

Secretly said to Zhang Fan, the dean of my family feels distressed, and the director of the nursing department used to be Zhang Fan’s role as the housekeeper in the operating room.

"What nonsense, don't take off the hat, can I see it clearly? Hurry up, take it off!"

The director of the nursing department tearfully took off Zhang Fan's hat and quickly put on a surgical mask.

When the other surgeons saw it, the dean was willing to fight it out, and he could only follow along here.

This thing is like this. The brothers rushed after me, and the brothers rushed to me. The effect is different.

Patients with drug-resistant bacteria are directly a source of poison in a confined space. No one can guarantee that you will not be infected by taking off your hat.

Can you take care of it now?

I can’t take care of it!

Watching Zhang Fan take off his hat, and watching a group of tea surgeons take off their hats collectively, when there was no complaint, the grievances in the eyes of a few old academicians finally weakened a lot.

But this kind of person is definitely someone who touches the South Wall and never looks back. Even if Zhang Fan touches them, they think that Zhang Fan’s choice is wrong.

Even an old man thinks about it. From now on, this experiment will allow Zhang Fan to think in the office. If it is not used in the laboratory, Nima will cause confusion when it comes to the laboratory.

Snapped! Snapped! Snapped!

Surgical instruments were quickly placed, disinfected, draped, and Zhang Fan turned his head and saw that the director of the nursing department also took off his protective helmet, standing on the operating table as a surgical nurse, "You..."

Zhang Fan shook his head. Why are the people under his hands so stubborn? Why can't he bear a little bit of grievance!

The operation begins.

"Be careful, everyone must pay attention to this. This is a tuberculosis drug-resistant patient. Once someone's hand is acupuncture or knife cut, he must deal with it as soon as possible, and start to do it!" After that, Zhang Fan stretched out his hand.

Snapped! The scalpel was firmly placed in Zhang Fan's hand.

While the assistants were neatly uniform while holding the gauze along the skin that Zhang Fan was about to cut, they began to slightly pull the muscles outward.

Several old men, as well as medical researchers on the other side, looked at Zhang Fan’s surgical team with a slight amazement.

"It's hard to say how well this kid is doing surgery. Just this team, and the team's collaboration ability, is estimated to be among the top three in the country."

Click, click.

After opening the chest, it is like a Tibetan mastiff biting the bone, and the sternum is under the rongeur, squatting and disconnecting.

Boom!

Blood blossoms appeared.

Not only Zhang Fan, blood spurted out of the faces of the first and second helpers.

Sansuke immediately covered the **** place with both hands.

"Quickly, Xinjieer is gone! Quickly, wipe it off for Zhang Yuan. Be careful, don't get caught!"

The sharp voice of the director of the nursing department came out!

"I'm fine. Wipe them first. I closed my eyes in advance."

Zhang Fan explained his situation for the first time.

"I'm okay, I closed my eyes too!" Luo Zhengguo helped quickly and said.

All right! This is the doctor's conditioned reflex.

When the blood is out of breath, the hands should cover the bleeding point at the first time, and the eyes must be tightly closed.

"Academician Xia, the pulmonary blood vessel is embolized, and the patient has pulmonary embolism. I have seen the embolization point!"

"Embolic?"

"The large area of ​​pulmonary edema caused by embolism was not caused by drugs, not drugs!" Zhao Yanfang, who was standing behind Zhang Fan, almost cried. Shouting loudly to several old men beside him.

"It’s not good, it’s not good!"

The operation continued, and several people quickly collaborated, ligating and dredging, and a fat-like embolus was pulled out of the blood vessel.

Almost more than eight hours, the operation is finally over.

A group of old academicians who saw from the beginning to the end, their legs are weak. However, when the operation was completed and the patient's vital signs were obviously normal, the old men looked at Zhang Fan with different eyes.

Before, I heard that Zhang Fan operated on cows, but this thing is human, especially some people who are very good in their fields. Although they are not surgeons, they are also doctors, so the so-called operation of a hairy boy is very powerful.

There is always a feeling of being gone in my heart.

But now, it’s different. This Nima is really seeing is believing. In such a crisis situation, people have a final word. It is not only the question of the level of surgery, but also the courage and responsibility!

"It seems reasonable for the country to let him be the director!"

The academician of the Digital Hospital spoke to the academician of the mean.

After the operation, Zhang Fan and the other doctors were as if they had applied rouge. They were red, like a plateau red group.

"It seems that my guide still has some shortcomings. Fortunately, I have Zhang Yuan today!"

After , after the patient's condition became stable, the academician of the Digital Hospital found Zhang Fan as soon as possible, and the old man was also upright.

"Look at what you said, you are an internist after all!" Zhang Fan smiled.

……

An unexpected accident completely turned the laboratory staff into a collective. Sometimes people are cheap.

When things are not encountered, they are in their own hands and feel that they have their own way.

Then no one thinks it is appropriate.

But when everyone suffers from the so-called disaster on one side, there is no need for anyone to stand up. This group of people automatically becomes a collective.

Is there any difficulty in this thing?

After an accident, although it was not a drug-induced pulmonary edema, the patient almost suffocated and died.

Can be used later, more cautious.

The teamwork is also more natural and smooth.

is like an accident, causing everyone to produce a kind of lubricating oil in the crowded room.

One patient, ten patients, one hundred patients, one by one, the first phase of medication is over.

In the sputum culture and throat swab examination of the patient, the tuberculosis flora was significantly reduced.

The second phase of the experiment continues.

After an experiment with the drug, the report was immediately sent to the general manager through the local military area of ​​the tea plant.

This thing, to be honest, if you sell this report to companies such as Pfizer Roche, which is now sold to Golden Retriever, Nima's tens of billions are exaggerated, but billions are definitely no problem.

The general manager took the teasu report and looked carefully at each word. After reading it, the old man let out a long sigh.

"Professional people still have to solve professional matters. Please come here, Academician Li from the Institute!"

Nima turned out to be an old man who didn’t understand after watching it for a long time!

(End of this chapter)