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MTL - Path of Medicine With a System-v2 Chapter 1866 endless pain
Because it happened inside Chasu Hospital, and it was a comparison organized by Chasu Hospital, as the legal person of the hospital, Zhang Fan had to be there as soon as possible. This is the so-called leadership responsibility system.
As he went downstairs, Zhang Fan asked, "Does the patient have any underlying diseases?"
"No, I haven't had a physical examination in the past three years, and there is no record of his treatment in our hospital." Wang Hong reported the relevant situation to Zhang Fan immediately.
Zhang Fan was a little puzzled.
This kind of person, first of all, will not say that they look down on the doctor, but why is there no record?
Zhang Fan is now thinking about the underlying pathology of the patient.
Because normal people's sports competitions cannot exceed the hardness of orthopedics.
The hardness of bones can reach about 5 according to the Moroccan standard, and the hardness of diamond is 10. This concept may not be particularly powerful for everyone.
Let’s put it this way, generally compare the longitudinal tensile strength, the steel is 4240kg, the embryonic bone is 930~1200kg, and the granite is 50kg. The order of longitudinal compressive strength is also steel 8gt; bone 8g; granite.
The compressive strengths of fresh femur, coeloid, and humerus are: 902 kg, 780 kg, and 722 kg respectively; the maximum bending of femur, embryonic bone, and humerus without breaking is 393 kg, 237 kg, and 215 kg, respectively. The main index of bone strength is bone density. The density of bone is 1.87~1.97g, which is far lower than that of granite (2.79~3.07g), but it greatly exceeds the tension and pressure of granite. Diseases that reduce bone density, such as osteoporosis, greatly reduce its strength, making it more likely to fracture.
That is to say, for normal people, playing basketball, there is almost no way to reach a strength of about 500 catties one-on-one, unless everyone is stacking arhats on the basketball court.
So, the greatest possibility is that this person has an underlying disease, at least it can be said that this person has osteoporosis.
Before Zhang Fan arrived at the emergency center, the court also came, and a lot of people came, including many cars, and a pair of police cars drove into the hospital.
The people on the side of the road looked at the police car, and it was the police car of the court that entered the hospital. Groups of people were excited, "I'm going, something serious happened, the director of Cha Su Hospital has an accident, and the people who came directly are all from the court. It is estimated that it will be brought to court for sentencing soon.”
"Stop talking nonsense, last time the army came all right, can the court be more powerful than the army?"
"You know a hammer, can the army control the place? The police have to listen to the court. My second aunt's brother-in-law is in the court. The director of the police station nodded and bowed when he saw my relatives. You don't know, don't talk nonsense. Don't believe rumors. Have you heard the rumors?"
Now Chasu Hospital has become an indispensable chat material for Chasu people every day! Maybe they don't know the name of the director of the hospital, but it doesn't delay them in arranging the director's personality.
When Zhang Fan entered the emergency center, the inflatable tourniquet had already been used, but it was not sent to the operating room. Zhang Fan's heart skipped a beat!
Under normal circumstances, for this type of fracture injury, when an inflatable tourniquet is used, the patient has already entered the operating room, and the bandage is often tightened to stop bleeding before being sent to the operating room.
Now it is placed here, and an inflatable tourniquet is used, which is troublesome.
Seeing Zhang Fan enter the emergency room, the chairman of the labor union who organized the competition almost cried, "Zhang Yuan."
…
"Hurry up and arrange for their work unit to take over their family members." Zhang Fan didn't criticize him any more, he focused on materialism and spirit. What he said was right, and he didn't object. No one thought of such a thing.
After finishing speaking, Zhang Fan looked at Xue Fei, who immediately walked up to Zhang Fan and began to report in a low voice: "The bones are thin, and growths can be seen at the breaks, most likely bone cancer!"
Actually, Zhang Fan thought about it a long time ago, but he just didn't say it out loud. Hearing what Xue Fei said, he walked towards the patient. The head nurse of the emergency center quickly handed Zhang Fan a pair of rubber gloves and opened a set of disposable surgical gowns.
Zhang Fan shook his head, "I don't need the clothes, I'll take a look first."
Because the inflatable tourniquet
With the use of , the broken part of the calf is like a monster's **** mouth, the remaining blood is dripping and tearing, and the bone stubble is like an extended wisdom tooth, scattered and criss-crossed.
"Intramuscular injection of morphine!" Xue Fei helped Zhang Fan and showed Zhang Fan the location of the growth, but what he said was other things.
"Contact the family members, contact the leaders of their unit." Zhang Fan nodded, and then said, "Hurry up and arrange relevant inspections!"
"En!" Xue Fei glanced at Zhang Fan, and then didn't say much.
Because, he knew that the patient's leg could not be kept, and this was not the cruelest thing. Once it was confirmed that the patient's tumor had metastasized to an advanced stage, the next question was whether the operation was meaningful.
When the hospital was organizing the inspection, the patient's superior and family members all came. The patient's family members are already in chaos, and the leaders of the unit feel that they are not much better than the family members.
"Yuan Zhang, what's going on, he broke his leg while playing basketball! He's going to be the vice president soon!"
“He just occasionally had a leg pain, so he asked him to go for a checkup, but he said he was busy with work, so he didn’t go for a checkup.”
"Didn't you usually have a physical examination?" Zhang Fan didn't give the patient leader a good look.
"I did, there is nothing abnormal in the daily health report!"
Zhang Fan had something to say, but he was at a loss for words.
It turned out that this patient was about to be promoted in the unit. I don’t know whether Wei’s disease was avoided by the doctor, or he was thinking of making use of his residual heat. The unit needed a physical examination report, so he made a medical examination report. Anyway, everything is healthy!
However, although Zhang Fan didn't say anything about this kind of thing, he actually understood it very well in his heart.
Many people, for various reasons, find ways to look beautiful or have chronic diseases during the physical examination. This is a secret that cannot be said in this industry.
For example, some people will find ways to make their urine sweeter. This is definitely not for the taste, but for things like being released on medical parole.
Some people, in order to be able to take a step up, are already sick, and they will try to make it look like a 20-year-old boy.
This thing is the same as cosmetic breast augmentation.
Not long after, the radiologist called Xue Fei, "The report is out, you can read it yourself!"
Xue Fei turned on the computer, then looked at Zhang Fan.
Zhang Fan walked over and saw that the lungs had been transferred like a rag.
…
"The current situation of the patient is that it is estimated that there will be only three months without surgery. With surgery, he may live longer, but the recurrence rate is extremely..."
"Isn't your hospital a key hospital? Isn't your hospital better than the hospitals in the capital? How can you not save him? One day, I have to do it, my old man works day and night for work, leader, you have to make the decision for me, our family..."
The patient's family grabbed the leader of the court and begged Zhang Fan bitterly.
The leader of the court looked at Zhang Fan and said, "Let's prepare for the surgery and ask the patient's family to sign!"
Sometimes, many people actually have a sense of survival in their hearts. If I don’t check, I should be fine. Once I check, maybe there is something wrong.
There are indeed many problems in the medical industry, but generally speaking, it is still positive.
Symptoms of bone tumors are usually night pain or pain at rest. If it is a cartilaginous tumor, it is a lump, an inexplicable lump.
Once you encounter this situation, it is best to go to the hospital for an examination.
With the current medical methods, it can be said that the earlier it is discovered, the greater the chance of survival.
"If amputation is required, the lung surgery will probably cut off part of the lung tissue, and lymphatic dissection will also be performed, and the patient may die during the operation." Xue Fei started a pre-operation talk with the patient's family.
Although the patient's family members are already in disorder, she is not at all relaxed in holding on to the leadership of the court. "This is a work-related injury, this is a work-related injury. It's just a calf injury, why do you just ask for it?"
Cut off the whole leg, can you, can you keep the leg! "
Surgeries for bone tumors are brutal, even extremely violent.
The patient had a problem with the tibia and fibula, but according to the metastasis of the bone tumor, it was necessary to directly amputate the patient's right lower limb starting from the hip joint.
In the operating room, Zhang Fan led doctors from two departments to prepare for the operation.
"Raise your legs for disinfection, why do you look at Zhang Yuan? Zhang Yuan is now in the cardiothoracic group, and I am the chief surgeon in the orthopedic group!" Wang Yanan was not happy, because when Wang Yanan said about disinfection, the little doctor looked at Zhang Fan.
"Well, Director Wang is right. Director Wang of your orthopedic department is in charge." Zhang Fan said very face-savingly. You can scold her a few words on stage.
Now that they have cards, the operation begins.
Leg amputation and lung resection performed simultaneously.
Wang Yanan was very violent here. The scalpel made a circular incision along the hip joint, and the retractor stopped bleeding, ligated, electrocoagulated small blood vessels, and ligated large blood vessels.
In a short while, white smoke curled up in the operating room. After all the preliminary work was done, the roving nurse put goggles on Wang Yanan.
Uncle Wang held the chainsaw, just like Schwarzenegger, and started cutting against the lower edge of the hip joint.
The sound of sawing wood instantly resounded in the operating room.
Zhang Fan reluctantly stopped the operation, the movement was too loud.
Blood foam, fat particles, flying under the chainsaw, the operating table is like a slaughterhouse.
Wang Yanan's red and white blood stains all over his body, like chopping dumpling stuffing, with small meat bumps all over his body.
The operation on the lower limbs is simpler, but the operation on the lungs is more troublesome. After the lung tissue is removed, the lymphatic cleaning begins.
After the patient's operation was completed, Zhang Fan was still not very optimistic.
However, this has caused a wave of medical examinations in tea enterprises and institutions, and almost all institutions have also issued a document stating that those who are hired or promoted must have a physical examination and the medical examination unit must be a county-level top-tier hospital.
But for this patient, surgery did not result in a better quality of life. Endless radiotherapy and chemotherapy, as well as mutilated lower limbs, various inconveniences in life, and because of various conflicts in the family, the patient finally gave up radiotherapy and chemotherapy! -
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