From small clinic to medical empire

Chapter 187 Picking peaches?
Together with Zhang Zifan and Zhu Jiannan, they just performed a pelvic fracture operation on a 68-year-old man.

From the perspective of the number of operations completed, the one who played the most important role in this disaster relief was not Zhang Zifan himself, but Zhu Jiannan, an old knife who has been unknown since joining the Haoran team.

Compared with Kong Xiang, Zhu Jiannan's background in studying abroad and doctoral degree has no advantages.

Compared with Yuan Qiang, Bao Tingwei and others, Zhu Jiannan is nearly forty years old and has no advantage in growth.

But this jovial and disrespectful guy on weekdays completed 48 operations in just two days, and examined and classified 383 patients. He can be called an iron man on the operating table.

The medical system of the Soviets, like their equipment, is about being stupid, clumsy, and brutal.

Zhu Jiannan studied under Ermao, so he naturally has this style.

To put it simply, he has a long way to go, is very courageous, dares to do any kind of operation, and can be just like him.

This is also the main reason why Zhu Jiannan can become a well-known rescuer in the emergency department.

During the emergency rescue in disaster areas, his ability was infinitely amplified.

As a result, no one in the entire temporary hospital, whether it was the doctors of Haoran Hospital or the doctors of Nanping Hospital, could keep up with Zhu Jiannan's operation desk.

Except for one person, that is Zhang Zifan himself.

Although Zhang Zifan only has two professional skills of head and neck surgery and microsurgery that have reached A-level and A-level respectively, in essence, Zhang Zifan is also a generalist just like Lao Dao.

After all, Haoran Hospital is now considered a general hospital with many disciplines, and Zhang Zifan's knowledge reserves in many disciplines have reached around E level.

In addition, the surgical systems have many similarities, so they can also perform superbly on the operating table.

Now, Lao Dao has already admired this little netizen whom he had accidentally met in the past.

When he encounters a difficult operation to complete independently, he will invite Zhang Zifan to participate.

Even if Zhang Zifan is not familiar with certain surgical methods, as long as he explains carefully, the dean Zhang can always understand quickly, and even innovate some surgical methods to improve the quality of surgery.

The same is true for this patient with a pelvic fracture.

The old man was hospitalized due to multiple traumas all over his body. Before that, Zhu Jiannan had treated his rib fracture and pneumothorax.

However, pelvic fractures are difficult to manage in fracture fixation.

The shape of the pelvis is irregular, so it is difficult to use conventional strong internal fixation.

Zhu Jiannan found Zhang Zifan to go on stage together to tackle key problems.

In the end, Zhang Zifan chose to perform the surgery on the [Hummer Medical Tank].

Guided by the on-board MicroCT scan, minimally invasive surgery was performed for displaced C1 pelvic fractures. The whole process took 45 minutes. The small incision next to the rectus abdominis was only 4.5 cm, and the blood loss was less than 100 ml.

The reason why it took so much trouble was because the previous batch of plasma brought by Xiong Jingshan’s team was almost exhausted.

In theory, each [Life Ambulance] has a blood collection system, which can be used as a temporary blood donation vehicle to ensure the blood supply of the wounded.

But this is a bad idea.

Because the hemodialysis on the [Life Ambulance], that is, the blood filtration system, is now operating at full capacity to maintain blood health for various kidney failure patients and patients with hyperkalemia.

Now there is no extra capacity to test, filter, and separate the collected blood.

To put it simply, the safety of using blood cannot be guaranteed, unless it is absolutely necessary, Zhang Zifan does not intend to take this risk.

He chose to improve the surgical plan and reduce surgical bleeding, and insisted on waiting for help.

……

At 18:30, exciting news came.

Significant progress has been made in the dredging of National Highway 544, and the main body of the disaster relief team has officially entered the disaster area.

Prior to this, in addition to the advance rescue team led by Xiong Jingshan, more than 20 rescue teams have successively entered the disaster area and rushed to the disaster-stricken towns such as Wulong County, Tianli County, and Zhuze Tibetan Autonomous County for disaster relief.

But this time the meaning is completely different.

The Disaster Relief Command Center not only brought together the most front-line experts and the strongest professional disaster relief force, but also carried the largest number of vehicles, materials and equipment.

This is why, the disaster relief command center can only be moved forward after the 544 line is basically unblocked.

As for the destination where the command center moved forward, it was naturally located in the center of the earthquake zone, and it was also Nanping County, which was the hardest hit.

……

Three hours later, the mighty convoy drove into Nanping County, and countless people spontaneously lined the road to welcome them.

The command center quickly set up a temporary headquarters in the Nanpingcheng Central Park area, and began to coordinate the rescue work in the entire disaster area.

At the same time, a joint medical team consisting of 130 orthopedic, thoracic and neurosurgery experts from major hospitals in Sichuan Province and surrounding major military hospitals also started working.

To establish a medical network covering the entire disaster area in Nanping, the cooperation with Haoran Temporary Hospital is naturally inevitable.

In the command center, under the arrangement of the commander-in-chief Sang Weirong, several leaders of the joint medical team met with Zhang Zifan and his party.

"Doctor Zhang is working hard!"

Professor Hou Guojun from the Trauma Center of West China Medical College shook hands with Zhang Zifan, and said in a tone close to an order, "It was thanks to your efforts before, but the rescue of the victims still requires unified leadership. Delay the treatment of patients."

Hearing this, Xiong Jingshan at the side could only smile wryly.

This is what he had already expected.

In theory, there is no problem with Professor Hou's statement.

Disaster relief is tantamount to fighting, and the most taboo thing in fighting is to have multiple families and unknown commanders.

But as soon as Professor Hou came here, he asked Dean Zhang that such a first-line meritorious service needed power, equipment, and important people. This is undoubtedly suspected of picking peaches and grabbing credit.

Zhang Zifan also instinctively felt something was wrong.

It's not a matter of meritorious service. If he can treat more victims, Zhang Zifan can't accept being a pawn of the United Medical Team.

After all, Hou Guojun is an expert in severe trauma, and the joint medical team is much stronger than the Haoran medical team.

But the question is, is this really appropriate?
Zhang Zifan couldn't help shaking his head, and said, "Experts, you just arrived in Nanping, so you may not be very familiar with the situation.

At present, the operation of the Haoran temporary hospital has been very smooth. Although the ability to deal with the wounded is close to saturation, there have been no mistakes.

If the original management mode is broken rashly, whether it is the transfer of critically ill patients or the reallocation of the operating room, it may cause delays in the condition of the wounded and secondary injuries. "

Zhang Zifan's words made Hou Guojun's face condense, "Dr. Zhang, I personally respect Haoran Medical's important role in the early stage of the disaster, but you should also understand that for the wounded, medical teams of different levels are the difference between life and death." .”

"Professor Hou, are you saying that our level is so poor that we have killed patients?"

Shi Xiaoya who spoke, she has always been fearless and reckless, this time she is not at all afraid when she meets a middleweight expert.

Zhang Zifan patted Shi Xiaoya, turned his head and said: "Professor Hou, experts, I think the medical level of our team should be judged by patients, by science, by facts, not by the personal experience of some experts, I think, This is not in line with the original intention of everyone to unite in disaster relief."

Hou Guojun felt that these young people from Haoran Medical were a bit arrogant.

He was about to speak again when Hu Mingxue, an infectious disease prevention and control expert from the imperial capital, suddenly said:
"Dean Zhang, don't worry too much, don't think too much, Professor Hou didn't mean that, what our joint medical team brought this time, not only medical tents, but also a shelter system.

In my opinion, we can completely set up another campus in the county central square.The two hospitals communicate with each other and cooperate with each other, so that the life safety of the wounded is put first! "

As he said that, Hu Mingxue took a meaningful look at someone behind Zhang Zifan.

Zhang Zifan turned his head suspiciously, only to see Kong Xiang staring at the ceiling, as if he didn't care about my business.

(End of this chapter)