From small clinic to medical empire
Chapter 216
Chapter 216
At 8 o'clock, the operation began.
The surgery will be broadcast live simultaneously via a video teaching system.
Zhang Zifan didn't feel any pressure.
In other words, there will be no pressure to treat a person who deserves to die.
Although cold-blooded, it is true.
If it can't be cured, it can't be cured.
If the patient's life can be saved, as a doctor, he will have less regret and more moral satisfaction.
That's it.
……
In the demonstration classroom, apart from several resident doctors from Haoran Hospital, there were Kobe and his wife, the parents of the child, security guards from Haoran Hospital, etc.
Vanessa and the others were able to watch the operation with the permission of the patient's parents.
At the same time, Haoran Hospital strongly demanded that they must wear black or white formal attire, they were not allowed to whisper, and their expressions must be solemn.
If there is any behavior that violates the regulations of the hospital, they will be directly expelled by the security team.
All deposits will not be refunded.
Such a request is reasonable.
And when Li Jingwang made a few tricks with the retired US Army bodyguards around Kobe, they felt more reasonable.
……
The thoracotomy was performed by Zhu Jiannan.
Although the experts in the thoracic surgery department of the Second Affiliated Hospital will have a higher level of surgery, if it is just to open the chest cavity, the old knife's technology is completely sufficient.
Instead of coordinating with the experts attached to the second, it is better to hurry up.
Lao Dao stood in front of the operating table and glanced at Zhang Zifan.
Eight years ago.
The girl asked the nurse for a popsicle.
The popsicles haven't melted yet.
She has no heartbeat.
Today, patients with the same condition are right in front of my eyes.
But the road is completely different.
At this moment, Lao Dao could understand Kong Xiang's mood a little bit.
Kong Xiang once told him.
Don't do surgery with Dr. Zhang.
Otherwise you will fall in love with him.
Of course, Kong Xiang has a wife and beauty, so he doesn't do glass.
The love he talks about is a complex emotion mixed with appreciation, trust, admiration, and even a little bit of worship.
Lao Dao is not yet sure about the success or failure of the operation.
But he admired Dean Zhang's unconstrained imagination.
However, what he didn't know was that Dean Zhang, whom he admired, felt that his brain was not as big as that girl who wanted to use maggots to lose weight.
……
While Ye Ke membrane maintains blood oxygen concentration, double-lumen bronchial intubation is used to avoid atelectasis and other conditions.
The old knife made an incision from the posterolateral side of both chests, and entered the chest through the sixth rib bed.
The mediastinal pleura was cut around the root of the lung and bluntly dissected to the side of the lung to expose the hilar vessels.
After doing all this, Lao Dao stepped back and handed over the position of surgeon to Zhang Zifan.
At this point, it can be seen that the patient's lungs have already hardened significantly, losing their original flexibility.
At this time, Liu Xiaonan, who entered the operating room for the first time, took out swarms of Sarcophagus larvae from the sterilized container.
The constantly twisting bugs not only frightened Kobe and other non-professionals in front of the screen, but even made the nurses in the operating room feel their scalps go numb.
Chen Fang, a traveling nurse who has never made any mistakes, accidentally knocked over some equipment.
……
There is a kind of strictly sterile nude mouse in the laboratory, whose whole body immune system has completely degenerated and needs to be raised in a strictly sterile environment since childhood.
They are expensive and delicate.
The larvae of the hemp fly apparently have no such treatment.
The containers in which they are contained are sterilized, but the bugs themselves are impossible to autoclave.
Therefore, the contact of these larvae with the patient's lungs represents a huge risk of infection.
But when gambling with one's life, talking about the risk of infection is nonsense.
With the cooperation of Shi Xiaoya and Liu Xiaonan, Zhang Zifan carefully placed the hemp fly larvae on the patient's lungs.
In previous experiments, we could kill them or bury them, and we could do whatever we wanted.
But in patients, one must be careful and careful.
Each larva must be kept under close supervision.
……
For a moment, Zhang Zifan felt that he was not performing an operation, but raising silkworms.
Zhang Zifan raised silkworms when he was a child.
Pick fresh and tender large mulberry leaves, and then put silkworms on them.
They will happily eat the mulberry leaves.
And the scene in front of him was actually similar.
Like hard workers, these scavenging insects begin to dismember the fibrotic lung tissue.
The only job Zhang Zifan has to do is to repair the perforated lung tissue in time.
It can be stitched, it can be glued with [universal glue], or it can be refactored.
In short, in this operation, there was a lot of room for Zhang Zifan to show off his skills, but the protagonists were still those bugs.
……
In fact, partial lung resection is not an uncommon operation.
Even partial lung resection itself is a method of treating pulmonary fibrosis.
Pulmonary fibrosis caused by paraquat is extremely difficult to resolve through resection.
Because paraquat toxins accumulate in the lungs along the blood supply and cause extensive fibrous lesions.
Like a moldy apple, there are mold hyphae everywhere, which cannot be removed at all.
Unless you cut off a whole chunk.
There is no such problem with Sarcophagus larvae.
They are surgical machines that are more sophisticated than any surgeon and can achieve truly minimally invasive surgery.
Even better, according to relevant literature, although paraquat is highly toxic to higher animals such as birds and mammals, it is not toxic to insects, or only slightly toxic.
The metabolic system of insects is completely different from that of the human body. They don't even have lungs, let alone pulmonary fibrosis.
Therefore, the larvae of the hemp fly can not only eat the fibrotic lung tissue, but also eat the enriched paraquat.
……
As time passed, some bugs gradually became sluggish.
I don’t know whether it was because I was full, or because I was slightly poisoned by taking too much paraquat.
But there are plenty of these cheap tool maggots.
The reason why more larvae are not released at one time is mainly to facilitate supervision.
Clamp them off and throw them into the waste bucket, and soon the second, third, and fourth batches of Sargassum fly larvae are sent out one after another.
Finally, when the last batch of larvae was scurrying around because there was no food, all the fibrotic tissue in the patient's lungs, and the paraquat toxin enriched in it, were finally completely eliminated.
But at the same time, the patient's five lung lobes, especially the lower lung lobe, have become riddled with holes, like tattered cotton wool.
But the remaining tattered cotton wool has blood supply and functions, but their total volume is less than a quarter of its original size.
Of course, it would be good to have a quarter of it. If it is removed by traditional methods, I am afraid that even a tenth of it will not be left.
In addition to the contribution of the hemp fly larvae, Zhang Zifan's extraordinary minimally invasive suturing ability also reduced the damage.
If you change a doctor, such as Lao Dao, the effect of the operation will be very different.
In short, the lungs are not the same as the liver, and the lungs are non-regenerative organs.
With one lung missing, the human body can barely maintain a normal life through compensatory functions.
But more than three-quarters of the missing, the quality of life can be imagined.
Fortunately, since the toxin has been completely removed, as long as secondary infection is prevented, the remaining tissues will not be further affected.
Not surprisingly, this young man will have enough time for the rest of his life to sit down on the bed panting, or walk slowly at a speed of no more than five steps per minute, and at the same time regret his stupidity.
If you don't do it, you won't die.
If you do, the doctor will do his best to keep you alive out of professional ethics and human conscience.
But at what cost?
Please think about it.
(End of this chapter)
At 8 o'clock, the operation began.
The surgery will be broadcast live simultaneously via a video teaching system.
Zhang Zifan didn't feel any pressure.
In other words, there will be no pressure to treat a person who deserves to die.
Although cold-blooded, it is true.
If it can't be cured, it can't be cured.
If the patient's life can be saved, as a doctor, he will have less regret and more moral satisfaction.
That's it.
……
In the demonstration classroom, apart from several resident doctors from Haoran Hospital, there were Kobe and his wife, the parents of the child, security guards from Haoran Hospital, etc.
Vanessa and the others were able to watch the operation with the permission of the patient's parents.
At the same time, Haoran Hospital strongly demanded that they must wear black or white formal attire, they were not allowed to whisper, and their expressions must be solemn.
If there is any behavior that violates the regulations of the hospital, they will be directly expelled by the security team.
All deposits will not be refunded.
Such a request is reasonable.
And when Li Jingwang made a few tricks with the retired US Army bodyguards around Kobe, they felt more reasonable.
……
The thoracotomy was performed by Zhu Jiannan.
Although the experts in the thoracic surgery department of the Second Affiliated Hospital will have a higher level of surgery, if it is just to open the chest cavity, the old knife's technology is completely sufficient.
Instead of coordinating with the experts attached to the second, it is better to hurry up.
Lao Dao stood in front of the operating table and glanced at Zhang Zifan.
Eight years ago.
The girl asked the nurse for a popsicle.
The popsicles haven't melted yet.
She has no heartbeat.
Today, patients with the same condition are right in front of my eyes.
But the road is completely different.
At this moment, Lao Dao could understand Kong Xiang's mood a little bit.
Kong Xiang once told him.
Don't do surgery with Dr. Zhang.
Otherwise you will fall in love with him.
Of course, Kong Xiang has a wife and beauty, so he doesn't do glass.
The love he talks about is a complex emotion mixed with appreciation, trust, admiration, and even a little bit of worship.
Lao Dao is not yet sure about the success or failure of the operation.
But he admired Dean Zhang's unconstrained imagination.
However, what he didn't know was that Dean Zhang, whom he admired, felt that his brain was not as big as that girl who wanted to use maggots to lose weight.
……
While Ye Ke membrane maintains blood oxygen concentration, double-lumen bronchial intubation is used to avoid atelectasis and other conditions.
The old knife made an incision from the posterolateral side of both chests, and entered the chest through the sixth rib bed.
The mediastinal pleura was cut around the root of the lung and bluntly dissected to the side of the lung to expose the hilar vessels.
After doing all this, Lao Dao stepped back and handed over the position of surgeon to Zhang Zifan.
At this point, it can be seen that the patient's lungs have already hardened significantly, losing their original flexibility.
At this time, Liu Xiaonan, who entered the operating room for the first time, took out swarms of Sarcophagus larvae from the sterilized container.
The constantly twisting bugs not only frightened Kobe and other non-professionals in front of the screen, but even made the nurses in the operating room feel their scalps go numb.
Chen Fang, a traveling nurse who has never made any mistakes, accidentally knocked over some equipment.
……
There is a kind of strictly sterile nude mouse in the laboratory, whose whole body immune system has completely degenerated and needs to be raised in a strictly sterile environment since childhood.
They are expensive and delicate.
The larvae of the hemp fly apparently have no such treatment.
The containers in which they are contained are sterilized, but the bugs themselves are impossible to autoclave.
Therefore, the contact of these larvae with the patient's lungs represents a huge risk of infection.
But when gambling with one's life, talking about the risk of infection is nonsense.
With the cooperation of Shi Xiaoya and Liu Xiaonan, Zhang Zifan carefully placed the hemp fly larvae on the patient's lungs.
In previous experiments, we could kill them or bury them, and we could do whatever we wanted.
But in patients, one must be careful and careful.
Each larva must be kept under close supervision.
……
For a moment, Zhang Zifan felt that he was not performing an operation, but raising silkworms.
Zhang Zifan raised silkworms when he was a child.
Pick fresh and tender large mulberry leaves, and then put silkworms on them.
They will happily eat the mulberry leaves.
And the scene in front of him was actually similar.
Like hard workers, these scavenging insects begin to dismember the fibrotic lung tissue.
The only job Zhang Zifan has to do is to repair the perforated lung tissue in time.
It can be stitched, it can be glued with [universal glue], or it can be refactored.
In short, in this operation, there was a lot of room for Zhang Zifan to show off his skills, but the protagonists were still those bugs.
……
In fact, partial lung resection is not an uncommon operation.
Even partial lung resection itself is a method of treating pulmonary fibrosis.
Pulmonary fibrosis caused by paraquat is extremely difficult to resolve through resection.
Because paraquat toxins accumulate in the lungs along the blood supply and cause extensive fibrous lesions.
Like a moldy apple, there are mold hyphae everywhere, which cannot be removed at all.
Unless you cut off a whole chunk.
There is no such problem with Sarcophagus larvae.
They are surgical machines that are more sophisticated than any surgeon and can achieve truly minimally invasive surgery.
Even better, according to relevant literature, although paraquat is highly toxic to higher animals such as birds and mammals, it is not toxic to insects, or only slightly toxic.
The metabolic system of insects is completely different from that of the human body. They don't even have lungs, let alone pulmonary fibrosis.
Therefore, the larvae of the hemp fly can not only eat the fibrotic lung tissue, but also eat the enriched paraquat.
……
As time passed, some bugs gradually became sluggish.
I don’t know whether it was because I was full, or because I was slightly poisoned by taking too much paraquat.
But there are plenty of these cheap tool maggots.
The reason why more larvae are not released at one time is mainly to facilitate supervision.
Clamp them off and throw them into the waste bucket, and soon the second, third, and fourth batches of Sargassum fly larvae are sent out one after another.
Finally, when the last batch of larvae was scurrying around because there was no food, all the fibrotic tissue in the patient's lungs, and the paraquat toxin enriched in it, were finally completely eliminated.
But at the same time, the patient's five lung lobes, especially the lower lung lobe, have become riddled with holes, like tattered cotton wool.
But the remaining tattered cotton wool has blood supply and functions, but their total volume is less than a quarter of its original size.
Of course, it would be good to have a quarter of it. If it is removed by traditional methods, I am afraid that even a tenth of it will not be left.
In addition to the contribution of the hemp fly larvae, Zhang Zifan's extraordinary minimally invasive suturing ability also reduced the damage.
If you change a doctor, such as Lao Dao, the effect of the operation will be very different.
In short, the lungs are not the same as the liver, and the lungs are non-regenerative organs.
With one lung missing, the human body can barely maintain a normal life through compensatory functions.
But more than three-quarters of the missing, the quality of life can be imagined.
Fortunately, since the toxin has been completely removed, as long as secondary infection is prevented, the remaining tissues will not be further affected.
Not surprisingly, this young man will have enough time for the rest of his life to sit down on the bed panting, or walk slowly at a speed of no more than five steps per minute, and at the same time regret his stupidity.
If you don't do it, you won't die.
If you do, the doctor will do his best to keep you alive out of professional ethics and human conscience.
But at what cost?
Please think about it.
(End of this chapter)
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