Path of Medicine With a System

Pancreatitis, if high blood pressure and diabetes are little ghosts around the crowd, then pancreatitis is a ghost king that can eat people.

In terms of cost, the cost of treatment for hypertension and diabetes for one year is also very huge, but if it is divided into 12 months, it can still make ordinary patients grit their teeth and persist.

However, pancreatitis is not good. Once the disease occurs, money will be poured out like water immediately, which is not an exaggeration at all.

If the symptoms are severe, based on the current world prices, an ordinary building in an online city may not be able to stop it.

Moreover, even if the money is spent, sometimes, you may not be able to keep people. It is such a terrible disease.

In the early years, pancreatitis in Huaguo was almost always caused by a problem with the biliary system, because the bile from the gallbladder finally merged with the duct of the pancreas and then flowed into the small intestine.

In the past, people did not eat well, and the control of parasites was not good, so these diseases often lead to pipeline blockage and pancreatitis.

With the improvement of living standards, Huaguo's pancreatitis also began to change from concurrent biliary system to overeating.

The patient treated by Mr. Wu and Zhang Fan is a business manager of a company.

The position is neither big nor small, and he can be regarded as a rootless child who can grit his teeth and work hard in a big city.

In order to survive in the big city, the young man is also desperate. He ranks in the top three in the business of the company. After one quarter is over, the company has some bad debts that cannot be recovered.

Then the boss promised that whoever asks for the account can share it. The young man thinks about the infant child at home, because the wife has little milk, so he needs to buy milk powder, and thinks about the poor health of the elderly, who needs to eat more nutrition.

Gritting his teeth, the young man took over the job. At the beginning, he couldn't even get in the door of the other company. He didn't give up, and slept at the door of the other company with his bedding.

One week, it directly became a local landscape, and the boss of the other company was also helpless by the young man. Doesn't the boss worth tens of millions lose face?

After someone brought the young man to his office, he didn't say much, so he pointed to the piles of Blue Bird beer in the corner of the office, "A bottle of 10,000, I will pay you back as much as you drink."

"keep your word?"

"I am such a big boss, will tease you? Drink."

The workplace and business are cruel,

Very brutal, human dignity, sometimes, really

For the sake of the children and the elders in the family, he drank it.

I don't know how much I drank from one can or two cans. The young man who had been boiled for a week just drank from standing, to drinking while sitting, and finally to drinking while lying down. The drink in my mouth goes in and then trickles out again, in and out.

In the end, his reckless attitude also scared the other party's boss, so he wrote a check directly, and the young man crawled out of the other party's office with the check.

When he went out, he vomited violently. The beer he drank was like a fountain of foam, and the wine that spewed out was sprayed out like a column of water bubbling.

Then, pain suddenly appeared, excruciating pain. After being paralyzed by alcohol, he could feel his lower back very clearly, the pain was like being stabbed by a knife.

Fortunately, a kind passer-by called 120, otherwise he might have died on the road.

His case was a typical case of pancreatitis after heavy drinking.

There is another kind, maybe for the sake of life, maybe for the so-called face, when drinking, don't care about it.

Then, he secretly went to the bathroom and stuffed his two fingers into his throat to dig out, and then went to the scene to drink after vomiting.

Do not learn this method. You may get a lot of titles by vomiting dozens of times. Once you cause pancreatitis, your family will be ruined, your wife will be slept by others, and your child will be beaten by others.

Not exaggerating at all.

The digestive system of the human body was originally evolved according to the principle that it can only go down and not up, and once it is forced to vomit, it will be fine once or twice, or even hundreds of times.

Once it causes a system disorder and causes pancreatitis, it will be a disaster for you personally or for your family.

So, don't lean on the wall to get in, lean on the wall to get out when eating, and don't drink to be a hero.

In the United States, 200,000 people are hospitalized for pancreatitis a year, about 20% of them are severe pancreatitis, and the mortality rate is as high as 25%.

The remission rate of pancreatic surgery is about 60%. That is to say, when patients with severe pancreatitis need surgery, the success rate is quite low, and there is no healing rate, and a remission rate is used instead.

It is conceivable that this disease is terrible. After World War II or after the Vietnam War, for some unknown reason, the number of people who became addicted to alcohol suddenly increased sharply. Therefore, pancreatitis surgery, as far as the world is concerned, they are the best.

However, in countries with the highest level, this disease also makes doctors turn pale, and not all pancreas doctors can perform this kind of operation.

Moreover, this disease is also very cruel to patients. Look at the treatment of this disease.

1. Pain relief, large doses of painkillers to relieve pain. 2. Inhibit pancreatic secretion. Drugs such as octreotide inhibit pancreatic secretion, and the price of octreotide is really exciting.

It's as simple as that, after the pain is covered up, the patient's pancreas is reduced in secretion, and then the patient can recover by himself.

Pain, the pain of this disease, the pain of a tough man can call mother, that's not counting, if it doesn't work, the next step is surgery.

This kind of surgery, not to mention ordinary hospitals, some provincial key hospitals, can't do it.

The pancreas was separated very clearly under Mr. Wu's hands. The most difficult and most critical part of the operation has come.

Why is this operation so difficult?

To put it simply, it is like the grapes are attached to the branches of the grapes. When shaken, a grape falls off and breaks.

What Mr. Wu and Zhang Fan have to do now is to cut off the part of the broken grape that may be damaged first, then find a way to restore the grape skin, and finally connect the repaired grape to the branch.

The examples are so difficult, one can imagine the difficulty of this operation, and the pancreas is the largest secretory gland in the human body besides the liver.

It can secrete, and it is still a very large secreting gland, so the pipes in the pancreas extend in all directions, just like a honeycomb, connected by paths.

There are countless blood vessels, lymphatics, and secretion channels. Once the operation technique is not good, it will be blocked.

The blockage of the pancreas is not the blockage in the city. The driver scolded a few mothers. The pancreas is secreted here, just like aqua regia, it will corrode. .

"Look here, the pancreas is already very swollen. This kind of surgery must not be rushed. It must be fully prepared. Failure and success must be predicted."

Mr. Wu, who was silent, started talking, and Zhang Fan, who was talking, stopped talking.

If we compare the level of Zhang Fan and Wu Lao, then Zhang Fan's current level is like a hero in the Jianghu.

A chivalrous man who can make peace is bullied, all right, go to Zhang Fan, he can make peace for you.

As for Wu Lao's level, there is really not much difference between Zhang Fan and Zhang Fan in terms of ordinary and unfair matters.

But the old man's background is the people in the world he knows, so there will be no accidents, it's just so awesome.

Zhang Fan seemed to be a superb young chivalrous man, while Mr. Wu was a famous figure in the Jianghu world, who could frighten the Jianghu with his fame.

This is the difference, this is the invaluable experience that the old man has worked hard for most of his life.

To be honest, sometimes, doctors and soldiers are very similar. An army needs countless lives to build an iron-blooded team.

And doctors are actually similar. A good doctor is actually accumulated by life.

In the medical industry, the teacher is really just a guide, a simple cardiopulmonary resuscitation, to be honest, people with a bit of education can do training and training.

However, doing good or bad is the difference between heaven and earth.

If you haven't died a few people in CPR, you really can't do it well, and you can't improve much. No matter the training, it is worse than killing a person in your hands, it is a cruel industry!

"The swelling here, don't take it lightly. Once the pancreatic fluid is not removed, no one can guarantee whether this place will heal after surgery."

The old man glanced at Zhang Fan. Although Zhang Fan didn't look at the old man, he seemed to know that his uncle was looking at him. Zhang Fan nodded slightly.

After speaking, Mr. Wu pierced the pancreas with a needle, slowly punctured the bladder that was swollen like a urine, and then slowly began to draw pancreatic juice with a syringe.

The pancreas that has absorbed the pancreatic juice is really like a protruding tongue, and even the line in the middle of the tongue is very similar to the pancreas.

"Knife!" After emphasizing the points to be paid attention to, the old man personally asked for a sharp knife.

The hand holding the knife is very steady, starting from the center of the pancreas, which is the middle line of the tongue, and the blade cuts across.

The old man's hands are quite nimble, cutting, pointing, and cutting. The epidermis of the pancreas is like a veteran in love, using his teeth, sharp teeth, to gently bite off the raised dry skin on his girlfriend's lips.

Little by little, without any involvement, the other party's clothes were completely dropped.

A master is to finish the terrible thing under the calm weather. Cut open and isolate the necrotic pancreas.

"Notice!

There can be no more here, no less. If you cut too much pancreas, it will not function, and if you cut less pancreas, it will die. "

The old man cut while talking. Needless to say, Mr. Wu believes that Zhang Fan can understand.

The nimble fingers shuttled over the white and greasy pancreas.

The doctors standing behind Zhang Fan were all in a state at this moment, "Am I going to do it? I will! But I just can't do it."

But Zhang Fan is different, what he needs is not the minutiae, what he needs is an overall view of the disease.

When the old man started to do it from beginning to end, Zhang Fan kept making comparisons in his mind.

"What should I do? If this step is mine, what should I do."

Little by little, Zhang Fan finally asked his own question at the most critical part of the operation.

"Uncle, before dividing the necrotic tissue under the incision line, why don't you dredge the ducts in the gland first? Isn't the pancreas better able to ensure patency after dredging?"

"Hehe, it seems that you really understand. It's not impossible to unblock it first, but there is a chance that it will damage the accessory pancreas duct.

We can unblock it slowly, but if the accessory pancreatic duct is damaged, there is no way to recover. This is what I figured out when I was fifty years old. "

"Uh, fifty years old? Accessory pancreatic duct?"

When Sansuke's doctor was originally unconvinced, he was convinced all of a sudden because he didn't understand.

As for the director of the second assistant, as if he understood something, he looked at Zhang Fan with a very grateful look.

As for the group of people behind the performer, they just stared at each other in a cloud of mist, so what did they say?

Figured out! Zhang Fan, who had figured out the key points, was like a piece of paper on a window. After being pierced, the sky suddenly brightened. His uncle's words made him see through, and the operation on the pancreas went straight.

"Oh my god, it turns out to be like this. How can I say that in the system, pancreatic surgery is sometimes successful, and sometimes it is judged to be a failure, obviously the technique is the same. It turns out that the accessory pancreatic duct was ignored!"

What is clearing the clouds to see the sun, this is clearing the clouds to see the sun, what is a word of gold, this is it. If there is no Elder Wu, even if Zhang Fan has a system, he probably would not have figured this out before he entered the second level. This does not mean that Zhang Fan does not work hard, but that there is not enough time! Not enough people died at his hands!

Really, Mr. Wu and his generation are not given for nothing. This is also the preciousness of surgeons and senior surgeons. Often, just one sentence can clarify problems that junior doctors can't figure out for decades.

Repairing, connecting, and having figured out the pancreas problem, Zhang Fan and Mr. Wu cooperated more and more smoothly.

The operation was also performed faster and faster, and the two hands, as if a brain was ordering, cooperated quite tacitly.

At this time, the second assistant and the third assistant realized what a master is. Zhang Fan and Mr. Wu are like bulging sports cars.

Speed, accuracy, and prediction do not need to communicate, and the two are directly synchronized.

As assistants, they were sweating profusely trying to catch up with Mr. Wu and Zhang Fan.

"It's too bullying. It's too bullying." Sansuke was about to shed tears. He was wronged, really wronged.

Originally, he could still keep up with Mr. Wu's operation, and he was full of pride in his heart.

For doctors under the age of thirty-five, he thinks he can take the top spot.

This is not only his own idea, but also recognized by all colleagues in the hospital's departments.

As a result, today, he didn't expect that a black guy who didn't know where came out, as if he had discussed with Mr. Wu, at the same time, he increased the difficulty and speed of the operation.

It's nothing, but he couldn't keep up, and he couldn't keep up with all his strength.

"The number one person below the sub-high school and the top young doctor in East China are all deceitful! Woo! Woo! Woo!"

He was extremely sad, the difference in technical level, the more people who understand it, the deeper it will be understood.

Repairing, filling, supplementing, pointing, cutting, and cutting, the original pancreas was like white tofu dropped on the ground, and it was slowly restored by Mr. Wu and Zhang Fan.

Zhang Fan, who figured out the difficulty of the pancreas, and Zhang Fan, who was pushed away by Mr. Wu, became more and more transparent under the seduction of Mr. Wu's superb surgical skills.

Immersed in the transparent refreshment, Zhang Fan's skills slowly began to show.

When he couldn't figure it out, Zhang Fan couldn't give full play to his full strength, because he didn't know why the operation sometimes succeeded and sometimes failed in the system.

But now, I figured it out, so I don't need to be nervous. Then, when Zhang Fan figured it out, the group of people behind him opened their mouths!

"Hey, what is this guy doing again!"

In the operating room, especially in front of a very strict expert like Mr. Wu, if you talk nonsense, you will definitely be scolded.

However, even if Mr. Wu was there, the observers standing behind the practitioner were so surprised that they even forgot the rules and said it.