Keywords: Zhang Han, rotary knife, cataract surgery, cataract removal hand, heart to heart
[Abstract] In 1994, by chance, the president of the Second Municipal Hospital of Jinan, Mr. Wang, brought back a videotape of cataract surgery when he came back from an exchange program in Canada. Ultrasonic emulsification cataract surgery leaves only about 2 millimeters of operating space for the surgeon in charge, making it an extremely demanding procedure.
Demonstrating surgical maneuvers for local doctors in Qinghai.
Zhang Han leads a medical team to visit the countryside
Over the past 20 years, Zhang Han has performed more than 50,000 cataract surgeries without a single mistake, creating a miracle in the industry, and has been dubbed by patients as the "God of Cataract Removal".
West River Moon - Qinghai Tour
The Yellow River flows eastward, dreamers come westward, work together to drive away the haze of cataracts and plant the virtue in love.
The land of China is wide, the motherland is new day by day, thousands of miles away from each other as if they were neighbors, Lu and Qing are one family.
--Zhang Han
At the beginning of August, Volkswagen.com and the Second Hospital of Shandong University jointly organized the "Qinghai Brightness Walk", and a medical team led by Zhang Han, the director of ophthalmology of the Second Hospital of Shandong University, went to Qinghai to provide free cataract treatment for 100 patients in Haidong area. The medical team led by Zhang Han, director of the Department of Ophthalmology of the Second Hospital of Shandong University, went to Qinghai and performed free cataract surgery for 100 patients in Haidong. Seeing the 100 patients, who have been suffering from cataract for many years and have difficulties in life, stepping down from the operating table and seeing the light again, showing sincere and joyful smiles, Zhang Han was inspired and composed a song as a commemoration of this Brightness Walk activity.
From 1995, more than 20 years of cataract surgery, Zhang Han, director of cataract surgery, more than 50,000 cases, through countless difficult surgery without a single error, creating a miracle in the industry, by the patients called "removal of cataracts hand". A few days ago, a reporter from the public network exclusively talked to Zhang Han, revealing the secret of how the "divine hand in removing cataracts" is made.
Experts even shook their heads: "Too dangerous, never again!"
Time back to the early 1990s, with the advancement of medical technology and equipment, ultrasonic emulsification cataract removal surgery gradually matured, the international medical community began to generally agree with this ophthalmic surgical methods.
At that time, this technology was still in its infancy in China, and only a handful of ophthalmologists at top hospitals such as Zhongshan and Tongren were able to master it. In order to maintain the monopoly of the technology, these experts kept the technology of ultrasonic emulsification cataract removal extremely strict confidentiality, and outsiders were never able to learn the slightest bit of it.
In 1994, by chance, the president of Jinan Municipal Hospital No. 2, Mr. Wang, returned from an exchange in Canada and brought back a video tape of cataract surgery. In the same year, the hospital purchased the province's first ultrasonic emulsifier. With the "shooting dictionary", and bought the "gun", the city of the second hospital of ophthalmology backbone instantly boiled, a fist rubbing, ready to do something.
The ultrasonic emulsification cataract extraction surgery leaves only about 2 millimeters of operating space for the surgeon, making the technical requirements extremely stringent. After a period of preparation, a middle-aged specialist, who was the backbone of the Department of Ophthalmology at that time, stepped onto the operating table with the expectations of the whole hospital. After three surgeries, this expert shook his head repeatedly, "This surgery is too dangerous, I will never do it again!"
The whole hospital was lost, and no one dared to try again.
The ultrasonic emulsifier, which was bought for a large sum of money, lies quietly in the operating room.
The newborn calf is not afraid of tigers, determined to practice hard for half a year
After graduation, Zhang Han was assigned to Jinan Municipal Hospital No. 2, and other young people, like going to work every day, after work, and spent three years in a dull and fulfilling way.
One day at the end of 1994, he approached President Wang: "I want to see how advanced this technology is."
Director Wang looked at the youngest doctor in the hospital: a face full of vigor, resolute eyes, and a modest attitude, and with a try attitude, handed him the videotape brought back from Canada.
Zhang Han, as if he were a treasure, took the videotape home and watched it hundreds of times. On his way to work and during breakfast, he kept pondering and digesting it. After a few months, he was able to memorize the 20-minute tape like a small movie.
After work, there is no time to accompany his wife for a walk, shopping malls, not to mention the time to go to the Jingyi Weijiu practice stalls, eat barbecue. He watched videotapes while making incisions and turning knives on imaginary eyeballs on his writing desk.
In the desk "empty practice" for a period of time, Zhang Han began to think of ways to practice "real". While chatting with a patient, the other party unintentionally said, "My neighbor works in a meat factory. Zhang Han's eyes lit up: pig's eyes! This is the material for practice.
Since then, people often see a young man braving the 30-degree heat, one foot at a time, pedaling a two-eighths Jinlu, in the city hospital to the Beiyuan Street Meat Factory, a dozen kilometers of the road back and forth.
Getting the pig's eye, Zhang Han would walk into the operating room alone every night after work, turn on the ultrasonic emulsifier, play a small movie in his head and practice step by step.
"May 23, '95, I'll always remember that day!"
In the spring and summer of 1995, Jinan Municipal No. 2 Hospital received a special patient. Although he had a cataract in his right eye, the retina in the bottom of his eye was detached, and there was no hope of recovering his sight. Removing the cataract for this patient was simply a way to make his right eye more aesthetically pleasing, and even if the surgery was unsuccessful, it would not affect his vision. This instantly reduced the pressure on the surgeon in charge by a large margin.
With half a year's worth of practice and simulation under his belt, Zhang Han stepped onto the operating table.
The ten-minute surgery was as if he had retraced his steps over the past six months.
Evaluating the results of the surgery the next day, everyone was stunned: there were no post-operative complications, and the surgery was a complete success!
"May 23rd, '95, I will always remember this day!" After nearly 20 years, Zhang Han still remembers it very clearly.
This surgery not only changed the department's fear of ultrasonic emulsification surgery, but also represented a leap forward in this field for Jinan Municipal No.2 Hospital. For Zhang Han, it was the start of a whole new career.
After making a name for himself in the field, more and more patients came to him for surgery. Because of his work schedule, he was appointed director of the eye trauma department, but more patients came to him for cataract surgery than for cataract surgery.
Others only saw Zhang Han's moment of success, but few knew how hard he had worked for it, and even fewer knew the pressure he was under. Cataract surgery requires a high degree of hand-eye coordination, to tear the capsule, emulsification, implantation in a space of 2 millimeters, a little less force, the cornea before the injury, a little too much force, after the injury to the fundus of the eye, the spatial perception of the requirements of the high degree of difficulty is comparable to the dance on the cliffs, on the back of the people cut potato chips. The slightest mistake will result in failure not only of the surgery, but also of the patient's health and the doctor's reputation. Therefore, the psychological pressure of this operation on the doctor is no less than the difficulty of the operation itself.
Like other young surgeons, Zhang Han had to overcome this psychological hurdle. In the first two or three years, he was not skilled enough or confident enough to sleep for three days each time he operated: he was stressed out the day before, treading on thin ice the day of the operation, and trembling with fear as he waited for the results of the post-operative checkups the next day.
"On the day of the operation, if the tension is excessive, I will take half a tablet of Xindean a few hours in advance." Zhang Han told MassNews.com. This is also the first time he announced to the public his little secret more than ten years ago.
Relying on his hard work and dedication, Zhang Han's surgical level improved rapidly over the years, and many hospitals asked him to perform surgery, and he gradually became a well-known cataract surgery expert. 2007, Zhang Han came to his current work unit, the Second Hospital of Shandong University.
During this period, he once completed 70 surgeries in five hours, excluding the time for changing isolation gowns and sterilizing, and spent an average of only four minutes per surgery. The company's operations have been performed in more than 50,000 cases, and the complexity of the situation is quite high, but there has not been a single mistake, which has led to the development of a pair of "hands to remove the obstacles".
A good surgeon is not just a surgeon
One day in 2005, a special elderly cataract patient found Zhang Han. Because of his terminal cancer, the old man knew in his heart that he would die soon, but he especially wanted to see his children and the world again. When Zhang Han heard about this, he postponed all the plans and performed cataract surgery for the old man as quickly as possible. Seeing his children around him, the old man was moved to tears: "I didn't expect to see you before I die, I really didn't expect it!" A few months later, the old man died, his children specially came to thank Zhang Han again.
"That surgery made me realize that a good surgeon should not just be a surgical craftsman," Zhang Han told MassNews.com, from 05 years, he began to implement the free clinic and free surgery, and now every year to go to remote areas where there is a lack of medical treatment to do the "Bright Line" activities, not only for the living of the poor, but also for the poor. "
These are the first time a person has ever been to a hospital in the United States, and the first time a person has ever been to a hospital in the United States, the first time a person has ever been to a hospital in the United States.
Like the "Qinghai Brightness Walk" activity, Zhang Han will try to drive and train local ophthalmologists to master more cataract surgery, so that local cataract patients do not have to go out of the mountains, and can get high-level treatment at home. In Jiyang, Zaozhuang and Qinghai, Zhang Han has brought up a group of local ophthalmologists, some of whom are already proficient in ultrasonic emulsification cataract surgery.
With the deepening of his research, Zhang Han felt more and more that the gap between the domestic training system for young doctors and that of foreign countries was large. "Now there is no mature, standardized training system in China, and surgeons have to rely largely on their own enlightenment to grow." Zhang Han said in this regard, foreign countries have established a standardized, phased training goals for young doctors each year, there will be a detailed training plan, after a few years of systematic clinical training, they can become a business backbone.
Zhang Han told MassNews.com that he is going to work with fellow cataract specialists to discuss the development of a domestic training program for young doctors based on foreign experience, so that the talents in this area can form a growth echelon. The cataract doctors trained in this way, even if they can not guarantee that everyone will become the industry's top experts, but can largely avoid the fatal errors that are now common in surgery.
Twenty years basically do not take weekends, feel too much debt to their wives and daughters
"Qinghai Brightness Walk" activity of surgery in two operating rooms in turn, the time to noon, Zhang Han's state is also gradually into the best, but the two operating room assistants are tired and hungry, can not hold out. "Let's eat if we do 5 more", Zhang Han finally relented at the request of reporters and assistants. At 1:50 p.m., the medical team finally sat down in the doctor's lounge and devoured a boxed lunch.
"In more than 20 years of marriage to Lao Zhang, he basically never took a weekend off." Ms. Zhu Qing, Zhang Han's lover, complained to a reporter from the mass media network. Now although it has been a carefree life, but for more than a decade Zhang Han never had time to take his wife and daughter out to play, almost all the energy is put on the work. Because of the frequent need to help Zhang Han transcription of the paper, never studied ophthalmology Ms. Zhu Qing has been "tear sac" and other professional terminology is familiar with.
For her daughter, Zhang Shidi, it's a luxury for the family to take a walk in the neighborhood after work every day. Already in junior high school, she has never enjoyed the life of her father tutoring her homework under a desk lamp like the other kids in her class.
"She also often complains that I feel I owe them too much as a mother, but I still don't have time to make up for it now." Zhang Han said bitterly.
In the hospital, Zhang Han is notoriously busy. Dr. Sun Hongyi, an ophthalmologist at the Second Hospital of Shandong University, told POPULAR.com that, as far as he can remember, Zhang Han, the director of the hospital, couldn't get a day's rest in a month on average, and working overtime on weekends was a must.
During the interview, Zhang Han left an intuitive impression on the reporter was calm and steady, and his eyes could not see the thirst for profit. Although he is now living a carefree life, he started working a few years ago, but life is quite difficult.
"Old Zhang has never had much feeling for money. When VCDs became popular in '95, we especially wanted to buy one, but we really didn't have the money. In the end it was only after borrowing a few hundred dollars from my mom that we bought it." Zhu Qing said.
Zhang Han told Volkswagen, "I think young people don't need to care too much about their current income, as long as there is a clear, socially beneficial goal, after their own efforts, the achievements are recognized by the community, by the people around them, money is not a problem."