Before you know it, the time has entered November, and after two months of internship, the interns ushered in their first rotation.

After checking the room in the morning, Fang Han and Liang Qunfeng entered the operating room, and a group of rotating interns also entered the emergency department.

This time, there were more interns who were transferred to the emergency department, there were six of them, and several of them were chatting and chatting, and the interest was very good.

Lin Xiaofeng said excitedly as he walked in with the other interns: "Fang Han is in the emergency department, I heard that they don't rotate this time, I have always heard that Fang Han is very good in the emergency department, this time we can also see it." ”

"I can finally see Fang Dashen....."

The other interns were also full of interest, and now Fang Han is a legend in this group of interns, an indelible legend, and an existence that every intern looks up to.

A few people were talking and laughing, as if they had entered the Grand View Garden.

"What's the noise?"

A nurse came over with a gloomy face, and a group of people hurriedly stopped laughing, each becoming cautious.

After so many days of internship in other departments, there is no newcomer present, and naturally they all know the authority of nurses, and the senior nurses of the hospital are sometimes more terrible than the attending doctor or even the director to them.

The attending doctor or director generally does not make things difficult for interns at will, and the big deal is to ignore them.

But these nurses are different, nurses are busy all day long, and it is rare to bully and bully interns, which can be regarded as a kind of spice in life.

If you offend a nurse, don't say that you can't get a chance to get started for a long time, a little nurse can make you break your leg if you move your hands and feet a little.

"Sister nurse, we are all interns in rotation, what should I do, what should Sister Nurse order. Lin Xiaofeng shouted boldly.

"Since you are reincarnated, what should you do and what you shouldn't do, you don't know in your hearts?"

The nurse still had a gloomy face, and stretched out her hand: "Go to the lounge and wait if you have nothing to do, don't stand here and dazzle, something will call you." ”

Several interns hurriedly nodded and walked away.

A few people were walking, and they were confronted by a resident doctor, who looked at a few people: "Are you new interns on rotation?"

"Yes, yes!" several people nodded hurriedly.

The resident reached out a little in the crowd: "You, you, you two come with me." ”

The two people who were ordered were immediately overjoyed, and the others were full of resentment, like a dissatisfied little daughter-in-law.

Among the two people who were ordered was Chen Xiaofeng, and the resident doctor asked while leading the two people away, "Will they all take medicine?"

"Is it to change the patient's dressing?"

The resident doctor nodded: "Yes, there are a few patients with bone injuries in the observation room who need to change their dressings, you two are fine, right?"

"No problem, no problem. Chen Xiaofeng and another intern hurriedly said: "Disinfect first, then apply medicine, and then bandage." ”

"Be careful when the time comes, don't be frivolous. "The resident doctor holds the shelf of a senior doctor.

It is said that this kind of thing is usually done by nurses, but with these interns, it is natural for interns to do it, don't look at it as just a small dressing change job, it is a rare opportunity for these interns, it is better to be able to give medicine to patients than to be idle, right?

......

In the operating room, Liang Qunfeng was busy chatting with Fang Han on the side: "Xiao Fang, how is your right arm recovering?"

"It feels pretty much the same, and if you don't push hard, you don't really feel anything. ”

"Then you'll do the stitching later?" asked Liang Qunfeng.

"Yes. "Fang Han's hands were itchy for a long time, if it weren't for the injury to his right arm, he would have started it a long time ago.

It has been 30 days since his right arm was injured, and he is recovering very well.

It is often said that the injured tendons and bones move for a day, and this period refers to the body being traumatized, causing fractures and tendons, and it can be completely healed after 100 days of treatment and recuperation.

This 100-day statement is actually a relatively broad statement, and there is some truth, but the specific situation needs to be analyzed in detail.

Generally speaking, fracture healing is a continuous process that can be roughly divided into three stages. The first stage is called the hematoma organization stage, within 6-8 hours after the fracture, the hematoma begins to form clots, capillary proliferation, various fibroblasts invade, the hematoma becomes organized, the granulation tissue becomes fibrous connective tissue, so that the fracture ends are initially connected together, this period is completed about 2-3 weeks after the fracture.

The second stage is called the primitive callus formation stage, the fibrous connective tissue at the end of the fracture is ossified by the proliferation, degeneration, calcification and calcification of chondrocytes, which is intrachondral ossification, and this period generally takes 4-8 weeks.

The third stage is called callus transformation stage, the original callus is transformed, osteoblast proliferates, and the new bone trabeculae are gradually increased, and gradually arranged into regular and dense bone trabeculae, so that the fracture ends form bony connections, and this period takes 8-12 weeks.

In this way, it generally takes about 13 to 18 weeks from the beginning of the fracture to the bony connection, which is about three months.

However, the process of fracture healing is affected by many factors, such as age, physical health, fracture location, fracture type, degree of soft tissue injury, whether there is infection and treatment.

For example, a pediatric femur fracture is basically healed in about a month, and it often takes 3 months for adults to heal.

Another example is that fractures in areas with abundant blood circulation heal quickly, and parts with poor blood circulation will heal slowly. Poor fracture alignment, severe soft tissue injury, infection at the fracture site, weak fixation, and premature movement can all affect the healing rate of the fracture.

There is also the same fracture, the treatment with traditional Chinese medicine manual reduction is faster than the recovery of Western medical surgical treatment, first, simple manual reduction will not hurt the muscles and veins and skin, and there is no impact of other local parts after bone reduction, while Western medicine surgical treatment, the injured part also needs to be operated on, and the infection must be controlled after the operation, and the muscle healing and recovery near the fracture will also affect the recovery speed of the bone.

Fang Han's right upper arm was just a simple bone fracture, which did not hurt the soft tissues, and it was a reduction operation personally done by everyone with a bone injury like Liao Yiming, and Guo Wenyuan's self-made bruise ointment was used after the operation.

Moreover, Fang Han himself is a doctor, and his attainments in bone injuries are not low, he knows what to pay attention to during bone injuries, what foods to eat to help recovery, and how to rehabilitate......

At the same time, Fang Han is also a person who practices martial arts, he is only in his twenties this year, he is physically strong, and his own resistance and recovery ability are much stronger than ordinary people.

It's only been thirty days now, Fang Han's right arm can already move freely, as long as he doesn't do any physical work, it generally has no effect, such as eating a meal, writing a word, etc., has no effect at all.

As for stitching?

I haven't tried it, and Fang Han doesn't know if it's going to work.

Lin Guangcai, who was playing on the side, secretly glanced at Fang Han, facing Fang Han, he didn't even have the courage to be jealous now, only worship and envy, and even envy was a little redundant.

This time Liang Qunfeng did surgery, debridement and suturing and other work were all done by Lin Guangcai and Dr. Chen, and even most of the time Lin Guangcai didn't have any chance, all of them were covered by Dr. Chen, and now that Fang Han is starting to get started, he has no chance at all.

However, Lin Guangcai is not in a hurry, the trickle is long, Dr. Chen is only helping temporarily, and when Fang Han can really get started, Dr. Chen will not follow the small team, and then wait until Liang Qunfeng is gone, and Fang Han becomes the actual leader, then he is the real pillar, except for Dr. Fang, it is him who comes down.

As for Li Xiaofei and others, who let them not understand the stitching.

Liang Qunfeng is now very proficient in this kind of joint replacement surgery, and while talking to Fang Han, he has undergone surgery at the same time, and before he knows it, he has reached the finishing stage.

"Xiao Fang, you try suturing, if it doesn't work, then change Dr. Chen. ”

Fang Han had already put on his gloves, and when he heard the words, he moved his hand and walked onto the operating table, and the nurse on the side hurriedly handed Fang Han the needle forceps, and at the same time gave Fang Han a charming smile.

Lin Guangcai's eyes were straight, he had been following Liang Qunfeng for more than 20 days of surgery, and he had never seen the little nurse smile at him.

Fang Han held the needle forceps, moved his fingers for a while, and felt that the impact was not very great, so he began to get started.

The primary stitching skill exchanged by the system has a very significant advantage, that is, it can keep Fang Han at the best level at any time, even if he does not contact for a long time, his level will not regress.

I have to say that this is a very powerful ability.

Not to mention intern residency, even if it is an attending doctor or something, the level of not practicing for a long time will somewhat regress.

Surgical skills are a process where practice makes perfect, which is the same as practicing martial arts, you have to practice every day, the so-called summer practice Sanfu, winter practice Sanjiu is really not so simple.

There is a saying that sailing against the current, if you don't advance, you will retreat, and if you don't practice for a long time, there will inevitably be an unfamiliar process. It's like reviewing your homework, even if you're a top student and don't read for a year, you won't be able to dominate anywhere.

However, there is no such disadvantage in the skills exchanged by the system, whether it is primary stitching or Baguazhang mastery, it seems to have melted into Fang Han's bones, even if he doesn't practice, he will be at his peak at any time.

Because of the injury of his right arm, Fang Han's flexibility was still affected to a certain extent, so he used simple intermittent suture, which is the simplest operation and the most widely used suture technique, each stitch is knotted separately, and it is mostly used for suturing skin, subcutaneous tissue, muscle, and aponeurosis, especially for wound suturing with infection.

The wound of the joint replacement surgery is not too big, and there will be no bleeding, even if Fang Han sutures slowly, it will not have much effect.

Fang Han's stitching was slow, but Lin Guangcai and a few people on the side didn't think so, they only felt that Fang Han's sewing was really smooth, especially when Fang Han's right arm was injured.

Lin Guangcai, who was the closest, secretly glanced at Fang Han's suturing effect, and the rows of needle holes and knots corresponded neatly, as if a pair of parallel lines were drawn on both sides of the patient's wound......