Chapter 6 Upper and Lower Limits (Ask for Collections, Ask for Recommendation Votes)
There are also three junior doctors in the seventh year, which is the second year of master's degree or the second year of residency, and even the senior brothers in the eighth year have gone to find jobs, and the new first-year doctoral brothers have not yet come.
You can add the three doctoral brothers in the ninth, tenth, and eleventh academic years, and there are nine junior doctors!
Now that Li Qiu is the only one who has not reached the threshold of skill requirements for entering the operating room, can Li Qiu not have a sense of urgency?
After all, the new juniors of the next year are coming soon, and it would be a shame if they didn't meet the corresponding requirements when they came.
Those who can enter the re-examination stage of the Affiliated Hospital of Shonan University at the undergraduate level are at least above average in qualifications, and they are more or less good-looking.
The others didn't pay special attention to the change in Li Qiu's expression, everyone came over like this, and the threshold of entering the operating room had to be fought for by themselves, and others couldn't help much.
Fang Xian is not in charge of many patients, there are only three beds, all of them are postoperative, he adjusted the doctor's order yesterday, and he only needs to fine-tune today, so what Fang Xian needs to do is actually write medical records and change dressings.
Just when he pushed the dressing cart back to the dressing room to clean up the dressing cart, Fan Chengpeng came to him, he had already taken off his white coat and pinched the badge in his hand: "Brother Xian, let's go, go down to the operating room." ”
"Grab the badge and use it for the locker key later." Fan Chengpeng skillfully confessed.
"Okay, Brother Peng, wait for me a little." After Fang Xian threw the yellow garbage bag from the garbage basket in the dressing change car into the medical garbage can, he quickly washed his hands, and took off his clothes while taking off his badge to keep up with Fan Chengpeng's rhythm.
When he walked parallel to the elevator room with Fan Chengpeng, he asked: "Brother Peng, do you still have to bet on the badge for the key to the locker room here?" ”
It's not that Fang Xian hasn't entered the operating room, but he hasn't entered the operating room of the Affiliated Hospital of Shonan University for the time being, and when he was in the First Affiliated Hospital of Hengnan University before, he entered as a trainee, and the process seems to be different from here.
"Well, the management of the operating room prevents you from getting rid of the key, so that you can lose money, and if you don't mortgage something, where will you go directly to find someone?"
"The operating room in our hospital is relatively large, and the personnel are relatively complex, so the management is much stricter." Fan Chengpeng said this while pressing the elevator.
Fang Xian thought of the important thing, in the Affiliated Hospital of Shonan University, there are advanced doctors, there are round doctors, Professor Lin's group also has advanced doctors and occasional round doctors who come to other surgeries, if the management is not strengthened, when the time comes, the name of the orthopedic department will be littered, then the orthopedic department is not a mess?
……
As a resident surgeon in surgery, basic skills such as changing clothes, washing hands, and dressing are all engraved into the mind, including the principle of sterility, etc., which is only the foundation of the foundation in surgery.
After Fang Xian and Fan Chengpeng came to the 8 operating rooms that really belonged to trauma surgery, the operating room was also densely packed with people.
There were five people on the operating table, namely the professor in the group, the associate professor in the group, the attending physician in the group, and the doctor's brother, and the other three senior brothers in the seventh year were watching the operation in Zamabu.
Then, next to the anesthesiologist, there were four people sitting in front of the anesthesia instrument in a diamond shape, as if the anesthesiologist was teaching, and the two itinerant nurses in the operating room were swimming around......
The size of this operating room is about the same size as the operating room of the First Affiliated Hospital of Hengnan University, but the number of people is more than double that there!
This had a strong impact on Fang Xian.
After Fan Chengpeng brought Fang Xian into the operating room, he said, "The operation is not over yet, let's find a vacant seat to see the operation first." According to my teacher's temperament, it is estimated that he will cut the skin in the next operation, and you will be an assistant on stage. The next operation, you have a chance to cut the skin like this. ”
"Newcomer protection period?" These words popped out of Fang Xian's mind.
As soon as you enter the operating room, you can have the opportunity to experience the incision operation on the patient, which is also very powerful.
You must know that doctors are currently the only profession in the world that is legally and actively authorized by the state to be able to make cuts on the skin of living human beings for therapeutic purposes.
Other professions are either only allowed to be done on dead people or animals.
Either that, or deliberately!
"Almost, cherish it." Fan Chengpeng also encouraged Fang to take a moment, as if he felt that there was nothing in his words.
Fang Xian nodded, and then began to look inside, and the surgical team led by Professor Lin began to operate.
At this time, Fang Xian found that his knowledge system was very messy, and these operations were plausible, some of them were operations that he was familiar with, and some of them were beyond his own knowledge and understanding system.
But these parts floated by in an instant, and I couldn't figure out where they were.
But there is a part, Fang Xian can think of what the name is, after splitting, it can be understood as debridement, tendon suture, fracture internal fixation, bone transport, bone grafting......
In Fang Xian's field of vision, it was relatively chaotic.
For more than an hour, Fang Xian was in such a state.
Then the operation was over, and the doctors and brothers led by Xue Li began to suture the wound, and at this time, Professor Lin and Associate Professor Song Yu stepped down.
After sweeping around, Lin Jiemo found a new face in the operating room, and opened his mouth with a loud voice: "Xiaofang, it's your first time in the operating room!" ”
"Hello Mr. Lin. Teacher Song. Fang Xian hurriedly stood still and then called someone.
Lin Jiemo is as his name suggests, his complexion is very dark, his skeleton is wide, he is a big man, he is very amiable at this time, and he looks at Song Yu, who is a head shorter than him: "Professor Song, is it still the old rules?" ”
Song Yu nodded, pushed his glasses, and said: "The operating room is a serious place, and the department has strict requirements and high standards for you, one is to be responsible for the patients who trust our hospital and seek treatment, and the other is to restrain the lower limit of some of your behaviors after entering the operating room. ”
"A dead rule, do what you are allowed to do, and don't touch what you are not allowed to do."
"So if you just want to cut the skin, you must not directly dry the skin on the opposite side with a knife, and then let the superior rescue you!"
"I know you have a lot of strength and trust in the emergency response of our teachers. But in fact, the rules of our department are also the country that your senior brothers have fought down from generation to generation, so don't expand your territory! "Song Yu's complexion is very white, his voice is relatively moist, brittle but not hitting, witty and interesting.
It allows you to remember every word clearly.
Fang Xian probably imagined the scene of cutting a skin in an orthopedic operation, and being able to cut from the surface of the skin to the surface of the opposite skin, and suddenly felt that these inappropriate professors set these strict standards for entering the operating room were also pitiful and helpless.
Song Yu then said: "The second point, see more and talk less, the lower limit of the quality of surgery in the operating room is determined by you, so you should watch more and ponder more." ”
"Don't talk about it, the upper limit of the quality of the operation has nothing to do with you, so don't show off your knowledge accumulation, it's not that your superiors don't want to deal with you, but you're tired."
"Ask more questions after surgery, if you have the right opportunity, we will answer your questions, I'm afraid that you won't ask like a stuffy gourd."
"That's pretty much it." After Song Yu finished explaining, he sat aside.
Lin Jiemo, as a professor, sat under the timing panel in the operating room after saying the first sentence, and he was still modest with Song Yu at this time.
"Professor Song, why don't you come?"
"No, no, no, Mr. Lin, it is helpless for me to teach on my behalf in your absence, you are here, where do I dare to teach? If you scold me for something I didn't do well, you can just say it. Song Yu's tone was respectful, not flattering, full of convincing.
"Then pay me back?" Lin Jiemo didn't refuse, as if he wanted to give Associate Professor Song Yu a chance.
……
Fang Xian still doesn't understand what Professor Lin and Associate Professor Song Yu mean, but after anesthesia for a patient with a large femur defect, he is performing the incision operation.
Lin Jiemo asked Fang Xian: "Xiao Fang, how long do you think it will take for this operation to be exposed from the skin to the femur?" ”
Fang Xian's expression instantly froze, thinking that Lin Jiemo was examining his anatomical theoretical basis, which belonged to orthopedics, and began to recall the corresponding anatomical level.
To put it simply, from the skin to the femur, there are five or six layers, and there are arteries and veins and nerves in the quadriceps anterior femora!
But Professor Lin's ability is definitely not ordinary, so it shouldn't take about twenty minutes, ten minutes is about the same.
"About ten minutes?" Fang Xian said.
Then Lin Jiemo and Associate Professor Song Yu quickly began to cooperate.
One incision to the subcutaneous fascia, then immediately the conversion to the electrosurgical unit, then to the fat layer, and finally to expose the deep fascia layer, which is directly dried to the femoral defect through the muscle space after blunt rupture.
And after pulling it apart with a hook, Lin Jiemo first looked at the timing panel in the operating room, and then looked at Song Yu: "Three minutes and twenty-one seconds, a little slower than last time?" ”
Song Yu replied: "Professor Lin, the last time was the pelvis, and there were many pelvic surgeries in our group. So skilled. ”
"So I still have to practice! Skill comes from practice! Lin Jiemo nodded.
Fang Xian's whole person was petrified!
Three minutes directly from the skin to the surface of the bone, do you still feel slow? Can you still be a human being?
However, no one paid special attention to the change in Fang Xian's expression, but seriously did the surgery and watched the operation.
When Fang Xian saw the hands of Lin Jiemo and Associate Professor Song Yu, his eyes were full of envy, and he couldn't wait to cut off those two hands and plant them on his hands.
That's the beauty of surgery......