Tuesday is the day of surgery for Professor Lin's group, and the patient in charge of Li Qiu has to wait for surgery tomorrow.

When Fang Xian entered the doctor's office, Li Qiuben took the surgical informed consent form and other materials and was about to talk to the patient and his family, and when he saw Fang Xian coming in, he squeezed Fang Xian into the corner: "Brother Xian, is the operating room fun?" ”

Li Qiu looked expectant and curious.

"Okay." Fang Xian nodded instinctively, and when he stood on the main knife position to do the operation, he had an inexplicable sense of achievement.

Li Qiu cried in an envious tone: "I also want to come, but the hospital's control requirements for assistants are too difficult." ”

"Today, Zhang Hongxing from Professor Song's group also entered the operating room." Li Qiu turned into lemon essence and walked out quickly, with an indescribable sourness in his tone.

Fang Xian looked at Li Qiu, and sighed in his heart-

It's a big hole when you go into the operating room, old ball.

Fang Xian felt that the hospital and the department were simply drawing cakes, the so-called assistant standard was just to make you work hard for the department, and the so-called master standard was another way to cultivate talents for his own hospital.

If you have good qualifications and make rapid progress, then you will be able to meet the requirements of the main surgery on time at the end of the seventh year, and when you see that you have potential, you will work hard to cultivate you, and then let you continue to work in the hospital after graduation.

If you can't meet such high standards, the hospital will not let you stay in the hospital to work, which is actually a kind of negative standard line.

According to Fan Chengpeng, level 3 skills are not so easy to achieve, and so far, he has only 1 level 3 skill, which seems to be a lot, but in fact it is not as good as a quarter. It is expected that before graduating with a master's degree, it is enough to be able to meet the standard of chief surgery, or to go to a prefecture-level city hospital to work, and may not even be able to enter the doctorate!

That's the reality.

Fang Xian also has to face reality.

……

Tuesday is the day of surgery, and it is also the date when the 14-bed grandmother in charge of Fang Xian will be discharged from the hospital, she has a pelvic fracture, and she should be admitted to the hospital after a week of hospitalization.

Patients with appointments will not come until the afternoon.

So Fang Xian went into the operating room to wait for the assistant, but Fang Xian found that in his own group, Fan Chengpeng of the same level could only watch dryly, as well as Fan Chengpeng's senior brother Wu Xiong, Liang Longqi and Zhou Xiaosheng in the second year of Zhupei.

On top of that, there are also Lin Jiemo's three doctors and brothers carrying the banner of assistants, so in fact, Fang Xian and Fan Chengpeng are all waiting for the life of the subsistence allowance.

The only difference is that Fan Chengpeng's subsistence allowance is more than Fang Xian, Liang Longqi and Zhou Xiaosheng, and the opportunity is equal to that of Wu Xiong, the senior brother in the second year of the master's degree.

Fang Xian roughly calculated, three doctors have sixty assistant opportunities a month, two masters have twenty times, plus him three residential training together, a total of fifteen times, ninety-five assistant opportunities a month.

The number of surgeries in the group is 12 days per month, and the number of surgeries per day is 5 to 6, so in fact, two assistants can be divided between one operation!

Let's boil!

I didn't get it on Tuesday, and I returned to the ward, and then I thought about the new patient with bone defects in the afternoon, Fang Xian didn't get any benefits, there were no additional diseases, and there were no hidden diseases, Fang Xian grinded this case for three or four hours, and felt that this young woman's disease was very single and refreshing.

That's a day when you don't have a big skill point coming in.

……

Finally, on Wednesday, when it was Fang Xian's turn to admit 15 new patients, that is, patients infected after external fixation of open fractures of both lower limbs, did surgery, and Fang Xian finally had the opportunity to go on stage again.

Moreover, this operation is a bilateral opening of Associate Professor Song Yu and Professor Lin Jiemo at the same time to do major debridement, scraping of necrotic bone tissue and excision of necrotic tissue.

For this operation, a total of four assistants were performed.

Song Yu's assistants are Xue Li and Fang Xian, and Professor Lin Jiemo's assistants are his two doctors.

Finally, after the complete debridement was completed, and the carrier of antibiotic bone cement was put away, and Xue Li also placed the upper and lower ends of the irrigation drainage tube in the wound, Associate Professor Song Yu said.

"Xue Li, let's let Xiao Fang sew this one, and help me take a look." Song Yu wore glasses and looked at Xue Li.

Xue Li's eyes immediately squeezed into a triangle, and he also heard rumors in the department that Associate Professor Song Yu was likely to be Fang Xian's preparatory mentor, so he began to exert his efforts to try to give Fang Xian a chance.

Then he immediately stretched out: "Okay, Professor Song." ”

After speaking, Xue Li gave Fang Xian the stitch with thread, the needle holder, and the toothed tweezers, and explained: "The wound of the patient after this infection, the soft tissue is soft, and there is a certain degree of decay. ”

Xue Li seemed to be telling Fang Xian that you have to be careful to suture, this kind of wound after a big infection is not so easy to suture!

It's also as if to say, your level of sutures is a bit difficult to deal with such a wound.

Fang Xianyan was not apprehensive when he heard this, nodded and said yes.

Whether it is or not, whether it is beyond ability, in fact, everyone has a bottom in their hearts.

The surgeon needs to carefully clarify the subcutaneous layers of tissue and suture to achieve no need to suture the outer skin, and the patient's wound can be healed by zipping the skin......

At this level, even for such a special wound, it is enough to deal with it.

Fang Xian was firm for a while, carefully observed the full-thickness edematous and pink section, and automatically began to clarify and analyze the different levels in his heart, and then roughly had a suture idea in his heart.

The idea of suturing varies from person to person.

Suturing is a basic skill, everyone knows it, but to form your own ideas, non-mechanical suturing and repetitive operations, this requires at least level 3 to do.

Level 2 only requires the stitching effect and sewing speed, so it is a bit difficult to deal with.

After Fang Xian sutured the first stitch, he broke away from such a mechanical route, whether it was in the process of needle entry, needle exit, needle passing, thread crimping, and knotting, it was extremely delicate and matching!

The tightness of the knot is very suitable, and it does not seem to exert any cutting force on the corrupted soft tissue, and it meets the standard of pulling and tightening.

"Oh! ~ It's still different after all the work. Xue Li only took the first look, and directly broke Fang Xian's current level of suturing skills.

Song Yu also looked sideways when he heard the voice.

At the same time, Professor Lin Jiemo, who was doing surgery on the opposite side, also stopped the operation and examined it, he did the right leg, and the infection and fracture of the right leg were more severe than the left leg, and it was not yet to be sutured.

After examining the operation, and then looking at Fang Xian, Fang Xian still lowered his head and operated meticulously, not affected by the words of Xue Li and Associate Professor Song Yu.

He joked: "It's different if you have blood, and you remember it deeply." It's good after it's out. ”

There is nothing wrong with the words, but it sounds more or less colorful.

Song Yu gave Lin Jiemo a special expression, as if to say, Professor Lin, don't take my student badly.

In order to ensure the quality of the students, the associate professors can only take the regular training and crush the professor's students.

It can be regarded as an incentive to stimulate everyone's teaching level to continue to improve.

Hearing the words of several professors, many people looked sideways in an instant, and found the details and level of Fang Xian's operation.

Several doctors were surprised, but Liang Longqi, Wu Xiong and others had a strong sense of urgency.

Fang Xian actually had a skill that reached level 3, so they would have even fewer advantages.

Zhou Xiaosheng, who lived in the second year of training, felt extremely stressed, and his suture technique was not yet level 3, but now Fang Xian caught up, and then in terms of incision, Fan Chengpeng, who was in the first session of Fang Xian, was eyeing each other.

It's really hard to be a senior brother! ~

So is it still necessary to struggle?

I'm going to try it out at the all-night skills training room too?

……

When Fang Xian achieved the suture of the remaining epidermis, he stopped and asked, "Brother Li, will you suture this outermost layer or will I suture it?" ”

Fang Xian knew that the outermost suture was sutured for patients and their families to see, and it must have a certain degree of beauty.

Although I am also level 3, level 3 and level 3 are not exactly the same.

The outermost suture of an ordinary patient can be undertaken by a level 2 suture, after all, there is no pre-infection, but for this pre-infected patient, the outermost suture is as safe as possible.

"You go on, it's okay, don't be nervous." Xue Li said, and then glanced at Associate Professor Song Yu.

found that Song Yu seemed to be more nervous than Fang Xian at this time, as if he was looking forward to something.

It wasn't until Fang Xian finished the stitching that Song Yu breathed a sigh of relief. He nodded and said, "Xiao Fang, you should step down first, the operation here has been completed, make way for Professor Lin to facilitate Professor Lin's operation." ”

Fang Xian silently retreated towards the operating room, while the other senior brothers who watched the operation in the back were constantly spreading out, giving way to Fang Xian!

The principle of sterility is the bottom line, and it is engraved into the minds of all people who enter the operating room.

When Fang Xian took off his clothes, he inadvertently glanced at the skill points, and his pupils shrank in an instant!