Skepticism or non-skepticism is a matter of theory.

Finding or not discovering is a matter of diagnosis.

The difficulty of operation is a matter of personal technical level.

After Associate Professor Song Yu discovered that there was also an infection in the posterior superficial fascia compartment of the left lower limb, Associate Professor Song Yu and Professor Lin Jiemo cooperated to complete the debridement of this soft tissue in just over 20 minutes, and then continued to return to the removal of pus and necrotic bone in the space at the broken end of the fracture.

Professor Lin Jiemo scolded: "The diagnosis of this patient is either extremely complicated, after the violence, the local fracture fragments pierced the bonosascial compartment and then automatically retracted, or the doctor who performed the first surgery was afraid of trouble, and after deducting it, he did not clean the other fascia compartments." ”

"I have a fluke mentality that I won't be infected."

"Remember, we can't leave our hopes to chance!"

"This patient has been hospitalized below for more than ten days, and any breach can grow well."

Obviously, Lin Jiemo felt that the level of the doctor who operated for the first time was not good enough, so he directly pulled out the fracture fragments that had pierced the posterior superficial fascia compartment and reduced them, without doing the first thorough debridement.

Song Yu was silent, just looked in the direction of Fang Xian from time to time.

From this point now, the basic theory of Fang Xian's trauma surgery that he had suspected before has reached level 3 and has been truly verified, which is a very good thing.

For Professor Lin Jiemo, this operation is as simple as brushing his teeth, and it is not difficult at all. It's just that taking into account such a very small factor, it is not very likely.

……

After the operation, Fang Xian finally got the second wave of skill points.

[You found an infected abscess cavity in the closed cavity after fracture external fixation by asserting a suspicious diagnosis, causing 83 points of damage (accounting for 51%) to the wound of skin and soft tissue surgery, and gaining 83 skill points!] 】

[Current Skill Points Remaining: 111.] 】

This is the first time that Fang Xian's skill points have exceeded 100 remaining.

This patient belonged to Fang Xian's supervisor, so when Fang Xian was pushing the patient to the ward, Associate Professor Song Yu caught up and said, "Call the pharmacy department directly after the operation, increase the grade and dosage of antibiotics, and then issue two more medical orders." ”

"Intraoperative bacterial culture and antimicrobial susceptibility testing."

"Okay, Mr. Song." Fang Xian nodded at him, in a good mood.

It is too difficult to be able to pull out such a big fish from the fingers of Associate Professor Song Yu and Associate Professor Lin Jiemo, and advocate a small diagnosis by himself, if it were not for the guidance given by this panel, I would never have imagined it.

"It's not bad, but we need to keep working on it. In the case of a teacher, the entry point of resources and learning is completely different, and the efficiency of learning will be different if the entry point is different. ”

"This time, Professor Guo has arranged as many opportunities for you to teach as many teachers as possible!" Song Yu patted Fang Xian's shoulder.

"Thank you, Mr. Song." Fang Xian's tone was extremely excited, he had already heard the meaning of Professor Song's words, Associate Professor Song Yu was going to be his preparatory mentor.

Professor Guo, the director of the department, deliberately asked Wang Bo to suppress his comprehensive results during the year-end assessment in the first year, and it was a good thing for the other party to idle them for ordinary residential training.

"Go ahead!" Song Yu didn't say much to Fang Xian, there is still surgery later, which is where the responsibility lies.

……

After Fang Xian left the operating room, in the operating room, Lin Jiemo asked Song Yu: "Professor Song, Fang Xian's basic theory should have reached level 3, right?" It's just that he didn't go to the medical association for certification. ”

"It should be about the same."

"The discovery of peptic ulcer may be a biased factor, but the possibility of speculating on the hidden infected cavity should be a certain degree of enthusiasm for the theory of trauma surgery." Song Yu generously replied.

It is impossible for Fang Xian to become a student of Professor Lin Jiemo, in order to avoid being unfair to students by teaching the teacher's likes and dislikes, and even going through the back door.

For example, Fang Xian is a relative of Lin Jiemo, so Lin Jiemo can go and lose his student Fan Chengpeng, and wait for Fang Xian to enter the department, and then harvest Fang Xian as his own student, then this is unfair to Fan Chengpeng and breeds corruption.

Moreover, if the master's degree student led by the professor is finally replaced by the resident, it will affect the professor's teaching rating to a certain extent, and if the teaching score is too low, the professor will be removed from the position of associate professor.

If there is a report and it is proved to be true, then it is a veto, the professor is removed from the associate professor, and the associate professor is the main treatment!

Either you should be the chief physician and not take the students, or you should take the students well and don't think about breeding corruption.

"It's not bad, it's not easy for a child who can study hard to vomit blood?" Lin Jiemo nodded and praised, expressing the other party's approval.

Just one thing, hard-working young people, most people will like it.

As far as the current situation is concerned, Fang Xian has already had an operation that has reached level 3, and there is also a basic theory that has also reached level 3, and it has only been a year.

Such qualifications are enough to rush to the hospital.

Of course, the difficulty of improving the operation is greater than the difficulty of improving the theory. Theory is a must-have, not within the scope of the assessment, but operation is a must-have, is a requirement on the surface.

Hearing Lin Jiemo say this, his master's and doctoral students were silent, including a group of resident trainees who were also slightly ashamed.

Fang Xian's personality is not bad, and diligence is also seen by everyone.

But in my own opinion, most people can't do such diligence as Fang Xian.

I thought Fang Xian's qualifications were average, but I didn't expect to be the king of the papers, but he might have failed in the master's re-examination.

……

After Fang Xian returned to the ward, he immediately opened the doctor's order and invited the consultation of the pharmacy department.

After careful consideration of the medication plan, antibacterial, stomach protection, and nutrition are the three big heads, and they must be given!

After all this was done, Fang Xian hesitated slightly.

111 skill points are two level 3 skills, but whether these two level 3 skills should be added to the operation or in theory, Fang Xian is still uncertain.

The Affiliated Hospital of Shonan University has the right to perform surgery for its physicians and medical students, and the corresponding minimum regulations are: Trauma Surgery Theory Level 3, X-ray Reading Level 3, Debridement, Suture, and Incision All Level 3!

My trauma surgery theory has reached level 3, and suture has also reached level 3, if you add debridement and incision, then it is more convenient for you to operate in surgery, and finally you only need to wait for the reading to reach level 3.

This was originally the route that Fang Xian had already planned!

However, the opportunities in the operating room are quite limited, and when I am an assistant, whether I am a doctor or a master, most of the time I only complete the sutures, so my level 3 sutures are enough.

Then the skill points that the assistant can get can be achieved by himself.

Whereas!

If you can make some new diagnoses and discover more hidden diseases, it will also contribute to harm, and the proportion is very high, which can maximize your skill points and abilities, which is equivalent to expanding the source.

I have a pre-mentor thing, and I have already made a conclusion, and looking at Associate Professor Song Yu, my interest in myself is quite good.

Therefore, it is necessary to take the leading authority as soon as possible and receive the monthly main surgery subsistence, whether its significance is greater than the significance of one's own deep cultivation of hidden diagnosis in the clinic, which is a question worth pondering and pondering.

Fan Chengpeng's consideration is reasonable.

But from another perspective, I think about the relevant regulations of Shonan University's trauma surgery, in fact, every regulation can make you feel at ease!

That's the point.

The better it is for the patient, the more you can find some hidden diseases, and you can take advantage of it and avoid the disadvantage!

Therefore, diagnosis is definitely the most important thing in the clinic, even if you add the operation level and get the authority of the main surgeon, you must deepen the theoretical knowledge and reserve more.

Surgery = treatment, but not all the same treatment.

Diagnosis = salvation, guidance on whether treatment is needed, is fundamental. Therefore, we cannot abandon the basics.

Fang Xian then pointed to the basic theory of orthopedics and the basic theory of surgery to level 3!

Therefore, Fang Xian's skill panel became-

"Basic medical skills: incision level 2, suture level 3, debridement level 2, x-ray reading level 2, CT reading level 1, ECG reading level 1, cardiopulmonary resuscitation level 1. Medical Specialist Examination: Level 1. Paracentesis: Grade 1. Knotting: Level 1. Hemostasis Level 1. MRI grade 1. ”

"Basic Theory of Medicine: Conventional Theory of Medicine Level 1, Conventional Theory of Surgery Level 3, Orthopedic Conventional Theory Level 3, Conventional Theory of Trauma Surgery Level 3 ......"

"Trauma Surgery Specialist Skills: Experience in Orthopedic Related Instruments: Level 1, Manual Reduction Level 1 ......"

Fang Xian suddenly knew a lot of things in his mind!

The gain of the point theory is simply too great, and it will definitely be useful!