"There are many sections of medicine, and according to the purpose, there are roughly the following categories......

On the last day of the end of August, when Fang Xian walked into the operating room, Jiang Yang, under the instruction of Professor Xu Fengnian, began to explain some more basic content to the people in the team.

Next to Jiang Yang, Professor Xu Fengnian seemed to be the backbone of the team, swiping his mobile phone while shaking the rubber shoes on his right foot, wanting to drop it.

Around Professor Xu Fengnian, Fang Xian saw that Professor Lin Jiemo and Associate Professor Song Yu were sitting upright in an orderly manner.

And because the position is really insufficient, next to it, there are Jiang Yuhang, Zou Junzi and Zhou Xiyin standing with their backs and listening carefully.

Li Qiu and Senior Brother Kang Rong stood close to the wall, their standing posture was not enough, and their bodies were still a little trembling, as if it was the first time they had experienced and seen such a scene......

After Fang Xian approached, Jiang Yang paused the topic, and he, who was currently sitting, immediately stood up.

Even Professor Xu Fengnian put his feet down and put his hands flat in front of his knees.

"Xiao Fang, you are here, come and sit ......" Xu Fengnian greeted warmly.

After Fang Xian approached, he only stood next to Zou Junzi: "Professor Xu, let Doctor Jiang sit, he is now a teacher......"

Xu Fengnian was also a rather casual person, so he motioned for Jiang Yang to sit down first: "Doctor Jiang, you go on." ”

"From a macro perspective, there are some modules in medicine."

"Theory, Diagnosis, Treatment."

"Among them, theory is cognition, which is both separate and integrated with diagnosis and treatment, in fact, these modules are all the same."

"Theoretically, the definition of damage is simple, but the manifestations are very varied, from the simplest damage to the finger position of the limbs to the damage to the abdomen and even the chest, and the manifestations are very different......

"The difficulty of the damage theory mainly lies in three points, one is that it is difficult to treat, the second is difficult to diagnose, and the third is that it is difficult to treat."

"The difficulty in treatment is that the injured patients often lose a lot of blood, and when they are admitted to the hospital or even when the emergency physician rushes to the scene, shock, cardiac arrest and other measures may have occurred."

"Although there have been studies that have confirmed that at the scene of emergency, accurate temporary hemostasis of important blood vessels and large blood vessels, and timely blood transfusion and other treatment measures can prolong the patient's lifeline and prolong the golden rescue time."

"However, even in the rescue stage of the hospital, it is still a very difficult disease......

"The difficulty in diagnosis is that it is difficult to accurately predict organ damage and potential vascular damage, because these patients are not suitable for CTA, so in such cases, it is important to ask our attending physician to have a high level of attainment in MRI reading."

"The current diagnosis and treatment standard is that the patients who are damaged, the attending physician of the imaging department, and the clinician responsible for receiving the diagnosis must have grade 4 of MRI reading before they can be sent to the next ...... treatment."

"Accurate diagnosis is still only the basis of surgery and treatment, and the current statistics show that the comprehensive mortality rate of damage to the abdomen, pelvis and chest in China is as high as more than 95%, and even this data is relatively conservative!"

"Every year, it is estimated that at least thousands, if not tens of thousands, of people die directly from the disease, and the proportion of indirect deaths and vegetative patients is as high as 42 percent of the non-deaths......

“……”

Hearing this, Fang Xian looked up in the direction where Professor Xu Fengnian was.

After Xu Fengnian saw Fang Xian's eyes, he said with a solemn expression: "Clinical diseases, first can ensure immortality, and then we can consider others." ”

"At least 58 percent of the patients who have been saved, they are still able to wake up to a conscious state. The treatment of all diseases is constantly standardized—"

"From scratch, from good to good, from good to better, it has always been the test material made by countless patient teachers and deceased patients for future generations."

"Every step of the development of medicine is pushed from the pile of dead people, and even from the sequelae, this is the cruel reality!"

"You go on." Xu Fengnian said expressionlessly.

When Fang Xian heard this, his heart moved slightly, and he couldn't say anything in the end.

In fact, destroying this disease is not so simple.

Now Professor Xu Fengnian's team can do what can make the patient immortal, not make the patient healthy.

But even if you don't die, you can only do it if you are disabled or even in a vegetative state.

"The difficulty that needs to be overcome at the moment is ......"

Jiang Yang talked for about ten minutes, and after explaining the recent situation and prospects of the destruction of this disease, he explained them one by one.

The next surgery is about to begin.

Fang Xian didn't come to the stage again this time, because Professor Xu Fengnian wanted to test the strength of Professor Lin Jiemo and Associate Professor Song Yu and run in the tacit understanding of the team......

When there are a bit more people, there are fewer people who will naturally come to power.

Jiang Yuhang and Zhou Xiyin rubbed onto the stage, Kang Rong and Li Qiu were still clinging to the wall, not daring to say a word.

In the middle of the operation, Zou Junzi asked in a low voice: "Brother Xian, when you just listened to Teacher Jiang Yang's expression, you seemed to be a little unacceptable, you haven't tracing the corresponding literature and tracking the patient's prognosis, right?" ”

Fang Xian wanted to say at the moment, otherwise why did Professor Lin Jiemo say that I was pure?

Fang Xian really didn't know so many things, most of the time, he focused on skill points, skill points, skills, what he could do, and what kind of contribution he made to the operation.

Finally, where did the patient end up and what was the prognosis, Fang Xian didn't ask.

When he was in the specialist before, Fang Xian was able to send patients out of the hospital, but since he arrived at the trauma center, what Fang Xian has been doing is intensive training to improve his abilities and skills.

It's like fragmentation, it's like being cut off from the outside world.

Moreover, one thing that Fang Xian never doubted was the strength of the chief surgeon in the operating room of the trauma center, their strength, in the specialty, it was definitely at the top level, and it was a crushing blow to deal with ordinary diseases.

What is a simple fracture, a simple bone defect, a simple muscle defect, etc.?

Although these diseases are still difficult in prefecture-level city hospitals and need to be discussed, the quality of the surgeries performed by Lin Jiemo here is very good, not to mention in the operating room of the trauma center?

However, now, Fang Xian knew that the operating room of the trauma center was such a cruel place.

Fang Xian shook his head and continued to ask: "Xiao Zou, the prognosis of the patients who go to the operating room of the trauma center will not be able to go out?" Wouldn't it be particularly good? ”

After Zou Junzi blinked his eyes, he nodded!

"The original intention of the establishment of the operating room of the trauma center is to benchmark the outside world's concept of the former West China Hospital and Union Hospital, only to save lives, not to cure diseases!"

As Zou Junzi spoke, he scratched his head, and then said, "Actually! ~~~~”

"Well, the existence of the operating room of the trauma center, or the existence of the trauma center, is a huge clinical research system, and it is a founder and pioneer of medical development."

When Zou Junzi said this, Li Qiu and Kang Rong both silently took a few steps closer and listened.

"A lot of new diseases, in trauma centers, are automatically thrown into the specialty for emergency surgery after they are routinely treated. And then it will be handed over to the specialist to further study the upper limit of the treatment effect of this disease——"

"The operating room of the trauma center is to carry out the bottom line, save lives, and explore the lower limit of the treatment effect of a new disease and a disease with a high mortality rate!"

That's why it's rumored that specialty is the charm of medicine. Because they are pursuing the upper limit, the work that can be praised and praised by patients, and in the operating room of the trauma center, everything is done extremely cruel and even cold-blooded work! ”

"Whether you want to cure a disease or want to save a life, this is the stratification of a person's choice, no matter what, it is actually very important."

“……”

Hearing this, Fang Xian turned his head to look at Zou Junzi and said, "So, in fact, in the operating room of the trauma center, after staying for a period of time, most people will choose to return to the specialist in the end?" ”

"Not all of them!"

"There are some people who like to dance between life and death......"

"Saving lives is the prosperity between life and death, and treating diseases is the pursuit of a higher quality of life.

"What every doctor wants to see is different."

"But there is one thing, the doctors and teachers who want to stay in the trauma center must be the best in the hospital, and their strength and ability must be extremely strong to be able to take on such life-saving duties, and everyone else is just going to treat the disease."

"Who's better? How can you say it clearly? Zou Junzi replied with a sigh.

Fang Xian's expression and mood became a little unhappy.

Perhaps, this is the cruelty of real medicine, and everything I see is the most beautiful and beautiful thing on the surface.

Level 5 basic skills are powerful, it's awesome, but what can it be?

Fang Xian, Fang Xian, you are still too young, do you think that after a month or two of hanging, you have reached a certain height, and you can really make yourself invincible in the world?

It's just that others are too lazy to take care of you and don't want to break your dreams, but in fact, what you can do is still limited.

And what you see through may seem quite naïve to other teachers.

What you have seen is just the parting of a classmate and you, but what others have seen is the overall life and death.

What you encounter is an inexplicable teacher, and there is an inexplicable Professor Zhou or Professor Yang, but what others encounter may be inexplicable, and the patients under your command will die. Inexplicably, a patient who doesn't know what kind of patient is sent in front of you, leaving you powerless.

Everyone's vision and perspective are limited.

Boost yourself!

Don't be overshadowed by the glitz on the surface, thinking that when the patient leaves the operating room, the vital signs are stable, is it a recovery?

Stable vital signs just means he's alive.

But the meaning of life, life is only the foundation, the most brilliant is how to live!

Skills are in use, not in pretending.

Medicine is not allowed to show off skills, competition can.

Basic skills can expand the territory, can develop new diseases, and can even ensure that many people who would have died will not die, but there is no guarantee that these patients can live wonderfully and gorgeously!

The road ahead is boundless.

For the first time, Fang Xian found his true location in the temple of medicine, and probably got a glimpse of the general picture of the temple of medicine.

Life and death are an absolute proposition.

In addition to life and death, it is a different set of topics.

Specialties are not so simple, not so useless, and not so incompetent.

The operating room of the trauma center is a place of exploration.

Only save lives, not cure diseases, the direction of this exploration is very meaningful, but the meaning is actually very limited, at least for individuals, once it reaches the situation where life is worse than death, it is really better to live than death.

However, the development of medicine is to have some people revived and then life is worse than death, so that there can be a complete recovery and soundness of future generations and future generations.

Otherwise, such a disease will always be death!

There are many teachers of a doctor, and all patients are living teachers of medical disciplines, from generation to generation......

A route was once again clear in Fang Xian's field of vision.

It only saves lives, not cures.

Save first, then heal.

Fang Xian has always thought that these people who went out of the operating room of the trauma center have their gorgeous lives, but perhaps, the truth is not the case at all!

But there's no way to do it!

……

"Jiang Yang, Xiao Jiang, have you seen it, Professor Lin's operations are still quite subtle, right?"

"Although young doctors like you are called geniuses, don't forget, before you, the people who were called geniuses were already old, long, and mature, so they are no longer young......" Xu Fengnian suddenly said.

This sentence instantly resonated with many people.

Lin Jiemo smiled to ease his emotions and said, "Professor Xu, compared to you, I seem a little insignificant!" ~”

"Fart! How old are you? ”

"I was overthrown by you when I was your age."

"The back waves of the Yangtze River push the front waves, and the young people of today are better than our time. You are now in that year, even ten years later, you are not a subject leader, but your comprehensive strength is definitely not inferior to mine! ~”

"At such an age, do you still care about these false names?" Professor Xu Fengnian is worthy of the name of the cannon.

The previous sentence was still sensational, and this time it was directly bombarded.

Professor Lin Jiemo was extremely honest and only smiled at Professor Xu Fengnian.

Later, he said: "I will continue to stand on the shoulders of my predecessors and teachers who have passed away in clinical practice, and I will have more experience and lessons." ”

"After all, if it weren't for the emergency department of the hospital, not in the special places of the trauma center, the operating room, the ICU, and the rehabilitation department, all you would see would be peaceful."

Lin Jiemo is very modest.

Professor Xu Fengnian didn't say anything, but continued to do his best to do the operation.

And Professor Xu Fengnian's operation is actually imitating the kind of specialized debridement and suture that Fang Xian performed yesterday to destroy the disease.

Of course, when rebuilding and covering the skin flap transplantation, Professor Xu Fengnian still followed his old path and routine, because Fang Xian did not give him more demonstrations and points, and he himself did not realize something in a flash of inspiration.

……

At the end of the surgery.

Fang Xian heard Professor Xu Fengnian and Professor Lin Jiemo blowing each other there.

Associate Professor Song Yu and others were carefully experiencing the postoperative changes, comparing them with some of the information collected before, and called Pang Rong and Li Qiu to come closer.

He said, "This time the performance after the damage treatment looks different from the previous photos, and I hope that the function can be improved!" ~”

After Song Yu said that, Zhou Xiyin asked: "Teacher Song, how do we look at the postoperative evaluation like this now?" ”

"This is the corresponding content of the basic examination......" Song Yu replied.

……

Professor Lin Jiemo and Professor Xu Fengnian brought Fang Xian into the alley again, and then into Professor Xu Fengnian's office.

After entering, Xu Fengnian enthusiastically boiled water and served tea.

He said excitedly: "Today's injured patient, if he can move a few times after surgery, it will be very good." ”

"Damage is a super disease, and if we can do that, we will take a big step forward."

"Professor Lin, at that time, we may have to discuss the next treatment effect of this disease, how to go!"

When Lin Jiemo heard this, he said, "Professor Xu is going back to the junior college?" ”

If the mortality rate of the disease is guaranteed, it will be pushed to the trauma surgery department and become a specialized disease, and the trauma surgery department will explore the upper limit of treatment.

"I've been in a trauma center for decades, and it's time to get back to my old ways."

"In my life, if I can see the disease of destruction and damage again and move forward, then I will die without regrets......"

When Fang Xian heard this, he quickly put away his mobile phone.

And leaned over the past.

When Xu Fengnian heard this, he hurriedly stared at Fang Xian: "What are you kid hiding?" ”

"Who are you messaging for? Looking for a girlfriend? Xu Fengnian didn't chase after Fang Xian's mobile phone, but asked.

Fang Xian hurriedly edited the message and sent it out, and then darkened the screen of his mobile phone.

'Ding-dong! ~’

Amazingly, Professor Lin Jiemo's mobile phone, which had put his mobile phone on the table, rang, and after the screen lit up, it was a large message reminder sent to him by Fang Xian.

Lin Jiemo knew that Professor Xu Fengnian must have seen Fang Xian's remarks, so he looked at it very sincerely and asked at the same time: "What else can I do in front of Professor Xu." ”

Lin Jiemo was only halfway through his words.

I quickly shut up.

I want to collect it, but it's too late.

After the curious Professor Xu Fengnian raised his chin and stretched his neck forward, his face began to twitch.

Good guy, it turned out that Fang Xian started to hide when he heard the words "he died without regrets", and the reason was not to let himself die.

And obviously, the things that Fang Xian sent to Lin Jiemo, although there was no specific content, but the content of the chat was something he felt could die without regrets-

Xu Fengnian and the three of them were all silent......

The atmosphere was a bit awkward.

(End of chapter)