The two even squinted their eyes and looked at Fang Xian seriously and carefully, but they still looked at it and felt that Fang Xian was unfamiliar.

"Don't look at it, it's understandable that you don't recognize it. After all, the First People's Hospital of Changshi only has a team that participates in the provincial first-level graduate skills competition, and there is no doctoral team that goes to Central China. ”

"So you don't pay too much attention to what's going on over there."

"All day, this little thing in the department can't be busy, let alone anything else?"

After Fang Yun said this, he introduced the two of them: "Doctor Fang Xian, a new employee of the Trauma Center of the Affiliated Hospital of Shonan University, will be familiar with the environment of our hospital intermittently in the future, and be exposed to some specialized operations while learning. ”

"In the future, I will also work in our hospital for a while."

The two of them were thoughtful when they heard this-

Fang Yun introduced Fang Yun: "These two, the fat one is called He Donglai, and the thin one is called Huang Qian." It's two veteran employees in the department, and you'll have more contact with it in the future. ”

"Our trauma center here is not divided into one, two, three, or four groups like the Affiliated Hospital of Shonan University, and it belongs to all of them, and it is very random."

"Of course, the number of patients and the difficulty of the disease will be easier than there."

"Hello Dr. Ho, good Dr. Huang. My name is Fang Xian. Fang Xian nodded slightly to the two of them and introduced himself again.

"Doctor Fang."

"Doctor Fang." He Donglai and Huang Qian each stretched out their hands and shook Fang Xian.

"Okay, the two of you are scheduling the operation arrangements first, and if you encounter an emergency that can't be solved, call me, and I'll take Fang Yun around first."

"This time, he will only stay for two days, and he will only get a little familiar with the environment and processes here."

"Remember to do a good job in the patient's diagnosis and surgery, and don't let the chief surgeon below waste too much time for these." Fang Yun explained a little tiredly again.

"Okay, Director Fang." Both nodded.

Fang Yun took Fang Xian and re-entered the director's office.

As soon as he went out, there was a whispering chat inside, and Fang Xian then found that his Uncle Yun sighed again, and his face became a little more melancholy.

When he entered the office, Fang Xian found that Uncle Fang Yun's office furnishings were almost the same as his aunt Wang Huan's office, as if they were copied.

The only difference is that there is only coffee in it, no other drinks and snacks, and the refrigerator also has one, but it is only used to make ice cubes.

"I don't like tea, can you get used to it?" Fang Yun walked to the coffee machine with a cup and asked.

"Uncle Yun, I can do it. I'll help you get the ice. After Fang Xian put down his backpack, he said so.

Then I found that in Uncle Fang Yun's office, there was another room with the door hidden, and it should be a resting bedroom.

Fang Yun took two cups of coffee, walked to the desk and put it down, took another bottle of plain milk from the side, opened the lid and poured it into the cup, while saying, "I asked you to come to me some time ago, why didn't you come?" ”

"You have to wait until you have survived the basic standards pushed by Professor Yang and Professor Zhou, which are as big as accidental doctors, before you are willing to come to me, are you afraid that I will delay your growth?"

After Fang Xian was perceived by his Uncle Yun, his face was a little shy.

"Uncle Yun, in fact, after I asked my aunt, I knew that there would be fewer opportunities to operate here than in the trauma center in Shashi, so I continued to study there for a while." Fang Xian explained.

Just returned from Han City, it happened to be the time when Professor Xu Fengnian took the project to do it, and in the process, Fang Xian discovered that the new development of a treatment model can obtain skill points more quickly, so how could Fang Xian give up halfway?

In addition, when you have a deeper understanding of a new disease and sort out the corresponding basic theories, it will also lead to the growth of some other skills, such as the ability to read films and examine basic medical skills.

This better explains the rationality of upgrading your skills by adding points at that time.

For example, when Fang Xian was in the Central China Division, the reason why he chose to add a puncture technique to level 5 instead of choosing knotting was because of the puncture technique, Professor Yang Yifeng performed it for him, even if some people had doubts.

That Fang Xian can also say that his understanding is relatively high, before going to Han City, he has been at level 4 for a long time, and he is only one step away from reaching level 5.

After all, Fang Xian was in the skill training room, practicing intensively for a year, and when he was unknown, no one paid attention to how far Fang Xian's ability had been practiced.

"That being said, it's not a good thing for you to be exposed to diseases with a high grade, difficult to treat, and a poor prognosis too early."

"But you have your own choices and persistence, and I can't forcibly abduct you."

"Presumably, after a period of precipitation, you feel that feeling in advance, I don't know if you are saving your life or doing evil, right?"

"The more a doctor progresses and understands deeply, the more helpless and sad he will be......"

As Fang Yun spoke, he pushed the coffee in front of Fang Xian, then picked up the ice cube and put it in, not in a hurry to drink it.

Fang Xian sat upright obediently.

Ears erect.

"Do you agree that a doctor with ideas will not be satisfied with just being a simple, curing doctor?"

"At least, the people you come into contact with, those professors, you say that they don't want to contribute to the development of medical treatment and make breakthroughs, and are only satisfied with the existing technology, learn the hand, and then go to repetitive, mechanical treatment?"

"I don't believe that people who have come this far have only such thoughts." Fang Yun shook his head like this.

Fang Xian pursed his lips and said, "Most of the professors, as well as the teachers around them, must want to improve their treatment level and professional ability. Otherwise, if everyone only thinks about appendicitis, they only do open reduction and internal fixation of fractures. ”

"If the patient has other diseases, then there is really only one way to be pitied."

Everyone does not attack difficult and complex diseases, but just picks up simple ones, that is, the existence of a type of patient, which is a kind of sadness.

Looking at the whole country and the whole world, there is no cure?

What is the meaning of medicine and the significance of medical development?

Fang Yun said: "Therefore, if you have such a thought, then you will touch the barrier of treatment, and you will even be hit on the head and bleeding in an instant, and even have a psychological breakdown." ”

"What exactly do we doctors do? What can be done, what is the topic? ”

"You think that's right, right?"

"When announcing to the outside world, it is natural to only use data such as mortality and survival rates, but at present, no medical institution dares to comprehensively publicize the data of its postoperative quality of life for all diseases."

"It's not that there are no statistics."

When Fang Yun said this, he sighed: "Alas! ~”

"But our Xiaoxian has grown up and has the basic qualities and theoretical foundation of a very mature doctor, so you have matured and grown, and we must respect your choice."

"Even if you hit the south wall, we can only guide, not interfere too much with your choice. It's just to escort you, not to be locked up in the flowers in the greenhouse. ”

"It's actually a good thing to know that the more you learn about a disease, the more scared you are, and the more you learn, the more helpless you become, at least you can find your own position."

"Scholars, pure scholars, are just pure, learning people."

"The need to learn, lifelong learning, and to enjoy the happiness of this stage is the cognition of all those who know a little, those who are objective. Like some people, who have learned half a bucket of water and think that they are invincible in the world, most of them stay outside the door. ”

"But it doesn't matter, no matter what, you still have your Uncle Yun here."

"Professor Yang Yifeng, Professor Zhou Cheng, will not be willing to change their decisions and routes for you, but you Uncle Yun can, so after you come this time, I will take over some of the damage and work with you to push forward this new disease step by step."

"I know you can't let go of something like this, do you?"

Fang Xianyan raised his head when he heard this: "Uncle Yun, you?" Aren't you going to Shashi and going to a clinic? ”

Fang Yun said: "That's what Professor Zhou arranged, your Uncle Yun is also like you, he is a free man, and a free man has his own thinking and choices, won't I refuse it for you?" ”

"Professor Zhou and I are also teachers and friends, and he will definitely not force me or anything, you can rest assured."

Fang Xian hurriedly thanked: "Thank you, Uncle Yun." ”

"Well, let's set the tone here first, and there will be no more disagreements later."

"Let's talk about your arrangements and plans."

"The reason why the entry plan of the operating room of the trauma center of the Affiliated Hospital of Shonan University will set up two stages of operating room training and admission assessment is mainly to allow newcomers to better and more objectively understand the clinical emergency diseases and patients."

"In the intensive training stage, in fact, you are the treatment machine, or in other words, you are only responsible for a small part of the operation, and you only focus on the level of treatment for the cognition of the disease."

"But every patient, he is three-dimensional, he is a person."

"Every disease is also a system, it has diagnosis, treatment, prognosis, medication regimen and so on."

"Why did you get to join the training camp first? It is necessary to lay a good foundation and understand the treatment, if it can't be treated, it will be useless for you to diagnose? Once the diagnosis is made, what are you going to do? Throw it out? ”

"It doesn't treat, it only diagnoses, so it's too easy for this doctor to be. Therefore, a good doctor must have reached professional ability to be qualified to discuss the issue of medical ethics and empathy. ”

"Incompetent medical ethics is another kind of murder for money."

"And in the intensive training stage, why is theory so demanded? What about attaching so much importance to the assessment of theories? ”

"It is the stage of admission assessment, which is a process of comprehensive treatment of the etiology, inducements, diagnosis, surgical treatment and selection of diseases, and prognosis analysis and planning."

"At this stage, it is also necessary to communicate with the patient and the family, so that they can better understand what the patient's family needs, so that when they enter the operating room again, they will know that the surgery they have done is meaningful."

"You can do your best, not just treat the patient as a treatment unit, he is a person."

"You know what?" Fang Yun said.

Fang Xian nodded: "Uncle Yun, I have always felt that lying on the operating table are people of the same kind, accomplices, and even acquaintances, so I don't dare to go to the trauma center ward easily before being prepared." ”

"The Affiliated Hospital of Shonan University has a lower limit of ability requirements for the standards of assistants and surgeons, which is to better provide medical services for patients and to ensure the lower limit of treatment effect, and strive for the upper limit."

"Personally, I think the same thing, and I prepare for it like this."

"If I can make myself stronger, then I will be the strongest prepared before I go to see patients, and I don't want my subordinates to be absolutely immortal, but in the process of doing all the operations, in the process of all medical activities, I have done my best."

"Including my learning preparation and skill preparation, I have reached a limit at this point in time to reach out to patients, and I am willing to have a clear conscience!"

"Like you, be a good doctor through your own efforts in an upright and disciplined manner, and do your best to treat every patient!"

Fang Xian has always known that medicine is a profession of accumulation.

Accumulation is what every medical student must do, accumulate to death, and increase his thickness in death, which is the best preparation for a person to be a doctor and a doctor in clinical practice.

In a hurry?

There are so many people in China, and the number of patients that each doctor can treat is extremely limited, even if they are exhausted.

However, although each doctor cannot increase the number of patients he or she sees, he or she can decide the number and difficulty of the number of diseases he or she sees.

Life is limited, and you have to make a choice.

Some people only look at simple cases all their lives, colds and fevers, appendicitis, fractures, cholecystitis. Because of their preparation, they can only let them watch this, which is too wasteful.

Similarly, in Fang Xian's own life, the number of patients he can see is also limited, and it is only a few tens of thousands, not more than 100,000, and 100,000 people, in China, is only one in 100,000.

Everyone gets sick, and as long as it's personal, it's unavoidable.

So which 100,000 people to see a doctor and which to see, this is what Fang Xian can choose by himself.

A smart person, a person with ideas, of course, will not choose to waste and be an ordinary little doctor.

"Do you still know that?" Fang Yun's eyes suddenly lit up, and he seemed to feel that Fang Xian's whole person had grown up again.

With such a vision and the height at which he stands, is not something that a small medical student can look at?

However, it is true that Fang Xian is now qualified to say such things.

In my life, I have to choose and choose the patients and diseases I want to treat......

Fang Xian smiled back, and replied quite modestly: "Uncle Yun, this is just an expectation of mine, it may not fully reach such a height, and I can only take my time, learn more, and work hard......"

Fang Yun nodded.

"In fact, the content you just discussed and the direction of discussion have gone beyond the scope of simple medical work and reached a higher social category."

"But this is very good, our medical industry is originally a part of the society."

"Treating 100,000 people with colds and fevers, so that they can go home for dinner, and saving 100,000 lives, allowing them to go home for reunion, and redeeming multiple families, is a completely different concept in terms of social contribution and personal fulfillment than saving temporary patients with multiple patients."

"But whether you can do this or not depends on your personal ability and development prospects."

But it's good to have such an ambitious goal and a relatively feasible ideal. And such a good deed, no one will benchmark it for you, and you need to understand it personally. ”

"That's all we have to say about it."

"But now that you've got it all here, I've got to explain something to you. What do you think is the real purpose of the concept of 'displacement' promoted by Professor Zhou? Fang Yun asked.

"It can allow more medical practitioners to be in a more suitable position and give full play to their role...... "Fang Xianhui, this displacement concept, he has heard more than once.

Fang Yun said: "It was like this at first, but then it wasn't. ”

"Do you know why?"

Fang Xian blinked.

"Because people who have the ability want to run outside, they all want to go to better units, better hospitals. On the contrary, this situation is more prevalent than before the advent of the ladder system of medical associations. ”

"As a result, you can't keep people at all."

"The people from the prefecture-level city hospital stayed for a while and ran away. The people at the county hospital, when they grew up, ran away. The same is true for the town hospital. ”

"Who wants to be there?"

"Therefore, the current displacement system is actually a process of filling vacancies. We can't let the technological presence of a place collapse to the point that the level of treatment in the local area completely collapses in some way. ”

"That's what it was meant to be."

"In the future, when you interpret any problem, you must consider it in multiple ways, in addition to solving industry problems, it can also target some social phenomena. The pros and cons are double-edged, it must be like this. ”

"Actually, I can understand that you want to go back to work in our Changshi now?" Fang Yun asked.

Fang Xian shook his head.

"That's right, everybody's like that."

"Of course, as it is now, just treating a unit as a stepping stone and jumping out after being able to do so can indeed promote the sinking of medical resources to a certain extent, and it is also a way to solve problems."

"This model is much better than the one many years ago, what kind of counterpart support, counterpart assistance, and rural support, this model is much better......"

"After all, formal work and fixed-point assistance are completely different concepts, and the degree of attention is different."

"Therefore, based on this, the current medical industry is actually similar to the large group system, that is, in the province and even the whole country, there is a 'jump' route of its own. It makes people motivated and worth looking forward to. ”

"If the upper limit is not circled, then the enthusiasm will definitely not be suppressed, except for a few people who like to lie flat, most people still want to go up."

(End of chapter)