"Good fellows! ~I can probably know what level of your theory is. Professor Gong Ziye, as a person who has come over, is so emotional.

When Fang Xian heard this, his eyelids moved slightly during the operation, and he was slightly stunned and asked: "Professor Gong can still see the theoretical level directly from the operation?" ”

What Professor Gong Ziye said is true, but to be able to do this, the level required is quite high.

Ruyi level 5 skills, in the final analysis, are actually similar to the level 5 level of MRI reading, that is, to look at the theory, because the theory and cognition are changeable, it can be changeable, and it can be retracted freely.

The more level 5 skills he has, the more Fang Xian can understand how the definition of the word Ruyi comes from.

If Professor Gong Ziye has such vision and level, there will definitely be a place for Professor Gong as the leader of the discipline of general surgery in the future......

Gong Ziye shook his head hurriedly when he heard this, and replied, "That's not enough." Xiaofang, don't look at me, I can't fill in the oolong incident you made. ”

When Professor Tu of the Department of Vascular Surgery heard this, he also glanced at Fang Xian, lowered his voice and said, "I heard that Professor Zhu Guangyu, who came to our hospital before, has been to the neurology outpatient department of their hospital. ”

"It should have something to do with Xiao Fang, right?"

When Fang Xian heard this, he was silent-

After all, since I went to the medical association to carry out the level 5 skill certification of basic skills, there has been a series of chain reactions.

And these reactions were something that Fang Xian didn't know and didn't realize before.

That is, Fang Xian has now crushed the "name" of some discipline leaders, and has also dealt a dimensionality reduction blow to some 'seed professors' who may be promoted to discipline leaders.

This is related to the assessment setting of level 5 skills, and it is not deliberate.

The evaluation of level 5 skills is actually to select the top 50 doctors in the comprehensive ability ranking of each basic skill before they are recognized as level 5 by the medical association, otherwise, if you have the ability to be similar to level 5 skills, you will also be rated as level 4 by the medical association, but your ability and strength will not be reduced.

However, Fang Xian's basic skills are too awesome, and under the doping of so many level 5 skills, the chemical reactions that can occur, that is, the operation effect and understanding of each basic skill, will be higher than that of other professors who only have one or two level 5 skills.

At least that's true for the basics.

If the medical society does not revise the rules for the recognition of level 5 skills, then it is true that at least 12 professors or students will be removed from the list of registered owners of the level 5 skill medical association.

According to the medical association's rigid regulations for discipline leaders, discipline leaders must have level 5 skills, so there are some vacancies at this time.

When Fang Xian went to the First People's Hospital of Changshi later, Fang Yun told Fang Xian about it.

But Fang Xian couldn't help it, he couldn't prove his ability in order to take care of other people's emotions, he could only say that he inadvertently injured some old professors or other senior brothers by mistake.

It wasn't meant to be cut at them.

And this chain reaction has brought about the vacancy of the subject leader seat, and the professor with level 5 skills has been crazy recently, just trying to take every sub-specialty, and there are only two subject leader seats.

One was vacated for vascular surgery, and one was vacated for general surgery.

And what was vacated by the vascular surgery department was a professor squeezed out by Fang Xian's level 5 hemostasis technique. Another professor of general surgery was Fang Xian squeezed down a professor who had level 5 debridement.

Of course, there is actually a solution to this matter, that is, Fang Xian has such an ability, but if he doesn't go to the medical association for grade certification, there is nothing to do.

But even if Fang Xian does this now, everyone can only turn a blind eye, which old professor can pull down his face and say that Fang Xian is wrong?

Professor Tu's gossip stimulated Fang Xian to a certain extent, making Fang Xian's operation slightly faster.

With a lot of basic skills at full firepower, the operation seems to be quite violent and unreasonable-

After all, when you see blood to stop bleeding, when you see stains, you will debride, and when you see compression, you will cut it, everything will be natural, and your hands will help you.

After this time, Gong Ziye and Professor Tu couldn't keep up with the idle operation, and they didn't understand.

But Fang Xian didn't slow down his speed.

Seven or eight minutes later, Fang Xian took out the bumper inserted into his abdomen, and then let go of the position of the main knife: "Professor Gong, I'm done, you and Professor Tu will operate the rest." ”

Fang Xian wanted to take a closer look and judge the operation from an objective point of view.

The reason why foreign bodies inserted into the abdomen cannot be removed directly is because they are afraid of accidentally injuring other tissues and blood vessels, or causing undetected blood vessel hemorrhage.

Fang Xian made everything transparent and probed, so he could naturally take it out directly.

Of course, Professor Gong Ziye hurriedly probed the abdomen after the operation, mainly to see if the artery was damaged.

After he took Zheng Mohan around, he breathed a sigh of relief: "After the basic skills are cultivated, doing such an emergency operation really highlights a simple violence. ”

"Just to save lives, everything can be done simply and directly. Envy doesn't come, right? Professor Gong Ziye asked Zheng Mohan.

The tasks of emergency and specialty are different, one is to save lives and the other is to treat diseases.

What is needed to save lives is to rush time, and the simpler the emergency operation, the more time can be saved.

The types of diseases that can enter the operating room of the trauma center basically do not have the corresponding specialist skills, otherwise they will be lost to the specialists.

Zheng Mohan nodded, as if he was a ruthless robot: "Doctor Fang's current ability is simply tailor-made for the trauma center. ”

"If it's just to save lives and don't talk about treatment at all, it is estimated that even Professor Huang Liwen of vascular surgery will be slightly defeated."

Zheng Mohan used to be in the operating room of the trauma center, and the Professor Huang Liwen he was talking about was the director of the cardiovascular surgery department in trauma, Professor Huang Liwen.

He used to be the chief of vascular surgery, but later he was transferred to the trauma center and held the power of life and death for vascular-related emergency diseases.

Gong Ziye took over the operation, and at the same time, Professor Tu Zili also began to perform thrombectomy and suture operations on both ureteral arteries.

Because the diseases he is in charge of are relatively simple, he said very leisurely at the moment: "There are a lot of professors in our hospital, as long as their lives are saved in time, they can be free to treat the disease, which is actually quite difficult." ”

"Professor Gong, do you think it is possible that if Xiao Fang sits in our trauma center for a long time, the mortality rate in the second half of the year can be reduced to zero?"

Gong Ziye also shook his head at this moment: "I don't know, anyway, the last time the trauma center saw a dangerous case, it was the accidental heavy bleeding after West China Hospital came to the operating room." ”

"Fortunately, Xiao Fang was on his side and stopped the bleeding in time, which saved the discussion of cases that everyone did not want to see."

"Before, in the operating room of our trauma center, there were at least 100 surgeries every day, and even if the mortality rate was less than 1 in 1,000, it could only ensure that no one died within a month at most."

"But it seems that in the last two months, there have been no emergencies." Gong Ziye sighed with emotion and continued to debride the contents of the abdomen.

At this time, Fang Xian once again confirmed that Professor Gong Ziye's debridement technique was also level 5.

It's understandable, although there are only a few fixed level 5 debridement in the country, but in the Affiliated Hospital of Shonan University, if there are no one or two, it would be too outrageous.

After all, it is also ranked among the top 20 teaching hospitals in the country.

Professors with such basic skills are generally concentrated in the operating room of the trauma center.

Time flies by.

Professor Tu Zili had already dealt with the thrombosis and rupture in the vascular surgery department and left the operating room generously.

Even if there are any accidents in the future, you can handle it if you are idle.

Professor Gong Ziye also used his profound basic skills and high-intensity theory of general surgery to achieve the ultimate in debridement.

At the very least, the stench had faded away, and some of the necrotic bowel loops had been marked by him.

After glancing at the anesthesiologist, he asked, "Mr. Zhu, the patient's vital signs are stable, right?" If it is stable, I will let Xiao Fang and Xiao Zheng start to remove the intestinal tube. ”

"It's okay, this patient is fine, and the bleeding is not large." The anesthesiologist named Mr. Zhu just raised his eyelids, glanced at the monitor, and continued to play with his mobile phone.

However, maybe he was not particularly sure, and adjusted the ventilation volume again, and then calmed down, as if he was on vacation, Erlang wore green rubber slippers on his legs, and shook it.

The anesthesiologist said that it was fine, so Gong Ziye was relieved.

"Xiao Zheng, you have always said that Doctor Fang's number is useless, and he will only operate on the ground, do you want to compare with him? Which of you is more detailed and pretty? ”

"There are some things that you don't know at all, after your basic skills are improved, your professional operation skills will also be improved to a certain extent with the improvement of your theoretical foundation." Gong Ziye glanced at Zheng Mohan in a popular science nature.

Zheng Mohan hurriedly shook his head like a rattle: "Professor Gong, I didn't say that, it was someone else." ”

But in order to win over Fang Xian, Gong Ziye sold Zheng Mohan: "But you are someone else in someone else's mouth." ”

"Come here, take a good look at how Xiao Fang did intestinal segment resection."

Zheng Mohan stubbornly switched positions with Gong Ziye back to back.

Fang Xian, on the other hand, didn't take it too seriously, but silently increased his general surgery skills in bowel resection to level 5.

Level 5 is actually a proficiency level and a realm.

Whether it is basic skills, or specialist basic skills, or specialist skills, or even specialist advanced skills, they can all reach level 5, but the corresponding diseases are different.

Necrotic segmentectomy looks like a normal wound incision, with little skill to speak of, as long as the debridement is done and the excision site is marked in advance.

But in reality, there are still some of them.

Fang Xian picked up the scalpel and began to cut, but he was extremely particular.

Fang Xian cut the jejunum.

The jejunum has a four-layer structure typical of the digestive tract, namely the mucosa, submucosa, muscle, and serous layers. The mucosa has annular folds and dense villi on the inner surface of the mucosa......

Therefore, the general choice is a circular incision, but the steps of the incision are one-cut, or how, is particular.

In the case of elective surgery, stapler cutting is an option, but this is not an elective surgery and if multiple excisions are required, it is too wasteful to use a stapler.

The most traditional bowelotomy is the most suitable.

And seeing that Fang Xian did not cut it directly, but first cut the serous layer of the intestinal tube, and after performing an operation similar to anatomy there, he picked up the knife and silently put it down.

Silent.

I don't have to do it.

Whether a person can participate in an operation or not depends on whether you will extraordinarily lower the treatment limit of a surgery, which is also a measure of the standard set by the hospital for assistants.

This assistant not only includes soy sauce assistants such as ordinary resident trainees, master's students and doctoral students, but also attending assistants such as him.

Good guy, now that Fang Xian made a move, he didn't understand it at all, as if Fang Xian's operation had reached his knowledge blind spot, what should he do?

To operate and forcibly pull down the overall quality of the surgery?

Zheng Mohan kept looking at Professor Gong Ziye's body, hoping that Gong Ziye could give him a look, whether he was on or not, and gave him a quasi-letter.

But.

When Zheng Mohan looked at Professor Gong Ziye again, he found that at this moment, Professor Gong Ziye's entire attention was not on himself at all, but all on Fang Xian's operation.

I watched it for more than ten seconds.

The corners of Zheng Mohan's mouth squirmed and asked, "Xiao Fang, are you usually idle or something?" ”

The action of Fang Xian's operation is slightly paused and no longer carried out, but it will not cause harm to the patient and raise his head.

Fang Xian, who understood the meaning, asked rhetorically: "Professor Gong, I can't do too specialized operations, so I can only ponder slowly, otherwise I won't be able to do anything." ”

Fang Xian knew that Gong Ziye had seen his basic skill in bowel resection, and he had also reached the level 5 realm, which was why he asked the above question.

To enter general surgery, Fang Xian naturally has a general recognition of the ability of general surgery.

Generally speaking, even a super professor like Zheng Mohan is like this, the basic skills of medicine are level 5, and then the proficiency level of the basic skills of the specialty is between level 4 and level 5, and the proficiency level of the basic skills of the specialty is definitely level 4.

Most specialties, the so-called advanced skills of specialists, are relatively rare, and as for the breakthrough frontier progress of specialized surgery, there are only very few professors who will develop one or two diseases.

Therefore, it is very rare for someone like Fang Xian to upgrade the basic skills of the specialist to level 5.

Specialist treatment, specialist skills can already cause natural enemy-like damage to the corresponding diseases, and like Fang Xian, the pursuit of specialist basic skills has to reach level 5, it is a pure waste of time.

Gong Ziye subconsciously hit Fang Xian's radial styloid process.

Fang Xian was a little inexplicable, why did this Gong Ziye still start to move?

Gong Ziye also realized that he was just subconsciously a superior, and he was used to beating people, so he immediately knocked himself hard.

After a "hiss", he turned his head to look at Zheng Mohan and began to output: "Oh, is this what you want Doctor Fang to enter the specialty?" ”

Zheng Mohan looked confused, and his eyes wrinkled: "??? ”

What does this have to do with you hitting him?

I have had a bit of angina pectoris in the past two days, so I can't bear it by reducing the amount of updates for two days.

The follow-up will definitely follow.

promised a book friend for two months, and he will never break his word.

(End of chapter)