Chapter 208: Pretending to be forced and special diseases (asking for subscription)

Fang Xian has experienced the competition in Central China, and he has performed with a group of Level 5 skill professors, and the scenes that have attracted much attention have been experienced.

At this moment, it was just seven or eight pairs of eyes, and he couldn't move his mind at all.

"Master, I just followed Professor Fang Yun to reconstruct the stool function after the injury, and then continued to enter the intensive training at the Affiliated Hospital of Xiangnan University, but I learned the basic skills related to general surgery, such as appendicitis resection, intestinal segment resection and intestinal ......segment anastomosis," Fang Xian's tone was steady, neither fast nor slow.

Naturally, it's not high-profile.

But it's just this straightforward narrative, and it directly makes the so-called "halftime" difficult to continue.

Professor Xu Fengnian stood up and came close to Fang Xian's side.

Then came Professor Lei of the Department of Neurosurgery, and the moles on the tip of Professor Lei's nose seemed to become a little thicker as the nostrils widened.

As a professor of neurofunctional subspecialties, Lei Xuanen is best aware of the difficulty of functional reconstruction.

Although Professor Lei is thin and thin, his tone is not low at the moment: "Are you doing it, not doing it?" Have you solved the problem of damage and rupture of the nerves innervated in the damage? ”

"It also solves the problem of anatomical reconstruction of the corresponding anatomical structure in case of damage?"

Lei Xuanen's voice was like thunder, and he was already serious, but his expression was becoming more and more serious at the moment.

What are you kidding, damage is a new disease, and being able to survive this disease is already a problem that most teaching hospitals are difficult to guarantee.

Professor Xu Fengnian's team has been studying for a long time to save his life, and now it is just the time to extend the treatment of this disease to the basic skills of the specialty, and strive to build and protect more existing functions.

The next step is to rebuild the functionality.

West China Hospital is a century-old institution with a profound heritage, not only the Department of Neurosurgery is at the forefront of all teaching hospitals in the country, but also the level of Urology is also the leading department in the country.

Professor Zhang Xuanqi of the Department of Urology, who has been immersed in neurological reconstruction for half his life, has been studying in this field since he entered Zhenggao at the age of 40, and Professor Zhang's student, Zhong Xuan, is the most talented student in the surgical system of West China Hospital in the past ten years.

Suture surgery has advanced to level 5 early, and now he is only 36 years old, and he has already obtained the professional title of chief physician, the teaching title of associate professor, and the senior title of researcher, which can be said to have little potential.

In addition, Lin Hui is the most popular figure in the Affiliated Hospital of Shonan University in the past ten years, even if he is Fang Xian now, compared with him back then, he is still slightly inferior.

After all, Lin Hui made a big joke that time, and Fang Xian's list of skills certified by the Level 1 Physician level was not publicly exposed, but it was only a devastating blow to the Level 5 Physician and the owner of the Level 5 skill.

And it is such a team that has been discussing the reconstruction of urine function for a month, and has not yet entered the clinical work, and Fang Xian has already done the reconstruction of urine function?

Can you still be reasonable?

However, Fang Xian was not in a hurry, he had a lot of resources and rhetoric at his disposal.

He explained: "Professor Lei, Professor Xu, in fact, I was able to move forward a little, thanks to the help of many people, one is the nerve and anatomical basis of the intestinal segment, the residual and preserved design at the time of resection, from a director of a teaching hospital in our province, named Professor Bu Songming. ”

"He was doing colon cancer surgery before, and he had a similar concept in the concept of level 4 proficiency in colon cancer resection, so I borrowed it and applied it to the functional reconstruction of stool."

"Second, a teacher in our hospital named Jiang Yang, Dr. Jiang Yang has very strong theoretical promotion and design skills, and he has planned and designed a number of plans, so that I can find the most suitable one from them."

"The third is that when I was in the First People's Hospital of Changshi, I met Professor Fang Yun, who has been deeply involved in neurological reconstruction, nerve suturing and nerve transposition in the First People's Hospital of Changshi for many years."

"It's because of the help of so many teachers that it's progressing quite fast."

Professor Lei Xuanen has never heard of the so-called Bu Chung Ming or Dr. Jiang Yang.

But Fang Yun's two words made his pupils squint slightly, and his brows furrowed slightly.

Xu Fengnian asked directly: "Doctor Fang Xian, what is the relationship between you and Professor Fang Yun?" ”

"Professor Fang is willing to pile up the research results of so many years directly on Ling's body. Isn't it? ”

Xu Fengnian thought that Fang Xian was Fang Yun's son.

This time, Lin Hui suddenly realized and replied: "Professor Xu, you misunderstood, Xiao Fang and Professor Fang have a bit of a relationship, but it is far away, Professor Fang Yun can only be counted as Fang Xian's uncle who is separated by a few rooms, and it is not a too close relationship. ”

"You should also know that Xiao Fang was just an ordinary resident half a year ago, if he really had a close relationship with Professor Fang Yun, it wouldn't be enough."

Lin Hui didn't continue, but Professor Xu Fengnian also understood what Lin Hui meant.

However, having said this, Professor Zhang Xuanqi of the Department of Urology was still puzzled, still surprised, and still felt a little unacceptable, so he asked again: "Professor Xu, this Professor Fang, I have heard of it, and it seems that he was a professor at the Trauma Center of the Affiliated Hospital of Shonan University before. ”

"Why did he just get so deep into nerve remodeling and nerve transposition?"

Zhang Xuanqi is really hard to accept, although he is not the leader of the discipline, but Xu Fengnian is, the small team he is participating in now can be described as an extremely luxurious lineup and full of talents.

But as far as these people are concerned, they still haven't done a single thing, and he feels uncomfortable.

Moreover, now that Fang Xian is messing in, it is estimated that this urine function will be rebuilt, and then Fang Xian will have to move a large sum of money and add it to Fang Xian's head.

In the early years, Fang Yun was born in orthopedics, so Professor Xu Fengnian knew a lot about Fang Yun's deeds: "Professor Zhang, do you know that this Professor Fang was originally our orthopedic department, and his lover was giving birth to a child. ”

"Unfortunately, I suffered an amniotic fluid embolism of the upper limbs, which led to the impact of hand function, so that Professor Fang's lover is currently at the upper limit of operation."

"Speaking of which, the last time Professor Fang's lover Professor Wang was in labor, Professor Fang still came to support us in Sichuan Province, otherwise, even if there was an amniotic fluid embolism at that time, if Professor Fang was in Shashi, it would not have such a big impact."

"I don't know if you remember, that ...... in seventeen years" Xu Fengnian didn't interpret too much.

But Professor Zhang Xuanqi had already bowed slightly: "Professor Fang is righteous." ”

Sichuan Province, where Rongcheng is located, is a place with a high incidence of earthquakes.

After hearing this, Lin Hui finished for a moment: "So because of Professor Fang, you directly moved the topic of stool function reconstruction to the clinic?" And effective after surgery? ”

Lin Hui knows very well that as long as the team led by the discipline leader does not violate the principle of non-harm, the surgical method can be fine-tuned, and even if the new surgical method is in the clinic, it will be authorized by the medical association to carry out it routinely.

Professor Fang Yun, as a leader of transcendent disciplines, can naturally directly carry new topics and new procedures into the clinic, and no one can say anything, which is a kind of respect for discipline leaders of the Medical Association.

"There is a certain effect, at least, the patient last weekend, after the operation, there is a sensory function in the colon, a sense of tenesmus. However, a fistula is currently being made, and the peristalsis function of the colon is monitored normally, and the motor function of the muscles around the rectum is monitored. ”

"After a period of time, after the incision of the intestinal suture is healed, the colonoscopy will be used to visualize, and then the ostomy will be closed, and then the last residual function will be seen."

"So far, it's pretty good."

Fang Xian didn't say anything, but what he did was not bragging, and if he did it, he did it.

Lin Hui straightened up quite satisfied, as if he was wordlessly announcing something to others.

In the reconstruction of stool function, Fang Xian appropriated the surgical methods and operation concepts of several other specialties, which proves that his current thinking is effective.

If the surgical and treatment concepts of different specialties and subspecialties can be integrated, it will be of great benefit in functional reconstruction.

Moreover, the success of Fang Xian's stool function reconstruction has further confirmed Lin Hui's professional concept, and the recognition of a level 5 physician does not necessarily require level 5 skills, but the ability to have level 5 skills.

Traditionally, it is believed that a Level 5 physician, that is, a subject leader, must have a Level 5 basic skill to complete the understanding of the disease.

However, Lin Hui didn't think so.

On the contrary, as long as the creative ability and professional ability are enough, the treatment effect of patients is better in clinical practice, and the stronger the ability to develop new diseases and expand the treatment methods of old diseases, the more they can become discipline leaders.

The era of level 5 basic skills, life-saving and operation of specialized diseases to ensure the lower limit of treatment has passed!

Professor Xu Fengnian sighed and said, "Professor Zhang, Professor Lei, Doctor Zhong? ”

"Xiao Fang has made more progress in the functional reconstruction of the damaged lesions than our research group, in line with the principle of saving time and resources, since Xiao Fang is also here, we should listen to his corresponding project process and surgical planning."

"Let's see if we can have a reference for the reconstruction of the urination function."

"In other words, we have to carefully weigh that Dr. Fang Xian can be directly applied to the reconstruction of urinary function in nerve suture, nerve transposition, and functional anatomical reconstruction."

"What do you think?"

The research can't be done randomly, Fang Xian has been advancing more quickly, so if Fang Xian is interested in joining, in order to ensure the speed of the progress of the project, the principle of saving resources, let Fang Xian participate together, it is more efficient.

Professor Zhang Xuanen and Professor Lei each glanced at each other and nodded: "Professor Xu, if Xiao Fang can do it, then the authorship of destroying this disease, as well as the first special signature, naturally belongs to Doctor Fang." ”

"It's mainly up to you to have any comments, we're here to help." Professor Zhang Xuanen's mentality has calmed down.

He is chubby and amiable.

In fact, the disease of destruction and damage has always been done by Professor Xu Fengnian, and it is also Professor Xu Fengnian, as a discipline leader, who wants to overcome a disease during the period of the discipline leader, which is also the implementation of an ambition.

In the end, as long as Professor Xu Fengnian can accept it, then what else do they say?

I am not a subject leader, and I don't have any more mandatory tasks.

"Signature? What is it? Fang Xian touched the blind spot of knowledge again, and asked in a low voice.

"It's you signed! ~" Xu Fengnian's eyes immediately widened, as if he had received critical damage in an instant.

……

Lin Hui hurriedly stretched out his hand to cover Fang Xian's mouth, and then after whispering a few words in Fang Xian's ear, Fang Xian suddenly realized.

Oh, I see.

This signature is actually related to the doctor's level, but it's something that will only exist after the doctor's level reaches level 2.

In order to facilitate referral and facilitate patients to accurately find the experts and professors they need for their diseases in any medical unit, the medical system labels and ranks the types of diseases.

For example, a disease that is difficult to operate at the first level such as appendicitis will not be signed.

However, if it is a joint replacement, then every doctor in the medical system will show it in the system after entering the joint replacement surgery, or after the avascular necrosis of the femoral head.

In this hospital or in the local city, if a professor or a director has a good ability and has a signature on this disease, it has been recognized by the medical association, and you can go to him for treatment.

For example, once the disease is classified as a specialty, then the first signature is definitely Professor Xu Fengnian, who is the first team to ensure the mortality rate of this disease?

But now, that's hard to say.

Because of the existence of Fang Xian, the first signature of this special disease may become Fang Xian of the Affiliated Hospital of Shonan University.

And the more signatures you have, the stronger your ability as a professor, and the stronger your ability, then it will be extremely beneficial for you to be promoted to the leader of the discipline in the future.

How to judge a professor's ability?

One or two simple diseases, one or two surgical methods, are definitely very difficult to compare, and can only be comprehensively evaluated.

Then under the comprehensive evaluation, put forward the corresponding signatures of all the diseases you know, pull out a table, and it will be clear at a glance.

If you can't get more and better signatures, then you can be your own professor, just take students and do some simple scientific research, and you don't need to do a lot of things as a subject leader.

And the reason why Fang Xian didn't come into contact with this thing was that when he was certified as a physician before, he didn't even have the basic skills of a specialty, how could he have the signature of a specialist disease and a specialist operation?

After understanding all this, Fang Xian hurriedly said, "Professor Xu, I don't need to sign it, do I?" ”

"Why don't you sign it?"

"You've entered the pit of destruction and injury, and you have entered the door of trauma surgery subspecialty, and you still want to get out? In the future, you will start to broaden your own business level based on the two methods of destruction and damage and reconstruction of urine and urine function. Xu Fengnian sniffed and said viciously.

(End of chapter)