Time is like water.

It's another month in the blink of an eye.

In this month, in addition to completing the finishing work of his new concept of suture level 4, Fang Xian is mainly promoting the construction and promotion of the project on the reconstruction of damaged urinary and urinary functions.

The leader of this topic is Professor Xu Fengnian of trauma surgery, but the destruction of this new disease of trauma surgery was finally defined as a fourth-level dangerous disease, and the first signature was given to Fang Xian's head.

Fang Xian has seen that in the hospital system of this disease, the first doctor listed and recommended for treatment is Dr. Fang Xian from the Affiliated Hospital of Xiangnan University, then Professor Xu Fengnian, and the third in line is another professor surnamed Ma from the Sixth Hospital of the Demon Capital.

And the signature of such a disease, close to the top ten, is the greatest foundation of each teaching hospital.

There are several benefits, the first is to tell other doctors that we have someone here who can do this kind of surgery.

The second is to tell other doctors that we can do it, and if you want to learn, you can come and study, including but not limited to further study, exchange and exchange, and apply to the local medical association for a referral to the trauma center of Shonan University Hospital.

Naturally, in the process of advancing this topic, Fang Xian still received the help of many people.

Professor Bu Songming from the Affiliated Hospital of Hengnan University took the initiative to participate in the research group, and undertook part of the debridement and suturing operations of general surgery, and then performed anatomical reconstruction of general surgery-related surgeries.

In the Department of Urology in the Affiliated Hospital of Shonan University, a team also moved to Fang Xian's large team and took on part of the tasks.

Damage is a super disease, and the super disease is that the operation is complicated and the operation time is super long, and it is not the absolute power of one person who can bear it all.

Naturally, in this process, occasionally Professor Fang Yun, Professor Zhou Cheng and Professor Yang Yifeng also feel itchy hands, and will occasionally come to the operating room to taste the addiction of this super operation......

Over the past month, the trauma center of the Affiliated Hospital of Shonan University, where Fang Xian is located, and the trauma center of West China Hospital, have announced that they have de-emergency treatment of damage and injury, and that such diseases can be operated as routine sub-emergency treatment in powerful teaching hospitals.

As long as you strictly follow the standard treatment process for damage and damage, life saving will not be a problem.

After the life is saved, if there is a need for functional reconstruction, then the reconstruction of the function of urine and urine can be carried out in the second stage, and in the first stage, temporary treatment such as ostomy and urinary catheter can be directly carried out.

During this period, Zhong Xuan's team, represented by West China Hospital, and "Wang Yang Writers" represented by the Affiliated Hospital of Shonan University, also continued to publish several articles related to damage in China, and finally finalized the disease of damage in the sub-emergency case database.

In addition, Professor Xu Fengnian and others also promoted the hierarchical diagnosis and treatment model of damaged diseases.

The first priority is to follow the standard processing process or a downgraded version of the standard processing process to save your life.

Then, through referral for functional reconstruction, functional rehabilitation and other modes, we strive to be able to eat the damaged disease within a certain range, so that this part of the unfortunate patients can be saved and treated.

……

Of course, Fang Xian was in the operating room of the trauma center, and he also saw other different visions.

For example, because of Lin Hui in the operating room of the trauma center, coupled with the continuous rise of the young generation in other teaching hospitals, under the promotion of a group of professors, the standard definition of level 5 skills and the standard definition of level 5 physicians have been revised, and the schedule has been set.

During this period, Fang Xian saw that the previous discipline leaders, such as Professor Guang Puyuan from Huashan Hospital, Professor Yu from the Affiliated Hospital of Yueshan University, and Professor Chang from West China Hospital, silently unloaded the position of discipline leader, and are now conscientiously in the Affiliated Hospital of Xiangnan University, with students.

Fang Xian also saw that Professor Zheng Baiyan of the Trauma Center of the Affiliated Hospital of Shonan University was running for promotion to the status of a discipline leader, writing materials, and even pulling Fang Xian for reference.

Fang Xian also saw that in December of this year, Professor Yang Yifeng of the Affiliated Hospital of Shonan University took the initiative to remove his status as a level 6 physician in vascular surgery, left the Affiliated Hospital of Shonan University in a dashing manner, and returned the contract to the hospital.

He regained his freedom.

Naturally, just like Fang Xian, there are only two people left in the training camp except for Zou Junzi.

One is Tang Changrui, a native of Jiangxi Province, who is the MVP of the surgical track in the sixth year of Jiangxi Province, and successfully broke through the entrance training assessment of incision surgery within three months, and is currently being put into the assessment of the debridement group, with heavy tasks.

One is Yan Ge from Su Province, and his progress is not much different from Tang Changrui.

The rest of the people, such as Tian Dongliang from Fujian Province and Cheng Li from Hubei Province, all left the trauma center of the Affiliated Hospital of Xiangnan University for intensive training.

Among them, Cheng Li, from the Affiliated Hospital of Huazhong University of Science and Technology in Hubei Province, took the initiative to withdraw and returned to Huazhong Union Hospital to continue her studies in the trauma center of this hospital.

Naturally, there are also some people, but these people, Fang Xian is not familiar with them, people come and go, it is very difficult to be clear one by one......

Even Senior Brother Jiang Yuhang temporarily left the operating room of the trauma center and returned to the specialty. It is estimated that he will only be able to enter the operating room of the trauma center again when he reaches the attending level.

The operating room system in the trauma center is still quite cruel.

At the same time, Fang Xian also knew that at the end of this year, Professor Guo of the Department of Trauma Surgery stepped down from the position of director of the Department of Trauma Surgery, and Professor Lin Jiemo was promoted to the director of the Department of Trauma Surgery, while Professor Song remained unchanged for the time being.

Fang Xian's good friend Li Qiu is preparing for the provincial graduate skills competition in the new year, and Fang Xian's undergraduate classmate Long Yanzhuo is in danger, and it is very likely that he will be taken down by a regular training doctor in sports medicine, and he can't care about going to the competition.

……

In the trauma center, in the ward of the trauma center, Chief Physician Lin Hui, who was not in the department, entered the operating room, and planned to take the position of the core chief surgeon, taking on the role of the core chief surgeon in the Affiliated Hospital of Shonan University, following Professor Yang Yifeng, the most central figure.

And the more than a thousand level 4 skills that he has already obtained in the medical society will be his biggest weapon to take on this position.

Even, even if he destroys the injury, he can use his vast number of fourth-level skills to combine and appropriate it, and produce a certain incredible effect, and at present, in terms of the postoperative quality of the destruction surgery, it is only second to Fang Xian's own operation.

Of course, Professor Gong Ziye of the Department of General Surgery of the Trauma Center also stepped down from the position of professor of the Department of General Surgery of the Trauma Center this year, and gave up another new chief physician of the Department of General Surgery to complete their respective rotations.

After Professor Gong Ziye returned to the specialty, he became a professor in the Department of General Surgery and Gastrointestinal Surgery, and he did not even hold the position of department director......

Just three days ago, Fang Xian received a message from the Medical Association, saying that it was the definition standard of level 5 skills, which was about to be rearranged, if Fang Xian still wanted to continue to occupy level 5 basic skills, he needed to re-enter the medical association for the corresponding assessment, and after the medical association re-evaluated, it was decided to re-grant level 5 skills.

The current Level 5 skill holders will all be returned to the quota of Level 5 skill holders according to the new standard, and will be classified as Level 4 skill management.

Fang Xian didn't plan to take care of this matter for the time being.

The skill level, whether it is recognized as level 5 or level 4 in the medical association, does not actually affect his status as a level 1 physician, and if he wants to re-certify as a level 2 physician, he needs enough specialist skills.

"Fang Xian, Level 1 physician, lecturer, associate researcher."

"Brother Xian, are you all high?" Zou Junzi roared on the official website of this hospital, after seeing Fang Xian's corresponding notice.

"Associate researchers are vice presidents in scientific research, and they don't have much effect on other aspects except for increasing their salaries. Why are you so loud? Fang Xian gave him an angry look.

In this operating room, Fang Xian can be said to have seen the scene of the rivers and lakes.

The older generation of professors is getting older, and the new generation of professors is gradually rising.

The handover between Professor Yang Yifeng and Lin Hui made Fang Xian see that the inheritance of the field of medicine took over.

"Who said it was useless? Associate researcher is a purely senior research title, which is very useful, right? ”

"Some people, even if they are associate professors and associate chief physicians, may not be promoted to associate researchers!"

"It's better to do the project." Zou Junzi smiled.

Fang Xian said, "Don't you just want me to say something, congratulations, trainee researcher." ”

Zou Junzi's research title has also been promoted, although Zou Junzi is not currently an intermediate title of attending physician and lecturer, but in terms of research, he is already an intermediate title.

Zou Junzi also benefited from the topic of damage and also had his own articles.

It has risen up, and the monthly salary is higher than before.

Again, even if you are excellent, the rest will be left to the medical association.

Zou Junzi pricked up his big ears and pursed his chin: "There is definitely no way to compare a trainee researcher with a distinguished associate researcher like you, but in our classmates, it is a click to kill." ”

Zou Junzi's young heart was full of heart, and the forearms of his hands were more than a cross.

"Xiao Zou, how long is your incision technique still far from level 4?" Fang Xian asked again.

Zou Junzi said: "Don't worry, there is still more than a year left in the training time of my incision group, and it is definitely not a problem to upgrade to level 4." ”

"By the way, Brother Xian, I have to thank you and Teacher Wang Yang a lot."

"I have to say that Mr. Wang Yang's ideas are not of much clinical use, but for the examination of basic theories, it is a click and a random killing, I just know that the original theory can still be learned like this!"

"Theory is so useful." The pressure on Zou Junzi's body is now gone.

When Fang Xian heard this, he hurriedly warned: "Brother Yang's theory is good, but you can't believe it all, if you believe it, you will be unlucky." ”

"He hasn't sorted it out himself yet, so you're still coming step by step."

"Don't be particularly anxious to pursue the so-called theoretical Ruyi, the theoretical level 5 Ruyi is more difficult than the operational Ruyi level, don't be too ambitious."

After coming into contact with Wang Yang for a while, in fact, Fang Xian felt that Wang Yang was okay, but the path was a little crooked, as if he had fallen into a demon.

It's purely theoretical.

This may not be much of a problem in internal medicine, but it is really difficult to take a purely theoretical route in surgery. Of course, now Wang Yang is also making up for the shortcomings of the operation.

"Brother Xian, do you want to go to the outpatient clinic in the future?"

"I seem to have heard Professor Zheng say that the disease of destruction and injury is classified as a specialized disease, and I will no longer enter the operating room of the trauma center in the future, but there are many problems that can be solved by the surgical method of rebuilding urine and urine function."

"For example, if a patient has a cerebral infarction, cerebral hemorrhage, or spinal cord injury after surgery, if there is incontinence. Reconstruction of bowel and bowel function is also required. ”

"Are you still planning to move forward and rebuild the function of urine and urine in non-emergency patients?" Zou Junzi has now classified himself into Fang Xian's clinical group and scientific research group.

Therefore, I am more concerned about Fang Xian's future route choice.

Fang Xian has a lot of choices.

While deeply cultivating the depth of treatment of damaged injuries, some of the surgical methods can be expanded horizontally.

Patients who need to reconstruct urinary and urinary function are not limited to those who have been damaged. If you go to the rehabilitation department, you will see a large area.

Whether Fang Xian wants to move towards such an elective surgery is something that Fang Xian can choose freely.

"I haven't thought about it yet."

"Zou Junzi, you said that I am a good orthopedic surgeon, why do I walk and walk, and now I have become a doctor in gastrointestinal surgery and urology?" Fang Xian asked.

In fact, Fang Xian was also hesitating.

The reconstruction of urine and urine function after the destruction of the injury has begun to take shape, and if we continue to work hard, we will definitely be able to shine.

But the problem is that it seems that now, there is no way to hand over the treatment of this disease.

I did my own research, but if I didn't do it, it wouldn't be useful. And to carry out, to be honest, every day to open the sewer and tidy up the manure pit, this also conflicts with Fang Xian's previous choice of medical route.

This is paradoxical.

But there is no way, now Fang Xian is the first signature in the treatment of damaged diseases, so if Fang Xian doesn't do it, wouldn't it be a little too inappropriate.

The treatment of this disease, except for him, is now a blank, so if you don't do it, who will do it?

"Brother Xian, just steal the fun, although the techniques and diseases you can do are single, there are few people who can do it."

"This promotion title is not the same as flying fast, you just sort out a few skills, and the level 2 doctor will be stable. If a set of more systematic processes can be sorted out, the deputy chief physician will be stable, and if a complete set of processes can be built maturely, then the chief physician will be stable! ”

"Who can rob you of this disease?" Zou Junzi said.

Of course, soon, Zou Junzi said again: "It is also very convenient for me to conduct the doctor's level assessment in the future, and the speed must be the same as that of a plane." ”

(End of chapter)