After going around for half a year, from entering the trauma center to coming out, Fang Xian has changed, and Associate Professor Song Yu also seems to have changed. In the past, Associate Professor Song Yu had a high emotional intelligence, but now he chooses to be directly white-faced.

Fang Xian didn't dare to say anything: "Teacher Song, this patient's bleeding points are a little more, and stopping the bleeding as soon as possible is the key to saving lives." ”

Fang Xian rarely called a teacher.

Teachers need to be taught, and calling someone a professor is an honorific title, but calling a teacher, you have to be good to me.

Song Yu is a teacher recognized by Fang Xian in his heart.

"Wang Minghai, now that it's like this, you can rest assured that you can stitch it up, right?" It was an operation, and the jokes couldn't be too much, so Song Yu immediately put his thoughts on the operation.

Wang Minghai is the attending of vascular surgery and came to do vascular surgery.

I thought that this operation was also a routine damage, but I didn't expect that after the abdominal opening, there would be so many large and small arteries ruptured, and in desperation, Associate Professor Song Yu and Wang Minghai could only call for foreign aid while starting to stop the bleeding separately.

I couldn't figure it out, so I chose to temporarily clamp the abdominal aorta, which is not so easy to clip. It can only be clamped temporarily, otherwise the patient's overall blood flow will collapse.

Before the professor of vascular surgery arrived, Fang Xian came first, and the bleeding that was originally extremely complicated was solved in a short period of time.

Wang Minghai knows that this is the perversion of the players who came out of the trauma center.

may not be so accomplished in the treatment of elective diseases, but in the area of life-saving, it is almost a rare opponent.

"It's time to stitch up, Professor Song." Wang Minghai nodded and hurriedly went down the operation.

Don't dare to procrastinate.

Stopping bleeding and ensuring blood volume is always the priority of all patients. Unless airway obstruction.

However, even if airway obstruction is complicated by volume depletion, volume expansion and blood flow are still preferred.

This is also the basis for the weight of regular compressions to be greater than the weight of breathing during chest compressions.

Professor Tu hurriedly stepped on the sensor door of the operating room and broke in: "Where are the clothes?" ”

"How's the patient?"

Professor Tu of vascular surgery, Fang Xian knew him, and when Professor Gong Ziye took Fang Xian to destroy the injury, he was on the stage with Professor Tu of vascular surgery.

The professor went into the operating room to ask for a sterile surgical gown, and the itinerant nurse had to hurry to get it.

However, Wang Minghai, who heard the voice of the superior in the department, hurriedly turned his head: "Professor Tu, this patient's bleeding has been solved by Dr. Fang Xian, and at present, only the damage to the blood vessel wall is considered, and there is no tear, so there is no need for vascular replacement." ”

Professor Tu was about to walk to the sterile surgical gown picked up by the itinerant nurse, when he heard this, he revoked the idea, raised his hand, walked a few crab steps reverently, looked into the surgical field, and said, "Wang Minghai, how are you on duty in this front-line class?" ”

"Fang Xian is in the operating room, you asked the tour to call me, you have a sick brain?"

Professor Tu was a little hairy, and looked at Fang Xian's eyes, as if he was looking at a pervert.

Before Wang Minghai could explain, Associate Professor Song Yu took over first: "Professor Tu, that's the case, Xiao Fang just happened to be free, I asked Professor Lin before I called Xiao Fang over, and Dr. Wang didn't know that Fang was free before." ”

Song Yu still explained a few words for Wang Minghai.

Professor Tu nodded: "I thought you didn't have a long memory, I told you the names of the gods who did the best hemostasis in our hospital, you can find them to save the scene after you remember them, I thought you forgot." ”

Wang Minghai shook his head as he operated: "No, Professor Tu." ”

"I'm sorry to let you run for nothing."

The atmosphere in the operating room suddenly became quite delicate.

Wang Minghai's apology and the support of Professor Gao Tu of the Department of Vascular Surgery all explained to everyone that this doctor Fang Xian, who came out of the mysterious trauma center, was a bit unusual.

In a trauma center, whether it's a ward or an operating room, doctors need to be able to get in, and so do nurses.

The specialist nurses inside, who are also skilled in basic medical skills, are also in their hands, just like when Fang Xian entered the trauma center on his first day, the nurses on duty there could even do pericardiocentesis......

Professor Tu clapped his hands and put them down: "This is actually not your fault, who made you meet this great god who is very wandering?" ”

"A group of directors of our surgical department fought hard at the weekly meeting, and in the end, no one won against anyone."

"Don't say that our department wants Xiao Fang to come, now Director Jin Chaohua of the Department of Orthopedics wants Fang Xian to go back, but no one can do it, so he can only let Xiao Fang go out independently."

There is no way, now Fang Xian is in the arrangement of the hospital, which is relatively the freest.

The seniority is low and the strength is strong, which specialty he wants to go to, just hand over an application, and there must be a department director to welcome him personally. Moreover, for the sake of Fang Xian's whereabouts.

Since a few months ago, some people have started to "fight", and the most fierce is a group of big and tall people in the orthopedics.

But what's the use, all the surgeries except orthopedics are for orthopedics.

One sentence chokes the orthopedics to death, how many fatal diseases do you have in the orthopedics? Isn't that a waste of resources?

Wang Minghai hurriedly concentrated on the operation and didn't dare to eat melons anymore.

However, this melon, Associate Professor Song Yu felt very speechless, so he took two steps back at that time, holding a pair of tweezers in his hand, as if he wanted to clamp people: "Professor Tu, my student Fang Xian didn't come back, is it your other surgeons who are uniting to make a demon?" ”

Fang Xian went to the trauma center, Song Yu thought about Fang Xian's future and let Lin Hui take it away.

You can go, but come back, you don't let Fang Xian return to the orthopedics department, Song Yu's opinion in his heart is the biggest.

"It's useless if you have an opinion, I'm not the director of our vascular surgery, and I can't represent other surgeons, you just need to find the director of a department to fight, and he promises to apply. Go ahead. Professor Tu's eyes were full of contempt.

What are you an associate professor tossing around, when will it be the turn of an associate professor to show off his might in the Affiliated Hospital of Shonan University?

Song Yu was immediately stunned.

The former director of the Department of Trauma Surgery, Professor Zheng, the current director of the Department of Trauma Surgery, Professor Lin Jiemo, the current director of the Department of Orthopedics, Professor Jin Chaohua, must have also expressed their opinions, they can't beat them, so isn't it in vain that they go to die?

That's not fighting, it's just looking for abuse.

Song Yu lowered his head, slightly aggrieved.

However, Professor Tu Shuang was surprised and said, "Associate Professor Song. ”

He bit the three words of associate professor very tightly, as if he was deliberately stimulating Song Yu.

"You know, the hospital, if you can pull Dr. Fang Xian out of the operating room of the trauma center, it is also our entire general surgery department, otherwise, Professor Zheng Hongwei of the trauma center can let Dr. Fang Xian come out?"

"Although they are all Professor Zheng, Zheng Hongwei will not give Professor Zheng Gongxian of trauma surgery any face." Tu Shuang said some more gossip at once.

Zheng Hongwei is Professor Zheng Baiyan, the head of the trauma center, the director, and the professor of cardiothoracic surgery. It's not particularly open-minded.

Zheng Gongxian, on the other hand, is the former director of the Department of Trauma Surgery and a professor in the group.

When Song Yu heard this, his confidence was slightly insufficient, and he muttered: "Fang Xian was originally our trauma surgery..."

But the sound is small.

"Trauma surgery is still a hospital." Tu Shuang returned at that time.

"If you consider the overall situation, Dr. Fang Xian is now the best substrate for the trauma center, after all, the trauma center is derived from saving the lives of emergency patients, if it is just about saving lives, our hospital now, except for Professor Zhou and Professor Yang, who dares to guarantee that it will be more versatile than Dr. Fang Xian?"

"Professor Fang, the former director of the trauma center, may not dare to say that." The more Tu Shuang said, the more outrageous it became.

Song Yu was overjoyed.

Sure enough, Fang Xian spoke: "Professor Tu, Professor Fang, Professor Yang and Professor Zhou are all seniors, and there is still a big gap between me and my predecessors." ”

"We don't have to step on the high and the low."

Fang Yun is his uncle, Tu Shuang is so yin and yang, of course Fang Xian doesn't allow it. You haven't seen Fang Yun's true strength, why bother to trample my uncle in order to praise me?

"I'm just telling the truth. You so. Tu Shuang subconsciously replied half a sentence, as if he remembered the surname between Professor Fang Yun and Fang Xian, so he quickly shut up.

At the same time, I was very puzzled.

, Fang Xian still has such a relationship, so how did he achieve the identity of a resident doctor before? But if a person like Professor Fang Yun says a word, wouldn't it be easy to give him an extra place?

Could it be that in order to avoid suspicion, now Professor Zhou and others don't even do such a thing, and their relatives don't care about it at all?

"I'm sorry, Doctor Fang, I didn't mean to slander Professor Fang, Professor Fang's level, that looking at the whole country, is also first-class." Tu Shuang still added another sentence.

However, this Tu Shuang professor's remedy, Fang Xian didn't like it.

The atmosphere of this operating room must have been damaged by such people, where is this like an operating room in my imagination, it is simply a gossip mecca.

From the professor who is in charge of the knife to the student Zou Junzi who is in the training camp, the gossip attributes are almost full.

If you don't reply, then of course you have to have surgery.

Professor Tu Shuang looked at it, and still washed his hands again and came to the stage, and it was just right not to squeeze out the position of associate professor Song Yu, but to squeeze out Wang Chuntao's second assistant position.

During the whole operation, Associate Professor Song Yu was in charge of the surgery, practicing the basic skills of debridement, suturing and hemostasis of the damage, and Fang Xian was the assistant and cooperated little by little.

After the patient's vital signs will be stabilized.

Tu Shuang smiled and asked, "Doctor Fang, you won't be angry, will you?" ”

Fang Xian shook his head and smiled back: "No, Professor Tu, you misunderstood." ”

If you don't like it, you don't like it, and you don't want to be angry. Professor Tu Shuang is a professor and chief physician with a senior title, and his ability is not to be said, the medical society has its own witness, so if you make a joke or two, you will be angry because of it, and the measure is too small.

"Do you want to know if you wanted to know, what excuse did you use to be snatched out of the trauma center by our surgery?" Tu Shuang began to gossip again, as if he wanted to explain things thoroughly.

Fang Xian was slightly curious and nodded.

He wanted to hear what kind of story was behind it, so that he could understand the huge system of Shonan University Hospital more objectively and three-dimensionally.

"Have you ever heard of the term "leader of the discipline of emergency surgery?" Tu Shuang hinted so, but did not say it explicitly.

Fang Xian's eyes immediately shrank.

Discipline leader in emergency surgery, how can this take the lead?

There is no high or low in front of life, and there is no high or low disease that is fatal, how can you take the lead?

"That's the reason, if you're in a trauma center all the time, then your ceiling is fixed."

"Saving lives is important, but the peak of medicine is actually a specialty, or a cure."

"Without him, it is because elective patients are geometrically multiple, even hundreds and tens of thousands of times that of emergency patients."

"If this reality cannot be reversed, then whether it is a trauma center or emergency surgery, it will never reach the level of specialization, and the beneficiary group will not be the same." Tu Shuang gave Fang Xian an analysis like this.

Fang Xian understood after a while.

yes, it seems to be true.

Saving lives is definitely important, the first priority.

However, the number of patients for emergency diseases and the number of patients for elective diseases are not in the same order of magnitude at all.

In other words, even if all the patients of the emergency disease die every day, it will still not have a significant impact on the population of the whole country, and if the patients of the elective disease do not have a particularly good prognosis, then the burden on the national budget will be even greater.

This is a priority issue that must be trade-off.

China is bound to be a superpopulous country, and the number of its citizens is currently the second largest in the world.

However, Fang Xian's heart didn't fluctuate much now, he just smiled: "Professor Tu, in fact, I don't have that much ability, I just listen to the arrangement, and go where I need it." ”

Fang Xian was a little modest.

The basic skills of medicine are effective in responding violently to save lives, but the basic skills of medicine are not enough if they want to shine in the treatment of specialized diseases.

Whether it is a doctor or a subject, its social benefits are inevitable factors to be considered.

After speaking, Fang Xian began to correct some of Associate Professor Song Yu's operations during the operation: "Teacher Song, the debridement of the damaged injury does not lie in complete excision, but in relative resection, and the tissue that can be left should be left as much as possible. ”

"For example, these can be cut off, not like the destruction of limbs, but should be cut to the fullest."

When Song Yu heard this, he immediately nodded, and accepted it very humbly: "Okay, Xiaofang, I'll try again......"

Professor Tu Shuang saw that Fang Xian was focusing on the operation, and saw that Fang Xian was teaching the associate professor as a young resident at the moment.

I couldn't help but sigh again: "Although everyone knows that specialties are the mainstream of medical development, I think that Xiaofang, you are a mudslide, which department you rush to, is the luck of the discipline, and it is also the sorrow of the medical workers in the discipline." ”

Tu Shuang's words made Wang Chuntao and the others glance at Fang Xian.

Including Song Yu, they nodded very decisively.

Fang Xian is now like a rising star, which specialty he goes to, then this specialty may be eclipsed, become a foil, and be a victim......

(End of chapter)