Chapter 215: Where to Use (Subscription Requested)
In the evening, eleven o'clock.
Professor Tu Shuang stepped down from the stage, and at the same time beckoned Wang Minghai: "Let's go, go home." ”
Wang Minghai was still a little reluctant: "Professor Tu, I want to continue to see the operation." ”
"Don't look at it, if you don't develop in this direction, if there is a problem in our vascular surgery on the stage, our own doctor will solve it. His basic skills will not be worse than the effect of your specialized surgery. "Tu Shuang is quite shocking.
What else can you say to a person who can rely on basic medical skills to compete with your specialized procedures in terms of therapeutic effects?
Wang Minghai thought about it for a while, and then went home.
It's good to increase your knowledge, if you really want to go to the development of the disease of destruction and damage, then Wang Minghai has a lot of ways to make up for it.
The basic medical skills of vascular surgery are incision and hemostasis, but the basic medical skills of trauma surgery are debridement and suture, which are completely different.
If you want to rebuild it and go back to the specialty level of trauma surgery, I don't know how long it will take to reinsert it.
As soon as Tu Shuang left, Song Yu seemed to come back to life: "This Professor Tu, is his mouth really broken?" ”
Fang Xian nodded: "When I was in the trauma center before, when Professor Tu came to do the consultation surgery, he was very decisive and straightforward. ”
"I thought he was a man of few words!"
Song Yu replied when he heard this: "In the trauma center, although the requirements for specialized procedures are not high, the people who enter it are all big people, and ordinary professors go in, so they can't be honest?" ”
"Maybe you'll meet a subject leader or something, and you're going to be high-profile, isn't that boring?"
Although it is not the same specialty, you don't have to be the subject leader of other specialties, but he may be able to find the subject leader of your specialty to call you.
Although the average subject leader will not do this, if you are too high-profile, you will definitely have a bad opinion of yourself.
"Teacher Song, can you ask, what kind of attitude do we have when we look at the trauma center outside?" Fang Xian was a little curious.
Although he went in and came out, he didn't feel what the trauma center was all about.
"How so? The trauma center is the best proof of the concept of high pockets. ”
"The bottom line is that, for example, in our trauma surgery, there is a discipline leader, so he can greatly ensure the lower limit of the surgical quality of our entire department and reduce various complications."
"And when saving lives, ensuring the lower limit of the treatment effect is a question that must be answered."
"At present, there are two ways to enter the trauma center, one is to go directly into it, and then crawl inside, which requires high basic skills, and it is only for life-saving rescue, without considering other factors."
"The second way is to become a professor at our hospital, and then go through consultation and surgery to help save the patient's life and then treat the specialized disease."
"It should be said that it is a place where masters gather, but it is not the place where individual abilities can be maximized......
Associate Professor Song Yu replied while operating.
Fang Xian stopped: "Teacher Song, this stitch is wrong, in the suturing of the damaged damage, we must pay attention to the clear layers in the part, but between the levels, we must pay attention to the integration." ”
"But you can't penetrate too deep."
Song Yu raised his head and looked at Fang Xian's gaze was complicated: "Do you have to say it so bluntly?" ”
Fang Xian pursed his lips and smiled, with his own insistence: "Teacher Song, I think it is better to be down-to-earth in both surgery and learning." ”
"Hmm~~~~" Song Yu sighed and took out the stitch needle at the same time.
He also said: "I heard that you were a disobedient stubborn cow in the trauma center, and I didn't believe it before, but now I finally believe it." ”
"Isn't it worthy of being an anti-bone boy who doesn't even listen to Professor Yang and Professor Fang?"
Fang Xian continued to remain silent.
It seems to have given Song Yu enough face.
When Associate Professor Song Yu saw this scene, he instantly burst out laughing.
"Hey, look, I'll just say that Xiao Fang is a very persuasive person." Associate Professor Song Yu began to show off his might.
But no one else in the operating room believed it.
Is this still persuading?
Professor Tu Shuang, a vascular surgeon, should be scared, and he really listens to persuasion.
……
At three o'clock in the morning, the reconstruction on Professor Lin Jiemo's side was completed first, so he called and asked Fang Xian to go over to do the functional and histological reconstruction first.
Fang Xian hurriedly put down this side and ran over to find a place to use it.
I don't have any patients, the next outpatient clinic is far away, and a few empty beds are just decorations, can't you just wander around and fight guerrilla warfare?
As soon as Fang Xian passed, he opened up all his firepower.
What kind of colonectomy and reconstruction, what anatomical reconstruction of perianal muscles, intestinal nerve transposition grafting, etc., the operation is like a smooth operation......
Naturally, in the reconstruction of urine function, Fang Xian benefited from some of the inspiration he obtained in West China Hospital, and now it is also the reconstruction of urine function, which is the best.
It can be reconstructed, not an ordinary suture, so the operation is very slow, and it starts at three o'clock, and at nine o'clock in the morning, Fang Xian completed the reconstruction.
After the fistula and urethrostomy were done, I looked at the inside of the abdominal cavity again, and after seeing that the general surgeon had done a good job of reconstructing the abdominal wall function, I said, "You can close your abdomen, Professor Lin." I'll go to Professor Song's side again. ”
Although only the urine and urine function was reconstructed, these two surgeries brought Fang Xian nearly 17,000 skill points, and pushed Fang Xian's skill point balance to 240,000.
It's one step closer to adding one skill to infinitely close to the perfect level.
Fang Xian was very happy.
"Would you like to take a break? Then the functional reconstruction of the second patient, why not do it first? ”
"Anyway, there have to be patients who are damaged and don't do functional reconstruction." Lin Jiemo is still more worried about Fang Xian's health problems.
From yesterday to today, more than twenty hours have passed.
Although Fang Xian didn't have anything to do in the outpatient clinic during the day, but the damage surgery at night was a solid all-nighter.
How many nails can a person with iron all over his body hit?
Fang Xian's body lacks surgery, and there will definitely be patients who are damaged and injured, and Fang Xian has no time to do functional reconstruction.
Even, even if it is the Affiliated Hospital of Shonan University, it is impossible to complete all the damaged patients in Shashi and rescue them, and there are still people who may be in a dangerous place for various reasons, or they can only be temporarily treated, and they will be thrown into the ICU after being saved, and whether they can survive later.
Just look at providence.
"Professor Lin, I'll finish this one again, and then go back to rest. Anyway, there is always something not to do, so let's finish it when you encounter it. Fang Xian explained, stepping back and stepping down.
After his key operation is over, it will take another hour to close his stomach and wait for the operation, so Fang Xian does not have to delay here.
Lin Jiemo seemed to be able to hear Fang Xian's heart: "Xiao Fang, in fact, you don't have to worry that your ability is useless, you have just started, and there are naturally no patients in the outpatient clinic." ”
"Moreover, the department of functional reconstruction is still in a new period of development, and no one is aware of it at present. Once the Medical Association has re-established the Level 5 skills and the standards for Level 5 physicians, it will definitely make arrangements accordingly. ”
"When the time comes, you just have to open a small opening. There should be no shortage of pathogens. ”
Fang Xian shook his head: "Professor Lin, I didn't think so, thank you Professor Lin for your concern." ”
"It's just that I haven't had any surgery lately anyway."
"After I finish it, I will sleep until I wake up tomorrow, there is no need to make rounds, there is no emergency, there are five or six days left in the next outpatient clinic, and the rest time is definitely enough......
Fang Xian is naturally not particularly anxious, there must be someone who will have this demand, and the demand is very large.
I will always let myself have the first and second, the patient who belongs to me.
"Anyway, pay attention to your body, I heard that you are in the trauma center, but you are very strong." Lin Jiemo smiled, obviously a little tired.
He is not young now, and it is indeed a little unbearable to stay up all night for surgery. But at present, he is the only one in the hospital who can routinely perform damage surgery, and he has to stand up.
According to your own physical condition and time permitting, you can complete a certain amount of treatment for the corresponding disease.
There's really no way but to throw the trauma center.
Fang Xian took his leave for the time being.
In fact, although Associate Professor Song Yu's operation had a lot of bleeding, there was not much damage to his organs, only the bladder ruptured and the prostate were directly damaged, but there was no damage to the rectum and colon. It's a relatively "superficial" injury.
Therefore, it is relatively simple to do a local urinary function reconstruction.
Twelve thirty o'clock in the afternoon.
Fang Xian walked out of the operating room with seven thousand skill points.
But a night's continuous combat had already made Fang Xian sleepy!
He yawned, and then hurriedly went to lie down in the rented house, and before he had time to eat lunch, he slept until nine o'clock in the evening.
When I turned on my phone again, I didn't see anyone calling.
Only Li Qiu sent a message, saying that he had completed the corresponding procedures, and today was a working day, and he had just arrived at the surgical ward of the emergency department to start his rotation.
However, in addition to the few beds in charge of Fang Xian's supervisor, he has other beds to manage, but there are not many, there is only a small emergency department of general surgery, which is scheduled to be done in the afternoon, and it is estimated that he will be transferred to general surgery after doing it.
"Yesterday's surgery was until noon today, and I just woke up."
"Old ball, are you going to eat? KFC? Fang Xian asked.
“OK!” Li Qiu has a meal, which can be described as very positive.
Especially now that he knows that Fang Xian is a big dog, he has no psychological pressure at all.
After entering, Li Qiu directly ordered a family bucket, and after ordering, he said: "Hey, these are not delicious, throw them away later, two pieces of original chicken, one for you and one for me, and a hamburger......"
"Do you eat chicken and rice?"
"It doesn't taste good, throw it away."
Fang Xian ate the French fries in small sips and scolded: "Dogs, wasting food is a curse!" ”
Li Qiu said amazingly: "Brother Xian, is meat considered food?" ”
"Why don't you eat minced meat?" Fang Xian gritted his teeth and asked.
"Just kidding, thank you Brother Xian for your treat."
"Alas, I really envy you, there is no duty, no surgery, a week is equivalent to only one day of work, and then there is a salary, this day, don't be too comfortable." Li Qiu joked, his face full of envy.
Fang Xian said undeniably: "Old Qiu, let me tell you, for the two surgeries I completed yesterday, it is worth my salary for the patient, do you believe it or not?" ”
"A patient with a 'personality' function and a patient who has lost basic personality function have a completely different state of survival."
Seeing Fang Xian's tone, Li Qiu hurriedly said, "I'm kidding, why are you taking it so seriously?" ”
"Not to mention anything else, as a resident doctor, you can obtain such a new surgical authority through your signature, you are worthy of your current salary level, right?"
"What's more, you have to occasionally perform rescue operations, go to the trauma center to replace the main surgeon at any time to save your life."
"Can't I see this, brother?"
Fang Xian rolled his eyes: "Do you know that you still say that?" ”
Li Qiu straightened up solemnly: "Hey, Brother Xian, be reasonable, except for being idle, no one believes in your technology now, you say, what other pain points can you poke?" ”
"Chrysanthemum?"
Fang Xian twisted his brows: "You didn't treat me as a superior at all, did you?" ”
This Li Qiu is also simple.
Li Qiu smiled cheaply: "What kind of posture are you talking about?" Well? ”
Fang Xian was too lazy to pay attention to him, completely funny.
Li Qiu continued: "Oh, I see, you TM is still an old single dog, haha......"
Fang Xian took the plate and walked to the next table.
Li Qiu took a hamburger from the plate and said, "It's useless if you're angry, you still don't have a girlfriend, hey, brother has dinner, and if you eat this again, you'll be full, are you angry?" ”
Fang Xian was not angry, but he didn't want to pay attention to him......
After performing for a while, Li Qiu sat down opposite Fang Xian again, sighed, and the whole person seemed to be deflated: "Brother Xian, you said that we are generally old, and when we enter the hospital, our status is generally high. ”
"We've been here for the same amount of time, but how is this life different? Is it because you're working harder than I am? ”
Talking about practical issues.
Fang Xian didn't feel good all of a sudden, and then he couldn't tell the words that he had thought in his heart and stimulated Li Qiu.
"In fact, it is a lack of greed, you are greedy for my technology, and I am greedy for other people's patients and reputation."
"Actually, technology is useful, reputation is useful, and even age is useful, and if I were ten years older, I am afraid that I would be able to gain the trust of patients even more."
Before he spoke, Fang Xian's phone rang.
As soon as Fang Xian answered, he thought that there was something important, but he found that it was the head nurse of the general ward who called.
"Doctor Fang, Doctor Fang, Dr. Ning from our department said, you don't have a patient, there is an appendicitis here, you have an empty bed here, do you want it?" Fang Xian opened the amplification.
Li Qiu laughed on the other side, but laughed and smiled, and his smile stiffened again.
Fang Xian nodded: "Yes, anyway, there is a vacant bed, you first ask the patient and family members for their opinions, and I will rush over immediately." ”
Although I am pitiful and rewarded, it is better to have something to do than to be idle.
Patients with appendicitis also have the need to see a doctor, and they also need a doctor to solve the pain and do ......
Li Qiu couldn't laugh anymore, reached out and patted Fang Xian's shoulder, and said, "Brother Xian, it will definitely get better." ”
"Let's go, let's go for an appendectomy together." Fang Xian waved his hand and beckoned Li Qiu.
(End of chapter)