Zhangshi is a tourist city, which used to be the Xiangxi region, and later became a prefecture-level city in Hunan Province alone, and its economic development is much better than that of Ji City in Xiangxi, Fang Xian's hometown.

This time, the place where Fang Xian is going is the only county seat under Zhang City, Ci County.

Cixian is located in the border area of Changshi and Zhangshi, Fang Xian is not from Zhangshi, but to Changshi, driving his own car, rushed to Cixian People's Hospital.

The county seat of Ci County is built on the Lishui River, located near Yongtai Road and Jinci Pedestrian Street.

Fang Xian drove directly to the nearby surface parking lot.

When Fang Xian arrived, it was 4:21 in the afternoon, but the orthopedic department of Cixian People's Hospital had already sent someone to greet him, and he was a young man in his thirties, who looked quite friendly.

Because the surface parking lot is not large, there are more cars in it, so Dr. Ding's artificial occupancy is very successful, and he introduced Fang Xian into the parking space hand-in-hand, and almost helped open the car door.

After Fang Xian took the initiative to get out of the car, he locked the door first.

The other party immediately said, "Hello Dr. Fang." Do you have any luggage? I'll help you move to the dorm. ”

"Don't bother, I'll go back and bring it along the way, just a small box. My name is Fang Xian, brother, you can call me Xiao Fang or Xiao Xian. Fang Xian saw that the other party was older than himself, and took the initiative to introduce himself.

"Ding Maoxian. Teacher Fang can call me Xiaoding. Welcome Dr. Fang. Ding Maoxian stretched out his hand and shook Fang Xian, with extra force.

"I heard that Teacher Fang is coming, and we have been looking forward to it for a long time."

Today's counterpart support doctors in the countryside basically do not exist in the kind of theoretical doctors and article doctors who went to the countryside to provide counterpart support many years ago.

After the separation of teaching titles, research titles and professional titles, only the promotion of professional titles requires counterpart support in the countryside. If you want to come here, you must be a Class 2 physician recognized by the Medical Association, and the attending physician hired by this hospital.

The strength of the level 2 physician is here, certified by the Medical Association, that is, the big guy in the department.

The county people's hospital, even if it is the director of the deputy chief physician, in the medical association, wants to pass the level certification of a level 2 physician, it is quite troublesome.

They also rely on working in the countryside and will be treated preferentially, so they adopt a system of separation of professional titles corresponding to the medical association.

Otherwise, if you don't have the ability, you can't always go up, and that's not a thing, how can the county hospital keep people?

The so-called Level 1 physician certification before the age of 30 belongs to the ladder to the sky, and it belongs to the optional standard of teaching hospitals nationwide.

"Brother Mao, you're polite, you don't have to come to greet me." Fang Xian hurriedly made a few cold announcements.

Ding Maoxian said: "Actually, if it weren't for the delay of Director Huang and Director Qin of the department, I would have to come to pick up Teacher Fang in person." ”

"But there happened to be a few emergency departments, and now the two directors of our department are on the stage."

"Please take care of Dr. Fang."

Fang Xian hurriedly said, "Brother Mao, you are laughing. Since the two directors are in the operating room, please take me over, and I will get to know the two directors first, so that we can discuss each other later. ”

Although he went to the countryside to provide support, Fang Xian didn't dare to put up too big a shelf, and Fang Xian didn't have any shelf at all.

Although the county hospital is not of high level, it is only a second-class hospital, but it undertakes all the medical tasks in the county, and the number of emergency services will not be small.

It is inconvenient to send it to Zhangshi People's Hospital, that is, it is handled in the county hospital, and the daily number of emergency patients is not small.

And this is near the highway, if there are emergency patients in the near area, they will generally be sent to the nearest hospital.

Save first, then heal.

The two went all the way to the direction of the operating room.

It is estimated that the operation is really troublesome, so Ding Maoxian didn't have time to introduce the situation in the department first, but said first: "There are two emergency departments at once today, one is damaged on the front of the thigh, Director Huang is thinking about whether he can save his leg, and he will amputate it if he can't do it." ”

"The other one, the co-pilot of the same car, had a pelvic burst fracture and an active hematoma in the pelvis, we just temporarily stabilized our vital signs, and immediately asked Director Qiu of Zhangshi People's Hospital for help, Director Qiu just entered the operating room."

"If the two are not handled well, they are quite fatal, and this is really a coincidence!"

"In the past, it was almost impossible to encounter one severe disease a week, and at the same time, there were two a day, and it was still very rare, basically only once in several months."

Although the hospital of Cixian County People's Hospital is not large, it does not necessarily have no serious patients.

After coming, he also resigned himself to fate, doing his best, if he could save him, he would live, and if he couldn't save him, he would die.

Don't you dare to be like the Affiliated Hospital of Shonan University, and want to hit the mortality rate below 1 in 1,000.

Fang Xian's pace was not slow: "Brother Mao, then you can take me to the operating room of the active hematoma in the pelvis first." ”

The outcome and destination of lower limb damage is only amputation, but this patient is going to lose his life if he doesn't do it well.

The maximum amount of bleeding in the pelvic hematoma can reach 8,000, and the total amount of human blood is 4,000.

If you are a little thinner, the total amount of blood of two people may not be enough to lose.

"The patient with an active hematoma in the pelvis is in the nine operating rooms, let's go over."

"Doctor Fang, I'm really sorry, we have already booked a private room, brought wine, just waiting for you to come over, you can go directly to dinner, but there are such two difficult patients, I hope you don't feel that the hospitality is inadequate." Ding Maoxian continued to apologize.

It looks quite trembling.

Before Fang Xian came, he knew that in fact, doctors like him, even if they were only attending doctors, when they went to the countryside to provide support, they enjoyed very high treatment, basically the same as associate professors.

Because they are all here to support and teach, they will be respected.

When the two of them arrived at the door of the operating room, they hadn't gone in directly, but Fang Xian took the initiative to choose to wash his hands first.

"Teacher Fang, you just arrived, you are tired of traveling, will you not go on stage first?" Although Ding Maoxian was willing to suggest that Fang Xian could go to the operating table to help.

But Fang Xian is the attending after all, Director Qiu, director of the Department of Orthopedics of Zhangshi People's Hospital, but he is a real level 3 doctor!

This is not something that Fang Xian can underestimate in terms of job title, qualifications, and experience.

Fang Xian hurriedly replied: "Brother Mao, you just think that I am just for an early meal, how much can I help, right?" ”

Ding Maoxian also hurriedly came over to wash his hands when he heard this: "Doctor Fang, you are still working actively. ”

In fact, Ding Maoxian and others have always felt that a young genius in his twenties like Fang Xian went to the countryside, but it was just gold-plated.

The talent is good, and you can learn fast enough in the skills training room, so although the ability is enough, it can't actually help much, and those things in the skills training room, after being appropriated to the clinic, there will always be changes, and the coping ability will not be very strong.

Since it is gilded, they also treat each other with courtesy, so that when they go out to study in the future, they will also be treated well, so as not to offend and affect their future.

"Director Qin, Director Qiu, and Doctor Fang are here." After entering, Ding Maoxian asked Fang Xian to get dressed first.

Ding Maoxian is waiting.

It is estimated that Director Qin has already told Director Qiu that there will be a counterpart support doctor in the hospital, so Director Qiu also looked sideways, his eyes were wrinkled, and his tone was dull: "Whose student is Doctor Fang?" ”

Fang Xian was stunned when he heard this, what does it matter who his student is?

But since the other party asked, Fang Xian didn't hide it: "I'm a student of Teacher Lin Hui, I don't know if you know each other." ”

Fang Xian didn't know who Director Qiu was and who Director Qin was, so he didn't call someone to avoid calling the wrong one.

Unexpectedly, Director Qiu still knew: "You are a student of Xiao Huihui?" ”

Fang Xian was stunned again.

Little Huihui?

TM: You say that, is that appropriate?

Fang Xian could only laugh, and when he asked the itinerant nurse to help tie the belt, he began to wear sterile gloves and replied: "It should be the teacher Lin Hui in your mouth, director, right?" ”

Qiu Chengyuan immediately explained: "Lin Hui is my junior brother, you are his student?" ”

"Then you can call me uncle."

In the province, if you go out from the Affiliated Hospital of Shonan University, there are people everywhere, especially prefecture-level city hospitals, this sentence is not false at all.

But any director can be inextricably linked.

"Uncle Shi is good."

"My master hadn't mentioned it to me before, so I didn't recognize it, but I also felt familiar." Fang replied with a smile.

A certain amount of sophistication is necessary.

Fang Xian quickly approached the operating table.

On the operating table, one person took the initiative to let go of the second assistant, which was still very face-saving.

At this moment, Qiu Chengyuan focused his gaze on the field again, and sighed: "Look, it's a mess here!" It's hard. ”

When Fang Xian heard this, he took the opportunity to look inside, and sure enough, he saw that there were many bleeding spots caused by the impact inside.

Moreover, it can also be seen that Qiu Chengyuan has already dealt with a lot of bleeding points at this moment, and there are still some small amounts of bleeding, but the most dangerous hematoma in the retroperitoneum is not yet afraid to be cut and treated.

"Uncle, you're almost done?" After reading it, Fang Xian replied.

Now the surgery is simple, compared to the destruction of the pelvis and abdominal wall, this is simply pediatric. At most, it can be regarded as a third-level disease.

Qiu Chengyuan said: "It's still far away, after the bleeding point outside is treated, the pelvic retroperitoneal hemorrhage is the most fatal." ”

"I only dare to take a break at this time, I'm still old, not as good as young people like you."

Qiu Chengyuan estimates that he is a very early batch of masters.

looks like he is in his forties, and it is estimated that even if his teacher is Qiu Chengyuan's junior brother, he has never studied together, and Lin Hui entered the school long after Qiu Chengyuan graduated.

Lin Hui is still an eight-year ......

"Why don't you stop the bleeding?" Qiu Chengyuan saw that Fang Xian was his junior, and still said so, wanting to give it a boost.

To tell the truth, in the prefecture-level city hospital, most people don't care what major scientific research contributions you have made, most of the people are doing a good job, and then preparing for the assessment of level 4 doctors, and then jumping to the hospital in the province.

Or just do your job honestly, and then find out who the big guy in the province has changed.

Nothing else.

"Yes!" Fang Xian did not refuse.

If you have an operation, it's like a skill point, and you're idle.

Director Qin handed over the electric knife at this time, and said with a smile: "Director Qiu, a young doctor from a big hospital like Dr. Fang has very good basic skills. ”

Director Qin smiled and smiled, and his smile froze.

I can't say the solid words.

Because he felt that he had just used the wrong adjective.

Can this be called solid?

I saw that Fang Xian's left hand was like crazy, and the hemostatic points in it were like catching yellow eels, and then clicked them with an electric coagulation device, then let go and went to the next place.

As he spoke, Fang Xian had already completed the bleeding of 4 small bleeding spots.

Moreover, after Fang Xian took over the operation, he said unceremoniously: "Tour, give me a silk thread, there is a small artery here!" ”

Stretch out your right hand.

And Fang Xian's self-familiarity made everyone on the stage a little stunned.

Fang Xian saw that no one replied, so he grabbed a thread and screwed it in his hand, and after quickly ligating it off, in just one minute, the field of surgery became completely dry.

Only then did Fang Xian raise his head and ask, "Uncle Qiu, now are you considering dealing with the blood vessels in the pelvis first, or treating the retroperitoneal hematoma first, and finally treating the blood vessels?" ”

Qiu Chengyuan saw the clue: "Xiao Fang, do you usually stop bleeding like this?" ”

This Fang Xian's hemostasis technique is definitely not ordinary, it can't be a level 3 hemostasis technique!!

But this is too unscientific, even if Lin Hui is in the trauma center, it is impossible to say that cultivating a student is a very awesome existence.

Fang Xian, which tendon is it wrong, don't you do a good job of specialized skills, and raise the hemostasis technique so high?

At your age, the director's physician grade assessment has anything to do with you?

Generally speaking, there are only the number of level 3 skills required for the physician level assessment and certification of level 1 to level 3 physicians, and there is no level requirement for level 4 skills.

Not a professor, not a chief physician, who needs you?

"Almost, right?" Fang Xian thought about it and nodded.

"Director Qiu, why don't we directly deal with the retroperitoneal hematoma, put it here, it looks like a time bomb." Fang Xian felt that it was an eyesore.

Such a minor operation, compared to the complete destruction of the pelvis, the injury of half of the abdomen, is simply pediatric.

"Aang." Qiu Chengyuan was stunned and nodded.

Then his head was even more confused.

Seeing the ground, Fang Xian's hand just pushed it lightly, and he could see that the retroperitoneal hematoma had passed through the gap, and he didn't know where it had been pushed.

This hand, Qiu Chengyuan still feels familiar, this is the concept of pushing blood in the level 4 operation of hemostasis.

But then, Fang Xian used the operation of blood splitting to push the hematoma into different closed cavities, and when he isolated the retroperitoneal hematoma, he was completely confused.

What level 4 skills are this TM?

This is down gilded? He plated a woolen gold?

(End of chapter)