When it comes to curing diseases, the applicability of basic medical skills is certainly not strong.

But when it comes to saving lives in an emergency, what kind of bells and whistles specialist skills are not as practical as basic medical skills.

When the medical society carefully sets the basic skills, it is only for life-saving purposes.

Fang Xian, who has experienced many large-scale injuries and beatings, is basically not difficult to operate this small pelvic intrapelvic hematoma and retroperitoneal hematoma.

All it takes is to stop the bleeding.

As early as 20 years ago, such diseases could be defined as fourth-level diseases, but nowadays, they can only be classified into third-level diseases at most.

In just fifteen minutes or so, Fang Xian completed the hemostatic technique, and after carefully examining the fact that there was no more blood in the surgical field, in order to take care of his uncle's face, Fang Xian silently returned the opportunity to master the operation.

The life has been saved, and the rest of the hematoma removal surgery will be completed by Qiu Chengyuan, so I am confused with the workplace, and now I am a formal doctor rather than a medical student, and I still have to understand a little bit about the necessary human feelings.

Anyway, the suture at the end of the operation, who sutures is not suturing, and who is debridement not debridement?

Qiu Chengyuan looked at Fang Xian for a while before asking, "Xiao Fang has been in the trauma center, right?" ”

Director Qin was dumbfounded all the way, and his braincase was completely down.

At this time, he finally found an opportunity to speak, and he hurriedly asked: "Director Qiu, this trauma center of the Affiliated Hospital of Shonan University is really so powerful?" ”

Fang Xian's hard work must have come from here.

In the trauma center of the Affiliated Hospital of Shonan University, it is difficult for the associate professors of this hospital to get in, and people like Qiu Chengyuan and Director Qin basically have no chance to enter.

The trauma center is not for outsiders to visit, but those who can be visited inside, except for well-known colleagues, are students of this hospital, which are used to beat their spirits.

Qiu Chengyuan was deflated all of a sudden, turned his head and said, "I don't know, it's too high-end, I wanted to go in back then, and I was kicked out after turning around at the door." ”

"Fang Xian has been in it, you can ask him."

Qiu Chengyuan took the opportunity to take the opportunity to operate, and then began to do the basic skills of orthopedic specialties such as hematoma removal, which is indeed not very difficult to operate, and after the hemostasis is completed, it is basically a procedural operation.

Fang Xian narrowed his eyes and replied: "Uncle Qiu, in fact, it is not so mysterious, it is the gathering place of some professors, it may be an evolutionary version of multidisciplinary cooperation. ”

Is the trauma center mysterious?

Fang Xian didn't feel much, but the connections and appeal of the trauma center were really strong, and they could gather the best professors in this college almost in a short period of time, so could the cohesion and strength not be strong?

And to snatch people from the ghost gate and take their lives from the hands of the king of Hades, if it is not mysterious, it is unreasonable.

Qiu Chengyuan was a little weak at the moment, and joked: "You still call me Director Qiu, when you are your uncle, I feel a little pressure." ”

Although Qiu Chengyuan is the title of chief physician, his real ability is actually only a level 3 physician, and there is only one level 4 skill, and this level 4 skill is enough for him to be like a dragon soaring in Zhangshi People's Hospital.

But now, Qiu Chengyuan can only be coiled like a dragon, and he can only nest like a tiger.

"Uncle Qiu laughed, Uncle is Uncle Shi." Fang Xian returned.

As he said this, outside the operating room, a person hurriedly approached, and then quickly leaned into Director Qin's ear and whispered a few words.

After listening to this, Director Qin's face and eyes changed slightly, and he asked in a low voice: "Director Qiu, there is a patient in the operating room next door who has a comminuted fracture of his femur and a bone defect. ”

"As you know, a disease like bone defect is more difficult to operate, and this is another emergency operation."

"If you want to save your limbs, it's better to rebuild them in the first phase, Director Qiu ......."

Qiu Chengyuan's eyes jumped when he heard this: "Director Qin, didn't you have a big hand in your hospital?" ”

"If there is a difficult operation, you must ask Dr. Fang first! ~”

Qiu Chengyuan knew what Director Qin was afraid of, but Qiu Chengyuan knew that Fang Xian now, coming here to go to the countryside to support, was to cross the river dragon, and if he had to climb up in the future, it was estimated that it would be possible to get Fang Xian.

Now it is natural to give Fang Xian more face, and with Fang Xian's current achievements, he will become a great professor and director in the future, which is just around the corner.

He is only in his twenties, and he is already the main director, and the level of basic skills is quite high.

Director Qin then said in detail again.

"Doctor Fang, you see, if we go over and take a look first, there shouldn't be any big problems with the operation here." Director Qin laughed so much.

Fang Xian hesitated slightly: "Director Qin, in fact, I can only understand the treatment of fractures, and I have no experience. ”

"It's okay, Doctor Fang, your theory must be good, just give a little guidance." Director Qin understood Qiu Chengyuan's meaning and insisted on letting Fang Xian go over to see it first.

It's really not good, just let Qiu Chengyuan here go over and complete the follow-up surgery.

……

Fang Xian couldn't refuse anymore, so he first took off the sterile surgical gown and stepped off the stage, glancing at the patient's current vital signs.

The anesthesiologist took the initiative to reply: "Don't worry, Dr. Fang, I'm staring here." ”

Fang Xian arched his hand slightly: "Thank you for your hard work, teacher." ”

Fang Xian's teacher, which made the anesthesiologist instantly have an inexplicable sense of refreshment, in this place where what kind of doctor is called, Lao Du and Lao Tang, it is rare to be called a teacher.

"Yes, Doctor Fang, you can call me Tang Bozhi. Literacy of literacy. ”

"Not Dr. Tang." Tang Bozhi took the initiative to introduce to avoid being misunderstood, and he should have been misunderstood many times.

Fang Xian followed the doctor who came to report the news and shook people, and walked to the operating room where Director Huang was.

Director Huang only took one person to operate on the stage at the moment, after all, compared to the pelvic hematoma, the damage to the thigh is really a little too small.

The damage to the thigh, no matter how bad it is, is an amputation, which does not involve the injury of life, but only involves disability, which is defined as a third-level disease.

"Director Huang, Dr. Fang is here, saying that he will come to the stage to take a look first."

Director Huang was stunned when he heard this, looked at Fang Xian, who had already washed his hands and was wearing a sterile surgical gown, and didn't know what to say for a while.

Obviously, Li Zixiong was asked to invite Director Qiu Chengyuan, why did you invite the gold-plated Dr. Fang to come, and everyone was playing dry and staring on the operating table together?

However, he was a guest from afar, and Fang Xian came down to the countryside to support, so he still had to give the necessary face.

Director Huang smiled slightly: "Hard work, Doctor Fang." ”

"Director Huang, let's take a look." Fang Xian was already wearing sterile gloves at the moment, and asked the roving nurse to help him tie his bow tie.

After putting on the gloves, untie the bow of the sterile surgical gown in front of the abdomen, hand it to the instrument nurse, and turn around.

Tie the knot close to the operating table.

Just by looking at it on tiptoe, I instantly got a little understanding of this patient's condition.

It is a comminuted fracture and defect of the middle femur after the destruction of the middle thigh, skin detachment, muscle necrosis debridement, and now we are considering whether to directly reconstruct the femur in the first stage, or directly apply the external fixation brace, and ignore the position of the defect.

One-stage surgery, i.e. the operation is completed on the first operation.

The second stage of surgery is the second time to complete certain operations.

The treatment of bone defects is a difficult point in orthopedic treatment, and the most difficult bone defect is the reconstruction of pelvic defects, which will make half of the patient's buttocks unable to sit down.

The second is the defect of fracture of the limbs.

Don't think it's easy to die from this disease!

Although the damage to the thigh is a tertiary disease, it is because it has a low mortality rate and only needs to be amputated.

The disease of bone defect, because of its ultra-high difficulty of operation and treatment, is a real fourth-grade disease, and a fourth-level disease that does not rely on mortality.

The director of the prefecture-level city hospital may covet its treatment, and the general deputy chief physician does not even dare to touch it, even in the Affiliated Hospital of Shonan University, Professor Lin Jiemo may not dare to say that he can guarantee the absolute quality of each operation.

"What is the length of the defect?" Fang Xian asked after scanning it.

Although the proficiency level of bone defect reconstruction is only level 3, it may not be on the table in the operating room of the Affiliated Hospital of Shonan University or even the trauma center.

But with a level 3 proficiency, it is not difficult to complete this operation, and the postoperative recovery will definitely not be very bad.

Moreover, there is only a level 3 proficiency, so Fang Xian can also add points.

Levels 3 to 4 are 500, and levels 4 to 5 only need 5000.5500 skill points, which is still not much for Fang Xian, who now has more than 200,000 skill points.

"Six centimeters." Director Huang replied in a deep voice.

Six centimeters is not too short.

If one leg is six centimeters shorter, it is almost the same as being lame, and it must be made up.

But what is missing is what is missing, and it has to be made up.

This also requires a pedicled bone graft, which is another operation method, and it is also one of the operation contents of hand surgery, which forms a certain level of intersection with trauma surgery, and the operation is also very difficult.

In terms of the difficulty of operation, it is also defined as a four-level operation, and only an associate professor of hand surgery can handle it routinely.

"Have you talked to the patient's family about bone grafting or bone grafting materials?" Fang Xian asked again.

"The person responsible for this patient has medical insurance, and the cost is not an issue. Not much. After Director Huang replied like this, he said, "Doctor Fang, this is a bone transplant." ”

"Director Huang is the deputy chief physician, and the chief surgeon of this operation is not considered to be overstepping, right?" Fang Xian is now about to have a psychological shadow on the four words of skipping surgery, so it is better to ask clearly.

lest there be any more twists and turns.

In fact, speaking of which, the reason why Fang Xian got into trouble during the last operation was because the entire process of the operation was operated by Fang Xian himself, and there was no higher-level doctor to take charge.

Wang Yang is the ruler, but he is not a reliable superior.

In fact, according to the regulations of the Medical Association, Fang Xian belongs to the authority to sign the operation, and he is qualified to go to the main surgery, but this article is not written into the Physician Law, but only a recognized rule within the medical community.

That's the end of the calf.

In medicine, it is not possible without the law, but not without the law!

"It doesn't count." Director Huang replied.

"That's fine." Fang Xian nodded. In my heart, I secretly directly added the two operations of pedicle bone flap resection and bone grafting to level 5.

This is the greatest comfort that Fang Xian can do in his heart, worthy of the patient, worthy of his own limit.

Perfect operation does not have this ability now, and the skill of the Ruyi level is the best technical guarantee that Fang Xian can provide.

As soon as Fang Xian responded, he approached the operating table and continued to ask: "Director Huang, why don't I try?" ”

Director Huang thought about it for a while, but decided to give Fang Xian this face.

And Director Huang allowed it, and Fang Xian began to use the knife.

The first choice for taking the pedicle bone flap is the fibula that does not bear a lot of weight on the lower limb, and it is the fibula on the affected side, so as to avoid an extra incision and affect the function of the healthy side.

In the treatment of osteoarthritis, there is a fibular osteotomy, which is to cut off the fibula to slow down the progression of arthritis.

After the points were successfully added, Fang Xian immediately operated the level 5 debridement technique, and then swept the wound again, and in an instant, the inside became cleaner and fresher, and the surgical field was clearer.

Insiders look at the doorway.

With this basic operation, Director Huang and another assistant knew that Fang Xian had kung fu in his hands.

The subsequent incision, rummaging for the fibular trophic artery, taking the trophobic artery to do a pedicle flap and osteotomy......

The whole process, under the full firepower of Ruyi-level skills, is naturally smooth.

Click, click, click!

Director Huang and another assistant, who were completely unprepared, were dizzying and couldn't close their legs.

Even, seeing the back, after seeing that Fang Xian's operation was getting more and more comfortable, Director Huang said: "Doctor Fang, here?" Why? ”

Fang Xian glanced up at Director Huang, and then said, "Director Huang, these belong to the review of the operation, let's wait for the operation to be completed, and then find a time to grind, this belongs to the basic problem of the surgical operation process." ”

Good guy, this Director Huang doesn't even understand the most basic process, and he has to twist it out and ask, Fang Xian finally understands why his superiors said not to waste his time with some stupid questions that can be answered in books.

Fang Xian's answer was very polite.

Director Huang didn't say anything more.

Fang Xian continued to operate.

It just so happened that Qiu Chengyuan and Director Qin had already completed the abdomen, and came over to see the situation, the plan was to help if they had help, and if they didn't have help, then they would go to supper together after they got off the stage.

When he entered the door, Qiu Chengyuan said to Director Qin: "Director Qin, Doctor Fang, maybe I only worked in a trauma center before, so I am most proficient in life-saving related medical basic operations, and I don't have a deep understanding of specialized surgical procedures. ”

"But it's definitely fast."

Qiu Chengyuan approached the operating table while explaining, and then his voice suddenly froze, he raised his head, and looked at Fang Xian in amazement.

The corners of his mouth under the mask twitched suddenly: "Doctor Fang, do you call this inexperienced?" ”

(End of chapter)