"No, no." Where did Fang Xian dare to tell jokes, he himself had not even written a serious SCI paper now. The papers in hand are basically fed, and the quality of the published articles is not low.

Whether it is about human anatomy and human reconstruction, as well as the exploration of treatment standards for new diseases, downgrading treatment standards, and standard treatment plans, Xu Fengnian's team has done it.

Of course, Fang Xian's current professional ability, if you want to produce a paper, is relatively simple.

It's just a violent impact with a level 5 skill, but this kind of hydrology doesn't make much sense.

What Fang Xian needs at the moment is a meaningful and quality article, but he is not in a hurry.

Zhou Xiyin saw that there was no banter in Fang Xian's eyes, so he put away the computer and asked, "Senior Brother Fang, there is no operation in the department today, so I'll go back first?" ”

"Okay, it's fine." Fang Xian hurried back.

Zhou Xiyin's time is naturally free for her to spend.

Time is like water, and more than ten days pass in a flash.

Due to the intervention of the ultra-high level of 5-level manual reduction, the fracture treatment methods of Cixian People's Hospital have been changed to a certain extent, and the number of cases of direct surgery due to fractures has been reduced.

Naturally, in this process, Fang Xian found that, in fact, the proficiency of Director Huang Bohang and Director Qin Hongxuan's manual reduction is also quite high, and they can all reduce the common fractures.

But for something a little more complicated, they called Fang Xian to the department and asked Fang Xian to operate it, and then carefully experience it and ponder it carefully.

Moreover, because manual reduction can achieve better results without surgery, once the reputation spreads, it also attracts many patients from surrounding towns and villages to come after accidentally breaking a bone.

Only then did Fang Xian realize why fracture surgery in trauma surgery had developed so quickly.

This is all based on the accumulation of fracture patients, a county hospital, every day can receive seven or eight fracture patients one after another, can you believe it?

In the past, because of the diversion of Wuling Hospital, the number of patients with fractures decreased, but now, after the fracture basically occurs, they will come to the county people's hospital first, and then the surgery should be done, and the manual reduction will be reduced.

It's just that although the patients with fractures were diverted from Wuling Hospital, it did not affect the number of patients in Wuling Hospital, and people could eat more than enough without relying on diseases like fractures.

Sports medicine, hand surgery, joint surgery, a small Wuling hospital, although the sparrow is small, but it has all kinds of organs.

A fracture patient can get about 500-1000 skill points after manual reduction, which varies slightly depending on the complexity of the condition.

In this way, Fang Xian's skill points increased rapidly in a short period of time, plus the subsistence allowance that he could receive every day through the new set of techniques and new standards that were destroyed before.

Fang Xian's skill point balance finally came to 501521.

Broke through the 500,000 mark.

After such a sudden, Fang Xian could finally covet it, what kind of changes would happen if a level 5 skill was added.

This day is the 31st of January, the end of January, and it is about to turn over January to reach the New Year's season, the 17th of the lunar month.

After Fang Xian finished dealing with the routine fracture patients in the department and the patients admitted to the department by Chief Physician Huang Bohang and others, he hurried to his dormitory and silently completed the addition.

Fang Xian decided to add some skills that he could have permission to operate first, which had three benefits.

The first is that you can operate it immediately, the second is that you can improve the quality of your treatment, and the third is that you can experience the skills that are higher than level 5, what level it is.

Fang Xian naturally moved his attention to the fracture open reduction and internal fixation.

Add points –

After 500,000 skill points were drained in an instant.

Fang Xian found that the skills on the panel had changed like this.

[Fracture open reduction and internal fixation 0/0, 1/1, 2/2......]

Such a change.

Seeing this, Fang Xian was slightly stunned at first.

？？？

How did it become like this, completely different from what I expected?

Say yes level 6, or perfect?

It's just that when Fang Xian once again drew up the corresponding operation and treatment concept of fracture open reduction and internal fixation, in an instant, the corresponding torrent of knowledge seemed to be surging out like a giant beast.

At the same time, the corresponding skills on the board began to change dramatically.

[Fracture open reduction and internal fixation grade 5, manual reduction grade 5, incision grade 5, suture grade 5 ......]

[Fracture open reduction and internal fixation grade 4, manual reduction grade 4, incision grade 4, suture grade 4......]

and a series of skills listed.

At this moment, regarding the operation of fracture open reduction and internal fixation, all the things related to the operation seem to be as if in an instant, Fang Xian can arrange and combine any component elements at will.

And then came the last one.

[Amnesia fracture incisional reduction and internal fixation can be an option.] 】

As soon as this hint appeared, Fang Xian's breathing stopped temporarily in an instant.

As we all know, if a person wants to learn something, he can actually do it gradually, but if you deliberately forget one thing, it is basically impossible to do.

Moreover, the reason why a person has achieved himself at that time is closely related to his resume, choices, knowledge, and what he has learned.

That is to say, every choice you make, any skill you learn, will affect other aspects of you to a greater or lesser extent, deep or shallow, which is impossible to reverse.

Once you learn, you can't become absolutely innocent, like ignorance.

Once you are engaged in this industry, some of the thinking patterns of this industry will definitely affect your way of thinking, your way of doing things, and your behavior patterns.

Once you realize the cruelty of society, you will not become a good person in the world, and the world is harmonious.

Can you forget?

Fang Xian had an idea.

Then Fang Xian found that in fact, this kind of forgetting seemed to mean that he could completely package and isolate the corresponding knowledge and cognition, instead of completely forgetting and becoming not.

It's just that it's as if your knowledge has become a skill box, and this skill box can not affect and integrate with other skill boxes, and you can simply abandon all the thinking patterns, operating habits, and so on related to this skill, instead of the previous hybrid.

That's too strong!

With 500,000 skill points, you can add 100 skill points to level 5 skills, which is really not simple.

After Fang Xian got this realization, Fang Xian hesitated a little, but still chose to send a message to his teacher Lin Hui.

The message was edited as follows: "Teacher, does the perception of level 6 skills mean that a doctor can fully control this skill, and even abandon all the constraints brought by this skill, including the constraints of thinking?" ”

"This is the perfect skill, or is it a level 6 skill?"

After editing the message, Lin Hui didn't reply immediately, probably doing surgery.

Fang Xian continued to appreciate the benefits that this skill that he didn't know the level might bring to himself.

With a flash of inspiration, Fang Xian suddenly found that in his mind, he began to continuously model the existing, at least real-world, fracture-related types, treatment methods, and fixed modes that appeared or were defined in the real world, and constantly deduced the relevant treatment plans in his mind.

It seems that in a moment, you can casually extract any part of the human body, any type of fracture treatment, and then repeat it with the most suitable fixation method, the smoothest treatment, and the best surgical approach direction.

In addition, it can also deduce alternative plans and secondary options, which represents Fang Xian's thorough integration of this skill, and even Fang Xian can also point to the next aggressive diagnosis and treatment plan for fracture treatment.

For example, there are three development routes for the current fracture treatment, the first is to rely on the development of manual reduction, continue to launch more matching manual treatment routes for more fracture types, so as to achieve good results.

This is called non-opening of the surgical direction.

In the second direction, the material of the steel plate is improved, and a degradable steel plate is developed, which gives the strongest internal fixation state when the fracture is internally fixed, and after the fracture is healed, the steel plate can be degraded and absorbed by the human body, so that the growth of the periosteum is the most compatible with the original state of the human body.

The third direction is to classify many existing diseases into fractures, which are the most basic discipline in orthopedics, as well as the most basic and basic diagnosis.

What does that mean?

That is, orthopedics is actually trauma surgery, and most of the orthopedic subspecialty diseases are fundamentally caused by various reasons for fractures, so there are corresponding symptoms.

Therefore, it is possible to cover the treatment of these diseases with the type of treatment of fractures!

For example, if there is a drug that stimulates the growth of cartilage, then most of the diseases of joint surgery can be washed and slept.

If it is possible to limit the activity of osteoclast-induced microfractures of bone tumors, then bone oncology specialists can also wash and sleep......

Naturally, this is just an enterprising direction, and it does not mean that Fang Xian can do it.

It turns out that on top of the Ruyi level of skills, a surgical method, the understanding of a disease, can reach such an unbelievable realm and point!

That night passed, Lin Hui still didn't reply, and he didn't know if he didn't see it, or if there was something else.

But no matter what, the next day, Fang Xian still had to go to the ward, and he still had to have surgery, and he still had to take the people in the department to do a few fracture surgeries for the purpose of teaching.

Director Huang Bohang and Director Qin Hongxuan have already given face, and now they have begun to collect patients in the direction of the diseases they want to treat, and they are willing to cooperate with themselves to develop the orthopedics department in the county hospital, so that they can learn and treat more diseases.

That Fang Xian's attitude will not be too tough, and those who can teach will also teach a little.

It's just that when Fang Xian was doing open reduction and internal fixation of fractures today, he always felt that there were a lot of treatment methods, and the way of internal fixation was a bit too difficult to choose.

However, in the end, Fang Xian still chose the relatively traditional suprapatellar approach of tibial fracture with intramedullary nail internal fixation to treat the patient's disease.

However, during today's operation, although Fang Xian was still able to carry out a good reduction of the patient's fracture before the operation, even if the external fixation of the plaster cast could not meet the fixation requirements after reduction, surgical internal fixation was required.

However, the reduction effect that Fang Xian did today is far better than before, and the reduction effect of such a technique even makes the reduction of fractures, which is difficult to achieve the efficacy of external fixation of plaster, have a tendency to achieve external fixation of plaster.

Moreover, after Director Huang Bohang read it carefully, this thought became more and more intense: "Doctor Fang, take a good look at it, after such a reduction, it seems that the broken end of the fracture is closed." ”

"There's no instability, huh?" Huang Bohang even shook the patient a few times after the patient was anesthetized, and then took a photo of the C-arm.

Then carefully observe the X-ray results, and the alignment is still very good.

In this way, this type of fracture manual reduction, which cannot be done in the current academic and professional fields, has been restored by Fang Xian with manual reduction.

Is this a type of fracture that can't even be supported in the literature?

"Doctor Fang, I don't think there is any need for this patient to continue the operation." Huang Bohang still insists on his own understanding and ideas.

The rest of the people were all fully armed, dressed in sterile surgical gowns and sterile gloves.

His eyes were focused on the X-ray display, and his brain suddenly twitched a little.

The current era is not as good as many years ago, when everyone didn't know what their level was or what the top level was, so they had their own opinions and cognitions.

But in today's era, whether it is surgical indications or surgical contraindications, since the proficiency of the operation corresponds to one by one, every orthopedic surgeon will basically remember the corresponding indications and contraindications more deadly.

So that I can reach that level, do that step, be able to rehabilitate the patient more favorably through my own technology, and then go to the medical society to prove my ability.

So even if they don't, it doesn't mean they don't know.

The indications and contraindications for surgery will be announced to you without the ability to do so, but will be announced at the beginning.

This is not a skill to upskill, nor is it a level of operation and promotion path for different proficiency levels.

Fang Xian thought for a moment and said, "Director Huang, although we all think so, the medical association doesn't think so, once there is any problem after the operation, it is impossible to explain the reason. ”

"Let's get the surgery done for the time being."

"The matter of expanding the indications for fracture manual reduction will have to be talked about later."

In the situation of strong intervention of the medical association, the medical society generally believes that it is impossible for anyone to be able to operate against the indications and contraindications of surgery, even professors, because this is the unanimous formation of professors, and the indications correspond to the maximum limit of different proficiency.

How dare Fang Xian make a mistake?

"It's a pity." Huang Bohang sighed in front of the display panel.

The more rigid the rules, the more restrictive! And you can't disobey it.

(End of chapter)