Fang Xian thought that it would be a very boring thing to bring an operating system to operate.

But when Fang Xian found that under the condition of slowly adjusting the parameters by himself, this original 'fool reset operating system' completed the first and simplest case of mid-tibial fracture manual reduction, and this sense of accomplishment was even happier than the first time he completed it.

Seeing that the patient was lying on the operating bed, the calf deformity of the right lower limb had disappeared, and the pain was relieved a lot, and he also complained: "Doctor, this instrument is really amazing, it really doesn't hurt much." ”

"Can I get up now?"

Fang Xian hurriedly said: "Don't don't, don't be, don't be, you continue to lie down first, and after we finish shaping your plaster cast, you can get up again." ”

"Then go to recheck a plain film, and the effect of the reset should be satisfactory."

"Okay, Doctor Fang, thank you."

"Hey, now this technology is getting more and more high-end, but originally Doctor Fang's technology is good, and with such a good machine assistance, then you must treat one or two hundred a day, and it is not a problem." The patient replied.

Now, although it has only been a month since Fang Xian came to Ci County, Fang Xian's reputation for the treatment of fractures in Ci County has been quite widespread.

Because some time ago, after the fracture of a comrade of the traffic police team was also dealt with relatively properly, now the situation is that as long as there is a fracture-related traffic accident in the county, the traffic police generally prefer 120 or a private car driver to send the patient to the Cixian People's Hospital.

"That's not there, I, I hope there aren't any patients." Fang Xian smiled, and then took the initiative to come forward to help, and completed the fixation of the plaster external fixation with Zhou Xiyin.

After the plaster shaping was over, the patient was pushed out of the door of the operating room by Fang Xian and Zhou Xiyin, and the family members hurriedly came forward to ask how it was.

Before Fang Xian could reply, the patient himself said: "It's okay, it's a little painful, but it's much better than when I first entered the hospital, after all, Dr. Fang's skills are very high." ”

"Didn't you say with a machine?"

"You also have to see who is using the machine, the machine operated by Dr. Fang himself, can it work badly?" The patient was very satisfied with the effect of the treatment and took the initiative to persuade his wife to inquire less.

"Eldest sister, you go and take the eldest brother for an X-ray review first, let's evaluate it again, be careful, be safe, and go home after doing a good job of resetting, please rest assured." Fang Xian emphasized.

Whenever there is any problem with the fool's reset system, Fang Xian will re-deal with it to ensure the quality of the manual reset, which is the first premise.

"Okay, thank you Dr. Fang, then let's go for a review first, and then come to you." The eldest sister is very happy.

When ordinary people encounter fractures, they will feel that they are in big trouble. However, fractures can be treated without surgery, which is the most satisfying.

Surgery is not a good thing and a good service, and it will not be rushed.

And just after the patient and family members left, Luo Huang, who was in charge of data registration, appeared and asked, "Doctor Fang, what is the result of this patient's manual reduction today?" Or is it a failure? ”

Luo Huang is only responsible for registering objective data, counting the number of failures and the types of failures.

It does not participate in the evaluation of technical parameters, nor does it participate in the supervision of the diagnosis and treatment process.

Objectivity is the first principle of all topics. Moreover, this reset operation assistance system, to be applied to the clinic, the last way to go, is not to take the initiative to operate, but to choose an orthopedic surgeon, who can be operated, which is a mature auxiliary system.

Therefore, both successful and unsuccessful data need to be recorded in detail.

"It's a success, but the specific results are still based on the results of the X-ray review. This is already the seventh simple fracture type to be reduced. ”

"The learning ability of this auxiliary reset system is still not strong enough, and the parameters need to be further adjusted!"

"Well, the learning of artificial intelligence always has to be a process."

"In particular, this form of intelligent assistance in this form of operation is not careless at all, and any deviation may lead to more serious consequences."

"But it's hard to get started. Dr. Fang, you have to worry a lot. Luo Huang was very polite to Fang Xian's tone.

After the patient returned from the reexamination, Luo Huang and other staff who were only responsible for registering the data avoided it again.

Fang Xian and Zhou Xiyin were prostrate in front of the computer, carefully and carefully evaluating the patient's postoperative situation.

The main evaluation index is the alignment error of the fracture end, whether there is angulation, whether there is mosaic, shortening, etc.

Fang Xianyi used the measuring tools on the reading system to mark the width of the fracture line, and said to Zhou Xiyin: "Xiyin, you remember, the distance between the proximal and distal ends of the fracture is 0.8mm, the offset of the broken end of the fracture is 2mm, the line of force is basically not offset, and the lateral orientation is ......."

Zhou Xiyin hurriedly recorded all these data in his notebook, and was even more attentive than Fang Xian.

After analyzing these data one by one, Fang Xian said: "This method resets the operating system, and there are still so many problems in the current reset process." ”

"The first is that it cannot be precisely pulled hard along the line of force, and there is a certain deviation, so there will be bias during the complete separation of the fracture end due to continuous traction."

"Second, it cannot properly increase the initial traction according to the patient's body size, which will make the traction process slightly longer, although the traction process will not cause the patient to produce pain and other stress symptoms, but will relieve the pain, but will increase the operation time, and increase the probability of the skin being squeezed and damaged."

"Third, it is not accurate enough to control the reset angle after thorough traction, and in its display field of view, it pays too much attention to the recovery of the line, and occasionally ignores the alignment of the broken end, so it can only reach the standard of functional reduction, and cannot meet the standard of anatomical reduction."

"Fourth, its current traction force, completely concentrated on the bones, can not apply the patient's own muscle strength, this point, is difficult to overcome, our medical staff, the reason why we can make the manual reduction to the point of very delicate, in fact, the use of the patient's own muscle strength and muscle shape, is very ingenious......

Zhou Xiyin recorded everything in his notebook at this time.

Every time it is done, it has to be recorded in this way so that it can be evaluated.

Zhou Xiyin finished writing, and then turned the page: "Senior brother, then how do you think it should be adjusted if it wants to overcome the above limitations?" ”

"The last one, there is no way to adjust it for the time being, the delicate use of muscle strength requires a person to be very familiar with the anatomy and shape, not fixed, so I think the upper limit of the manual reduction that this manual reduction system can achieve is level 2, which cannot reach the level of level 3 manual reduction."

"But the second-level manual reduction has been able to deal with a large number of common fractures."

While he was talking, Du Lixiao, who was on duty, walked in, and seeing that Fang Xian and Zhou Xiyin were busy, he asked with a smile: "Doctor Fang, Doctor Zhou, do you want to have some lunch?" ”

In today's trauma surgery, the emergency that basically needs to be dealt with is trauma, and fracture patients basically do not need to be dealt with by a doctor on duty like Du Lixiao.

If it is a fracture patient who needs surgery, then it is still admitted to the hospital, but that is what Huang Bohang did the operation.

"Brother Xiao, let's go out to eat later."

"Do you want to wait and pack some for Brother Xiao?" Fang asked with a smile.

"Are you going out to eat? I don't need to pack it, it's too troublesome. I'll just order a boxed lunch. Dulishaw shook his head.

"Doctor Fang, you and Doctor Zhou are busy first, and I'll go lie down and rest first." Du Lixiao smiled, then left the office and headed for the doctor's lounge.

Du Lixiao left, and Zhou Xiyin turned his pen: "Senior Brother Fang, have you noticed that since we started to work on the subject of manual reset auxiliary operating system, Dr. Du Lixiao and Dr. Chen Fangjun have gradually become estranged from us. ”

"Except for doing surgery together in the operating room, the rest of the time, they are avoided."

Fang Xian nodded: "Maybe they have their own thoughts and concerns." ”

Zhou Xiyin sighed and said, "Actually, they can also participate." However, if you think about it carefully, after Dr. Du and Dr. Chen are involved, the benefits to them are not very great. ”

"It's just that we seem to be a little out of touch with the people in the department."

Zhou Xiyin can feel it, how can Fang Xian not feel it?

However, Fang Xian felt that maybe he and Zhou Xiyin had not integrated into it.

That's the most important thing.

“……”

The clock was fast approaching February 13th.

Fang Xian has been coming to Cixian People's Hospital for more than a month.

In the director's office, Huang Bohang sat in the director's seat, and next to him, there was a doctor of the same age as him, but with a darker complexion.

His face was simple, his lips were slightly thick, and he said after arching his hand slightly: "Doctor Fang, I have long heard that you came to the county people's hospital for counterpart support, but you have never had the opportunity to come to ask for advice. ”

"I don't know, can Dr. Fang take some free time to come to the hospital in our town and do a few surgeries? It's just the right thing to cure for us. ”

After he finished speaking, Huang Bohang introduced: "Doctor Fang, this name is Dr. Ma, a surgeon in the town hospital, and a friend of mine for many years. ”

"Actually, long before you came, Dr. Ma wanted to visit, but the time has not been suitable, no, now he is here, saying that he has a few incurable diseases in his hands, and I hope Dr. Fang can help deal with it."

While Huang Bohang was talking, he also brought tea to Fang Xian with both hands.

Fang Xian hurriedly got up and picked it up: "Director Huang, you are too polite. I'll just do it myself. ”

"Doctor Ma, I don't know what the incurable disease you are talking about, what is the situation?"

"I can't say if I can help." Fang Xian didn't dare to be careless.

Disease can be big or small, the difficulty coefficient is difficult to control, and Fang Xian is not invincible, although some diseases can be improved by adding points to improve the proficiency of the corresponding treatment techniques.

But Fang Xian's current skill points are no longer sufficient.

Compared with the previous hundreds of thousands, now it is really pitiful.

"That's right, Doctor Fang ......" Doctor Ma didn't make Fang idle and talked about a few patients in his department.

They are all infected patients, and after the infection, they are always not getting better.

Even, there are a few people who have turned over the Zhangshi People's Hospital many times, but they are still not controlled, and the patients and their families just want to stay in the town hospital, so they say that the town hospital has not been cured.

Now in a half-state, the hospital means that the treatment first, the medical procedure, and then walk slowly.

When Fang Xian heard this, his brows instantly furrowed: "Doctor Ma, for such a disease, you should suggest that they go to the province for treatment?" ”

"It's useless for me to go here, and I'm not an infectious surgeon."

When it comes to medical disputes, Fang Xian will never dare to intervene, don't let the yellow mud fall into the crotch of his pants when the time comes, and he can't tell clearly.

If they don't get involved, they will never rely on themselves, but once they get involved, they can't get rid of it when the time comes, and this is the trouble.

"The patient refuses to go by himself, and the family doesn't have much money in the first place, and now it's just a scoundrel." Dr. Ma was quite generous and explained everything clearly.

That party was even more afraid to go.

"Dr. Ma, I think it is more appropriate to find a specialist doctor for a specialist disease, and since it is a postoperative infection, it is more appropriate to find a doctor of infection surgery." Fang Xian said apologetically.

Dr. Ma didn't know how to answer for a while.

Huang Bohang said: "Doctor Ma, if this is not the case, you suggest that the patient be transferred to our department first and show it to Dr. Fang, but it really doesn't work, let's transfer it again." ”

"Dr. Fang is currently a doctor who is helping his counterpart, and it is not appropriate to change his practice location and go to the town hospital."

"Doctor Fang, did you say that?"

Fang Xian saw that Huang Bohang's tone and eyes were quite sincere, and then nodded: "If the patient has a hospital and comes to our trauma surgery, then he must try his best to take a look, after all, there is no infection surgery in our hospital." ”

At Cixian People's Hospital, trauma surgery is infection surgery.

When you come here, if you have an incurable disease, it is okay to help solve it, but it is absolutely impossible to go to the town hospital to help solve it in violation of the regulations.

"Then thank you Dr. Fang, I believe that Dr. Fang's skills will definitely be able to solve it, after all, you are all experts and professors from the Affiliated Hospital of Shonan University." Dr. Ma grinned.

Fang Xian thought about it carefully, and after finding no problems with the procedure: "Doctor Ma, you have a good reputation, if the patient has the desire to turnover, you can come to the county hospital and try to take a look." ”

"But it doesn't have to work, after all, I'm not a professional doctor."

Doctor Ma hurriedly said: "Doctor Fang, you should only do your best, if there is really no way, then we will definitely think of another way of thinking." ”

(End of chapter)