"Teacher Wang, Professor Qin, how much water did the surgical patients enter and exit yesterday? Have you ever been there? ”

"I'm sorry, I'm a little late today." After Fang Xian entered the general ward, he hurriedly put on his white coat and asked.

In fact, originally, according to qualifications, it should be him, the youngest attending officer, to see the patient and record the corresponding data of the patient, and the 'bright side' in the hospital is also arranged like this, it is Associate Professor Qin Long and Associate Professor Zhong Kangxuan, who took Fang Xian to do the operation.

Qin Long came to study, so although he has been promoted to associate professor, his posture at the moment is also very low: "The output is the same as before, and the stool fistula continues." ”

"But Brother Xian, you are a real dick, when he was extubated this morning, the nurse in the operating room said that he had a morning erection reaction. I was so scared that I quickly called me and asked me to come over and deal with it. ”

When Qin Long spoke, the tone of admiration was not adulterated at all, it was completely heartfelt.

Qin Long had never seen Fang Xian's operation and postoperative conditions before, and he thought that the hospital was holding on to one of the achievements of this hospital, so he was slightly exaggerated.

The Department of Functional Reconstruction sounds a bit unfathomable, but when it comes to doing it, everyone is a person in the industry, and who doesn't know who.

There are many types of functional reconstruction.

Even the seekers of the Apologists cannot deny the importance of sexual function to everyone.

For some patients, after losing this thing for various reasons, it will affect their mental health at worst, and become irritable and irritable at the least, which is not a fraud.

Urology is specialized in this thing.

Naturally, such an early morning erection is of course not a good thing, just after the operation, if the cavernous body is congested, it will lead to the relative poor flow of local blood vessels, in case the nerve that has been built up with great difficulty is broken, then the previous efforts will be wasted.

Zhong Kangxuan himself didn't know how good Fang Xian was to make the patient have a slight morning erection in a short period of time, but after being popularized by Qin Long, he also bowed slightly at this moment and shouted politely: "Brother Xian, in the future, the postoperative patients will be inspected by us." ”

"You need to manage the quality of the surgery and the pre-operative planning, and you need to put a little more effort into enlightening us, so that you don't dare to be cheeky enough to do more."

"Fortunately, I followed Professor Qin, and I could barely do such a disgraceful thing." Zhong Kangxuan: This is modest.

But such modesty comes entirely from the respect and recognition of the other party's idle strength.

Of course, there is also an expectation, if he himself can come to this point in the future, even if it is only half of Fang Xian's level, let alone in the world, at least he can walk sideways in the whole country, and there are endless benefits.

Fang Xian didn't have much time to engage in greetings and sophistication with the two: "Professor Qin, how did you solve it later?" ”

"You and Professor Zhong just call me Xiao Fang or Doctor Fang, Brother Xian's title is too unconventional to shout."

Respect is mutual, and Fang Xian also used honorifics.

Qin Long and Zhong Kangxuan are older than Lin Hui, and they call themselves brother, how can they do it, it will be messed up, there is no need for this.

"It would be nice to have a nurse in charge of the bed." Qin Long touched the tip of his nose.

Fang Xian was particularly shocked when he heard this, the patient who operated yesterday was a pure LSP.

"Are the patient's consciousness and vital signs stable? If it is stable, we can go back to the ward, and although the operation is long, it does not involve vascular damage. ”

"It's not a big problem that it should be turned back."

Qin Long nodded and said: "Professor Zhou in the ICU said that if you look at lactate and electrolytes again, if there is no problem, you will turn it around, and then they will send someone to pick up the patient, and there will be someone from the nursing department of our general ward to connect with you." ”

"The nurses in our hospital, especially in the emergency department, are professionally trained for this."

"It's good that there are no accidents!"

"Li Qiu, you are responsible for chasing the routine relevant data after the operation, and then go down to the operating room after collecting all the data neatly."

"Well, pay attention to explain to the nursing department, this patient's bed nurse, let the older one come and deal with it." Fang Xian still commanded.

"In terms of postoperative medication, I will listen to the arrangements of Professor Qin Long and Professor Zhong Kangxuan."

"Don't, Brother Xian, I also need to give some guidance to the medicine man." Zhong Kangxuan said immediately.

In fact, he understood what Fang Xian meant, generally speaking, in the department, if the associate professor is in charge of the medication plan, he can take the quantity to redeem the prize, but this money, at present, Zhong Kangxuan and Qin Long can't take it together.

"Just follow the usual medication for urology and gastrointestinal surgery, fast for at least a week after surgery, and then switch to a liquid diet." After Fang Xian finished explaining to Li Qiu, he walked to the direction of the ward round with Associate Professor Qin Long.

And at this time, the nursing department in the general ward, after seeing Fang Xian and his party come out, there were also four people who followed Fang Xian and the others.

The first one, who should be a nurse, explained: "In the future, we will be the specialist nurses of the functional reconstruction department of Dr. Fang's group, and we will also follow Dr. Fang and them to make rounds to know the basic situation of the patient." ”

"Don't be careless!"

"Doctor Fang, give me a lot of advice in the future, and the head nurse will explain it in advance......"

The appearance of these nurses made Fang Xian a little surprised, but he immediately expressed his position, glanced at the badge of the head nurse, and said, "Sister Qin, thank you to Sister Xu for me, let her bother." ”

The hospital did not say that it would arrange specialist nurses for itself, but the nursing department of the general ward still did it, which was the face of Nurse Xu, and she also had a keen grasp.

Knowing that the Department of Functional Reconstruction is a new department, the cake is very large, and if you have a little sense of scientific research, you will know that this is a nursing topic in a new direction.

This arrangement, on the one hand, is convenient for the work of Fang Xian and others, and on the other hand, it also makes a certain contribution to the exploration and research of the nursing work of this hospital, which is not the scientific research thinking that ordinary nurse managers with a bachelor's degree can have.

"It's okay, Doctor Fang, you guys are busy first, chat about the things you thank, and talk about it later."

"Nurse Xu and the leaders of the nursing department have paid special attention to the beds in the functional reconstruction department, and it is also a blessing for Dr. Fang to be able to bring the clinical team to our comprehensive emergency ward."

"But in principle, we can't particularly disturb your work, Dr. Fang, but when necessary, we may inquire more." Zheng Qiqin said very politely, and carried a small notebook with him, on which a lot of notes were already densely written.

It seems to be related to the beds that Fang Xian is in charge of.

Such a professional nursing team makes Fang Xian feel a little comfortable.

Then, without delay, I quickly took someone to check the room, and determined that today's surgical patient had been fasted and fasted before the operation, and last night, he had already undergone an enema.

Naturally, Zheng Qiqin was also in this process, saying that she had checked and instructed many times, and she was guarding the enema operation last night......

For gastrointestinal patients, the operation is generally performed with strict enema several times before surgery, even if there is a stoma tube.

After everything was confirmed, Fang Xian led the team into the operating room again and carried out the operation that lasted for eleven hours a day.

It's not because of the team's cooperation, but because the patient is a female patient, so the difficulty of the operation is slightly reduced.

7:14 p.m.

Fang Xian watched Li Qiu finish the suturing of the penultimate ligament, and nodded with satisfaction.

What Li Qiu said will not drag him back, but it is not bad.

And the suture of the last ligament was handed over to Wang Yang.

I haven't seen him for a few months, and Fang Xian doesn't know whether Wang Yang's current operation is good or not.

Naturally, Wang Yang's operation can only be said to be decent, and the level of suture and tendon suture is about level 3, which is enough.

After carefully suturing, Fang Xian handed over the last small operation of functional reconstruction to Associate Professor Qin Long of the Department of Urology, and tried a urethroplasty.

The difficulty of urethroplasty is not high, and if other factors are not considered, this operation can only be said to be the basic operation of urology, so it is not difficult for Qin Long to operate.

After the plasty, the urethra continued to be intubated and drained, and Qin Long then said: "Doctor Fang, in fact, patients like this will have problems with the relatively short anatomy of the urethra in female patients due to long-term urethral intubation or loss of detrusor related functions before surgery, not to mention male patients." ”

"Therefore, generally speaking, urethralplasty should be routinely done after surgery, otherwise even if the function is recovered, the corresponding structure of normal urinary function will still not be achieved anatomically."

"There are also some patients who do not have incontinence, and there are some reasons that lead to urethral mutations."

Fang Xian smiled and said, "That's why Professor Qin, you are a professor of urology, and my experience in this area is really insufficient." ”

Fang Xian has only done urological surgery with functional reconstruction, and his understanding of such epidemiological data is still not as thorough as Qin Long's.

"Brother Xian, it's just some basic skills. Nothing. ”

"Thank you Brother Xian for giving me some opportunities today." Qin Long's hands are itchy at this moment.

still hasn't gotten rid of the habit of calling Brother Fang Xianxian.

Itchy hands are when you feel that you have newly learned some skills or operations, and you can't help but look forward to operating and getting started.

I can't wait for a few more.

But it's not too early.

"The operation is almost over, let's go back and check on the patients after yesterday's surgery, we still have to be cautious, and try to be more detailed in all aspects before and after the operation." After Fang Xian finished speaking, he went out of the operating room again to complete the handover with the patient's family.

At about half past eight in the evening, when Fang Xian and his party came to the department, the middle-aged uncle who had surgery yesterday was playing with his baby like a child in the curtain!

"What are you doing?" After Fang Xian lifted the curtain slightly, he hurriedly covered it again.

The uncle was a little embarrassed, and quickly covered the quilt, his face full of embarrassment: "Doctor Fang, Doctor Fang, I'm sorry to ......"

Fang Xian opened the curtain again, and then warned: "You have to cooperate with our doctor's work, you have to follow the doctor's instructions, otherwise, we will finally save what you have rescued, if you lose it again, how wronged do you say?" ”

Fang Xian was really anxious for him, although he could understand the shock and joy of the other party.

But nerve grafting is still in the suture stage, even if there is a lost nerve reaction, but it can't be your toy!

"No, Doctor Fang, I swear, never again." The patient holds his middle and index fingers together, raises his right hand, and swears.

"I'm not scolding you, it's just that the body is my own, and this thing doesn't have much chance."

"You should also know how long you had surgery yesterday, okay?"

"What's more, I still have a urinary catheter inserted now."

"Calm down."

"Is there anything uncomfortable? For example, dizziness, dizziness, or discomfort in front of the heart? In addition to worrying that he would spoil his baby, Fang Xian was even more worried about his life's safety.

Any surgery is risky, and in the event of acute heart failure or arrhythmia after surgery, it is necessary to detect and intervene in time.

The patient shook his head: "It's all right, Doctor Fang, it's just a little hungry." ”

"You can't eat when you're hungry, let's take care of it now, and after you're discharged from the hospital, you can be more convenient." If you are really bored, move your lower limbs by yourself and ask your family members to help you move the other lower limb. Fang Xian instructed.

Then I wore gloves to check my body temperature, and I didn't find any local blood vessel damage caused by body temperature, so it should be fine.

During this round, Wang Yang, Qin Long and the others did not talk to each other, giving Fang Xian enough face and time to pretend to reap the results.

When is the most fulfilling time to be a doctor, especially a surgeon?

The moment the patient recovers, the patient comes in lying down, can jump out, or has the most knowing smile.

……

After everything was over, Qin Long and Zhong Kangxuan first formed a team to say goodbye and solve the problem of dinner and supper on their own.

Fang Xian also felt a little tired, and planned to go home directly to rest.

After all, there were more than ten hours of fierce battles for two consecutive days, and there were several fierce battles to follow. You can't exhaust yourself.

But Wang Yang followed, and only after leaving the hospital did he ask: "Doctor Fang, you didn't apply for the Youth Fund of the National Natural Science Foundation of China this year, so what are you going to do about your project?" Is it just a simple walk, in terms of funding for medical associations? ”

"In fact, in terms of gold content, although the topics you have done have definitely exceeded the general topics, you still have to follow the procedures to go through the application process for the general project fund or youth fund."

"In this way, you will be able to leave Qianqing in the future."

When Fang Xian heard this, he understood what Wang Yang meant: "Brother Yang, have you been involved in the project?" ”

Fang Xian knew that Wang Yang was particularly in-depth in terms of topics.

And the topics, especially the ones that are more on the table, are the general topics and the Natural Science Youth Fund.

"I'm investing, I don't know if I want to give it or not."

"What I mean is that Dr. Fang, you'd better apply for a youth fund, so that you can become a master's supervisor in the future. Then it is helpful to evaluate the title of the researcher, even when evaluating the professor. ”

"Brother Hui, let me remind you."

"Because even now, it is impossible to completely detach from scientific research and only talk about specialization." Wang Yang and Fang Xian walked side by side, looking sideways, with a little respect in their eyes, very appreciative, and even a kind of recognition of the same kind of people.

(End of chapter)