Chapter 263: Case Discussion
"Hehe, it should be easier for young people to communicate with each other." Lin Jiemo laughed dryly, and treated Fang Xian as an unintentional remark, and did not secretly poke his thoughts at all.
However, in order to make Wang Yang and Yang Yiguan, the two great gods, rein in their temperament, Lin Jiemo also had to admire Fang Xian's ability.
Anyway, if you ask yourself, he can't do it.
The temperament of the two of them, one is more arrogant than the other, to say that they have no ability, and if they are arrogant, it is self-deception, but on the contrary, these two people still have some ability.
Wang Yang, as the attending physician of thoracic surgery, is a theoretical researcher, in terms of theory, he ranks second, and no one dares to rank first in the Affiliated Hospital of Shonan, after all, theory and practice are different, if there is nothing in the head, where can the concept be used for theoretical scrutiny?
Fortunately, no one is perfect, and Wang Yang's practical operation is still a little worse, but it is harmless, as long as a person has a special elevation point, he can be remembered by others.
And Yang Yiguan, he is Fang Xian's senior brother, even if he devoted himself to theoretical development in the first few years, the actual basic operation still did not fall, just level 5 basic skills, Yang Rongguan is proficient in three, although there is no way to compare with Fang Xian, but at such an age, looking at the whole Huaguo, I really can't find a few.
"Although their temperament is not as good as they want, but the momentum of climbing up is still there, people, as long as they have the heart of upward progress, everything is easy to say!" Fang Xian nodded and smiled.
If you want to climb up, the most important thing you should pay attention to should be Yang Yiguan.
His father's attainments were not low, and it was difficult to surpass him, so on the surface, Yang Yiguan looked like a rich second generation waiting for death, but in fact? His upward momentum is not small, otherwise, how could he have come to the front line of their functional reconstruction department? It's not about improving your professional and practical skills.
It's a pity that if he wants to overthrow his father, Professor Yang Gefeng, or side by side, he can only work towards a world-class level 6 doctor.
The so-called journey of a thousand miles begins with a single step, and Yang Yiguan has joined the team, which may be the biggest reason.
……
About a week later.
At the end of April, as a team in the initial stage, self-reflection is often the most important link, every time you do a period of work, you must stop and analyze the problems you are encountering, only in this way can you make the development of the team more stable in the future.
Exploring a whole new field, such literacy is fundamental.
Just before the May Day holiday, everyone was called together by Fang Xian to sort out the workload of this month.
"Overall, the quality and quantity of our surgeries this month are very good, and the follow-up work after the operation has also been recorded on time for our future research and development."
"However, there was one patient whose prognosis was not satisfactory to the patient and his family." In the room, Associate Professor Qin Long sat on one side and began to summarize and analyze his work, and everyone else looked at him, after all, it was a team, and every link needed to be paid attention to.
"This patient's stool function is quite satisfactory, although the number of times a day is on the high side, but they are all within the normal range, which can be regarded as normal. However, there was occasional urinary incontinence, and later the family also had a few troubles, but they have all been subsided. ”
This is the necessary self-examination of emerging subjects, and each link and aspect must be repeatedly demonstrated, and only after reaching a good conclusion can it be put into practice.
Regarding the prognosis of surgical patients, it is also within the scope of consideration of surgical risks, and it cannot be ruled out that there is a problem in the surgical process or practice, and no detail can be ignored.
The others looked at each other and did not take the lead in giving their opinions, although it was after the operation, but in order to forge a mature medical system, it was necessary to study each link, and if any problem arises, the corresponding cause should be found.
However, the problems that have arisen now are only a small number after all, and even if they are to be sampled, there are not enough cases for people to analyze, so it is not so much a medical malpractice as a coincidence.
"Our surgery is still in its infancy, and we still need a lot of practical cases as a basis for the unknown risks after surgery, so that we can find and solve problems.
After all, it is an immature surgical system, and they cannot guarantee the exact postoperative results, even if it is a mature operation, who can guarantee that it will be 100% successful? It's all unknown.
Therefore, it is necessary and necessary to communicate with the patient's family about the outcome of the surgery before surgery.
"Regarding the effect of surgery, we don't need to guarantee anything, after all, it is an emerging discipline, if we can guarantee any effect, our team has already achieved the world's top!"
After listening to Fang Xian's words, everyone else smiled relaxedly.
As he said, the emerging surgical system, which is still in its immature stage, cannot give any assurance of certainty to the patient's family. Basically, people all over the world are waiting for their team to write a manuscript to launch this new surgical system and form a professional curriculum and training system.
It would be amazing if they could be sure of any post-operative results now!
The atmosphere gradually eased down, and at the same time, Fang Xian also said the second suggestion: "Secondly, the observation of postoperative patients is still separated from men and women, so that the management can be more convenient and some unnecessary problems can be avoided." ”
Speaking of this, Fang Xian glanced at the others, and the others would also smile, naturally knowing what Fang Xian was talking about, Qin Long coughed lightly twice and nodded: "What I said just now is the one." ”
Hearing this, Fang Xian raised his eyebrows, but he didn't seem so surprised, then nodded thoughtfully, and said several times in a row: "Then it's not strange......
As mentioned earlier, during the self-examination, each link should be analyzed and demonstrated to ensure that there will be no unexpected problems in these aspects, just like the separation of male and female patients between patients after surgery, and the problems that will occur will be greatly reduced.
"There's another issue that I think needs to be taken seriously." Associate Professor Zhong Kangxuan sat next to Fang Xian, and when he saw him in thought, he followed coldly.
Hearing this, everyone else looked at him in unison.
"Hmm." Fang Xian nodded and motioned for him to continue.
"I think the question is, after the operation, do you need to change the medication, after all, because of the particularity of this surgery, you need better drugs for neurological rehabilitation."
"Even if some imported drugs are more effective for the rehabilitation of neurological function, can they also be cited?"
Hearing Associate Professor Zhong Kangxuan's question, everyone else was more or less silent, this is because Huaguo's original drug development is indeed inferior to that of foreign countries, but if foreign drugs are cited in this brand-new field, will people gossip?
After all, this new field is being expanded and developed by the Huaguo team, and if it is necessary to import drugs for follow-up drug treatment, will it be a little ...... Pull across?
The others looked at each other, this question still needs to be decided by Fang Xian after all.
"In terms of rational drug use, I think we can still explore it." The others had their own thoughts, but Fang Xian nodded, acquiescing to Zhong Kangxuan's words.
"Although we are in the initial stage now, and we have not yet found the best quality postoperative rational medication, after all, it is related to the health of postoperative patients, and it is natural to give priority to faster recovery, so what about imported drugs?"
Speaking of this, Fang Xian's tone gradually flattened, and he continued to say slowly: "Besides, what is the most important thing in doing research? Be realistic. ”
"Just because we need to import, we don't dare to admit the original development ability of domestic drugs......"
"In addition, after this month's operation, there are indeed some small problems that need to be paid attention to, that is, our division of labor, we must have a clear division of labor system, one radish and one pit, even if there is any unexpected problem, we can deal with it in time."
Next, we started to assign the surgical work according to the functions and strengths of other people.
Yang Yiguan's surgical skills should be the highest in addition to Fang Xian, so he is responsible for the debridement in the operation, the debridement is relatively complex, there are the first time and the second treatment of the wound, when cleaning the wound, it is also necessary to preserve the important blood vessels, nerves and tendon tissues as much as possible, fine operation, it is necessary to carry out Yang Yiguan.
As for Zhong Kangxuan and Qin Long, they are responsible for the reconstruction of the anatomical function of the corresponding departments.
Fang Xian's task is heavier, as the backbone of the team's development system, Fang Xian needs to pay special attention to all aspects, so he is responsible for the correction or guidance of the reconstruction of the anatomical palace lamp at any time, in addition, he also needs to be responsible for the operation of nerve transposition, suturing, planting, etc.
With great power comes great responsibility!
And Li Qiu, who is only responsible for continuing to teach the application of the concept of suturing in the direct sealing and operation of tendons, is still in the learning stage, and cannot ask him too much, the pressure can indeed make people progress, but not too much.
The discussion of the medical case lasted for more than ten minutes, and the problems that occurred throughout the operation and the follow-up were moved to everyone, and everyone discussed the coping methods together, and the solutions reached after the discussion could be put into practice faster.
Just then, there was a knock on the door of the conference room.
During the meeting, the team from the hospital's medical department and scientific research department suddenly visited, and when they heard that Fang Xian was analyzing and summarizing here, they came to ask for advice in person.
Although it is rude to make a surprise visit in the middle of a meeting, since they came, it means one thing, that is, the hospital attaches great importance to this matter, so they will ask the team from the medical department and the scientific research department to come and ask for advice.
As a result, the conference room became polarized, with several people who had been sitting facing each other now sitting on the same side, while people from the Medical Affairs Department and the Research Department were sitting opposite.
"Doctor Fang." A man who seemed to be able to speak in the scientific department smiled and spoke. "If there is any problem in the development of new subjects carried out by your team, our scientific research department will definitely help, they are all from one college, and any difficulties can be raised in time."
At the same time, the people in the medical department also expressed their attitude: "That's right, the development of new subjects needs to be cautious step by step, and our departments should coordinate and cooperate and discuss together, which is also beneficial to the next development, right, Doctor Fang?" ”
Listening to what they said, Fang Xian moved out his usual coping words: "That's natural, it's not easy to develop new subjects, if there is a need, I will definitely seek your help, the strength of a team is still too small after all, if someone else is willing to help, it is naturally better." ”
"However, the current development of subjects is still in its infancy, and there are too many aspects that require time and effort, and if you don't have relevant experience, it really won't help much, and if a group of people are anxious about a problem, it's not a waste of time."
The meaning of the words is very simple, as a new subject, even they are still in their infancy, even if others are willing to help, it is estimated that they will not be able to help much, and if they encounter some new problems, not only can they not help, but they may also cause trouble.
Therefore, spiritual encouragement is acceptable, but actual help is exempt.
However, it just so happened that talents in various fields were here, and Fang Xian had a new idea, that is, to take this opportunity to do a simulation of the follow-up press conference.
Since it is a press conference, there needs to be a person as the team representative, and Fang Xian is the best candidate for this representative, but in terms of theory, who in the team can be stronger than Wang Yang? So, naturally, he got the position of representative.
This is an opportunity to show his face, although Yang Yiguan is not convinced, but Wang Yang is the most suitable one, and he has to take it.
In the conference room, Wang Yang stood in front of the table and began to give a brief introduction to the development of the team's emerging subjects, which was not only to simulate the follow-up project conference, but also to tell the team of the medical department and the scientific research department about their work progress.
They are all professionals, and even if they have different assigned functions, they can still hear the development of the Fang Xian team in emerging subjects.
Especially in the follow-up observation and treatment of surgery, everything is done in detail, although it is a little troublesome, but the mature medical system is not piled up by huge basic data?
After listening to Wang Yang's description of the next work, if there is anything inappropriate, others will take the initiative to correct it, which is not a provocation, but to make the next topic conference more rigorous.
But the one who can point out the problem is Fang Xian, even if Yang Yiguan listens carefully and wants to hear any loopholes from Wang Yang's mouth, but in the end, except for Fang Xian, he didn't find any loopholes.
can only reluctantly admit that in terms of theory, Wang Yang is still quite powerful.
(End of chapter)