Chapter Seventy-Eight: Seeking Stability and Refinement
If Jin Hongzhou is willing to feed himself enough dislocation techniques to reset, then his knowledge points will increase at a rate that will rise slowly.
[Current Knowledge Point Balance: 138.2!] 】
It's 130+ again, and it's a little more than yesterday before the manual reduction.
Fang Ziye carefully calculated-
When adding a point manual reduction, the knowledge point is 125, the knowledge point consumed is 66, only 59 remains, yesterday a day increased by 47 points, this morning the ward rounds increased by 0.2, the medical order increased by 12 points, and just two reductions increased by 20 points.
It's exactly 138.2!
It's hard to say whether these knowledge points should be saved up first and prepared to add some skills to level 4, or whether they will temporarily engage in other new skills that can be developed.
At least, if you have a little bit of savings, you can get more opportunities!
This point was confirmed by Fang Ziye yesterday.
Direct addition, skills can be directly improved, which is good, but it is not conducive to long-term development and sustainable development.
If there were no stored knowledge points yesterday, Fang Ziye would not have been able to contact the manual reduction of joint dislocation, and he would not have had today's opportunity.
The skill of dry staring is something that can be learned without a little knowledge.
"Be steady, don't learn from Viagra at this point." Jin Hongzhou suddenly remembered something and said so.
Fang Ziye hurriedly explained to his teacher: "Brother Zhou, in fact, my master is very stable, right?" It's just that the form of expression is different, my master doesn't seem to have had any accidents, right? ”
When Jin Hongzhou heard this, his pupils shrank suddenly, turned his head, and looked at Fang Ziye's gaze, as if he had changed his mind.
"This?" Jin Hongzhou suddenly realized.
It seems that although Yuan Weihong is nicknamed Beihai Yiye, nothing has happened to him.
Still waters run deep?
Jin Hongzhou once again realized it.
took a serious look at Fang Ziye, and then examined Fang Ziye's performance.
As the saying goes, what a medical student will eventually develop into is actually more or less related to his teacher.
Yuan Weihong looks a little wavelike, but his nature is stable.
This made Fang Ziye also develop a cautious habit, which made sense.
However, Jin Hongzhou still joked: "You and Viagra are a bit similar to each other to a certain extent, focusing on a stable one." ”
Fang Ziye didn't catch this stalk: "Thank you, Brother Zhou, for your compliment." ”
Jin Hongzhou instantly felt bored: "You really don't have the talent of the master." ”
……
The teenager's elbow was dislocated, and after manual reduction, he applied for an emergency MRI and then returned to the department again.
Jin Hongzhou has already gone to the emergency department for consultation again, picking and picking some minor surgeries and minor diseases, and sending them to the emergency operating room, striving to give people like Luo Tingzhu who are staying in the emergency operating room some operation opportunities.
Fang Ziye also sent a message to Jin Hongzhou to report the information of the return from the review, and after reporting the medical record number to Jin Hongzhou, he decided to read the film by himself first.
Naturally, the current level of MRI reading is only level 2, so it is still necessary to temporarily increase the level of MRI reading to level 3 through the knowledge points.
The knowledge points were emptied again.
"Don't worry, whether the ligament is injured or not, guessing must not work, there must be enough evidence. In the absence of evidence, all suspicions are speculation. ”
"The child's age is not very old, everything is on the safe side, even if it is a ligament injury, it is not a big problem, it should be a plaster, and if it should be surgical, it should be surgically intervened, right." Fang Ziye appeased.
After the MRI reading reached level 3, when Fang Ziye performed the MRI reading again, he saw a tear in the anterior bundle of the ulnar collateral ligament at the elbow joint, and the shape was incoherent, which should have been ruptured.
In the case of moderate to severe posterior elbow dislocation, even if it is expected not to be accompanied by ligament damage, such an expectation is still a miracle.
In reality, there are not so many miracles.
Fang Ziye used the mouse to gesture at the fractured part: "Sister, this situation is the same as the situation we speculated through X-ray reading before. ”
"Anterior bundle rupture of the ulnar collateral ligament is a very common complication of moderate to severe posterior elbow dislocations. The chance of injury is very high. ”
"This is not caused by our reset. You also know that if the ligament is ruptured due to reduction, then in the process of reduction, such violence will definitely not be able to stand the child. ”
"The process of repositioning, you have also seen, from the beginning of our traction, the child, that is, your son, he felt that the pain was immediately relieved by half, which proves that the process of our traction is to alleviate his pain, not to further lead to entrapment and alternative violence."
"After the reduction, his pain was relieved, the deformity was gone, and some active and passive activity function was restored, but the anterior toe injury was still there, which still needs to be managed."
"But you need to go to the sports medicine specialist for treatment, and I will call our orthopedic sports medicine specialist later. If you want to deal with it in the future, you still need a professional doctor to give advice! ”
That's the theoretical and cognitive benefits.
In moderate to severe injuries, it can be inferred that there is a possibility of collateral ligament injury due to the corresponding structure. This is the theory.
From the statistical analysis of big data, the probability of collateral ligament injury after moderate to severe injury is as high as more than 90%, which is cognition.
Therefore, before the reset, Fang Ziye had already explained that now it is only a confirmation, although the woman's eyes suddenly turned red, she did not particularly collapse.
Medical communication, to a certain extent, depends on the doctor's ability to control the disease.
Everything is said in front, so even if there is a relatively bad accident, the patient's family will not directly collapse or cannot accept it.
If it was unexpected, it must be a different scene now.
The woman's left hand wiped her left and right eyes respectively, wiped off the crystal from the corners of her eyes, and asked, "Doctor, although you said so, I still feel a little uncomfortable in my heart, I hope you understand, after all, it is my child who is injured." ”
"Such a possibility! Maybe it's not your loved one who is hurting, so there's no way you can empathize. ”
Fang Ziye nodded: "Eldest sister, I must be able to understand what you say, I may not have a way to empathize, but, in the same way, as a doctor, I also have parents." ”
"I know, as a doctor, I will explain to you in advance that many things have nothing to do with our doctors, and you think I will not empathize, or shirk responsibility."
But if you put yourself in the shoes of a child, if your child is also a doctor in the future, will you let him do everything and not explain the matter? At least my parents were on the safe side when they told me about the principles of being a doctor. ”
"They want me to be safe, to explain everything when I work, and to be as safe as possible."
Fang Ziye also said sincerely.
Fang Ziye learned these words from Yuan Weihong, Yuan Weihong was only a small chief at that time, and not long after he was hospitalized, someone in the department also said to Yuan Weihong, the injured person is not your family, so you don't care.
Yuan Weihong said, yes, the injured person is not my family, but in the same way, the doctor who treated you is not your relatives, nor your children, or your parents, of course you want the doctor to take care of everything for you.
But how do you feel if your relatives do everything and rush forward blindly without respecting objective facts?
Not to mention, if your child is a police officer, will you confess to him, encounter something, and rush forward desperately? It's just a simple analogy.
Fang Ziye felt that these words were very good and kept them firmly in his heart.
This is the benefit of having a teacher teach by example, a lot of clinical medical communication, in fact, is a kind of inheritance, but also a kind of technical work, what dialogue between patients, although tricky, but after the superiors have rich experience, they know how to dismantle the words.
Before the woman could reply, Jin Hongzhou called.
After Fang Ziye took it, he said, "Eldest sister, let's argue about this, in fact, it doesn't make much sense. If you put yourself in your shoes, you will consider that our doctors want all patients who come to us to leave our wards safe and happy. ”
"I definitely don't want to say that there are any sequelae, what missed diagnoses and misdiagnoses, and then come to us for trouble."
"Dr. Jin from our department has already contacted the general resident of sports medicine, and he will come down to our department after a while, give your child another MRI, and after the diagnosis, he will give you a very professional treatment opinion."
"When we encounter a problem, we have to solve the problem first, after all, a ligament injury will affect the child, but the impact is not the kind that cannot be treated." Fang Ziye continued to calm the other party's emotions.
After Fang Ziye's words, the other party didn't say anything more.
Just one more phone call, the woman's husband, after learning about the child's current injury, also decided to rush to the hospital in time to go through the follow-up hospitalization or may have to wait for surgery.
……
About ten minutes later, Dr. Mao, the chief resident of the sports medicine specialist, went down to the trauma surgery department, just took a look, and said, "The anterior horn of this collateral ligament has been broken and needs to be reconstructed, and this one needs surgery." ”
"Is it possible that this was broken by a reset?" The woman asked.
Dr. Mao replied quite experiencedly: "Sister, don't you doubt that the wrestling was so violent at that time, and you suspect that there was such a slight force intervention in manual reduction?" ”
"Didn't you lose your wallet and blame the sea?" Dr. Mao made a joke.
"Huh?" The woman didn't react to what Dr. Mao meant.
"It's just that you can't beat the eight poles, let me put it this way, if you put five yuan at home, and one day your husband took it and used it, and you said that the police were not good for public security, it doesn't matter."
"Manual reduction, there is indeed a certain chance of ligament damage, but that kind of violence, generally only laymen can be reduced, these colleagues in our hospital, you still don't believe them a little too much."
"I'll just say so, but if there is such an uncle, our hospital will not let him live here in peace, and these doctors who can stay have all passed the professors' examination at the technical level." Dr. Mao is still very good and trusts the doctors in this hospital.
The woman didn't reply.
When Dr. Mao led the two of them out, he said: "Well, look around, which one of them didn't join the work after graduating with a doctorate, so many years of experience accumulation, I can't say that people who are particularly frizzy and do things." ”
"And you just mentioned that Dr. Jin and Dr. Fang have already predicted the ligament injury in advance, so even if it is not reduced, it will still be broken, and if it is reduced again, your child will suffer for a long time!"
"It's more scientific to use reduction to relieve pain in advance, right?"
“……”
After the patient left, Fang Ziye lay down for a short while, and then began to work continuously.
Although it is said that the ligament injury of this little child exists, Fang Ziye's reduction did not cause him a saving operation, but only relieved the pain.
However, Fang Ziye's cautious and meticulous operation ability can be said to have been recognized and trusted by Jin Hongzhou.
Without him, just an hour and a half after the mother and son left, three patients with dislocated joints came in the department one after another.
Joint dislocation should be differentiated one by one according to the degree and type of dislocation, and it is necessary to talk and sign before it can be treated.
You can't just click and reset as soon as you come in, it's not a serious medical procedure.
The third patient was just reset, and the second patient's re-examination plain films were read, and the plain films before and after the reduction were returned to Jin Hongzhou in the form of photo information.
Jin Hongzhou just called the voice call and asked: "Xiaofang, can you catch it, it's raining outside today, there are a lot of wrestlers, and I have a hip dislocation here, an interphalangeal dislocation, can you solve it?" ”
"If it can't be solved, I'll do it for them in the operation room here."
When Fang Ziye heard this, he realized that the reason why there were not so many small dislocations in the department on duty was that he was either rejected by Jin Hongzhou because he had no bed, or he was killed in the operation room of the emergency room.
The reason why there are so many today is because Jin Hongzhou's current proficiency in manual reduction is already visible, and the simple mechanical repetition may not be able to be improved, so this is why he has given himself such a good chance to practice again and again.
"Brother Zhou, I think I can try, if I can't reset, isn't there still Brother Zhou?" Fang Ziye did not refuse.
Just kidding, in the case of having a superior, you are capable enough, not bold, do you wait for yourself to practice alone, and then start taking risks?
"That's okay, I'll send it to you, just after sending this wave, the next wave is Brother Luo of your group, take care of me on duty, I'll go and get two open small fractures here." Hey, hey, hey. ”
Of course, after Jin Hongzhou finished speaking, he still hinted at Fang Ziye a few more words: "Brother Luo has a good impression of you, if you know what I mean, poke him in private." ”
How can Fang Ziye not understand.
Hurriedly replied: "Brother Nazhou, wait for the results of the reexamination of several joint dislocations, and I will send them to Brother Luo, don't worry about it." ”
"Excellent! ~"Jin Hongzhou instantly felt that Fang Ziye was worth looking forward to.
Just a few words, I knew what I meant by letting Fang Ziye know Fang Geluo's ability to reset and hint at Fang Ziye's technique by letting Qin Geluo review the results after the reset.
"Brother Zhou, you almost mentioned it to my throat, if you don't know anything more, I'm sorry for Brother Zhou's support." Fang Ziye used information to take care of Jin Hongzhou comfortably.
Presumably Jin Hongzhou will understand that in the future, even if the senior doctors come back, when our sub-industry is on duty, we can also cooperate happily?
You give me a chance, I'm TM, I TM can tell you a 'story' and lick you a few words......
At this point, Fang Ziye felt that it was not inferior, but a necessary human sophistication, as well as a form of interacting with people.
As a general hospitalist, Jin Hongzhou does not need to feed Fang Ziye for emergency dislocation, he does not owe you, and in the process of feeding, Jin Hongzhou himself has to bear the responsibility.
Under such a premise, if you want others to give you a chance, you always have to let others take a fancy to you, right?
"No more nonsense, get to work! ~”
“get!” Fang Ziye made an OK gesture again.
After a while, the patient with interphalangeal joint dislocation was advanced to the department. Fang Ziye just finished watching his plain X-rays, and then the patients who had been re-examined after the previous joint dislocation reduction came in.
Fang Ziye thought for a while, and said: "Beauty, this is the result of the reexamination after the joint dislocation technique is reduced, I will take a look, at most one minute." ”
"After reading this uncle, you can go home, can you let me have a minute?" Fang Ziye held his hands slightly and made an application.
Because according to the medical procedures received, this little girl with a dislocated knuckle joint came first served, and he had to be responsible for reading her set of diagnoses, conversations, and treatments before he could carry out other work.
Naturally, this will delay people a lot of time, and if she is willing to wait a minute, others can leave.
The little girl's companion is her boyfriend.
The other patient and his family members are a middle-aged and elderly couple, about 60 years old. It's also very kind.
His boyfriend blew his hands and persuaded, "Baby, why don't we wait a little longer." ”
The girl glanced at the old couple a few times, and the old couple also looked at her, their faces full of anticipation.
The girl nodded: "Doctor, hurry up, it hurts here." ”
"Whew, baby, blow it, it doesn't hurt so much......"
Fang Ziye didn't bother to pay attention to this little couple who were so tired that they almost got it on the spot, and sighed in his heart that the wind was getting worse and worse.
Hurry up and open the flat film of the old couple after the reset.
……
In the afternoon, it was past three o'clock.
Fang Ziye saw a forty-year-old uncle again, who also had a dislocation of the shoulder joint, and when he was also dislocated anteriorly and inferiorly of the shoulder joint, he saw the afterimage of a muscle around the humerus neck.
This afterimage, if it weren't for Fang Ziye's X-ray reading technique reaching level 3, he would definitely be ignored and directly brought to the operating room to reset.
Thinking of this, the cold sweat behind Fang Ziye came down all of a sudden.
Turning his head, he looked at the middle-aged uncle: "Uncle, your dislocation situation is a bit complicated, and it is estimated that our senior doctor will have to deal with it, and I can't handle it yet." ”
Without thinking, this must be an irreducible anterior inferior shoulder dislocation of the biceps tendon bypassing the humeral neck, which is not something that can be handled at your own level.
Don't even have to try.
When the uncle heard this, he was slightly stunned: "Doctor Fang, I just saw that you reset two such dislocations?" You won't scare me, will you? ”
Fang Ziye shook his head, and tore up the pre-prepared conversation signature consent form directly: "Uncle, there is no such thing as scary or not, we are doctors, and it is generally impossible to admit that our abilities are limited unless we have to." ”
"You also saw that what could be done, a relatively simple dislocation, I did it, and I definitely wouldn't target you, no? We have no grudges. ”
"But your situation, it is true that I can't deal with it, this is a refractory anterior inferior shoulder dislocation, I want to ask our senior physician to deal with it for you, you must go into the operating room for anesthesia and then do it!" Fang Ziye is very determined.
Theory and cognition, to know what you can do, to know what you can't do, this is a kind of maturity.
Such a dislocation, with his current proficiency, cannot be operated.
Fang Ziye's recognition is also quite cautious and authentic, seeing that Fang Ziye is young, the uncle didn't say much, just secretly complained.
And Fang Ziye, although he is only a master's degree, although he is about to study for a doctorate, his ability to make people is impossible to fall behind at all.
Because, in the hospital, the more you are a rookie, and when you call people, others will be more diligent.
As soon as Fang Ziye told the uncle's situation and his own speculation, Li Nuo, who was currently replacing Jin Hongzhou on the emergency class, came back from the emergency department.
After taking a few serious glances, Li Nuo once again performed the Great Summoning Technique, summoned Qin Geluo from the operating room to temporarily stepped down, and took a look in the ward.
In the end, it was determined that it was indeed an irreducible anterior inferior dislocation of the shoulder joint.
Fang Ziye was still in charge of the conversation and signing, but after reading it, Qin Geluo came to the stage again, but Li Nuo, the attending physician, directly invited the former and former director of the trauma surgery department who was supposed to sit in the outpatient clinic, Professor Li, who is already seventy-eight years old this year, to the ward in a proper manner.
The old man has age spots on his face, and his body is also very tough, tall and big.
As soon as I came in, I looked east and west.
Finally, he asked Li Nuo: "Who are you?" ”
Yes, when Li Nuo entered the hospital to study for his master's degree, Professor Li was already retired.
Of course, when Professor Li asks who you are, it means whose student you are.
Li Nuo hurriedly replied respectfully: "Old Professor Li, my name is Li Nuo, and I am a student of Teacher Han Yuanxiao and Teacher Dong Yaohui. ”
"Oh, Xiao Xiao has already started to take doctors now? When I retired, he was still in charge. Professor Li blinked, holding his hands behind his back, while looking left and right.
Han Yuanxiao, the youngest Zhenggao in the department, Professor Li, after retiring at the age of 60, led the group in the department for five years, and now has retired for more than ten years.
Probably, when Professor Li retired, Han Yuanxiao was still a student. After the re-employment, Han Yuanxiao at that time was still just a small director.
"But now, I've become a professor." Professor Li said in an old-fashioned manner.
When the middle-aged uncle saw a professor of Professor Li's age coming, he instantly felt reliable: "Professor, can I not enter the operating room?" ”
Professor Li just glanced at him, and replied without the slightest face: "You can go home if you don't want to, as long as you want to." ”
"Anyway, no one will die or anything."
This Nima, the uncle was directly stupid on the spot.
"Yes, you, you have been dislocated like this for fifty years, and it will not pose a threat to your life."
"That's how it is."
"You need to go into the operating room, with the cooperation of muscle relaxation, you can reduce, you have to say that you can't go into the operating room. The current pork outside is more than ten yuan a catty, and you have to tell the butcher that I bought it for eight or more years, and it costs three cents a catty. ”
"Then you can only buy it in eight or a few years, and you don't respect the facts." Professor Li's logic is clear, and his words are very sharp.
The middle-aged man was immediately stunned, and when he saw this old man, he was even more embarrassed: "Professor, I listen to you." ”
"I can listen to you, too."
"The right to informed consent is just as great as the right to informed refusal! It is bigger than the dean, and even bigger than Academician Gui of our infectious disease department. "Professor Li is doing chest expansion exercises, which is quite naughty.
When they said this, Li Nuo and Fang Ziye could only laugh with each other the whole time.
Fang Ziye then continued to talk to the patient and signed.
Maybe, when Fang Ziye was talking and signing, his sense of presence was a little sufficient, and Professor Li recognized it at once.
He interrupted again, pointed to Fang Ziye, didn't expect Fang Ziye's name, and asked, "You, you, you are the backgammon?" ”
Fang Ziye had a slight egg pain, why did you interrupt me when the conversation was signing?
Forget it if you interrupt, just explain my name, God's TM's backgammon?
"Professor Li, my name is Fang Ziye, and I am a student of Teacher Yuan Weihong." Fang Ziye didn't dare to be careless, he still had to go back, and he had to return respectfully.
"Yuan Weihong?"
"I haven't heard of you, but I know you!"
"Several times I've seen you in the practice room, step by step, step by step, very good......," Professor Li said.
Hearing this, Li Nuo glanced at Fang Ziye in surprise, and then asked, "Professor Li, what do you mean?" ”
An old professor like Professor Li, when he has nothing to do now, generally has two tasks, one is to sit in the outpatient clinic, and the other is to serve as a material master in the practice room, and is responsible for distributing practice materials to students.
"He, many of us have watched him look several times a day. He's a very nice kid. Professor Li said, "Don't gossip, you talk and sign first." ”
"This dislocation is quite troublesome, the biceps tendon is around the back of the neck, and it takes a few handfuls of strength to get rid of the entanglement."
"Linuo, you can call someone to help."
Li Nuo hurriedly called people.
At this time, Fang Ziye was talking and informing the middle-aged uncle of the corresponding risks, and he was secretly frightened.
This Professor Li is a master, right?
Before Fang Ziye, he was indeed in the practice room, adding a little bit and slowly improving, he originally thought that no one would find out, so he rose step by step.
At least naturally.
At that time, Fang Ziye's practice was to add a little in the morning, and then add a little every two hours, silently.
However, I didn't expect that this would be discovered by these old professors.
Are your eyes poisoned?
But it doesn't matter, anyway, in general, a skill will be added step by step, some people see it better, no one sees it, that's something you don't see.
Experience points, in the practice room, slowly increase at a rate of two or three days, in this way, others will only think that they are practicing, while having an epiphany, while improving, step by step.
If someone sees it, it will prove that he is a good genius......
……
Fang Ziye finally finished the conversation and signed, and the patient was brought into the operating room by Li Nuo and Professor Li.
Then, Fang Ziye didn't have the opportunity to stand on the side of the stage and watch it with his own eyes, because he had to be on duty.
However, in addition to Fang Ziye, Jin Hongzhou of trauma surgery, Gu Yi, senior brother of the doctor, Luo Tingzhu and others, all rushed to the operating room from various places to have a look.
Fang Ziye didn't have this opportunity to see it, so he could only do the remaining few manual reduction techniques happily and slightly painfully in the department, in fact, Fang Ziye also wanted to see it.
Such an old professor, the technique is absolutely exquisite, and the strength may not be so good, but the subtlety of the operation and the mastery of the heat are absolutely not shallow.
Fang Ziye completed the reduction of all the dislocated patients in the department, and after checking the results of the reexamination, the time came to 4:30.
By this time, it was past four o'clock.
Jin Hongzhou and the others will not vigorously accept patients, and Li Nuo and Qin Geluo will no longer replace Jin Hongzhou on duty, it is estimated that there will be no dislocated patients in the future, and Fang Ziye will be provided to do the operation.
Even so, there are as many as 14 manual reduction techniques operated by Fang Ziye today.
In addition to the two in the morning, there were 12 people.
In addition, the knowledge points brought by the operation and treatment of 10 manual reduction surgeries, on average, are as many as 7 points, a total of 84 knowledge points.
However, the benefits of knowledge points are much more than that.
The remaining two, one is the little boy who switched to sports medicine for tendon injuries before, except for the 15 points of knowledge when he was reduced. Fang Ziye also obtained 20 points of knowledge by diagnosing the anterior horn injury of the collateral ligament and recommending transfer to another department for treatment.
The other one is the lateral reset of the elbow joint, which is quite difficult, but just completing the reset allowed Fang Ziye to win a huge amount of knowledge points of 30 points.
At the same time, the middle-aged uncle, Fang Ziye, diagnosed his irreducible joint dislocation, even if he did not participate in the treatment, the knowledge points obtained were as high as 20 points.
Such a wealth of diagnostic knowledge is second only to Fang Ziye's previous diagnosis of asymptomatic abdominal aortic aneurysm and osteosarcoma patients.
As a result, the current balance of knowledge points becomes: 20 + 30 + 20 + 84 = 154 + 138.2 = 292.2! (Note: 138.2 points of knowledge points include 15 points for manual reduction treatment assistants for patients with posterior elbow dislocation in the morning, so they cannot be double-counted.) )
Fang Ziye thought that this was the end.
Unexpectedly, after Jin Hongzhou took over the general hospitalization duty at four o'clock in the afternoon, because Fang Ziye was reliable today, Jin Hongzhou still kept sending corresponding joint dislocation patients to Fang Ziye in the afternoon and evening.
As long as there is, as long as they come across, they will all be taken in. Also, because it is at night, it rains, and the vision is blurred, the probability of trauma is higher.
At about twelve o'clock in the evening, Fang Ziye's hands were sore.
Fang Ziye first forged: "Brother Zhou, I'm tired, I can't do it." ”
Fang Ziye really can't do it.
Manual reduction, who does it, knows, is very laborious.
Jin Hongzhou then replied: "It's not bad, from four o'clock in the afternoon, to now, you have built twenty units, which is equivalent to three units per hour." ”
"The speed is still commendable."
"Thank you, Brother Zhou, for feeding, but I really can't do it, Brother Zhou, thank you for your hard work." Fang Ziye looked at the balance of knowledge points and came to 501.4!
I'd love to learn more, but I can't really afford it.
At this moment, Fang Ziye just wanted to lie down and rest for a while, and kept rubbing his wrists.
"Okay, the surgical operation is not too much, and it is not fast in stability."
"Professor Li is full of praise for your clinical talent."
"Have a good rest, it's been a hard day."
"Hey, okay, thank you, Brother Zhou, good night, you can rest when you have time." Fang Ziye replied.
It is difficult to say where Jin Hongzhou rests, it may be in the lounge of the emergency department, it may be in the lounge of the ward, or it may be in the lounge of the operating room, and he will sleep when he has time.
Jin Hongzhou did not reply.
Then, Fang Ziye rubbed it for more than ten minutes before he felt the soreness caused by the accumulation of lactic acid in the wrist joint and elbow joint, which was slightly better.
In this way, Fang Ziye's accumulation of knowledge points broke through the 500 mark for the first time.
This progress is very gratifying.
Except for a bit of a hand spent.
In this way, Fang Ziye felt that he could look forward to breaking the requirements.
Take a closer look.
It is estimated that such a large and large number of operation opportunities will be quite rare in the future. Because once the superiors come back, Jin Hongzhou will definitely not dare to occupy the beds in the department unscrupulously.
They also dare not admit patients indiscriminately, and have to reserve beds for elective outpatient major diseases.
In this way, the diagnosis and treatment tasks in the department are major diseases and major surgeries.
In the case that there are not many small operations, in fact, such as masters and doctors, the operation opportunities that can be obtained are the most suturing operations.
Moreover, on Friday, Saturday and Sunday, the clinical operation opportunities no longer belong to Fang Ziye and Luo Tingzhu.
Gu Yi is going to the outpatient operating room.
They are all doctors and masters who stay at home, Fang Ziye and Luo Tingzhu will not be particularly special, and they will feed the two of them completely.
In addition, there are doctors like Lu Zhefu who are also in the hospital, so it is natural to give them a certain opportunity to operate.
For example, tomorrow, maybe Jin Hongzhou will feed Lu Zhefu the manual reduction of joint dislocation and let him practice his hands, and then in the emergency operating room, Gu Yi and Dong Yaohui's doctor, Senior Brother Fan Yantong, will go to the level.
Fang Ziye, Luo Tingzhu, Shu Lang and Lan Tianluo from Professor Deng Yong's group had to retreat a little.
From Wednesday to Friday, a total of five days, it is already good to be able to let the students of Professor Deng Yong's group do it for a day or two, but it has to be wet with rain and dew.
Fang Ziye muttered to himself: "The requirements for the doctor's exit are suturing to be able to suture the skin jelly, incision to be able to dissect the muscles, tendons, blood vessels, nerves, and fascia separation of pork, and debridement to be able to polish the muscles of the crushed pork, and hemostasis to be able to reach 60 times per minute. ”
"The specialty requirements of trauma surgery also include muscle suture, osteotomy, fracture manual reduction, etc., as well as bone defect splicing, osteoplasty and bone flap design."
"My own manual reduction has basically reached the standard, and there is not much essential difference between manual reduction of joint dislocation and manual reduction of fractures, but the form of expression is slightly different."
"Professor Deng said that during his master's degree, his main task was to suture debridement and hemostasis, and the basic skills of orthopedics such as manual reduction, muscle suture, osteotomy, and splicing of bone defects would be slowly let go at his doctoral stage."
"The road must be taken step by step, and the food must be eaten one bite at a time."
"Debridement, suturing, hemostasis, incision, the most chance I have the opportunity to contact at present is suture, so the next goal of adding points is suture and suture skin jelly."
In the case that the knowledge points are not abundant, the order and process of adding points must be cautious.
If you add a little bit and can't be applied in clinical practice, the skill can only be temporarily dusted. can't be completed by the knowledge points of skilled students, this senior brother is relatively unscientific.
"I don't know, if my suture technique can be top-notch among the subordinates, Professor Deng can give more suture operations." Fang Ziye was a little hesitant.
In elective surgery, what can be expected is suture, and the rest, there are other people who do it, and others also need to practice, such as their own master, such as Qin Geluo.
Everyone has to grow, and it is impossible to just scare yourself.
If you benchmark the doctoral brothers, Yan Zhiming, who is now in the first year of the doctorate in the group, is at the same level as himself, while Gu Yi, the second-year doctor, is better than himself in debridement, and Wang Yuanqi's suturing is better than himself.
Senior Brother Sun Shaoqing, although he is better than himself in all aspects, is in the third year of his doctorate, and his operation must be given priority.
Then there is Luo Tingzhu.
Now Luo Tingzhu, in clinical operation, only suture is more advanced than herself, but her own manual reduction surgery must be ahead of her.
Even walked in front of Senior Brother Sun Shaoqing, Senior Brother Sun Shaoqing, the manual reduction technique could not be used to benchmark the doctor's practice room.
Therefore, if you can raise the suture technique to level 4, wouldn't it mean that in the group, you will go forward again, and you will be on a par with Luo Tingzhu?
Yes!
Fang Ziye analyzed it and felt that it made sense.
Suture Level 4, Open Dry!
After adding points, Fang Ziye held the back of his head with both hands, shook it from side to side, adjusted his sleeping position, and then stretched out his hands, and slowly fell asleep.
Nothing was said all night.
Fang Ziye got up twice, both because the patients in the department were crying out for pain, and they had to add a shot of painkillers temporarily, and Fang Ziye needed to issue a medical order on behalf of the medical department before the nursing department could implement it.
He didn't sleep very well, but Fang Ziye still looked at the other junior brothers and senior brothers with envy after finishing his duty, and he could only rush to the practice room to soak in time......
(End of chapter)