Zhongnan Hospital, which is close to the top tertiary teaching hospital, especially in the subspecialty of orthopedics, where the comprehensive strength is not bad, the construction framework of manpower is particularly perfect.

Yang Wenzheng is the general attending of the hospitalization, and his qualifications are shallower than his teacher Yuan Weihong, and he is comparable to Qin Geluo.

However, Fang Ziye, who had been in Yang Wenzheng's group, knew that Yang Wenzheng's group also included Associate Professor Guan Qiquan and Professor Ni Yaoping, the administrative director of the Department of Hand Surgery.

The main professor is an intermediate title, the associate professor is an associate senior title, and there is a professor with a group above the deputy high title.

Naturally, in the relatively perfect skeleton of inheritance, Professor Zhenggao also came up step by step, while he has the current teaching students, he also had a mentor back then, that is, the master in Yang Wenzheng's mouth, Professor Ni Yaoping's teacher, Professor Wen.

Professor Wen's name, Fang Ziye is not elegant, did not mention much, but when I was in the hand surgery, I knew that Professor Wen was the first batch of people to contact amputated limb replantation, and he was a legendary figure who completed the process of amputated limb replantation in the hospital from scratch.

It can be said that the trauma surgery department of Zhongnan Hospital has always been very good, but the reason why hand surgery has become a little good is inseparable from this Professor Wen.

It seems to say that Professor Wen is the fourth former administrative director of hand surgery or the fifth, and he belongs to the absolute veteran of hand surgery in Zhongnan Hospital.

Fang Ziye is not deaf, his thinking is not rigid, and he naturally knows that Brother Yang Wenzheng's name is this at this time, and now in the treasury of the practice room, he is one of the soul figures who is responsible for guarding the practice room.

At the same time, Fang Ziye had actually faintly speculated about this some time ago.

For a basic medical skill, the progress bar required from level 0 to level 1 is about 5 points, the progress bar required from level 1 to level 2 is 20 points, and the progress bar required from level 2 to level 3 is 50 points.

Knowledge points can be added directly to such a progress bar.

Levels 3 to 4 of basic skills require a 500 progress bar.

According to the improvement of the progress bar, the skill will be refined, in fact, a skill from zero to level 3, only 75 points of knowledge points, can be directly completed with points.

And from level 3 to level 4, it takes 500 knowledge points to consume at once, isn't it a bit too exaggerated?

But Fang Ziye didn't know if it really took a level 4 suture to complete the suture skin jelly from suturing the tofu to completing the suture skin jelly, anyway, before the addition was completed, he wanted to suture the skin jelly intact, which was beyond sight.

In order to strive for the opportunity to have regular operations after the professors and senior teachers returned, Fang Ziye had no way to look forward to other sutures.

Associate Professor Xie Jinyuan and his teacher Yuan Weihong must learn high-end procedures so that they can be routinely carried out in the department in the future.

There is also the attending physician Qin Geluo, who has to complete some of the difficult operations, such as periosteal suturing for bone transport, etc......

There is also Senior Brother Sun Shaoqing, who will take some complex fracture plate screw internal fixation operations, manual reduction, and debridement as training materials for finding a job.

The rest is only small operations such as cutting the skin and stitching, but such operations are still very rare.

Senior Brother Wang Yuanqi and Senior Brother Gu Yi, who are in the second year of the doctorate, will definitely take a lot of them, and Yan Zhiming and Luo Tingzhu are also doctors, and they will also need to be fed at that time.

That's not all, Li Yuanpei, a master's student at the same level as himself, if he stays in the hospital in case of luck and becomes a doctoral student of Professor Deng Yong, the number of competitors will reach five or six.

In such a situation, if his own sutures and incisions cannot be better than others, then why should Professor Deng Yong give himself? He is not Yuan Weihong.

The reason why Yuan Weihong is willing to give it to himself is because he is the first of his students, and he is better than his junior brother Jiehan's strength.

But under Professor Deng Yong's group, there are many students, and it is impossible for him to ignore each of them, unless they are particularly unreliable, and these senior brothers are not unreliable, at most they are just excellent and not obvious, so they will definitely not be abandoned.

Among the doctoral brothers, the suturing of Yan Zhiming, a first-year student, is slightly worse than suturing the skin jelly.

But Senior Brother Wang Yuanqi and Luo Tingzhu have already been able to suture the skin freeze steadily, and Luo Tingzhu wants to practice the suture technique first, which is probably the same consideration.

When there are more monks and less porridge, what you can do is to frame others, isn't it to increase your energy and weight?

Fang Ziye actually expected that his 500 points of knowledge would be directly irrigated, which would lead to a great improvement in suturing skills, and it was best to break through the blockade of Senior Brother Wang Yuanqi and Luo Tingzhu, and move forward, directly becoming the second candidate in addition to Senior Brother Sun Shaoqing's need to find a job.

But Fang Ziye didn't expect that he would be so fierce all of a sudden.

The continuation of the broken tail artery in nude mice is a fairly high-end suture material for suturing, and it is also a very high-precision suture technology.

Luo Tingzhu is an eight-year medical student in this hospital, and he was once taken to the practice room during the internship stage, and Guan Qiquan, an associate professor of hand surgery, personally completed the crushing and beating of the intern.

The broken tail artery was continued with one hand, and a group of eight-year-old arrogant medical newcomers were remediated obediently.

Fang Ziye originally thought that he would be able to rely on suturing to suture the skin jelly, but he didn't expect that now in the suturing of the broken tail artery, the vascular patency rate can be as high as 91%.

Fang Ziye is not new, it naturally represents this data, what does it mean.

Although Fang Ziye himself is not a professional master's student in hand surgery, he also has a master's degree in hand surgery.

At the dinner, when bragging about it, the professional graduate students of hand surgery said that the absolute ladder of hand surgery is the tail of the mouse.

If the patency rate of your broken tail artery can be as high as 95 percent, the professor of hand surgery can guarantee that you can have a job in Han City, and if you can be as high as 99 percent during your study, all the people in hand surgery can guarantee that you will be able to have a bite to eat in the hand surgery department of Zhongnan Hospital.

Hand surgery is an industry that requires very high suture techniques.

Even the attending staff like Yang Wenzheng is still working hard for a 99% vascular patency rate, and today's suture level is still a little short of Fang Ziye's suturing level-

Fang Ziye's heart was a little happy.

The ability has improved, and the improvement has come up a lot, and I will definitely be very happy.

But there was also a slight sense of annoyance.

Lost.

If you can add these knowledge points evenly to incision, debridement and suture, etc., you may have three or five skills, which can be compared to the standard of the first practice room of trauma surgery, rather than in the practice room of hand surgery.

After Yang Wenzheng came back, he didn't invite Professor Wen here, what is it now? Twelve o'clock.

The old professor is in the practice room, exerting his spare heat, not to suffer, it is certainly impossible to work day and night, from twelve o'clock to half past two, belongs to their rest time, and the current time is close to twelve forty.

The old man has already gone to eat.

It's just that although Yang Wenzheng didn't invite Old Professor Wen from the practice room, he invited him over the phone.

"Xiao Fang, don't you worry, Professor Wen and Professor Li Qi from our hand surgery department will be here soon."

"You wait a while, I'll catch a mouse for you......" Yang Wenzheng finished explaining, and immediately brought a mouse cage to the operation table again.

After skillfully anesthetizing the mouse, it collapsed on the table.

Yang Wenzheng, on the other hand, continued to skillfully complete the limb fixation and the distal tail fixation, and, after a little symbolic disinfection, he used a round knife to cut the skin and subcutaneous tissue of the tail, exposing the entire tail artery.

Immediately afterwards, under Fang Ziye's curious look, Yang Wenzheng clicked and cut the tail artery directly into about twenty sections with tissue scissors, and after thinking about it, he felt that this number of sections was about the same.

Then he said to Fang Ziye: "Twenty segments are almost the same, if you can stitch up all these segments, and the vascular patency rate can still be as high as more than 90%, you kid will make a lot of money." ”

Yang Wenzheng said this excitedly, while using a syringe to suck heparin saline and inject the broken end of the tail artery to avoid coagulation.

Fang Ziye must have understood what Yang Wenzheng meant, and moved his left foot back slightly by half a step: "Brother Zheng, I, my doctoral supervisor is Professor Deng Yong." ”

Fang Ziye wanted to remind Yang Wenzheng.

Yang Wenzheng shook his head and said: "It doesn't matter, whether you are a trauma surgeon or a joint surgeon, as long as you can do the vascular suture of finger replantation in our hand surgery, you can come to our hand surgery." ”

"Orthopedics is a big family, not a family. When you're looking for a job, just get a job, you're still young and don't know that. ”

"Our hospital's hand surgery platform is better than trauma surgery...... Yang Wenzheng winked at Fang Ziye.

The implication is that you earn more.

Fang Ziye still didn't reply, his hands behind his back, his eyes rolling, as if he was thinking about something.

Yang Wenzheng continued: "Xiao Fang, you have worked so hard to train suturing and practiced suturing to such a deep level, don't tell me that you don't mean it." ”

"If you don't come to hand surgery, why do you have to suffer so much suturing and waste so much material?"

"You see, suture, in the practice room, you first stitch the rubber skin, then the orange peel, tofu, skin jelly, the plastic box pieces floating on the water surface, the underwater simulated blood vessel model, and then the tension suture of the rubber band tension blood vessels, and finally come to this step."

"Yes, how much suffering you have suffered, you should know in your own heart." Yang Wenzheng's face was full of expressions, you kid's thoughts, I already knew the expression.

Fang Ziye's feet took another half step back, and cautiously replied: "Brother Zheng, behind the skin jelly suturing, there are so many suturing practice materials?" ”

You can't blindly agree to such words.

If you haven't practiced, you haven't practiced, and if Fang Ziye has practiced by himself, it is not easy to explain. After all, in the practice room, everyone knows what they have practiced.

The upper limit of Fang Ziye's practice materials is actually skin jelly suture, where will there be any floating plastic box fragments, what vascular models, rubber band tension blood vessels, etc.?

Fang Ziye's rhetorical question directly made Yang Wenzheng untidy, and the syringe in his hand and his whole person were stiff: "You haven't practiced?" ”

Fang Ziye shook his head slightly.

Yang Wenzheng's breathing was even more unsmooth, originally, Yang Wenzheng only thought that Fang Ziye was secretly practicing in order to reach the absolute ladder of hand surgery, even if he was unknown, he still persevered.

Then wait for the surge in hand surgery, be appreciated, and then naturally become a doctor of hand surgery, and then become a doctor of hand surgery.

But Fang Ziye's eyes and expression at this moment seemed to confirm that his guesses were wishful thinking.

"It doesn't matter, let's wait until Professor Wen and Professor Li Qi come." Yang Wenzheng didn't talk any more nonsense.

The entire subspecialty of hand surgery is now particularly proficient in the high-precision operation of suturing blood vessels, and the number of people is small, that is, a few professors and associate professors can take on such a task alone.

If you want to talk about some main governance, even if Zhu Quanlin, who is a little older than Yang Wenzheng, is in charge, it depends on the performance, and it is not particularly stable.

This makes it possible for the department to encounter an emergency with a severed limb or severed finger, and the associate professor has to go out in person, and even occasionally, a professor like Ni Yaoping has to go on the scene in person.

The professors have long hoped that there will be someone who can take over the amputated limb replantation, and they can honestly carry out more sophisticated procedures such as flap design, nerve transposition, nerve transplantation, and vascular transplantation.

It's just that, so far, such a young man has not appeared.

In the past, when Guan Qiquan was still in charge, he routinely did amputated limb replantation, but now that he has been promoted to associate professor, he definitely hopes to be able to contact more high-end diseases, and is unwilling to continue to shine in amputated limb replantation, hoping that a little brother can take over the past.

……

One hundred and fifty-five points.

Associate Professor Li Qi, who was hospitalized for emergency surgery, handed over the operation to the attending of his group to be in charge of the operation, and came directly to the practice room.

And Professor Wen, who is already on the way, called and said that once Li Qi arrived, he would arrange for the students to do the operation first, and he only needed to see the results of 'backgammon'.

Li Qi asked, "Professor Wen, who is backgammon?" ”

"Backgammon is Fang Ziye, Fang Ziye is backgammon, what are you doing with so much?"

"I'm riding, stop calling. Hurry up and do it first. Professor Wen urged on the phone.

Everything was stopped, and Fang Ziye could only be forced to operate.

With the previous two suture levels, it is impossible for Fang Ziye to deliberately suture randomly to lower his own suture level, which is disrespectful to the rats who have become the material for hand training, and also disrespectful to Yang Wenzheng and other senior doctors.

When Fang Ziye sutured the fifth blood vessel rupture, Professor Wen Dongfang arrived at the practice room and closed the door, wearing a mask and hat at the moment, while tearing off the sterile examination gloves and approaching the operating table.

The console is square, and unlike the operating room, where you can stand in every direction, he stands in the only empty direction.

After a little glance, Professor Wen Dongfang couldn't help but point: "The strength is small, the blood vessels are not as fragile as you imagined, and then increase the strength by thirty percent of your current strength, so that when you suture and tie the knot, it will be more comfortable." ”

Fang Ziye glanced at Professor Wen Dongfang and didn't reply, but he always added a little bit of strength.

He is now more comfortable with his power than before.

However, Professor Wen Dongfang's eyes seemed to be fiery eyes.

After Fang Ziye completed another stitch of suture, Professor Wen Dongfang said: "If the strength is great, reduce it a little more, and then reduce the previous strength by one percent, it must be to make the broken end of the blood vessel just right, and do not form valgus, so as to avoid the formation of vortex and turbulence, and increase the fluency rate of blood vessels." ”

"Once turbulence or vortex is formed, it increases the risk of thrombosis. Similarly, it will also affect the patency of blood vessels. Generally speaking, many hospitals require a 90% patency rate, all because the suture is not well controlled, resulting in partial varus or valgus, so that turbulence and vortex are formed. ”

It's too professional, Professor Wen Dongfang's guidance is too professional.

Fang Ziye benefited a lot, and after knowing the principle of operation and the size control of the force, Fang Ziye reduced the pulling force during suturing a little.

After reading Fang Ziye's two stitches again, Professor Wen Dongfang said: "Yes, that's it, experience this kind of feel, especially when tying knots, the tension between the sutures and the blood vessel wall, such a touch is the absolute standard for you to control the force in the future." ”

"No matter what tissue you stitch, once you find that touch, you can adjust the suture force and you'll be able to do it with ease."

"Continue to stitch without hesitation and ...... back"

Professor Wen Dongfang is not entertaining, but teaching through examination, teaching while assessing.

In this way, time passed slowly, and it was more than 20 minutes before Fang Ziye completed Yang Wenzheng's incision of more than a dozen sections of the broken tail artery suture.

After the sutures were completed, Yang Wenzheng was about to open the hemostat to stop the bleeding, and while looking at Fang Ziye and asking, "Are you a little more nervous, or are you looking forward to it?" ”

Associate Professor Li Qi and Professor Wen Dongfang each glanced at Yang Wenzheng, and Wen Dongfang asked in a stern tone: "Why are there so many words, quickly release the hemostat and observe the vascular fluency rate." What is the sale? ”

The master spoke, but Yang Wenzheng didn't dare to be careless, and directly let go of the vascular clamp.

After a few clicks of the vascular instant meter, a green number flashed out, and it was still only 91%!

But despite this, after Associate Professor Li Qi took off his gloves, he patted Fang Ziye on the shoulder: "He is a good seedling, and his talent is very high." Mr. Wen, you said it. ”

Wen Dongfang asked, "Who are you a student of our hand surgery?" Is it Ni Yaoping's, or Zhou Ziyu's? Or which little doctor's? ”

Wen Dongfang subconsciously thought that the backgammon they thought was a student of hand surgery.

It's definitely not okay to break out like yesterday, let's update it slowly, the author is more accustomed to writing big chapters. It can be written more smoothly and delicately.

Of course, I don't know hydrology, there is some foreshadowing, if you simply lay it out, it will be very dry, and you can only add a little plot mix.

(End of chapter)