People are iron, and rice is steel.

Although the patients who came to see the doctor were very anxious, no one could bear to refuse the request of a few white coats with tired faces, allowing me to eat for more than ten minutes.

Fang Ziye felt that he had learned again, and quickly wrote it down in the small book in the depths of his heart.

There are many things and contents to learn, as well as expressions, not only professional knowledge, but also styles and skills of dealing with people.

After returning to the office, the five of them huddled together in a heap, putting together the dishes that everyone brought with their own lunches.

Xue Tao hurriedly poked open the bag with chopsticks and started eating, and said unceremoniously while picking up vegetables: "Yuanhong, you don't want to introduce it well, let's all play dumb riddles, right?" ”

Li Yuanhong was uncovering the lids of the dishes one by one at this time.

said: "Brother Tao, Fang Ziye, Dr. Fang, Professor Deng and Viagra's students, super university tyrants. In the trauma surgery department of Zhongnan Hospital, the graduate students, whether they are doctors or masters, are all this. ”

Li Yuanhong gave a thumbs up as he spoke.

Xue Tao nodded and took a bite of rice: "No wonder, I'll just say." ”

Xue Tao paused for a moment, swallowed quickly, and then opened his mouth: "Doctor Fang, this is completely different from the kind of pure theoretical doctor we know. ”

After Li Yuanhong piled up the lid of the dishes, he sat down and said, "Brother Tao, that's definitely not." ”

"Don't you know, Dr. Fang is a group of old professors' beloved disciples in the practice room in their hospital. Pure intergenerational parenting. ”

"Anyway, I don't know about the others, even if Viagra says that Dr. Fang is not good here and there in the practice room, he may be scolded. I'm not sure what Professor Deng said. After Li Yuanhong finished speaking, he chewed quickly.

And after swallowing, he sent a voice message to his wife at home: "Come back after eating, wait for me, the department is very busy, I'll help temporarily." ”

"Explain it to the two little ones (children), I miss them very much."

No one laughed, just looked in the direction of Li Yuanhong and felt that Li Yuanhong was reliable.

Enough brothers, otherwise they wouldn't have chosen to stay in the department at the first time, but they are also middle-aged, after all, they have their own families and children.

Xue Tao said: "Yuan Hong, after you finish eating, I'll send Dr. Fang, we really don't have time now." ”

"I was still in the small group just now, and I heard Director Wu who just came say that Director Qiu's wrist was still in the reset when it was broken, but fortunately there was no problem, but it couldn't handle the patient anymore."

"There are so many patients today. Ziye, you understand. ”

Xue Tao did not continue to call Dr. Fang Ziye.

After getting acquainted, who TM opens and closes his mouth to put your academic qualifications on the side of his mouth?

The surgical system prefers a more pure relationship, and will not be like a doctor and a doctor.

Unless it's a newcomer and doesn't know it, I'll be polite and call a teacher or something.

Of course, it also has to do with identity. If you are an intern or an ordinary graduate student, you should still be called the director or teacher or professor before you have a relationship with someone.

"Brother Tao, you are so polite, I feel as if I came at the wrong time, but dragged everyone down."

"I live opposite the hospital, the keys are on the property, and the beds in my aunt's house are all made, so you can use them directly." Fang Ziye also confessed, while replying.

In my heart, I am thinking about today's harvest.

The overall income of 121.2 points of knowledge points can be regarded as a big mouthful of blood for him.

Consumed close to a thousand knowledge points, and recovered one-eighth of it, although it was also a bit of a loss, but after all, the skills were his own, and his current knowledge point storage was still close to five hundred.

Although it is not enough for the next level 4 skill, the ordinary level 3 skill can be topped up at any time with additional points.

Fang Ziye's direction of adding points is not a random addition.

Osteotomy and orthopedics is a general direction for him to come to the prefecture-level city hospital, among which, whether it is X-ray reading or reduction, it is a very critical operation in osteotomy and orthopedics.

Therefore, it is not considered an extraneous branch.

On the premise of not affecting this general direction, you can also gain knowledge points through skills, which is a very comfortable thing.

"Ziye is still very good, what a young talent."

"Ziye is still young, right? How old is this year? Got a girlfriend? Xue Tao subconsciously asked three questions.

"Twenty-seven, there is still more than half a year to be twenty-eight, and it is close to thirty."

"If you have a girlfriend, you should have it!" Fang Ziye explained with a smile, avoiding other things.

However, Li Yuanhong is not a person: "In foreign countries, we are far away, and the girls in our Enshi still have the opportunity to cause trouble." ”

Xue Tao immediately understood, pursed his mouth and refused, hummed and laughed, and only after eating did he sniff, pulled a piece of paper and wiped his mouth and said, "This is not a long place, but a foreign love, it will not be long." ”

"It's better to give the girls in Enshi a choice of high-quality resources, right?" Xue Tao said with a smile.

You don't have to take it seriously, but you can't take it seriously at all.

Fang Ziye also smiled, there was no need to take advantage of his tongue.

And even during the meal, a few family members of the patients came over to take a look at the situation in the office, and saw a few white coats gathered around after eating a boxed lunch, so they didn't say much.

This may be due to the most basic rule of China, eating is the greatest.

After eating, Xue Tao and Li Yuanhong didn't move, but Wang Zhongxing and Zhang Jinchuan, who was on duty today, quickly wiped their mouths and rushed outside to further sort and deal with patients.

The plaster is put on, and the dislocated is reduced manually.

Operation is operation, diagnosis is diagnosis, first diagnosis, determine what kind of operation to do, and then sort.

It sounds a bit like an assembly line job, but it's actually the same.

If the number of patients is not large, it is natural to receive them one by one, diagnose and treat them one by one, and now they are crowded so many at once, and you don't save time, then it is possible that the waiting time of patients will be very long.

If it is not sorted, it may be a small dislocation, and you will not be able to wait for a day for the doctor to deal with it.

After the two went out.

Li Yuanhong hurriedly said goodbye, but Xue Tao was not in a hurry, he belonged to the deputy chief physician, and belonged to the leader of the team that led the team to do manual reduction and plaster casting in the ward.

"Ziye, let me ask, how did you determine that the patient with anterior hip dislocation was irreversible?"

"Also, why does the patient with posterior and lateral reduction of the elbow joint have to have ligament injuries, and manual reduction is meaningless?" Xue Tao was really curious.

A flat film, can you really see so much content?

Fang Ziye was sweeping the news sent by Luo Tingzhu at this time, she had rested, and after reading it, she darkened the screen of her mobile phone, and now Luo Tingzhu is there, it is late at night and early in the morning, so it is not easy to disturb.

What if Luo Tingzhu hears the prompt of the message and wakes up?

"Brother Tao, this is a reading film. I remember that Professor Deng Yong said during his ward rounds in Zhongnan Hospital that there were some joint dislocations, residual images of ligaments and residual images of muscles. They may all be seen occasionally. ”

Fang Ziye thought for a while, and then replied: "Of course, there are not many patients in joint surgery in our department, so we don't have a lot of experience in reading films, but when Professor Deng Yong first joined the work, joint surgery was not a separate department at that time, so Professor Deng Yong had experience in understanding. ”

"Professor Deng said that if there is no dislocation, these afterimages may be ignored by us, and if a dislocation occurs, the joint will inevitably be misaligned, and after the joint is dislocated, we can still see X-ray afterimages that are different from the plain films we usually see."

"It's easier to observe and diagnose."

"I didn't understand anything before, so I took this sentence to heart, and today I just noticed it."

Fang Ziye said, he learned and imitated Yuan Weihong's method when he taught him, and moved to the side of the computer, but as soon as he turned on the computer with a black screen, Fang Ziye became numb.

Because this is not the hospital computer of Zhongnan Hospital, he still can't find where the medical record system is.

When Xue Tao heard this, he immediately carried a stool to Fang Ziye's side: "The reading system of our hospital is separate, especially the outpatient system, which is not connected to the reading system, but the inpatient medical record system and the reading system are connected. ”

"This system doesn't work well......"

Xue Tao watched Fang Ziye hurriedly record the account and password of the orthopedic department in the reading system on the memo on his mobile phone, and his mood immediately tightened.

Such a good person, still working so hard, do you want people to live?

But this is Fang Ziye's habit, and Xue Tao doesn't have much to say.

After reading the plain film of the patient with anterior hip dislocation, Xue Tao gave way to his position.

Fang Ziye used the mouse to enlarge the page: "Brother Tao, I don't know if I'm right, I definitely don't have such a systematic understanding as the professors, so I can only say my own understanding." ”

"This dislocation is definite, and it is a typical anterior dislocation, which can be diagnosed either by reading the film or by the patient's specific deformity signs."

"However, if we look closely, we can see that there is a faintly visible cord on the lateral side of this anterior dislocation, which is at this point of this acetabulum."

Fang Ziye said as he continued to magnify: "In my guess, this should be the position of the round ligament." ”

"So, I'm guessing that maybe it's this round ligament that is causing what could be a rubber band's elastic resistance, preventing us from resetting, and its tension, part of the stress is facing inward."

"Moreover, there is a forward angle of the femoral head, so the level we see, there must be a part of the femoral head and acetabulum here, there is entrapment, if we just simply pull the lower limbs, it is definitely not enough."

"Moreover, it is not a posterior dislocation, under normal circumstances, we do not want to move the thigh to our operating side, but it is precisely because of this that it causes irreversible dislocation."

"Naturally, the reason why I am sure is that I must think that Brother Tao, you have been reset so many times, and you have not been reset, there must be something strange, Brother Tao, you are all experienced doctors. Similar resets, you didn't reset a thousand, there are hundreds. ”

"In this case, if there is no reset yet, you have to find a clamping point."

When Fang Ziye inferred like this, it could be regarded as taking care of the emotions of Xue Tao and others to a certain extent.

Immediately afterwards, Fang Ziye said: "In this case, we must first solve the longitudinal clamping point, and then separate the joints through traction. ”

Fang Ziye was demonstrating at the same time, the fingers of his right hand were hooked, and he first buckled the back of his left hand and pulled it down, so unless the fingers were deformed, there would definitely be compression.

However, Fang Ziye immediately used his right hand to move a distance in his direction, and then in the process of slowly retracting, it was relatively simple to restore the reset track.

The theory that Fang Ziye said is not profound, but it is not simple.

At least it's not boring, it's the kind of trickery.

Xue Tao was surprised: "In this way, can it really be seen from the X-ray?" What the hell is it. ”

To a certain extent, Xue Tao used to have a sense of disgust for the superiority of academic qualifications.

He is more willing to believe that ability is greater than academic qualifications, and practical operation is greater than theoretical knowledge. After all, especially in medicine, all theories must eventually return to the clinic.

It's just that Xue Tao gradually changed this idea after his further study.

After all, he went to Zhongnan Hospital for further study, and in many people, he knows that medicine, at least in the field of orthopedics that he is familiar with, does not have many operations, and cannot be explained theoretically.

Professor Deng Yong, as well as Associate Professor Xie Jinyuan and others, Xie Jinyuan was not an associate professor at that time, and they could all dictate the corresponding theories in a relatively easy-to-understand way.

It's not unfathomable, in fact, it's just some simple things, but before you say it thoroughly, you only need to understand it yourself, then it's difficult.

Push open the door to see the scenery outside the door, otherwise it's just imagination.

However, after Xue Tao came back from his studies, there was an immortal scholar in the department, he was quite happy, and humbly asked for advice, but later felt that he was very funny.

"Brother Tao, in my first feeling, I definitely can't see it, I don't think I have such a level, but if I try and make mistakes, I will consider it in this direction." Fang Ziye did not pretend to be forced.

After having grade 4 X-ray reading, Fang Ziye was at least a few levels higher than that of grade 3 reading.

Fang Ziye can probably know that when X-ray reading is level 3, the performance of different proficiency levels is the level you can see, and what is the difference.

And this level is not only the relationship between the front and back, but also the understanding of basic anatomy through reading and basic anatomy, to restore these things and engrave them in the brain.

Level 3 reading can only provide you with the ability to see a lot of fine anatomy on X-rays, but it cannot restore the level.

Now Fang Ziye can at least layer the structure on X-ray, front and back, left and right, five layers respectively, and it should be about ten layers, which is the ability and level of level 4 X-ray reading.

Who can be benchmarked with this level, Fang Ziye does not judge it favorably, but it is estimated that his teacher Yuan Weihong's current level is only a little higher than his own, which is relatively accurate.

Yuan Weihong is his master, he is more than four years old Chinese New Year's Eve today, close to thirty-five years old, his talent is already very high, and it is not an exaggeration to have such an ability.

Of course, the level 4 reading technique is not Chinese cabbage, not everyone can have it, maybe Associate Professor Xie Jinyuan has it, but Qin Geluo is in charge, and there is a hospitalized general like Jin Hongzhou, it is estimated that there is no one, and it is still very capable of fighting.

"Fine, well-founded, theoretical and practical combination is the real kung fu. Admire. Xue Tao said very heartily, not cowardly, but envious.

He is now more and more able to understand what his master said when he was in graduate school before.

When you feel that you have to explain the reasons for your actions, but you feel that you can't say it, you will know that reading is useful.

Now Xue Tao is still continuing to read the literature, but he gradually blurs and does not pay attention to some basic theories, and most of the literature he reads is the principle of operation.

It is equivalent to an unstable foundation, and now even if he wants to go back and make up for it, I am afraid that his stereotyped thinking and logical habits will not allow him to change.

"I'm envious, but I can't envy it." Xue Tao looked at Fang Ziye with an indescribable envy and respect.

Fang Ziye relaxed his upright body a little, and smiled back: "Brother Tao, I also envy your experience." ”

"Experience naturally accumulates when you move forward, but the theories, understanding, and knowledge reserves you have now are something that others can't turn back."

"Forget it, don't talk about it, I'll learn it slowly and make up for it slowly."

"Ziye, you go and rest first." Xue Tao stood up and walked out.

When people reach middle age, they have to do things, and they can't be like Fang Ziye at his age, and he can guide the country through simple rich theories.

The pressure on him in the department is to let him do surgery, and to prepare him for the future group, not like Fang Ziye, who can systematically make up for his shortcomings in all aspects and in an all-round way.

Playing to his strengths is the only option he can make.

The age of checking and filling in the gaps no longer belongs to him, he missed such an age, and if he misses it, it will be a lifetime......

Fang Ziye looked at Xue Tao's back, thoughtful.

As soon as he stood up, he hurriedly returned to the lounge first, returned the white coat, and then pushed the box and walked out of the department.

No more tangled, no longer conspicuous.

If there is a need, if necessary, the people here will definitely send him WeChat or call, and he has found a certain sense of existence, so there is no need to always look for a sense of existence.

There are a lot of people in the department, but there is no need to know each other all the time.

On the contrary, being able to talk with Deputy Chief Physician Xue Tao in relative depth will make Fang Ziye's original choice even more certain.

If you have just graduated with a master's degree and come here, perhaps in a short period of time, you can get a certain amount of financial compensation, get a certain social status, and realize a certain value of life.

But when you really wait until you are confused, will you be as confused as Xue Tao?

Fang Ziye didn't know, but he simply didn't miss it.

Theory and practice are equally important, this is the truth that Fang Ziye heard from his teacher and needs to slowly understand by himself.

But he still has a chance, Fang Ziye left with a smile, and he didn't feel that the future was lost.

Chance, to a certain extent, is greater than effort and choice.

(End of chapter)