When Fang Ziye and Xue Tao passed by the doctor's office, it was also in full swing.

Director Zhang Mingcan and Director Xue Tao were not stingy, arranging a mix of various meals. There is KFC, there is also McDonald's, and there is a group, which seems to be eating pizza, and the people in it are feeding each other and exchanging, and the atmosphere is harmonious.

Xue Tao glanced at Fang Ziye, then went to the doctor's lounge to wash his hands side by side, and explained: "Ziye, you don't like to eat fast food like KFC more, so I'm mistaken?" ”

"No, Brother Tao, I'm very casual, I can eat anything, as long as I can be full." Fang Ziye is no joke.

It's definitely better to have good food, but KFC is definitely not good food.

The disinfection and handwashing before meals does not have to be as delicate as before the operation, just rub it twice and wash it off with a six-step handwashing method, and then wipe your hands with a paper towel in the duty room.

Fang Ziye and Xue Tao went out with six or seven bottles of mineral water: "Brother Tao, are your benefits here really enough?" ”

Speaking of which, in the duty room of En'an Central Hospital, the reserves of materials are really very abundant, unlike Zhongnan Hospital, the paper towels here are free and unlimited to a certain extent.

There is also a small bottle of mineral water for a dollar, which can also be drunk directly. There may also be some things that you haven't unlocked.

Xue Tao smiled and raised his eyebrows: "Huh?" When I went to Zhongnan Hospital for further study, I also felt that it was extremely inconvenient, so I had to bring my own water cup, otherwise I would have nowhere to drink saliva if I wanted to. ”

"But then I learned that in fact, the benefits in Zhongnan Hospital are not in the doctor's lounge, but in the inpatient main lounge, guess why?"

Xue Tao didn't mention it, Fang Ziye only felt that it was a habit, this was natural.

Saying this, Fang Ziye seems to have discovered that Jin Hongzhou's hospitalized 'kennel' duty room is indeed rich in materials, but under normal circumstances, no one dares to take it.

Xue Tao asked and answered himself, and while opening the door of the director's office sideways, he said: "Two reasons, the first is that the staff of Zhongnan Hospital is the total number of inpatients and above, and the second reason is that there are too many students and too much consumption. ”

"What are the students of this college and the students?" When Xue Tao said this, a sentence came from inside.

It was Wu Guonan who came to talk to people with a smile, his face stiffened, and his brows were furrowed.

His eyes were forced to look at Xue Tao, and his eyes were slightly swollen, as if countless coercion had been released, as if to warn him, was he setting up some rules for Fang Ziye?

You're from this college, and Fang Ziye is just a student, so you're going to start doing things, right?

Xue Tao hurriedly explained, knowing that the director had misunderstood.

After explaining a little, Wu Guonan smiled and said, "Oh, that's the case." That's okay, Dr. Fang, when you come here, you are equivalent to a family in this hospital. We don't have that many rules here. ”

Wu Guonan then explained and introduced a middle-aged man next to him: "Director Huang, this is the doctor in Zhongnan Hospital, Dr. Fang Ziye." ”

When I entered the director's office, there were some people inside.

Wu Guonan was at the same table with a strange middle-aged man, and there was also Wang Zhongxing, a big stubble who didn't have time to shave, with a beard like short hair, spanning two earlobes, and even the hair in front of the ear that I don't know if it was a beard or an eyebrow, connected with the hair, looking like a miniature version of the sand monk.

He and Huang Yunxiao hid on the other side and worked hard.

"Well, Hello Dr. Fang." Dr. Huang raised his head, glanced at Fang Ziye, just smiled politely, did not pay attention, and then continued to cook.

It seems that for him, the doctor is just a person, a little bit of Buddhism.

"Hello Mr. Huang." Fang Ziye and Xue Tao stepped forward to give the mineral water to everyone, and Fang Ziye happened to give it to Director Huang and Director Wu Guonan.

I took a closer look at Director Huang, who was slightly chubby, with an average face but a slightly strong neck, and a typical double chin. But it doesn't look greasy, it's probably the kind of special type with a fat neck but not fat anywhere else.

Subconsciously consider hyperthyroidism, but Fang Ziye did not see that he had eye protrusion and other manifestations, but the whole person's temperament was quite restrained, quite with the elegant style that Professor Deng Yong had, and it was not like the kind of acute hyperthyroidism that should have.

"What is Dr. Fang's major?" When Huang Haitao saw Fang Ziye reply, he had to ask casually.

"Mr. Huang, my specialty is trauma surgery." Fang Ziye looked at the dishes and walked sideways to another 'table' while leaning over to explain.

Even if the director asks, the meal must be big, and if you are hungry, you have to cook.

Naturally, Fang Ziye still took a photo first and sent it to Luo Tingzhu, this act is to share it, and to show it to others.

After reading it, Huang Haitao realized: "It's good to be young, right, Director Wu." ”

Wu Guonan nodded, he also knew, Fang Ziye probably didn't know who he was tired with. But he didn't think about it in any other direction.

The next thing is to eat, and most of the topics are still focused on Fang Ziye, but how old is it, what does a girlfriend do, is it a business? This kind of problem.

Fang Ziye also coped with them one by one, and was not shy or pretended to be cold.

After almost everyone was in a mess in front of them, Wu Guonan and Huang Haitao lit a small happiness in their hands to the end, and Wang Zhongxing and Xue Tao lit up their own little happiness.

and each gave Wu Guonan and Huang Haitao another one.

There was a bit of smoke in it in an instant, although Fang Ziye didn't like it, he didn't show it, he just asked while packing up the lunch box: "Director Huang, I just heard from Director Xue that your technique of resetting is excellent, which I have never seen in Zhongnan Hospital, do you think, are there any skills or rules for this?" ”

If you don't understand, just ask, there's no shame.

Luo Tingzhu can ask questions generously, and Fang Ziye can also ask questions, first admit his shortcomings, and he will benefit more, rather than benefiting a lot.

Huang Haitao didn't hide his secrets: "This is the content of traditional Chinese medicine bone touching and osteopathy, Dr. Fang, do you want to learn?" How many sets of books shall I give you? ”

When Fang Ziye was packing up the lunch box, his movements stiffened slightly.

He asked, "Mr. Huang, do these books look like they need a foundation?" ”

Fang Ziye knows that one of the most critical steps in osteotomy and orthopedics is manual reduction. Orthopedics, in fact, is to rotate the abnormal form after osteotomy to restore it to the normal form and complete the functional replacement.

Manual reduction is one of the most critical components, if it is easy to learn, Fang Ziye does not mind learning it, but if it takes ten or eight years of hard work, Fang Ziye feels that it may be a little enough.

"It will take a little, but not much, and if you can do it, you can actually translate it into what you understand as modern medicine to read through it, and count it as understanding."

"But it will be very time-consuming, you need to grind slowly, if you need it, you can come to the Minmin University Hospital to find me, I still have a few bound copies there."

"If you love to read, I like it very much." Although Fang Ziye does not have the kind of very elegant bookish anger on his body, whether a person likes to read books or not, he can't see it at a glance, and he can see it after getting along with him a few times.

Huang Haitao saw a strong desire for knowledge and a sense of steadfastness in Fang Ziye's body, this is the temperament accumulated from reading books, and ordinary people can't pretend if they want to pretend.

"Thank you, Director Huang, I will definitely come when I have time. In the last two days, I've been very thick-skinned. Fang Ziye helped wipe the table with a paper towel.

Wang Zhongxing and Huang Yunxiao next to him are also doing similar work.

With a few senior titles, it is naturally impossible to do this.

When Fang Ziye asked Yuan Weihong to take the book, he would not be particularly polite, even if he borrowed to repay, he would borrow it first, and since Professor Deng Yong said that Fang Ziye could borrow the book from him last year, Fang Ziye really borrowed it, although he hadn't finished reading it yet, and he hadn't returned it yet, but Professor Deng Yong didn't urge Fang Ziye to return the book, and at present, Fang Ziye also brought them to Enshi.

It is a full set of Campbell, very thick and knowledgeable, and it is worth perusing and intensive reading. Even if it's all in English, it's not easy to chew.

Director Huang didn't reply again, but felt that Fang Ziye was a little interesting.

After sitting for a while, Wu Guonan and Huang Haitao began to clean up the plain X-ray photos of the patients in the hospital, comparing them one by one, and discussing which ones were suitable for manual reduction and which ones could not be done.

Huang Haitao was still muttering in his mouth-

"This can't work, if my master is present, you can try it, I seem to have seen it, but I can't, don't try."

"If you want to give it a try, you can give it a try......" Huang Haitao's tone was heavy, and while he said, he shook the cigarette case again, and Wu Guonan next to him opened his drawer, crossed the Yellow Crane Tower with one hundred and fifty-forty-one packs, and found the bottom pack of six pieces of Double Happiness.

Huang Haitao looked at it, but it was like a treasure: "Do you still have this thing?" ”

Fang Ziye was surprised, what could Double Happiness do without......

Of course, the answer to this question, Fang Ziye did not pursue.

Fang Ziye returned to the deputy high office, and after Xue Tao 'rewarded' the workstation, he said thoughtfully: "Brother Tao, you can smoke in here, I am not so sensitive to the smell of smoke." ”

Although it is said that second-hand smoke is very harmful, smoking is a form of relaxation for many people, and Fang Ziye is not good because of himself, so he forcibly twisted Xue Tao's habits.

Fang Ziye had seen Xue Tao rubbing in his pocket several times before, and he didn't know what he was going to do, but now he knew.

Xue Tao turned around, smiled hehe, and then clicked on one.

After Fang Ziye wrote and changed all the admission interview signature forms, he printed them out uniformly, intending to sign the conversation one by one.

These things have a format, but Fang Ziye likes everyone to talk and sign accurately according to their own understanding, which is a kind of refining of theories and the overall understanding of the disease.

After tempering, Fang Ziye's orthopedics is now close to level 3, and trauma surgery has reached a proficiency level of level 3 or above, which is not a waste of knowledge.

But when I went out, it was already 1:40 in the afternoon.

Fang Ziye's typing speed was relatively faster than that of the other Xue Tao, so at this moment, he was the only one who started to talk and sign.

I don't know if it's a coincidence, at this time, Fang Ziye happened to meet Wu Guonan and Huang Haitao at the bedside to check on the patient, and Huang Haitao was still touching the bones one by one, while combining plain films to determine the type of diagnosis.

Fang Ziye felt that the opportunity was rare, so he first postponed the conversation and signed, followed aside, and silently began to record what Huang Haitao said, although some may not understand much, but you can check the information after you go back.

Huang Haitao can be valued by Wu Guonan, and respected by Xue Tao and others, he must have kung fu.

Many people in the department say that Xue Tao is a pure clinician, no matter how good you are in academics, you don't need you to be a scumbag, but if your clinical skills are good enough, then Xue Tao is very willing to get close to you.

Wu Guonan and Huang Haitao both noticed Fang Ziye, but they only felt that Fang Ziye was really studious, and did not consider other aspects.

It took about half an hour to walk down in a circle, which was not very long.

However, Huang Haitao said: "Director Wu, there are not many, I think the reset I can take is about eight, and I almost have the bottom in my heart." ”

"Let's sort it out later, and you can let the people below talk and sign."

"Informed consent, I still don't dare to lose it......" Huang Haitao is quite cautious.

In the end, as soon as it was subdivided, Fang Ziye found that there were three fractures in the bed he was in charge of, which could be solved by manual reduction.

They were a double fracture of the tibia and fibula, a type B2.1 fracture of the radius, and a double fracture of the ulna and radius.

Fang Ziye has carefully looked at these three types of fractures, and if from the perspective of modern medicine, at least according to the current guidelines of trauma surgery and the corresponding principles of instability, they all need to be reduced by surgery to achieve a better treatment effect.

If you want to deal with it by manual reduction, it can only be said that the risk is very large, and the external fixation of the plaster cast cannot meet the fixation requirements, and after reduction, it is very easy to have instability and dislocation, which leads to reoperation and increases the pain of the patient.

Of course, since Huang Haitao said so, and Director Wu also ordered, Fang Ziye would not force anything more.

Sign the informed consent form and inform the patient that this is just an attempt, if the reduction is not successful or the post-reduction evaluation still cannot achieve the fixed effect, it is still necessary to surgically deal with it, but after the current director has seen it, he can expect a manual reduction.

For this point, Fang Ziye's experience in talking and signing is also very rich, and when he was in Zhongnan Hospital before, he did the most difficult surgical talk signing, which has more risk regulations, more complicated, and more chaotic, which can be clarified and informed one by one.

At this point, it can be regarded as a little Karami.

And I told everyone that you can refuse such an operation attempt and directly reduce the position surgically.

However, all three of them felt that they could not have surgery without surgery, and if they wanted surgery, they would have another operation, and they did not have too much initiative and participation of the supervisor, and they were relatively passive.

After the conversation was signed, when Fang Ziye rushed to the operation room again, Huang Haitao had already completed a reset, and after the resetting was completed, he determined the effect of the reduction by touching the bones, and then said: "Hurry up and put a plaster cast on the functional position, and after the fixation is completed, go to review the X-ray plain film." ”

"Just stay in this position." Huang Haitao commanded.

On the other hand, Xue Tao, who signed the conversation in charge of the bed and handed it over to Huang Yunxiao, immediately prepared the plaster of the polymer material before soaking in water.

Obviously, the cooperation is not once or twice.

Fang Ziye didn't see Huang Haitao's operation process, and he was not annoyed, there were still seven or eight to see in the back.

However, it is indeed surprising to see the effect of fracture reduction through the naked eye, and it is really possible to treat fractures that should be indications for surgery by manual reduction......

Whether the fracture manual reduction is successful or not is actually similar to the evaluation criteria of joint dislocation manual reduction.

Diagnosis of fracture is deformity, pain, limitation of movement, bone friction rub, and friction sensation.

This is a clinical manifestation visible to the naked eye.

The clinical manifestations seen after fracture reduction are the loss of deformity, the relief of pain, and the loss of bone friction rubs.

There is no freedom of movement, this is the result of the physical examination after the fracture has been completely recovered, just after the reduction, you go to assess the patient's range of motion and bone friction, you see if he hits you, which is equivalent to making the patient constantly in the friction between the fracture and reduction, the fundamental source of pain.

At least from the naked eye, Huang Haitao's operation was successful.

……

Immediately afterwards, Huang Haitao continued two more sets, and Fang Ziye had been watching silently, his eyes and expressions were uncertain, and his eyes were full of thoughtfulness and incredulity.

Because if he is not mistaken, the proficiency of this Huang Haitao's manual reduction technique may not be as subtle as his, because Huang Haitao's control of direction and strength may be at most a level 3 full proficiency level.

The reason why he can be so sure is because Fang Ziye is watching condescendingly.

However, Huang Haitao was able to achieve a reduction effect that he couldn't do at all, what was going on?

Fang Ziye didn't dare to reduce these patients, which was something that could not be reduced in theory.

After doing three manual resets, Huang Haitao may be a little satisfied with his repositioning effect, so he deliberately twisted his waist and looked at Wu Guonan: "Director Wu, do you want to try it?" ”

Wu Guonan and Huang Haitao have known each other for too long, and shook his head: "Don't, I've tried and made mistakes countless times, let's give the opportunity to the young man first, I have to grind it again." ”

Huang Haitao looked at the familiar Xue Tao, who was also an old acquaintance with him.

Even, even Wang Zhongxing and Huang Yunxiao are a little familiar with him, although he can't call Huang Yunxiao's name, at least he knows that he is Xiao Huang.

Therefore, Huang Haitao looked at Fang Ziye and asked, "Do you want Dr. Fang to try it?" In fact, the manual reduction of the next fracture is quite simple, and the most important thing to achieve is to completely pull and fully loosen, and then compress and close the broken end fragments of the tibial fracture. ”

"Then the point of entrapment is greater than the length of the fracture itself, so that the muscle is passively stretched to provide support."

"For example, if you break a branch from it, but if you wrap the two ends around the broken end with a band that binds your hair, the branch will be very stable." Huang Haitao explained the corresponding principle to Fang Ziye.

Fang Ziye thought for a while and nodded: "Teacher Huang, then I'll try." ”

When Xue Tao heard this, he immediately said: "Director Huang, Xiao Fang's manual reset technique is kung fu. The manual reduction of joint dislocation is particularly well done. ”

"Oh?" Huang Haitao was surprised, and his eyes became more concerned.

(End of chapter)