"Huh? That doesn't seem right. At three o'clock in the afternoon, when the third operation was almost over, Fang Ziye stood in the suture position, and when he sutured the surgical incision, Wu Guonan, who had stepped down, glanced at Fang Ziye's direction when he took his mobile phone, and sighed softly.

Then put the phone behind his buttocks, put his hands behind his back, approached the operating table again, and carefully watched Fang Ziye's suturing process.

The tweezers pick and twist lightly and slowly, and the needle is inserted and the needle is decisive and fast, and the needle is threaded and passed without hesitation, and the speed of knotting is also as fast as a horse.

Fang Ziye just glanced at Wu Guonan, and continued his suturing operation.

At present, Fang Ziye is least worried about the operation that goes wrong, which is suturing and manual reduction.

Level 4 proficiency, no matter how bad it is, even if you put it somewhere, I make a stitch, what else can you say. It is not a delicate microsuture of hand surgery.

When Xue Tao heard Wu Guonan so surprised, he also confirmed his inner thoughts, and said, "Yes, Director Wu, you also found out, right?" I just thought I was wrong. ”

"Ziye's stitching kung fu is something."

Although there is no professional subspecialty of hand surgery in En'en Central Hospital, Wu Guonan happens to be in the trauma center, which is biased towards the hand surgery subgroup.

Therefore, Wu Guonan's observation of the ability of suture is the most detailed.

In the prefecture-level city hospital, the requirements for suturing surgery are not so high, basically as long as the arterioles are sutured, the patency rate of the blood vessels is more than 90%, and the diameter of the blood vessels is reduced by no more than 10%, and there is no blood turbulence, you can get started.

As for whether the function can be as good as the top hand surgery department, it depends on luck.

In fact, most of the amputated limb replantation surgeries in hand surgery, even if they are done well, in fact, the recovery of function is quite limited, and it is impossible to fully recover to the peak level.

This point is profoundly reflected in a doctor senior who was injured in Huaguo.

Once the doctor's hand is injured, it is no longer difficult to get on the operating table.

"It should be much better than me." Xue Tao took a closer look again, and after getting Wu Guonan's approval, he said firmly again.

"Haha, hahaha." After Wu Guonan saw Fang Ziye operate two more stitches, he laughed presumptuously.

Then he raised his head and said, "Xue Tao, look, what I said, I didn't believe it before, do you believe it now?" ”

"This is the suture technique that can be used in fine microsuture."

"You're a little bit off the heat." Wu Guonan was very happy.

Good guy, Director Zhang Mingcan gave himself a doctor who came over to 'gild', but he didn't expect to really vote for what he liked.

The hand surgery in the central hospital has always been a shortcoming.

The orthopedic strength of the central hospital in En is based on spine surgery, joint surgery and minimally invasive sports medicine, which is supported by a slight lack of trauma surgery and hand surgery, with only one subgroup.

The strongest trauma surgery is the Minmin University Hospital, and the strongest hand surgery is the Enshi People's Hospital, which has its own characteristics!

Xue Tao stopped talking.

However, Fang Ziye has also seen Xue Tao's stitching, and his proficiency is decent, not as good as level 4, but his proficiency is at least higher than that of a doctor like Luo Tingzhu, with a proficiency of about 300-400 at level 3, which is about the same level as Yang Wenzheng in Zhongnan Hospital.

And Xue Tao is much older than Yang Wenzheng, after all, Xue Tao is two or three years older than his teachers.

For trauma surgery, it is definitely enough, but to enter hand surgery, even the benchmark of prefecture-level city hospitals has not been reached.

Fang Ziye's words are currently the baseline of hand surgery in Zhongnan Hospital, which may be a little short of proficiency and vascular suture level, but in the prefecture-level city hospital, it can be used directly!

"Good, good." After Wu Guonan smiled, he left the operating room first, but at the door of the operating room, he glanced back at Fang Ziye.

"Very good, very good." He muttered a few more words in such a low voice.

After Wu Guonan left, Wang Zhongxing blinked his eyes and said, "Brother Tao, what kind of freak do you say Ziye is?" ”

"When the manual reduction technique is done so well, the suture can still be so good, and the opening is also very smooth, is this from the mother's womb?"

Wang Zhongxing is about 323 years old this year, and in fact, he has been promoted to the chief officer for four or five years, but his academic qualifications are not so high, and he is only a bachelor's degree, so he needs seven years to be promoted to the deputy high school.

Wang Zhongxing was envious of Fang Ziye's clinical operation.

In prefecture-level city hospitals, academic qualifications are a bit popular, but scientific research is not popular. Technology alone is the biggest core competitiveness.

Because everyone's academic qualifications are like this, compared to coming, that is, short people are taller than taller.

In the field of scientific research, everyone avoids it for fear of being targeted.

Technology alone is a topic that is often discussed.

Fang Ziye only replied at this time: "Falsely praised, Brother Xing, I learned something from the teachers, but that's it, it's not so exaggerated." ”

"If you have been to the hand surgery department of Zhongnan Hospital, you know that I am not even qualified to come to the stage."

Fang Ziye was rotated in hand surgery, and the hand surgery department of Zhongnan Hospital, even if Professor Ni Yaoping and Associate Professor Guan Qiquan were not mentioned, they might be hanging and beating the entire department of trauma surgery in sutures.

There is a specialization in the art industry, and the otaku wants to sprint with Boltby, unless it is a mutation.

But Bolt wants to compare the second dimension with otaku, and it is estimated that his mind is full of question marks.

"That can't be counted like this, you still have to look at your age, how old are you, Ziye, if you switch to hand surgery, I guess the professors in Zhongnan Hospital are all welcome, right?" Wang Zhongxing is not easy to deal with, and he got to the key part.

Fang Ziye smiled back shyly.

"Look, I'm right." Wang Zhongxing was still a little embarrassed.

But at this moment, Xue Tao looked at Wang Zhongxing, as if he was looking at a stupid wave, no wonder you don't have a girlfriend in your thirties, you deserve it.

Fang Ziye continued to stitch.

In fact, by longitudinal comparison with the knowledge points in the earlier time, Fang Ziye found that after his suturing technique was upgraded to level 4, the knowledge points obtained by suturing not only did not improve, but decreased slightly.

Although the number of reductions is not much, in the past, there were 3 points for completing a suture, but now it is 2.5 points, which may be related to the difficulty of the disease and the size of the operation.

However, Fang Ziye knows that according to reason, after his suture technique is improved, the contribution rate to the recovery of the wound should be higher?

How does this work?

Could it be that the more advanced your suturing skills are, the fewer knowledge points you will gain?

Then TM to upgrade skills to a higher level, there is still an egg?

That's what Fang Ziye just thought.

……

At the end of the first operation, Fang Ziye did a direct manual reduction on the operating table during the fourth operation.

The principle of treatment of fractures is reduction and fixation, which is the key step of the operation.

The reason for the operation is that it is hoped that under open reduction, it can be fixed with steel plate screws or intramedullary nails, so that the reduction of fractures is better and the stability of fixation is higher.

Therefore, manual reduction is still useful after the incision exposes the fracture.

For example, in the first few surgeries, Xue Tao and Wu Guonan were mainly reduced under the open, and it took five or six reductions and five or six fluoroscopy to reach the standard of anatomical reduction, and in this process, K-wire temporary fixation, pry and other reduction tools will be used.

However, during the fourth operation, when Fang Ziye stood in the operation position of manual reduction, he only reduced it twice, saw it twice, and the broken end of the fracture was improvised.

Seeing this, Wu Guonan hurriedly said quickly: "Don't move, don't move!" ”

This tone was very anxious, and as he spoke, he took an electric drill with a 2.0mm K-wire needle and came to the stage.

Fortunately, there is no such cheap sentence as I will buy you a few oranges.

After the two K-wires were staggered and temporarily fixed, the itinerant nurse pushed the C-arm machine that temporarily made X-ray fluoroscopy photos during the operation to the bedside, and all the people in the operating room left the operating room and went to the isolation room next door or outside the operating room, and then they were ready to step on the photo button.

At this time, there was a new nurse in the operating room next door, probably in a hurry or something, maybe an intern, who had never seen this scene, and continued to accelerate forward.

Xue Tao hurriedly stretched out his hand and said, "Little sister, don't run away, it's taking pictures here, there is radiation!" Stop for a moment. ”

A sentence of radiation, frightened to push the cart trotting, quickly threw her butt back, then pulled the cart, after the cart was settled, she quickly turned around and trotted out of two more operating rooms, then leaned against the wall, her eyes revealed a look of horror.

But in fact, just when she turned around and ran back, she had already pressed the button to take a photo.

The X-ray camera did have radiation, but the doors of the operating room were all lead doors that isolated radiation, and the reason why she was reminded was to let her not face the operating room.

Radiation is not a homing missile.

After the fluoroscopy, the roving nurses went to the operating room first, and Wu Guonan and other orthopedic surgeons were reading the film very carefully.

Reading is done to assess the degree of reduction.

Of course, if the first shot of the reset is not bad, you have to rotate 90 degrees to take a side film, and observe the degree of reset from more angles.

After all, the displacement after the fracture is at least anterior, anterior, and lateral and angular displacement in the left and right directions, so that the fracture is relatively neatly aligned in both directions, which can be regarded as a more successful reduction effect.

The anesthesiologist and the itinerant nurse were very knowledgeable about the market, so they did not move immediately.

In the distance, the little nurse who pushed the cart to other operating rooms hurriedly tiptoed to push the cart, and when she saw that she had reached the door of the orthopedic operating room, she suddenly accelerated.

The friction sound between the rubber slippers and the ground was particularly harsh, and people couldn't help but laugh when they saw it.

However, Wu Guonan and others did not laugh, outsiders do not understand the C-arm machine of orthopedics, so they naturally avoid it.

Soon, the roving nurse adjusted the angle of the C-arm machine, and after coming out to a safer position, the photo of the side film came to an end......

"The effect of reduction is very good, basically anatomical reduction is achieved, and the fracture line is hidden."

"Ziye's manual reduction can directly do the whole fracture surgery, but the title is a little lower, and there is no surgical authority at present."

"Right, Xue Tao?" Wu Guonan communicated with Xue Tao in a calm tone.

put Fang Ziye in an equal position, without making a fuss, as if he felt that Fang Ziye deserved to be able to do fracture surgery.

The treatment of fractures, whether it is surgery or manual reduction, in fact, reduction is the most critical step, as long as the reduction is done well, then other plaster external fixation or internal fixation of internal fixation instruments are relatively programmed operation steps and processes.

"Yes, the most essential point of trauma surgery treatment is manual reduction, which is just like the most important point in the current treatment of bone tumors is the subtlety of the chemotherapy plan."

"The technique is good for reset, it's big and small." Xue Tao finally said, in front of Fang Ziye, his daily meat jokes.

Speaking of which, because Fang Ziye, a new doctor, has just arrived, he, Wu Guonan and others have been pretending to be serious for a few days.

Fang Ziye glanced at Xue Tao a few times, and said in his heart, should a young man like me listen to it?

"What do you mean by big and small?" Wu Guonan is bad, he seems to be serious, and it is estimated that when he talks about jokes, he is also a bad stomach.

The itinerant nurse's face turned red all of a sudden, but the instrument nurse, who looked good-looking, smiled and groaned: "Director Wu, I'm going to go to my sister-in-law to complain, saying that you have a lot of fun." ”

"Have you played or what?" The operation process is fast, the quality of the operation is good, and the operation ends early, not to mention how comfortable Wu Guonan's mood is.

When the nurse was driving and his mood was at its peak, he dared to talk back, didn't he feel uncomfortable?

After all, the instrument nurse was a woman, and she was not good at exchanging views with Wu Guonan in person, lowered her head, hugged her chest, and went to the operating room with a dada.

Subsequently, Fang Ziye deservedly got another opportunity to hit the steel plate and screws.

This is where the experience of operating orthopedic internal fixation instruments comes into play.

After the steel plate is firmly attached to the bone end, the upper and lower parts of the fracture line must be across the three screw holes. After having the principle of at least three screws to fix, Fang Ziye began to punch holes with formulas.

These steps can be operated in the practice room, but during bathymetry.

Because in the practice room, all the screws are custom-made, so there is no step to measure the length of the screws.

Seeing that Fang Ziye was very unskilled in applying the bathymetry, Wu Guonan finally found a joke: "It seems that our sub-industry is still a bit simple, and we have no experience in measuring the depth of people." ”

"I don't think it's much."

Fang Ziye scolded in his heart, can we not drive everything, ah?

However, Fang Ziye also knew that the more relaxed Wu Guonan's mood was, the more opportunities he had.

"That's right, Director Wu, I usually play with holes. Not newly opened. Fang Ziye flexibly used the jokes he learned in Zhongnan Hospital.

Wu Guonan and others don't have an absolute master-apprentice relationship with him, so he still endures it?

Even if he says that he is a little dirty, it is also taught by the teachers, and the one who is close to ink is black.

Of course, looking at the thoughtful expressions of Wu Guonan and the others, and then looking at the unbelievable expressions of the itinerant nurses and instrument nurses when they heard Fang Ziye's words, Fang Ziye also felt that it turned out that the joker was such a feeling.

"Good fellows! ~" After a while, Wu Guonan finally came to his senses.

"This reflex is really strong."

After Fang Ziye finished the bathymetry, he said to the instrument nurse: "54, give the No. 55 screw." ”

This is mm, which omits the unit and facilitates communication.

After speaking, Fang Ziye said to Wu Guonan again: "After all, it's soft." ”

This sentence was learned by Fang Ziye from his teacher, and he brought it to life.

The original words are what Yuan Weihong said to Qin Geluo, the clinical holes are all hard, and there is no soft comfort, so you are not so smooth, right?

The atmosphere reached a climax all at once.

A group of people laughed at Fang Ziye again, saying that Fang Ziye was serious on the surface, but in fact, he had bad water in his stomach.

Some people also say that Fang Ziye must have played a lot, and it is estimated that his girlfriends are all stubble after stubble.

Fang Ziye did not refuse and explained, he came here to avoid being fed something, a flowery role, but it will make some people stay away, such a label is not indispensable.

After the one-day operation, Wu Guonan and Xue Tao both invited Fang Ziye to have dinner together, but it was still early, today was a big dinner in the department, and the time had to wait for Director Zhang Mingcan's arrangement.

Of course, Fang Ziye agreed and said yes.

However, Fang Ziye still said: "Director Wu, Director Zhang has something to do with me in the morning, let me go to him first after the operation, and you and Director Xue will go back to rest first." ”

"I'll give a doctor's order down there later."

Of today's four surgical patients, the last one is in the hands of Fang Ziye, so Fang Ziye must complete the postoperative medical instructions.

Several people nodded in agreement, Fang Ziye's business ability is very mature, and he will definitely not forget such a stubble.

Then, Fang Ziye first went to the operating room where Director Zhang Mingcan was, and the surgeries inside were still in progress, but because he had already explained.

Therefore, Zhang Mingcan's students were in the operating room, waiting for Fang Ziye.

Therefore, after Fang Ziye entered, although he had a face-to-face with the one invited by Director Zhang Mingcan, and the 'excellent doctor brother' in the Minmin University Hospital, he only watched him do manual reduction in the operating room, and did not stop to do more contact.

Although Fang Ziye wanted to get in touch, it was not allowed in terms of time.

After greeting each other, Fang Ziye followed one of Zhang Mingcan's master's students, Guan Hongming, and walked outside the operating room.

When leaving, Senior Brother Wu Xuanqi looked at Fang Ziye with a smile and said generously: "Ziye, I will have the opportunity to contact and communicate more in the future." Don't be shy. ”

"Okay, Senior Brother Wu, as long as you don't dislike me for bothering." Fang Ziye turned around, waved his hand, and then took Guan Hongming to the anesthesiology office downstairs to give a doctor's order......

(End of chapter)