Chapter 162: Fang Ziye's Take First and Give Later (Ask for Subscription)
When Fang Ziye left the operating room, his heart was pounding, and he couldn't believe that he had brought out so many things from the operating room-
Current Knowledge Point Balance: 1102.3!
There are so many, and this is under the premise that Fang Ziye consumed more than 500 knowledge points and upgraded the theory of technique reset to level 4, which consumed 560 points.
I have to say that the conventional understanding contraindications of reverse manual reduction, the benefits of learning points brought by manual reduction, are simply too terrifying.
You must know that it has only been more than eight months since Fang Ziye got this panel.
During these eight months, Fang Ziye has accumulated, and the income from knowledge points is less than 3,000 points.
Add 3 level 4 skills, and it's over-
Cell-based experiments, animal-based experiments, and sutures.
However, this is all the output from August last year to March today, which is a regular output.
After arriving at En's Central Hospital, the unconventional output was the organic combination of high-end manual reduction theory and level 4 manual reduction surgery that I had inadvertently come into contact with.
The result was obvious, Fang Ziye had reached nearly two thousand skill points in just a few days.
Four days = seven months.
It is long overdue to go down to the clinical of prefecture-level city hospitals.
That's not it, if you don't have enough clinical skills and scientific research accumulation in the early stage, how can you give yourself such generous conditions for going to the prefecture-level city hospital in advance?
Out of the operating room, Fang Ziye did not come out of the operating room.
There are still a lot of patients in the department, and the fracture manual reduction of Director Hongdu's group is considered to be empty, and there are still fractured surgeries to be done.
Naturally, the operation of Director Wu Guonan's group, to which Fang Ziye belonged, was also in full swing.
These are relatively simple cases of simple fractures, this time I just rushed to the hospital, how can there be such a large number of patients waiting to accumulate knowledge points in the hospital in the future?
That's impossible.
By the way, I met two particularly excellent people, one is Wu Xuanqi, the other is Nie Mingxian, a time management master, and the other Huang Kai is barely a relatively good person.
It's just that, compared to the top geniuses, maybe Huang Kai is still a little less interesting.
I have to say that the talent is analogous to a genius like Luo Tingzhu, with enough time to accumulate, the ability reserve completed is not something that can be completely surpassed by himself in a short period of time.
But fortunately, Fang Ziye currently has more than a thousand knowledge points, and if Fang Ziye is willing, he can also violently do two level 4 skills, so that he can do it.
Even if Wu Xuanqi is considered a top genius, so what?
When Fang Ziye entered the 13th operating room where Director Wu Guonan was, the operation inside was progressing in an orderly manner.
When Fang Ziye came in, many people glanced at Fang Ziye, and a look of surprise was projected in their eyes.
Director Hongdu's manual reduction of patients has all been emptied? It's only past ten o'clock in the morning, which is a bit outrageous.
But thinking of the terrifying resources gathered around the old director of Hongdu, everyone was also relieved.
"Xiao Fang, are you here?"
"Wash your hands and go on stage?" Wu Guonan's eyelid edema today has completely disappeared, and his fatigue has been swept away.
Fang Ziye approached the operating table and found that the progress of the operation on this one was nearing the end, that is, two more screws, and then a fluoroscopy, the wound could be closed.
He modestly replied: "Director Wu, I won't waste my clothes on stage, I'll help with the next operation." ”
Just got a lot of knowledge points, Fang Ziye is also interested in the follow-up stitching brought by 1-2 points, maybe less than three melons and two dates.
"That's fine. You are probably tired of the sub-industry, and manual reset is a technical job, and it is also a personal work. Wu Guonan said as he warned Xue Tao again: "Lighter, you already have a formula hole, why are you still working so hard when you hit the screws?" ”
"Just hold it down......"
Hearing this, Xue Tao nodded, and slightly reduced the strength of his hands.
Fang Ziye was close to the 13 operating rooms under the timing panel, while swiping his mobile phone, he saw the urban night shared by Luo Tingzhu thousands of miles away, and then glanced at the time, feeling full of emotion.
The world is still very big.
"Senior brother, I have read the document you sent me, and it seems to be more difficult to understand."
"Sure enough, the theory of traditional medicine relies entirely on understanding, and it would be nice if there could be a more objective data to reflect it." Luo Tingzhu sent regretful words about half an hour ago.
It should be that Luo Tingzhu carefully read it before he cautiously said what was in his heart.
The speaker has no intention, but the listener has the intention.
Fang Ziye didn't know if Luo Tingzhu was because of Lan Tianluo's identity, so he deliberately regarded him as a blind spot of resources.
Luo listened to Zhuzhu's reminder, and Fang Ziye's eyes lit up instantly.
That's right, now in his own group, there is a god who plays with data there, so can he digitize these theories from the perspective of relative science?
Data to statistics to theory is a one-way reasoning.
From theory to statistics to specific data, can another one-way reasoning be formed?
Fang Ziye will do it when he thinks of it!
immediately sent Luo Tingzhu the document in the past, and also copied it to his junior brother Lan Tianluo.
Naturally, Wu Xuanqi has explained that the content of the document he gave belongs to the results of clinical topics, and Fang Ziye did not copy it thoroughly, but on the basis of his own understanding, he roughly summarized a little bit of the connection between the ideas of manual reduction and basic anatomy.
There are not many words, that is, four or five hundred words, which belongs to a kind of condensed output.
There is no specific fracture classification support, which is certainly not a leak of the results of the project.
However, on the basis of Wu Xuanqi's theory, Fang Ziye made some simple speculations, that is, whether it is possible to explain the feasibility of manual reduction through data after testing the maximum negative gravity and maximum tensile force of each muscle, and calculating the angulation between joints and fractures.
For example, the step of self-fixation can be described by data, after self-fixation, when the muscle is fixed and stretched, how much N passive elastic force will be formed, which just makes the fracture reach the state of self-fixation?
This is just a direction, Fang Ziye himself is engaged in scientific research, and it is not a leak and a leak.
After all, whether it is a general topic or a national key topic such as 863, the name of the topic is the corresponding direction, which can be said generously, and what Fang Ziye supplements is just a detail that you haven't considered.
Lan Tianluo did not reply immediately.
Fang Ziye roughly explained his thoughts to Lan Tianluo, and after guiding the direction through more than a dozen sentences, he said: "Just evaluate it, this is just my unilateral consideration, it may not be able to do it, and if it can't be done, forget it." ”
After replying like this, Fang Ziye chatted casually with Luo Tingzhu again.
Luo Tingzhu told Fang Ziye that she was finally in the laboratory, completing three workloads, and she was a little happy.
In a month, although it cannot reach the top output of one workload per week, it is already very strong when Luo Tingzhu is familiar with it, and at the same time, he can double open it and make up for one more workload.
Luo Tingzhu's comprehension must be excellent.
Fang Ziye immediately heard the meaning of her words: "Congratulations, I am happy to mention the progress of the basic experiment." ”
Fang Ziye is so clever, he estimates that Luo Tingzhu has been immersed in the laboratory for nearly half a year, and the basic experimental operation has finally come to the point where he just entered the laboratory, that is, the proficiency level of level 3, at least not far behind.
Luo Tingzhu replied with some embarrassment: "Actually, I don't know, basic experimental operations are not like clinical operations, which can be directly analogized in the practice room." ”
"But I think the success rate has improved, probably because the workload is relatively large, and the group discussion is more active, so the success rate will be higher."
Luo Tingzhu finally sent two blushing expressions.
Fang Ziye is still editing the information.
Wu Guonan stepped down and went to the stage:
"Yo! ~”
"Ziye is still busy."
Fang Ziye hurriedly finished typing this paragraph, sent it over, and then raised his head and said generously: "Director Wu, just talk to your girlfriend for the next day." ”
Although Luo Tingzhu did not admit the relationship with him, Fang Ziye now has to confirm this.
"It's good to be young."
"How about going to Director Hong's side, don't you think it's a bit eye-opening?" Wu Guonan's eyes and tone were full of respect.
Fang Ziye did not take back his mobile phone in a restrained manner, but typed to Luo Tingzhu that the stage was going to be opened, and then replied: "Director Wu, you don't give me science in advance, I only learned that Director Hong's group is fighting with immortals like Director Wu." ”
"But I learned a lot." Fang Ziye still shared what he had gained a little.
"There is nothing that needs to be popularized about this, Director Zhang and I are completely dependent on Director Hong to bring it up."
"Don't underestimate Director Hong, although Director Hong is only the old director of our hospital, he, Professor Duan from Tongji Hospital, and Professor Ning from Union Hospital are all undergraduate classmates, and they are really from Tongji Medical College." Wu Guonan said as he gave a thumbs up.
Fang Ziye guessed that Director Hongdu's origin was not ordinary, but he didn't expect that Director Hongdu would be from Tongji Medical College in his time.
After all, it was not difficult for undergraduates in his era to stay in the same college.
I don't know why Director Hong arrived at En's Central Hospital by mistake.
"Director Wu, I am a little frightened when you say this, I never dare to mean this." Fang Ziye rubbed his nose.
He didn't even dare to underestimate Xue Tao, let alone the chief physician.
"Next surgery, go on stage and play? I see that your operation yesterday was okay as well. Wu Guonan suggested.
"Okay, thank you, Director Wu." Fang Ziye smiled like a flower in an instant.
The points of knowledge that are sent to the lips should not be in vain.
It's just that since he is going to have surgery again, Fang Ziye still spent more than 50 points of knowledge on the operation of orthopedic internal fixation instruments, and added points to a proficiency level of about 100 at level 3 to avoid accidents.
The experience of internal fixation instrument operation, adding a point early and adding a point late, after all, must be added.
In the future, the daily life is fracture surgery, and the manual reduction of fractures can only be an occasional meal, so it is still necessary to keep up.
And with Fang Ziye's addition, Fang Ziye found that the fracture incision reduction and internal fixation technique, which was originally only level 2 4/50, was promoted by its upstream skills, and the proficiency level reached level 2 41/50.
With such an increase, Fang Ziye felt that it was still very scientific.
The treatment of fractures is not only manual reduction, nor is it just fracture reduction, surgery is also a very important part of the treatment, and one cannot be favored over the other.
If it is said that as long as you know the experience of manual reduction and orthopedic instrument operation, you can completely know the operation, it is too much to underestimate the surgery.
However, Fang Ziye, who still has more than 1,000 points, how could he tolerate himself coming to power with a level 2 skill, and immediately added the overall skill of fracture incision reduction and internal fixation to a level 3 100/500 proficiency.
It's not that Fang Ziye deliberately doesn't want to add points to level 4, but level 3 is enough.
The next operation is just a comminuted fracture of the tibia, and manual reduction is absolutely impossible to succeed, and at most one bone grafting is added.
Thinking of bone grafting, Fang Ziye was extremely painful at the moment.
Because bone grafting is actually a simple operation, the raw materials of bone grafting are divided into allogeneic/biological bone grafting and autologous bone grafting.
If it is a biological bone material, then it is necessary to take a bone material directly on the stage and graft the bone, and if it is an autologous bone, then the bone grafting and osteoplasty must be supported.
This is equivalent to Fang Ziye having to add three skills at once before he can use it.
Naturally, for the sake of a simple small fracture, it is certainly not cost-effective to make another cut in the patient's own ilium.
In line with the principle of not panicking when the family has surplus food, and not adding points for the time being if the skills are not used, Fang Ziye did not engage in these things.
"Oh, yes, Xiao Fang!"
"I almost forgot one thing." After Wu Guonan saw that Fang Ziye agreed, he didn't find any topic for a while, so he was silent for a while, but soon, he thought about it again-
"In May, we in Enzhou undertook the second quarter reading meeting and youth skills competition of the Orthopedic Branch of the Hubei Provincial Medical Association, and you should be able to participate."
"Of course, the organizer is the Enzhou Medical Association, which is co-organized by our hospital and the Minmin University Hospital, and there is a bonus for this."
Fang Ziye didn't have much interest, but when he heard that there was a bonus, his eyes immediately lit up.
Speaking of which, the Orthopedic Youth Skills Competition in Hubei Province is generally only held once a year and is held in the middle of the year. Because at the end of the year, the annual meeting of orthopedics in the province and the COA in the country are about to be held, so as to avoid time conflicts.
In the past, in such a competition, where would there be Fang Ziye's share.
However, Fang Ziye heard that his junior brother, Shu Lang, who is in the second year of the master's degree, also won the third prize and was rewarded with 1,000 yuan.
"Director Wu, how is the age limit of this youth competition?" If you have the money, you must be interested.
This is an opportunity to make money above board.
Winning prizes in the competition is to earn money by virtue of ability, and it is also a lottery used by the orthopedic branch of the medical association to motivate young people, which is not ashamed at all.
Speaking of which, that's how this bonus came about.
Because the reading party is an academic conference and requires the payment of registration fees, the organizers will generally take out a part of the balance after deducting the fixed fee as a prize for young people.
A larger part, of course, is the payment of labor fees for experts......
"Hey, this is actually a competition for young people, although the age limit is 35 years old, but most of them are over 32 years old, even if the competition reaches the last round, they will voluntarily give up the competition."
"So, in fact, you have a great chance to be a sub-business, if you only participate in trauma surgery, it is not impossible to win a second prize."
"There are only 16 places in the second prize in total, and individuals can get a bonus of 3k, which is still very cost-effective."
"There are eight first prizes, about 10,000 yuan, and the estimated difficulty and competition coefficient are very high, and many young doctors who have just joined the work also want to rely on this to earn some extra money to subsidize their families." Wu Guonan explained to Fang Ziye.
Fang Ziye nodded.
"Then I'll pay attention to it and sign up."
No wonder Luo Tingzhu can still earn money while studying, it turns out that he has never opened a way to earn money before.
Naturally, after winning such a prize, the hospital and department will basically give you a small bonus, not much, basically adding up to the same as your prize money in the competition.
After all, it's a glory for the hospital......
The next few surgeries are actually not difficult.
The only thing that is difficult is to deal with it by manual reduction and external fixation of the plaster cast.
The surgery directly chosen, the surgery for fractures, but for patients with minor trauma, is actually decent.
So, Fang Ziye took charge of the whole operation, gave Xue Tao the last chance to suture, and then did an operation, giving the opportunity to Wu Guonan and Xue Tao.
In the last one, Fang Ziye simply only helped his legs, although he only rubbed the knowledge point of 0.2 points, but Fang Ziye was also happy.
Because, the last one, Huang Yunxiao, took a scalpel, and he was so excited that he became a master of aura and atmosphere.
Looking at his happy appearance, Fang Ziye seemed to see himself in Zhongnan Hospital, and he couldn't help but sigh, and at the same time he was happy for Huang Yunxiao.
All the surgeries are over.
Fang Ziye hurriedly returned to the ward with Huang Yunxiao and Wang Zhongxing, and cleaned up the medical orders for the patients in charge of him.
After the operation, although the patient can open the doctor's order in the form of a doctor's order, this is too violent after all, and it is still a precise medication.
During this period, Fang Ziye met Zeng Weihang, who sent patients back to give medical orders from the director team of Hongdu.
So he hurriedly said: "Brother Hang, when the time comes to write the operation record, remember not to write my name in the main surgical position, you must remember it." ”
"By the way, Brother Chuan and Brother Kai will also talk about them."
Director Hong Du is in the operating room, and no matter how much he can't take his turn, this is basic common sense, but I'm afraid that my brain will be down when I write medical records.
At that time, the medical records will be kept, and if there is no problem, it will be fine, but if there is a problem, then there will be trouble.
When Zeng Weihang heard this, he nodded: "Dr. Fang, Director Hong has already explained. You can rest assured. ”
"That's good." Fang Ziye hurriedly nodded in response, but what he thought in his heart was that I would have to check it again tomorrow morning.
(End of chapter)