"Okay, I won't talk about the rest, but regular review is still very necessary. You have to come. Fang Ziye explained to the middle-aged.

"I'm sure I'll come to you, Dr. Fang. After checking the results later, I will go to the Minmin University Hospital. He said indignantly.

Fang Ziye can't control these things.

More than 20 minutes later, after Fang Ziye re-evaluated the results of the middle-aged reduction plain film, he relieved him to explain some precautions, and wrote the doctor's instructions after leaving the hospital clearly, which allowed the couple to leave.

"Brother Ye, is this person really going to find trouble with the Minda Hospital?" Guo Yunlei, who was on duty next to him, asked.

Fang Ziye was editing the information for Dr. Wu Xuanqi at this time, and it was the results of the plain film review after the manual reduction, and replied to Guo Yunlei: "We are just doctors, as long as we do a good job of receiving patients to our hospital and our department." ”

"After the patient leaves our unit, how to choose, that is his freedom."

"As long as we don't slander, comment, or seduce our brother hospitals, we will have a clear conscience."

Between brother hospitals, as long as they do not step on the high and praise the low, then the normal communication is reasonable.

For example, now, after Fang Ziye contacted Dr. Wu Xuanqi about the patient's re-examination MRI and postoperative prognosis, Wu Xuanqi, who had stepped down, was speechless for a while.

"His luck is really good, such a rare non-concomitant symptom has been encountered by him."

"Moderate injuries to posterior shoulder dislocations, without fractures, rotator cuff injuries, and ruptured capsule, are certainly rare and may not have reported precedent." Wu Xuanqi was speechless not because he was middle-aged and wanted to go over to find trouble, but because he felt that his luck was too good.

Fang Ziye also immediately understood what Wu Xuanqi meant: "Thank you Senior Brother Wu for your humility, otherwise, this case report would be yours Senior Brother Wu." ”

"But my luck is better, the patient just agreed to do an MRI here in our hospital, so the junior brother is not polite and excuses himself."

Less than one in a million probable cases, if not published as a case report, would be a great waste.

And the reason why Fang Ziye wanted to contact Wu Xuanqi was to inform Wu Xuanqi that maybe this patient would go over to find trouble.

But more importantly, the diagnosis and treatment of this patient were carried out in the central hospital of En, and it was only the first diagnosis in the Minmin University Hospital.

According to the rules, then the ownership of this medical record should be the central hospital.

Therefore, Fang Ziye informed Wu Xuanqi in advance that he had already set his sights on this case and would write a case report, so don't repeat it when the time comes, wasting the other party's time, and it is also an exchange of oath of sovereignty.

"Senior Brother Fang's scientific research sense of smell is really sensitive, my junior brother just said that he can write an interesting case report." Wu Xuanqi said.

"Senior brother, the reason why the sense of smell is sensitive is generally because I have been hungry for too long." Fang Ziye explained.

"Haha, Xiao Fang, you're very interesting." Wu Xuanqi actually laughed.

……

After the chat, Wu Xuanqi slapped the crowd in the department: "When you are on duty in the future, pay attention to it, if there are dislocation or fracture patients transferred from En Central Hospital, you must not handle it yourself and call me." ”

Hearing Wu Xuanqi suddenly say this, Song Yi, who followed him in the Central Hospital of En, who had not yet officially entered the school, rolled his eyes a few times and asked, "Senior Brother Wu, what do you mean to say, because Ziye is in the Central Hospital." ”

"The patients he misses are either pits or poisonous?"

Song Yi is currently the same as Fang Ziye, neither of them is enrolled, but the difference is that Song Yi completed the regular training and graduated, he went directly from Kyoto Yo-Yo to the prefecture-level city hospital in Enshi, in order to get more operation opportunities.

In the division, there is a very powerful senior brother, who is currently in the center of the city of En, and hopes to pay attention to the teachers of Tongji Hospital, who want to pay attention to the training of Song Yi, naturally also want Song Yi to understand some basic diseases of trauma surgery in advance.

The rare disease of posterior shoulder dislocation encountered today was treated by Song Yi and Wu Xuanqi.

The two were still discussing that if this patient went to the other two hospitals, and they started to reset as soon as their brains were hot, it was likely to cause medical disputes, so Wu Xuanqi officially signed his name in the medical record book.

Otherwise, under normal circumstances, Wu Xuanqi would not be able to write too block letters.

I believe that as long as the people of the trauma surgery department in Enshi City see Wu Xuanqi's name, they will hesitate a little.

"That's pretty much what it means, especially Song Yi, don't underestimate it."

"I think this sub-industry's proficiency in technique reset and the speed of learning theories are faster than yours, so don't be careless." Wu Xuanqi explained seriously.

As soon as Song Yi, the junior brother, came, he could take a temporary rest in the position of the general hospital, and in most cases, it was Song Yi who replaced the position of the general hospital, receiving and dealing with some emergency consultations.

"Okay." Song Yi nodded.

His memory of Fang Ziye is also particularly profound, when he was in Zhongnan Hospital, Fang Ziye's suturing proficiency level has reached an unbelievable level, and now half a year has passed since then.

At that time, there was no process of manual reset, who knows how deep Fang Ziye's skills are?

However, it is quite interesting to meet Fang Ziye, a competitor of the same age, again in Enshi, at least for now, even in Enshi, there is a faint sense of involution in Kyoto.

Song Yi is also more accustomed to such a competitive atmosphere, and he doesn't want to lie down directly.

……

"It's time for dinner, Senior Brother Fang." Guo Yunlei is in the second grade, and in front of Fang Ziye, he considers himself a junior and a younger brother.

"Then let's cook. Yun Lei, how much is this meal, I will transfer it to you. Fang Ziye is still sorting out the details of the discharge medical records he is in charge of.

For the time being, he didn't want to stretch his hand too far, and first managed the medical records and doctor's orders in his group, and he didn't really think of himself as a superior who managed all the residents.

Guo Yunlei's eyebrows are sparse and his appearance is powerful, but he doesn't have a beard.

And the most characteristic buttocks are relatively plump and stocky, in the process of eating, I twisted it unconsciously, it looks just a little sassy, but not a mother.

"Senior brother, you're joking, it's just a meal money, it didn't cost much, let's eat." Guo Yunlei did not mention this matter.

"AA, you can invite me again in the future, this time I will eat and drink for nothing when I enter the department, and that is not a problem." Fang Ziye said and transferred thirty yuan to Guo Yunlei.

Guo Yunlei saw Fang Ziye's firm expression, so he returned the money, and only then opened the lunch box and said, "Senior brother, don't need so much, one eighteen." ”

Fang Ziye turned over eighteen yuan, and after seeing Guo Yunlei accept it again, he didn't have much trouble.

During the meal, when Fang Ziye saw his knowledge points again, he found that the knowledge points brought by this case just now were really a lot.

“+12！”

Although there are not many knowledge points of 12, an ordinary manual reduction of shoulder dislocation is at most an increase of five or six points of knowledge, but in his case, it is doubled.

Obviously, his case belongs to a very special category.

Current Knowledge Point Balance: 1122.1!

It's better to be more clinically.

Fang Ziye thought like this, so he wanted to first add the skills of the preconditions of osteotomy and orthopedics to a certain level.

The pre-skills of osteotomy and orthopedics include osteotomy, manual reduction, experience in orthopedic internal fixation instruments, osteoplasty, and bone grafting.

After all, in Zhongnan Hospital, one of the prerequisites for Fang Ziye's license to be routinely operated in clinical practice is to be able to have certain attainments in osteotomy and orthopedics.

Otherwise, you can only survive the qualifications.

Of course, Fang Ziye has to consider that after going back, he can still continue to stay in the clinical practice with abundant knowledge to have more opportunities for operation.

"Osteotomy Level 0 1/10."

Well, the operation of osteotomy is indeed relatively high-end, if you have to talk about the level of surgery, there may not be a simple osteotomy, but it is generally sandwiched at least in the tertiary surgery.

Add points –

It turned out to be.

Knowledge points -10.

Osteotomy Level 0 5/10!

Fang Ziye: "......"

No, it's okay to be reasonable, how can you still swallow some knowledge and say that it's one to one?

Fang Ziye's action of eating was immediately a meal.

But after thinking about it carefully, Fang Ziye suddenly realized again.

The difficulty of suturing and osteotomy are completely unequal, and if the knowledge points consumed by the two are the same, it may not be possible to show the high-end of osteotomy.

Forget it, add it.

Fang Ziye consumed 60 knowledge points before he added the skill to 0/50 at level 2 of Osteotomy!

If the osteotomy is to level 3, it needs at least 100 knowledge points, and Fang Ziye didn't move first.

Instead, continue to try to add points to several other skills.

Then Fang Ziye found that osteoplasty and bone grafting were the proportions of knowledge points consumed, which was not an exaggeration, just a ratio of 1:1.

This makes Fang Ziye a little unbelievable, why is this?

But after thinking about it for a while, Fang Ziye couldn't get a stable answer, and it could only be said that the difficulty of osteotomy would be greater than that of osteoplasty and bone grafting.

After such an operation, just adding three level 2 skills consumed more than a hundred knowledge points.

And because the application time of osteotomy and orthopedics is next year, Fang Ziye plans to add up this final skill next year.

For now, as long as the osteotomy is added to a certain heat, it is enough to deal with the skill competition that can make money at that time.

Fang Ziye really hopes that he has 10,000 or even 100,000 knowledge points, so that he can completely increase his freedom.

Then, as I had been recommended before, when I returned to Zhongnan Hospital, I punched the teacher Professor Deng Yong, kicked the master Li Guohua, and blew my mouth, Yuan Weihong soared and was specially appointed as a Changjiang Scholar, and then with one hand, Professor Deng Yong was immediately arranged to become an academician......

Sweet dreams are all good, but Guo Yunlei saw Fang Ziye's slightly beautiful smile, and he felt a little infiltrated.

"Senior brother? Is it the wrong taste? Guo Yunlei saw that Fang Ziye hadn't moved his chopsticks for nearly half a minute, so he asked.

Fang Ziye, who was wandering outside the world, withdrew his "divine sense": "No, he was thinking about something. ”

"Oh, I thought I was ordering something that wasn't to your taste." Guo Yunlei flattered and laughed, and behaved.

"Surely not, I'm not a picky eater." Fang Ziye hurriedly worked hard to planing rice.

If you have a point of knowledge, you can have a lot of things, and he has to continue to get the knowledge points of clinical management of patients and grinding doctors' orders, and start to embark on a serious and sustainable knowledge point income on the right track.

Ideally, you can add basic cell experiments and animal experiments to level 5 as early as possible.

Then let your teachers and uncles give the teacher a fair explanation.

Yuan Weihong doesn't need Fang Ziye to give him anger or anything, but Fang Ziye can smash the relevant workload in front of Yuan Weihong.

Whether you need to apologize or not is a matter of Yuan Weihong's choice, whether you can let others take the initiative to apologize, that is a matter of your strength.

If Yuan Weihong has now become a Youqing or a Jieqing, then even if his teachers and uncles dare not apologize, they will at least sleep peacefully every night, because once the East Window incident happens, if Yuan Weihong hints at something, what awaits them is an abyss.

"Senior brother, Kai Ye said that he is responsible for the pre-competition training of the orthopedics department of this year's skills competition. He told me that if you want to participate in the competition, brother, and you can still afford him, you can contact him privately. Halfway through the meal, Guo Yunlei ordered.

"Huh? Did Kai Ye really say that? Fang Ziye was a little incredulous.

Huang Kai is the top pillar of the younger generation in the department, is it not good that he is so polite.

"Well, it's really when Kai Ye found me to talk about this in the morning, and you were still doing ward rounds at that time, senior brother." Guo Yunlei said as he paid attention to Fang Ziye's expression.

The heart is particularly envious.

Fang Ziye, although he is a doctor, is not the doctor in the department, whether it is professional or theoretical, he has only been in the department for a few days, and he has been recognized.

Even a deputy chief physician like Huang Kai will speak more vaguely when facing Fang Ziye.

Such a status in the rivers and lakes is what Guo Yunlei dreams of, but he can't ask for.

"That's a good thing, I've never competed before, so let me know when you gather."

"We started in March, but there is no practice room in a large hospital, there is only a functional experimental training room, and Director Zhang asked it from the hospital and borrowed it temporarily for a period of time." Guo Yunlei explained.

Each hospital basically has its own clinical skills training room, but the skills training room in the prefecture-level city hospital is not as large and formal as the practice room in Zhongnan Hospital.

The practice room in Zhongnan Hospital, especially the practice room of the orthopedic department, is the first-class in China, and it is not weaker than other affiliated hospitals of universities in terms of equipment and the preparation of old professors.

……

No emergency patients came in the afternoon.

There are two fractures, both lower fibula fractures and very small suprapatellar avulsion fractures, which require only a cast.

For such an operation, there is no need for Fang Ziye to come forward in person, and after explaining it to Guo Yunlei, Guo Yunlei went to put on a plaster cast.

Taking advantage of this time, Fang Ziye cleaned up the medical orders of more than 20 patients in the group.

There are a few problems that can be summed up, the first one, in the central hospital of En, does not pay much attention to postoperative medication.

Principled structures, such as anti-inflammatory, analgesic, prophylactic anticoagulation, etc., cannot be wrong.

However, in addition to the timely discontinuation of anti-inflammatory antibiotics, there are still major problems in the use of analgesic, swelling and prophylactic anticoagulants.

For example, the patients who had surgery on Saturday are still using natriparin calcium prophylactic anticoagulation today.

In fact, such a patient, after a day or two after surgery, can get out of bed and move, and then can switch to oral anticoagulant drugs.

Pain medications too.

In Zhongnan Hospital, for patients with large-scale trauma, intravenous analgesics are used for three to five days at most, and then oral celecoxib analgesia is changed, but here, on the fourth day after surgery, it is just a conventional small fracture, and intravenous analgesics are still used.

Fang Ziye did not make corrections directly, but only dealt with the patients in his charge according to the principle of summarizing through literature review, marked out the corresponding medical orders, and discussed them with Wu Guonan, Xue Tao and others when the time came, and then suggested amendments.

Suggestions are what they should do, and the handling of corrections is their own choice.

Fang Ziye would not regard himself as a new official taking office, what to burn, there is no need for this.

But if it is in Zhongnan Hospital, his two junior disciples or Professor Deng Yong's junior brothers, if they use drugs like this, Fang Ziye will beat them.

It was about 4:40 p.m.

Director Wu Guonan, Deputy Director Shen Tao, Deputy Director Xue Tao and others returned to the ward one after another.

On the way back, several people were still discussing the process of today's operation, saying that except for the manual reduction of a fracture patient, it took about six reductions to reduce, and everything else went smoothly.

A few people came back with the intention of taking another look at today's postoperative patients, which is the habit of Dr. Shen Tao after the operation.

Seeing this, Fang Ziye followed to check the ward first.

The first round after surgery is mainly to ask about the patient's anesthesia recovery and the pain of the affected area, so as to avoid a very small chance of anesthesia accidents and poor quality of surgery.

After checking the room, Fang Ziye told Xue Tao and Wu Guonan about his summary suggestions for the medication of the patients in the group in the department today.

But when Fang Ziye said this, Shen Tao looked at Fang Ziye's gaze and became thoughtful, as if there was something in his eyes.

What Shen Tao didn't expect was that Deputy Chief Physician Xue Tao, after listening to it, said as soon as possible: "Change, definitely change." ”

"Dr. Fang, your suggestion must be the most scientific." As he spoke, Xue Tao's thick eyebrows were crowded together, and his tone was faintly flattering.

Shen Tao also secretly said in his heart, secretly saying that this little party's status in the group and in the department is not ordinary, and he can have such weight in such a short time after coming to the department.

No wonder Yuan Weihong re-played the nickname of Beihai Yiye, focusing on a floating.

(End of chapter)