Chapter 178: One Hundred and Thirteen Pieces and Two Mao Seven! (Ask for subscription)
"If Director Wu and Teacher Shen both agree, then I will be ugly." Fang Ziye looked in the direction where Wang Zhongxing and Xue Tao were.
At present, the person in the department who is in the greatest demand for simple fracture surgery is Wang Zhongxing, and then Xue Tao, deputy chief physician.
Wang Zhongxing needs to practice mobile phone skills to learn to get started, and Xue Tao needs the opportunity to learn teaching experience and high-end techniquesββ
After all, if Xue Tao is promoted to Zhenggao Group and lead the group in the future, he will have to lead the team from scratch, and the experience of teaching is also precious.
The focus of fracture surgery is reduction, and after a period of getting along, the people in the group are slowly changing from being shocked that Fang Ziye has a super high manual reduction surgery to accepting!
Fang Ziye's manual reduction is the fact that the ceiling is operated in the group and even in the department.
Even if Shen Tao's manual reduction technique is still a younger brother in front of Fang Ziye, he needs to ask for advice occasionally.
Naturally, if someone doesn't want to have surgery, they will also ask Fang Ziye to speed up the progress of the operation.
"Ziye, since you want to speed up the pace of surgery and ensure the quality of surgery, you still have to come out." Xue Tao has no opinion, his main task is to learn how to teach from Wu Guonan and Shen Tao, and then follow Shen Tao to learn a little about the treatment process of complex fractures, and keep it for you to ponder slowly in the future.
Fang Ziye does not take every operation, let alone every operation, and is exquisite. It is a super booster at the same time, but also a friend worth making friends with.
It's not that mature, but it's also learning to integrate into the atmosphere of the group, and having such an idea is worth appreciating.
Although Wang Zhongxing didn't speak, he also put his fist on Fang Ziye's arm, and said in amazement: "This triceps is really big." β
The triceps brachii is lateral to the posterior, and the biceps brachii is anteromedial.
"What are you wrestling?" Shen Tao proposed.
In other surgical specialties, orthopedics seem to be infinitely powerful, but in fact, within orthopedics, no one will compete with who has more strength, orthopedics is actually a delicate department, but in many cases it is necessary to use strength to assist surgery.
You can season it when you play around.
If there is a joke, everyone will laugh.
Fang Ziye was not convinced, and wanted to try Wang Zhongxing's big arm.
Soon, in the special smoking room on the upper half floor of the operating room, except for Fang Ziye, the other four people were full of smoke, Fang Ziye was smoking second-hand smoke, Wang Zhongxing was smoking a cigarette, and the blood vessels in front of the temporal ears were bulging.
Fang Ziye and Wang Zhongxing exchanged their left and right hands and fought for nearly forty seconds, and no one could help anyone, so they shook hands and made peace.
Wu Guonan laughed after reading it: "Wang Zhongxing's strength is not small, but it seems that our young people in orthopedics have been fed and trained very well by their respective teachers or superiors." β
In other words, Fang Ziye's leg-lifting business is already very proficient.
Fang Ziye praised: "I think Brother Xing may be in better shape than me, I am so much younger than him, if I am at Brother Xing's age, I may not still have the strength I have now." β
Wang Zhongxing understood Fang Ziye's driving content, and was a little embarrassed.
But Shen Tao said: "Ziye, you don't understand this, this is completely in a state that has not been developed." β
Shen Tao made a hugging posture, although the index finger and middle finger of his right hand were holding cigarettes, everyone who understood understood and laughed.
"Forehead......" Fang Ziye scratched his head.
This touched his knowledge blind spot, and he smiled.
After joking for a while, Shen Tao extinguished the cigarette butt, and after two or three seconds of smoke in his nostrils, he asked in a deep voice: "Ziye, is Professor Deng Yong good at osteotomy and orthopedics?" β
Shen Tao is very familiar with Professor Deng Yong's name, but which column Professor Deng Yong is good at, to be honest, Shen Tao's understanding is not deep enough, he is only the main director, and it is not the turn of parallel communication with Professor Deng Yong.
I don't dare to ask the big guy about his expertise at will.
It was only now, seeing that Fang Ziye had a tendency to develop in this direction, he asked.
When Fang Ziye heard this, his mind immediately tightened: "Yes, Professor Deng's current main direction is osteotomy and orthopedics, so he also intends to mention the business development direction of our team and move closer to this aspect." β
The center of gravity of the points added by myself is closer to the osteotomy and orthopedics.
Whether it is manual reduction or osteotomy, it is a very important underlying skill of osteotomy and orthopedics, although this is the direction that Professor Li Guohua gave Fang Ziye to mention, but the apex of Professor Li Guohua's point to the trauma surgery of Zhongnan Hospital is the field of osteotomy and orthopedics.
If Professor Deng Yong wants to make another breakthrough in his profession, he can only continue to work hard.
Professor Deng Yong himself is currently only proficient, but he also needs further collaboration from the team. In the team, there is already Associate Professor Xie Jinyuan who has kept up with the rhythm of this direction, his master is halfway through, and even Qin Geluo has already been on the road.
Therefore, Fang Ziye is not afraid that others will doubt his skills and good direction.
"That's really embarrassing, after all, the technique reset is the content that you can often come into contact with at your age. But your attainments in osteotomy have begun to be able to beat people, which I didn't expect. β
"Does your master know?" Shen Tao hurriedly asked when he heard this, as if he had found the direction of counterattack.
Fang Ziye occasionally called himself uncle, but Shen Tao had every reason to suspect that Yuan Weihong didn't know that Fang Ziye's current professional ability was so awesome, because it was easy to go dark.
The longer Fang Ziye stays by his side, Yuan Weihong may form his own stereotyped thinking, feeling that Fang Ziye is better at scientific research.
"Ah, this, you should know something, I don't have many opportunities to operate in the group."
"At present, in our group, the one who is more good at and mainly learns this part is Associate Professor Xie Jinyuan." Fang Ziye explained in detail, and he didn't dare to let his teacher prove it to himself, because Yuan Weihong didn't know.
And Fang Ziye's explanation is also reasonable.
Indeed, Professor Deng Yong is rushing to the forefront of the profession, and Associate Professor Xie Jinyuan has completed relatively high-end surgeries such as bone transplantation, and has a certain degree of proficiency.
His teachers, Yuan Weihong and Qin Geluo, are currently responsible for taking over other surgical procedures besides osteotomy and orthopedics, such as bone transport, bone defect treatment, and so on.
The reason why the team is awesome is because of the clear division of labor, organic cooperation, task assignment and learning, and clear task focus.
For example, in the trauma surgery group of Zhongnan Hospital, you can not mainly do fractures, but you can't do small diseases such as fractures, which is the same.
Teacher Yuan Weihong has also completed the surgical operation of the conventional fracture, and Qin Geluo is constantly looking for opportunities to fill it.
"Okay, I see." Shen Tao immediately understood.
Then that's going to be easy.
Yuan Weihong, you wait for me, see how I clean you up! ~
Shen Tao never doubted the clinical level of professors in top teaching hospitals such as Zhongnan Hospital, nor did he doubt the scientific research ability of professors of such a level.
The chat must be endless, and after Mao Mao sent the news that the next patient had been anesthetized and could be disinfected and spread, everyone began to move to the operating room.
Mao Mao is hospitalized, so he washed his hands in advance very sensibly, and planned to complete the disinfection work at any time, but before that, he needed a person to support his legs to ensure the principle of sterility.
Seeing this, Fang Ziye took the initiative to say: "Mao Mao, you prepare the sterilized bowl and oval pliers first, and Brother Tao and I try to do a manual reset before disinfection." β
Reduction is an attempt to close the reduction before it can be incised, and then the internal fixation implant is performed.
This patient has undergone a comprehensive evaluation, even if it can be reduced manually, there is no way to achieve the fixation effect through external fixation with plaster cast or self-fixation between fractures, and an incision is necessary.
Mao Mao did not doubt that he had him, so he walked to the operating table and asked the instrument nurse to prepare something for himself, and he only waited to pick up the sterilization bowl and gauze and start disinfection.
Here, Fang Ziye and Xue Tao stood in front of the film reader, and after a little discussion, they came to the operating table.
The patient has been given continuous anesthesia in the neuraxial canal, and no matter how much he tosses, he will not feel pain, but only have a sense of touch, so there is no need to worry about the patient's uncooperation or severe pain.
Fang Ziye stood in the operation position and docked with Xue Tao: "Brother Tao, it's started." β
"Gotcha!" Xue Tao had already put on a pair of examination gloves and grabbed the patient's lower limbs in the fixed position of manual reduction.
This is a comminuted fracture of the femur that immobilizes the pelvis and then traction of the lower extremities, but it is difficult to fix itself.
Seeing this scene, Wu Guonan and Shen Tao were both directly saying that when the intramedullary nail was injected later, whether it was a "golden hand guidance needle" could be directly put into the medullary cavity, and the speed of the operation would be very fast.
Wang Zhongxing originally adhered to the attitude of learning and watched from the sidelines.
Suddenly, Wang Zhongxing felt that he had been kicked suddenly.
It was the anesthesiologist from the operating room, no longer the previous one, but Nie Mingxian, the royal anesthesiologist of Chief Physician Hongdu.
He came to earn money for the shift, and the purpose was very clear.
"Wang Zhongxing, didn't you say that you will be the main surgeon of this operation and let the operation take longer? What's going on? Nie Mingxian's eyes burned.
This look made Wang Zhongxing's back cold, and after recognizing the person who came: "Isn't the anesthesia Brother Finch?" Why are you, Teacher Nie? β
Brother Finch, is the name of another anesthesiologist, and is currently the deputy chief physician, with spots on his face, like a sparrow, so he has the title of Brother Finch.
Nie Mingxian usually doesn't come to Director Wu Guonan's operating room?
Wang Zhongxing was a little worried.
"Brother Bird has something to do. I'll run bilaterally. β
"There's one hundred and thirteen dollars and a dime in that plate, the old rule?" Nie Mingxian looked at it and asked rhetorically.
Wang Zhongxing was about to cry when he heard this.
"No, Teacher Nie, is it necessary to be so careful?" Wang Zhongxing really thinks that Nie Mingxian is extremely wonderful, so more than 100 yuan, it can be accurate to a dime and seven ???
Nie Mingxian was mixed in the orthopedic surgery room, and Wang Zhongxing often listened to Huang Kai and others complain, but he didn't expect Nie Mingxian to be so calculating.
"I'm sorry, old man, I'm very short of money, my brother and settle accounts."
"When I pay off all my father's debts, I can be as generous as I want, but I don't have the ability to do that now." Nie Mingxian touched his chin and finished speaking.
Suddenly, a slight click was heard.
"Four hundred and forty-nine yuan and six cents and two, I can only find someone to return the original three hundred and twenty-three yuan and eight cents three, alas!" Nie Mingxian's tone was extremely annoyed, he looked in the direction of Fang Ziye's operation, and tilted his head slightly.
Obviously, this Nie Mingxian has a very deep memory of Fang Ziye, the surgeon who caused his loss of wages.
He didn't think about making trouble with Fang Ziye, but he would trouble with someone who entrusted him to slow down and prolong the operation.
I cooperated with you to prolong the operation time, but you tricked me and suddenly changed the main surgery, so it was not that I was not well evaluated.
There's no way, Nie Mingxian's idea of making money is quack and clear.
At present, the cost of anesthesia in the operating room is charged by the hour, but the requirement for the anesthesiology department is to accurately cooperate with the anesthesia.
How do you save costs is your business, if you don't anesthetize well, you have to increase the dosage, or you don't monitor the patient's vital signs in time, and there is an accident, it is also your anesthesiology department's own.
The anesthesiology department puts the pressure on the anesthesiologist.
Therefore, most people are complaining about this system, and every anesthesiologist will be paid a little bit.
Only Nie Mingxian, through careful planning, can earn nearly eight or nine thousand more performance through such a system every month, and the effect of anesthesia is also very satisfactory to all patients.
But just?
He's too obsessed with money!
But Nie Mingxian felt that it was natural to make money with his ability.
The main reason why the anesthesiology department has such regulations is to avoid 'corruption' in the department, and to charge according to the time, depending on whether you dare to use expensive drugs.
Wang Zhongxing knew Nie Mingxian's difficulties: "Brother, forget it, I'll make it up to you, don't have any opinions on our Doctor Fang, okay?" β
A matter of a few hundred yuan, if he can make friends with Fang Ziye, Wang Zhongxing feels that it is worth it, after all, if he wants to ask Fang Ziye to go out to wash his meat feet, a few hundred yuan will not solve it.
"Brother Xing, I'm just short of money, not a beggar. Don't look down on me. Nie Mingxian put his hands on his chest, quite principled, and smiled lightly at the corners of his mouth.
It seems that he is just waiting for Wang Zhongxing to say this.
He didn't have to wait for the results of the X-rays to know that the reduction effect was very good, because Nie Mingxian used to be an excellent surgeon.
Wang Zhongxing listened to Nie Mingxian's mean and righteous tone, and was a little irritable.
It's just that after tilting his head, he looked at Nie Mingxian's complicated eyes at this moment-
I don't really seem to care about the hundreds of dollars.
It's just that Nie Mingxian's eyes looking at Fang Ziye were full of complexity and anxiety, as if he had a look of envy, a lot of regrets, and a little expectation.
A certain string in Wang Zhongxing's body seemed to be plucked at this moment, and the ghost asked in a daze: "Envy?" β
Nie Mingxian turned his head to look over, his eyes were full of complicated colors, and his eyes were red when he saw it, with unspeakable anger.
The mask seemed to be lifted by the expression or the mouth, and the folds were torn.
But in the end, Nie Mingxian didn't say anything.
Putting away the action of hugging his chest, he turned to the anesthesia monitor, tilted his head slightly, and looked at the ceiling.
Ask this question yourself, envy?
Nie Mingxian himself knew that the answer must be envious, once upon a time, he was also called a genius by others in the Third Affiliated Hospital of Kyoto University.
But filial piety comes first, his father is his own father, he has been cured of his illness, and he already has the ability to earn money, so he must not watch him die because he has no money.
The cost of talent introduction, coupled with the borrowed money, has completed the mission of continuing life!
In the end, I didn't have enough money, and now I can happily find someone to call my father, which is God's care for me.
What is more than a million?
Life experiences are different, a small wealth is peace, and working here will never starve to death......
But still envious.
Nie Mingxian watched Fang Ziye and the others on the operating table, stirring up the storm, in fact, he was also envious, but he, a doctor who transferred from emergency surgery to anesthesiology in order to make money, couldn't envy him.
Emergency surgery can be transferred to anesthesiology, but not to other surgeries, because the specialty is not appropriate!
And Nie Mingxian a few years ago, whoever gave the money was the godfather.
Whether it is anesthesia, emergency or surgery, whoever gives more money will go there.
Even now, Nie Mingxian doesn't feel that he has no grace at all.
My father is dying of poverty and illness, and you let me talk about demeanor?
Go to the demeanor of TM.
Lao Tzu only thinks about making money, relying on his ability, to earn clean money.
The surgery ended quickly.
After a group of people left.
Nie Mingxiancai mentioned money to Wang Zhongxing again, but he sent him a number through WeChat.
Wang Zhongxing also transferred the money without hesitation.
Nie Mingxian receives money directlyββ
The extension of the anesthesia time was requested by Wang Zhongxing, not by him to Wang Zhongxing, if you don't notify me in time, the operation time will be shortened, and you won't pay for the wasted medicine money?
The person who wants to learn surgery is you Wang Zhongxing, not my anesthesiologist Nie Mingxian!
Nie Mingxian's thoughts were clear, and after finishing the operating room, he whistled and went out.
He also had to rush to the next anesthesia, which was in the operating room of a private hospital.
The money given can be more than the labor fee given by the anesthesiology department of the central hospital.
Although tired is a little tired.
But it's hard to make money.
Because only by earning enough money can he afford his dream of leaving his job and returning to his specialty, and only then can his parents not feel guilty because they have dragged themselves down, so that they can have enough financial conditions to enjoy their old age......
"Xuanqi, I think you might be making a joke." On the way, Nie Mingxian sent a message to his old classmates like this.
Wu Xuanqi: "??? β
"This Fang Ziye's talent is too good, maybe what he gave back to you may not be what you and I want. Today he did another manual reset, not his main knife, but from the beginning to the end, it was only twenty-three minutes. Nie Mingxian said.
"Uh~~~"
"Then let's think it's about making friends."
"The two of us, the current basic scientific research can be said to be completely none, and in the current environment, even if the surgical innovation is extravagant, it is impossible to have a relatively high scientific research achievement and sense of identity. The general direction is not in this part at all. β
"But it's also excusable, after all, once, because of the price paid for surgical innovation, it was an exponential number of lives." Wu Xuanqi sighed.
"When will you be able to go back to surgery?" Wu Xuanqi asked.
"I don't know, let's see when I can get the second practice authorization......" Nie Mingxian got on the bus while editing the information.
Bus travel, it's just a little slower, but it only takes a piece of four cents, seven folds, only two dollars and eight dollars for a bus, take a taxi, it takes nineteen yuan to go back and forth, generally nine yuan and five trips, Nie Mingxian's heart is like a mirror......
(End of chapter)