People have a herd mentality.

With the first person who dared to try Fang Ziye, and the effect was not bad after leaving the operation room, there was also a second person who was willing to sign and pay, and agreed with Fang Ziye's method of resetting, hurry up and go home early, and if it is inconvenient to go home, find a place to rest, and wait for the family to come and pick them up.

During the Chinese New Year, the patients who arrived at Han Zhongnan Hospital were not necessarily all Han locals.

Fang Ziye's current level of manual reset is as high as level 4 +++, therefore, if Fang Ziye believes that it can be used for manual reset, there will basically be no difference.

There are a total of five manual resets, although two of them are a little more difficult, but with the addition of a plaster cast, it is a matter of forty or fifty minutes.

In this process, the patients and their families who successfully went down to re-examine the plain X-rays at the beginning have now returned, and naturally they have not waited for the results of the re-examination of the plain X-rays printed, and they need Fang Ziye to read the images in the computer system.

But he didn't rush.

It may be that on Chinese New Year's Eve, many people's empathy will become more than ever, knowing that everyone is not easy, they are all painful, and they want to go home early for the New Year.

It's just that the eldest brother finally waited for Fang Ziye to finish the five manual reductions, and the other two family members of the patients who had already been hospitalized hurriedly took advantage of Fang Ziye's exit to block in front of Fang Ziye and asked: "Doctor Fang, Doctor Fang, we also want to do manual reduction, do you think it's convenient?" ”

"Everyone has put on a plaster cast and gone home for the New Year, can you give me one too?"

"Huh! ~"The eldest brother, who was waiting for Fang Ziye to see the results of the review, sighed, and after hearing the sound, it was not easy to say that they would continue to cut the queue.

Because in fact, according to principle, he needs to get the results of the plain film to find Fang Ziye to see the results of the review, and now Fang Ziye is still busy. Although they are busy, the other two hospitalized people don't know how to deal with it yet, so they can't be too selfish.

"It's not a matter of whether you can't get a plaster cast, auntie, uncle." Hearing this, Fang Ziye wiped his hands full of water stains with a paper towel.

"Doctor Fang, isn't this the difference between a plaster cast and an operation for you doctors, you can also give us such a pull, reset it......" Fang Ziye's aunt also deliberately learned from Fang Ziye's appearance that he had just been reset, and gave Fang Ziye a gesture like this.

I'm afraid that Fang Ziye didn't understand, or pretended not to understand.

"Auntie, this is really not a matter of plastering, this is like, if we don't go to Tsinghua University and Beijing University, can't we pay the tuition fees of Tsinghua University and Peking University? It is necessary to distinguish whether you can go to such a university before you have the right to pay tuition. ”

"You're right?" Fang Ziye explained to his aunt from the side.

Auntie can understand such an analogy.

"If you don't get enough points, of course you won't be allowed to pay tuition." The aunt understood, nodded and made a joke: "If you can score so many points, you can get it for tuition." ”

Fang Ziye nodded: "That's right, the treatment of this fracture, whether to choose surgery or manual reduction, first depends on whether it is suitable or not." ”

"If you are suitable for manual reduction, you can expect manual reduction, as if the score is high enough, you can look forward to the university that you fill in. If your scores are not enough, you don't need to look forward and honestly choose a school that matches your score. ”

"Now the families of the two of you, that is, the patients I recommend to be hospitalized, their fracture situation is not manual reduction, and at present, in the public perception, it is a contraindication to manual reduction, and the treatment with manual reduction is ineffective, and may even worsen the condition."

"So, you two can only look forward to surgical treatment, don't think too much, I still have to go over and see the results of the re-examination......" Fang Ziye was about to send people away.

In the distance, a voice was heard.

"Doctor Fang, come over here."

When the people heard this, they turned their heads and left.

"Doctor Qin."

"Doctor Qin......"

It was Qin Geluo, next to Qin Geluo, there was another white coat standing, and he was saying something to Qin Geluo, Qin Geluo was looking at Fang Ziye and the two people who had already finished the plaster cast and the flat film review, his face was expressionless.

"Wu Chengwen, take these patients' families to the doctor's office first, and I'll come over right away." Qin Geluo commanded the doctor on duty.

Then he took Xiao He to the general duty room of the hospital first, and Fang Ziye said goodbye to a few patients and their families with a smile.

As soon as Fang Ziye was called away, the aunt and uncle who were going to ask Fang Ziye to do the technique reset were instantly fine.

Obviously, Qin Geluo deliberately called Fang Ziye away at this point in time, this is definitely because he thinks that Fang Ziye's treatment may be problematic, Fang Ziye is still too young, so he acted recklessly.

The two of them were looking for a solution.

In addition, the faces of the two young and middle-aged people and their families who have been reset have become a little difficult to look at.

The family members were even more worried and asked, "Do you feel uncomfortable in any way?" ”

……

Inpatient General Office!

Xiao He happened to be sent out by Qin Geluo.

After Fang Ziye pushed the door in, Qin Geluo asked, "Ziye, why don't you follow the current guidelines for treatment?" ”

"I sent seven patients to the department, five of them required surgery, and only two of them could expect manual reduction treatment, and they could expect it."

"Brother Ro, that's right, based on our previous model research and published articles." Fang Ziye wanted to explain a few words from a more professional point of view.

Qin Geluo directly interrupted: "Is it the article you published that is bigger or the guide bigger?" ”

"Is it the guidelines as the outline of diagnosis and treatment, or the currently published SCI as the outline of diagnosis and treatment?"

"Fang Ziye?"

"Have you forgotten what are the prerequisites for new procedures, new treatments, and new methods?"

When Fang Ziye heard this, he choked back the words that came to his lips.

If you want to start a new technique and a new method, you must have a deputy high level and above titles, which is not something that Fang Ziye can reach.

Even if it is in the group, the new operation that is routinely carried out must be operated by a person with a deputy senior title or above to meet the regulations, otherwise, once there is any difference, the responsibility that needs to be borne will be very heavy.

Moreover, this time, in Zhongnan Hospital, it is very different.

The people on duty, including Yuan Weihong, currently do not have a professional deputy senior title.

In other words, even in the department, there is no leader who can do new operations, and at this time, it is different from the central hospital of En, which is not a few deputy highs.

"Brother Luo, but?" Although Qin Geluo has a point.

But Fang Ziye himself knows what the situation is and how to treat it, which is the best for the patient.

Moreover, according to the results of Fang Ziye's previous research, it can be confirmed that some fracture types can be treated by manual reduction.

"Don't, Ziye."

"Scientific research is for clinical services, and guidelines are to guide clinical diagnosis and treatment. Following the guidelines is the bottom line. ”

"It is the minimum guarantee for patients to obtain a certain quality of medical conditions, and it is also the lowest line for our medical workers in the event of medical disputes."

"The best is not necessarily the most suitable, not that this method is bad, but to share the time, understand the proportion, and see the time."

"An article is an article, scientific research is scientific research, and clinical is clinical."

"Just because you have published a high-scoring article does not mean that your professional ability has surpassed most people, you are still a doctoral student, at most a resident, and you will be a resident ......for a long time in the future."

According to the principles and regulations, in fact, after graduating from the doctorate, as long as you have a standardized training certificate for resident doctors, that is, a standardized training certificate, you can apply for the intermediate title.

But if you are admitted to the intermediate title, as long as you do not finish the position of general inpatient, the hospital can not hire you.

Therefore, your own job title can be inconsistent with the one you have been recognized and hired in the hospital.

When Fang Ziye heard this, he was speechless.

Because what Qin Geluo said was the truth, Fang Ziye was doing good deeds, but if he didn't distinguish the occasion clearly, he was adding poison to his wine bowl.

It's just that things have already happened, and Fang Ziye can only find a way to remedy it: "But, Brother Luo." ”

"Manual reduction is an operation that can be operated by our residents, as long as the quality of our operation is good enough, the residents are allowed to have a certain diagnosis and treatment error."

"Moreover, we have the authority to consult the senior physician at any time......"

Fang Ziye can't stand it himself, so he can pull someone to take the blame, such as Master Professor Deng Yong.

"When I heard that you were doing this in the department, I had already informed Professor Xiong, and Professor Xiong said that he would also come over."

When Qin Geluo said this, he looked around again, and then said: "Ziye, now Professor Deng Yong is no longer the administrative director of the department, you must recognize this fact clearly." ”

"Although Zhongnan Hospital is a professor leading the group responsibility system, we still have enough respect for the administrative director of the ward, otherwise, if you are in power in the future, you don't want to meet everyone who is a backbone."

……

When Fang Ziye and Qin Geluo went out, they happened to meet Yuan Weihong and Professor Xiong in the doctor's office.

Yuan Weihong was carefully explaining what to the patient, and at the same time, he was discussing with Professor Xiong Lao there, what kind of reduction treatment is very good.

"Mr. Xiong, according to the evaluation method of fracture treatment, on the X-ray plain film, the deformity is healed, the fracture line is hidden, the anteroposterior and lateral displacement of the fracture end disappears, and the plaster cast is in place and fixed well, which is an excellent indication for reduction."

"Hmm!" Professor Xiong nodded, and after he finished reading the film, he looked back at the patient.

"How do you feel when the deformity disappears? Are there any symptoms of particular pain and numbness? ”

"Or is it that the pain is relieved and the affected limb feels more relaxed?"

The disappearance of the deformity can be seen directly, but after the fracture displacement is reduced, the soft tissue entrapment deformity and twist are reversed, and the pain will be greatly relieved.

Of course, if it is not properly reduced, symptoms such as increased pain and numbness may occur due to entrapment of the nerves.

Patients may not understand what it means to have increased pain or entrapment of the nerve, so they simply ask them if it hurts!

The patient shook his head, and after seriously looking at the age of Professor Xiong, he seemed to have found a treasure: "Professor, isn't our treatment like this not bad?" ”

He doesn't ask for good anymore, he just wants good.

"Well, the reset is good, the film is visible. The symptoms are well relieved, you can see for yourself, and the answer is very obvious. Old Professor Xiong stood and said generously.

"That's right, your own feelings will not lie to you, rest assured that you will go back for the New Year, and you can come for a follow-up visit in time when the time comes." Professor Xiong explained.

When Professor Xiong spoke, his short white beard was enough to make people trust and recognize.

As soon as he heard this, the middle-aged man was relieved and left with his family with a smile.

Such an old professor, it is estimated that he is the old Taishan Beidou in the hospital, and he may not be able to see him on weekdays, but he has seen it and said that it is okay, so it must be fine.

"What about me, Professor?" The second young man who reviewed hurriedly asked.

"You, I haven't even looked at your situation, I definitely don't know, if I talk nonsense, don't you think I'm lying to you?"

"We can't rely on our age to speak baselessly, we still have to seek truth from facts and say it with evidence, right?" Professor Xiong, in the most objective words, said that this young man was convinced.

Eh, although I am old and senior, I still have to be targeted......

Finally, after a while, several patients who had undergone manual reduction were sent back.

The quality and proficiency of Fang Ziye's manual reduction, it must be no problem, at the beginning of such a complicated pelvic damage, Fang Ziye can be reset and dismantled......

Now this is little Karami.

It's just that after Professor Xiong sent all the patients home, he carefully glanced at Fang Ziye up and down, and then said to Yuan Weihong: "This backgammon is Xiao Yuan, your student, right?" ”

"It looks like a good eyebrow and a good skill, but this meeting is also a tiger?" After Professor Xiong finished speaking, he stretched his waist and walked outside the department.

Yuan Weihong and several people hurriedly sent each other.

And after sending it off, Qin Geluo said: "Viagra, I'll go down for surgery first, there are two emergency surgeries below, you have to come over and help later." ”

"Putting aside other factors, the current technique of the sub-industry is enough to break it."

After Qin Geluo finished speaking, he also went down to the operating room. Only Fang Ziye and Yuan Weihong were left.

After the rest, Yuan Weihong just asked Fang Ziye a sentence: "Do you look up to your own manual reduction technique too much, or do you look down on the open reduction and internal fixation of professors and associate professors?" ”

"Uh~~~..."Fang Ziye's breathing was a little messy.

After more than ten seconds: "Master, the manual reset is simple and convenient, and it is also cheap and affordable." At least save a lot of money, huh? ”

"Who asked you to save money? Do they have a request? Yes? ”

"You're a clinician, what you have to do is to make the most appropriate treatment options for people, the most suitable, not the most cost-effective and cheapest, didn't I teach you?"

"Can you guarantee that the results of your manual reduction treatment are better than those of surgery? Do you have such self-confidence? ”

"Isn't the nature of functional reduction and anatomical reduction exactly the same?" Yuan Weihong questioned Fang Ziye.

Fang Ziye couldn't answer.

Did someone ask him to save money?

Not really!

(End of chapter)