Gou in the operating room to add some upgrades

Chapter 12: Another chance to sew, big explosion! (For collection, for follow-up)

Tuesday is the surgery day for Professor Lin's team, and the patients Li Qiu is in charge of will be waiting for surgery tomorrow.

When Fang Xian entered the doctor's office, Li Qiuben was preparing to talk to the patient and his family with the informed consent form for the operation. When he saw Fang Xian coming in, he squeezed Fang Xian into the corner: "Brother Xian, the operating room is fun." ?"

Li Qiu looked expectant and curious.

"Not bad." Fang Xian nodded instinctively, feeling an inexplicable sense of accomplishment when he stood at the surgeon's position and performed the operation.

Li Qiu cried with envy: "I want to come too, but the hospital's requirements for assistants are too difficult."

"Zhang Hongxing from Professor Song's group has also entered the operating room today." Li Qiu turned into a lemon essence and walked out quickly, with an indescribably sour tone in his tone.

Fang Xian looked at Li Qiu, feeling a little emotional in his heart——

Entering the operating room is a big pit, old ball.

Fang Xian felt that the hospital and the department were simply drawing cakes. The so-called assistant standard was just to make you work hard for the department, while the so-called chief surgeon standard was another way to cultivate talents for his hospital.

If you have good aptitude and fast progress, then you will be able to meet the requirements of being a surgeon at the end of the seventh school year on time. Seeing your potential, you will work hard to train you, and then let you continue to work in the hospital after graduation.

If such a high standard cannot be met, the hospital will not allow you to work in the hospital in the end. This is actually a negative standard line.

According to Fan Chengpeng, level 3 skills are not so easy to achieve. So far, he only has one level 1 skill, which seems like a lot, but it is actually not as good as a quarter.It is expected to be able to meet the standard of being a major surgeon before graduating from a master's degree. I will still go to a prefecture-level city hospital to work, and I may not even be able to get a doctorate!

this is the truth.

Fang Xian also had to face reality.

……

Tuesday was the day of surgery, and it was also the date when the 14-bed grandmother Fang Xian was in charge of was discharged from the hospital. She suffered a pelvic fracture and should be admitted to the hospital after a week of hospitalization.

The patients who made an appointment will not come until the afternoon.

So Fang Xian went into the operating room to wait for an assistant, but Fang Xian realized that in his group, Fan Chengpeng at the same level could only watch, and Fan Chengpeng's brother Wu Xiong, Liang Longqi and Zhou Xiaosheng, who were in the second year of training, were all staring at him. .

Above that, there are three Ph.D. brothers of Lin Jiemo who are carrying the banner of assistants, so in fact, Fang Xian and Fan Chengpeng are waiting to receive the subsistence allowance.

The only difference is that Fan Chengpeng's subsistence allowances are more than those of Fang Xian, Liang Longqi, and Zhou Xiaosheng, and his opportunities are equal to those of Wu Xiong, a senior in his second year of master's degree.

Fang Xian did a rough calculation. Three PhDs get 95 assistant opportunities a month, two masters [-] times, plus three residency trainings with him, a total of [-] times, [-] assistant opportunities a month.

In the group, there are only [-] surgery days per month, and the number of surgeries per day is only five to six. Therefore, in fact, two assistants are needed for one surgery, so we can share it!
Boil it!

I didn't make it through on Tuesday, and I went back to the ward to think about the new patient with bone defect admitted in the afternoon. Fang Xian didn't get any benefits, there was no additional disease, and there was no hidden disease. For three or four hours, I felt that this young woman was very single and refreshing.

This is a day without a large amount of skill points.

……

Finally, on Wednesday, when it was Fang Xian's turn to recruit 15 new patients, that is, patients with infection after external fixation of open fractures of both lower extremities, Fang Xian finally had another chance to be on stage.

Moreover, this operation was carried out by Associate Professor Song Yu and Professor Lin Jiemo at the same time to perform large-scale debridement, scrape away necrotic bone tissue, and remove necrotic tissue.

A total of four assistants were involved in this operation.

Song Yu's assistants are Xue Li and Fang Xian, and Professor Lin Jiemo's assistants are his two doctors.

Associate Professor Song Yu finally waited until the complete debridement was completed, and the antibiotic bone cement carrier was put in, and Xue Li also placed the upper and lower ends of the irrigation and drainage tube in the wound, Associate Professor Song Yu said.

"Xue Li, let Xiao Fang sew this one, you can help me take a look." Song Yu wore glasses and looked at Xue Li.

Xue Li's eyes immediately squeezed into triangles, and he also heard rumors in the department that Associate Professor Song Yu might be Fang Xian's preparatory tutor, so he began to try his best to give Fang Xian a chance.

Then stretch it out immediately: "Okay, Professor Song."

After speaking, Xue Li gave Fang Xian the suture with thread, needle holder, and toothed tweezers, and confessed: "The soft tissue of the patient's wound after this kind of infection is soft, and there is a certain degree of corrosion. Do not pay attention to the tension when suturing, otherwise it is easy to cause cuts after suturing and cause skin wounds to break."

Xue Li seemed to be telling Fang Xian that he should be careful when suturing. Wounds after such a major infection are not so easy to suture!
It also seems to be saying that it is a bit difficult for your suturing level to deal with such wounds.

Fang Xian heard that he was not in a disturbed mood, so he nodded and said hello.

Can it be, is it beyond the ability, in fact, everyone has a bottom in their hearts.

Suture level 3, no special time limit and suture method requirements, the operator needs to carefully clarify the various layers of subcutaneous tissue and suture to achieve no need to suture the outer skin, and the patient's wound can be healed by zippering the skin...

This level is enough to deal with such a special wound.

Fang Xian was determined for a while, carefully observed the full-thickness edema and pink cut surface, and automatically began to clarify and analyze the different layers in his heart, and then roughly had a suturing idea in his mind.

Suture ideas vary from person to person.

Suturing is a basic skill that everyone knows, but to form one's own ideas, non-mechanical suturing and repeated operations, this requires at least a level 3 level.

Level 2 only has the requirements for stitching effect and stitching speed, so it is a bit difficult to deal with.

After Fang Xian sewed the first stitch, he broke away from such a mechanical route. No matter in the process of needle insertion, needle exit, needle passing, thread pressing, and knotting, it was all extremely delicate and well-matched!
The tightness of the knot is very suitable, it does not seem to have any cutting force on the corrupted soft tissue, and it has reached the standard of pulling and tight fitting.

"Oh wow!~ It's still different after all the hard work." Xue Li immediately revealed Fang Xian's current level of suturing skills at just one glance.

Song Yu also looked sideways after hearing the sound.

At the same time, Professor Lin Jiemo, who was performing the operation on the opposite side, also stopped the operation and examined it. He was doing the right leg. The degree of infection and fracture non-union of the right leg was heavier than that of the left leg, and it was not yet sutured. step.

After inspecting the operation, and looking at Fang Xian again, Fang Xian still lowered his head, operating meticulously, and was not affected by the words of Xue Li and Associate Professor Song Yu.

He joked: "It's different after bleeding, and the memory is deep. It will be fine after the bleeding."

There's nothing wrong with what he said, but it sounds a bit shady.

Song Yu gave Lin Jiemo a special expression, as if to say, Professor Lin, please don't lead my student into trouble.

There are only three graduate students in each department, and the professors are simply not enough points. Associate professors like them have a requirement for the number of students they teach. Get up, crushing the professor's students can be the way to go.

It can be regarded as an incentive to stimulate everyone's teaching level to continuously improve.

After hearing the words of several professors, many people immediately looked sideways and noticed the details and level of Fang Xian's operation.

Several doctors were surprised, but Liang Longqi, Wu Xiong and others had a stronger sense of urgency.

Fang Xian actually has a skill that has reached level 3, so their advantages will be even less.

Zhou Xiaosheng, who was in the second year of training, felt the pressure was great. His suture skills were not yet level 3, but now Fang Xian caught up, and in terms of incision skills, Fan Chengpeng, who was in the same class as Fang Xian, was staring at him again.

Being a senior is really hard! ~
So is there still a struggle?
I also go to the overnight skill training room to try?

……

When Fang Xian finished the suture to the most superficial suture, he stopped and asked, "Brother Li, will you sew the outermost layer or should I sew it?"

Fang Xian knows that the outermost suture is for the patient and family members to see, and must have a certain degree of aesthetics.

Although I am also level 3, level 3 is not exactly the same as level 3.

The outermost suture of ordinary patients can be borne by level 2 suture. After all, there is no pre-infection, but for this pre-infected patient, the outermost suture is as safe as possible.

"Go on, it's okay, don't be nervous." Xue Lida said, and then glanced at Associate Professor Song Yu.

He found that Song Yu seemed more nervous than Fang Xian at the moment, as if he was expecting something.

It wasn't until Fang Xian finished the stitches that Song Yu breathed a sigh of relief.He nodded and said, "Xiao Fang, please step down first, the operation here has been finished, let Professor Lin make way for Professor Lin's operation."

Fang Xian silently backed away from the operating room, while the other senior brothers who were watching the operation in the back continued to disperse and make way for Fang Xian!

The principle of sterility is the bottom line, and it must be engraved in the minds of everyone who enters the operating room.

When Fang Xian was taking off his clothes, he accidentally glanced at the skill points, and his pupils shrank instantly!
(End of this chapter)