Gou in the operating room to add some upgrades
Chapter 135 Basic skills of surgery (for subscription)
Chapter 135 Basic skills of surgery (for subscription)
One leaf blinds one's vision, one page obscures one's knowledge.
Fang Xian realized this more and more.
Everyone’s understanding of the world from a simple perspective may not be objective or complete enough.
First there were rumors about Zhou Xiyin, and then there was teacher Lin Hui who I believed to be the benchmark.
Turning to Professor Zhou, their impressions and expectations were quite different from Fang Xian's previous ones.
Now there is one more person, and that is his senior brother Bu Su.
In Lin Hui's description, Senior Brother Bu Su and Senior Brother Yang Louguan are both disobedient people. Fang Xian's impression of them is that they are weird, or they are people on the line between a genius and a madman.
However, after meeting Bu Su today, Fang Xian realized that Bu Su's behavior could be so normal.
It turns out that my seemingly normal teacher has such a past and such a label.
However, Fang Xian did not dare to speak ill of the teacher openly like Bu Su.
So Fang Xian turned to ask: "Brother, what are you doing in Han City this time?"
Fang Xian just randomly found a topic as a transit.
When Bu Su heard this, he smashed the water glass in his hand on the table, "Can we not talk about this?"
Fang Xian nodded quickly and shrank back in fear.
Then he hurriedly asked: "Brother Bu, so it is true that raising the twelve basic skills to the wishful level can really achieve incredible effects?"
Bu Su took a serious look at Fang Xian several times——
Ask: "No one really talked to you about this in detail?"
Fang Xian shook his head.
The corner of Bu Su's mouth twitched and said, "No wonder, both Professor Zhou and Professor Yang had a big oolong this time."
"The most mutating factor is you."
"Professor Yang has been telling me before that there is no rush, no rush. When I show my performance, Xiao Fang will only have one or two level 5 skills. When the time comes, he will definitely ask me to act as a lead to detonate the scene."
"After the second time, Professor Yang changed it to say, don't be in a hurry, don't be in a hurry, Xiaofang will only have two or three, three or four, maybe four, maybe five."
"I don't know such a mess of words. If I can't be sure that this is Professor Yang, I'm afraid I will think he is a lunatic."
"It was Master's wife's appearance that made me realize that Brother Luoguan was also here."
"My real teacher is Professor Yang Yifeng. It's just a tutor in the college and school, with the name of Teacher Lin Hui."
Bu Su explained it this way.
Fang Xian was speechless.
Even though Bu Su described it so lightly, Fang Xian seemed to be able to feel Bu Su's embarrassment in the stands.
If you don't rush, there will be no chance of ending in the end.
After hearing this, Fang Xian finally decided that he might be called Senior Brother Bu Su directly.
If there is a slight suspicion of approximation, fellow students can just call them senior brothers without adding their first and last names.
Bu Su is a student of Professor Yang, but he is not.
But the seniors outside the door must be like this: "Senior Brother Bu Su, I'm sorry, I really didn't know that you and Senior Brother Yang Louguan were here, otherwise, I wouldn't dare to be presumptuous."
"It doesn't matter, it just doesn't end."
"Have fun and relax..."
"Let's talk about basic skills."
When Bu Su said this, he took a sip of water: "There are six basic medical skills related to surgery, incision, suture, wound, knot, hemostasis, and puncture."
"There are five related to diagnosis, the three major readings plus electrocardiogram reading plus medical specialist examination."
"There is one related to first aid, which is cardiopulmonary resuscitation."
"And here, cardiopulmonary resuscitation is not actually a basic skill in medicine, nor is it a basic skill in surgery, but it is a basic skill in medicine as a whole, and the upper limit of the level it can reach is not very high."
"However, for us surgeons, the five skills related to diagnosis are still very important."
"Some old professors used to say that the best surgeon must be a very good physician, but the reverse is not true."
"The importance of accurate diagnosis is greater than that of operative treatment."
"Of course, treatment is also very meaningful to the individual patient."
"Except for ordinary operational and diagnostic skills."
"The No. 12 basic skill of our surgery is called instrument control, which is not directly benchmarked by the medical association at present, but it has been made public in our surgery."
"At present, it has not become a basic surgical operation. It only appears in clinical practice as one of the basic skills of various majors."
"You can have a rough understanding."
"Arthroscopic manipulation of arthroscopes, gastroscopic manipulation of gastroscopes, robotic manipulation of robotics."
"Including at present, because the remote robot control technology after the successful development of 7G is far more complete and widely used than the robot control technology in the 20G era 5 years ago."
"Thousands of miles or even thousands of miles away, it can also be operated clinically. This is a technique that surgeons must master in the future. Otherwise, it will be difficult to follow up to the forefront of surgical research."
"Currently, similar instruments have been flexibly used to perform surgeries on pigs, cattle, sheep and other livestock to evaluate the accuracy of the instruments!"
Fang Xian listened, slightly dumbfounded.
After thinking for a while, I asked, "Brother, what do you mean, we surgeons, if we only talk about treatment in the future, it is very likely that we can break the limitation of space distance and directly connect with conventional remote consultation surgery?"
"Really? That way there's no need for flying knives. This allows people in more remote areas to have direct access to the top experts at Union Hospital to perform surgeries."
"Naturally, whether the cost is affordable to the people and whether it is practical for most people depends on policy issues."
"Companies that develop these must make money. The current investment in R&D exceeds at least [-] billion U.S. dollars..."
"On a global scale, there is no distance limit, and the delay of the operation can be precisely controlled to the millisecond level within 0.001 second. The accuracy is also within one hundredth of a millimeter."
"However, this is the case. Teacher Lin Hui also said that he can redefine the equipment control technology."
Both Fang Xian and Bu Su glanced at each other, not knowing exactly how to complain.
However, Bu Su added: "Of course, in terms of personal skills, Mr. Lin Hui has no problems with his personality and weirdness, but only in terms of professional level."
Fang Xian remembered what his teacher said, "I am very powerful, okay?"
At this moment, I felt even more deeply about Senior Brother Bu Su’s words.
It seems that facing such a tutor, he has to find one or two students who are more powerful than him to suppress him, so that he can't move.
Otherwise, it will be difficult for peers and peers to suppress it. After all, he may not believe you.
But if the students are better than him, he will calm down a lot.
Hearing this, Fang Xian asked again: "Brother Bu, are you familiar with Professor Zhou's daughter Zhou Xiyin?"
"To be honest, when I was in the operating room of the trauma center, I saw that no one was taking care of her, so I felt quite pitiful..."
Fang Xian told Senior Brother Bu Su the original story about Zhou Xiyin to see if there could be a different version.
"Um, how do you say this?"
"Junior Sister Zhou Xiyin really likes to study medicine, but old professor Zhou hopes she won't enter this field, so it all depends on her own luck."
"It's very casual. She doesn't support or refuse, and she won't be allowed to go up through the relationship of Professor Zhou, but she can enjoy this process on her own, which is actually a kind of life ecology."
"While she was an undergraduate, there was a time when someone knew Zhou Xiyin's identity. They wanted to do some messy things, so Professor Zhou took some tough measures for a period of time, and because he had no time to come back, he I simply said a few words..."
Okay, Fang Xian probably understands.
Zhou Xiyin can make friends normally, but it's just...
Fang Xian was a little relieved about this matter.
Of course, after Fang Xian asked this question, Bu Su finally took a sip of water again and asked: "Xiao Fang, how many basic skills do you have now?"
"Do you really have one?" Bu Su made a six sign.
Bu Su knows best how much thought and effort it takes to reach level 5 with multiple basic skills.He and Yang Louguan, who have been immersed for many years, can only get two or three. He thinks that it is possible to get four or five before the age of 40, which can barely push the theory of Professor Zhou and Professor Yang one step further.
As a result, I came to Fang Xian's place, and this time I saw it, good guy, as soon as Fang Xian stepped forward, he immediately gave him two seconds.
This caused Bu Su to disappear directly, to the point of being humble.
Fang Xian blinked, then nodded.
"It's almost the same now." Fang Xian added a qualifier very cautiously.
"Hi!~"
"That's true." After taking a breath, the exclamation words that belonged to young people spewed out from Bu Su's mouth.
"Then come on, try to answer the currently very hot topic of the impact of the number of level 5 basic skills on the final efficacy of single disease, multiple diseases, and combined diseases as soon as possible."
Fang Xian heard this and asked, "Brother Bu, is it difficult to do the project?"
Fang Xian himself also made a deal with Li Qiu, but Fang Xian still has no idea how to end the problem.
So ask for advice.
"The development of the project is difficult or not, and it is difficult to say that it is not difficult. The main point lies in the key points. Don't waste articles, but do meaningful topics."
"The existing skills of the medical association, as well as the definition, induction, and classification of diseases in the medical association are very meaningful things and are worth refining."
“In the early days of the development of the Medical Association, it mainly dealt with emergency and severe patients. Now, after decades of development, it can basically be done to reduce the mortality rate of sudden diseases in the operating rooms of core trauma centers at the provincial level. to a lower level.”
"This level will vary depending on region and medical conditions, but the gap is not particularly large."
"At present, the main content of medicine is the definition, classification, and standardization of treatment of intractable diseases, incurable diseases, rare diseases and other diseases. Of course, the angles of participation are also different..."
Senior Brother Bu Su seemed to have a lot of experience in scientific research. He did not sound high-sounding or follow the script. Instead, he used his own words to roughly introduce to Fang Xian the current development model and development situation of the medical association.
Fang Xian asked: "Brother Bu, now the Medical Association and major hospitals attach great importance to the number of level 5 skills. Are level 5 skills also related to scientific research?"
"To a certain extent, the number of level 5 skills is more important than the number of articles."
"Of course!" Bu Su said without hesitation.
"Because only when your skills reach level 5, you have the qualifications to be relatively hardcore. If you speak convincing words, others can at least fully trust you in terms of your ability to master different concepts."
"The advantages and disadvantages of different concepts, treatment methods and treatment forms need to be counted. First of all, the people participating in the research must be able to master different concepts and different treatment methods."
"If you are proficient in one idea and only have a taste of another idea, then you can say that the idea you are proficient in is better. How shameful would that be?"
"Only when the effects of various methods and concepts are brought into full play, and the real gap can be found, the real advantages and disadvantages can be compared, and can be repeated, can it be called good."
"This is the most fundamental way to reduce selection bias."
"The core of science is to hand over theory to data, not to people."
After Bu Su finished speaking, he said with relief: "Xiao Fang, you don't need to worry about the number of papers now, nor about scientific research. Because your current foundation has reached this point."
"Once you come into contact with such a field, you will find that there are so many gaps waiting for you to fill, and you don't even know how to choose."
"However, try your best to prove whether 1+1+1+1 is greater than 4. This theory is your most important task at present. You are already a participant, and you are already involved in this super big topic , and is the most integral part.”
……
Fang Xian said goodbye to his senior brother Bu Su with mixed feelings.
The good news is that my field of vision has been broadened once again. Maybe Senior Brother Bu Su came to talk with me because he was instructed to further broaden my field of vision.
The worry is that Fang Xian didn't know how to get along with his teacher for a while.
Before, Fang Xian always thought that Lin Hui was kind to him, and he must communicate, cooperate and learn from Lin Hui more.
But after hearing Bu Su's words, I thought of some actions of the Affiliated Hospital of Shonan University.
Fang Xian found more and more that what Senior Brother Bu Su said was very likely to be true.
If Senior Brother Bu Su was an accident, then Senior Brother Yang Rogguan also fell under Lin Hui's sect, which is too strange.
Lin Hui has been fostering so many students who don't need to show off their reputation at all. He has been unlucky for eight lifetimes, and even if Lin Hui knew about it, there was nothing he could do about it.
As long as Fan Busu and Yang Louguan didn't want to expose their strength, even if Lin Hui moved the Medical Association here, it would be useless.
Always level 1 or always level 2 will also make Lin Hui doubt his life.
This point, Fang Xian, who has a level 5 skill, is quite recognized.
However, there was one more thing that Fang Xian longed for.
Senior Brother Bu Su specifically emphasized that it was Fang Xian who asked them what their main task was now.
Senior Brother Bu Su said that it is the construction of the ultra-distance medical cabin system and the network medical system.
(End of this chapter)
One leaf blinds one's vision, one page obscures one's knowledge.
Fang Xian realized this more and more.
Everyone’s understanding of the world from a simple perspective may not be objective or complete enough.
First there were rumors about Zhou Xiyin, and then there was teacher Lin Hui who I believed to be the benchmark.
Turning to Professor Zhou, their impressions and expectations were quite different from Fang Xian's previous ones.
Now there is one more person, and that is his senior brother Bu Su.
In Lin Hui's description, Senior Brother Bu Su and Senior Brother Yang Louguan are both disobedient people. Fang Xian's impression of them is that they are weird, or they are people on the line between a genius and a madman.
However, after meeting Bu Su today, Fang Xian realized that Bu Su's behavior could be so normal.
It turns out that my seemingly normal teacher has such a past and such a label.
However, Fang Xian did not dare to speak ill of the teacher openly like Bu Su.
So Fang Xian turned to ask: "Brother, what are you doing in Han City this time?"
Fang Xian just randomly found a topic as a transit.
When Bu Su heard this, he smashed the water glass in his hand on the table, "Can we not talk about this?"
Fang Xian nodded quickly and shrank back in fear.
Then he hurriedly asked: "Brother Bu, so it is true that raising the twelve basic skills to the wishful level can really achieve incredible effects?"
Bu Su took a serious look at Fang Xian several times——
Ask: "No one really talked to you about this in detail?"
Fang Xian shook his head.
The corner of Bu Su's mouth twitched and said, "No wonder, both Professor Zhou and Professor Yang had a big oolong this time."
"The most mutating factor is you."
"Professor Yang has been telling me before that there is no rush, no rush. When I show my performance, Xiao Fang will only have one or two level 5 skills. When the time comes, he will definitely ask me to act as a lead to detonate the scene."
"After the second time, Professor Yang changed it to say, don't be in a hurry, don't be in a hurry, Xiaofang will only have two or three, three or four, maybe four, maybe five."
"I don't know such a mess of words. If I can't be sure that this is Professor Yang, I'm afraid I will think he is a lunatic."
"It was Master's wife's appearance that made me realize that Brother Luoguan was also here."
"My real teacher is Professor Yang Yifeng. It's just a tutor in the college and school, with the name of Teacher Lin Hui."
Bu Su explained it this way.
Fang Xian was speechless.
Even though Bu Su described it so lightly, Fang Xian seemed to be able to feel Bu Su's embarrassment in the stands.
If you don't rush, there will be no chance of ending in the end.
After hearing this, Fang Xian finally decided that he might be called Senior Brother Bu Su directly.
If there is a slight suspicion of approximation, fellow students can just call them senior brothers without adding their first and last names.
Bu Su is a student of Professor Yang, but he is not.
But the seniors outside the door must be like this: "Senior Brother Bu Su, I'm sorry, I really didn't know that you and Senior Brother Yang Louguan were here, otherwise, I wouldn't dare to be presumptuous."
"It doesn't matter, it just doesn't end."
"Have fun and relax..."
"Let's talk about basic skills."
When Bu Su said this, he took a sip of water: "There are six basic medical skills related to surgery, incision, suture, wound, knot, hemostasis, and puncture."
"There are five related to diagnosis, the three major readings plus electrocardiogram reading plus medical specialist examination."
"There is one related to first aid, which is cardiopulmonary resuscitation."
"And here, cardiopulmonary resuscitation is not actually a basic skill in medicine, nor is it a basic skill in surgery, but it is a basic skill in medicine as a whole, and the upper limit of the level it can reach is not very high."
"However, for us surgeons, the five skills related to diagnosis are still very important."
"Some old professors used to say that the best surgeon must be a very good physician, but the reverse is not true."
"The importance of accurate diagnosis is greater than that of operative treatment."
"Of course, treatment is also very meaningful to the individual patient."
"Except for ordinary operational and diagnostic skills."
"The No. 12 basic skill of our surgery is called instrument control, which is not directly benchmarked by the medical association at present, but it has been made public in our surgery."
"At present, it has not become a basic surgical operation. It only appears in clinical practice as one of the basic skills of various majors."
"You can have a rough understanding."
"Arthroscopic manipulation of arthroscopes, gastroscopic manipulation of gastroscopes, robotic manipulation of robotics."
"Including at present, because the remote robot control technology after the successful development of 7G is far more complete and widely used than the robot control technology in the 20G era 5 years ago."
"Thousands of miles or even thousands of miles away, it can also be operated clinically. This is a technique that surgeons must master in the future. Otherwise, it will be difficult to follow up to the forefront of surgical research."
"Currently, similar instruments have been flexibly used to perform surgeries on pigs, cattle, sheep and other livestock to evaluate the accuracy of the instruments!"
Fang Xian listened, slightly dumbfounded.
After thinking for a while, I asked, "Brother, what do you mean, we surgeons, if we only talk about treatment in the future, it is very likely that we can break the limitation of space distance and directly connect with conventional remote consultation surgery?"
"Really? That way there's no need for flying knives. This allows people in more remote areas to have direct access to the top experts at Union Hospital to perform surgeries."
"Naturally, whether the cost is affordable to the people and whether it is practical for most people depends on policy issues."
"Companies that develop these must make money. The current investment in R&D exceeds at least [-] billion U.S. dollars..."
"On a global scale, there is no distance limit, and the delay of the operation can be precisely controlled to the millisecond level within 0.001 second. The accuracy is also within one hundredth of a millimeter."
"However, this is the case. Teacher Lin Hui also said that he can redefine the equipment control technology."
Both Fang Xian and Bu Su glanced at each other, not knowing exactly how to complain.
However, Bu Su added: "Of course, in terms of personal skills, Mr. Lin Hui has no problems with his personality and weirdness, but only in terms of professional level."
Fang Xian remembered what his teacher said, "I am very powerful, okay?"
At this moment, I felt even more deeply about Senior Brother Bu Su’s words.
It seems that facing such a tutor, he has to find one or two students who are more powerful than him to suppress him, so that he can't move.
Otherwise, it will be difficult for peers and peers to suppress it. After all, he may not believe you.
But if the students are better than him, he will calm down a lot.
Hearing this, Fang Xian asked again: "Brother Bu, are you familiar with Professor Zhou's daughter Zhou Xiyin?"
"To be honest, when I was in the operating room of the trauma center, I saw that no one was taking care of her, so I felt quite pitiful..."
Fang Xian told Senior Brother Bu Su the original story about Zhou Xiyin to see if there could be a different version.
"Um, how do you say this?"
"Junior Sister Zhou Xiyin really likes to study medicine, but old professor Zhou hopes she won't enter this field, so it all depends on her own luck."
"It's very casual. She doesn't support or refuse, and she won't be allowed to go up through the relationship of Professor Zhou, but she can enjoy this process on her own, which is actually a kind of life ecology."
"While she was an undergraduate, there was a time when someone knew Zhou Xiyin's identity. They wanted to do some messy things, so Professor Zhou took some tough measures for a period of time, and because he had no time to come back, he I simply said a few words..."
Okay, Fang Xian probably understands.
Zhou Xiyin can make friends normally, but it's just...
Fang Xian was a little relieved about this matter.
Of course, after Fang Xian asked this question, Bu Su finally took a sip of water again and asked: "Xiao Fang, how many basic skills do you have now?"
"Do you really have one?" Bu Su made a six sign.
Bu Su knows best how much thought and effort it takes to reach level 5 with multiple basic skills.He and Yang Louguan, who have been immersed for many years, can only get two or three. He thinks that it is possible to get four or five before the age of 40, which can barely push the theory of Professor Zhou and Professor Yang one step further.
As a result, I came to Fang Xian's place, and this time I saw it, good guy, as soon as Fang Xian stepped forward, he immediately gave him two seconds.
This caused Bu Su to disappear directly, to the point of being humble.
Fang Xian blinked, then nodded.
"It's almost the same now." Fang Xian added a qualifier very cautiously.
"Hi!~"
"That's true." After taking a breath, the exclamation words that belonged to young people spewed out from Bu Su's mouth.
"Then come on, try to answer the currently very hot topic of the impact of the number of level 5 basic skills on the final efficacy of single disease, multiple diseases, and combined diseases as soon as possible."
Fang Xian heard this and asked, "Brother Bu, is it difficult to do the project?"
Fang Xian himself also made a deal with Li Qiu, but Fang Xian still has no idea how to end the problem.
So ask for advice.
"The development of the project is difficult or not, and it is difficult to say that it is not difficult. The main point lies in the key points. Don't waste articles, but do meaningful topics."
"The existing skills of the medical association, as well as the definition, induction, and classification of diseases in the medical association are very meaningful things and are worth refining."
“In the early days of the development of the Medical Association, it mainly dealt with emergency and severe patients. Now, after decades of development, it can basically be done to reduce the mortality rate of sudden diseases in the operating rooms of core trauma centers at the provincial level. to a lower level.”
"This level will vary depending on region and medical conditions, but the gap is not particularly large."
"At present, the main content of medicine is the definition, classification, and standardization of treatment of intractable diseases, incurable diseases, rare diseases and other diseases. Of course, the angles of participation are also different..."
Senior Brother Bu Su seemed to have a lot of experience in scientific research. He did not sound high-sounding or follow the script. Instead, he used his own words to roughly introduce to Fang Xian the current development model and development situation of the medical association.
Fang Xian asked: "Brother Bu, now the Medical Association and major hospitals attach great importance to the number of level 5 skills. Are level 5 skills also related to scientific research?"
"To a certain extent, the number of level 5 skills is more important than the number of articles."
"Of course!" Bu Su said without hesitation.
"Because only when your skills reach level 5, you have the qualifications to be relatively hardcore. If you speak convincing words, others can at least fully trust you in terms of your ability to master different concepts."
"The advantages and disadvantages of different concepts, treatment methods and treatment forms need to be counted. First of all, the people participating in the research must be able to master different concepts and different treatment methods."
"If you are proficient in one idea and only have a taste of another idea, then you can say that the idea you are proficient in is better. How shameful would that be?"
"Only when the effects of various methods and concepts are brought into full play, and the real gap can be found, the real advantages and disadvantages can be compared, and can be repeated, can it be called good."
"This is the most fundamental way to reduce selection bias."
"The core of science is to hand over theory to data, not to people."
After Bu Su finished speaking, he said with relief: "Xiao Fang, you don't need to worry about the number of papers now, nor about scientific research. Because your current foundation has reached this point."
"Once you come into contact with such a field, you will find that there are so many gaps waiting for you to fill, and you don't even know how to choose."
"However, try your best to prove whether 1+1+1+1 is greater than 4. This theory is your most important task at present. You are already a participant, and you are already involved in this super big topic , and is the most integral part.”
……
Fang Xian said goodbye to his senior brother Bu Su with mixed feelings.
The good news is that my field of vision has been broadened once again. Maybe Senior Brother Bu Su came to talk with me because he was instructed to further broaden my field of vision.
The worry is that Fang Xian didn't know how to get along with his teacher for a while.
Before, Fang Xian always thought that Lin Hui was kind to him, and he must communicate, cooperate and learn from Lin Hui more.
But after hearing Bu Su's words, I thought of some actions of the Affiliated Hospital of Shonan University.
Fang Xian found more and more that what Senior Brother Bu Su said was very likely to be true.
If Senior Brother Bu Su was an accident, then Senior Brother Yang Rogguan also fell under Lin Hui's sect, which is too strange.
Lin Hui has been fostering so many students who don't need to show off their reputation at all. He has been unlucky for eight lifetimes, and even if Lin Hui knew about it, there was nothing he could do about it.
As long as Fan Busu and Yang Louguan didn't want to expose their strength, even if Lin Hui moved the Medical Association here, it would be useless.
Always level 1 or always level 2 will also make Lin Hui doubt his life.
This point, Fang Xian, who has a level 5 skill, is quite recognized.
However, there was one more thing that Fang Xian longed for.
Senior Brother Bu Su specifically emphasized that it was Fang Xian who asked them what their main task was now.
Senior Brother Bu Su said that it is the construction of the ultra-distance medical cabin system and the network medical system.
(End of this chapter)
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