Gou in the operating room to add some upgrades

Chapter 14 Attention (please collect, please recommend)
To doubt or not to doubt is a matter of theory.

Whether it is found or not is a matter of diagnosis.

The difficulty of operation is a matter of personal technical level.

After Associate Professor Song Yu discovered that there was also an infection in the posterior superficial fascia of the left lower limb, Associate Professor Song Yu and Professor Lin Jiemo worked together to complete the debridement of the soft tissue in just over 20 minutes, and then continued back to the fracture end. The pus and necrotic bone in the gap are being removed.

Professor Lin Jiemo scolded: "The diagnosis of this patient is either extremely complicated. After the violence, some fracture fragments pierced through the osteofascial compartment and then retracted automatically, or the doctor who performed the operation for the first time was afraid of trouble and withdrew it back." After that, the other fascial compartments were not cleaned."

"Just take a chance that you won't get infected."

"Remember, we must not place our hopes on luck!"

"This patient has been hospitalized below for more than ten days, and any wound can heal."

Obviously, Lin Jiemo felt that the doctor who performed the operation for the first time was not good enough, so he directly pulled out the fracture fragments that had pierced into the superficial posterior fascia compartment and reset them, and did not do a thorough debridement for the first time.

Song Yu remained silent, but looked in Fang Xian's direction from time to time.

From this point on, the basic theory of Fang Xian's trauma surgery that he suspected before has reached level 3 and has been actually verified, which is a very good thing.

For Professor Lin Jiemo, this operation is as simple as brushing teeth and not difficult at all.Just considering such a very small factor, the possibility is not high.

……

After the surgery, Fang Xian finally got the second wave of skill points.

【By claiming a suspicious diagnosis, you discovered the abscess cavity in the infected airtight cavity after external fixation of the fracture, caused 83 points of damage to the infected wound of skin and soft tissue surgery (accounting for 51%), and gained 83 skill points! 】

[Current skill points remaining: 111. 】

This is the first time that Fang Xian has more than [-] skill points remaining.

This patient was under Fang Xian’s supervisor, so when Fang Xian was pushing the patient to the ward, Associate Professor Song Yu caught up with him and said, “Call the pharmacy department directly after the operation, increase the level and dosage of antibiotics, and then refill the prescription. Two doctor’s orders.”

"Intraoperative Bacterial Culture and Drug Sensitivity Test."

"Okay, Teacher Song." Fang Xian nodded to him, feeling quite good.

It was so difficult to pick out such a big fish from the fingers of Associate Professor Song Yu and Associate Professor Lin Jiemo. It was so difficult for me to make a small diagnosis. If it weren't for the guidance of this panel, I would never have thought of it.

"It's not bad, but I need to keep working hard. When there is a teacher to guide me, the resources and the entry point of learning are completely different. Different entry points will lead to different learning efficiency."

"Professor Guo has arranged as many opportunities as possible for you to lead teachers this time!" Song Yu patted Fang Xian on the shoulder.

"Thank you, Teacher Song." Fang Xian's tone was extraordinarily excited. He could already hear what Professor Song meant. Associate Professor Song Yu was going to be his preparatory tutor.

The director of the department, Professor Guo, deliberately asked Wang Bo to suppress his comprehensive grades in the first-year year-end assessment period.

"Go!" Song Yu didn't tell Fang Xian too much, there was still surgery to come, and that was his responsibility.

……

After Fang Xian left the operating room, Lin Jiemo asked Song Yu in the operating room: "Professor Song, Fang Xian's basic theory should have reached level 3, right? It's just that he didn't go to the Medical Association for certification."

"It should be about the same."

"The discovery of peptic ulcer may be a favorable factor, but the hidden infection cavity can be speculated. This should be a certain degree of progress in the theory of trauma surgery." Song Yu replied generously.

Fang Xian could not become Professor Lin Jiemo's student because he wanted to avoid being unfair to the students because of the teacher's likes and dislikes, and even went through the back door.

For example, Fang Xian is a relative of Lin Jiemo, so Lin Jiemo can go and lose his student Fan Chengpeng, and when Fang Xian enters the department, he will accept Fang Xian as his student, then this will not be good for Fan Chengpeng Fairness breeds corruption.

Moreover, if the postgraduate student led by the professor is finally replaced by a resident doctor, it will affect the professor's teaching rating to a certain extent. If the teaching rating is too low, the professor will be dismissed as an associate professor.

If there is a report and it is proven to be true, then it will be a one-vote veto, and the professor will be dismissed as an associate professor, and the associate professor will be the chief supervisor!
You can either be a chief physician and not take care of students, or you can take good care of students and don't think about breeding corruption.

"It's not bad. It's not easy for a child to study hard enough to vomit blood, isn't it?" Lin Jiemo nodded in praise, showing the other party's approval.

Just one point, hardworking young people, most people will like it.

As far as it is concerned, Fang Xian already has one operation that has reached level 3, and another basic theory that has also reached level 3, and it has only been a year.

Such qualifications are enough to warrant a stay in the hospital.

Of course, it is more difficult to improve the operation than to improve the theory.Theory is a must and is not within the scope of the face-to-face assessment, while operation is a must and is a face-to-face requirement.

Hearing what Lin Jiemo said, his master's and doctoral students were silent, including the trainees, who were also a little ashamed.

Fang Xian is not a bad person, and everyone can see his hard work.

But I think to myself, most people can't do Fang Xian's level of diligence.

I thought Fang Xian's aptitude was mediocre, but I didn't expect to be the king of the paper. It's just that he may have failed in the re-examination for the master's degree.

……

After Fang Xian returned to the ward, he immediately issued the doctor's order and invited the consultation from the pharmacy department.

After carefully considering the medication plan, antibacterial, stomach protection, and nutrition are the three big heads and must be given!

After doing all this, Fang Xian hesitated a little.

111 skill points are two level 3 skills, but whether these two level 3 skills should be added in operation, or in theory, Fang Xian is still undecided.

The Affiliated Hospital of Shonan University has the corresponding minimum requirements for doctors and medical students in the hospital to have the right to be the chief surgeon: trauma surgery theory level 3, X-ray film reading level 3, debridement, suture, and incision all reach level 3!
My theory of trauma surgery has reached level 3, and my suture technique has also reached level 3. If I add debridement and incision, it will be more convenient for me to operate during the operation. In the end, I only need to wait for the film reading to reach level 3. That's it.

This was the route that Fang Xian had already planned!

However, the operation opportunities in the operating room are quite limited. When working as an assistant, whether you are a doctor or a master, most of the time you only complete sutures, so your own level 3 sutures are enough.

Then the skill points that the assistant can get can be achieved by yourself.

and!
If you can make some new diagnoses and discover more hidden diseases, it will also contribute to the damage, and the proportion is very high. This can maximize your skill points and abilities, which is equivalent to expanding the source.

I have already made a conclusion about my preparation for a mentor. Seeing Associate Professor Song Yu, I am quite interested in myself.

Therefore, it is necessary to get the leading authority early and receive the subsistence allowance for surgeons once a month. Will its significance be greater than the hidden diagnosis in the clinic? This is a question worth pondering and pondering.

Fan Chengpeng's consideration is justified.

But from another perspective, I think about the relevant regulations of Shonan University’s trauma surgery. In fact, every regulation can make you more comfortable!

That's the point.

It is better for patients, the more we can discover some hidden diseases, and we can seek advantages and avoid disadvantages!

Therefore, diagnosis is definitely the highlight of the clinic. Even if you have added the operating level and obtained the authority of the chief surgeon, you must deepen your theoretical knowledge and reserve a lot.

Chief surgeon = treatment, but not all equal to treatment.

Diagnosis=salvation, guiding whether treatment is needed is fundamental.Therefore, we can't lose everything.

Fang Xian then raised the basic theory of orthopedics and basic surgery theory to level 3!
Therefore, Fang Xian's skill panel has become——

“医学基础技能：切开术2级，缝合术3级，清创术2级，X线阅片术2级，CT阅片术1级，心电图阅读术1级，心肺复苏1级。医学专科查体：1级。穿刺术：1级。打结术：1级。止血术1级。核磁阅片术1级。”

"Basic medical theory: level 1 of conventional medical theory, level 3 of basic surgical theory, level 3 of orthopedic general theory, level 3 of conventional medical theory of trauma surgery..."

"Special skills in trauma surgery: orthopedic related equipment operation experience: level 1, manual reduction surgery level 1..."

Fang Xian suddenly understood a lot of things in his mind!

The harvest of a little theory is simply too great, and it will definitely be useful!

(End of this chapter)