Gou in the operating room to add some upgrades

Chapter 141 The high-level reward from the Hubei Medical Association! (Please subscribe)
Level 4 cutting and puncturing of incision is the most orthodox and variant style of incision.

The original meaning of incision is to cut.

Cutting is to expose some potential organs that must be cut to be exposed, such as the spine, the spinal canal, the nerve roots, and the arteries and veins in the vascular sheaths.

It is necessary to cut or cut the superficial tissue.

Puncture is not particularly directly related to cutting, but it is also included in the school of incision because some diseases do not require direct access to the location of the lesion, but can be completed through puncture Exposure and even cleaning of lesions.

This is actually appropriating part of the concept of [incision] and integrating it into incision.

[Cutting] actually appropriates part of the concept of [Debridement] and integrates it into incision.

However, different from the simple [Incision] and [Puncture] techniques, Fang Xian's Puncture technique has also reached level 5. Therefore, when Fang Xian uses Puncture, the shock to his eyes is comparable to that of ordinary people. A person who simply has a level 5 incision is even more attractive...

Therefore, just showing an incision technique, in fact, Fang Xian has already demonstrated his powerful basic skills.

The four basic skills of [Incision], [Puncture], [Debridement], and [Stop Bleeding] are only the final expression. They are still just incisions. Such performances are almost difficult to replicate, unless someone is like Fang Xian. , all basic skills have reached the Ruyi level.

Only then can all the basic skills be fully demonstrated in one operation.

Naturally, for ordinary people, there are a total of six procedures for the level 5 [Incision Technique] assessment, that is, the three variant schools of Level 1, Level 2, Level 3, and Level 4 of the Incision Technique. About two hours.

But in fact, when Fang Xian came here, it took more than 40 minutes to complete the level 5 assessment of the incision technique, which greatly saved the assessment time.

This is also in line with the philosophy of major surgery. The better the basic skills are, the better the overall operation speed will be after each step is perfected.

Those who work slowly, those who work slowly and carefully, are actually slightly lacking in some basic skills.

Of course, some special operations are excluded!
In fact, the so-called assessment should end here.

But this is an assessment. In order to convince Professor Guangpuyuan and others, Professor Deng, Chairman Zeng and others can only let the assessment continue.

Therefore, after Fang Xian's assessment of the incision technique was completed, they still invited some professors up to conduct on-the-spot assessments one by one on the spot after the assessment of the incision technique was completed.

In addition, Examiner Yun and others were widely invited to conduct a detailed review of the assessment process, the professionalism of the assessment, and the results of the assessment.

After all the green lights passed.

Only then did Professor Deng announce: "Professor Guang, Professor Yu, and Professor Chang, I think cautiously that, judging from the current results, student Fang Xian's incision technique is already at the level 5 as desired. Several professors may have objections. ?”

"Of course, the entire process of this assessment, all the results, and all the data will be packaged into documents and sent to many professors, including many level 5 and level 6 doctors from all over the world, for final review!"

It's just that after Professor Deng finished speaking, Professor Xing, who had previously shared the incision technique with Fang Xian, jumped out at this time.

"I also think that Xiaofang's incision technique is level 5, there is no doubt about it."

"I paid special attention to it when performing on the spot." Professor Xing was so sure.

He was very impressed with Fang Xian, he made a joke with Fang Xian at that time, and asked Fang Xian if he would not continue?
Fang Xian stopped moving. After he returned to the stage, he was PUAed by some old partners of the referee team. He thought that he stimulated Fang Xian and made Fang Xian inappropriate for the follow-up.

Regarding Professor Xing's words, Professor Guang Puyuan, Professor Yuhang and Professor Chang Yuankun did not dare to speak.

Professor Guang Puyuan only has a relatively heavy say in suture surgery, Professor Yu Hang is on the puncture and the variant interventional surgery of puncture, and is Taishan Beidou, and Professor Chang Yuankun is on the nuclear magnetic film reading technique. reached the top level of Huaguo.

As for the incision technique, although these few have been immersed in it, their level is still not as good as that of Professor Xing Guoli.

This is a more formal occasion than the performance show before the game, and the jokes here are not easy to make.

The entire process is audio and video recorded. If there are any mistakes, you will eventually be treated as a laughing stock and may be laughed at by other colleagues.

And there must be some people saying, you don’t understand, what are you talking about?
Professor Deng said: "Since the professors have no objections, then shall we proceed to the next round?"

However, when Professor Deng said this.

President Zeng, who was originally on the spectator seat, suddenly said: "Professor Deng, I just received a notice that our Hubei Provincial Medical Association has newly donated the body of a teacher and is willing to donate it as a teaching tool."

"The basic techniques that Xiao Fang tested today are really exquisite. As the assessment site, our Hubei Medical Association would rather dedicate this teacher's body to Xiao Fang so that he can more realistically experience various basic techniques on the human body. The magic number?"

"Except for hemostasis and suturing, all other operations can be restored."

"Anatomy is the foundation of surgery. The purpose of incision is to understand the human body locally."

"Removal of lesions is the clinical application of debridement."

"The depth of the puncture can penetrate the joints, the pericardium, and the vertebral space. This is the application of puncture!"

"These operations, except outside the human body, the skill training device cannot be used for multiple purposes."

"Skill operations are performed in the skills training room and belong to clinical patients!"

"Our Hubei Provincial Medical Association also happens to have one, so we are willing to provide such a better operation to assess the embryo body!" Zeng said generously.

For well-known colleges and universities, the number of general teachers is still very large. Basically, four or five people can get one general teacher. Compared with ordinary medical schools, there is only one teacher per class, or even one large class. The resources are different. huge.

As for the Hubei Provincial Medical Association, it is also a manifestation of its heritage to find a real gross-up teacher for Fang Xian so that Fang Xian can experience real operations.

In general, teachers are very precious, they cannot be bought or sold, they can only accept donations, and they cannot be traded. They are very limited.

When Professor Deng heard this, he frowned slightly and said, "President Zeng, although the operation on the gross body teacher is closest to clinical practice, the assessment process is difficult to measure with data, isn't it?"

"Why measure it? Seeing is believing. I believe Xiao Fang can do it. We want the other party to have enough trust!"

"Again!"

"The quality of an incision depends solely on the organ dissection and the roundness of each system."

"The suture technique is good or bad, but it depends on the effect of the sutured organs."

"Debridement is the prudence of debridement."

"This is an assessment, not a machine recognition. A qualified teacher can be seen at a glance." Chairman Zeng also had something rather unkind.

The faces of Guang Puyuan and Yu Hang turned darker and darker.

The current life-saving straw has turned into a joke among other people. Their so-called last ray of hope has long since died out. Now, the whole process has completely become Fang Xian's personal performance show.

Taken over by Fang Xian again.

In any case, they can only hope for another miracle to happen, otherwise?
That could be a lot of debt, and.

Maybe there is no time left.

Fang Xian, who was about to rush to the next skill operating instrument, felt relieved when he heard this.

Fang Xian's undergraduate degree was from Hengnan University in Hunan Province. It wasn't particularly good, but it wasn't bad either.

However, in terms of local anatomy at that time, there were twelve teachers for one body, which was quite a luxury among medical students.

The twelve people at that time had to share the dissections performed by one teacher equally, so the operations that one person could perform were extremely limited. Basically, each person only had the opportunity to do it in one or two classes, and the rest of the time they watched others operate.

Everyone needs opportunities to learn.

Nowadays, I have the opportunity to have a gross anatomy teacher all by myself. This is a treatment that ordinary professors, except for anatomy professors, find it difficult to enjoy.

Specialty professors generally dissect the anatomical areas within the specialty and will not have the luxury to dissect the entire body.

Having such a rare opportunity to meet Fang Xian in clinical practice will be of great benefit and benefit to the general view of the overall anatomy of the human body.

The corpse was provided by the Hubei Provincial Medical Association, so it is not necessary for Professor Guang Puyuan and others to agree to change it.

Soon someone pushed the corpse in from the freezer.

Moreover, Fang Xian also discovered that the corpse had not yet been soaked in formalin, which proved that the "teacher" had just left and was pushed in under a white cloth.

Fang Xian and everyone else stood up, including Guang Puyuan, Professor Yu Hang and others.

As a general teacher, you are the teacher of everyone. Whether you are an observer, a teacher, or a person who dissects, they are all students, and respect for the teacher is inevitable.

After everyone bowed, a staff member brought over a special dissection instrument, and then invited the old man up.

No private parts are covered!

Because in the doctor's view, all places may be sick, so the private part is also a tool and material for anatomy and teaching.

Only at this moment did Fang Xian have time to look at him.

The skin is thin, the muscles are weak and loose, and there is almost no fat layer.But there are no special abdominal shapes such as frog-shaped abdomen or scaphoid abdomen.

Protruding ribs and protruding cheekbones are the basic characteristics of many elderly people.Skin hyperpigmentation, deep wrinkles...

But all of this does not affect the material of local anatomy.

After the teacher pushed forward, Fang Xian consciously went to the skill assessment room first, washed his hands again, and carefully asked the staff to open a pack of sterile disposable surgical gowns, put them on his body, put on gloves, and then approached console.

This kind of sterility, the sterility at this moment, is not to protect the patient, but to protect the surgeon. After all, no one knows what kind of diseases the person who donated the body had before, and whether there are any residuals. It is impossible to simply wear a pair of gloves. Get started.

There is no need to sterilize, and there is no need for an assistant to come and shave when special parts of the body are not being dissected.

Maybe Fang Xian didn't understand the best way to use a real general teacher, so a staff member began to explain: "Students, please note that in front of a complete corpse, the sequence of basic skills practice and assessment will be slightly different. Change."

"Priority is given to the assessment and practice of puncture techniques."

"Intraspinal, epidural, thoracoabdominal, and bone puncture are the first level entry points for puncture."

"The puncture of the knee joint, shoulder joint and elbow joint is proficient level 2 in puncture technique!"

"The puncture of nerve degeneration and vascular sheath is a level 3 specialization in puncture."

"Puncture of the capsule of internal organs is a level 4 application of puncture. The requirement for level 4 puncture is that for organs such as kidneys, the capsule can be broken without damaging the cortex and medulla. The same is true for the heart."

"And there is another operating mode for the application of level 4 puncture, which is to puncture the same spot for five consecutive times, and no more than 2 puncture tracts can appear. And the distance between the puncture tracts cannot exceed 1mm..."

"Then there's the incision, which is..."

Fang Xian listened carefully with his ears raised.

This is a general anatomy teacher specially presented by the Hubei Medical Association to reward him. It is for the material that is closest to clinical practice and surgery, which is not available to ordinary people.

If it hadn't been for this time that he had won so many places to become students of level 5 doctors in the Central China Division, Fang Xian would not have dared to expect that he would be treated so favorably.

After listening carefully, Fang Xian fulfilled his words.

Putting aside the simple assessment, he started the piercing practice with a sense of awe.

Thoracic puncture, abdominal puncture, epidural puncture, and bone puncture are the four major punctures in basic medical practice, and they are all included in puncture. Level 1 puncture is a requirement for all medical students to graduate from undergraduate.

If you can’t finish it all the time, then you can leave the clinic without getting a diploma.

On this point, before the emergence of the Medical Association, a consensus was reached, and it is an indispensable link in the many assessment processes of medical careers.

Fang Xian has known it for a long time, even before graduating from undergraduate degree, so there is no difficulty in operating it.

However, arthrocentesis is a little more difficult. This is a puncture technique of orthopedic specialists, and it is recognized as Level 2 of puncture by the Medical Association!
In fact, level 1 piercing technique can also be worn, but not so well.It may cause little damage to the soft tissue inside, but it can be done, but it is not done well.

But that was before.

Fang Xian himself is a student of the Department of Orthopedics, so he is naturally familiar with the corresponding procedures of puncture, but because it is not very helpful for the operation on stage, he has no actual operation.

Now that the operation level has been reached, it is naturally easy to puncture.

Even if it is a difficult shoulder joint puncture, it needs to be punctured into the space under the shoulder joint and the space inside the shoulder joint. For the other party, it is not difficult...

Immediately following is the puncture of the nerve walk and the vascular sheath, which is a requirement for level 3 puncture.

These two puncture techniques are the contents that must be mastered in nerve block anesthesia in anesthesiology department and arterial sheath introduction in vascular surgery and interventional surgery.Ordinary surgeons don't need to master it, but for Fang Xian, it's not too difficult!

The level 5 puncture technique allowed Fang Xian to boldly puncture through the anatomical position and anatomical shape without the guidance of color ultrasound.

This kind of puncture technique cannot be proven, but it can be proved during the autopsy that Fang Xian's puncture technique has indeed reached that position and has that level!

At this moment, Fang Xian looked like the undefeated Dongfang, holding the puncture needle, decisive and capable, with a serious expression.

This is the flexible application of basic medical skills and puncture.

Others have not yet spoken, but the person named Professor Yu just looked at Fang Xian's operating techniques, angles and depth, and sighed silently: "It is a technique that can blindly penetrate according to the patient's body shape and anatomical landmarks. .”

"There is no need to conduct postmortem anymore!"

(End of this chapter)