Gou in the operating room to add some upgrades

Chapter 153 I can’t teach you anymore (please subscribe)

If Fang Xian knew about these things, he wouldn't have to ask Professor Wang Huan at all.

Whether it was three years ago or seven years ago, Fang Xian was still not in the Affiliated Hospital of Shonan University at that time, but was still studying at Hengnan University and high school.

Wang Huan sighed slightly and said, "Let's leave this matter as it is for the time being. The hospital has already started to intervene..."

Seeing that Professor Wang didn't intend to continue, Fang Xian said goodbye to Professor Wang Huan temporarily.

No matter how other things change, gaining more skill points and improving yourself are the fundamentals.

After going out, Fang Xian went back to the incision team's lounge to rest for a while.

In fact, deep down, there is also a little inexplicable little smugness.

Being regarded as a benchmark by other people, and every move considered to be a very scientific thing to study, such a thing, Fang Xian never dared to think about it before.

And this is still in a slightly high-end circle like the Affiliated Hospital of Shonan University.

Seven years ago, three years ago, and the current self, such a number, a little bit floating, is actually not too much...

But after thinking about it carefully, Fang Xian calmed down again.

What brought me so much was not my uncle, nor Professor Wang, nor any of my teachers, but my own strength.

Even if this kind of strength is obtained through 'opening', it is fundamentally because of strength.

After the improvement of strength, let yourself stand out among your classmates and peers, and finally use the platform of the competition in the competition area to make yourself the champion.

After returning to my original heart, my next step is still to be a doctor in a down-to-earth manner.

Recently, one thing that needs to be done is to improve other related basic skills as soon as possible.

Try to be able to upgrade the twelve basic skills to level 5 years ago, and then find out the 'cause of death' of old Professor Gui Yuanping through memory or other factors.

Even if it is euthanasia, there must be a more specific reason, such as shock or some other underlying disease. If you can clarify this, then your diagnostic ability will definitely be greatly improved. …

After thinking about this, Fang Xian edited a relatively long message to his uncle Fang Yun.

It probably means that I hope that my Uncle Fang Yun can contact Professor Zhou, postpone my time to move to the operating room of Changshi Trauma Center, and give him a little more time in the operating room of the Trauma Center of the Affiliated Hospital of Shonan University.

But it was a pity that Uncle Fang Yun directly rejected Fang Xian's request after reading it.

"From this month on, you will come back to Changshi every weekend!"

After Fang Xian finished reading, he rolled his eyes at the screen of his phone.

If you are not my Uncle Fang Yun, see if I will listen to you.

In the end, Fang Xian sighed.

Under normal circumstances, Fang Xian believes more in his own planning and choices, basically no one can interrupt Fang Xian's self-discipline, and Uncle Fang Yun is one of them.

……

"z?" Professor Xu Fengnian sent another cryptic message.

This is a set of simple passwords temporarily designed by Fang Xian and Professor Xu Fengnian, az corresponds to operating rooms 1-26.The remaining operating rooms are represented by +1+2 and so on.

Although editing is relatively cumbersome, it only takes a little effort.

However, this time, following Professor Xu Fengnian's information guidance, Fang Xian came to operating room 26, and found that the anesthesia inside had not yet ended, and Professor Xu Fengnian was still talking with another professor there: "Professor Li really deserves it." I am a professor. I am devoted to students and teaching, and I am now a lobbyist."

Xu Fengnian frowned while speaking, as if a big knife was about to be raised and about to be chopped down.

Opposite to Professor Xu, a middle-aged man looked exceptionally shrewd, with invisible bushy eyebrows and clear eyes that were indescribably blurred and calculating.

At this moment, he was smiling, with the mask covering his facial expression. He just squinted his eyes and said with a smile: "Professor Xu, what you said about your great righteousness is really ridiculous."

"However, during the previous lectures, many undergraduate students asked me about Fang Xian, so I couldn't refuse, so I could only agree and say let's give it a try."

"Teaching inheritance is the foundation of every school and the foundation of medical inheritance."

"What is up is what is followed. There are also many juniors who want to meet the legendary student Fang Xian." When Professor Li said this, he first expressed his kindness to Professor Xu Fengnian, and then turned to Fang Xian to express his kindness.

Then he said kindly: "Classmate Fang Xian, are you right?"

"But I also told those students that if you want to meet, your senior brother Fang Xian is also very busy. Unless you perform particularly well and make rapid progress, I will only be willing to work hard for you."

"All I do is read novels and watch short videos all day long. If I don't have any talent, I don't study hard. I just think about people who are fed by teachers all day long. You can just watch videos in the dormitory. I have no choice but to deal with it like this first. …”

"It's really the enthusiasm of these students, it's really not good to just pour cold water on it."

Professor Xu Fengnian rolled his eyes a few times, but he couldn't speak after all.

He also took care of students when he was in West China Hospital. Even this time, Professor Xu Fengnian wanted to stay in the Affiliated Hospital of Shonan University for a while, but the hospital's leadership still kept him, pulling the banner of student teaching is a century-old foundation.

But Professor Xu Fengnian finally came. In fact, those students also learned well. I didn't see anyone rebelling now because Xu Fengnian didn't become a teacher.

However, for the Affiliated Hospital of Shonan University as a clinical college, Xu Fengnian is not good at pointing fingers at the teaching arrangements for undergraduates.

Fang Xian glanced at Professor Li with flickering eyes, rolled his eyes around, and said, "Professor Li, if I remember correctly? Postgraduate students are not obliged to teach, right?"

Hearing what Fang Xian said, both Professor Xu and Professor Li turned their heads to look at Fang Xian.

After a slight wink, Professor Li explained with a smile, "It's not about teaching, it's just talking with some outstanding students."

"Then as a senior brother, there is no obligation to do psychological counseling and psychological construction."

"Professor Li, you can help me decline directly or directly. My main task now is to study, and there are still many things I don't understand." Fang Xian has long been hesitant.

Professor Li was also classified into that group of people first, but the measures to deal with it were relatively mild.

"Student Fang Xian, this is still, not so good. As a senior, it's still okay to meet your junior. This is also a tradition in our school." Professor Li said.

"But I have never enjoyed such a tradition." Fang Xian said very bluntly.

Rights and obligations are linked. What kind of traditions do undergraduates at Shonan University Affiliated Hospital have, and what does it have to do with our leisure?During my time here as a graduate student, I did not enjoy any traditions.

Fang Xian said to Professor Xu Fengnian: "Professor Xu, when will our operation be available? If it takes a long time, I will go to the next door to do a few simple sutures..."

Xu Fengnian hurriedly said: "Hey, we can start the stage now, just wait for a professor of general surgery."

"Professor Li, please come. The operation is about to begin. Don't wait here." Professor Xu Fengnian was the chief surgeon.Start chasing people away directly.

The person named Professor Li looked at Fang Xian up and down, and then looked at Xu Fengnian's gaze. Fang Xian said, "Student Fang Xian, I think you should think carefully."

"You also came from the undergraduate stage. People who have endured hardship should know better that young people need someone to motivate them to make progress..."

Fang Xian was too lazy to talk to the other party, so he turned his head and shouted: "Professor Wang, there is one in the operating room. He is currently in 26 operating rooms. His surname is Li. Professor Xu Fengnian calls him Professor Li..."

"What are you doing?" When Fang Xian said this, the person named Professor Li was a little panicked and confused.

But soon, when he was about to stand up and walk out of the operating room, he found that the 26 operating rooms seemed to be locked. Don't open it.

And after Professor Li repeated this three or five times, three people walked in from outside.

Professor Wang Huan took the lead, and beside her, there were two relatively burly green clothes who looked at Professor Li.

Said: "Professor Li, please."

"You are not a member of the trauma center. There is no consultation in the operating room of the trauma center, which is trespassing."

"Let's go out and take care of it."

When Professor Li went out, he looked in the direction of Fang Xian with extremely complicated eyes. However, Fang Xian focused his eyes on the patient's simple emergency medical record and the relevant materials of the interview and signature, and did not look in his direction at all. .

After Professor Li was taken away by Professor Wang and others.

Professor Xu Fengnian was amazed and asked Fang Xian: "You really don't know this Professor Li just now? You asked Professor Wang Huan to take him away."

Fang Xian shook his head.

Fang Xian was just an ordinary resident training student before. He was not qualified to contact many professors that had nothing to do with his residential training.

After entering the operating room of the trauma center, Fang Xian didn't have the time and energy to get in touch. How did he know which department these professors belonged to?
There are at least a thousand professors in the whole hospital, how could Fang Xian know all of them?
"This is the deputy team leader of the teaching and research section of the General Surgery Department. He is the master of neurosurgery in your hospital and is currently the director of the third neurosurgery ward. Professor Li." Xu Fengnian said.

Fang Xian was stunned when he heard the words.

neurosurgery?

Neurosurgery is indeed one of the flagship departments of the Affiliated Hospital of Shonan University. At present, in the entire major surgical system, except for orthopedics, which ranks higher in the country than neurosurgery, the comprehensive strength of other surgeries ranks in the country, which is not comparable to neurosurgery at all. sex.

The director of a neurosurgery ward is at least a top expert in a certain subspecialty.

It is even very possible to become the next academic leader in neurosurgery, and it is definitely a contender at present.

Fang Xian still shook his head: "I don't really know, and I don't know."

"I have no ill intentions towards Professor Li."

Professor Xu Fengnian stopped talking.

……

After the operation officially started, Professor Xu Fengnian waited for another professor from the general surgery department to come. While opening the table, he said to the other person casually: "Basic debridement, basic suturing, etc. are just things that improve your comprehensive processing ability."

"It represents the broad-spectrum applicability of suture and debridement, but in fact, when dealing with specialized diseases, the comprehensive effect of specialized debridement will be better than that of basic debridement."

"For example, infection debridement in infectious surgery, and complete resection of tumor-related tumors, are all variants of debridement..."

"Only, at present, the debridement of destructive injuries is not absolutely systematic. Therefore, the basic debridement is its main debridement task."

"In the current basic debridement process, we may need to use the corresponding concepts of debridement, necrotic tissue removal, foreign body removal, blood vessel, nerve exploration and other basic skills to assist..."

"Debridement first, followed by reconstruction, are the two basic principles of damage treatment..."

This is the first time that Professor Xu Fengnian has given Fang Xian a relatively systematic explanation of the scientific knowledge related to damage.

Fang Xian listened very carefully.

damage, especially intractable.

Intractable in debridement and reconstruction.

And this kind of damage, many years ago, was almost an incurable disease. Even if it was revived on the spot, it would be difficult to make up for the subsequent soft tissue defects, and eventually lead to various complications, unable to get out of bed, and even died.

If the limbs are damaged, the prognosis is relatively good and the patient can simply ampute the limbs.

When Fang Xian heard this, he continued to help with debridement and asked: "Professor Xu, the connection between basic medical skills and basic professional skills is that the basic skills are based on the basic skills, but is it slightly higher than the basic skills?"

"It means the same thing. But it's a variation, with added technical elements."

"For example, in the process of debridement of muscle tissue, we can further develop the concept of [scraping] related to basic debridement, because this is a destructive injury, not a simple trauma."

"For simple wounds, during debridement, we can boldly remove a portion of the tissue, and there will still be enough leftover to be useful."

"However, in the debridement process of traumatic injuries, we hope to preserve many muscles and even necrotic tissues, and try to preserve as much as possible, otherwise we will not be able to make up for the defects that have been caused."

"Therefore, in this process, you have to use very strict and prudent curettage to preserve as much limited tissue as possible. We would rather perform a second reconstruction and blood supply on the remaining tissue after surgery. recovery."

"Otherwise, we'd have to autograft other muscles, tendons, and other soft tissue components from elsewhere to fill the void."

"Then, in the reconstruction process, blood supply is the most critical, so our damage reconstruction process is actually similar to some skin flap transplantation, muscle and tendon transplantation in hand surgery, which are more widely used. The very few specialties developed..."

"Currently, there are only three hospitals in the country that specialize in traumatology. This is something that even the Affiliated Hospital of Shonan University does not have."

"However, the reconstruction of damaged blood vessels is a more difficult operation than the reconstruction of blood vessels in hand surgery. It requires the use of more delicate vascular surgery methods."

“Debridement, some concepts and skills of hand surgery, some concepts and skills of vascular surgery, plus trauma surgery, spine surgery, and the help of professors from general surgery, will it be possible to effectively treat injuries in this way. Lift it up.”

"The most important thing in the treatment of damage is debridement."

"Second is suturing, including reconstructive suturing, as well..."

"The suturing of blood vessels is the most difficult."

"what are you doing……"

Professor Xu Fengnian is eloquently starting various explanations, instilling Fang Xian with a top-to-bottom vision.

But during this process, Professor Xu Fengnian's voice suddenly stopped.

"Professor Xu, let me see if the suturing of very small blood vessels can replace the reconstruction of blood vessels and blood supply. However, it seems that after local pan-heparinization, the effect is not bad." Fang Xian looked at the several small blood vessels that he had re-sutured. , after connecting the main blood supply.

As a result, the local muscle tissue bleeds again, Fang Xian's mood is a little flattered.

Professor Xu Fengnian and the professor of general surgery next to him both looked at Fang Xian in unison.

They really saw Fang Xian's operation just now.

The professor of general surgery asked in a low voice: "Professor Xu, did Xiao Fang puncture a local blood vessel with a syringe and inject heparin? Then the local blood vessel was recanalized?"

"Then the blood vessels were re-sewed up one by one?"

Xu Fengnian looked at him and thought this man was a bit strange.

You are not blind, and I am not blind either. You have to ask, right?

Professor Xu Fengnian then lowered his head silently: "I may not be able to teach you anymore, you forget what I just said, or it will lead you astray."

Professor Xu Fengnian's mentality is about to explode at this moment.

It's not that bullying.

Ruyi-level puncture, Ruyi-level suturing, Ruyi-level debridement, and Ruyi-level incision, you used them all at once, and it was all on your body alone.

Therefore, Xu Fengnian's mentality is a bit broken at the moment.

When a person has so many Ruyi basic skills, his so-called theories, knowledge and insights are completely shocked.

Because what he said was just under normal circumstances.

Because even in a top hospital, who can send out so many professors with level 5 skills for one operation, which is not particularly life-threatening?Is it prescribed by one hospital for one patient?

That's all, so many Ruyi-level skills still appear in the hands of one person, as if they have really realized the freedom of skills, and they can switch at will.

I'll play you paralyzed, I won't teach you anymore.

Teach one wrong sentence, teach two wrong sentences...

(End of this chapter)