Gou in the operating room to add some upgrades

Chapter 157 Luxury panels and new ways of skill points (seeking monthly pass)

"Professor Wang, it is still in the very early stages. I am mainly responsible for the construction of the basic skills skeleton..." Fang Xian said cautiously and helplessly.

This is to optimize resource allocation by lowering standards when resources are relatively insufficient.

If every hospital had a Professor Xu Fengnian, the current research would be meaningless, but the problem is that there is none.Not only Chen Jiwu didn't have it, even doctors like Fang Xian, except for level 5 skills, couldn't guarantee [-]% to have it.

"Reduce the standard of treatment to deal with patients? Medical ethics." Wang Huan subconsciously considered a more cautious direction.

But soon, Wang Huan reacted: "However, you now have enough basic level 5 skills. Even if the standard is lowered to a certain extent in the process of operation, you can always get the bottom line when you encounter unexpected situations."

"I really envy people like you who have level 5 Ruyi skills."

"Ruyi..." Wang Huan sighed, as if expressing a kind of regret and shortcoming.

The reason why the hospital attaches great importance to the number of level 5 skills is not only because it sounds awesome, but also because it can provide comprehensive coverage for any related diseases at critical times.

It's not just that it can be easily taught. In fact, the biggest role of level 5 skills is to teach extensively, lower the operating standard, and always walk below the standard. An exploration and attempt.

Re-evaluate the treatment procedures and treatment processes of the disease and carry out 'downgrade' processing.

We strive to discover a set of methods, even if the team does not have level 5 basic skills, or even level 4 skills, it can take down such dangerous and difficult-to-treat diseases and promote them to other regions and regions.

In this way, the existing medical resources can be maximized and fully utilized more scientifically.

This is an act of desperation.

But it is also a phased process.

If everyone in Huaguo was like a dragon, then there would be no concept of getting rich first and then getting rich later.

Just like damage, every place has it, just because of the size of the place and the degree of development of the city, the order of magnitude is different.

But because of the difference in magnitude, for example, in a county, only one case occurs a day, or only one case occurs in two or three days, so it doesn't matter.

Some patients who may die in the course of operation are ignored and turned a blind eye. They do not live well and are born in limited geographical conditions. If you try to frame this frame to death, you will be unlucky if you encounter it.

We have to find a way to solve and deal with it. Even if such a method is not the best in the country, as long as it can be implemented locally, it can solve the problem without causing death or even disability.

This kind of progress is great progress.

When Fang Xian heard what Wang Huan said, he said, "Professor Wang, the scope of this topic is relatively wide and relatively large. In the future, there will definitely be places where Professor Wang and other professors in the operating room of the trauma center can help."

"Professor Xu also asked me to give full play to the advantages of the students in this school. I hope to invite some people to help. I am a soft-spoken person, and I will need Professor Wang to help you when the time comes."

"And you are my aunt, you will definitely help me, right?"

Fang Xian knows that Wang Huan has level 5 skills, it's not that he doesn't have them, it's just that Wang Huan's level 5 skills are quite limited, and the age to reach this step is also relatively old.

Therefore, she has no chance to compete for the subject leader.

And Fang Xian also knew that the reason why Professor Wang Huan reached this stage at an advanced age was related to her son Xiaoxiao Qian Fang Qian.

I heard from my father that when Professor Wang Huan gave birth to Xiaoqian, he had an embolism.

Fortunately, the embolism did not occur in the brain, heart, or elsewhere.

Unfortunately, it happened in the right upper limb, making Professor Wang Huan's right hand less flexible. Therefore, it took her ten years to barely restore the function...

Nowadays, as he grows older, it is naturally impossible for Professor Wang to reach that peak again. Even now, he rarely even assumes the position of professor of the chief surgeon, and instead focuses on diagnosis related to major surgery.

Basically, Professor Wang Huan will personally go through most of the patients in the operating room of the trauma center.But if there are too many patients coming at once, then Professor Wang Huan has no choice but to let other people replace him...

"You have learned to be sweet."

"It's not so easy to develop a disease, or even create a new discipline and sub-specialty. Six months to one year is extreme, and it even takes three to five years."

"The development of a disease such as Qidaliang requires, in addition to the treatment field, multiple steps such as on-site treatment, transport and rescue, on-site diagnosis, and comprehensive emergency surgical treatment."

"Only when you are on the operating table is it within the scope of surgical emergency rescue..." Professor Wang Huan said casually.

"This requires calming down..."

Fang Xian raised his head and looked at Wang Huan, his expression seemed to say, Professor Wang, do you think I'm someone who can't calm down?
But Professor Wang Huan also discovered that his wording was wrong.

For others, what is needed is to calm down, but for Fang Xian, what is needed is for Fang Xian to have a little more agitation and a sense of life rituals that belong to a young doctor.

Nowadays, Fang Xian's life not only makes girls avoid him, but also makes parents who like to see progressive sons-in-law feel uneasy.

"But it doesn't have much to do with you."

"Keep doing it well. Professor Xu is one of the leaders in trauma surgery. Many things in him are treasures for you and are worth digging into."

"You are just expanding and building this type of disease now. Professor Xu Fengnian and his group built it from scratch. This is a process from scratch. If you can learn this process, your clinical research ability will be greatly improved. , can be greatly improved.”

"Of course, there are some teachers in our hospital who can teach you these things, just because you grow up too fast, and we haven't had time to prepare for this." Wang Huan told Fang Xian in this way.

I guess it’s just a reminder not to eat too much, because their own platform is quite excellent and can provide you with resources that you can’t even imagine.

Fang Xian knew that Wang Huan was connoting his conversation with Professor Xu Fengnian before, and he said that he could go to West China Hospital.

But isn't that what he said? Who told Professor Wang to cut down his study time?

"Professor Wang, I know this, and now I can understand more and more that Professor Zhou and Professor Yang have built a trauma center from scratch, the difficulties, and the medical society from scratch. place."

"Professor Xu is a very good person and a very principled person. He didn't instill in me these concepts that I want to go to West China Hospital."

"Moreover, Professor Xu Fengnian has gone through this topic before, so now, the skeleton of the process is mainly prepared by Professor Xu Fengnian, but the big skeleton of skill preparation is mainly operated and responsible by me."

"We have submitted the project application process to the Medical Ethics Association of our hospital and made a commitment and guarantee that under any circumstances, we will give priority to treating patients and saving lives, and research will only come second. We will never conduct research for the sake of research. "

"So, we will not only record successful cases, but also record all failure cases. For example, with what kind of skills and team preparation, this kind of structure cannot solve the problem."

"To develop a sub-standard, in addition to finding adaptation points, we must also find taboo points. Reduce the cost of trial and error in advance." After following Professor Xu Fengnian for more than half a month, Fang Xian has become much more mature and his vision has been broader. .

Being a doctor, treating illnesses and saving lives, is not just about skills.

Medicine, as a discipline, its inheritance and development are not only the processes that I have seen.

Some things that look tall and tall can actually come to you when you move forward slowly.

And this is not a reward given to you by anyone, but something you strive for through your own strength and ability.

Yes, the development of high-standard and low-standard treatment procedures for damage can only be done and developed by level 5 skill owners.

Because according to Professor Xu Fengnian, if a skill has reached the perfect definition of level 6, then the owner of this skill will at least operate a level 4 skill. Make messes, otherwise, the standard of operation cannot be lowered too low.

As for level 4 skills, in fact, for some young doctors or chief physicians in county-level hospitals and prefecture-level city hospitals, they cannot be achieved casually. They require a certain amount of talent and the accumulation of time.

Moreover, the very real problem that exists now is.

Even the interns of large tertiary hospitals like Fang Xian and Li Qiu will not go to county hospitals or prefecture-level city hospitals after graduation. They would rather go to private hospitals in Shanghai, Kyoto, or major provincial capitals. I would not be willing to take the initiative to go to the county hospital!
People go to high places and water flows to low places. This is a reality.

Those who go to county hospitals are basically undergraduates who are not very good, or trainees in prefecture-level city hospitals, etc...

Doctors who go to prefecture-level city hospitals are mostly graduate students with limited talent or young doctors who want to lie flat and have no passion for struggle. Then don't expect him to work hard and work hard to improve his skills.

Once promoted, you want them to stay in prefecture-level cities. Whether others are willing and willing to stay is another question from another angle...

"Very good. It seems that you have learned a lot from Professor Xu."

"But I have one more request for you, and that is to tell your Uncle Yun clearly, otherwise, he will always ask me about your recent situation." Wang Huan was quite relieved.

But also quite helpless.

From a teacher's perspective, Fang Xian's current development should be free and open.

Even Fang Yun, even if Professor Fang is the third director of the Shonan University Affiliated Hospital, cannot interfere too much with Fang Xian's current development direction and choice.

The same is true.

Fang Xian's talent and ability have reached this point. His choice, even if you are Fang Yun, Fang Xian's uncle, or a well-known old professor, Fang Xian now has something he wants to do.

You have to give in to him too!
Although you are excellent, leave the rest to the medical association and hospital.

This sentence is definitely not just talking!

Fang Xianwen said: "Professor Wang, I have told Uncle Yun about the actual situation, but it may be that he has a lot of troubles on his side, so he keeps asking me."

"But I still think it's better than going to Changshi to study with Uncle Yun."

"Stay in Shashi, continue to do a good job of the subject that you are currently encountering and working on, first grasp the current learning opportunity, and work hard to improve your ability. It will be more meaningful."

“It’s not just meaningful to me.”

When Fang Xian said this, he smiled cautiously and said cautiously: "Maybe it can push medicine forward a little bit."

Fang Xian made a gesture that was about the size of a fingernail.

"It's okay, the living can't be suffocated to death."

"Everything is subject to change. If you don't go to the No. 1 civilian hospital in Changshi, there will naturally be professors and people from the medical association who will arrange for others to go."

"However, perhaps it is more appropriate for you to go. Others will only play a supplementary and temporary replacement role for the time being."

"The teacher will arrange for you to go like this, there must be a reason for it."

"When you have made some progress in your current subject, and you can continue to go down without needing you in a short period of time, you still have to go to Changshi."

"At that time, I will run back and forth between Changshi and Shashi."

"Excellent people can do a lot of things, but relatively speaking, they have less and less free time..." Wang Huan said this with profound meaning, as if he had experienced it personally.

……

When Fang Xian came out of Professor Wang Huan's office, he looked at his skill panel list and felt particularly at ease.

【医学基础技能：切开术5级，缝合术5级，清创术5级，X线阅片术3级，CT阅片术3级，心电图阅读术3级，心肺复苏1级。医学专科查体：3级。穿刺术：5级。打结术：3级。止血术5级。核磁阅片术3级。】

Of the twelve basic medical skills, five are level 5, and the rest are level 5 except cardiopulmonary resuscitation.

There is no particularly big improvement, but Fang Xian has a feeling of giving up to me.Because of the basic skills now, Fang Xian is able to get a foot in basically all the diseases that are common in surgery.

Not to mention playing a key role, but playing a sub-key role, that’s fine.

Fang Xian has long known how malleable basic medical skills are.

And in the clinical process, there are too many witnesses.

[Basic Medical Theory: Level 3 of conventional medical theory, level 3 of basic surgical theory, level 3 of orthopedic conventional theory, level 3 of vascular surgery conventional theory, level 3 of neurosurgery conventional theory...joint surgery, bone tumor specialist, hand surgery, trauma Surgical Medicine Routine Theory Level 3...]

Because there was a little surplus of skill points, Fang Xian used every 500 points as a step. He first picked up the theories related to the basics of medicine, and after clicking on the more basic theories, he then filled up the skills. At level 3, the skill points consumed become more and more economical.

For example, when you study the basic theory of some sub-specialties, the total cost of skill points is only more than 100 points. This can be regarded as the efficiency of the improvement after the skill points are relatively free. It is more free than when the efficiency of skill points was very low before.

Skill points are relatively free.

[Specialized skills in trauma surgery and hand surgery: Experience in operating orthopedic related instruments: level 3, manual reduction level 3, tendon suturing level 3, nerve suturing level 3...]

[Current skill points remaining: 183 points]

In order to work on the subject, Fang Xian set up as many skills as possible, so that he could better simulate the level of other ordinary doctors and make a corresponding response plan.

Moreover, because of some prototypes of the new project that I and Professor Xu Fengnian are working on, in the operating room of the trauma center, other students, such as Zou Junzi and Zhou Xiyin, have begun to embezzle and participate as materials.

Therefore, Fang Xian discovered a relatively novel way to obtain skill points.

And it was this approach that made Fang Xian decisively reject Uncle Yun's invitation, and even Professor Yang's phone call asking when he would go to Changshi.

【你通过主张‘毁损伤新型治疗模式（4级技能+3级理论模型）’对毁损伤综合造成伤害11点（2‰），获得技能点11点。】

【你通过主张‘毁损伤新型治疗模式（4级技能+3级理论模型）’对毁损伤综合造成伤害9点（2‰），获得技能点9点。】

【By advocating the 'new concept of suture', you will cause 0.5 points of damage (1‰) to tendon rupture and gain 0.5 skill points. 】

【…】

The amount of skill points harvested in a single session is not very large, but the frequency is relatively high.Because there are two people, Zhou Xiyin and Zou Junzi, who are taking turns to carry out tentative and effective operations.

This is worthy of Fang Xian's careful study.

Moreover, Fang Xian also carefully compared this new theoretical model with Li Qiu's new 4-level suture concept, and compared it with the 4-level suture taught by Zhou Xiyintao.

Then it was discovered.

In the clinical practice, Li Qiu will probably get 1‰ of the damage produced during the operation.

However, Zhou Xiyin's level 4 skills did not allow Fang Xian to gain anything.

In contrast, Fang Xian almost felt that he might have broadened the way to obtain new skill points.

Research and development.

In other words, if the theory developed and pioneered by oneself is used clinically by others, and it is beneficial to the patient, a small amount of harm will be fed back to oneself, which is converted into skill points.

This TM is very scientific!

Although front-line clinicians are the main task bearers of treating diseases and saving lives, in fact, in the process of curing all patients, the theories, concepts, experiences and lessons of generations of predecessors are playing a huge role and even guiding effect.

Most doctors are just repeat workers of other people's medical concepts, theories and skills, senior operators!

Under such a mechanism, Mo said that it was Uncle Fang Yun who invited him to the operating room of the trauma center in Changshi, but Fang Xianhui refused.

If he didn't study this matter clearly, even if Old Professor Zhou asked him to help now, Fang Xian would hesitate first and then politely refuse!

Don't tell me why!
Uncle Yun!

At present, nothing is more important to me than figuring out the 'cause and effect'.

Fang Xian's eyes were extremely determined, and he was talking to himself silently in his heart!

I am glad that I showed a little kindness in the beginning, and I am also grateful to Li Qiu for his firm trust in bringing this suturing concept into the clinic with me...

　Stories need to be foreshadowed, and research needs to be triggered by objective facts.Maybe the author didn't do enough to help Zhou and Li in the early stage.

　　However, the story is a circle, there will be no unreasonable plots, if the protagonist does not do experiments and compare through his own vision.

　　Then he may be late to know such a pattern.

　　Every move in reality will have a long-term impact.

　　The perspective of this book will always focus on the protagonist, and it will better allow readers to explore and discover with him one by one.Otherwise, if the author instills all the world views in one moment, there will be less plot.

　　
　
(End of this chapter)