Gou in the operating room to add some upgrades

Chapter 177 Die without regrets! (Please subscribe)

"There are many sections in medicine. According to different purposes, there are roughly the following categories..."

On the last day of August, when Fang Xian walked into the operating room, Jiang Yang, under the instruction of Professor Xu Fengnian, began to explain some basic contents to the team.

Next to Jiang Yang, Professor Xu Fengnian seemed to be the backbone of the team. While scrolling through his mobile phone, he shook the rubber shoe on his right foot, trying not to take it off.

Around Professor Xu Fengnian, Fang Xian saw that Professor Lin Jiemo and Associate Professor Song Yu were sitting upright.

Because there was not enough space, Jiang Yuhang, Zou Junzi and Zhou Xiyin stood next to them with their hands behind their backs, listening carefully.

Li Qiu and Brother Kang Rong stood close to the wall, their posture was not enough, and their bodies were quite trembling. It seemed that this was their first time experiencing and seeing such a scene...

After Fang Xian approached, Jiang Yang stopped talking and immediately stood up while he was sitting.

Even Professor Xu Fengnian put his feet down and put his hands flat in front of his knee joints.

"Xiao Fang, you're here, come and sit down..." Xu Fengnian greeted warmly.

After Fang Xian approached, he only stood next to Zou Junzi: "Professor Xu, let Dr. Jiang sit down, he is the teacher now..."

Xu Fengnian was also quite casual, so he motioned Jiang Yang to sit down first: "Doctor Jiang, please continue."

"From a macro perspective, medicine has such modules."

"Theory, diagnosis, treatment."

"Among them, theory is cognition, which is both separate and integrated with diagnosis and treatment. In fact, this is true for these modules."

"Theoretically, the definition of damage is simple, but the manifestations are ever-changing, from the simplest damage to the palms of the limbs to damage to the abdomen or even the chest. The respective manifestations are very different..."

"The main difficulties in the damage theory are three points: first, it is difficult to treat, second, it is difficult to diagnose, and third, it is difficult to treat."

"The difficulty in treatment is that patients with severe injuries often lose a lot of blood. Shock, cardiac arrest and other measures may have already occurred when they are admitted to the hospital or even when emergency doctors rush to the scene."

"Although studies have confirmed that at the emergency scene, accurate temporary hemostasis of important blood vessels and large blood vessels, and timely blood transfusion and other treatment measures can extend the patient's lifeline and extend the golden rescue time."

"But patients with severe injuries, even at the stage of in-hospital rescue, are still extremely difficult diseases..."

“The difficulty in diagnosis is that it is difficult to accurately predict organ damage and potential vascular damage, because these patients are not suitable for CTA. Therefore, in such cases, we must ask our treating doctors to perform MRI scans. He has extremely high attainments in film reading skills."

"The current standard of diagnosis and treatment is that for patients with injuries, the reporting physician in the imaging department and the clinician responsible for the diagnosis must have level 4 MRI reading before they can be sent to the next step for treatment..."

"Accurate diagnosis is still only the basis of surgery and treatment. Current statistics show that the combined mortality rate of abdominal, pelvic, and chest injuries in my country is as high as 90.00%. Even this data is relatively conservative!"

"Every year, it is estimated that at least thousands or even tens of thousands of people will die directly from this disease. The proportion of patients who die indirectly and those who are in a vegetative state accounts for as high as 40.00% of the number of people who do not die..."

"..."

After hearing this, Fang Xian raised his head and looked in the direction of Professor Xu Fengnian.

After seeing Fang Xian's eyes, Xu Fengnian said with a solemn expression: "For clinical diseases, you must first ensure that you are not dead before you can consider other things."

"At least 50.00% of the patients who have been rescued can still wake up to a conscious state. The treatment of all diseases is constantly being standardized -"

"From nothing to something, from something to something good, from good to better, it has always been the experimental material made by countless patient teachers and deceased patients for future generations."

"Every step of medical development is driven by the pile of dead people, or even the sequelae. This is the cruel reality!"

"Keep talking." Xu Fengnian said expressionlessly.

When Fang Xian heard this, his heart moved slightly, but in the end he couldn't say anything.

In fact, it is not that simple to destroy this disease.

Now what Professor Xu Fengnian's team can do is to prevent the patient from dying, rather than making the patient recover as before.

However, only a very small number of doctors can achieve immortality, remaining disabled or even in a vegetative state.

"The difficulty that needs to be overcome now is..."

Jiang Yang talked for about ten minutes, after which he explained the current situation and prospects of this disease one by one.

The next surgery is almost about to begin.

Fang Xian did not come on stage again this time, because Professor Xu Fengnian wanted to test the strength of Professor Lin Jiemo and Associate Professor Song Yu, and test the team's tacit understanding...

When there are a lot of people, naturally there will be fewer people on stage.

Jiang Yuhang and Zhou Xiyin climbed onto the stage. Kang Rong and Li Qiu were still clinging to the wall, not daring to say a word.

During the middle of the operation, Zou Junzi asked in a low voice: "Brother Xian, when you just listened to Teacher Jiang Yang's words, your expression seemed a little unacceptable. You have not checked the corresponding literature and the prognosis of the patient." Have you tracked it?"

Fang Xian wanted to say something very much at this moment, otherwise why would Professor Lin Jiemo say that I was pure?

Fang Xian has indeed never understood so many things. Most of the time, he focuses his work on skill points, skills, skills, what he can do, and what kind of contribution he can make to the operation.

Fang Xian did not know where the patient ended up and what his prognosis was.

When he was in the junior college before, Fang Xian was able to send patients out of the hospital, but since arriving at the trauma center, all Fang Xian has been doing is training to improve his abilities and skills.

It's like being fragmented, like being cut off from the outside world.

Moreover, one thing that Fang Xian has never doubted is the strength of the chief surgeons and professors in the operating room of the trauma center. Their strength is definitely at the top level in specialists, and they can crush common diseases. blow.

What does a simple fracture count, what does a simple bone defect count, what does a simple muscle defect count, and what are the types of trauma surgery diseases?
Although these diseases are still difficult and need to be discussed in prefecture-level hospitals, the quality of the surgeries performed by Lin Jiemo here are very good, let alone in the operating room of the trauma center?
But now, Fang Xian realized that the operating room of the trauma center was such a cruel place.

Fang Xian shook his head and continued to ask: "Xiao Zou, is it true that the prognosis of patients who go to the operating room of the trauma center after they go out is not good? Isn't it particularly good?"

Zou Junzi blinked his eyes and nodded!
"The original intention of the trauma center operating room was to benchmark the outside world's philosophy of the former West China Hospital and Union Medical College Hospital, which only saves lives but does not treat diseases!"

As Zou Junzi spoke, he scratched his head and said, "Actually!~~~~"

"Well, the existence of the operating room of the trauma center, or the existence of the trauma center, is a huge clinical research system and a founder and pioneer of medical development."

When Zou Junzi said this, Li Qiu and Kang Rong both silently took a few steps closer and listened.

"Many new diseases, after being treated as routine in the trauma center, will automatically be thrown to the specialist to become a specialist emergency surgery. Then it will be handed over to the specialist to further study the upper limit of the treatment effect of this disease -"

"In the operating room of the trauma center, we are trying to save lives, and explore the lower limit of the treatment effect of a new disease with a high fatality rate!"

"That's why some people say that specialists are the charm of medicine. Because what they pursue is the upper limit, work that can be praised and praised by patients, and what is done in the operating room of the trauma center is extremely cruel and even cold-blooded Work!"

"Whether you want to cure a disease or save a life, this is the layering of a person's choice. Regardless of each type, it is actually very important."

"..."

When Fang Xian heard this, he turned to look at Zou Junzi and said, "So, in fact, after staying in the operating room of the trauma center for a period of time, most people will eventually choose to return to the specialist department?"

"Not at all!"

"There are some people who like to dance between life and death..."

"Saving lives is the prosperity between life and death, and treating diseases is the pursuit of a higher quality of life. Seeing patients return home satisfied makes their families happy."

“What every doctor wants to see is different.”

"But one thing is that the doctors and teachers who want to stay in the trauma center must be the best in the hospital. They must be extremely strong and capable in order to be able to take on such life-saving responsibilities. Others just treat patients. .”

"Who is better? How can you tell clearly?" Zou Junzi replied with a sigh.

Fang Xian's expression and mood became a little unhappy.

Perhaps, this is the cruelty of real medicine, and everything I see is the most wonderful and beautiful thing on the surface.

The level 5 basic skills are great and awesome, but what can they do?

Fang Xian, Fang Xian, you are still too young. Do you think that after a month or two of cheating and reaching a certain height, you can really become invincible?
It's just that others are too lazy to talk to you and don't want to break your dream. In fact, what you can do is still limited.

However, your so-called insight may actually be quite naive in the eyes of other teachers.

What you have seen is just the farewell between a classmate and you, but what others have seen is the life and death of the whole.

What you encounter is the inexplicable teacher, and the inexplicable Professor Zhou or Yang, but what others encounter may be inexplicable, and their patients die.Inexplicably, an unknown patient is sent to you, leaving you helpless in front of you.Everyone's vision and perspective are limited.

Improve yourself!
Don’t be obscured by the superficial glitz. Do you think that when the patient’s vital signs are stable when he leaves the operating room, he has recovered?

Stable vital signs just means he is still alive.

But the meaning of life, living is only the foundation, the most brilliant thing is the question of how to live!
Skill lies in application, not in showing off.

Showing off skills is not allowed in medicine, but competition is.

Basic skills can expand territory, develop new diseases, and even guarantee that many people who would otherwise die will not die, but it cannot guarantee that these patients can live wonderfully and brilliantly!

The road ahead is vast.

For the first time, Fang Xian found his true position in the palace of medicine, and probably got a glimpse of the overall picture of the palace of medicine.

Life and death is an absolute proposition.

Besides life and death, there is another set of questions.

Specialties are not that simple, nor that useless, nor that incompetent.

The trauma center operating room is a place of exploration.

Only saving lives, not treating diseases, this direction of exploration is very meaningful, but the meaning is actually very limited. At least for an individual, once it reaches a situation where life is worse than death, then life is really worse than death.

However, the development of medicine requires that some people be saved and then live worse than dead, so that future generations can fully recover and become healthy.

Otherwise, such a disease would always mean death!
A doctor has many teachers, and all his patients are living teachers of the medical discipline, generation after generation...

A route was once again clear in Fang Xian's vision.

It only saves lives, not cures illnesses.

First save lives, then cure diseases.

When people are distracted by flowers, they will deflect people's attention. Fang Xian has always believed that these people who came out of the operating room of the trauma center have their own gorgeous lives, but maybe the truth is not at all. so!
But Fang Xian has no choice at all!

……

"Jiang Yang, Xiao Jiang, have you seen that Professor Lin's operations are quite subtle, right?"

"Although young doctors like you are called geniuses, don't forget that the people who were called geniuses before you are already old, grown up, and mature, so they are no longer young... ..." Xu Fengnian suddenly mentioned something like this.

This sentence instantly resonated with many people.

Lin Jiemo smiled and softened his mood and said, "Professor Xu, compared with you, I seem a bit insignificant!~"

"Fart! How old are you?"

"When I was your age, you had already overthrown me."

"The waves behind the Yangtze River push the waves ahead. Today's young people are more outstanding than those of our time. You are now at the age of that year. Even if you are not a subject leader ten years later, your overall strength is definitely no less than Me!~"

"At such an old age, do you still care about these false names?" Professor Xu Fengnian is worthy of the name of a cannon.

The previous sentence was still sensational, but this time it was directly bombarded.

Professor Lin Jiemo was extremely honest and only smiled at Professor Xu Fengnian.

Later, he said: "We are just constantly standing on the shoulders of our predecessors and teachers who have passed away in clinical practice, and we will gain more experiences and lessons."

"After all, if you are not in the emergency department of the hospital, or in special places such as the operating room, ICU, and rehabilitation department of the trauma center, you will always see peace."

Lin Jiemo is very humble.

Professor Xu Fengnian didn't say anything, but continued to perform the operation with all his strength.

Professor Xu Fengnian's operation was actually imitating the specialized debridement and suturing techniques used by Fang Xian yesterday to destroy injuries.

Of course, during reconstruction and skin flap transplantation, Professor Xu Fengnian still followed his own old path and routine, because Fang Xian did not give him any more demonstrations or advice, and he himself did not have a flash of enlightenment. to something.

……

at the end of the operation.

Fang Xian heard Professor Xu Fengnian and Professor Lin Jiemo exchanging business blows there.

Associate Professor Song Yu and others were carefully understanding the postoperative changes and comparing them with some of the information collected before. They also called Pang Rong and Li Qiu to come closer.

Said: "The performance after this time's damage treatment looks different from the previous photos. I hope there will be functional improvement!~"

After Song Yu finished speaking, Zhou Xiyin asked: "Teacher Song, how do we conduct the current postoperative evaluation?"

"This is the corresponding content of the basic physical examination..." Song Yu replied.

……

Professor Lin Jiemo and Professor Xu Fengnian took Fang Xian into the alley again, and then into Professor Xu Fengnian's office.

After entering, Xu Fengnian enthusiastically boiled water and served tea.

He said excitedly: "It would be great if today's damaged patient could move a few times after the operation."

"Destructive lesions are a super disease. If we can do this, we will have taken a big step forward."

"Professor Lin, at that time, we may have to discuss the next step of treatment for this disease and how to proceed!"

Lin Jiemo heard this and said, "Is Professor Xu going back to junior college?"

If the fatality rate of damage is guaranteed, it will be pushed to trauma surgery and become a specialized disease, and the trauma surgery will explore the upper limit of treatment.

"After decades of working in trauma centers, it's time to get back to my old profession."

"In my life, if I can see this disease of damage and injury progress even a little bit, then I will die without regrets..."

When Fang Xian heard this, he quickly put away his cell phone.

And lean over.

When Xu Fengnian heard this, he quickly stared at Fang Xian: "What are you hiding from?"

"Who are you texting? Are you looking for a girlfriend?" Xu Fengnian asked without chasing after Fang Xian's phone.

Fang Xian quickly edited the message and sent it, then dimmed the phone screen.

'Ding dong! ~'

Shockingly, Professor Lin Jiemo's phone rang after he had put it on the table, and when the screen lit up, it was the large message reminder that Fang Xian had sent him.

Lin Jiemo knew that Professor Xu Fengnian must have seen Fang Xian's note, so he opened it sincerely and asked, "What else can I do in front of Professor Xu?"

Lin Jiemo was only halfway through his words.

Just shut up quickly.

I wanted to collect it, but it was too late.

Curious Professor Xu Fengnian raised his chin and stretched his neck forward, then his face began to twitch.

Good guy, it turned out that Fang Xian started hiding only after hearing the words that he died without regrets, and what he did was to prevent himself from dying.

Obviously, although there was no specific content in what Fang Xian sent to Lin Jiemo, the content of the chat was something he felt he could die without regrets——

Xu Fengnian and three other people were silent...

The atmosphere was a little awkward.

(End of this chapter)