Gou in the operating room to add some upgrades

Chapter 187 Signing and Work Planning (Please subscribe)
"Thank you, Director Jin, for your trust and recognition." After listening to what Jin Chaohua said, Fang Xian felt that it was similar and nodded.

"As for the specific contract and benefits, you can go to the Human Resources Department to sign the contract when the time comes. Someone will definitely discuss it with you in detail."

"We are both professionals and doctors. Let's talk about work planning." Jin Chaohua breathed a sigh of relief when he saw that Fang Xian didn't speak loudly.

After all, with Fang Xian's current abilities, if he really wanted to go to Kyoto, Magic City, or Guangdong Province, the hospital would not be able to provide him with equal treatment.

The financial subsidies in different provinces are completely different, and even differ by more than a few cents.

If Fang Xian was interested in money, then it would be hard for Jin Chaohua to keep him.Water flows to lower place, man goes to higher position.

Speaking of this, Fang Xian expressed: "Director Jin, regarding work planning, my personal idea is still to focus on the clinical direction as much as possible, and do my own professional work for the time being, and then consider scientific research and teaching. "

Fang Xian, who had gone through pitfalls and improved his horizons, once again realized the shortcomings of his abilities.I thought I was a great person, able to standardize treatment of diseases such as damage and injury, and even developed a 'youth version' of treatment procedures, and was able to develop basic professional skills.

But as he continued to work on it, Fang Xian discovered that although the things he had worked on were very useful, they could reduce the mortality rate of the disease, help more people deal with injuries in a more standardized way, and make many people more standardized. Few people die, which is very meaningful.

But for people to survive better, it seems a little fancy.

Fundamentally, I have only raised the lower limit, and the upper limit has not been greatly used.

In the final analysis, your own abilities are still temporarily limited.

To further push the upper limit of treatment for diseases such as damage, the most basic thing required is that the skills of the three specialties of gastrointestinal surgery, urology surgery, and reimplantation surgery have reached a high level before we dare to talk about it properly. Let’s talk about the remaining problem of bowel and bladder function.

Specialist basic skills, such as debridement, suturing, incision, and reconstruction, are very useful in treating damaged injuries, and even after treatment, they can still make the treatment look beautiful even if the treatment is done by doctors with less advanced skills.

But the functionality is not much retained.

But you can look at it from a distance and don't play with it. It's because the path is a little off track, which is useful, but not very useful.

If the patient cannot survive better, all the beauty will be of no use.

If you are a very mature urology and gastrointestinal surgery doctor, you can restore or reconstruct the patient's bowel and bladder function, even if the suturing is like a piece of shit and looks disgusting.

It will also make patients feel like a kind of salvation.

Function!

Far more beautiful and ugly than it looks.

This is a consistent principle for all patients, and it is the most basic understanding. Pursuing beauty and ugliness on top of function is what patients require for treatment.

Of course, the reason why Fang Xian couldn't be this awesome was not because Fang Xian didn't work hard enough or his abilities were too low, but because he didn't have enough time.

With Fang Xian's current ability, he cannot continue to develop his expertise in this type of disease on the panel. Speaking of it, the raw materials are actually insufficient, and his understanding of the two specialties of gastrointestinal surgery and urology is not deep enough.

Otherwise, on the panel, such skills should have been automatically organized and systematized, and he could just add more points, but this is not the case...

The problem of passively suspending the project of increasing the upper limit of treatment is still due to lack of ability.

Of course, damage is the disease that Fang Xian is most deeply exposed to. He will definitely not give up, but will still move towards it and continue to move forward.

It can only be said that there are too many development and treatment directions and stages for a disease, and no one can achieve success in one step.

Jin Chaohua nodded: "That's natural. You have such excellent basic skills now. If you are not allowed to save lives in the clinic and are sent to purely engage in teaching and scientific research, you will be punished."

"Although the basic skills are not professional enough, the most basic things are extremely useful in saving lives. This has been proven by countless seniors and current professors."

"Today's emergency department, the mortality rate is already very low, precisely because of the emphasis on basic skills. However, ensuring a lower mortality rate is only the first step in promoting medical technology. How to consider increasing the upper limit of treatment is an eternal topic. "

“It needs to be pushed slowly, step by step.”

"This will enable more patients to receive better and better services and proper treatment when they unfortunately suffer from the disease."

"This topic is a bit far-fetched."

"Xiao Fang, you should still have a certain obsession with damaging injuries, right?"

Jin Chaohua asked.

Fang Xian nodded and did not hide it: "Professor Jin, the first type of disease that I have a deeper exposure to is mutilation. Although it is a bit more difficult, I can't give up easily."

"There are many clinical diseases and there are many patients, but I hope to use this new disease as a foothold for me to learn professional skills and develop in this direction."

Jin Chaohua nodded: "That's natural. Patients are not classified as high or low, and the same is true for specialists. There is no so-called chain of contempt. Every patient comes to the hospital, they just feel uncomfortable and are facing pain."

"If there is no pain, no illness, no disaster, who would come to the hospital?"

"But there is a very realistic and objective question facing us: due to the sinking of medical resources and the continuous decline of treatment methods, have you noticed it?"

"In our hospital, you can hardly see some simple diseases, so it is difficult to get access to simple surgeries in this area."

"It's like appendicitis. Our hospital has not performed such a simple operation in 40 years."

"For example, we have not seen simple open reduction and internal fixation of fractures in the Department of Orthopedics for 20 years. Basically, if we encounter such patients in the outpatient department or emergency department, we will send them to the nearest hospital. The hospital will not admit him."

"Therefore, in the past nearly ten years, many young doctors in our hospital have had limited opportunities for clinical practice for the Class II and Class III diseases classified by the current Medical Association, Class II and Class III operating skills, and clinical practice opportunities. missing."

"You will definitely find this in the trauma center operating room."

"Those who enter the operating room of the trauma center are suffering from fatal diseases. Not to mention the primary surgeons, the associate professors have a particularly difficult time handling them. They cannot guarantee the quality of the surgery. They must be professor-level surgeons to control the overall situation."

"In our orthopedics department, the reason why we have strict standards for dividing the authority of assistants and chief surgeons is that there are not enough opportunities. The diseases we receive daily are quite complex. There are no simple patients for us to practice on. I won’t do such meaningless repetitive things.”

"Based on this, Professor Zhou proposed the concept of horizontal displacement, that is, we hope that some doctors in our hospital can go to lower-level units to learn these basic disease treatment techniques. It is also a method for prefecture-level municipal hospitals. support.”

"For example, take the trauma center. In Hunan Province, in addition to Shashi, there are also places like Changshi Trauma Center and Hengshi Trauma Center. In fact, they are all subordinate referral institutions that cooperate with our hospital's trauma center. .”

"It is convenient for young doctors in our hospital to learn some relatively simple treatment standards for diseases."

"For example, spleen rupture, liver rupture, small-scale damage and injuries that are common in our orthopedics department, relatively simple emergency surgeries."

When Jin Chaohua spoke, Fang Xian sniffed.

"Professor Jin, are these emergency cases not simple cases?"

These emergencies are diseases that are really linked to mortality. Can they be called simple?
Jin Chaohua said: "At least it is relatively simple, and naturally there are specialties as well. As far as our joint surgery is concerned, simple osteotomy and joint preservation technology, single joint protection technology, simple joint replacement, etc., are also very popular in our hospital now. It’s hard to see.”

"If it's just simple arthritis, it will be the same wherever joint replacement is performed. The joint surgery currently performed in our hospital is mainly complex joint replacement, joint replacement for large-segment defect reconstruction, etc..."

"So, what I mean is, Xiaofang, if you want to be exposed to these relatively simple diseases, you still have to work in these lower-level units first, so that you can improve the corresponding basic skills and professional skills. "

"If you rush into difficult diseases all at once, you may be able to quickly learn the treatment methods and standards of common diseases in our hospital. However, for the extended treatment of these diseases, it is necessary to develop new diseases and respond accordingly. Ability will be limited.”

"I said this, Xiao Fang, can you understand?"

Fang Xian nodded: "I understand, Professor Jin." "The more basic it is, the stronger the plasticity, the stronger the ability to adapt. On the contrary, true professional technology, even new techniques, breakthrough techniques, It’s too targeted.”

"It is highly targeted and is extremely meaningful for the upper limit of treatment, but for personal development, it will become less adaptable to new diseases or complex and unfamiliar diseases."

"Ten-thousand-foot tall buildings rise from the ground."

"If you simply want to be a doctor who repeatedly and mechanically performs existing and mature techniques to treat diseases, then staying in one place, continuing to learn, and always treating one disease type will be a waste of time. That’s enough. But if you want to improve your resilience, explore treatment models for new diseases.”

"The lack or insufficiency of basic abilities will be a huge shortcoming..."

Jin Chaohua was very satisfied with Fang Xian's understanding. Of course, he also knew that Fang Xian's basic skills were now very high. He believed that Fang Xian could now understand why all medical students should pay attention to the basics.

"Yes, it is no exaggeration to say that in the early stage of the profession of doctor, the basics determine our lower limit. But in the later stage, the basics determine our upper limit."

"If you look ahead a few decades, look back ten years, or look at the present, this pattern will never change."

"Of course, let me tell you something in advance. No matter where you go, you are still a doctor in our hospital and our employee. We will not lose you a penny in salary, bonus, etc..." Jin Chaohua said so Fang Xian made a point.

……

Fang Xian had a free day and did not enter the operating room to obtain skill points.

However, Fang Xian gained a lot in this day.

Among them, the most simple thing is that I got a lot of small money.

The Affiliated Hospital of Xiangnan University did not disappoint Fang Xian. The rewards for talent introduction and personal abilities are as high as 70!As well as the annual salary and bonuses that can be received in the future, Fang Xian is very satisfied with the current treatment.

Fang Xian's current contracted annual salary is also 45 w, although it is before tax.

However, at the age of 26, Fang Xian has such a high annual salary, but in Shashi, Fang Xian has at least squeezed into the top one percent or even one thousandth, or it would not be an exaggeration to be bolder.

However, what money brings is actually the least valuable.

Correspondingly, after entering the Shonan University Affiliated Hospital, the unit is responsible for the implementation of the spouse's work, the child's enrollment arrangements and the corresponding improvement of social status, which cannot be ignored.

Although the money has not arrived yet, the name badge of the hospital's doctor has already arrived in Fang Xian's pocket.

Fang Xian has already handed over the bank card.

It was only a matter of time before the money arrived, and Fang Xian was not short of this little money.

Naturally, what Fang Xian has not been able to avoid is being drawn into a large group of new doctors. In the large group, there are many colleagues who joined the company in the same year.

Of course, what Fang Xian was not immune to was that he, a single dog, had been arranged to be the one who needed to be arranged.

After Fang Xian left Jin Chaohua, the Human Resources Department worked overtime to sign a contract for Fang Xian. At least six people asked about Fang Xian's personal information and contact information, and they all said they wanted to find a better spouse for Fang Xian. Candidate.

I will definitely find a suitable girl for Fang Xian when the time comes.

In fact, Fang Xian can understand this.

Men, start a family and start a business.

After you have a family, your heart will become less wild and will not move around at will.If a local girl from Shashi tied up Fang Xian, Fang Xian would basically not escape.

If he happens to be a member of this hospital, or is assigned to work in this hospital, and both husband and wife are present, they can still do bilateral ideological work...

In the rental house, Fang Xian tapped the table with his five fingers while drinking water.

"The authority and freedom Professor Jin has given himself is already very high. He is allowed to run back and forth between Shashi and Changshi."

"After returning to Shashi, Fang Xian can enter the trauma center operating room for study and training at any time before officially entering the specialist's job, and he can also enter the specialist's operating room to observe and learn."

When Fang Xian thought about it, he also felt that ability, especially being unique and irreplaceable, could bring you a lot of conveniences.

After ordinary people join the job, who is not trembling with fear, and who is not PUAed by the director?
Can you have some free time?
When Professor Jin got along with him today, he almost didn't treat Fang Xian as a junior doctor, and the authority given to him was sufficient.

Even the most obvious point.

It was after Fang Xian joined the group of new doctors.

The staff of the Human Resources Department and the Medical Department in the group all added Fang Xian as friends.

After every announcement is made, he will say in a private message: "Dr. Fang, you can ignore the announcements in the group."

"Doctor Fang, you don't have to come to tomorrow's meeting."

"Dr. Fang, we have already processed your multi-site practice, and the No. 1 Civil Hospital in Chang City has chosen to accept it..."

These teachers value their potential rather than actual abilities.

Of course, my practical ability is not weak either. I can also do things that other ordinary residents can do, but I can do things that ordinary professors cannot do.

Of course, Fang Xian is currently unable to perform many surgeries that professors can perform, not that they will never be able to perform them.However, what Fang Xian is doing now may be something that more than 90.00% of professors cannot do or cannot do.

Without four or five level 5 skills, who can develop a youth version that can destroy damage?

Fang Xian himself feels that the 'Youth Edition' is not of great significance, but in the medical field, the 'Youth Edition' treatment process is a kind of salvation. No matter what, the first thing a disease should pursue is to stay alive. , and then live a better life.

The 'Youth Edition' damage treatment process answers this question and enables more doctors to keep more patients alive. This is its meaning.

It may not be absolutely perfect, but you can’t deny its importance!
[Current skill points remaining: 14124 points]

You can earn [-] skill points just by sitting and lying down every day. This kind of thing is simply wonderful!

During the National Day holiday, the harvest of not having a break for eight consecutive days is still huge.

Today's skill points have finally reached a point of relative freedom, and it's time to go to a specialist.

Let’s not talk about other things. The basic skills of gastrointestinal surgery: intestinal segment resection, intestinal segment suturing, peritoneal exploration, laparotomy, puncture biopsy of intestinal lesions, etc., must be exposed and deepened first.

Then, neurosurgery’s nerve transplantation and nerve suturing techniques must also be improved.

In hand surgery, specialized skills such as nerve transposition, nerve replantation, nerve reconstruction, and nerve branch transposition must also be improved.

Then, one must be proficient in bladder exploration, bladder reconstruction, bladder suturing, bladder anatomy reconstruction, functional reconstruction and other surgical procedures in urology.

Maybe I will be able to answer the question of how patients with incontinence can maintain these two functional deficits related to basic personality after being damaged.

Although the disease type of mutilation is a new disease and cannot be completely defined, it is not completely impossible to understand and understand it in depth. It is also possible to answer the question by interpreting the diseases and corresponding surgeries in other specialties. this problem.

Fang Xian stopped knocking on the table, and first found the specialist theories of hand surgery, which is the downstream department of orthopedics, gastrointestinal surgery, which is the downstream department of general surgery, and urology surgery, and started adding points in the dark blue.

(End of this chapter)