Gou in the operating room to add some upgrades

Chapter 189: Inciting hatred and resolving doubts (please subscribe)

The two of them even narrowed their eyes and looked at Fang Xian seriously and carefully, but they still looked at him and felt that Fang Xian was strange.

"Don't look at it. It's understandable that you don't recognize it. After all, the No. 1 Civil Hospital in Chang City only has a team participating in the provincial-level postgraduate skills competition, and there is not even a doctoral team going to Central China."

"So you won't pay too much attention to things over there."

"The department is too busy with this little thing all day long, let alone other things?"

After Fang Yun said this, he introduced the two of them: "Dr. Fang Xian, a new employee of the Trauma Center of Shonan University Affiliated Hospital, will be familiar with the environment of our hospital intermittently in the future, and will be exposed to some specialized operations while learning."

"I will also work at our hospital for a period of time in the future."

The two of them were thoughtful after hearing the words——

Fang Yun introduced Fang Yun: "These two, the fat one is called He Donglai and the thin one is Huang Qian. They are two old employees in the department. You will have more contact with them in the future."

"Our trauma center here is not divided into one, two, three and four groups like the Shonan University Affiliated Hospital. All of them have to be looked at, and the randomness is very high."

"Of course, the number of patients and the difficulty of the disease types will make it easier than there."

"Hello, Dr. He, hello Dr. Huang. My name is Fang Xian." Fang Xian nodded slightly to the two of them and introduced himself again.

"Doctor Fang."

"Doctor Fang." He Donglai and Huang Qian each reached out and shook hands with Fang Xian.

"Okay, you two are making arrangements for the surgery first. If you encounter an emergency that cannot be solved, just call me. I will take Fang Yun around first."

"He will only stay for two days this time to get a little familiar with the environment and procedures here."

"Remember to do the patient's diagnosis and surgery as well as possible, and don't let the surgeon below waste too much time on these." Fang Yun explained again a little tiredly.

"Okay, Director Fang." Both of them nodded.

Fang Yun then took Fang Xian into the director's office again.

As soon as he went out, whispers of chatter could be heard inside. Fang Xian then discovered that his Uncle Yun sighed again and his face became a little more melancholy.

Entering the office, Fang Xian discovered that the furnishings of Uncle Fang Yun's office were almost the same as those of his aunt Wang Huan, as if they were replicated.

The only difference is that there is only coffee in it, no other drinks or snacks. There is also a refrigerator, but it is only used for making ice cubes.

"I don't like tea, can you get used to drinking coffee?" Fang Yun walked to the coffee machine with a cup and asked.

"Uncle Yun, I can do anything. I'll help you get ice cubes." Fang Xian said after putting down his backpack.

Then I discovered that there was another room in Uncle Fang Yun's office. The door was ajar. It should be a bedroom for resting.

Fang Yun took two cups of coffee, walked to his desk and put them down, then took a bottle of original milk from the side, opened the lid and poured it into the cup, while saying: "I asked you to come to my place some time ago, why don't you Coming?"

"You have to wait until you have passed the basic standards recommended by Professor Yang and Professor Zhou, which are as high as those of a surgeon, before you are willing to come to me. Are you still afraid that I will delay your growth?"

Fang Xian looked a little shy after his Uncle Yun understood his thoughts.

"Uncle Yun, actually after I asked my aunt, I knew that the operating opportunities here would be less compared to the trauma center in Shashi, so I continued to study there for a while." Fang Xian explained.

Just returned from Han City, it happened to be the time for Professor Xu Fengnian to work on a project. In the process, Fang Xian discovered that a new treatment mode could be developed to obtain skill points more quickly. How could Fang Xian give up halfway?

Furthermore, having a deeper understanding of a new disease and sorting out the corresponding basic theories will also lead to the growth of some other skills, such as basic medical skills such as film reading and basic medical examinations.

This better explains the rationality of upgrading your skills by adding points.

For example, when Fang Xian was in the Central China Division, the reason why he chose to add puncture to level 5 instead of choosing knotting was because Professor Yang Yifeng had performed the puncture for him, even if some people had doubts.

Fang Xian can also say that his understanding is relatively high. Before going to Han City, he had reached level 4 for a long time, and he was only one step away from reaching level 5.

After all, Fang Xian practiced intensively in the skills training room for a year. When he was unknown, no one paid attention to how far Fang Xian's ability had reached.

"Although that is what I say, for you, it is actually not a good thing to be exposed to a disease with a relatively high level, difficult to treat, and poor prognosis prematurely."

"But you have your own choices and persistence, and I can't force you to come here."

"It must be that after a period of precipitation, you felt the feeling in advance, whether you were saving your life or committing evil, right?"

"The more a doctor progresses and learns more deeply, the more helpless and sad he will be..."

As Fang Yun spoke, he pushed the coffee in front of Fang Xian, then picked up the ice cubes and put it in, not in a hurry to drink it.

Fang Xian sat upright obediently.

Ears erect.

"Any doctor with ideas will not be satisfied with being a simple doctor who treats diseases. Do you agree with this?"

"At least, those people you come into contact with, those professors, you said they don't want to contribute or make breakthroughs in the development of medical treatment. They are only satisfied with the existing technology, learn the skills, and then treat diseases repetitively and mechanically. ?”

"I don't believe that people who have reached this point have such thoughts." Fang Yun shook his head.

Fang Xian pursed his lips and said, "Most of the professors and the teachers around them must want to improve their treatment level and professional capabilities. Otherwise, if everyone only thinks about appendicitis and fractures Open reduction and internal fixation.”

"If the patient suffers from other diseases, then the only option left is to be pitiful."

Everyone does not attack difficult and complex diseases, but only picks up simple ones. That is the existence of one type of patient, which is a kind of sadness.

Looking at the whole country and the whole world, there is no cure?

So where does the significance of medicine and the significance of medical development come from?

Fang Yun said: "So, if you have such a mind, you will hit the barrier of treatment, and you may even be hit with a bloody head in an instant, or even have a psychological breakdown."

"What exactly do we doctors do? What exactly can we do? What is the topic?"

"You think that's right?"

"When making claims to the outside world, it is natural to only use data such as mortality and survival rates. However, currently, no medical institution dares to comprehensively publicize its data on the quality of life after surgery for all types of diseases."

"It's not that there are no statistics."

When Fang Yun said this, he sighed: "Alas!~"

"But our Xiaoxian has grown up and already has the basic qualities and theoretical foundation of a very mature doctor. Therefore, you have matured and grown, and we must respect your choice."

"Even if you hit the wall, we can only guide you and not interfere too much with your choices. We just want to protect you and not shut you up in the flowers in the greenhouse."

"It is actually a good thing to know that the more you learn about a disease, the more you will be afraid of it, and the more you learn, the more helpless you will be. At least you can find your own position."

"A scholar, a pure scholar, is just a pure person who studies."

"The need to learn, lifelong learning, and enjoy the happiness of this stage is the understanding of all people who have some knowledge and objective people. Like some people who have learned half a bucket of water and think that they are invincible in the world, most of them are outside the door. Stay."

"But it doesn't matter. No matter what, you still have your Uncle Yun here."

"Professor Yang Yifeng and Professor Zhou Cheng are not willing to change their decisions and routes for you, but you, Uncle Yun, can. Therefore, after you come this time, I will take over some of the damage and work with you to restore this New diseases will be promoted step by step."

"I also know that you definitely can't let go of such a thing, right?"

Fang Xian raised his head when he heard this: "Uncle Yun, you? Aren't you going to Shashi or some kind of clinic?"

Fang Yun said: "That was arranged by Professor Zhou. Uncle Yun is just like you. He is a free man. He has his own thoughts and choices. Wouldn't I refuse for your sake?" "Professor Zhou" He is both a teacher and a friend of mine, and he will definitely not force me to do anything, so don’t worry about that.”

Fang Xian quickly thanked him: "Thank you, Uncle Yun."

"Well, for this direction, let's set the tone here first, so there won't be any disagreements later."

"Tell me about your arrangements and plans below."

“The entry plan for the operating room of the Trauma Center of Shonan University Affiliated Hospital has two stages: operating room training and entrance examination, mainly to enable newcomers to have a better and more objective understanding of clinical emergency diseases and patients. "

"In the training stage, you are actually the treatment machine, or in other words, you are only the providers responsible for a small part of the operation. Your knowledge of the disease is only focused on the treatment level."

"But every patient is three-dimensional and a person."

"Every disease is also a system. It has diagnosis, treatment, prognosis, medication plan, etc."

"Why are you asked to participate in the training camp first? It's just to lay a good foundation and understand the treatment. If you can't treat it, it's useless even if you know how to diagnose it? Once the diagnosis is made, what are you going to do? Throw it out?"

"If you don't know how to treat, but only know how to diagnose, it would be too easy for you to be a doctor. Therefore, a good doctor must have a high degree of professional ability to be qualified to discuss issues of medical ethics and empathy."

"Medical ethics without ability is a different kind of seeking money and killing people."

"And in the training stage, why are there so many requirements for theory? Why do we attach so much importance to theoretical assessment?"

"This is the entrance examination stage, which is a process in which you comprehensively deal with the causes, triggers, diagnosis, treatment and selection of surgical procedures, and prognosis analysis plans."

"At this stage, we also need to communicate with the patient and their family members to better understand what the patient's family members need, so that when they enter the operating room again, they will know that the surgery they performed is meaningful."

"Only can you do your best, instead of simply treating the patient as a treatment unit, he is a person."

"Do you know?" Fang Yun said.

Fang Xian nodded: "Uncle Yun, I have always felt that those lying on the operating table are the same kind, accomplices, and even acquaintances, so I dare not go to the trauma center easily without being prepared. Ward.”

"The Shonan University Affiliated Hospital has a lower limit of ability requirements for assistants and chief surgeons. This is to provide better medical services to patients, to ensure the lower limit of treatment effects, and to strive for the upper limit."

"Personally, that's what I think and prepare for."

"If I can make myself stronger, then I will make the best preparations before I go to see patients. I will never kill anyone if I don't ask for help. But in the process of all the operations I do, the process of all medical activities Yes, I have tried my best."

"Including my study preparation and skill preparation, I have reached the limit of my time to contact patients. I am willing to have a clear conscience!"

"Just like you, I will work hard to be a good doctor and treat every patient to the best of my ability!"

Fang Xian has always known that medicine is a profession that requires a lot of accumulation.

Accumulation is something that every medical student must do on his own. Accumulate to death and increase his thickness. This is the best preparation for a doctor to be a clinical doctor.

Urgent to see a doctor?
With so many people in China, the number of patients each doctor can treat is extremely limited, even if he is exhausted.

However, although each doctor cannot increase the number of patients he sees, he can decide the number and difficulty of diseases he sees.

Life is limited and you have to make choices.

Some people only see simple cases throughout their lives, such as colds and fevers, appendicitis, fractures, and cholecystitis.Because of their preparation, it would be too much to let them watch this.

Similarly, Fang Xian has a limited number of patients that he can treat in his own life. The number of patients he can treat in his lifetime is only tens of thousands, not more than one hundred thousand. And 10 people, in China, is only one hundred thousandth of the number. .

Everyone gets sick, it is inevitable as an individual.

So Fang Xian can choose which 10 people will be treated and which diseases will be treated.

A smart person, a person with ideas, would certainly not choose to waste time and become an ordinary doctor.

"Do you still have such an understanding?" Fang Yun's eyes suddenly lit up, as if he felt that Fang Xian had grown up again.

This kind of vision and height are beyond the reach of a small medical student?
However, it is true that Fang Xian is now qualified to say such things.

In my life, I have to choose and choose the patients and diseases I want to treat...

Fang Xian smiled back and replied rather modestly: "Uncle Yun, this is just an expectation of mine. It may not completely reach such a height. I can only take my time, learn more, and work harder..."

Fang Yun nodded.

"In fact, what you just discussed and the direction of discussion have gone beyond the scope of simple medical work and reached a higher social scope."

"But this is good. Our medical industry is originally a part of society."

“Treating [-] people for colds and fevers, allowing them to go home to eat, and saving [-] lives, allowing them to go home and reunite, saving multiple families, has a greater social contribution than saving multiple temporary patients. Direction and personal fulfillment, those are completely different concepts.”

"But whether you can do this depends on your personal abilities and development prospects."

"But it is a good thing to have such an ambitious goal and a relatively feasible ideal. No one will give you a benchmark for such a good thing. You need to realize it personally."

"We're done with this topic."

"However, since you have said it all, I have to explain something to you. What do you think is the real purpose of the 'displacement' concept promoted by Professor Zhou?" Fang Yun asked.

"It can allow more medical practitioners to move to more suitable positions and be able to fully play their roles..." Fang Xian replied, he had heard this concept of displacement more than once.

Fang Yun said: "It was like this at the beginning, but then it wasn't."

"Do you know why?"

Fang Xian blinked.

"Because capable people want to go outside and go to better units and better hospitals. On the contrary, this situation is even more prevalent than it was before the Medical Association's ladder system came out."

“The result of this is that we can’t retain people at all.”

"People from prefecture-level hospitals stayed there for a while and then ran away. People from county hospitals ran away after they grew up. The same goes for town hospitals."

“Who wants to stay there?”

"So, the current displacement system is actually a process of filling vacancies. We cannot let the technological existence of a place collapse, so that the local treatment level completely collapses in some aspect."

"That's the original intention."

"In the future, when interpreting any problem, you must consider it from multiple perspectives. In addition to solving industry problems, it can also address some social phenomena. It has both advantages and disadvantages, and this must be the case."

"Actually, it's understandable. Do you want to go back to work in our Chang City now?" Fang Yun asked.

Fang Xian shook his head.

"That's right, everyone is like that."

"Of course, like today, just treating a unit as a stepping stone and jumping out after it has outstanding capabilities can indeed promote the sinking of medical resources to a certain extent, and it is also a way to solve the problem."

"This model is much better than the one that existed many years ago, such as counterpart support, counterpart assistance, and rural support. This model is much better..."

"Formal work and targeted assistance are, after all, completely different concepts, with different levels of concern."

"So, based on this, the current medical industry is actually similar to a large group system, that is, the whole province or even the country has its own 'jump' route. It makes people motivated and worth looking forward to."

"If the upper limit is not circled, then enthusiasm will certainly not be suppressed. Except for a few people who like to lie flat, most people still hope to go up."

(End of this chapter)