Gou in the operating room to add some upgrades

Chapter 200 Hey, the random killing you want is here (please subscribe)

"Good guy! I can probably tell the level of your theory." Professor Gong Ziye said with emotion as a person who has experienced this.

When Fang Xian heard this, his eyelids moved slightly during the operation, and he asked in surprise: "Can Professor Gong still be able to tell the theoretical level directly from the operation?"

What Professor Gong Ziye said is true, but the level required to achieve this step is quite high.

In the final analysis, the Ruyi level 5 skill is similar to the level 5 level of MRI reading. It is based on theory. Because theory and cognition are changeable, it can be varied and adjusted freely.

The more level 5 skills he possesses, the more Fang Xian can understand how the definition of the word "Ruyi" comes from.

If Professor Gong Ziye has such vision and level, Professor Gong will definitely have a place among the subject leaders of general surgery in the future...

Hearing this, Gong Ziye hurriedly shook his head and replied: "That's not enough. Xiao Fang, don't look at me. I can't make up for the oolong incident you caused."

When Professor Tu from the Department of Vascular Surgery heard this, he also glanced at Fang Xian and lowered his voice and said, "I heard that Professor Zhu Guangyu, who came to our hospital before, went to the neurology clinic of their hospital."

"It should have something to do with Xiao Fang, right?"

When Fang Xian heard this, he remained silent——

After all, since I went to the Medical Association to obtain the level 5 skills certification of basic skills, a series of chain reactions have occurred.

These reactions were something Fang Xian didn't know or realize before.

Even if Fang Xian has now squeezed out the "names" of some subject leaders, he has also dealt a dimensionality reduction blow to some "seed professors" who may be promoted to subject leaders.

This is related to the assessment setting of level 5 skills and is not intentional by Fang Xian.

The evaluation of level 5 skills is actually to select the top fifty doctors in the comprehensive ability ranking of each basic skill before they are recognized as level 5 by the Medical Association. Otherwise, if you have abilities similar to level 5 skills, you will also be rated by the medical association. Level 4, but his abilities and strength will not be reduced.

However, Fang Xian's basic skills are too awesome. With so many level 5 skills mixed in, the chemical reaction that can occur is that the operating effect and understanding of each basic skill will be higher than that of others with only one or two. A professor with level 5 skills.

At least as far as basic operations are concerned, that is.

If the Medical Association does not modify the rules for identifying level 5 skills, then at least 12 professors or students will indeed be eliminated by Fang Xian from the list of registered owners of the Level 5 Skills Medical Association.

According to the Medical Association's rigid regulations on subject leaders, subject leaders must possess level 5 skills. Therefore, some vacancies suddenly appeared.

It was only when Fang Xian went to No. 1 Civil Hospital in Chang City that Fang Yun told Fang Xian about this.

But there was nothing Fang Xian could do. He couldn't stop proving his ability just to take care of other people's emotions. He could only say that he accidentally hurt some old professors or other seniors.

It was not intended to take advantage of them.

What this chain reaction brings is the vacancy of subject leader seats. In addition, professors with level 5 skills have been crazy about activities recently, trying to get every subspecialty. There are only two subject leader seats.

There is one vacancy in the vascular surgery department and one in the general surgery department.

The person who was vacated in the Department of Vascular Surgery was none other than a professor who had been squeezed out by Fang Xian's Level 5 Hemostasis.Another professor of general surgery, Fang Xian, squeezed out a professor with level 5 debridement.

Of course, there is actually a solution to this matter, that is, Fang Xian has such an ability, but if he doesn't go to the Medical Association for level certification, it won't matter.

But even if Fang Xian does this now, everyone can only turn a blind eye. Which old professor can lose face and say that Fang Xian is wrong?
Professor Tu's gossip stimulated Fang Xian to a certain extent, causing Fang Xian's operation to speed up slightly.

With so many basic skills at full blast, the operation seems quite violent and unreasonable——

After all, you can stop bleeding when you see it, debridement when you see stains, and incision when you see entrapment. Everything happens naturally, as if God is helping you.

After this moment, both Gong Ziye and Professor Tu were unable to follow Fang Xian's operations and did not understand them.

But Fang Xian didn't slow down either.

Seven or eight minutes later, Fang Xian took out the safety rod inserted into the abdomen with a few clicks, and then moved away from the surgeon's position: "Professor Gong, I've finished removing it. You and Professor Tu can handle the rest."

Fang Xian wanted to see more and evaluate the surgery from an objective perspective.

The reason why foreign bodies inserted into the abdomen cannot be removed directly is because of the fear of accidentally injuring other tissues and blood vessels, or causing massive bleeding from undiscovered blood vessels.

Fang Xian made everything clear and understood, so he could naturally take it out directly.

Of course, Professor Gong Ziye quickly explored the abdomen after the operation, mainly to check whether the arteries were damaged.

After he took Zheng Mohan for a walk, he breathed a sigh of relief: "After you have mastered the basic skills, doing such an emergency surgery really highlights the simple violence."

"Just to save lives, all operations can be simple and direct. You can't envy me, right?" Professor Gong Ziye asked Zheng Mohan.

The missions of emergency departments and specialists are different. One focuses on saving lives, while the other focuses on treating diseases.

What is needed to save lives is to seize time. The simpler the emergency operation is, the more time can be saved. As for special treatment of diseases, there is no such thing.

For diseases that can enter the operating room of a trauma center, there are basically no corresponding specialist skills, otherwise they will be left to specialists.

Zheng Mohan nodded, like a ruthless robot: "Dr. Fang's current ability is simply tailor-made for the trauma center."

"If it is just about saving lives and not treating diseases at all, even Professor Huang Liwen of Vascular Surgery will probably be slightly defeated."

Zheng Mohan had been in the operating room of the trauma center before. The Professor Huang Liwen he was talking about was Professor Huang Liwen, the director of the Department of Cardiovascular Surgery at the trauma center.

He used to be the chief director of the vascular surgery department, but was later promoted to the trauma center, where he had the power of life and death in vascular-related emergencies.

Gong Ziye took over the operation, and Professor Tu Zili also began to perform thrombectomy and suturing of the bilateral ureteral arteries.

Because the diseases he is responsible for are relatively simple, he said very leisurely at this moment: "There are many professors in our hospital. As long as we save lives in time and make them free to treat diseases, it is actually quite difficult."

"Professor Gong, do you think it is possible that if Xiao Fang stays in our trauma center for a long time, the mortality rate in the second half of the year can be reduced to zero?"

Gong Ziye also shook his head at this moment: "I don't know, anyway, the last dangerous case that occurred in the trauma center was the unexpected massive bleeding after West China Hospital came to the operating room."

"Fortunately, Xiao Fang was on the side and provided timely treatment to stop the bleeding and save the case discussion that no one wanted to see."

"Previously, there were at least more than a hundred operations performed every day in the operating room of our trauma center. Even if the mortality rate was less than one per thousand, it could only guarantee that no one would die within a month."

"But it seems that there have been no emergencies in the past two months." Gong Ziye sighed as he continued to debridement the abdominal contents.

At this time, Fang Xian once again confirmed that Professor Gong Ziye's debridement technique was also level 5.

It’s understandable. Although there are only a few level 5 debridement procedures nationwide, it would be outrageous if there weren’t even one or two in the Shonan University Affiliated Hospital.

After all, it is also a top teaching hospital ranked among the top [-] in the country.Professors with such basic skills are usually concentrated in the operating rooms of trauma centers.

Time passed slowly.

Professor Tuzi Li had already dealt with the thrombosis and rupture in the vascular surgery department and left the operating room gracefully.

Even if there is another accident in the future, Youfang Xianzai will be able to handle it.

However, Professor Gong Ziye also used relatively profound basic skills and high-intensity theory of general surgery to achieve the ultimate in debridement.

At least, the stench has gradually disappeared, and some necrotic intestinal loops have been marked by him.

He glanced at the anesthetist and asked, "Teacher Zhu, are the patient's vital signs stable? If so, I will let Xiao Fang and Xiao Zheng begin to remove the intestines."

"It's okay. This patient is fine. The amount of bleeding is not large." The anesthesiologist named Teacher Zhu just raised his eyelids, glanced at the monitor, and continued to play with his mobile phone.

But maybe he wasn't particularly sure, so he adjusted the ventilation again, and then he calmed down, as if he was on vacation, wearing green rubber slippers on his legs and shaking them.

The anesthetist said everything was fine, so Gong Ziye was relieved.

"Xiao Zheng, you have always said that Dr. Fang is out of practice and only knows basic operations. Do you want to compare with him? Let's see which one of you performs more meticulously and beautifully?"

"There are some things you don't know at all. After your basic skills are improved, your professional operating skills will also be improved to a certain extent as your theoretical foundation is improved." Gong Ziye glanced at Zheng Mohan in a popular science manner.

Zheng Mohan quickly shook his head like a rattle: "Professor Gong, I didn't say that, someone else did."

But in order to win over Fang Xian, Gong Ziye sold out Zheng Mohan: "But you are someone else in other people's mouths."

"Come here, take a good look at how Xiao Fang performs the intestinal segment resection."

Zheng Mohan bravely changed places with Gong Ziye back to back.

Fang Xian, on the other hand, didn't take it too seriously and just silently increased his general surgery expertise in intestinal resection to level 5.

Level 5 is actually a level of proficiency and a state.

Whether it is basic skills, basic specialist skills, specialist skills, or even specialist advanced skills, they can all reach level 5, but the corresponding diseases are different.

Resection of necrotic intestinal segments looks the same as ordinary wound incision. As long as the debridement is done well and the resection location is marked in advance, there is no skill to speak of.

But in fact, there are still some.

Fang Xian picked up the scalpel and started cutting, but he was very particular about it.

What Fang Xian cut was the jejunum.

The jejunum has the typical four-layer structure of the digestive tube, namely the mucosal layer, submucosal layer, muscular layer and serosal layer.The mucous membrane has annular folds, and the inner surface of the mucosa is densely covered with villi...

Therefore, circular incision is generally chosen, but there are particularities in the steps of incision, whether it is one cut to the end or how.

If it is an elective surgery, you can choose stapler cutting, but this is not an elective surgery, and when multiple resections are required, using a stapler is too wasteful.

The most traditional intestinal incision is the most suitable.

After seeing that Fang Xian did not cut directly, but first cut through the serosa layer of the intestine, and then performed an anatomical operation there, he picked up the knife and silently put it down.

Not a word.

No need to do it.

Whether a person can participate in an operation fundamentally depends on whether you will significantly lower the lower limit of treatment for an operation. This is also a measure for hospitals to set assistant standards.

This assistant includes not only ordinary soy sauce assistants such as residential training, master's degree students and doctoral students, but also attending assistants like him.

Good guy, now that Fang Xian makes a move, he doesn't understand it at all. It seems that Fang Xian's operation has reached the blind spot of his knowledge. What should he do?
Do you want to forcefully lower the overall quality of the surgery?

Zheng Mohan kept looking at Professor Gong Ziye, hoping that Gong Ziye would give him a look to give him an accurate picture of whether he was good or not.

but.

When Zheng Mohan looked at Professor Gong Ziye again, he found that at this moment, Professor Gong Ziye's attention was not on him at all, but on Fang Xian's operations.

I watched it for more than ten seconds.

The corners of Zheng Mohan's mouth twitched and he asked, "Xiao Fang, are you usually so idle that your balls ache or something?"

Fang Xian paused for a moment and stopped, but it would not cause harm to the patient. He raised his head.

Fang Xian, who understood the meaning, asked back: "Professor Gong, I don't know how to do operations that are too specialized, so I can only think about it slowly, otherwise I won't be able to do anything."

Fang Xian knew that Gong Ziye had seen that his professional basic skill of intestinal resection had reached level 5, so he asked the above question.

If he wants to enter general surgery, Fang Xian naturally has a general recognition of the ability of general surgery.

Generally speaking, even for a super professor like Zheng Mohan, the basic skills of medicine are level 5, and the proficiency of basic professional skills is between level 4 and level 5, and the proficiency of professional skills is definitely level 4. .

In most specialties, so-called advanced specialist skills are relatively rare. As for breakthrough and cutting-edge advances in specialist surgical procedures, there are very few professors who can develop one or two diseases.

Therefore, it is very rare for people like Fang Xian to upgrade basic professional skills to level 5.

Specialist treatment, specialist skills can already cause natural enemy-like damage to corresponding diseases. If Fang Xian is like this, he still has to go to level 5 to pursue the basic skills of a specialist, which is a waste of time.

Gong Ziye subconsciously hit Fang Xian's radial styloid process.

Fang Xian was a little confused. Why did Gong Ziye take action?
Gong Ziye also realized that he just acted subconsciously as a superior. He was used to hitting people's hands, so he immediately hit himself with a lot of force.

After a "hiss" sound, he turned to look at Zheng Mohan and began to type: "Here, is this what you want Dr. Fang to enter the specialist department?"

Zheng Mohan looked confused, his eyes wrinkled: "???"

What does this have to do with you hitting him?
　I've had a bit of angina in the past two days, so I'll reduce my updates for two days because I can't bear it anymore.

　　The follow-up will definitely follow.

　　I promised my book friends that I would update the book for two months and I would never break my promise.

　　
　
(End of this chapter)