Gou in the operating room to add some upgrades

Chapter 218 Mainstream and Debris Flow (Please subscribe)

After half a year of going around in circles, from the time he entered the trauma center to the time he left, Fang Xian changed, and Associate Professor Song Yu also seemed to have changed.Associate Professor Song Yu used to have a high emotional intelligence, but now he chooses to just show off his face.

Fang Xian did not dare to say anything: "Teacher Song, this patient has too many bleeding points. Stopping the bleeding as soon as possible is the key to saving his life."

Young Master Fang Xian called for a teacher.

Teachers need to teach, and calling someone a professor is an honorific title, but when I call someone a teacher, you have to be nice to me.

Song Yu is the teacher that Fang Xian recognizes in his heart.

"Wang Minghai, with this situation, you can safely suture it, right?" He was undergoing surgery, so he couldn't joke too much. Song Yu immediately returned his thoughts to the operation.

Wang Minghai is the chief physician of vascular surgery, and he comes here to perform vascular surgery.

I thought that this operation would be a routine damage, but I didn’t expect that after opening the abdomen, there would be so many ruptures of large and small arteries. In desperation, Associate Professor Song Yu and Wang Minghai could only call for foreign aid while forcing Apply to the scalp and start to separate to stop the bleeding.

After being confused, I chose to temporarily clamp the abdominal aorta. This abdominal aorta is not so easy to clamp.It can only be clamped temporarily, otherwise the patient's overall blood supply will collapse.

The professor of vascular surgery had not arrived yet, but Fang Xian came first. With three clicks, five divided by two, the originally extremely complicated bleeding was solved in a short time.

Wang Minghai knew that this was the abnormality of players coming out of the trauma center.

Maybe he is not that accomplished in treating elective diseases, but when it comes to saving lives, he is almost unmatched.

"It's ready to be sutured, Professor Song." Wang Minghai nodded and quickly started the operation.

I don’t dare to delay time.

Stopping bleeding and ensuring blood volume are always the first priority in the rescue of all patients.Unless there is airway obstruction.

However, even if airway obstruction is complicated by blood volume deficiency, volume expansion and ensuring blood flow movement still have priority.

This is also the reason why the weight of regular compression must be greater than the weight of breathing during chest compression rescue operations.

Professor Tu hurriedly stepped on the sensor door of the operating room and barged in: "Where are the clothes?"

"How is the patient?"

Fang Xian knew Professor Tu from the Department of Vascular Surgery. Professor Gong Ziye had paired up with Professor Tu from the Department of Vascular Surgery before when he took Fang Xian to do damage.

When the professor entered the operating room and asked for sterile surgical gowns, the circulating nurse had no choice but to rush to get them.

However, Wang Minghai, who heard the voice of his superior in the department, quickly turned his head: "Professor Tu, this patient's bleeding has been solved by Dr. Fang Xian. Currently, only the damage to the blood vessel wall is considered, there is no tear, and there is no need for blood vessel replacement."

Professor Tu was about to walk towards the sterile surgical gown picked up by the circulating nurse. Hearing this, he gave up the idea. He raised his hands and walked a few steps religiously. He looked into the surgical field and said, "Wang Minghai, you are a front-line team member." How is it worth it?”

"Fang Xian is in the operating room. You asked me to call me. Is there something wrong with your head?"

Professor Tu was a little fussy and looked at Fang Xian as if he were looking at a pervert.

Before Wang Minghai had time to explain, Associate Professor Song Yu took over the words: "Professor Tu, it's like this. Xiao Fang happened to be free. I asked Professor Lin before calling Xiao Fang over. Dr. Wang had just asked I don’t know if Fang Xian is free."

Song Yu still explained a few words to Wang Minghai.

Professor Tu then nodded: "I thought you didn't have a long memory. I told you that in our hospital, you can go to them for help after you remember the names of the masters who are the best at hemostasis." Damn it, I thought you forgot."

Wang Minghai shook his head while operating: "No, Professor Tu."

"I'm sorry to let you go for nothing."

The atmosphere in the operating room became quite subtle in an instant.

Wang Minghai's apology and the support of Professor Gao Tu from the Department of Vascular Surgery all explained to everyone that Dr. Fang Xian, who came out of the mysterious trauma center, was a bit unusual.

A trauma center, whether it is a ward or an operating room, requires conditions for doctors to enter, and the same goes for nurses.

The specialist nurses there have all the basic medical skills and are well-versed in them. For example, when Fang Xian entered the trauma center on the first day, the nurse on duty there could even do pericardiocentesis...

Professor Tu clapped his hands and put them down: "It's actually not your fault. Who made you meet this great wandering god?"

"A group of directors of our surgery department had a fierce fight at the weekly meeting, and in the end no one won."

"Don't say that our department wants Xiao Fang to come. Now Director Jin Chaohua of the Department of Orthopedics wants Fang Xian to go back, but there is no one to do it, so we can only let Xiao Fang go out independently."

There is no way, now Fang Xian is relatively free in the arrangement of the hospital.

With low seniority but strong ability, he only needs to submit an application to whichever specialty he wants to go to, and the department director will definitely come to welcome him personally.Moreover, for Fang Xian’s whereabouts.

Since a few months ago, some people have started to "fight", and the most vicious ones are a group of tall men in the orthopedics department.

But what's the use? All surgeries except orthopedics are targeted at orthopedics.

In one sentence, orthopedics has been suppressed to death. How many fatal diseases does your orthopedics department have?Isn't this a waste of resources?

Wang Minghai quickly concentrated on the operation and did not dare to eat more.

However, Associate Professor Song Yu felt speechless about this melon. At that time, he took two steps back, holding a pair of tweezers in his hand, as if he wanted to pinch someone: "Professor Tu, my student Fang Xian didn't come back. It's because of other surgeons among you." Are you joining forces to become a monster?"

Fang Xian went to the trauma center. Song Yu asked Lin Hui to take him away because of Fang Xian's future.

You can go, but when you come back, you will not let Fang Xian return to the orthopedics department. Song Yu has the biggest objection in his heart.

"It's useless if you have any opinions. I'm not the director of our vascular surgery department, and I can't represent other departments. You just need to find a director of a department to fight, and he will be sure to answer the call. Go ahead." Professor Tu's eyes flashed Full of contempt.

Why are you an associate professor messing around? When did it become an associate professor's turn to show off his power in the Shonan University Affiliated Hospital?

Song Yu was immediately frightened.

The former director of the Department of Trauma Surgery, Professor Zheng, the current director of the Department of Trauma Surgery, Professor Lin Jiemo, and the current chief director of the Department of Orthopedics, Professor Jin Chaohua, must have expressed their opinions. If they can't defeat them, then wouldn't they die in vain if they go there?

It wasn't a fight, it was just looking for abuse.

Song Yu lowered his head, feeling a little aggrieved.

However, Professor Tu Shuang made a surprising statement and said, "Associate Professor Song."

He bit the word "associate professor" tightly, as if he was deliberately irritating Song Yu.

"You have to know that the hospital can extract Dr. Fang Xian from the operating room of the trauma center. It is because of the efforts of our entire Department of Surgery. Otherwise, Professor Zheng Hongwei of the trauma center can get Dr. Fang Xian out?"

"Although they are all Professor Zheng, Zheng Hongwei will not give any face to Professor Zheng Gongxie of the Department of Trauma Surgery." Tu Shuang suddenly started gossiping again.Zheng Hongwei is Professor Zheng Baiyan, the person in charge of the trauma center, chief director, and professor of cardiothoracic surgery.I'm not particularly open-minded.

Zheng Gongxie, on the other hand, was the former director of trauma surgery and led a group of professors.

When Song Yu heard this, he felt a little less confident and muttered: "Fang Xian is originally from our trauma surgery department..."

But the sound is very small.

"The trauma surgery department belongs to the hospital." Tu Shuang returned at that time.

"If we consider the overall situation, Dr. Fang Xian is now the best foundation for the trauma center. After all, the trauma center was created to save the lives of emergency patients. If we just talk about saving lives, in our hospital now, except for Professor Zhou and Professor Yang, Who can guarantee that he will be more versatile than Dr. Fang Xian?"

"Professor Fang, the former director of the trauma center, may not dare to say that." Tu Shuangyue said more and more outrageously.

Song Yu felt happy in his heart.

As expected, Fang Xian spoke: "Professor Tu, Professor Fang, Professor Yang and Professor Zhou are all seniors. Compared with my seniors, there is still a big gap."

"We don't need to flatter others."

Fang Yun was his uncle, and of course Fang Xian would not allow Tu Shuang to be so sinister and eccentric.You haven't seen Fang Yun's true strength. Just to praise me, you stepped on my uncle. Why bother?
"I'm just telling the truth. You are like this." Tu Shuang subconsciously replied half a sentence, as if he remembered the last names between Professor Fang Yun and Fang Xian, and quickly shut up.

At the same time, I was extremely confused.

Damn it, Fang Xian still has such a relationship, so how did he achieve the status of a resident doctor before?If someone like Professor Fang Yun says a word, wouldn't it be easy to give him an extra spot?
Could it be that, in order to avoid suspicion, Professor Zhou and others now do not even do such things, and their relatives are completely ignored?

"I'm sorry, Doctor Fang. I didn't mean to slander Professor Fang. Professor Fang's level is top-notch across the country." Tu Shuang added again.

However, Fang Xian did not like Professor Tu Shuang's attempt to make up for the situation.

The atmosphere in this operating room must have been ruined by people like this. It doesn't look like the operating room I imagined. It's simply a holy place for gossip.

From the professor in charge of the surgery to the training student Zou Junzi, all the Bagua attributes are almost full.

If you don’t reply, then of course you need surgery.

Professor Tu Shuang looked at it, then washed his hands and came to the stage again, just in time not to occupy the position of Associate Professor Song Yu, but to squeeze out Wang Chuntao's second assistant position.

Associate Professor Song Yu performed the entire operation, practicing basic professional skills such as debridement of damaged lesions, suturing and hemostasis, and Fang Xian acted as an assistant, cooperating step by step.

After the patient's vital signs have stabilized.

Tu Shuang asked with a smile: "Doctor Fang, aren't you angry anymore?"

Fang Xian shook his head and smiled back: "No, Professor Tu, you misunderstood."

If you are not happy, you are not happy, but if you are angry, you will not be angry.After all, Professor Tu Shuang has the senior professional title of professor and chief physician, and his ability is not to be said. The Medical Association has its own testimony. If he makes a joke or two and gets angry because of it, his tolerance is too small.

"Dr. Fang, do you want to know what excuse our surgery department used to snatch you out of the trauma center?" Tu Shuang started gossiping again, as if he wanted to explain everything clearly.

Fang Xian was slightly curious and nodded.

He wanted to hear what kind of story was behind it, so that he could have a more objective and three-dimensional understanding of the huge system of Shonan University Affiliated Hospital.

"Have you ever heard of the term leader in emergency surgery?" Tu Shuang hinted, without saying it explicitly.

Fang Xian's eyes immediately shrank.

As a subject leader in emergency surgery, how can I take the lead?

There is no high or low in life, and there is no high or low in fatal diseases. How can we take the lead?

"That's the thing, if you stay in a trauma center, your upper limit is fixed."

"Saving lives is important, but the pinnacle of medicine is actually specialization and treatment."

"For no other reason than the number of elective patients is several times, even hundreds or tens of thousands of times, that of emergency patients."

"If this reality cannot be reversed, then whether it is a trauma center or emergency surgery, it will never reach the level of a specialist, and the beneficiaries will be different." Tu Shuang analyzed this to Fang Xian.

Fang Xian understood immediately.

Yes, that seems to be the case.

Saving lives is definitely important and the first priority.

However, the number of patients with emergency diseases and the number of patients with elective diseases are not at the same order of magnitude in terms of base numbers.

In other words, to put it in crueler terms, even if all emergency patients die every day, it will still not have a major impact on the country's population. And if patients with elective diseases do not have a particularly good prognosis, then The burden on the national finance will be even greater.

This is a matter of priorities that must be chosen.

China is bound to be a super populous country. The number of citizens currently ranks second in the world. This actual situation must be taken into consideration when making any decision.

However, Fang Xian's heart didn't fluctuate much now. He just smiled and said, "Professor Tu, I'm actually not that capable. I just follow the arrangements and go wherever needed."

Fang Xian was slightly humble.

Basic medical skills are only effective in violent responses to save lives, but if basic medical skills want to shine in the treatment of specialized diseases, it is not enough.

Whether you are a doctor or doing research projects, the social benefits must be considered.

After saying that, Fang Xian began to correct some of Associate Professor Song Yu's operations during the operation: "Teacher Song, the debridement of damaged injuries is not about complete resection, but relative resection so that the remaining tissue must be retained. Stay as long as possible.”

"For example, there is no need to cut these. It cannot be like the damage to limbs, which should be cut away."

When Song Yu heard this, he immediately nodded and accepted it humbly: "Okay, Xiao Fang, I'll try again..."

Professor Tu Shuang saw that Fang Xian was focusing on surgery, and he also saw that Fang Xian, as a young resident doctor, was teaching the associate professor.

He couldn't help but sigh: "Although everyone knows that specialty is the mainstream of medical development, I think, Xiao Fang, you are like a mudslide. Which department you rush to is the luck of the discipline and the medical workers in the discipline." I'm depreesed."

Tu Shuang's words made Wang Chuntao and others look at Fang Xian.

Everyone, including Song Yu, nodded decisively.

Fang Xian is now like a rising star. Whichever specialty he goes to, that specialty may be eclipsed and become a foil or a victim...

(End of this chapter)