Gou in the operating room to add some upgrades

Chapter 219 Where to use it (please subscribe)

At night, eleven o'clock.

Professor Tu Shuang stepped down and called Wang Minghai: "Let's go home."

Wang Minghai was still a little reluctant: "Professor Tu, I want to continue to see the surgery."

"Don't look at it, you are not going in this direction. If there is a problem with our vascular surgery on the stage, Dr. Zi Youfang will solve it. His basic skills will not be worse than your specialist surgical operation." Tu Shuangpo It's a bit jarring.

A person who can rely on basic medical skills to compete with your professional skills in terms of therapeutic effect, what else can you say?
Wang Minghai thought for a moment, then stepped off the stage and went home.

It's good to gain knowledge, but if he really wants to destroy the disease, Wang Minghai has many ways to make up for it.

The cornerstones of the basic medical skills of vascular surgery are incision and hemostasis, but the cornerstones of the basic medical skills of trauma surgery are debridement and suturing, which are completely different approaches.

If you want to go back to the drawing board and rebuild it to the specialist level of trauma surgery, you don’t know how long it will take to reinsert it.

As soon as Tu Shuang left, Song Yu seemed to come back to life: "Is this Professor Tu so mouthy?"

Fang Xian nodded: "When I was at the trauma center before, Professor Tu was very decisive and straightforward when he came for consultation surgery."

"I thought he was a poor talker!"

Song Yu heard this and replied: "Although the trauma center does not require high technical skills, the people who enter are all big shots. If ordinary professors go in, why don't they just do it honestly?"

"Maybe you'll meet a subject leader or something head-on. If you have to be very high-profile, aren't you asking for trouble?"

Although it's not the same major, you don't have to ask the subject leaders of other majors, but he may be able to find the subject leader of your major to call you.

Although the average subject leader will not do this, if you are too high-profile, you will definitely have a bad reputation for yourself.

"Teacher Song, can I ask, what is our attitude towards the trauma center when we are outside?" Fang Xian was a little curious.

Although he went in and came out again, he didn't realize what the trauma center was about.

"How should I put it? The trauma center is the best proof of Gao Doudi's concept."

"The bottom line is that, for example, in our trauma surgery department, if there is a subject leader, then he can greatly ensure the minimum surgical quality of our entire department and reduce various complications."

"When saving lives, ensuring the lower limit of treatment effect is a question that must be answered."

"Currently, there are two ways to enter the trauma center. One is to go in directly and crawl around inside. It requires very high basic skills and is only for life-saving and resuscitation, without considering other factors."

"The second option is to become a professor in this hospital, and then go there through consultation and surgery to assist in the treatment of specialized diseases after saving the patient's life."

"It should be said that it is a place where masters gather, but there is no room for personal abilities to be maximized..."

Associate Professor Song Yu replied while operating.

Fang Xian stopped for a moment: "Teacher Song, this stitch is wrong. When suturing the damaged part, you need to pay attention to the clear layers in the local area, but between the layers, you need to pay attention to the integration."

"But you can't penetrate too deeply."

Song Yu raised his head and looked at Fang Xian with complicated eyes: "Do you have to say it so straightforwardly?"

Fang Xian pursed his lips and smiled, with his own persistence: "Teacher Song, I think it is better to be more down-to-earth when doing surgery and learning."

"Hmm~~~~" Song Yu sighed as he took out the stitches.

He added: "I heard before that you were a stubborn and disobedient person in the trauma center. I didn't believe it before, but I finally believe it now."

"You deserve to be called a rebellious guy who doesn't even listen to Professor Yang and Professor Fang?"

Fang Xian continued to remain silent.

It seemed that Song Yu was given enough face.

Associate Professor Song Yu burst out laughing when he saw this scene.

"Hey, look, I just said that Xiao Fang is a very obedient person." Associate Professor Song Yu began to show off his power.

But no one else in the operating room believed it.

Are you still listening to this advice?

Professor Tu Shuang, a highly qualified person in vascular surgery, always quarrels with him when he should, so he really listens to his advice.

……

Associate Professor Song Yu's debridement, hemostasis, and tissue reconstruction had not yet been completed. At three o'clock in the morning, Professor Lin Jiemo's reconstruction was completed first, so he called and asked Fang Xian to go over and do functional and histological reconstruction first. .

Fang Xian quickly put it down and ran over to find a place to use it.

I have no patients myself, and the next outpatient visit is far away. A few empty beds are just decorations. Isn’t it just a matter of wandering around and fighting guerrilla warfare?
As soon as Fang Xian passed by, he turned on all firepower.

Colon resection and reconstruction, anatomical reconstruction of perianal muscles, intestinal segmental nerve transposition transplantation, etc., all performed smoothly...

Naturally, in the reconstruction of urinary function, Fang Xian benefited from some inspiration gained at West China Hospital, and now he is also the best at reconstructing urinary function.

It can be reconstructed, not ordinary suturing, so the operation was very slow. He started taking over at three o'clock, and Fang Xian completed the reconstruction at nine o'clock in the morning.

After the fistula and urethrostomy were completed, I took another look at the internal situation of the abdominal cavity. After watching the general surgeon reconstruct the abdominal wall function, he said: "The abdomen can be closed, Professor Lin. I Let’s go to Professor Song’s place again.”

Although he only performed reconstruction of bowel and bladder functions, these two surgeries gave Fang Xian nearly 7000 skill points, pushing Fang Xian's skill point balance to 24.

It's one step closer to adding a skill to get infinitely close to the perfect level.

Fang Xian was very happy.

"Why don't you take a rest? Then we won't do the functional reconstruction of the second patient for now?"

"Anyway, there have to be patients with damage and no functional reconstruction." Lin Jiemo was still worried about Fang Xian's health.

From yesterday to today, more than 20 hours have passed.

Although Fang Xian had nothing to do in the clinic during the day, he had to stay up all night for the damage surgery at night?
How many nails can a person hit by being made of iron?
Fang Xian is too busy to do anything, so there will definitely be patients with injuries, and Fang Xian will not have time to perform functional reconstruction.

In fact, even the Shonan University Affiliated Hospital cannot rescue all the injured patients in Shashi. There are still some people who may be in danger due to various reasons, or they may still be treated temporarily. After being rescued and thrown into the ICU, one wonders whether he will survive later.

Just look at God’s will.

"Professor Lin, let me finish this one again, and then go back and rest. Anyway, there are always things that I don't want to do, so just finish it when you encounter it." Fang Xian explained, while stepping back and stepping down.

After his key operation is completed, it will still take an hour to close the abdomen and other operations, so Fang Xian does not need to delay here.

Lin Jiemo seemed to be able to hear Fang Xian's thoughts: "Xiao Fang, actually, you don't have to worry and feel that your abilities are useless. You have just started. There are no patients in the natural clinic."

"Furthermore, the department of functional reconstruction is still in a new stage of development, and no one is currently aware of it. Once the Medical Council re-defines the standards for level 5 skills and level 5 doctors, corresponding arrangements will definitely be made."

"At that time, you only need to open a small opening. There should be no shortage of sources of disease."

Fang Xian shook his head: "Professor Lin, I don't think so. Thank you Professor Lin for your concern."

"It's just that I haven't had much surgery recently."

"After I'm done, I'll sleep until I wake up tomorrow. There's no need for ward rounds, and there's no emergency room. The next outpatient clinic will be in five or six days, so I'll definitely have enough rest time..." Fang Xian was naturally not particularly anxious. There must be people who need this, and the need is huge.

Always let yourself have the first and second patients who are unique to you.

"Anyway, please pay attention to your health. I heard from people that you are very strong in the trauma center." Lin Jiemo smiled, obviously feeling a little tired.

He is quite old now, so if he stays up all night for surgery, he will indeed be a bit unbearable.But currently, he is the only one in the hospital who can perform routine damage surgery, and he has to stand up.

You can only complete a certain amount of treatment for the corresponding disease according to your physical condition and time allowance.

There is really no other way but to dump it in the trauma center.

Fang Xian took his leave temporarily.

In fact, although the amount of blood loss during Associate Professor Song Yu's surgery was large, his organ damage was not much. Only the bladder ruptured and the prostate was directly damaged, but there was no damage to the rectum or colon.It is considered a relatively "superficial" injury.

Therefore, it is relatively simple to just perform a partial urinary function reconstruction.

12:30 noon.

Fang Xian walked out of the operating room with seven thousand skill points.

But one night of continuous fighting has made Fang Xian extremely sleepy!

Yawning, he hurriedly went to his rented house and lay down. He didn't even have time to have lunch, so he slept until about nine o'clock in the evening.

When I turned on the phone again, I didn't see anyone calling.

Only Li Qiu sent a message, saying that he had completed all the corresponding procedures. Today was a working day, and he happened to have arrived at the surgical comprehensive ward of the emergency department to start his rotation.

However, in addition to the few beds in charge of Director Fang Xian, he also has other beds to manage, but there are not many. There is only a small emergency room in the general surgery department. It is scheduled to be done in the afternoon. After the treatment, he will probably be transferred to the general surgery department. .

"I just woke up from yesterday's surgery at noon today."

"Old Qiu, do you want to go to eat? KFC?" Fang Xian asked.

"OK!" Li Qiu was very positive because he had something to eat.

Especially now that he knows that Fang Xian is a big dog owner, he feels no psychological pressure at all.

After entering, Li Qiu directly ordered a Family Bucket. After ordering, he said: "Hey, these don't taste good. I'll just throw them away later. Two pieces of original chicken, one for you, one for me, and burgers..."

"Do you want chicken popcorn?"

"It doesn't taste good, throw it away."

Fang Xian ate the French fries in small bites and cursed: "You bitch, you will be punished by God for wasting food!!"

Li Qiu made a surprising statement: "Brother Xian, does meat count as food?"

"Why not eat minced meat?" Fang Xian asked through gritted teeth.

"Just kidding, thank you Brother Xian for the treat."

"Oh my, I really envy you. There is no duty and no surgery. It's equivalent to only working one day a week, and you still get the salary. Don't be too comfortable on this day." Li Qiu joked, with a full face Envy.

Fang Xian said unequivocally: "Old Qiu, let me tell you, the two surgeries I performed yesterday were worth my salary to the patients. Do you believe it?"

"A patient with a 'personality' function has completely different living conditions from a patient who has lost basic personality functions."

Seeing Fang Xian's serious tone, Li Qiu quickly said: "I was just kidding, why are you so serious?"

"Not to mention anything else, as a resident physician, you are worthy of your current salary level if you can gain access to such a new technique through your signature, right?"

"What's more, you have to occasionally perform rescue operations and go to the trauma center to replace the surgeon at any time to save lives."

"Can't I see this about your brother?"

Fang Xian rolled his eyes: "You know that and you still say that?"

Li Qiu straightened up seriously: "Hey, brother Xian, let's be honest. No one except Qing Xian believes in your skills. Tell me, do you have any other pain points that you can poke at?"

"Chrysanthemums?"

Fang Xian frowned: "You don't regard me as your superior at all, do you?"

This Li Qiu is also simple.

Li Qiu smiled miserably: "What kind of posture are you talking about? Huh?"

Fang Xian couldn't be bothered to pay attention to him, he was just a joke.

Li Qiu continued: "Oh, I know, you are still an old single, haha..."

Fang Xian carried the dinner plate and walked to the next table.

Li Qiu took a hamburger from the dinner plate and said, "It's useless for you to be angry. You still don't have a girlfriend. Hey, I'm full after having dinner and eating this. Are you angry?"

Fang Xian wasn't angry, but he didn't want to pay attention to him...

After performing for a while, Li Qiu sat down opposite Fang Xian again and sighed, as if he was discouraged: "Brother Xian, you said that we are about the same age and have the same high status when we entered the hospital."

"Now we have stayed here for the same length of time, but why are our lives different? Is it just because you work harder than me?"

Talking about real issues.

Fang Xian couldn't help but say what he had in mind to irritate Li Qiu.

"Actually, it's just greed. You are greedy for my skills, and I am greedy for other people's patients and reputation."

"Actually, technology is useful, reputation is also useful, and even age is useful. If I were ten years older, I might be able to gain the trust of patients even more."

Just as he was speaking, Fang Xian's phone rang.

When Fang Xian answered the call, he thought it was something important, but found out that it was the head nurse of the general ward calling.

"Doctor Fang, Doctor Fang, Dr. Ning from our department said that you have no patients. There is a patient with appendicitis here. You have an empty bed here. Do you want it?" Fang Xian turned on the loudspeaker.

Li Qiu laughed from the opposite side, but his smile stiffened again.

Fang Xian nodded: "Yes, there are empty beds anyway. You ask the patient and family members for their opinions first, and I will rush over right away."

Although I am being pitied and rewarded, having something to do is better than being idle.

Appendicitis patients also need medical treatment, and they also need doctors to relieve their pain, so just do it...

Li Qiu couldn't laugh anymore. He reached out and patted Fang Xian on the shoulder and said, "Brother Xian, you will definitely get better."

"Let's go for an appendectomy together." Fang Xian waved his hand to Li Qiu.

(End of this chapter)