Gou in the operating room to add some upgrades

Chapter 220 The first official patient (please subscribe)

Shonan University Hospital, outpatient operating room.

The type of appendicitis and the operation were both too small, and even the emergency operating room found it disgusting and refused to provide an operating room at all, so Fang Xian and Li Qiu sent the surgery notice and threw it directly into the outpatient operating room.

However, they very generously arranged for a trained anesthesiologist to come and perform anesthesia in Taiwan, not even a graduate student from our hospital.

Seeing that the little girl who must have been in the sixth year and had just entered the anesthesiology department was slowly operating, Li Qiu and Fang Xian were not able to rush her.

Just standing outside the operating room waiting, Li Qiu was fully armed, but his belly was holding up the washcloth slightly.

The models of hand-washing gowns and sterile surgical gowns in outpatient operating rooms only have standard sizes.

He could only make do with it first, maybe because the weather was a bit cold. At this moment, Li Qiu tugged at the hem of his washing clothes: "Brother Xian, Chang City No. 1 Civil Hospital, are you really not going?"

"Then you have been tossing that way before?"

When Fang Xian heard this, he sighed with emotion: "Old Qiu, it's not that I don't want to go, it's that I can't go."

"After you officially start working, as a young doctor, you have to integrate into the world."

How else could Fang Xian go?
He is an employee of the Affiliated Hospital of Shonan University, which is the No. 1 civilian hospital in Chang City and a serious tertiary hospital.You are not an employee of this hospital, why should I give you the opportunity to practice and operate?
As soon as Fang Yun left.

It can’t be said that the hozens dispersed when the tree fell, but it was definitely not Fang’s turn to come and go as he pleased.

When I was in Changshi, not many people paid much attention to the topic of functional reconstruction of damage. Instead, they only stared at Professor Zhou.

However, the General Surgery Department and Urology Department of the Shonan University Affiliated Hospital felt that these things that hospitals and medical associations in Chang'an City looked down upon were more subtle. In the past month, they often discussed them with Fang Xian.

When Li Qiu heard what Fang Xian said, he turned his head and said, "Well, most prefecture-level hospitals are like this. They only look at status and not people."

"It's not just our Changshi."

Li Qiu is from Chang City, and Fang Xian grew up in Chang City. The reason why the two got close during the training period cannot be ignored.

"So, I can only stay in this hospital." Fang Xian replied without suspicion of Versailles.

Li Qiu also learned the catchphrase from Lin Jiemo and Professor Xu Fengnian, and used it: "You are really your motherfucker!"

"Hey!~" Fang Xian stretched out his hand to interrupt.

"You can't say that."

"When you see my mother, you have to call her aunt properly. Professors are professors. When they see my mother, it's not too much to call her "old sister" or "old sister."

"You are really my aunt, okay?" Li Qiu changed the way he spoke, and his meaning seemed to have changed.

"Can appendectomy be done?" Fang Xian asked Li Qiu.

In fact, I feel uneasy!
The Affiliated Hospital of Shonan University requires some level 3 skills for student surgeons. In fact, Li Qiu's current basic skills do not meet the requirements for surgeons.

However, if Li Qiu is performing a first-level surgery such as appendicectomy according to the standard of surgeons in prefecture-level municipal hospitals, it is reasonable.

in the hospital.

In trauma surgery, the minimum requirements for student surgeons are: level 3 in X-ray reading, debridement, incision, and suturing.

However, in general surgery, the minimum requirement for student surgeons is that incision, debridement, hemostasis, and suturing must all reach level 3.

Li Qiu thought for a moment and then said, "I'll start with the incision first, and then leave the bleeding control to me."

"In the past six months, I have only practiced my proficiency in debridement to level 3, hemostasis and incision, but I'm still a little behind." Li Qiu confessed honestly.

"That's okay. Incision, hemostasis, and suturing. In fact, all I have to do is suture and remove the appendix. I can leave the other operations to you."

"But you can experience the operations I do during the operation. Seeing more high-standard operations will be very beneficial to your growth. However, I won't tell you too much. You have to think about it slowly. It takes a long time anyway. ." Fang Xian said.

To be honest, Fang Xian didn't like that someone in the trauma center was giving a student the upper limit of death.

……

More than 40 minutes later, Fang Xian and Li Qiu completed a simple appendectomy. After suturing and bandaging, he asked the circulating nurse to push the patient back to the comprehensive ward of the emergency department.

But although the traveling nurse and the patient left, Li Qiu looked at Fang Xian with confusion.

"Brother Xian, what did you do before? Is there something wrong with the way the nurse on duty looked at you just now?" Li Qiu seemed to have extremely keen observation skills.

Fang Xian cursed and said: "Old Qiu, during this entire operation, I performed so many basic medical operations for you, but you only noticed the nurse, right?"

Fang Xian's eyes were fixed on Li Qiu, his gaze was blazing, with a sense of pressure from his superiors.

But the pressure on Fang Xian seemed to be completely useless to Li Qiu.

"No, I think there must be a story in this. If you don't tell me, I will start spreading rumors tomorrow?" Li Qiu continued to threaten, fully inheriting the attributes of gossip in the hospital.

Fang Xian could only tell the story of the embarrassing incident he had experienced in the outpatient operating room.

To be honest, Sister Qiu Qiuying, the 'iron brother' of Chief Trauma Surgery Department Chief Wang Chuntao, is the most irresistible girl Fang Xian has ever encountered.

In the past, when a small cyst was cut out in the outpatient operating room, people had to misunderstand what Fang Xian had done to her. Even now, the nurse on duty still remembered Fang Xian deeply, and Fang Xian had no choice.

Half a year has passed.

"Is it really big?" Li Qiu's focus seemed to be very different from ordinary people.

"Then how do I know? I haven't touched it."

"I'm going back. I'll get the doctor's orders and then go to bed." Fang Xian was too lazy to argue with Li Qiu.

Li Qiu's face changed instantly: "Brother Xian, can I still ask you to come back and write the doctor's orders? Leave it to me. I will complete all the postoperative medical records and operation records before going back."

"It's just this bed now. If you have nothing to do, you'll have to spend some time alone."

Li Qiu bit Fang Xian's word "Xian" very hard.

Fang Xian ignored Li Qiuwan's words and yawned——

"You have to carefully understand the relationship between the specialized skills and basic skills of general surgery. Don't interpret it purely from an anatomical perspective. You must learn to analyze the relationship between the two from the basic theory of general surgery. In this way As a result, your understanding of surgical operations will be more detailed and profound." Fang Xian warned Li Qiu.

If you want to take some good friends with you, take as many as you can.

The ward here cannot be supported by Li Qiu. If there are more patients in the future, helpers like Wang Yang or Zou Junzi will still be needed.

"Okay!" Li Qiu nodded and left first.

……

On the way home, Fang Xian seriously thought about the current development path of specialists, trauma centers, and emergency doctors.

In fact, in the specialty, although basic medical operations are still very important, what is actually more important is the integration of the corresponding theory and knowledge of the specialty and the basic skills.For example, in general surgery, even if you are a senior attending physician in general surgery, the level of basic medical skills required is not particularly high. You only need level 4 incision and debridement.

As for suturing, hemostasis, etc., you only need to reach level 3 proficiency, which is enough.More energy is spent on the learning and proficiency of basic professional skills and professional skills.

Doctors in departments such as emergency physicians and trauma centers need to practice basic skills to a very high level. The higher the better.

As long as you complete the 'simple and crude' life-saving work, you will be a very good emergency doctor. Other specialized skills related to treating diseases do not require you to go into in-depth management at all.

These are two completely different directions of development.

It can be seen that there is a very contradictory point here.

As a subject leader, after you have been promoted to professor, if you want to climb up, your basic medical skills are just enough, but not at all.

"Should Li Qiu continue to improve his basic medical skills? Or should he give priority to developing specialist abilities?" Fang Xian hesitated.

In fact, like Li Qiu, if there is no special adventure.

Being able to stay in the hospital is already his ceiling. Over time, he will gradually upgrade some basic skills to level 4. With enough professional skills, reaching a higher level will be his lifelong goal.

But if you want to become a leader in the subject, level 4 basic medical skills are definitely not enough.

"Well, let's wait and see. It's hard for me to define how far Old Qiu can go." Fang Xian murmured in a low voice.

……

The next day, January 1, is also the third working day after New Year’s Eve.

When Fang Xian was returning to sleep, he was woken up by Fan Chengpeng's voice call.

Of course Fang Xian had to go back to sleep. There were no patients in the bed in charge.

An appendicitis surgery patient who has been rewarded does not need too much intervention. The next outpatient clinic is five days away, so what else can he do except go back to sleep?

Even if you continue to go to the operating room of the trauma center to join a group and complete simple training to earn skill points, it will be of no use.

No matter how luxurious the skill panel is, it has no use for the time being.

With more than 20 skill points, you can point out thirty or forty level 5 skills, but that's useless.

Now, after Fang Xian has completed the standard treatment plan, downgrade treatment plan and specialized basic operations for this disease, he is receiving a steady stream of skill points every day. If he completes the basic operations by himself, it seems that he cannot compare with these skill points. Earn rate.

"Brother Peng?" Fang Xian replied.

Fan Chengpeng is a master's student of Professor Lin Jiemo and is currently in his seventh year. Before Fang Xian entered the operating room of the trauma center, he was in the same group as him. When he entered the operating room to become an assistant, it was Fan Chengpeng who taught Fang Xian a lot of science.

But now, Fang Xian has broken away from the title of school year.

"Brother Xian, are you free now? If so, can you come to the trauma surgery department? Something happened here." Fan Chengpeng's tone flickered on the phone.

"Okay, I'll be right over here."

"Excuse me, what's the specific matter?" Fang Xian answered first and then asked.

When he has free time, Fan Chengpeng is a student under Professor Lin Jiemo's group. He was also a student under Professor Lin's group before. Although he is successful in his studies now, he cannot be too arrogant.

"It's a patient who had a traumatic injury some time ago. He got infected after the operation, so he hasn't been discharged from the hospital yet!"

"He is also a relative of a professor in the respiratory medicine department of our hospital. Just two days ago, he saw a patient like him in the department. The surgery was only about half a month apart. After the tube was removed, he was able to urinate and defecate on his own."

"So he asked Professor Hu from the Department of Internal Medicine to come over and ask the teacher. Now the teacher is entangled and sent me a message asking me to call you. If it is convenient for you, come to the department."

"Brother Xian, you also know that a month ago, we had to reconstruct the bowel and bladder function that was damaged by this type of disease. How dare we do it?"

"Okay, I know."

"Be there soon, Brother Peng, I live not far." Fang Xian replied immediately.

Fan Chengpeng did not hang up the phone immediately, but hesitated for a few seconds and asked: "Brother Xian, our classmates will have a party around the [-]th of this month. Will you go?"

"Li Qiu will go too." Fan Chengpeng emphasized deliberately.

Fang Xian only hesitated for two seconds: "I won't go, you guys have fun."

Different road non-phase plan.

When he was a resident trainee, he had little to do with gatherings between graduate students, and it was still the case now. He was still not a graduate student in the Department of Orthopedics of our hospital, so there was no need to get involved too much.

Fan Chengpeng was very polite: "Okay, Brother Xian, then I can just give my assignment to the squad leader. The main reason is that the squad leader asked me to ask a question."

After Fang Xian hung up the phone, he looked at the phone screen.

My old classmate, Long Yanzhuo, has such a good relationship with me that he didn't even ask me when he knew he hadn't called me before.

The older you get, the fewer friends you have.

……

After arriving at the department, Fang Xian had lost his white coat.

However, Fan Chengpeng immediately and politely lent Fang Xian one of his white coats. Without wearing a name tag, Fang Xian knocked on the door of the director's office.

Professor Lin Jiemo came over and opened the door slightly. When he saw Fang Xian, he immediately opened the door wide and said, "Professor Hu, Dr. Fang from our department is here."

Lin Jiemo still introduced it very naturally.

Although Fang Xian is not destined to be in trauma surgery, Fang Xian has been in trauma surgery before. In his group, this is an irreversible fact.

Hearing this, the man named Professor Hu, who was already standing, hurried over and stretched out his hands politely: "Hello, Dr. Fang."

Fang Xian bowed slightly and handed over his hands: "Teacher Hu, you are too polite."

"Professor Hu, Doctor Fang, please sit down and talk. We are all on our own side, so there is no need to be too polite and polite." Lin Jiemo interjected and separated the two.

After sitting down, when Professor Hu was sizing up Fang Xian, Fang Xian was also sizing up Professor Hu from the Department of Respiratory Medicine.

He has a short beard and a clean chin, giving him a very Republican style from a hundred years ago.

But this is a personal habit.

He has a straight figure, a rather elegant temperament, and a bookish face. He should be someone who has read a lot of books.And this kind of book may not be limited to specialist textbooks.

Professor Hu said: "Dr. Fang, Professor Lin, I won't go around and ask directly. We are all our own people."

"That's right. In his current condition, can my brother still undergo reconstruction of his bowel and bladder functions?"

(End of this chapter)