Gou in the operating room to add some upgrades

Chapter 222: Steady and Steady (Please subscribe!)
Fang Xian met with Professor Hu Qizheng's uncle and talked about the surgery again.

Because of the mediation between Professor Lin Jiemo and Professor Hu Qizheng, the patient's wife's attitude changed from disbelief to uncertainty, and she asked what was in her heart: "Brother-in-law, this Dr. Fang is really the only one in the hospital who can do this." An expert in this kind of surgery?”

Although she questioned it, she was still quite polite and replaced the doctor with an expert.

While talking, he scanned Fang Xian up and down.

It seems that Cong Fang Xian's appearance, age and demeanor cannot be associated with the word "reliable".

Hu Qizheng nodded helplessly and said to his wife: "Sister-in-law, don't say you can't believe such a thing. When I first heard about it, it was even more difficult to explain than you."

"After all, medicine is a profession that relies on clinical experience, and the field of surgery requires quite sophisticated operations."

"But I have inquired carefully. At present, Dr. Fang is the best at this kind of surgery in our hospital, and even across the country. You can rest assured about this."

When Hu Qizheng said this, he clasped his fists slightly and said, "Dr. Fang is one of our own in this hospital. To put it bluntly, if there are other options, doctors of Dr. Fang's age will not be the best choice. "

"But heroes don't care about the source. There is no doubt about Dr. Fang's skills."

"The main thing is whether you are willing to take a chance."

"Although the word gambling is unpleasant to hear, when you are a doctor and in clinical practice, you are gambling many times, and you must gamble."

Fang Xian had no expression when he heard Hu Qizheng's words.

What Professor Hu Qizheng said is human nature. If a family member is sick, Professor Hu Qizheng suggested that there is a very young doctor in the Department of Respiratory Medicine who is very good at surgery. If he wants to perform surgery on his relatives, he will question and think for a long time before making the choice. believe.

"I'm not betting on my life, I'm just betting on some money. If I'm in the hospital, I'll be very lucky." Hu Qizheng said cruel words with a straight face.

The Department of Respiratory Medicine has many critically ill patients, and people die every day in the ICU of the Department of Respiratory Medicine.

Some people pressed the button and died after a period of time. Some people did not press the button. There are still some people who did not even have a chance to press the button and died on the way to see a doctor. There are not a few such patients. .

No matter how advanced medical technology is, there is still no guarantee that everyone will die naturally.

"Then do it, Doctor Fang, thank you for your hard work."

"Do a good job for us." The patient held his hands and said in anticipation.

……

The surgery was decided, but elective surgery and emergency primary surgery were two different things after all. Fang Xian did not dare to be careless. That night, he called Dr. Wang Yang together and began to discuss the matter.

Three in the afternoon.

At the entrance of a small restaurant, the sanitary conditions are acceptable, but there is an endless stream of gourmets coming and going.

Looking at the flow of people, even the aroma of the food inside still hit their nostrils, Fang Xian and the other three had to reluctantly give up. Li Qiu suggested: "Brother Xian, Teacher Wang, let's move to a quieter place."

"I know a place located on the riverside. The price/performance ratio is average, but it's quiet and quiet."

What the three of them wanted to discuss was too formal and not suitable for a place with a lot of people. In addition, the three of them were all fully armed. One was carrying a computer on his back, the other was carrying a simple projector, and Li Qiu was even more so. Carrying many thick notebooks to record discussions and data.

"Then you don't suggest it directly?" Fang Xian turned his head and looked slightly serious.

Li Qiu is a good guy. He led the three of them around the entrance of the restaurant before leaving. Didn't he arouse the roundworm before?

This local restaurant doesn't look amazing in appearance and doesn't have any decoration, but it relies entirely on its taste to attract customers. The food is so delicious and authentic.

"I thought it was just a simple meal. The price-performance ratio here is very high. I highly recommend it, right?"

"And you don't have to spend any money, Brother Xian." Li Qiu was honest, touched his belly, and was a little reluctant to leave.

"Come back next time. Today is not suitable. Today we must roll out the prototype of this patient's surgical plan." Fang Xian made the final decision.

At present, he is still a low-key person and does not have his own ward in the hospital, let alone a secluded place like an office or laboratory.

As for Wang Yang, he should actually have such qualifications, but his path is a little skewed, so he can only find a box outside and do his studies quietly.

If you want to recommend a surgical plan, you can't find a place like this.

When leaving, Wang Yangcai said again: "The taste of this local restaurant is not bad. How about we come here to eat at noon tomorrow? There are not many patients anyway."

"Yeah, yeah, that's okay, Teacher Wang." Li Qiu nodded hurriedly.

Otherwise, how could he maintain such a small figure?

……

Went to another restaurant and the price/performance ratio was really poor. Three people ordered five dishes, including two vegetarian dishes, and the price soared to over [-] yuan.

Fortunately, the box inside is large enough and the environment is indeed quite quiet.

And this place is probably close to the hospital. People often come here to have small academic discussions, so there is also a projector in the box. Therefore, the small projector Wang Yang is carrying on his back is considered to be for nothing.

However, Wang Yang did not complain. Instead, he took out his USB flash drive and plugged it into Fang Xian's computer. Four or five PPTs came out immediately, all of which were about the design of this patient's surgical plan.

Seeing these PPTs, Fang Xian clicked his tongue and asked, "Brother Wang, are these ppts made by you temporarily?"

"Yeah, it's not difficult to make PPT. I have a lot of blank templates here, and there's also a smart assistant. Just copy the corresponding text and you'll get the finished product right away."

"Today's artificial intelligence tools are very smart and can save a lot of trouble."

"If you need it, I will send this smart software to you later."

"Let's look at the first plan first."

"The patient currently has two requirements. The first is the function of defecation and defecation, and the second is that it is best to reconstruct the X function. After all, the patient is of a certain age, but has not yet reached the age of sixty or seventy."

"Even if the remaining sex life is short, we can't completely ignore it."

"Based on the patient's current examination results, there are several main difficulties. We need to solve them during the operation."

"First, when this patient underwent surgery, there were no particularly clear standards for functional reconstruction surgery. Therefore, what was done at that time was only anatomical reconstruction. There was no proper reconstruction of muscles and muscles based on functional reconstruction. Preservation of intestinal tissue.”

"So under such circumstances, whether we need to transplant and reconstruct the intestinal anatomy and reconstruct the muscles around the anus is the first question to be discussed."

"The second thing is that we need to be very clear about the correlation between erectile function and sensory function..."

"The third question..."

"..."

"Question No. 19 is how the difference between the patient's expectations and the expectations we want to achieve needs to be positioned." "That's pretty much it. The first set of surgical plans only involves so many things for the time being. ." Wang Yang listed them one by one.

The waiter opened the door again: "Boss, are you serving the food now? It's almost time for dinner."

"Come on, come on, thank you." Fang Xian quickly smiled and nodded at her.

The waiter left satisfied.

Li Qiu quickly took notes there.

At his age, being able to be exposed to such a high-level surgery is entirely the responsibility of Fang Xian and Wang Yang. Naturally, it requires very in-depth study. Don't seek a comprehensive understanding first. Only after you understand the process clearly can you ask about the relevant details. question.

Fang Xian was secretly surprised. This Wang Yang really knew how to talk on paper.

After talking about the first plan, Wang Yang immediately began to introduce the second plan. In the second plan, Wang Yang listed 23 problems, which was more than the first plan.

He concluded: "Compared with the first plan, this second plan is actually quite different. That is whether we can move the position of defecation upward through bridging to simplify this problem that has no preoperative function. Specially prepared cases.”

"Then, of course there is a third plan..."

Although Wang Yang is very verbose, and there are always some jumping-off connections in each plan, which sounds a bit like civil science, but in fact, these ideas of Wang Yang are actually very advanced.

If we can really achieve certain results, every plan, once implemented, will be a very significant breakthrough.

There is a feeling of being proud and proud.

However, Fang Xian still listened to the third plan in great detail, and before he had time to express his opinions, the enthusiastic waiter served the food.

It would not be appropriate to continue to discuss the surgical plan in depth before the meal is ready.

Because whether it is the reconstruction of bowel function or the reconstruction of urinary function, they are all things that will greatly affect appetite after seeing them. Surgery is surgery, and eating is eating.

Therefore, the three of them chose to eat first and then work again.

Fang Xian's appetite is not strong, but Wang Yang may use his brain more, and Li Qiu himself is greedy, so he has a particularly good appetite.

In just half an hour, five dishes were a mess.

At this moment, Fang Xian finally realized the benefits of Li Qiu and Wang Yang——

Eating is eating, and work is work. The two of them made a very clear distinction.

After eating, Li Qiu immediately pushed the dishes aside and continued taking notes.

Fang Xian, on the other hand, took advantage of his meal time to thoroughly review the surgical plan and immediately began to improve the plan.

"Dr. Wang, I think that when I perform surgery, I may be more inclined to the first plan you mentioned. Although the first plan is simple, the postoperative expectations are relatively low."

"But after all, this is our first elective postoperative functional reconstruction, so we have to be cautious."

"Use the patient's expected requirements as the anchor point for the purpose of the surgery, and proceed steadily."

"Since the patient only asked us to reconstruct the urinary and fecal functions, we will only consider the reconstruction of urinary and fecal functions. Regarding X function, I do not plan to advance it into the plan before surgery."

"It is not a good thing to have extraneous complications before the surgery is fully mature, even if it is the most beneficial to the patient."

"However, once the X function is restored, if there are uncontrollable factors in the nerve transposition, the X function and the defecation function are originally antagonistic."

"Defection will reduce function X. When function X is erect, it will make defecation more difficult. We will advance step by step."

"What do you think, Doctor Wang?" Fang Xian still didn't intend to escape.

Especially after having a deeper understanding of the difference and connection between X function and defecation function, Fang Xian became even more cautious.If you can choose one of the two, it would be very good.

The world is safe and secure, and it is worthy of Tathagata and worthy of Qing.

When the real thing comes, there's not so much of a best-of-both-worlds.

Although Fang Xian talks cruelly, clinical practice is actually cruel everywhere. Many times, decisions must be made calmly and neatly.

"In fact, I also think that the first set of plans is more stable, and is based on the patient's requirements for positioning and goals."

"But, this is what I think, Doctor Fang. Maybe some of my ideas are occasionally too radical, but didn't you give me some solutions, which is to constantly subtract from your own thinking output."

"I'm doing this too, but maybe I'm not doing so well yet." Wang Yang smiled, but he was very satisfied with his current state.

Wang Yang's out-of-the-box thinking is a kind of IQ guarantee for his rich theoretical knowledge and superb problem solving.

Fang Xian smiled: "Dr. Wang, I knew you could slow down. That's right, let's not always think about getting it right in one step."

"Indeed, for any surgical disease, the best destination is to solve it non-surgically."

"But this requires time and a lot of preliminary reserves. If any disease can be treated in one step, then it is best to cure the disease with medicine and with hands."

"Actually, subtraction is not just about subtracting thinking output. When integrating knowledge, you must also learn to do subtraction, and isolate part of the knowledge system. Don't always think about fusion."

"I know that Dr. Wang, you are able to integrate the theories of all specialties and sub-specialties, and when you learn from each other and integrate them, it becomes too messy, but that doesn't matter. Let's put it down slowly for now."

Only now did Fang Xian know the fundamental reason why Wang Yang became like this.

Why, some of the ideas and strategies Wang Yang had before could be clinically reflected in Lin Hui.

Wang Yang and Lin Hui, one is extremely fierce in theory and the other is extremely aggressive in operation.

Through cooperation, Lin Hui was created as a pervert, but Wang Yang became a victim. A highly theoretician with not particularly strong operational abilities was similar to a deformed Madonna in the clinic.

He has many ideas and strong empathy, but not strong abilities.

Naturally, Wang Yang's ability is relative, and his hands-on ability is inferior to that of ordinary people.

For example, Wang Chuntao, the chief resident of the Trauma Surgery Department, and Xue Li, the attending physician of Professor Lin Jiemo's group in the Trauma Surgery Department, are still younger brothers in front of Wang Yang. Although Wang Yang is not very capable, he still has two or three level 4 medical foundations. Skills, two or three basic medical skills.

It's just that these skills can't contain his mixed thoughts, which makes him nondescript.

If once it is sorted out, or once Wang Yang's hands-on operation ability is improved, the effect will be explosive!

A Wangyang is as good as any professor in terms of theory, and as good as any attending physician in terms of operation. This is his combat effectiveness, but the prerequisite for the development of these combat effectiveness is that someone can give him the whole process and let him know everything. If something goes wrong, it can still be corrected.

Fang Xian's many basic medical skills are a guarantee.

(End of this chapter)