Gou in the operating room to add some upgrades

Chapter 227 The so-called gold plating (please subscribe)
"Director Qiu, it is true that I have never dealt with patients with bone defects before." Fang Xian nodded, his expression as usual.

If you have done it, you have done it; if you have not done it, you have not done it.

Fang Xian has never been exposed to surgery such as bone defects, but the diseases that Fang Xian is usually exposed to are all large-scale injuries that can reach the same level as bone defects.

The bone defects caused by such damage are not so small. Half of the pelvis may be gone, or even two-thirds of the pelvis may be gone. In this case, reconstruction is required.

Reconstruction and transplantation are two concepts.

If he didn't have the ability to add points, Fang Xian could only stare blankly when he saw such bone defects.

But there is no such if.

Fang Xian looked at the timing panel in the operating room. It was already past eight o'clock.

My stomach growled loudly.

Hearing this, Huang Zhidong, director of the Orthopedics Department of Ci County People's Hospital, suggested: "Dr. Fang, how about I take you and Director Qiu to eat first? The surgery here has already been done here, so let Director Qin do it."

Huang Zhidong's suggestion is actually very good, but Fang Xian does not recommend adopting it.

If he were not on stage, Fang Xian would not be bored when he had food to eat. However, when he was on stage, Fang Xian had no habit of asking Fang Xian to give up the operation and step down when dealing with patients.

When you get on the operating table, you are on the battlefield. When you stand in the surgeon's position, you are like a general in a battle. There is no such thing as retreating without defeat.

Unless the time line is too long and you will die if you don’t eat, then you can only step down from the stage to have a meal before coming back. There is no other way, everyone has to eat.

"It's okay, Director Huang, let's speed up the operation a little bit." Fang Xian said as he silently combined vascular suturing, fracture plate internal fixation, compression bone grafting, titanium mesh osteoplasty, etc. with bone defect transplantation. The small skills related to magic have also been upgraded to level 5.

In this way, Fang Xian's operation seemed to be crazy.

Fang Xian picked up the microsurgery tweezers and started suturing the vascularized bone flap. After suturing, he saw that the circulating nurse in the operating room was about to put on microsurgery glasses -

At this moment, I was holding my glasses with both hands, at a loss what to do.

Then Fang Xian performed one-stage plate and screw internal fixation to fix both ends of the bone defect, instead of choosing external fixation with an external fixator, which is more popular for open fractures.

Because Fang Xian had relatively strong confidence in his debridement, the debridement was done thoroughly. Not only open fractures, but also infected fractures could be treated with internal fixation in one stage.

After debridement of septic arthritis, primary joint replacement can also be performed.

For Fang Xian, who had already reached level 5 of debridement, this was like a piece of cake.

Improper person is the only way to describe Fang Xian's current operating status.

It was expected to take at least two and a half hours of operation. Under Fang Xian's precise and dexterous hands, at one hour, 9 minutes and 20 seconds, the last knot of sutures was cut!
"Doctor Fang, are you hungry?" Qiu Chengyuan thought about many reasons, but only found this one reason that made Fang Xian so unreasonably crazy.

If Fang Xian is just showing off his skills, then Fang Xian will definitely find any opportunity to explain it and act as a teaching surgery to establish his own foothold.

Fang Xian, on the other hand, was very puzzled to explain. When others asked, they always said that they would review the operation after it was over and do the operation first.

Must be hungry.

Fang Xian stepped down and handed over the finishing work to Director Qin Hongxuan, saying, "Thank you for your hard work, Director Qin."

"Director Qiu, I'm a little hungry, and my duodenum still hurts." Fang Xian's stomach still hasn't healed well.

Once I've been hungry for too long, my stomach doesn't hurt anymore, but my duodenum hurts. Fang Xian estimates that he has a duodenal ulcer and needs a special diet. He may even need to take PPI, which is proton pump blockade. drugs, such as omeprazole.

Of course, Fang Xian can still endure it when he eats regularly.

However, it is normal to eat at home at noon, and now it is already ten thirty, which is indeed a big burden for Fang Xian, who has a weak stomach.

"Dr. Fang has a duodenal ulcer?" Qiu Chengyuan was a medical professional, so he asked quickly.

"should be."

Director Huang immediately remembered: "Then we must serve meals on time from now on. I'm sorry, Teacher Fang. You just arrived today and I made you hungry. We didn't entertain you well. I'll punish you with a few more drinks later."

Fang Xian frowned slightly: "Director Huang, why don't we talk about drinking later."

Qiu Chengyuan wondered if Huang Bohang had become stupid after drinking. After working in the workplace for a long time, he only knew how to use wine to negotiate relationships?

"Sorry, I'm confused again." Huang Bohang secretly cursed himself as an idiot, and then quickly led Qiu Chengyuan and Fang Xian to have a midnight snack together.

Fang Xian drank a bowl of white rice porridge honestly and felt much better.

However, the white rice porridge is very solid and is given free of charge. After a large bowl, Fang Xian is already half full.

At this time, everyone including Qiu Chengyuan, Huang Bohang, Qin Hongxuan and others were stunned.

Qiu Chengyuan asked: "Dr. Fang, there was a 'Medical Accident Misunderstanding Incident' on the Internet some time ago. Is it you?"

"Let me tell you, Dr. Fang, your operation is definitely not simple, you are sophisticated and unique."

“It’s no wonder that we can treat serious diseases such as injuries to a level that is at least unique in the country.”

Fang Xian also nodded at this moment, and made his purpose of coming clearly clear, so that there would be fewer misunderstandings in the future and a certain amount of trust would be gained.

"Director Qiu, you have given me too much praise, but in fact you have made mistakes. Many teachers gave me face."

"For example, Xu Fengnian from West China Hospital, Professor Fang Yun from Changshi No. 1 Civil Hospital, my teacher Lin Hui, and the urology team from West China Hospital."

"This achievement was achieved by us together. It's just my luck that I got the credit." Fang Xian didn't dare to take credit alone.

Although every breakthrough in a topic has a spokesperson, you must mention the role and value of this team.

A lonely tree does not make a forest.

It is absolutely impossible to fight alone.

If Fang Xian was alone, he wouldn't be able to carry out even one operation.

The team is always the greatest weapon, not individual heroism.

Qiu Chengyuan was even more stunned: "Dr. Fang, you can still be unique in a team with academic leaders like Professor Xu Fengnian, and your skills and level are even more self-evident."

"Dr. Fang, should you come to our hospital for support?"

Qiu Chengyuan ignored Director Huang Bohang's opinion and sighed with emotion.

Fang Xian smiled: "Director Qiu, in order to provide counterpart support to prefecture-level municipal hospitals, you need to be promoted from deputy to senior to be qualified. I'm still far away."

"I haven't even been promoted to deputy senior position. I still need more guidance from Director Huang and Director Tan."

Huang Bohang and Qin Hongxuan both said they didn't dare.

Fang Xian didn't come here for gold plating, he was forced to come down here to gain qualifications. His strength was not based on his professional title, but his professional title, which was based on his absolute strength.

This is a real big hand. Even in a top hospital like Shonan University Hospital, under the free and generous environment of the Medical Association, there is still no absolute match between professional title and ability.

Such ability is a blessing to this hospital.

"Dr. Fang, you are too humble. You are an expert. The propaganda of our hospital is not false at all. The word expert suits you best."

"I hope Dr. Fang can give more guidance in the future. We will humbly ask for advice." Huang Bohang immediately found his position.However, Huang Bohang just spoke like this.

His phone rang, and it was Dr. Wang Ze who was on duty in the hospital. He said that a patient rushed from Shashi to Cixian People's Hospital overnight, saying that he wanted to come here for reconstruction of urinary and bowel function.

"Director Huang, what should we do?"

"This patient's family must have inquired about it. Dr. Fang from the Shonan University Affiliated Hospital came to our department in our hospital. Currently, only Dr. Fang can perform such an operation."

"I have to ask for hospitalization." Huang Bohang turned on the loudspeaker midway, and the doctor opposite him sounded surprised.

And there was an echo, so I don’t know which corner he was hiding in.

Huang Bohang looked at Fang Xian.

Fang Xian shook his head decisively: "Director Huang, you learn from every experience. Please ask this doctor to explain to the patients and their families. I can no longer perform the previous surgery. If I do it again, my career will be ruined." ”

"Now is the cusp of the storm." Fang Xian clasped his fists slightly.

There was nothing he could do, and Fang Xian wasn't sure if someone was watching him.

Even for this patient, a professor could be called in to take the blame, and Fang Xian could do it secretly.

However, there are not a few such patients. If you cannot perform surgery openly, you will always be targeted.

If it happens again, the superiors, the medical association, family members and patients will be satisfied, netizens will be dissatisfied, and illegal situations will happen, Fang Xian will really be unable to survive if he does it again.

Actually, Huang Bohang was a little surprised.

If Fang Xian has the ability, then come and do it, but his ability and strength to bring patients from the Shonan University Affiliated Hospital are really extraordinary.

Most associate professors don't have such ability and courage, right?

But now, Fang Xian still refuses.

Huang Bohang looked at Fang Xian's expression and it didn't look like he was joking, so he conveyed this meaning again.

Wang Ze said hello, but his tone of voice was still as dissociated as if he was dreaming.

"..."

The dormitory has three bedrooms and one living room, converted from a private house. It was probably rented by the hospital as a dormitory for doctors who went to the countryside to support them.

The appliances inside are complete, and the bedding and other items are clean and disinfected.

Water, electricity, rent, and Internet are all covered by the hospital, which can be considered to be quite considerate.

However, you still need to buy personal toiletries by yourself, such as toothbrushes, toothpaste, towels, shower gel, etc.

The supermarket was closed, so Fang Xian could only buy some small items from the tuck shop to make do.

After taking a shower, Fang Xiancai stood at the window of the living room, looking out at the unfamiliar county town with a wry smile on his lips.

Fang Xian didn't expect that he would be suddenly 'assigned' to a county hospital for targeted assistance at this point in time.

It's not that Fang Xian doesn't want to improve his professional title, everyone wants to improve his professional title.

First, you can improve your status in the world, second, you can increase your salary, and third, you can increase your influence.

Everyone knows that this is what countless people dream about.However, the current time point and the reason for coming down are a bit too nonsense.

"Brother Li delayed his return to the countryside in order to make way for himself. We must remember this favor."

"If you give way, you will suffer a loss. You will have to make up for it in the future."

"Working is no different than when I was a student. In addition to improving my professional abilities, I also need to understand a certain amount of worldliness, because there will inevitably be times when I make demands of others."

“But it’s still about improving capabilities.”

"It just so happens that I can take advantage of this time to settle down and improve some basic professional skills and technical skills that are lacking one by one as needed, so as to improve my business capabilities in a down-to-earth manner."

"The disadvantage of the Department of Orthopedics at the County People's Hospital is that it has a single department, but the advantage is that the types of diseases are complicated. As long as it is an orthopedic disease, I can do it myself."

"And if you can perform surgery, you can enrich your skill tree even more." Fang Xian gradually became clear about his direction.

When he was in the trauma center, Fang Xian thought that it would be enough to collect skill points and become a little doctor.

What an honor it is to be a doctor and save lives?

But after really getting deeper, I actually discovered that sometimes death is not necessarily a kind of torture, but a kind of relief.

There are still many chronic diseases that are difficult to deal with and make people miserable.

Even minor illnesses and pains can keep people up at night.

The closest clinical locations to patients are outpatient clinics and specialists.

The closest thing to an emergency room is a dying patient, that is, a patient who has stepped into the gate of death. At this time, all that needs to be done is rescue, desperate rescue.

So, if you survive and lose your quality of life, you don’t have to worry about it.

Just talking about life and death, after all, there is a lack of human fireworks and human touch.

Treating a disease is as important as saving a life, and treating a disease may be even more difficult than saving a life!

……

The next day, after Fang Xian reported to the Medical Department of Cixian People's Hospital, the corresponding procedures had been transferred.

The authority matching Fang Xian's current attending physician has been bridged with the Medical Association and transferred to Cixian People's Hospital one by one.

Once the place of practice is registered, Fang Xian can start his business openly.

Visiting outpatient clinics, performing surgeries, conducting ward rounds and teaching, everything is in compliance with the procedures.

As long as it complies with the procedures, to put it bluntly, Fang Xian will still be protected from a legal perspective even if he kills one or two patients.

If it does not comply with the procedures, even if Fang Xian redeems a person's personality, dignity, and quality of life, he still needs to be condemned or even punished on a legal level.

this is the truth.

Because Fang Xian's behavior cannot be generalized, Fang Xian is just an example.

For most people, only when the process is fair can the results be fair, and rules will not be changed for the sake of one person's case.

However, everyone in the department knows that Fang Xian is not a gold-plated person this time, but is covered in gold. He is gold to begin with, and he is here to plate gold for others.

"Teacher Fang. Dean Zhou."

"Teacher Fang!~Dean Zhou." The people from the medical department and the director of the People's Hospital took Fang Xian to the Orthopedics Department. Everyone greeted him politely and amiably.

There was even a little nurse who looked at Fang Xian and looked a little handsome. After shouting, she blushed shyly.

(End of this chapter)