Gou in the operating room to add some upgrades

Chapter 231: No friends for 20 years

"My father used to say something that in academic competitions and professional title competitions, for five years we are all rivals and have no friends. Outside of academic competitions, friendships are another thing."

Zhou Xiyin didn't eat much. After eating a bowl and a half, he decisively did not continue. Instead, he watched Fang Xian eat while making housework.

Fang Xian ate very naturally, chewed carefully and slowly swallowed the food, and replied: "Then I probably won't have any friends in ten years."

According to the medical association's management and recognition method of the physician hierarchy system, not only has the evaluation standard for level 1 doctors in trauma surgery been improved, but the standards for level 2 doctors in trauma surgery, gastrointestinal surgery, and urology surgery have also been improved accordingly.

Doesn’t this mean that we haven’t had any friends for ten years?
Zhou Xiyin covered her mouth and joked: "The last ten years were too long, but I guess the next ten years will be a bit short."

Fang Xian's influence will not only affect the next ten years, but from this moment on, there will be a epoch. From this moment when the standards are raised, if the Medical Association does not revise the assessment method, then the regulations will be stuck here, and more and more high.

Fang Xian lowered his head and started to cook in silence.

Zhou Xiyin may have felt that his joke was too much, so he added: "Brother Fang, it's not that exaggerated. For a group of people who really want to make a leap through the Medical Association, they won't care about this little improvement."

“People who really care, their opinions are dispensable.”

What ordinary people think is basically ignored.Otherwise, countless people will complain every year that the admission scores of Kyoto University and Tsinghua University are too high, but there is a thread...

Fang Xian shook his head: "I don't know, just be yourself. If you deliberately maintain a certain balance, living like this will be too tiring."

This situation reminded Fang Xian of when he was still a junior graduate student, Fan Chengpeng, a master's student in his class, who warned him not to be too outstanding during the residential training phase, otherwise he would crowd out other master's students and make many There is no opportunity to teach teachers in residential training.

At that time, Fang Xian was a soft-spoken person, so naturally he did not dare to disobey his wishes as the director of the trauma surgery ward at that time.

He did not go to the medical association for medical skill level certification, but just performed within the group.

But this is actually too restrictive and really tiring.

"Senior Brother Fang, facing the current situation in Cixian County, does Senior Brother Fang have any better way to deal with it?" Zhou Xiyin changed the topic.

At the same time, he poured himself a glass of water. Seeing that the water glass in front of Fang Xian was almost empty, he filled it up again.

"Thank you." Fang Xian thanked him and shook his head.

"What can I do in this situation?" Fang Xian said helplessly.

This is a sequelae of the emergence of the medical association system. If you want to change this situation, you can only use contracts to lock out the doctors here, or eliminate the medical association's ladder system to prevent people from taking shortcuts.

Zhou Xiyin pushed the water glass in front of Fang Xian forward and asked cautiously: "Senior Brother Fang, do you want to think about it again? In fact, you have already done something similar."

As Zhou Xiyin spoke, her eyes narrowed slightly, and for a moment, it seemed that her IQ was equal to her beauty.

Fang Xian stopped stretching out his chopsticks and began to chew slowly, as if in deep thought.

You've done similar things yourself, can't you?How can I change my weight?

but.

Suddenly, Fang Xian suddenly remembered one thing, that is, when Professor Xu Fengnian was in the trauma center, Fang Xian used his numerous level 5 skills to find out what was going on, and once made a "standard damage treatment process", Youth version, enhanced version.

"What do you mean? Let me continue to simplify the treatment process of common diseases in the county hospital, or in other words, simplify the existing mature surgical procedures?"

"How can some young doctors get started quickly and reach a level that is acceptable to patients?" Fang Xian asked rhetorically.

In just this moment, Fang Xian's eyes changed when he looked at Zhou Xiyin.

Is this the so-called IQ crushing?

Fang Xian had never considered this direction.

As a doctor, one of the most essential principles is the principle of non-harm to patients.

Another one is the more advantageous principle.

Thinking from a minimalist perspective, the medical resources provided to patients when they come for treatment are naturally the higher the better, but now we have to lower the standards. This is really contrary to the mainstream thinking.

but?
If, in such a general environment, many patients still choose to seek treatment in county hospitals, most of them have various burdens, which may be financial burdens or other factors, which force them to come to county hospitals. See a doctor in the hospital.

So in such a situation, instead of being unable to do it, it is better to provide an alternative treatment plan that is basically satisfactory, but the treatment effect is not as good as the complete version.

This is equivalent to downgrading the difficulty of the operation, and lowering expectations for the final treatment effect can ensure satisfaction, first satisfying colleagues and then satisfying patients.

In this case, it is really a feasible and effective method.

"That's pretty much what it means."

"Senior Brother Fang, if you carefully analyze the current situation, it is nothing more than that the patient's medical requirements are higher than the medical level and treatment quality that the local county hospital can provide."

"There is a gap in the relationship between supply and demand."

“Instead of missing out, try some less effective treatments first.”

"And starting from elective diseases and elective surgeries, the impact on patients is actually minimal."

"Naturally, such a plan exploration requires the participation of a team with multiple level 5 skills at the same time, especially level 5 basic skills from the very beginning."

"Normally, such a luxurious team will not take the time to simplify the treatment procedures for some common diseases. This will waste a lot of time and have low efficiency. For them, to conquer new treatment methods, New diseases are the first priority.”

"However, our current positioning is slightly low. Brother Fang, you are only treating primary care. There is no need to participate in the worldwide breakthrough competition. You can first complete the implementation of some of the existing treatment plans to lower-level hospitals. .”

"This is actually very beneficial to the patient." After Zhou Xiyin finished speaking, she pursed her lips and looked at Fang Xian slightly nervously. It could be seen from her eyes that she was a little afraid that Fang Xian would be angry.

Under the current situation, the development of high-end medical technology has actually reached a high level, but how to implement these technologies in more hospitals and let more doctors learn the corresponding procedures has always been a headache.

Especially after the emergence of the medical association system and everyone moving to big cities, the shortage of talents in county hospitals has become a very troublesome problem.

"I have to think about this carefully." Fang Xian felt that Zhou Xiyin's idea was a very good one.

Anyway, I am in the county hospital now, and I will definitely not be able to undergo major surgery. Even if I have such ability, I will not have such an opportunity.

Instead of mechanically and repetitively performing some operations that are not available in county hospitals, it is better to find ways to simplify these operations and see if they can be simplified. Through the combination of basic skills, these diseases can be eliminated and some surgical techniques can be established. Youth Edition'.The final effect may not be that good. For example, complications such as dull pain may occur after complex fracture surgery.

This is better than some people who, due to limited financial conditions, cannot get treatment in the county hospital and are simply dragged home to wait to die.

After all, not everyone can afford the cost of going to a municipal hospital for treatment, and not everyone is convenient and willing to be referred to a higher-level hospital.

Fang Xian's own family came from a poor background, and Fang Xian himself worked as a doctor. It cannot be said that now that he has escaped poverty, he cannot consider or see poverty at all.

Not to mention other.

How did his uncle, Uncle Fang Yun's grandmother die?

In the final analysis, TM's are poor.

Although it is cruel to understand it this way, this has always been the softest problem in Uncle Fang Yun's heart. Even if he didn't show it, Fang Xian knew it.

If Uncle Fang Yun had been very rich at that time, and even only needed one percent of today's wealth, maybe his grandma would have died a healthy life.

"Senior Brother Fang, I can help you in this regard. I am relatively free. I can help you count common diseases, diseases that are expensive to treat, and diseases that cannot be treated in the county hospital."

"There are more diseases that have been abandoned for treatment due to economic reasons or various other reasons..." Zhou Xiyin had obviously done some homework before coming to Ci County.

"Junior sister Zhou, how did you come up with this?" Fang Xian was a little curious.

MD, it’s really embarrassing to say this.

He had done similar things, but in terms of drawing parallels, he was not as good as Zhou Xiyin, an outsider. This gave Fang Xian an inexplicable sense of defeat.

This extra point can only improve your ability, not your IQ.

"Because there are many similar patients in the No. 1 Civil Hospital in Chang City. In fact, I had considered it at that time. Brother Fang, you might be able to think of a way."

"But Brother Fang, you were in the Affiliated Hospital of Shonan University at that time, and functional reconstruction is a cutting-edge subject in current medical development, which is beneficial to a larger number of patients."

"I don't have any suggestions, but now, Senior Brother Fang, if you are free, I think you can choose one or two types of diseases and do as many as you can."

"Senior Brother Fang, do you think this will disturb your other arrangements?" Zhou Xiyin asked cautiously, as if the person sitting across from him was not Fang Xian, but a big shot.

Zhou Xiyin's caution is to save face, and Fang Xian will not put on airs: "I think you should give it a try, but you have to work hard on how to try it and which direction to choose."

If a simplified version can be made, it will be a very large source of skill points.

But what Fang Xian was thinking about was whether such a plan could pass the approval of the Ethics Society.

After all, the principle of do no harm is here.

Damage is a dying disease, and the upgraded version of the treatment process can ensure the principle of saving lives first and treating the disease later.

Downgrading treatment plans for elective diseases may not be approved. After all, this will reduce the treatment effect of patients suffering from the disease to a certain extent.

This practical issue must also be taken into consideration, otherwise this matter will be taken advantage of by someone with intentions.

I will once again be put on the shelf of shame, saying that I sucked the patient's blood in order to perform surgery and become famous, and deliberately spared it when I could provide better medical services.

Once labeled like this, Fang Xian's career in medicine may be doomed.

Fang Xian does not discriminate against others and wants to be a good person, but Fang Xian himself, unless it is a national crisis, he has not sacrificed himself to fulfill the overall situation.

"It's still necessary to make a careful calculation. Even if you want to do such a thing, it's best to find a teacher to take the lead."

"My current professional title and qualifications are not suitable for doing such a thing." Fang Xian finished his reply, took two big bites of rice, and then continued chewing.

But it was obvious that Fang Xian's attention at the moment could no longer be focused on eating to satisfy his hunger.

It is almost impossible for junior doctors to handle difficult surgeries according to normal methods and learning curves.And the real problem we are facing now is that once these doctors learn it, they will not stay in their original unit, but will run outside.

Therefore, the downgraded version of the processing process proposed by Zhou Xiyin is actually feasible.

But before that, Fang Xian must carefully study the laws and regulations related to medicine to avoid making any mistakes, and make all procedures comply with the rules and be reasonable before proceeding with such a thing.

If you can do it, it can be considered a good thing that you can use during your idle time.

……

Zhou Xiyin's dormitory is located in the same community as Fang Xian, but in a different building.

After saying goodbye at the gate of the community, Fang Xian went directly back to his house.

I am mainly focusing on three things. One thing is tomorrow's surgery. For the surgery to be done tomorrow, I must go over the surgical process in detail and strive to ensure the quality of the surgery. This is the first priority.

Fang Xian would never engage in such a thing in clinical practice before a project for the downgraded version of the processing process was established, or until such a project was approved.

The second thing is, of course, which teacher should be called to take the lead if such a thing is to be done.

My teacher is definitely not suitable.

Uncle Fang Yun or Professor Yang would be suitable, but they are all super professors and may not have the time to think about what they want to do now.

The qualifications should be old enough, and it is best to be able to speak clearly...

The third thing is about functional reconstruction.

Now that I am stuck in the county hospital with no way to get out, many patients who need functional reconstruction surgery can only turn from hope to despair, and good medical technology is shelved and left to ashes.

However, who can take over such an operation in a short time?
Each of these problems is actually very difficult.

Naturally, what Fang Xian still has to consider is how to be promoted to associate professor.Associate professor is a teaching title. In teaching hospitals, the titles of deputy chief physician and chief physician are not valuable. Teacher Lin Hui is a precedent.

that……

(End of this chapter)