Gou in the operating room to add some upgrades

Chapter 235 The stories of seniors
"Director Huang, actually I think it's possible. It's just a relaxation technique. Many guys in our department can do it." Fang Xian said.

Release surgery is actually a variant of debridement. It is simpler than debridement. How could it not be done?

It should be that Huang Bohang and others are unwilling to expand in this area, so as not to cause trouble, right?
"Doctor Fang, let's admit a few for the time being. Anyway, these two patients have already been admitted to the hospital." Seeing Fang Xian's persistence, Huang Bohang didn't know what to say.

It's just that inside and outside the words, there is an attitude of "don't make trouble if you are free", but the expression is very vague.

It's true that Fang Xian is here to provide support, but after all, you are only here to provide support. You will go back. We are the resident doctors here. What we should do and what we should do are not the final say of Fang Xian. .

Fang Xian hung up the phone and sighed again while thinking.

Although everything has two sides, the current negative effects of the Medical Association's "Ladder to Heaven" system are far more profound than Fang Xian imagined.

It seems to have deviated from its original intention and become extremely utilitarian.

It’s not that utilitarianism is bad. It’s a good thing to recognize your own level and abilities.But when too many people become utilitarian, the consequences will be huge.

You said, is it a mistake that others have the ability to go up?

Actually not.

However, if talents gather in one direction, the result will inevitably be a greater imbalance in medical resources.

The original intention of the Medical Association to establish the physician hierarchy and the medical hierarchy is actually to rearrange medical resources so that truly outstanding people can go to better positions.

But the result of this is that everyone just wants to go to a good position. In a bad position, the mobility is naturally very high, and they only seek stability and no longer seek change.

I thought that I would just work here for a few years, do some basic things well, and practice my skills, then I would run away and go to a better unit.

As for diseases other than these basic diseases, they have nothing to do with me.

For example, the current release surgery and this technology are not included in the routine assessment of trauma surgery specialists, so many people will not do such surgery.

It’s not good for my growth, but it may cause trouble. Why should I add unnecessary trouble?
For the Level 1 Physician Certification and Level 2 Physician Certification in Trauma Surgery, I will study and do whatever content is required to be assessed.

In this way, wouldn't the medical association's hierarchical system be about mass-producing doctors?
This is the case.

Even Fang Xian is following this old path. For example, during his master's degree, Fang Xian only learned basic skills. Fang Xian had no time to pay attention to some more advanced technical modules.

Now, after I have put down a lot of baggage, I look back and realize that my original focus was also very narrow.

But it must be very difficult to change other people's minds.

……

The next day, Tuesday.

In the morning handover class, Huang Bohang specifically explained the routine and rare diseases in the department: "I just want to mention a few words here."

"Our hospital is a county-level hospital, so we must be clear about this positioning. It should be clearly stated in the policy documents of the Medical Association and the Health Commission."

"We are a relatively grassroots unit, and what we need to do is to ensure the quality of basic medical and health services..."

He didn't say it clearly, but the implication was that he hoped Fang Xian could clearly understand his own position and that of the county hospital and not cause trouble.

To be honest, no one had mentioned the current situation to Fang Xian before coming to the countryside. This was also the first time that Fang Xian encountered a situation that was inconsistent with the ideas and concepts of his superiors or doctors with higher professional titles.

Refutations cannot be refuted. This is someone else's territory. It is someone else's business to decide how they want to be in charge.

Baba baba.

After the shift handover ended, the ward rounds came again.

At this stage, Huang Bohang still gave Fang Xian enough face, but Fang Xian didn't hold back. He just said what he had to say, and put it forward straightforwardly even if he didn't have to say anything. He didn't hold back because Huang Bohang was inconsistent with his own ideas. Putting on airs is something I have stopped doing.

After checking the room, Huang Bohang took the initiative to invite Fang Xian to the director's office, and said to Zhou Xiyin who was following Fang Xian: "Dr. Zhou, please go around casually for now. I will see you later for something else."

Zhou Xiyin nodded. She didn't need to make arrangements. She made at least two plans and plans for herself every day. She was the type of person with strong independent learning ability.

After arriving at the director's office, Huang Bohang enthusiastically showed Fang Xian a cup of tea, and then said: "Doctor Fang, don't misunderstand me? What I said in the morning was definitely not directed at you. It was mainly about our county hospital. , we have our own difficulties.”

Fang Xian nodded immediately: "Director Huang, you have misunderstood."

County hospitals have the same difficulties as county hospitals, which Fang Xian has known before.

Huang Bohang rolled his eyes several times before saying, "Dr. Fang, you must be an ambitious person. Director Qin and I both know this, but we are different from senior talents like you, Dr. Fang."

"Perhaps for you, if you dare to venture and work hard, you will have a clear view of many aspects of the medical field."

"But for us, this is a profession. When we work in clinical practice, we don't seek merit, but we seek no faults."

"Do what you can do honestly, practice what you can, some safe medical techniques, orthodox medical techniques, find a good employer, and support your family. This is the right thing to do."

"Are you right?"

Huang Bohang was explaining to Fang Xian in detail. For him, he couldn't afford to offend someone like Fang Xian, so he could only accompany him carefully.

Huang Bohang just wants to maintain stability. After successfully passing the position of director of a county hospital, being able to take the position of team director of a prefecture-level city hospital for retirement is the end of Huang Bohang's imagination.He didn't want any setbacks or mistakes to occur during this period.

Fang Xian is now a doctor who provides support and assistance, and speaking of it, he is here to be gold-plated.

Even though Fang Xian is very skilled, if something goes wrong, he will be jointly and severally responsible. Why bother?
In the short term, it is nonsense to break through the treatment of some diseases that are not available in county hospitals, and it puts oneself in danger.

Once a medical dispute occurs, it will be handled by the medical department, ranging from no cap to death.

In such a medical environment, Huang Bohang thought it would be better to have fewer setbacks.

The county hospital would be good for treating emergency trauma and fractures.

No one insists on requiring county hospitals to treat difficult diseases that are not available, so why go to war?
Of course, yes, there are some patients in the county who really need treatment other than trauma and fractures. Then there are plenty of places for them to go for treatment. Zhang Municipal People’s Hospital, Hunan Province, Shanghai, Kyoto, and so many major hospitals in China. Standing tall.

"Yes, Director Huang, I admitted these two patients because I didn't think well before."

"The main reason is that I have no experience in this area, which puts you in a difficult position." Huang Bohang gave him enough face, so Fang Xian naturally had to consider Huang Bohang's difficulties.

No one would ask a county hospital to overcome difficult problems, as long as it maintains stability and inherits and develops the existing mature medical technologies.If you are too demanding, you will do to others what you don't want.

Fang Xian also doesn't like being forced to rush things to the shelves.

Speaking of which, the trauma surgery department of the People's Hospital of this county belongs to Ci County. Huang Bohang is currently the ward director, and he is the first person in charge.

In other people's territory, there is nothing wrong with being honest and low-key.

It's impossible to force a cow to drink water and force its head to be massaged. If Huang Bohang insists on not wanting to be exposed to new diseases, then Fang Xian can only do something about the existing diseases that are routinely treated by the trauma surgery department here.

Otherwise, if the relationship becomes too tense and others refuse to cooperate with you in surgery or other things, how can you still go back to Shonan University Affiliated Hospital to file a complaint?How embarrassing that is.

Huang Bohang sighed: "Dr. Fang, I know you may think that I am conservative, but the problem now is that if you don't take the exam to learn something, why do you want to learn from him?"

Huang Bohang asked a soul question.

Fang Xian was speechless for a moment.

To put it bluntly, there is no such thing as osteotomy, orthopedics, or release surgery in the grade assessment of a level 2 specialist in trauma surgery, whoever you like.

……

However, Huang Bohang still gave Fang Xian some face.

Fang Xian had admitted two patients, and Huang Bohang asked the department to arrange surgeries as soon as possible.Chen Fangqian is the doctor in charge of the bed. Chen Fangqian coordinates the entire operation schedule with Fang Xian. During the operation, everyone in the team has their seats.

In this way, Huang Bohang's dignity and face were considered sufficient, so Fang Xian stood up and left without saying much.

Not long after leaving the office door, Zhou Xiyin was called into the director's office by Huang Bohang, and he didn't know what was said.

Fang Xian looked around and still felt that the environment cannot adapt to you personally. You need to adapt to such an environment by yourself. Fang Xian went to the doctor's office first.

"Brother Xiao, Brother Kuang, would you like to have a cup of coffee together?" Fang Xian greeted him enthusiastically after entering the door.

"Does Dr. Fang like to drink coffee? Order takeout or go out to drink?" Du Lixiao immediately turned his head, his eyes brightening instantly.

"Let's order it first, Luckin, okay?" When Fang Xian was driving before, he saw Luckin's sign in the county town.

"Anything is fine, Doctor Fang, just wait a moment, I'll order some, you're too lazy to position yourself." Chen Fangqian said with a smile.

Chen Fangqian insisted on treating him, so Fang Xian was not polite to him.

I don’t have much money to begin with, and no matter how hard I push around, I’m almost like an aunt buying vegetables in the wet market.

However, after placing the order, Chen Fangqian came closer and whispered: "Dr. Fang, can this patient with calf adhesion really regain his range of motion through loosening?"

"What should I do if scars regenerate after release?"

Chen Fangqian has not seen a new case in the department for a long time. The main reason is that he does not dare to admit it and he does not know how to treat it. Of course, he can only do what he can based on the opinions of Director Huang Bohang.

Anything that cannot be done will be pushed out.

"It is natural to prevent scar regeneration, mainly through the patient's rehabilitation training and passive activities to avoid recurrence of adhesions."

"Brother Ni, hasn't our department performed such an operation for a long time?" Fang Xian asked curiously.

Although the release of joint stiffness, or lower limb stiffness, is not easy, if the director of the county hospital is willing to promote this aspect, it should be said that the difficulty level is not particularly high.

After all, diseases such as joint adhesions are only secondary diseases at best.

"If you don't do it, Director Xing didn't do it either."

"It probably means, why are you causing all this trouble?"

"Actually, it's no wonder that Director Huang and Director Xing are unwilling to do it. But after reaching the position of director, maintaining the stability of the department is the first priority."

"Dr. Fang, you don't know. In a county hospital like ours, lower-level doctors are very mobile. Director Huang and others have no idea what kind of monsters the new people are."

"I dare not venture in any more." Chen Fang said pointedly.

"Ok?"

"Brother Ni, can you tell me in detail so that I can gain some knowledge?" Fang Xian was curious.

Perhaps this is why Huang Bohang and others do not dare to explore new diseases.

"The current rural hospitals are basically the springboard for many employed doctors. After all, as you know, they are now based on the academic year system and only look at the individual's comprehensive ability."

“As a result, when many people are unable to find a good job for the time being, they will go to the county hospital or town hospital level to find temporary employment.”

"In this process, some people are extremely outstanding, but there are also people who don't even know how they passed the exam..."

"If current county hospitals are short of people, it will be difficult to find someone who is regular and stable and can perform debridement and suturing."

"Of course, there are also people who are doing better and have very good qualifications. But some of these people will leave after a few months, and some will only stay for half a year. The longest is about a year. Being taken away by other good hospitals..."

When Fang Xian heard this, he suddenly realized: "Oh!~"

After all, the people who have made all kinds of weird and wonderful achievements in medical school are already working, and maybe there is no guarantee that they will make breakthroughs.

Immediately afterwards, Chen Fangqian added: "Dr. Fang, in fact, there are many doctors like you who provide counterpart support and assistance in our hospital. In our department, there are three or four a year."

"It's just that after everyone goes to the countryside, the diseases and techniques they help are different. Everyone's expertise is also different."

"The doctor Zhu who came last time is an associate professor of orthopedics at the Provincial People's Hospital. The disease he helped with was nonunion, and the last time it was a complex fracture of the pelvis..."

Fang Xian's eyes instantly slid several times.

……

(End of this chapter)