Gou in the operating room to add some upgrades

Chapter 236 Polarization
"Dr. Fang, are you kidding me? I'm going to do this surgery?"

"I don't know enough about the overall surgical process." Chen Fangqian suddenly became high-profile.

Du Lixiao, who was next to him, also turned his head and looked sideways when he heard this, his eyes moving as if he was thinking about something.

"Brother Ni, it's okay. It's just a release technique. It doesn't involve nerves and muscles, and it doesn't involve any incision." Fang Xian smiled and said.

But even though Fang Xian said this, Chen Fangqian still shook his head: "Doctor Fang, in your opinion, it means there is no incision, and the nerves and muscles are not involved."

“After scar contracture between muscles, during debridement, it is very easy to cause scarring and bleeding. In addition, postoperative pain will be more obvious, and the patient’s rehabilitation activities will be relatively limited. The effect of release surgery will be extremely limited. "

After the limb becomes stiff, even if it is released, it only restores the anatomical preparation for normal movement in terms of anatomical structure.

Whether the patient is willing to endure the pain and recover, whether the muscle layers can be separated one by one during the release process, whether the bleeding is large, whether the hemostasis during the operation is accurate, and whether it will cause local heavy bleeding.

Such issues must be taken into consideration.

It is not just a simple adhesion of one or two muscles. Through MRI, it can be seen that the front and back muscles of the patient's calf are almost all adhered together.

The human body is a tissue that can undergo scar repair at any time. Once there is blood supply, the uncovered scars may heal and grow back together, which is equivalent to the operation not being performed.

"Brother Ni, even though there are so many disadvantages, we have to admit that this is an excellent material for practicing basic skills. First, the operation is simple."

"Second, performing such a release surgery can help us clarify the anatomical layers of the body, because we need to separate it or reconstruct it when necessary."

"Third, even if the postoperative effect is not good, it is still better than no surgery at all. The corresponding risks should be clearly explained to the patient in advance. If the patient is still willing, why not help if he can?"

"This surgery also involves many basic aspects, including neurovascular exploration, hemostasis, and muscle reconstruction. This is a very good training material for hand surgery."

"If it doesn't work, Brother Ni, you can throw out the surgery at any time." Fang Xian suggested again.

Having said this, if Chen Fangqian still doesn't dare, then he will go and talk to Du Lixiao.

If you don't dare to operate when someone has already taken care of you, what else can Fang Xian do?
Chen Fangqian was obviously hesitant.

He turned his head and glanced at Du Lixiao, and found that although Du Lixiao had turned back and focused his eyes on the computer screen, his ears were actually perked up high.

Chen Fangqian was a little confused between the advancement of technology on one side and the corresponding risks on the other.

"Just doing this operation is actually not very meaningful." Chen Fangqian said.

Feeding a small number of surgical cases does not contribute much to a person's technical improvement.

“With the first time, there will be many times.”

"Currently, there are many empty beds in our ward, which proves that the number of patients in simple trauma surgery is not very large. The relatively sophisticated hand surgery is still in a blank stage."

"This is a good opportunity, Brother Kuang." Fang Xian said.

The conversation with Huang Bohang made Fang Xian understand a truth, that is, when he came to the county hospital this time, the important thing was not how advanced the surgery he had done here, but whether the doctors here could learn some skills. New technique.

Fang Xian will eventually leave, but if someone learns it, he will stay here. Perhaps he can also practice such a technique until it is mature, form a habit, and pass it on. Fang Xian feels that he is a bit of a help. It worked.

Fang Xian is really powerless to do anything else.

Therefore, it is not only necessary to teach one or two surgeries, but also to make these two surgeries a habit, so that everyone can accept in their hearts that such surgeries can be done and the risks are not very high.

As a counterpart support doctor, you have to consider so many aspects during teaching activities.

Fang Xian finally understood why teaching hospitals are teaching hospitals and ordinary hospitals are ordinary hospitals.

"Doctor Fang, let me give it a try. You may need more patience, Teacher Fang." Chen Fang was humbled.

……

After saying goodbye to Chen Fangqian, Fang Xian first went to the bus station in the county town. Mainly because Fang Xian wanted to see what kind of people were coming and going at the Cixian bus station, their mental state and living habits. Most likely.

The economic level of Ci County is not good, but it is not bad either. It is just an ordinary county.

Therefore, in such a county, there are actually only a very small number of people who do not have much financial burden. Many people will still give priority to economic factors when receiving treatment after falling ill...

After this, Fang Xian came to a coffee shop in the county town because Zhou Xiyin arrived here first.

After Fang Xian entered, he ordered a cup of mocha by himself.

Where Zhou Xiyin was sitting, there was a young man with a blank head. He sat alone and pretended not to care. Then he was playing with his mobile phone while thinking of various ways to interrupt Zhou Xiyin's silence while reading.

Maybe you want to add WeChat or something.

Seeing this, Fang Xian went over and asked Zhou Xiyin to turn around. While Zhou Xiyin was packing her bag, the young man opposite her was particularly stunned, and then looked at Fang Xian with a particularly complicated look.

"Junior sister Zhou, what did Director Huang talk to you about? Did he also find out your identity?" Fang Xian asked with a smile.

Professor Zhou has a background in orthopedics, and Huang Bohang is an orthopedic practitioner. Even if he and Professor Zhou Cheng have not communicated directly face to face, they must have met each other at academic conferences.

Therefore, under such circumstances, it is extremely normal to find out Zhou Xiyin's identity and then hope to build a relationship through Zhou Xiyin.

Zhou Xiyin shook his head: "No, Director Huang just told me about the difficulties in the county hospital, so it may not be able to provide me with opportunities like those in the Shonan University Affiliated Hospital."

"He also advised me to go back early."

Fang Xian thinks this is normal: "I think Director Huang is right."

At this moment, Zhou Xiyin put down his notebook, flipped forward a few pages, and then raised his head and asked, "Senior Brother Fang, what do you think I found out?"

"Why don't you tell the truth?" Fang Xian dismissed it directly without guessing at all.

Zhou Xiyin did not dare to be presumptuous and said directly: "In the County People's Hospital, the most performed operations in the past six months are fractures. Apart from fracture operations, there are almost no other types of diseases."

"Besides, the number of surgeries for fractures is not very large. So, senior brother, do you think Director Huang is a person who is just messing around?"

In the county hospital, if you want to get along, of course it will be easy.

In one sentence, your ability is limited and your level is average. You should always go to a higher-level hospital to treat any disease.

I don’t know how, you can’t force me to know how to do it, right?

"It doesn't look very similar." Fang Xian shook his head.

"You're right!" "Because Director Huang Bohang wants to certify a level 3 trauma surgeon, if he doesn't take the quantity route of skills, he can only take the quality route of skill proficiency."

"I think Director Huang wants to upgrade his proficiency in open reduction and internal fixation of fractures to level 4, and then go to a prefecture-level city hospital like Zhang Municipal People's Hospital or Chang City Fourth People's Hospital."

"Like Director Huang Bohang, Director Qin Hongxuan is relatively focused on reduction and internal fixation of complex fractures."

"If I were to speculate maliciously, the two directors should have reached a delicate balance. They wanted to practice their skills through the platform of the county hospital."

"I just want to make sure my skills are better so that I can go to a better unit."

"As for whether there are enough types of surgeries and what the needs of patients are, they may not be concerned at all."

Hearing this, Fang Xian pinched his chin a little harder: "What about the emergency diseases?"

Surgery in the hospital is carried out according to the applicable requirements.

You can do it only if it is within your ability, rather than on an as-needed basis. You have to do whatever the patient needs you to do.

Generally speaking, the service capacity will be less than the demand, thus forming an imbalance.

Therefore, for elective patients, unless the patient has a very strong desire to be treated, I can excuse it by saying that we will not treat it.

Just because I can't refuse a diagnosis doesn't mean I can't say I don't know how to do it.

And once the doctors take the initiative to say no, you ask the patient whether he still dares to come in, right?
"Emergency patients are admitted as usual, but most of them are fractures and trauma. After all, this is orthopedics." Zhou Xiyin explained.

Immediately afterwards, Zhou Xiyin said: "Senior Brother Fang, I also discovered that many other doctors in the department are not of the same mind as these two directors."

"After all, the director's assessment of level 3 doctors requires high-level proficiency, and they have just been promoted to level 2 doctors, or have just passed the assessment of level 1 doctors. When assessing level 2 doctors, what is needed is the number of mature professional skills."

Fang Xian looked seriously at Zhou Xiyin, who was explaining to Fang Xian seriously, and said, "You have very strong analytical skills."

"I don't know any of this."

Zhou Xiyin flipped through the notebook again at this moment and said: "A genius like you, Senior Brother Fang, does not need to know something beyond the technical level. Otherwise, how can we teach pure scholars?"

"A true pure scholar only needs to do academic work, and everything else can be put aside and handed over to other people."

"Senior Brother Fang, I think the key to solving this problem is that, in a short period of time, Senior Brother Fang, with your level 5 skills and powerful deduction and teaching abilities, you can help Director Huang and Director Tan improve the skills they want to learn. .”

"After they can go to prefecture-level hospitals without any worries, we can start exploring the process of downgrading some minor diseases in the free time."

"Then."

At this moment, Fang Xian asked bluntly: "Why should I help Director Huang Bohang and Director Qin Hongxuan advance the professional skills they want to learn?"

What Zhou Xiyin was saying at that time stopped abruptly.

Looking at Fang Xian, he was speechless for a moment.

Because of this problem, Zhou Xiyin felt very familiar because it had happened to her.

Why should Fang Xian teach them what they want to learn, push their abilities, and let them jump out?
……

Zhou Xiyin remained silent again, and Fang Xian didn't let go.

After saying goodbye, Fang Xian still felt a little depressed.

Back in the dormitory, Fang Xian looked out the window and recalled Zhou Xiyin's words.

Regardless of Zhou Xiyin's analysis of whether Directors Huang Bohang and Qin Hongxuan's intentions in selecting disease types were true or false, Fang Xian felt that what they did in the position of director was not very kind.

What if there are other medical units in Cixian County that can provide slightly inferior medical technical services?
So Cixian People's Hospital can be picky and picky, but there is no such unit?

its not right?
Ci County doesn’t just have the County People’s Hospital and the Hospital of Traditional Chinese Medicine?
Fang Xian suddenly woke up and walked out of the community quickly. When he was at the main entrance of the community, he stopped a car and asked in Mandarin: "Master, take me to the best hospital in Ci County."

"Which hospital is the best? Do you want to go to People's Hospital or Wuling Hospital?" the taxi driver replied.

"Master, generally speaking, aren't the people's hospitals with the best technology in the county? Why is Wuling Hospital also a public hospital?" Fang Xian continued to ask.

When you hear a hospital like this, you will know it is a local private hospital.

"Hey, what you said is all old history. Where are the good doctors in the County People's Hospital? They have all gone."

"You can't make money. Doctors now are blind. If they don't make money, they will go to where they can make money."

"It's not that, it's all about ability."

"If you work as a doctor in any hospital, as long as you have high skills, you will be great. Alas, life for us ordinary people will be difficult..."

"Would you like to go?"

"Let's go! Master." Fang Xian quickly replied.

"Master, is it expensive to see a doctor in Wuling Hospital? Can I use medical insurance?"

"It will be more expensive. Under the same circumstances, Wuling Hospital will be about [-]% more expensive. For example, if you buy something at the County People's Hospital, it only costs [-] yuan, but at Wuling Hospital, it must cost [-] cents."

"1 yuan is two thousand yuan more. After reimbursement, it will be several hundred yuan more, which is not bad."

"I think it's a bit nonsense. You tell me, what's going on in the world nowadays, public hospitals can't do as well as private hospitals." The taxi driver complained while taking Fang Xian to Wuling Hospital.

After Fang Xian got out of the car, he couldn't help but fall into deep thought when he saw that Wuling Hospital was no less big than the County People's Hospital.

After standing at the door of the hospital for a while, he walked inside.

The service attitude is pretty good and the management is not strict.

Fang Xian went straight to the floor where the Orthopedics Ward and Orthopedics Comprehensive Ward were located. As soon as he walked into the department, he sighed after seeing the doctors' resumes and qualifications on the wall.

as predicted.

Today's era, although it is the era of great medicine, seems to be polarized.

In big cities, good doctors are all in public teaching hospitals, and the presence of private hospitals is not very strong. However, in the era of medical associations where ability is paramount, in county towns, the qualifications of doctors in private hospitals are better than those of people. The hospital is good.

Because teaching hospitals have deep pockets and are willing to give money to other aspects, such as teaching fees, hiring fees, etc.But how could the county hospital have such good treatment?
(End of this chapter)