Gou in the operating room to add some upgrades

Chapter 238 No patient, no patient at all

Chen Fangqian and Du Lixiao all looked at Huang Bohang, waiting for Huang Bohang's instructions.

After all, Huang Bohang is the director, and the director's opinion is the key to determining subsequent treatment.

After all, Huang Bohang did not dare to say anything more about continuing the surgery and resetting. After looking at Fang Xian and Zhou Xiyin with complicated eyes, he said, "Chen Fangqian, please go out and talk to the family."

"Just say that the surgical method has been changed, from open reduction to closed reduction, put a plaster on, stay in the hospital for another two days for observation, review the radiographs, and then you can be discharged and go home."

The entire operating room was full of orthopedics professionals. Even Chen Fangqian, Du Lixiao, and even resident doctor Ning Han could tell that the quality of Fang Xian's manipulation at this time was quite high.

When manual reduction can achieve this level, continuing to perform open reduction is undoubtedly surgery for the sake of surgery, not surgery for treatment.

After Huang Bohang made this choice, Fang Xian asked specifically: "Director Huang, will this be troublesome?"

Fang Xian did not continue, but continued to test Huang Bohang's bottom line.

In fact, what Fang Xian wants to express is that he should not remove it and restore it to the original dislocation.

Huang Bohang's eye circles shrank slightly: "It's not troublesome. If the patient has a fracture, if it can be reduced manually in the operating room and the plaster external fixation is reliable, it can be considered a surgical procedure."

"Dr. Fang, your reset technique is extraordinary, isn't it?"

What Huang Bohang means is that this is not consistent with the level of manual reduction recorded in your resume, a basic skill in orthopedics.

Huang Bohang was not a fool. How could he not see that Fang Xian's current level of reset techniques was much higher than the level 3 specialization level set by the Medical Association.

"I learned a little bit about it when I had the surgery before. And now I am quite embarrassed, so there is no need to go to the medical association to prove it."

"Director Huang, I hope it didn't cause you any trouble." Fang Xian pretended to be relieved.

When Chen Fangqian went out to talk to the patient and family members, Huang Bohang and Fang Xian left the operating room first, and Zhou Xiyin also left.

As soon as everyone left, swear words immediately started to break out in the operating room.

"Holy shit, what's going on with Dr. Fang? Can you still restore this kind of double fracture with manual manipulation? How deep is this basic skill?"

"Dr. Du, if we had known this earlier, we wouldn't have had to prepare so much, right?" It was the traveling nurse who spoke.

The circulating nurse is mainly responsible for providing equipment kits. Now that the equipment kits have just arrived and they haven’t been opened yet, she has to fiddle with them again. The sterilization kits that have already been opened have to be billed to the patient. After all, they are opened even if they are useless. .

I'll have to go to the trouble of explaining it at that time.

Du Lixiao shook his head fiercely: "I don't know about this either. Although Dr. Fang worked in the trauma center of the Shonan University Affiliated Hospital, how could fracture patients get into the trauma center there?"

"Furthermore, Dr. Fang's resume does not record a high level of manual fracture reduction."

"Isn't this just a trance?" the anesthesiologist asked pointedly.

What he calls trance is level 4 which is higher than level 5 skills.

Level 4 skills are very rare in prefecture-level hospitals. Level 5 skills are not available in prefecture-level hospitals at all. They are basically only available to people working in major top teaching hospitals. May have level 5 skills.

Doctor Fang Xian's skills are incredible!

"Absolutely!~" Du Lixiao nodded.

"When Dr. Fang performed manual reduction of joint dislocation in the operating room, we thought that his manual reduction had reached Level 4, a level of proficiency that only professors can master."

"But now it seems that Dr. Fang is not simple."

"A 27-year-old attending physician, passed the level 2 physician examination. Hidden very deeply." Du Lixiao looked sideways.

Let's put it this way, in the county hospital, no matter how advanced your basic skills are, Du Lixiao doesn't like them.

My place is not a gathering place for emergency patients. When it comes to saving lives, it is not of a very high level, nor does it care about never dying.It lies in the ability to treat diseases and professional operation. This is the core.

Such a manual reduction technique is enough for Fang Xian to survive in any prefecture-level city hospital.

Du Lixiao is particularly envious...

On the way out of the operating room, Fang Xian, Huang Bohang and Zhou Xiyin were separated. The men's and women's dressing rooms could not be in the same place.

After saying goodbye, Huang Bohang put on a smile and asked in a low voice: "Doctor Fang has a lot of experience in manual reduction surgery?"

If we say that debridement is the core of the core in trauma diseases.

So reduction is the core of surgical treatment of fractures.

How difficult is it to install internal fixation on a reduced fracture?Basically, as long as you are skilled in operation, the most important thing is to reset.

Manual reduction is the most basic and important ability when treating fractures.

Doctors who are good at surgical reduction will never have to worry about food and will never be without status in the field of trauma surgery.

If you want fracture surgery to be done well and quickly, manual reduction is the absolute key.

Just as hand surgery regards suturing as a treasure, trauma surgery regards debridement and manual reduction as a treasure.

Huang Bohang Now, if he wants to improve the quality of open reduction and internal fixation of fractures, the most lacking thing is the level of manual reduction.

"Director Huang, it's okay. I haven't had many opportunities to experiment before, but today is a bit beyond my expectation." Fang Xian replied, even deliberately trying to lure you into a trap.

Even if Huang Bohang didn't reach it, there was no way he didn't know the difference between level 4 skills and level 5 skills.

Therefore, under such circumstances, if Huang Bohang is willing and has such an idea, he will definitely ask for everything.However, if many patients in the department have been solved through manual reduction, they can be used for Huang Bohang's hand training or other purposes.

Then there will be fewer fracture patients in the department who need surgery.

Neither Huang Bohang nor the hospital will allow you to have too many empty beds in the department. Under such a situation, Huang Boyang will inevitably have to expand the number of diseases in the department.

Fang Xian is also a curved route to save the country.

"That's right, Doctor Fang, let me just say that your ability is extraordinary." Huang Bohang continued to laugh, but hesitated to speak.

The awesomeness of level 5 skills lies not only in clinical practice, but also in teaching. If Fang Xian is willing to give pointers, he may be able to improve his manual reset technique even further while Fang Xian is providing support.

When the time comes, you can go directly to Zhang City People's Hospital or a prefecture-level hospital in Chang City in one step. This is what Huang Boyang is looking forward to.

It's just that when Fang Xian wanted to admit some patients to the department, Huang Bohang was a little pushy. It's hard to say anything now.

"Dr. Fang, do you think this is a good idea? You know that different levels of reduction techniques correspond to different indications for fracture surgery. We must be responsible for the patient, right?"

"Follow-up, if an emergency fracture patient comes to the department, can Dr. Fang make an appointment and deal with it in a unified manner?" "It's definitely not the kind of thing that is always on call. You can rest assured about this, Dr. Fang." Huang Bohang suggested.

To be serious, the doctors who provide counterpart support and assistance are here to be gilded, not to work as coolies. If you want them to be on call, are you as awesome as your original unit?

If there is, it's okay, because you provide him with a platform. If there isn't, then you can't control others.

"There's nothing wrong with me, Director Huang."

"Actually, it's no problem to make an appointment one day." Fang Xian was happy that he could reset his skills and gain some skill points.I look forward to accumulating skill points to a certain amount soon and see what the level is above level 5.

……

Time is like water, and in a flash it will be three days later.

Outside the operating room of the Trauma Surgery Ward of Cixian People's Hospital, directors Huang Bohang and Qin Hongxuan took the initiative to sit on the spot and said, "No one is in a hurry. There are not many patients, so wait in line."

"Dr. Fang is an expert in trauma surgery at Shonan University Affiliated Hospital. He came to us specifically to provide support. He is here to help."

"So, everything must be done on a first-come, first-served basis. Dr. Fang is also very busy, and he only has so much time in a day. After all, there are other surgeries to be performed. Being able to free up a time slot also takes into account the needs of our patients."

"You can't find this kind of reset method in the county. You've searched all over Hunan Province, but few can do it. I'm not bragging about this!" Huang Bohang looked at the many people who came here with admiration. Patient, so advise.

"Director Huang, do I really need surgery for this fracture?"

"Director Deng of Zhang Municipal People's Hospital has seen this and said that it requires surgical treatment. Can Dr. Fang really do it?" A patient hesitated to speak.

He came all the way from Zhang City to Cixian County to join Fang Xian, a fracture patient. This journey was not an easy one.

"Dr. Fang has already read your general condition online. The fracture is in good condition. Dr. Fang said that you can expect manual reduction." Huang Bohang was also deeply impressed by him.

The family members of patients who were hospitalized next door said, "Let me tell you, Dr. Fang is very skilled. In the past few days, many patients have gone home after being reset."

“There is really no one else with this technology.”

"Now all the fracture patients in our county come here and no longer go to Wuling Hospital for surgery."

Huang Bohang smiled and said: "Dr. Fang's skills are good, which is also the trust of everyone. Our hospital, that is, with Dr. Fang's presence, dared to let the hospital negotiate with the traffic police team to talk about the treatment of fracture patients." It works well.”

"This is really good. Wherever I take it, everyone agrees."

While Huang Bohang was talking, the door of the operating room was pushed open. Zhou Xiyin and Fang Xian carefully pushed a cart out and explained to the patients and their families carefully.

"After you go back, lie down and rest more, and don't get off the ground, because this is not a surgical fixation, but a plaster fixation. Therefore, you must use crutches when walking. This is the first point."

"Second, the plaster cannot be taken off. Don't take it off while sleeping, and then you can't put it on when you get up at night. As a result, some people will come to see me."

"There was one yesterday. He went home just the day before yesterday and came here at noon yesterday." Fang Xian explained with a smile.

"Doctor Fang, am I really okay? I still feel a little pain." The patient was a little nervous at the moment.

"How is the pain compared to before the reset?" Fang Xian asked.

"That's much better." The patient nodded, and his family members looked at Fang Xian again.

"Yes, the fracture is only reduced, not healed. Of course it will hurt. You will be able to see the effect of the reduction after your review. If there is still displacement, then you will definitely not be able to go home. If you need to have surgery, do it. Operation."

"But if not, it should be fine. I think the reset is pretty good." Fang Xian smiled and replied.

"Thank you for your hard work, Doctor Fang." The patient was pushed to the X-ray examination room by his family members.

The next patient came over on foot. His arm had been temporarily fixed with a cast, and he was grinning with crooked teeth and gasping in pain.

"Doctor Fang, is it finally my turn?"

Fang Xian stood on tiptoes and glanced outside the door. He found that there were not many patients anymore and said, "Director Huang, this fracture is relatively simple. It is a fracture in the middle of the fibula. How about you come in and try to reset it?"

At this time, Fang Xian greeted Huang Bohang like this.

After hearing this, Qin Hongxuan was a little eager to give it a try.

Huang Bohang immediately said: "Okay, Doctor Fang."

The patient grinned, a little confused.

Fang Xian seemed to see the difficulties of the patients and their families, so he explained: "Director Huang is also very capable. It doesn't matter. I'm just watching from the side. If Director Huang learns how to do it, future patients will be more likely to suffer from fractures again." You may not need surgery for treatment.”

Fang Xian explained this.

The patient didn't say anything more, but his face wrinkled deeper.

"Director Huang, although there is a fractured segment in this kind of middle fibula fracture, the pain can be relieved as long as traction is done well. During reduction, carefully move the fractured fragments with your hands so that the fractured segment can be inserted into the broken end. In two sections, the anatomical position is fixed."

"It's not difficult." Fang Xian explained to Huang Bohang first.

Huang Bohang has long studied the operation techniques, but his proficiency is not enough, so he has not upgraded the manual reset technique to level 4. Doesn't this require practice?
In the past, Huang Bohang didn't dare to practice randomly because no one knew the truth, but now, since Fang Xian is here, he can be a little bolder.

A few minutes later, after Huang Bohang performed complete traction, the patient's pain gradually eased, and then the patient was restored once the traction was sufficient.

The patient immediately groaned.

Looking at the patient's lower limbs again, the deformity is still there.

Huang Bohang's face darkened and he gave way: "Doctor Fang, maybe I need to practice more."

Fang Xian didn't say much, he just took over Huang Bohang's position, easily pushed the fracture between the broken ends, and then started to apply plaster and fix it.

After the patient came out of the review, Fang Xiancai said: "Director Huang, you should use the pushing concept of manual reduction instead of the twisting concept. Crushing is more suitable for comminuted fractures. For large fractures, you need to use Use your fingers to push and reset.”

Huang Bohang blushed and nodded.

"Next……"

After the day was over, Huang Bohang looked at the ward. There were only seven inpatients left in his group and only three patients awaiting surgery. One of them was admitted by Fang Xian, and he sighed.

Thinking that his manual reduction skills had improved a lot, he said: "Chen Fangqian, Du Lixiao, when you usually sit in the outpatient clinic, remember to admit some patients. It is not a problem for this ward to be empty all the time."

Chen Fangqian and Du Lixiao nodded heavily.

Looking towards the direction where Fang Xian and Zhou Xiyin left, his eyes were full of envy.

(End of this chapter)