Gou in the operating room to add some upgrades

Chapter 240 Above level 5, the wind rises in Cixian County

"No, no." How could Fang Xian dare to tell a joke? He himself had not even written a serious SCI paper.The papers in hand basically rely on input, and the quality of the published articles is not low.

Whether it is about human anatomy and reconstruction, as well as the exploration of treatment standards for new types of damage, downgraded treatment standards, and standard treatment plans, this is all done by the team of the boss Xu Fengnian.

Of course, with Fang Xian's current professional ability, if he wanted to produce a paper, it would be relatively simple.

Just use level 5 skills to violently attack, but with such hydrology, it doesn't make much sense.

What Fang Xian needs now is meaningful and high-quality articles, but he is not in a hurry.

Seeing that there was no joking in Fang Xian's eyes, Zhou Xiyin put away the computer and asked, "Senior Brother Fang, there are no surgeries in the department today, so I'm going back first?"

"Okay, it's okay." Fang Xian quickly replied.

She can naturally use Zhou Xiyin's time as she pleases.

Time is like water, and more than ten days have passed by in a flash.

Due to the intervention of Fang Xian's ultra-high-level 5-level manual reduction, the fracture treatment methods of Cixian People's Hospital have changed to a certain extent, and the number of cases requiring direct surgery for fractures has been reduced.

Naturally, during this process, Fang Xian discovered that, in fact, Director Huang Bohang and Director Qin Hongxuan were quite proficient in manual reduction techniques. They could reduce common fractures.

But for some things that were a little more complicated, they called Fang Xian to the department and asked Fang Xian to operate them while they carefully understood and considered them.

Moreover, because the manual reduction method does not require surgery and can achieve relatively good results, once the reputation spread, it suddenly attracted many patients from surrounding towns and villages, who came here after accidentally suffering a fracture.

Only then did Fang Xian realize why fracture surgery in trauma surgery had developed so rapidly.

This is all due to the accumulation of fracture patients. A county hospital can receive seven or eight fracture patients every day. Can you believe it?
In the past, due to the diversion from Wuling Hospital, the number of patients with fractures decreased, but now, after a fracture occurs, they will go to the County People's Hospital first, and then perform surgery if necessary, and reduction techniques if necessary.

However, although the patients with fractures were diverted from Wuling Hospital, it did not affect the number of patients in Wuling Hospital. People can eat more full without relying on diseases such as fractures.

Sports medicine, hand surgery, joint surgery, a small Wuling hospital, although it is small, it has all the five internal organs.

A fracture patient can obtain about 500-1000 skill points after manual reduction, which varies slightly depending on the complexity of the condition.

As a result, Fang Xian's skill points increased rapidly in a short period of time, plus the minimum living allowance he could receive every day through the new set of spells and new standards that he had destroyed before.

Fang Xian's skill point balance finally reached 501521.

Passed the 50 mark.

After a while, Fang Xian could finally take a look at what changes would happen if he added points to a level 5 skill.

This day is January 31, which is the end of January. We are about to turn over January and reach the New Year season, the seventeenth day of the twelfth lunar month.

After Fang Xian finished handling the regular fracture patients in the department and the patients admitted to the department by Chief Physician Huang Bohang and others, he hurried to his dormitory and silently completed the extra points.

Fang Xian decided to first add some skills that he could operate with permission. This would have three benefits.

The first is that you can operate it immediately, the second is that you can improve the quality of your treatment, and the third is that you can experience the level of skills higher than level 5.

Fang Xian naturally turned his attention to open reduction and internal fixation of fractures.

add a bit--

After 50 skill points were drained in an instant.

Fang Xian discovered that the skills on the panel had changed like this.

【骨折切开复位内固定术0/0、1/1、2/2……】

such a change.

When Fang Xian saw this, he was slightly startled.

???

Why did it become like this? It was completely different from what I had expected before?

Did you say level 6, or perfect?

However, when Fang Xian once again recalled the corresponding operations and treatment concepts about open reduction and internal fixation of fractures, in an instant, the corresponding torrent of knowledge surged out like a prehistoric beast.

At the same time, the corresponding skills on the panel began to undergo huge changes.

[Fracture open reduction and internal fixation level 5, manual reduction level 5, incision level 5, suturing level 5...]

[Fracture open reduction and internal fixation level 4, manual reduction level 4, incision level 4, suturing level 4...]

Wait for a series of skills to be listed.

At this moment, regarding the operation of open reduction and internal fixation of fractures, all things related to the operation seemed as if Fang Xian could arrange and combine any elements at will in an instant.

Then comes the last one.

[You can choose to forget about open reduction and internal fixation of fractures. 】

As soon as this prompt appeared, Fang Xian's breathing stopped temporarily.

As we all know, if a person wants to learn something, he can actually do it step by step, but if you want to deliberately forget something, it is basically impossible.

Moreover, the reason why a person becomes who he is at that time is closely related to his resume, choices, knowledge, and what he has learned.

In other words, every choice you make and every skill you learn will affect other aspects of you more or less deeply or shallowly, and this is impossible to reverse.

Once you learn, you cannot become absolutely simple, any more than ignorant.

Once you are engaged in this industry, some of the thinking patterns in this industry will definitely affect your thinking, your way of doing things, and your behavior patterns.

Once you realize the cruelty of society, you will not become aware that the world is full of good people and the world is harmonious.

Can it be forgotten?

Fang Xian first had an idea.Then Fang Xian discovered that in fact, this kind of forgetting seemed to mean that he could completely package and isolate the corresponding knowledge, cognition, etc., instead of completely forgetting and becoming incompetent.

It just means that it is as if my knowledge has become a skill frame. This skill frame can not affect and integrate other skill frames. I can simply abandon all thinking patterns, operating habits, etc. related to this skill, instead of The previous mixed state.

This is too strong!
50 skill points can be added to the number of skill points for 100 level 5 skills. It is indeed not easy.

After Fang Xian gained this understanding, Fang Xian hesitated for a moment and chose to send a message to his teacher Lin Hui.

The message was edited like this: "Teacher, does the understanding of level 6 skills mean that a doctor can completely control this skill and even abandon all the constraints brought by this skill, including the constraints of thinking?"

"Is this a perfect skill, or a level 6 skill?"

After editing the message, Lin Hui didn't reply immediately. He was probably undergoing surgery.

Fang Xian then continued to appreciate the benefits that this unknown skill might bring to him.

With an idea, Fang Xian suddenly found that his mind began to model one by one the existing or at least existing or defined types of fractures that have appeared or been defined in the real world, treatment methods, fixation models, etc. , and constantly interpreting relevant treatment plans in his mind.

It was as if Fang Xian could, in an instant, arbitrarily select any part of the human body and any type of fracture treatment method, and then repeat it with the most appropriate fixation method, the smoothest treatment, and the optimal surgical approach direction.

Moreover, it can also calculate alternatives and second-choice plans, which represents Fang Xian's complete understanding of this skill. Fang Xian can even point to the next step in the treatment of fractures.

For example, there are three development routes for current fracture treatment. The first is to rely on the development of manual reduction techniques and continue to target more fracture types and introduce more matching manual treatment routes to achieve good results.

This is called not opening the direction of surgery.

The second direction is to improve the material of the steel plate and develop a degradable steel plate. When the fracture is internally fixed, it will be given the strongest internal fixation state. After the fracture heals, the steel plate can be degraded and absorbed by the human body, thus making the periosteum more durable. Growth is most consistent with the original state of the human body.

The third direction is to classify many existing diseases into fractures. Fracture is the most basic subject of orthopedics, and it is also the most basic and entry-level diagnosis.

What does that mean?

That is, orthopedics is actually trauma surgery. Most orthopedic subspecialty diseases are basically caused by fractures caused by various reasons, so they have corresponding symptoms.

Therefore, the treatment of these diseases can be treated, and the treatment type of fractures will cover it!

For example, if there is a drug that can stimulate the growth of cartilage, most joint surgery diseases can be eliminated.

If the activities of bone tumors that break bones and cause microfractures can be restricted, then bone tumor specialists can also go to sleep...

Naturally, this is just the direction of progress, and it does not mean that Fang Xian can do it.

It turns out that with Ruyi-level skills, a surgical technique and an understanding of a disease can reach such an incredible state and level!
That night passed, and Lin Hui still didn't reply. He didn't know if he didn't see it or if it was something else.

But no matter what, Fang Xian still had to go to the ward the next day, and he still had to undergo surgery. He still had to lead the people in the department to perform several fracture surgeries for the purpose of teaching.

Director Huang Bohang and Director Qin Hongxuan have given face to each other and are now beginning to accept patients in the direction of the diseases they want to treat. They are willing to cooperate with them to develop the orthopedics department in the county hospital so that they can learn and treat more patients. Many diseases.

Fang Xian's attitude will not be too tough, and those who can teach will teach a little.

It's just that, when Fang Xian was doing open reduction and internal fixation of the fracture today, he always felt that there were a lot of treatment methods, and the internal fixation method was a bit too difficult to choose.

However, in the end, Fang Xian chose the relatively traditional intramedullary nail internal fixation via the suprapatellar approach for tibial fractures to treat the patient's disease.

However, during today's operation, although Fang Xian was still able to reduce the patient's fracture well before the operation, it was just that even after the reduction, the plaster external fixation failed to meet the fixation requirements, so surgical internal fixation was needed.

However, the reduction effect that Fang Xian achieved today is far better than before. This kind of reduction method can even reduce fractures that were originally estimated to be difficult to achieve the effect of plaster external fixation. trend.

Moreover, after Director Huang Bohang looked at it carefully, his thoughts became more intense: "Dr. Fang, take a closer look. After such reduction, it looks like the broken ends of the fracture have been closed."

"There are no unstable factors anymore?" Huang Bohang even shook the patient a few times after anesthesia and took a photo of the C-arm.

Then carefully observe the X-ray results, the alignment is still very good.

As a result, this type of fracture reduction, which is impossible to achieve in the current academic and professional fields, was restored by Fang Xian's manual reduction.

Is this a fracture type that cannot even be found in the literature?

"Dr. Fang, I think there is no need to continue the operation on this patient." Huang Bohang still insisted on his understanding and ideas.

The remaining people were all fully armed, wearing sterile surgical gowns and sterile gloves.

My eyes were focused on the X-ray screen, and my brain suddenly felt a little twitchy.

The current era is no different than many years ago. At that time, everyone did not know what their own level was or what the top level was, so everyone had their own opinions and perceptions.

But in today's era, whether it is indications or contraindications for surgery, every orthopedic surgeon will basically remember the corresponding indications and contraindications even more since they correspond to the proficiency of the operation.

So that I can reach that level, achieve that step, and be able to use my own technology to rehabilitate patients more beneficially, and then go to the medical society to prove my ability.

So even if they don't, it doesn't mean they don't know.

The indications and contraindications for surgery will not be announced to you until you have the corresponding abilities, but will be announced from the beginning.

This is not a technique for skill improvement, nor is it a level of operation and promotion routes for different proficiencies.

Fang Xian thought for a moment and said, "Director Huang, although we all think so, the Medical Association doesn't think so. If there is any problem after surgery, we can't explain it rationally."

"Let's get the surgery done for now."

“Expanding the indications for fracture reduction techniques will have to be discussed later.”

Under the strong intervention of the Medical Association, the Medical Association generally believes that it is impossible for anyone to perform an operation against the indications and contraindications of surgery, not even a professor, because this is a consensus formed by the professors. Corresponding to the maximum limit of different proficiency levels.

How dare Fang Xian make a mistake?

"What a pity." Huang Bohang sighed in front of the display panel.

The more rigid the rules are, the more restrictive they are!And cannot disobey.

(End of this chapter)