Gou in the operating room to add some upgrades
Chapter 241: Hometown raided
Chapter 241: Hometown raided
The surgery still has to continue.
However, the subsequent surgical operations seemed extremely simple, as if they were programmed.
Therefore, there is no need for Fang Xian to help.
Huang Bohang and Chen Fangqian completed a standard intramedullary nail internal fixation with three strokes, five strokes and two strokes. After the suturing was completed, when the fluoroscopy was performed again, the previous fracture reduction was still the same.
This is an operation of extremely high quality. No matter where it is performed, no colleagues would dare to gossip about it.
But even so, Huang Bohang and others still felt regretful. Huang Bohang sighed: "What a pity."
If this patient did not undergo internal fixation, he would be out of the ordinary and would be even more shocking.But even before the formal internal fixation, no one dared to talk directly about not having internal fixation.
Because the preoperative fracture classification is expressly prohibited by the Medical Association, the indications for surgery, and the absolute contraindications for manual reduction. With such a fracture classification, you should not think about manual reduction.
However, from a professional perspective, in such a reduction situation, external fixation with plaster can actually be used to achieve a fixed effect.
Fang Xian smiled and asked, "Director Huang, even if the operation is over, the next one is for muscle reconstruction. Director Huang, do you want to give it a try?"
Muscle reconstruction surgery, to a certain extent, is within the scope of the orthopedic subspecialty of hand surgery.
However, although trauma surgery and hand surgery are separated within the Department of Orthopedics, they are not separated within the scope of recognition by the Medical Association, and the separation is not so detailed.
Huang Bohang quickly shook his head: "Dr. Fang, you have to do this kind of surgery."
"I'm afraid that the reconstruction effect won't be that good by then." Huang Bohang didn't dare to make mistakes.
"If it's not that good, it's not that good. What are you afraid of? Just be able to do it." Fang Xian joked.
In fact, it also implies that we are not amateurs. Fang Ziye knows exactly what level Huang Bohang's basic skills are. Level 3 sutures may not be comparable to the hand surgery standards of Shonan University Affiliated Hospital employees.
However, it is more than adequate when compared with the hand surgery staff standards of prefecture-level municipal hospitals.
In trauma surgery, during emergency debridement and suturing, there will also be corresponding muscle and tendon suturing, and Huang Bohang can definitely get it.
Chen Fangqian, Du Lixiao and others were disinfecting and draping, while Zhou Xiyin was assisting. Ning Han was on duty in the department. Only Fang Xian and Huang Bohang were sitting under the timing panel in the operating room.
Fang Xian lowered his voice and said, "Director Huang, even if you become the director of a prefecture-level city hospital, there are different levels of skill. If you only meet the basic requirements to get in, and if you are more proficient in some surgical techniques, the treatment will be completely different. .”
"what do you think?"
Huang Bohang was thoughtful and his old face turned red.
It's not really a shame that Fang Xian saw such thoughts, it's just that he is old after all.
"Then I'll give it a try. Doctor Fang, can you give me some guidance then?"
"Oh, by the way, Doctor Fang, how are Zhou Xiyin's basic skills?" Huang Bohang suddenly asked on the spur of the moment.
Hearing this, Fang Xian looked at Zhou Xiyin who was busy and happy, and said, "Doctor Zhou, her basic skills are very good."
With Zhou Xiyin's basic skills, there is no problem in beating the directors of ordinary prefecture-level municipal hospitals.As long as they have level 5 skills, most people can beat them.
Zhou Xiyin's manual reset technique actually has a level 5 level, which Fang Xian had never thought of before.
Also, if he had known about it earlier, Fang Xian would not have gone to a lot of trouble to participate in the Central China Division Graduate Skills Competition for Zhou Xiyin.
At this moment, Fang Xian's phone rang suddenly.
Fang Xian took it and saw that it was his teacher, Lin Hui, calling.
"Is the message you sent me true or false? Don't try to lie to people. It's not easy to lie to people about something like this." As soon as Fang Xian answered the call, Lin Hui's tone on the other end of the phone changed. rapid.
"Master, I'm not sure either. That's why I want to ask you." Fang Xian replied.
Lin Hui paused for about a minute before asking: "Have you ever done it in practice?"
"I did it once today. It's a little different from before." Fang Xian thought for a while before answering more objectively.
"You start two things right away."
"The first thing is to write a clinical research plan."
"The second thing is to report it to the Hunan Medical Association and let them know about it."
"For the rest, wait for notification." Lin Hui warned Fang Xian again in a brief tone.
"Okay, Master."
"I don't need to go back to Shashi?" Fang Xian asked back.
"Why are you coming back? Do your own thing first and raise your professional title as soon as possible. That's the serious thing."
"Otherwise, no matter how much you get and you can't use it, it won't help."
……
Huang Bohang could only hear half of Fang Xian's conversation on the phone.
"Teacher Fang, is this the call from Director Lin?" Huang Bohang knew that Fang Xian's teacher was Lin Hui, and Lin Hui was still a good friend with the former Director Qiu Chengyuan of Zhang Municipal People's Hospital.
"Well, my master called and asked me for something." Fang Xian did not tell Huang Bohang what happened to him.
This is not necessary. Regardless of the level of his current fracture reduction technique, it has nothing to do with Huang Bohang.
"..."
Fang Xianlai was still the surgeon, but the person who performed the surgery was still Director Huang Bohang.
Muscle suture reconstruction is a procedure that requires frequent anatomical reconstruction after the muscles in key parts have atrophied and contracted. It is very important for patients to restore corresponding functions. In fact, it is also an integral part of the reconstruction concept.
And this kind of surgery is not difficult at all under Fang Xian's level 5 tendon suturing technique.
However, after this surgery, Fang Xian once again realized that there is such a big difference between level 5 skills and level 5 skills, whether in terms of operation, cognition, or even effects.
Fang Xian didn't know if it was a perfect level skill, but he definitely knew that such an ability could at least compete with the world's top operating techniques.
Although level 5 skills are rare, there are dozens of them in every country, some are forty or fifty, some are twenty or thirty, there are always some.
But for level 6 skills, not many in the world are recognized by the Medical Association. It represents the absolute pinnacle, the perfection in this world.
The gold content is invincible.
……
After today's operation, Zhou Xiyin was immediately outside the hospital, waiting for Fang Xian.
Because Zhou Xiyin's own proficiency in manual reduction techniques and her level of knowledge are also unusual, she could probably tell that the manual reduction techniques performed by Fang Xian today were beyond her own level and knowledge. .
However, Zhou Xiyin is Zhou Cheng's adopted daughter. Although she is not her biological daughter, Zhou Xiyin also knows that her father has said before that in the next few decades, if there are no accidents.
It is impossible for anyone to make any more achievements in the manual reduction of fractures.
At that time, Zhou Xiyin still remembered that her mother asked, "How dare you be so confident?"
"That's how confident I am."
But he never expected that less than ten years later, Zhou Xiyin would see that the highest level of manual reduction of fractures might be about to be redefined!
"Xiyin, what are you doing here?" Fang Xian asked as he walked toward the dormitory and found Zhou Xiyin, who had left the operating room early, waiting at the entrance of the hospital.Zhou Xiyin immediately walked side by side with Fang Xian and tilted his head slightly: "Brother, the reset technique you performed today is abnormal, right?"
"Why is it abnormal?" Fang Xian glanced at Zhou Xiyin, his expression unchanged.
"Beyond the ordinary, beyond ordinary people's cognition, it is called abnormal."
"Today's fracture can definitely be fixed without internal fixation. It's just the definition of the Medical Association that limits your performance, Senior Brother Fang."
"Or in other words, it is Professor Zhou's definition of fracture reduction techniques that limits your performance, Senior Brother Fang, right?" Zhou Xiyin is an understanding person.
As a trauma center person, remembering the indications and contraindications for surgery is the most basic skill.
Remembering the corresponding indications and contraindications is something that every doctor who is determined to develop in trauma surgery must do.
Manual reduction is the first skill defined by his father, Professor Zhou.
It is also a skill that has been used for nearly 20 years and has never been shaken by anyone. But now, there are limitations and it has become a point to suppress other people's skills.
This is equivalent to Professor Zhou's hometown being raided.
How could Zhou Xiyin accept it for a moment?
In Zhou Xiyin's eyes, the more sensible he is, the more he will realize that his father, Professor Zhou, exists like a "god".
"That can't be said. Maybe it's because our knowledge is limited?" Fang Xian was a little modest.
"However, the standard for broadening the indications for manual reduction is that the fracture can be shifted and aligned through manual reduction, the offset disappears, the broken end is fixed reliably, and the plaster external fixation can be evaluated to meet the fixation standard."
"Manual reduction is the preferred method for fracture treatment. As long as manual reduction can achieve reduction and fixation, it can be used in clinical practice!"
"This cannot be faked."
"The treatment principles of orthopedics have been formulated for so many years and are still used." Zhou Xiyin is naturally not a little girl who is easy to fool. Even if it involves overturning her father's theory, she still insists on asking.
"It's possible, right? Xiyin, do you want to file a complaint against Professor Zhou?" Fang Xian made a joke.
To be honest, as long as you are a medical student, some people want to be like Professor Zhou Cheng.
The more ambitious thing is to knock him down.
But if you want to take down a great professor like Professor Zhou Cheng, even if it is only one of the points, you must provide evidence.
It's like if you, an ordinary undergraduate, want to correct an article published by a team of academicians that it is wrong, then you have to provide sufficient evidence, otherwise you will be incompetent and barking.
Without absolute evidence, it was impossible for Fang Xian to make a noise.
Because such clamor will only make you look like a clown.
But Fang Xian knew how to obtain the evidence and had to do it step by step. Fang Xian also followed Professor Xu Fengnian through this process, redefining the peak of a mature skill.
This is a beautiful process!
Zhou Xiyin shook his head, with a different kind of light in his eyes: "I won't complain, but I will tell you."
"Senior Brother Fang, you are so awesome!"
Although there is only one word difference between complaining and informing, they are very different.
"Then do you think Professor Zhou will be angry?" Fang Xian asked again.
Now I am just a little person.If Fang Xian was a big shot, overturning the highest skill standard set by a professor for many years, he might feel a little upset in his heart.
"Certainly not."
"My father will definitely be very happy, senior brother." Zhou Xiyin shook his head.
"Because my father always dreamed that someone could surpass him."
"Ah?" Fang Xian turned around in confusion.
"What?"
Zhou Xiyin shook his head.
"do not know."
"But one thing I know is that no matter what kind of new technology appears in this world, as long as my father is willing to learn it, he can do it better than others. I don't know why."
Fang Xian was suddenly shocked.
This Nima!
As long as a new technology appears, Professor Zhou can do it better than others as long as he is willing to learn it. What kind of talent is this?Is this a monster?
Fang Xian is really incomprehensible.
Could it be said that Professor Zhou can also learn this thing he added?
The two walked and chatted, and then returned to their dormitories.
……
Fang Xian was in his dormitory. After first sending an email to the official website of the Hunan Medical Association, he was still hesitating about how to write a project bid.
His uncle called him.
"Xianzizi? I heard that you killed Lao Zhou?" Fang Yun's tone seemed to have changed with that of Yang Yifeng in an instant, and he was extremely excited.
"Uncle Yun, why do you ask that? I don't have it." Fang Xian didn't dare to admit it.
Killing Professor Zhou was too cruel.It's so permeable.
"Lin Hui called me and told me."
"If that's the case, that would be great! I'm looking forward to seeing Professor Zhou." There seemed to be some surprise hidden in Fang Yun's words.
"Uncle Yun, where are you now?"
"Me, I work as an outpatient in a clinic. Just stay here, build up your resume, and then perform a few standard surgeries in a serious manner as soon as possible."
"Otherwise, you are too young and not qualified enough." Fang Yun explained.
"Stop talking, I want to make a phone call to greet you, Senior Brother Zhou." Fang Yun said with high emotion.
Then actively hung up the phone.
Fang Xian, on the other hand, was looking at the page on his phone, thoughtfully.
No, Professor Yang Yifeng wanted to overthrow Professor Zhou. That was Professor Yang's personality. Why did his Uncle Yun seem to have changed into a different person in an instant? Could it be that he wanted to do the same?
Fang Xian couldn't understand.
If you don't understand something, think about it first. Anyway, Fang Xian knows that his current reset technique is already very good, but it will take time to prove how good it will be.
Perhaps, only you can prove it.
The place for this proof may be the People's Hospital of a county like Cixian County, because there are many fracture patients here and there happens to be a lot of clinical material.
(End of this chapter)
The surgery still has to continue.
However, the subsequent surgical operations seemed extremely simple, as if they were programmed.
Therefore, there is no need for Fang Xian to help.
Huang Bohang and Chen Fangqian completed a standard intramedullary nail internal fixation with three strokes, five strokes and two strokes. After the suturing was completed, when the fluoroscopy was performed again, the previous fracture reduction was still the same.
This is an operation of extremely high quality. No matter where it is performed, no colleagues would dare to gossip about it.
But even so, Huang Bohang and others still felt regretful. Huang Bohang sighed: "What a pity."
If this patient did not undergo internal fixation, he would be out of the ordinary and would be even more shocking.But even before the formal internal fixation, no one dared to talk directly about not having internal fixation.
Because the preoperative fracture classification is expressly prohibited by the Medical Association, the indications for surgery, and the absolute contraindications for manual reduction. With such a fracture classification, you should not think about manual reduction.
However, from a professional perspective, in such a reduction situation, external fixation with plaster can actually be used to achieve a fixed effect.
Fang Xian smiled and asked, "Director Huang, even if the operation is over, the next one is for muscle reconstruction. Director Huang, do you want to give it a try?"
Muscle reconstruction surgery, to a certain extent, is within the scope of the orthopedic subspecialty of hand surgery.
However, although trauma surgery and hand surgery are separated within the Department of Orthopedics, they are not separated within the scope of recognition by the Medical Association, and the separation is not so detailed.
Huang Bohang quickly shook his head: "Dr. Fang, you have to do this kind of surgery."
"I'm afraid that the reconstruction effect won't be that good by then." Huang Bohang didn't dare to make mistakes.
"If it's not that good, it's not that good. What are you afraid of? Just be able to do it." Fang Xian joked.
In fact, it also implies that we are not amateurs. Fang Ziye knows exactly what level Huang Bohang's basic skills are. Level 3 sutures may not be comparable to the hand surgery standards of Shonan University Affiliated Hospital employees.
However, it is more than adequate when compared with the hand surgery staff standards of prefecture-level municipal hospitals.
In trauma surgery, during emergency debridement and suturing, there will also be corresponding muscle and tendon suturing, and Huang Bohang can definitely get it.
Chen Fangqian, Du Lixiao and others were disinfecting and draping, while Zhou Xiyin was assisting. Ning Han was on duty in the department. Only Fang Xian and Huang Bohang were sitting under the timing panel in the operating room.
Fang Xian lowered his voice and said, "Director Huang, even if you become the director of a prefecture-level city hospital, there are different levels of skill. If you only meet the basic requirements to get in, and if you are more proficient in some surgical techniques, the treatment will be completely different. .”
"what do you think?"
Huang Bohang was thoughtful and his old face turned red.
It's not really a shame that Fang Xian saw such thoughts, it's just that he is old after all.
"Then I'll give it a try. Doctor Fang, can you give me some guidance then?"
"Oh, by the way, Doctor Fang, how are Zhou Xiyin's basic skills?" Huang Bohang suddenly asked on the spur of the moment.
Hearing this, Fang Xian looked at Zhou Xiyin who was busy and happy, and said, "Doctor Zhou, her basic skills are very good."
With Zhou Xiyin's basic skills, there is no problem in beating the directors of ordinary prefecture-level municipal hospitals.As long as they have level 5 skills, most people can beat them.
Zhou Xiyin's manual reset technique actually has a level 5 level, which Fang Xian had never thought of before.
Also, if he had known about it earlier, Fang Xian would not have gone to a lot of trouble to participate in the Central China Division Graduate Skills Competition for Zhou Xiyin.
At this moment, Fang Xian's phone rang suddenly.
Fang Xian took it and saw that it was his teacher, Lin Hui, calling.
"Is the message you sent me true or false? Don't try to lie to people. It's not easy to lie to people about something like this." As soon as Fang Xian answered the call, Lin Hui's tone on the other end of the phone changed. rapid.
"Master, I'm not sure either. That's why I want to ask you." Fang Xian replied.
Lin Hui paused for about a minute before asking: "Have you ever done it in practice?"
"I did it once today. It's a little different from before." Fang Xian thought for a while before answering more objectively.
"You start two things right away."
"The first thing is to write a clinical research plan."
"The second thing is to report it to the Hunan Medical Association and let them know about it."
"For the rest, wait for notification." Lin Hui warned Fang Xian again in a brief tone.
"Okay, Master."
"I don't need to go back to Shashi?" Fang Xian asked back.
"Why are you coming back? Do your own thing first and raise your professional title as soon as possible. That's the serious thing."
"Otherwise, no matter how much you get and you can't use it, it won't help."
……
Huang Bohang could only hear half of Fang Xian's conversation on the phone.
"Teacher Fang, is this the call from Director Lin?" Huang Bohang knew that Fang Xian's teacher was Lin Hui, and Lin Hui was still a good friend with the former Director Qiu Chengyuan of Zhang Municipal People's Hospital.
"Well, my master called and asked me for something." Fang Xian did not tell Huang Bohang what happened to him.
This is not necessary. Regardless of the level of his current fracture reduction technique, it has nothing to do with Huang Bohang.
"..."
Fang Xianlai was still the surgeon, but the person who performed the surgery was still Director Huang Bohang.
Muscle suture reconstruction is a procedure that requires frequent anatomical reconstruction after the muscles in key parts have atrophied and contracted. It is very important for patients to restore corresponding functions. In fact, it is also an integral part of the reconstruction concept.
And this kind of surgery is not difficult at all under Fang Xian's level 5 tendon suturing technique.
However, after this surgery, Fang Xian once again realized that there is such a big difference between level 5 skills and level 5 skills, whether in terms of operation, cognition, or even effects.
Fang Xian didn't know if it was a perfect level skill, but he definitely knew that such an ability could at least compete with the world's top operating techniques.
Although level 5 skills are rare, there are dozens of them in every country, some are forty or fifty, some are twenty or thirty, there are always some.
But for level 6 skills, not many in the world are recognized by the Medical Association. It represents the absolute pinnacle, the perfection in this world.
The gold content is invincible.
……
After today's operation, Zhou Xiyin was immediately outside the hospital, waiting for Fang Xian.
Because Zhou Xiyin's own proficiency in manual reduction techniques and her level of knowledge are also unusual, she could probably tell that the manual reduction techniques performed by Fang Xian today were beyond her own level and knowledge. .
However, Zhou Xiyin is Zhou Cheng's adopted daughter. Although she is not her biological daughter, Zhou Xiyin also knows that her father has said before that in the next few decades, if there are no accidents.
It is impossible for anyone to make any more achievements in the manual reduction of fractures.
At that time, Zhou Xiyin still remembered that her mother asked, "How dare you be so confident?"
"That's how confident I am."
But he never expected that less than ten years later, Zhou Xiyin would see that the highest level of manual reduction of fractures might be about to be redefined!
"Xiyin, what are you doing here?" Fang Xian asked as he walked toward the dormitory and found Zhou Xiyin, who had left the operating room early, waiting at the entrance of the hospital.Zhou Xiyin immediately walked side by side with Fang Xian and tilted his head slightly: "Brother, the reset technique you performed today is abnormal, right?"
"Why is it abnormal?" Fang Xian glanced at Zhou Xiyin, his expression unchanged.
"Beyond the ordinary, beyond ordinary people's cognition, it is called abnormal."
"Today's fracture can definitely be fixed without internal fixation. It's just the definition of the Medical Association that limits your performance, Senior Brother Fang."
"Or in other words, it is Professor Zhou's definition of fracture reduction techniques that limits your performance, Senior Brother Fang, right?" Zhou Xiyin is an understanding person.
As a trauma center person, remembering the indications and contraindications for surgery is the most basic skill.
Remembering the corresponding indications and contraindications is something that every doctor who is determined to develop in trauma surgery must do.
Manual reduction is the first skill defined by his father, Professor Zhou.
It is also a skill that has been used for nearly 20 years and has never been shaken by anyone. But now, there are limitations and it has become a point to suppress other people's skills.
This is equivalent to Professor Zhou's hometown being raided.
How could Zhou Xiyin accept it for a moment?
In Zhou Xiyin's eyes, the more sensible he is, the more he will realize that his father, Professor Zhou, exists like a "god".
"That can't be said. Maybe it's because our knowledge is limited?" Fang Xian was a little modest.
"However, the standard for broadening the indications for manual reduction is that the fracture can be shifted and aligned through manual reduction, the offset disappears, the broken end is fixed reliably, and the plaster external fixation can be evaluated to meet the fixation standard."
"Manual reduction is the preferred method for fracture treatment. As long as manual reduction can achieve reduction and fixation, it can be used in clinical practice!"
"This cannot be faked."
"The treatment principles of orthopedics have been formulated for so many years and are still used." Zhou Xiyin is naturally not a little girl who is easy to fool. Even if it involves overturning her father's theory, she still insists on asking.
"It's possible, right? Xiyin, do you want to file a complaint against Professor Zhou?" Fang Xian made a joke.
To be honest, as long as you are a medical student, some people want to be like Professor Zhou Cheng.
The more ambitious thing is to knock him down.
But if you want to take down a great professor like Professor Zhou Cheng, even if it is only one of the points, you must provide evidence.
It's like if you, an ordinary undergraduate, want to correct an article published by a team of academicians that it is wrong, then you have to provide sufficient evidence, otherwise you will be incompetent and barking.
Without absolute evidence, it was impossible for Fang Xian to make a noise.
Because such clamor will only make you look like a clown.
But Fang Xian knew how to obtain the evidence and had to do it step by step. Fang Xian also followed Professor Xu Fengnian through this process, redefining the peak of a mature skill.
This is a beautiful process!
Zhou Xiyin shook his head, with a different kind of light in his eyes: "I won't complain, but I will tell you."
"Senior Brother Fang, you are so awesome!"
Although there is only one word difference between complaining and informing, they are very different.
"Then do you think Professor Zhou will be angry?" Fang Xian asked again.
Now I am just a little person.If Fang Xian was a big shot, overturning the highest skill standard set by a professor for many years, he might feel a little upset in his heart.
"Certainly not."
"My father will definitely be very happy, senior brother." Zhou Xiyin shook his head.
"Because my father always dreamed that someone could surpass him."
"Ah?" Fang Xian turned around in confusion.
"What?"
Zhou Xiyin shook his head.
"do not know."
"But one thing I know is that no matter what kind of new technology appears in this world, as long as my father is willing to learn it, he can do it better than others. I don't know why."
Fang Xian was suddenly shocked.
This Nima!
As long as a new technology appears, Professor Zhou can do it better than others as long as he is willing to learn it. What kind of talent is this?Is this a monster?
Fang Xian is really incomprehensible.
Could it be said that Professor Zhou can also learn this thing he added?
The two walked and chatted, and then returned to their dormitories.
……
Fang Xian was in his dormitory. After first sending an email to the official website of the Hunan Medical Association, he was still hesitating about how to write a project bid.
His uncle called him.
"Xianzizi? I heard that you killed Lao Zhou?" Fang Yun's tone seemed to have changed with that of Yang Yifeng in an instant, and he was extremely excited.
"Uncle Yun, why do you ask that? I don't have it." Fang Xian didn't dare to admit it.
Killing Professor Zhou was too cruel.It's so permeable.
"Lin Hui called me and told me."
"If that's the case, that would be great! I'm looking forward to seeing Professor Zhou." There seemed to be some surprise hidden in Fang Yun's words.
"Uncle Yun, where are you now?"
"Me, I work as an outpatient in a clinic. Just stay here, build up your resume, and then perform a few standard surgeries in a serious manner as soon as possible."
"Otherwise, you are too young and not qualified enough." Fang Yun explained.
"Stop talking, I want to make a phone call to greet you, Senior Brother Zhou." Fang Yun said with high emotion.
Then actively hung up the phone.
Fang Xian, on the other hand, was looking at the page on his phone, thoughtfully.
No, Professor Yang Yifeng wanted to overthrow Professor Zhou. That was Professor Yang's personality. Why did his Uncle Yun seem to have changed into a different person in an instant? Could it be that he wanted to do the same?
Fang Xian couldn't understand.
If you don't understand something, think about it first. Anyway, Fang Xian knows that his current reset technique is already very good, but it will take time to prove how good it will be.
Perhaps, only you can prove it.
The place for this proof may be the People's Hospital of a county like Cixian County, because there are many fracture patients here and there happens to be a lot of clinical material.
(End of this chapter)
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