Gou in the operating room to add some upgrades

Chapter 246 Progress (for Subscription)

Fang Xian originally thought that operating an operating system would be a boring thing.

However, Fang Xian discovered that while he slowly adjusted the parameters, this original 'idiot's reset operating system' completed the simplest reduction of the first case of mid-tibial fracture. This sense of accomplishment was greater than his first case. Once you complete it, you will still be happy.

Looking at the patient lying on the operating bed, the calf deformity of the right lower limb has disappeared, and the pain has been relieved a lot. He also said: "Doctor, this device is really amazing, it doesn't hurt much anymore."

"Can I get up now?"

Fang Xian hurriedly said: "No, no, no, no, first, you continue to lie down, and then you can get up again after we have finished shaping the cast."

"Then I'll take a plain X-ray review. The reduction effect should be satisfactory."

"Hey, okay, Doctor Fang, thank you."

"Hey, the technology is getting more and more high-end now, but Dr. Fang, your technology is good, and with such good machine assistance, you will definitely be able to treat one or two hundred patients a day, and it won't be a problem." Patient Such reply.

Now, although it has only been a month since Fang Xian came to Ci County, Fang Xian's reputation for treating fractures in Ci County has already become quite widespread.

Because Fang Xian had relatively properly handled the fracture of a comrade from the traffic police team some time ago, the current situation is that whenever there is a traffic accident related to a fracture in the county, the traffic police usually first choose 120 or the driver of a private car to handle the accident. The patient was sent to Ci County People's Hospital.

"That doesn't exist. I hope there are no patients." Fang Xian smiled, then took the initiative to help, and together with Zhou Xiyin completed the plaster external fixation.

After the plaster shaping was completed, the patient was pushed out of the operating room door by Fang Xian and Zhou Xiyin, and his family members quickly came forward to ask how he was doing.

Before Fang Xian could reply, the patient himself said: "It's okay, it hurts a little bit, but it's much better than when I first entered the hospital. After all, Dr. Fang's skills are very high."

"Don't you mean using a machine?"

"You also have to check who is using the machine. If Dr. Fang operates the machine himself, will it be ineffective?" The patient was very satisfied with the treatment effect and actively advised his wife to stop asking.

"Sister, please go and take your brother for an X-ray review first. We will evaluate it again, carefully and safely. We must do a good reset before going home. Don't worry about this." Fang Xian emphasized.

If there is any problem with the idiot's reset system, Fang Xian will deal with it again. Ensuring the quality of the reset technique is the first prerequisite.

"Okay, thank you Dr. Fang. Let's go for a review first and then come back to you." The eldest sister was very happy.

Ordinary people will feel that they are in big trouble when they encounter a fracture.However, the treatment effect of fractures can be achieved without any surgery, which is the most satisfactory.

Surgery is not a good thing or a good service, so there will be no rush to get it.

Just after the patient and family members left, Luo Huang, who was in charge of data registration, appeared and asked: "Dr. Fang, what was the result of the patient's surgical reset today? Did it still fail?"

Luo Huang is only responsible for registering objective data and counting the number of failures and types of failures.

It does not participate in the evaluation of technical parameters or the supervision of the diagnosis and treatment process.

Must be objective, which is the first principle for all projects.Moreover, if this reset operation auxiliary system is to be applied in clinical practice, the final step is not for Fang Xianlai to actively operate it, but for any orthopedic surgeon of his choice to be able to operate it. This is a mature auxiliary system.

Therefore, whether it is successful data or failed data, it needs to be recorded in detail one by one.

"It is considered a success, but the specific results still have to be based on the results of the X-ray review. This is already the seventh reduction of a simple fracture type."

"The learning ability of this auxiliary reset system is still not strong enough, and the parameters need further adjustment!"

"Well, artificial intelligence learning always requires a process."

"Especially for this form of intelligent assistance, one must not be careless at all. Any deviation may lead to serious consequences."

"But everything is difficult at the beginning. Doctor Fang, please take care of yourself." Luo Huang said in a very polite tone to Fang Xian.

After the patient returned from the review, Luo Huang and other staff members who were only responsible for registering the data stayed away again.

Fang Xian and Zhou Xiyin squatted in front of the computer and carefully evaluated the patient's post-reduction condition.

The main evaluation indicators are the misalignment of the fracture ends, whether there is angulation, inlay, shortening, etc.

After Fang Xian used the measuring tools on the radiography system to mark the width of the fracture line one by one, he said to Zhou Xiyin: "Xiyin, please remember, the distance between the proximal and distal ends of the fracture is 0.8mm. The offset at the end is 2mm, and there is basically no offset in the line of force. The side direction..."

Zhou Xiyin quickly recorded all these data in his notebook one by one, even more attentively than Fang Xian.

After analyzing all the data one by one, Fang Xian said: "This method resets the operating system. There are still several problems in the current reset process."

"The first one is that it cannot pull forcefully along the direction of the force line accurately, and there is a certain deviation. Therefore, there will be a deviation during the period when the fracture ends are completely separated due to continuous traction."

"Second, it cannot appropriately increase the initial traction force according to the patient's body shape, which will make the traction process a little longer. Although the traction process will not cause stress symptoms such as pain in the patient, it will relieve pain, but it will increase the length of the operation. , increasing the chance of damage caused by skin being squeezed.”

"Third, it does not control the reset angle accurately enough after complete traction. In its display field of view, it focuses too much on the restoration of lines, and occasionally ignores the alignment of the broken ends, so it can only achieve the function The standard of reduction cannot meet the standard of anatomical reduction.”

"Fourth, its current traction force is completely concentrated on the bones, and the patient's own muscle strength cannot be used. This is difficult to overcome. The reason why our medical staff can perform the reduction technique so delicately is actually good for The patient's own muscle strength and muscle deformation are used very cleverly..."

Zhou Xiyin was writing down everything in his notebook at the moment.

Every time you complete it, you have to record it in this way so that you can evaluate its progress.

Zhou Xiyin finished writing and then turned a page: "Brother, what do you think should be done to adjust it if it wants to overcome the above limitations?"

"The last one cannot be adjusted for the time being. The delicate use of muscle strength requires the individual to be very familiar with the anatomy and is not fixed. Therefore, I think the upper limit of manual reduction that this manual reduction system can achieve is Level 2 does not reach the level of level 3 manual reduction surgery.”

"But level 2 manual reduction can already deal with most common fractures."

While they were talking, Du Lixiao, who was on duty, walked in. Seeing that Fang Xian and Zhou Xiyin were busy, he smiled and asked, "Doctor Fang, Doctor Zhou, do you want some lunch?"

In today's trauma surgery, the emergencies that basically need to be dealt with are trauma. Patients with fractures basically don't need to be treated by doctors on duty like Du Lixiao.

And if it is a patient with a fracture who needs surgery, he will still be admitted to the hospital, but that will be Huang Bohang's job.

"Brother Xiao, let's go out to eat later." "Would you like to pack some for Brother Xiao later?" Fang Xian asked with a smile.

"Are you going out to eat? There's no need to pack it. It's too much trouble. I'll just order a lunch box." Du Lixiao shook his head.

"Dr. Fang, you and Dr. Zhou are busy first. I'm going to lie down and take a rest." Du Lixiao smiled, then left the office and headed towards the doctor's lounge.

After Du Lixiao left, Zhou Xiyin turned around and said, "Senior Brother Fang, have you noticed that since we started doing the topic of manual resetting of the auxiliary operating system, Dr. Du Lixiao and Dr. Chen Fangqian have gradually become alienated from us."

"Except for doing surgeries together in the operating room, we stay away from each other at other times."

Fang Xian nodded: "Maybe they have their own ideas and concerns."

Zhou Xiyin sighed and said: "Actually, they can also participate. But if you think about it carefully, it seems that after Dr. Du and Dr. Chen participate, it will not be of great benefit to them."

"It just seems that we are a little out of touch with the people in the department."

Zhou Xiyin can feel it, why can't Fang Xian feel it?
However, Fang Xian felt that maybe he and Zhou Xiyin had not integrated into it.

That's the most important thing.

"..."

Time soon came to February [-]th.

It has been more than a month since Fang Xian came to Ci County People's Hospital.

In the director's office, Huang Bohang sat in the director's seat. Next to him, there was a doctor who was similar in age to him, but his complexion was darker.

He had a simple face and thick lips. He cupped his hands slightly and said, "Dr. Fang, I have long heard that you came to the County People's Hospital for counterpart support, but I never had the chance to come for advice."

"I wonder if Dr. Fang can take some free time to come to the hospital in our town and perform a few operations? He can treat our problems just in time."

After he finished speaking, Huang Bohang introduced: "Dr. Fang, this is Dr. Ma. He is a surgeon in the town hospital and a friend of mine for many years."

"Actually, Dr. Ma had been thinking about coming to visit Dr. Fang before you came, but the time was never right. No, now he is here. He said that he has several difficult and complicated diseases, and he hopes Dr. Fang can help. Deal with it.”

While Huang Bohang was speaking, he brought tea to Fang Xian with both hands.

Fang Xian quickly stood up and picked it up: "Director Huang, you are too polite. I can just do it myself."

"Dr. Ma, I don't know what the intractable disease you are talking about is?"

"I can't say whether I can help." Fang Xian didn't dare to be careless.

Diseases can be big or small, and the difficulty factor is difficult to control. Fang Xian is not invincible, although some diseases can be improved by adding points to increase the proficiency of the corresponding treatment techniques.

But Fang Xian's current skill point reserves are not sufficient.

Compared with the previous hundreds of thousands, it is really pitiful now.

"That's it, Dr. Fang..." Dr. Ma didn't put Fang Xian in trouble and just talked about a few patients in his department.

They are all infected patients, and they never get better after infection surgery.

There are even some patients who have been transferred to Zhang Municipal People's Hospital many times but still have no control. The patients and their families just want to stay in the town hospital, saying that the town hospital failed to cure them.

Now that we are in a semi-wrangling state, the hospital's intention is to treat first and proceed with the medical procedures slowly.

Fang Xian frowned when he heard this: "Dr. Ma, for such a disease, should you recommend that they go to the province for treatment?"

"It's useless for me to go here. I'm not an infectious disease surgeon."

Fang Xian would never dare to get involved in a medical dispute, lest the yellow mud fall into his crotch and he would be confused.

If you don't get involved, they will never rely on you, but once you get involved, you won't be able to get rid of them, and that's trouble.

"The patient refuses to go on his own. His family doesn't have much money in the first place, so now he's acting like a rogue." Dr. Ma was quite honest and explained everything clearly.

Fang Xian was even more afraid to go.

"Dr. Ma, I think it is better to see a specialist doctor for specialist diseases. Since it is a post-surgical infection, it is more appropriate to see a doctor from the Department of Infectious Diseases." Fang Xian said apologetically. .

Doctor Ma didn't know how to answer the call for a while.

Huang Bohang said: "Dr. Ma, how about this? You suggest that the patient be transferred to our department first and have Dr. Fang take a look. If it doesn't work, we can continue to transfer the patient."

"Dr. Fang is currently a doctor for counterpart assistance. It is not appropriate to change his practice location. It is not appropriate to go to the town hospital."

"Dr. Fang, did you say that?"

Fang Xian saw that Huang Bohang's tone and eyes were quite sincere, and then he nodded: "If a patient comes to our trauma surgery department for treatment, he must try his best to take a look. After all, our hospital does not have an infection surgery department. "

At Cixian People's Hospital, the trauma surgery department is the infection surgery department.

When you come here, if you have incurable diseases, it's okay to help solve them, but it's absolutely impossible to violate the regulations and go to the town hospital to help solve them.

"Then thank you Dr. Fang. I believe that Dr. Fang's skills can definitely solve the problem. After all, you are an expert and professor at the Shonan University Affiliated Hospital." Dr. Ma grinned.

Fang Xian thought about it carefully and found no procedural problems: "Dr. Ma, you are too praiseworthy. If the patient is willing to transfer, he can come to the county hospital and try it."

"But it may not be effective. After all, I am not a professional doctor."

Dr. Ma quickly said: "Doctor Fang, you just have to do your best. If there is really nothing we can do, then we will definitely think of another way."

(End of this chapter)