Gou in the operating room to add some upgrades
Chapter 247 The normal life of a counterpart support doctor
Chapter 247 The normal life of a counterpart support doctor (please subscribe)
After Dr. Ma agreed with Fang Xian, he left very happily.
After Dr. Ma left, Huang Bohang said relatively honestly: "Dr. Fang, the infection situation of the patients hospitalized by Dr. Ma and his colleagues is quite difficult."
"Even if you turn around by then, you still have to be careful when talking."
In Huang Bohang's eyes, Fang Xian seemed to be a restless element.
But now, in the process of getting along with Fang Xian, Huang Bohang no longer had the stalemate nature before.
"Director Huang, I know this. The pelvic fracture tomorrow will be a fracture. Director Huang, you should be the one doing the surgery yourself. I'll just do it on the side." Fang Xian asked.
"Then thank you Dr. Fang for your advice." Huang Bohang still trusted Fang Xian's skills as always.
Immediately, Huang Bohang changed the topic and asked: "Dr. Fang, the reduction auxiliary device in our department can now be used to reduce tibial fracture type 2?"
"Yesterday, I heard Dr. Wang Ze from Director Qin's side say that the patient's recovery condition was pretty good?"
The manual reduction of type 2 tibial fracture is no longer a particularly simple manual reduction.
Although there is no difficulty for Huang Bohang, except for Chen Fangqian, the old chief physician in Corey, who can surely win, the other chief physicians may not dare to say that they can be accurate.
"We still need to continue to adjust the parameters. Director Huang, after this reduction auxiliary system can successfully reduce all type 2 conventional long bone fractures, we can install a set in the operating room."
"At that time, Director Huang will be one of the first doctors to operate the reduction auxiliary system for fracture reduction. This will also be of great help to Director Huang's future work." Fang Xian also praised Huang Bohang unequivocally.
The reset assist system is a tool, and how to operate the tool is itself a kind of cognition and ability.
There are always benefits for those who eat the first crab. I hope Huang Bohang can see this.
If such a manual reduction system can really be successfully tested in clinical trials, fractures will no longer be a super difficult disease in the field of trauma surgery, and can even be reduced to a level 2 disease and be attacked by dimensionality reduction. to level 1 disease.
Resident doctors can treat patients through the auxiliary system of manual reduction.
More convenience and convenience are the benefits of using advanced tools in clinical practice.
"Well, thank you Dr. Fang. If it weren't for your arrival, Dr. Fang, I would never have imagined that today's cutting-edge medical technology has developed to this point." Huang Bohang sighed with emotion, his tone full of sighs.
"Director Huang, today's medical development is still in the stage of constant exploration. It would be a good thing if there were tools that could make our work easier and easier."
"Actually, I have gained some knowledge." After Fang Xian replied, he temporarily ended the conversation with Huang Bohang.
Just after leaving the director's office, Fang Xian discovered that Zhou Xiyin was laughing in the office.
"Xiyin, why are you laughing? Could it be that the article you submitted before has been published?" Zhang Guosheng, the doctor on duty, asked.
Zhou Xiyin nodded and shook his head: "It has not been published. It just needs minor revisions. The chance of being accepted is very high."
Fang Xian happened to walk in at this moment. When he heard this, he also said congratulations to Zhou Xiyin.
However, Zhou Xiyin's thoughts were completely diverted at this moment: "Brother Fang, here are the corresponding papers and data on functional reconstruction after injury sent by Professor Xu Fengnian."
"You should take a look for yourself. I still feel that there are some details in the surgical method that may need to be corrected by Senior Brother Fang."
Compared with the big paper that Fang Xian plans to publish, what does the meta-analysis he published count?
This kind of functional reconstruction surgery after damaging injuries is aimed at patients with urinary and fecal incontinence, which is a global problem. Once such surgery matures, it will benefit at least one million people.
Therefore, even JAMA, the main journal to which Professor Xu Fengnian plans to submit his article, attaches great importance to this article. During the review stage, the response request is that he hopes to explain the method of surgery and the principles involved as clearly as possible. , to facilitate subsequent peer exchanges.
Even going to international forums as speakers to share experiences.
"It's okay. You can revise it first. I believe you must have a certain understanding of this surgery. After you revise it first, I will revise it again so that you can become more familiar with it."
"It doesn't matter if it takes a little longer." Fang Xian smiled and replied.
Zhou Xiyin nodded, pursed his lips and joked: "If Professor Xu knows that I am stalling for time, he will definitely beat me."
"That will definitely not happen." Fang Xian shook his head.
"Doctor Fang. Well, I also want to write an article, but I'm just starting to write it now. Isn't it convenient for Dr. Fang to correct me?" Zhang Guosheng, the doctor on duty, shouted to Fang Xian very politely.
Zhang Guosheng is an attending physician on Qin Hongxuan's team. He is only 31 years old this year, very young and somewhat enterprising.
"Brother Sheng."
"Okay, let's talk to each other. There's nothing to do now anyway." Fang Xian nodded.
Then I saw that Zhang Guosheng also brought a computer, and when he opened it, there was a word interface. However, the Chinese on it was relatively small, with only more than 1000 words. It was a completely pure first draft.
Fang Xian said: "Brother Sheng, in fact, regarding this matter, you can find Xiyin more reliable than me."
“I haven’t published many articles so far.”
"I'm just learning to write now." When Fang Xian said this, his face turned red.
Although there are quite a number of articles currently published on him, most of them are written by others, and he himself wrote them himself. There are only two Chinese articles published before.
However, now, Fang Xian needs to do a lot of things. One is to introduce the principles and applications of this manual reset assist system, which can be written into a paper.
The second one is, in the process of integrating the manual reduction auxiliary system with clinical practice, how to set the parameters of manual reduction of grade 1 fractures and evaluate its effects can be written into a paper.
In fact, the writing of the paper is based on previous research and findings, step by step.
There will be no large-scale paper that can be completed in one step, directly from the beginning of a research direction to the conclusion of the results. This requires too much perseverance.
Scientific research papers, as long as they are beneficial to the development of science and do something to promote scientific research, can be written down. Then sci journals or CSCD core journals will choose whether it is suitable for publication in the journal based on the quality of your article. Provide Read by peers around the world.
It's such a process.
Therefore, Fang Xian naturally does not have to wait for the manual reset system to be completely mature or even applied in clinical practice before writing a paper. Instead, he can write as he goes. As long as he has some good data, it can be reflected in the paper.
Tell the world that you are making this thing, and it is something new.
But as for the development of this method of resetting the operating system, Fang Xian does not need to be responsible. This is an internal patent of the company. If you go to them to talk, Fang Xian only needs to talk about the application.
The core technology is used to make money, and Fang Xian is the one who uses this technology to advertise, and this method can reset the auxiliary system, mature and develop it step by step, and control its learning progress at any time.
"Dr. Fang is being humble. A top student and a great doctor like you must have written many papers, and his scientific research level and professional level are quite high."
"No, even an excellent doctor like Xiyin can bring him in." Zhang Guosheng was full of flattery.Doctors in county hospitals do not need to write scientific research papers.
But if you write it, it will really bring you a lot of benefits, such as promotion and salary increase, and your academic and professional status in Zhang City will be slightly different.
If you can do things that others can't do, and you have cognitions that others have not systematically demonstrated, then you are awesome.
This is the evaluation within the profession.
"Then you misunderstood. Xiyin's talent is very good, but I didn't bring it out." Fang Xian quickly explained, and then carefully looked at the general outline of the article.
The article Zhang Guosheng wants to write is actually related to the manual reduction system. However, the direction of his writing is the difference in pain sensation during traditional manual reduction and manual reduction system reduction.
He only plans to write an article for a Chinese core journal. With the new thing of method reset system, he can definitely submit the article successfully.
"Brother Sheng, it is not enough to simply use a VAS visual scale to assess pain sensation. You should add some other data collection."
"In addition, instead of retrospective articles like RCS, just write RCT randomized controlled studies and collect data according to this model."
"Because your point is immediate, the collection process is not very difficult." Fang Xian has not written an article, but has read many articles.
So a certain idea was quickly pointed out.
Zhang Guosheng remembered it immediately.
Fang Xian then said: "And here..."
"..."
While Fang Xian was discussing with Zhang Guosheng, Du Lixiao came to the office and watched Zhang Guosheng immersed in thought, while Zhou Xiyin kept typing on the keyboard.
After entering the door, he took off his mask first and asked politely: "Brother Sheng, is it convenient for me to borrow Teacher Fang now?"
"Here comes a patient with a difficult tendon rupture. I would like to borrow Teacher Fang."
Zhang Guosheng originally thought it would be very embarrassing for Du Lixiao to borrow Fang Xian at this time, but the emergency came first.
Fang Xian stood up decisively without any hesitation: "Doctor Du, what is the situation in the emergency room below?"
"The injuries in the second zone of the tendons of the index finger, middle finger and ring finger are just suitable for the Tan's tendon suture method you mentioned, Teacher Fang. I'm mainly not very skilled, so I thought I'd let Teacher Fang do it again." Du Lixiao Simple instructions.
Not a word of nonsense.
It was just a small tendon injury. Fang Xian felt dull for a moment and turned to look at Zhou Xiyin: "Xiyin, do you want to give it a try?"
Fang Xian thought it was a replantation of a severed limb.
The replantation of severed fingers and replantation of severed limbs are similar to the reconstruction of damaged limbs. It is just a simple tendon injury, which is really meaningless.
Zhou Xiyin raised his head and thought for a moment: "I can do it!~"
When Du Lixiao saw this, he said, "Then it's Dr. Zhou's fault."
Naturally, Fang Xian's proficiency in tendon suturing is level 5, which is most suitable for teaching, while Zhou Xiyin's tendon suturing is level 3, so it is definitely no problem to perform the operation. However, if you want to teach carefully, Although Fang Xian is so detailed, his level is still a little lacking.
However, if you don’t have enough strength, you can’t choose.
Du Lixiao could only accompany Zhou Xiyin to the operating room.
After the two left, Zhang Guosheng was a little surprised: "Teacher Fang, at Dr. Zhou's age, can he suture tendons relatively maturely?"
Zhang Guosheng's team is Director Qin Hongxuan. Director Qin Hongxuan's main area of orthopedics is hand surgery and tendon suturing. This should be the specialty of his team, but he didn't expect that Zhou Xiyin can handle it alone at such a young age.
"Well, Xiyin's proficiency in basic suturing is level 4, and her proficiency in tendon suturing is level 3. Tan's suturing is acceptable." Fang Xian didn't take it seriously.
Zhou Xiyin's operating skills are far more proficient than ordinary people such as Li Qiu. If he hadn't gotten the extra point plug-in, it would be very difficult to compete with Zhou Xiyin's talent.
But if others don’t know about plug-ins and don’t have them, they can’t know where your real qualifications are.
Zhou Xiyin came to Ci County People's Hospital and had some minor surgeries, which was reasonable.
"Hiss!~" Zhang Guosheng gasped instantly.
Although suturing is only a basic operating skill and tendon suturing is only a specialized skill in hand surgery, being able to reach level 4 and level 3 proficiency is a level that even Director Qin Hongxuan cannot reach.
Is this Shonan University Affiliated Hospital or Shonan University Affiliated Hospital? It is a luxury for such a young person to have such skills.
It deserves to be called a teaching hospital, and Ci County People's Hospital is just a low-level unit.
"Inconceivable."
"Doctor Fang, you are really good at attacking people. No need to say anything more. Just standing here is attacking people. It's a pity that I don't have the right opportunity to study with you." Zhang Guosheng was filled with emotion.
"Brother Sheng will definitely have a chance in the future."
"The processing direction of your article is probably just a few points. The difficulty lies in the collection of data."
"I'll go to the office first and read the article."
Zhang Guosheng hurriedly smiled and said: "Teacher Fang, I'm going to pour you some tea. I brought some Maojian here specially. Guxian Maojian is barely a famous tea, and it's a special grade."
If someone gives you pointers on articles, they are teachers. Helping is a favor, not helping is a duty.
Fang Xian did not refuse.
Today, he is moving more and more towards the right path of helping doctors.
That's what support is like. I help you with whatever you need, and you can teach some practical things. It's more meaningful and down-to-earth than doing super difficult surgeries and topics here.
By the way, you can also do a manual reset auxiliary system project, which is the best of both worlds.
Of course, when Fang Xian came to the office, he didn't immediately change the article. He took a look at the revised rules for level 5 skills and level 5 physician evaluations on the official website of the Chinese Medical Association!
(End of this chapter)
After Dr. Ma agreed with Fang Xian, he left very happily.
After Dr. Ma left, Huang Bohang said relatively honestly: "Dr. Fang, the infection situation of the patients hospitalized by Dr. Ma and his colleagues is quite difficult."
"Even if you turn around by then, you still have to be careful when talking."
In Huang Bohang's eyes, Fang Xian seemed to be a restless element.
But now, in the process of getting along with Fang Xian, Huang Bohang no longer had the stalemate nature before.
"Director Huang, I know this. The pelvic fracture tomorrow will be a fracture. Director Huang, you should be the one doing the surgery yourself. I'll just do it on the side." Fang Xian asked.
"Then thank you Dr. Fang for your advice." Huang Bohang still trusted Fang Xian's skills as always.
Immediately, Huang Bohang changed the topic and asked: "Dr. Fang, the reduction auxiliary device in our department can now be used to reduce tibial fracture type 2?"
"Yesterday, I heard Dr. Wang Ze from Director Qin's side say that the patient's recovery condition was pretty good?"
The manual reduction of type 2 tibial fracture is no longer a particularly simple manual reduction.
Although there is no difficulty for Huang Bohang, except for Chen Fangqian, the old chief physician in Corey, who can surely win, the other chief physicians may not dare to say that they can be accurate.
"We still need to continue to adjust the parameters. Director Huang, after this reduction auxiliary system can successfully reduce all type 2 conventional long bone fractures, we can install a set in the operating room."
"At that time, Director Huang will be one of the first doctors to operate the reduction auxiliary system for fracture reduction. This will also be of great help to Director Huang's future work." Fang Xian also praised Huang Bohang unequivocally.
The reset assist system is a tool, and how to operate the tool is itself a kind of cognition and ability.
There are always benefits for those who eat the first crab. I hope Huang Bohang can see this.
If such a manual reduction system can really be successfully tested in clinical trials, fractures will no longer be a super difficult disease in the field of trauma surgery, and can even be reduced to a level 2 disease and be attacked by dimensionality reduction. to level 1 disease.
Resident doctors can treat patients through the auxiliary system of manual reduction.
More convenience and convenience are the benefits of using advanced tools in clinical practice.
"Well, thank you Dr. Fang. If it weren't for your arrival, Dr. Fang, I would never have imagined that today's cutting-edge medical technology has developed to this point." Huang Bohang sighed with emotion, his tone full of sighs.
"Director Huang, today's medical development is still in the stage of constant exploration. It would be a good thing if there were tools that could make our work easier and easier."
"Actually, I have gained some knowledge." After Fang Xian replied, he temporarily ended the conversation with Huang Bohang.
Just after leaving the director's office, Fang Xian discovered that Zhou Xiyin was laughing in the office.
"Xiyin, why are you laughing? Could it be that the article you submitted before has been published?" Zhang Guosheng, the doctor on duty, asked.
Zhou Xiyin nodded and shook his head: "It has not been published. It just needs minor revisions. The chance of being accepted is very high."
Fang Xian happened to walk in at this moment. When he heard this, he also said congratulations to Zhou Xiyin.
However, Zhou Xiyin's thoughts were completely diverted at this moment: "Brother Fang, here are the corresponding papers and data on functional reconstruction after injury sent by Professor Xu Fengnian."
"You should take a look for yourself. I still feel that there are some details in the surgical method that may need to be corrected by Senior Brother Fang."
Compared with the big paper that Fang Xian plans to publish, what does the meta-analysis he published count?
This kind of functional reconstruction surgery after damaging injuries is aimed at patients with urinary and fecal incontinence, which is a global problem. Once such surgery matures, it will benefit at least one million people.
Therefore, even JAMA, the main journal to which Professor Xu Fengnian plans to submit his article, attaches great importance to this article. During the review stage, the response request is that he hopes to explain the method of surgery and the principles involved as clearly as possible. , to facilitate subsequent peer exchanges.
Even going to international forums as speakers to share experiences.
"It's okay. You can revise it first. I believe you must have a certain understanding of this surgery. After you revise it first, I will revise it again so that you can become more familiar with it."
"It doesn't matter if it takes a little longer." Fang Xian smiled and replied.
Zhou Xiyin nodded, pursed his lips and joked: "If Professor Xu knows that I am stalling for time, he will definitely beat me."
"That will definitely not happen." Fang Xian shook his head.
"Doctor Fang. Well, I also want to write an article, but I'm just starting to write it now. Isn't it convenient for Dr. Fang to correct me?" Zhang Guosheng, the doctor on duty, shouted to Fang Xian very politely.
Zhang Guosheng is an attending physician on Qin Hongxuan's team. He is only 31 years old this year, very young and somewhat enterprising.
"Brother Sheng."
"Okay, let's talk to each other. There's nothing to do now anyway." Fang Xian nodded.
Then I saw that Zhang Guosheng also brought a computer, and when he opened it, there was a word interface. However, the Chinese on it was relatively small, with only more than 1000 words. It was a completely pure first draft.
Fang Xian said: "Brother Sheng, in fact, regarding this matter, you can find Xiyin more reliable than me."
“I haven’t published many articles so far.”
"I'm just learning to write now." When Fang Xian said this, his face turned red.
Although there are quite a number of articles currently published on him, most of them are written by others, and he himself wrote them himself. There are only two Chinese articles published before.
However, now, Fang Xian needs to do a lot of things. One is to introduce the principles and applications of this manual reset assist system, which can be written into a paper.
The second one is, in the process of integrating the manual reduction auxiliary system with clinical practice, how to set the parameters of manual reduction of grade 1 fractures and evaluate its effects can be written into a paper.
In fact, the writing of the paper is based on previous research and findings, step by step.
There will be no large-scale paper that can be completed in one step, directly from the beginning of a research direction to the conclusion of the results. This requires too much perseverance.
Scientific research papers, as long as they are beneficial to the development of science and do something to promote scientific research, can be written down. Then sci journals or CSCD core journals will choose whether it is suitable for publication in the journal based on the quality of your article. Provide Read by peers around the world.
It's such a process.
Therefore, Fang Xian naturally does not have to wait for the manual reset system to be completely mature or even applied in clinical practice before writing a paper. Instead, he can write as he goes. As long as he has some good data, it can be reflected in the paper.
Tell the world that you are making this thing, and it is something new.
But as for the development of this method of resetting the operating system, Fang Xian does not need to be responsible. This is an internal patent of the company. If you go to them to talk, Fang Xian only needs to talk about the application.
The core technology is used to make money, and Fang Xian is the one who uses this technology to advertise, and this method can reset the auxiliary system, mature and develop it step by step, and control its learning progress at any time.
"Dr. Fang is being humble. A top student and a great doctor like you must have written many papers, and his scientific research level and professional level are quite high."
"No, even an excellent doctor like Xiyin can bring him in." Zhang Guosheng was full of flattery.Doctors in county hospitals do not need to write scientific research papers.
But if you write it, it will really bring you a lot of benefits, such as promotion and salary increase, and your academic and professional status in Zhang City will be slightly different.
If you can do things that others can't do, and you have cognitions that others have not systematically demonstrated, then you are awesome.
This is the evaluation within the profession.
"Then you misunderstood. Xiyin's talent is very good, but I didn't bring it out." Fang Xian quickly explained, and then carefully looked at the general outline of the article.
The article Zhang Guosheng wants to write is actually related to the manual reduction system. However, the direction of his writing is the difference in pain sensation during traditional manual reduction and manual reduction system reduction.
He only plans to write an article for a Chinese core journal. With the new thing of method reset system, he can definitely submit the article successfully.
"Brother Sheng, it is not enough to simply use a VAS visual scale to assess pain sensation. You should add some other data collection."
"In addition, instead of retrospective articles like RCS, just write RCT randomized controlled studies and collect data according to this model."
"Because your point is immediate, the collection process is not very difficult." Fang Xian has not written an article, but has read many articles.
So a certain idea was quickly pointed out.
Zhang Guosheng remembered it immediately.
Fang Xian then said: "And here..."
"..."
While Fang Xian was discussing with Zhang Guosheng, Du Lixiao came to the office and watched Zhang Guosheng immersed in thought, while Zhou Xiyin kept typing on the keyboard.
After entering the door, he took off his mask first and asked politely: "Brother Sheng, is it convenient for me to borrow Teacher Fang now?"
"Here comes a patient with a difficult tendon rupture. I would like to borrow Teacher Fang."
Zhang Guosheng originally thought it would be very embarrassing for Du Lixiao to borrow Fang Xian at this time, but the emergency came first.
Fang Xian stood up decisively without any hesitation: "Doctor Du, what is the situation in the emergency room below?"
"The injuries in the second zone of the tendons of the index finger, middle finger and ring finger are just suitable for the Tan's tendon suture method you mentioned, Teacher Fang. I'm mainly not very skilled, so I thought I'd let Teacher Fang do it again." Du Lixiao Simple instructions.
Not a word of nonsense.
It was just a small tendon injury. Fang Xian felt dull for a moment and turned to look at Zhou Xiyin: "Xiyin, do you want to give it a try?"
Fang Xian thought it was a replantation of a severed limb.
The replantation of severed fingers and replantation of severed limbs are similar to the reconstruction of damaged limbs. It is just a simple tendon injury, which is really meaningless.
Zhou Xiyin raised his head and thought for a moment: "I can do it!~"
When Du Lixiao saw this, he said, "Then it's Dr. Zhou's fault."
Naturally, Fang Xian's proficiency in tendon suturing is level 5, which is most suitable for teaching, while Zhou Xiyin's tendon suturing is level 3, so it is definitely no problem to perform the operation. However, if you want to teach carefully, Although Fang Xian is so detailed, his level is still a little lacking.
However, if you don’t have enough strength, you can’t choose.
Du Lixiao could only accompany Zhou Xiyin to the operating room.
After the two left, Zhang Guosheng was a little surprised: "Teacher Fang, at Dr. Zhou's age, can he suture tendons relatively maturely?"
Zhang Guosheng's team is Director Qin Hongxuan. Director Qin Hongxuan's main area of orthopedics is hand surgery and tendon suturing. This should be the specialty of his team, but he didn't expect that Zhou Xiyin can handle it alone at such a young age.
"Well, Xiyin's proficiency in basic suturing is level 4, and her proficiency in tendon suturing is level 3. Tan's suturing is acceptable." Fang Xian didn't take it seriously.
Zhou Xiyin's operating skills are far more proficient than ordinary people such as Li Qiu. If he hadn't gotten the extra point plug-in, it would be very difficult to compete with Zhou Xiyin's talent.
But if others don’t know about plug-ins and don’t have them, they can’t know where your real qualifications are.
Zhou Xiyin came to Ci County People's Hospital and had some minor surgeries, which was reasonable.
"Hiss!~" Zhang Guosheng gasped instantly.
Although suturing is only a basic operating skill and tendon suturing is only a specialized skill in hand surgery, being able to reach level 4 and level 3 proficiency is a level that even Director Qin Hongxuan cannot reach.
Is this Shonan University Affiliated Hospital or Shonan University Affiliated Hospital? It is a luxury for such a young person to have such skills.
It deserves to be called a teaching hospital, and Ci County People's Hospital is just a low-level unit.
"Inconceivable."
"Doctor Fang, you are really good at attacking people. No need to say anything more. Just standing here is attacking people. It's a pity that I don't have the right opportunity to study with you." Zhang Guosheng was filled with emotion.
"Brother Sheng will definitely have a chance in the future."
"The processing direction of your article is probably just a few points. The difficulty lies in the collection of data."
"I'll go to the office first and read the article."
Zhang Guosheng hurriedly smiled and said: "Teacher Fang, I'm going to pour you some tea. I brought some Maojian here specially. Guxian Maojian is barely a famous tea, and it's a special grade."
If someone gives you pointers on articles, they are teachers. Helping is a favor, not helping is a duty.
Fang Xian did not refuse.
Today, he is moving more and more towards the right path of helping doctors.
That's what support is like. I help you with whatever you need, and you can teach some practical things. It's more meaningful and down-to-earth than doing super difficult surgeries and topics here.
By the way, you can also do a manual reset auxiliary system project, which is the best of both worlds.
Of course, when Fang Xian came to the office, he didn't immediately change the article. He took a look at the revised rules for level 5 skills and level 5 physician evaluations on the official website of the Chinese Medical Association!
(End of this chapter)
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