Gou in the operating room to add some upgrades
Chapter 251: Referral patient without incident
Chapter 251: Referral patient without incident
"Dr. Fang, you haven't looked at the patients that Dr. Ma transferred from the town in detail, have you?"
"I took a look at the patient's diagnosis and treatment process. It's a bit tricky." One morning, after Huang Bohang finished his shift, the team did not even arrange minor surgeries. Huang Bohang politely invited Fang Xian to the director's office again. ask.
Dr. Ma is a good friend and old friend of Huang Bohang. He has conducted remote consultations with these patients and visited the town in person more than two or three times.
The reason why Director Ma from the town hospital came to consult was because Huang Bohang hoped that Fang Xian could help him deal with these difficult and complicated diseases.
After the patient was transferred, Fang Xian didn't take a look at it immediately. Huang Bohang felt that it was understandable. After all, the recovery of infected patients is like a string of silkworms that come and go and take time to kill.
But it had been two or three days, and there was no movement from Fang Xian. Huang Bohang asked Chen Fangqian, Du Lixiao and Ning Han to pay special attention to Fang Xian's movements, but Fang Xian seemed to have forgotten about this incident.
Fang Xian took a sip of tea at this time and said slowly: "Director Huang, Xiyin has been following these cases recently. She has also made corrections to the doctor's orders. I think there is no need to read them."
Huang Bohang's expression froze when he heard this, and he quickly said: "Doctor Fang, the doctor this week is quite good, but after all, he is still a student and immature, she?"
Zhou Xiyin has always been quite low-key in the department. He only works and does not talk, and he only does what he is assigned to do. His main tasks on weekdays are to help Fang Xian with statistical analysis, and to send out corresponding leaflets. .
Even if there is a surgical operation, Zhou Xiyin only goes on stage when he can, and only assists when he can, without breaking the rules at all.
Therefore, in Huang Bohang's opinion, Zhou Xiyin is one of those completely immature and undeveloped medical students. It would be a bit childish to leave these difficult and complicated diseases to Zhou Xiyin to deal with.
"Director Huang, Dr. Zhou's theory and operation are excellent."
"Eight of the beds will need debridement, and I plan to let Dr. Zhou do it. However, if you, Director Huang, want to perform the surgery yourself, I will tell Dr. Zhou and ask her to be your assistant." Fang Xian added weight to Zhou Xiyin. .
In fact, there is a saying. Zhou Xiyin's talent and current ability accumulation may not be as good as Huang Bohang's in professional operations, but in terms of basics, especially theoretical skills, he can beat Huang Bohang.
Of course, experience is not that rich, but experience can be accumulated, and some advanced theories cannot be compensated by pure experience.
When Huang Bohang was about to say something else, Fang Xiancai reminded: "Director Huang, Dr. Zhou's strength is relatively high. She can enter the trauma center at the Affiliated Hospital of Xiangnan University, and she can also be transferred to Chang City. The trauma center is working on it for a while."
"Her professional ability is beyond doubt. Zhou Xiyin has not transferred her skills and ability files from the Medical Association to the medical department of our hospital. Otherwise, Dr. Zhou's skills must be very mature."
"Director Huang, you don't have to worry about this."
As soon as Fang Xian mentioned the trauma center, Huang Bohang's pupils shrank knowingly.
The trauma center of the Affiliated Hospital of Xiangnan University was praised highly by Director Qiu Chengyuan of Zhang Municipal People's Hospital. Fang Xian was also a pervert who came out of the trauma center.
According to this statement, maybe Dr. Zhou is actually very good, but because Fang Xian is here, Zhou Xiyin's excellence is not obvious, and she is particularly restrained and does not let herself have too much sense of presence.
Huang Bohang then smiled and said: "Since Dr. Fang quite recognizes Dr. Zhou's strength, then there is definitely no problem."
"Dr. Fang, actually I am looking for you today for another matter."
"Director Dai from Wuling Hospital received a patient who had a severed limb replanted last night. When he arrived at Wuling Hospital, his vital signs were unstable."
"It was too late to refer the patient to Zhang City, so Director Dai started the emergency operation. It started at two o'clock last night and has been done until now."
"At present, the vital signs have stabilized temporarily, but the patient's pelvis was injured. Now the reconstruction of the pelvis is very troublesome. Director Dai originally wanted to ask Director Qiu from Zhang Municipal People's Hospital to come over and perform a consultation surgery."
"But Director Qiu is also delayed now. The patient's surgery now takes more than six hours. Director Dai originally called me at six o'clock in the morning to ask for help."
"I hope Dr. Fang can help me, but I think it's too early to disturb Dr. Fang's rest, so I pushed back the time. Now, Dr. Fang, can you..."
Huang Bohang respects Fang Xian more and more now, not only because of Fang Xian's skills, but also because of Fang Xian's personality and personality.
When you have the ability, personality is a charm, and persistence is also a charm.
When you are not capable, your personality is stubborn and you are a fool.
But since Fang Xian came, Fang Xian can not only perform major and minor surgeries in the department, but also teach. The patients in the department can only be emptied, not bed-pressed.
It's equivalent to Fang Xian supporting the entire department by himself.
Not only his own team, but also several difficult patients on Director Qin Hongxuan's team were dealt with by Fang Xian.
General requests, as long as they are not excessive, will never be declined.
With such ability, Huang Bohang had no reason to continue to think that Fang Xian was a fledgling brat who only knew how to make trouble and not be a good person.
Being a human being is relative.
In most cases, in the medical field, a certain level of human sophistication is needed because you are incapable of doing so and have something to ask for.
When you can be absolutely self-sufficient, have no need for others, and have all abilities as monolithic, then the so-called being a human being and sticking to yourself is also a kind of charm.
Why do you want to be a human being? It is to make it easier for you to have others help you deal with problems that you cannot handle at critical times. For example, having a good relationship with the operating room will facilitate the arrangement and turnaround of operations.
Establish a good relationship with colleagues in other departments to facilitate joint consultations. During emergency consultations, just one phone call away and the other party can come without any trouble.
This is the simplest friendship.
What's even more awesome is that others will call you over and over again, asking you to treat others' problems at inopportune times, and then the debt of favor owed to you by others will become more and more.
In such a situation, you may not be as smooth as you appear on the surface, and it will become a personality.
……
Fang Xian naturally agreed. He didn't need to be on duty, so he told Zhou Xiyin and the staff on duty in the department that he would go to Wuling Hospital. If there was an emergency, just follow the routine.
If Zhou Xiyin could handle the reset, there would be no need to reset the auxiliary system.
Zhou Xiyin's restoration skills are also superb. Many people have seen this. When Professor Zhou and Professor Fang Yun came to the department, everyone witnessed it personally.
Therefore, there was no surprise about Fang Xian's explanation when he left.Fang Xian and Huang Bohang set out from Ci County People's Hospital at 59:41 in the morning and returned at [-]:[-].
After leaving the operating room, when Huang Bohang respectfully led Fang Xianwen to the parking lot of Wuling Hospital to lead the way, his heart was in turmoil!
Unfathomable is an assessment of his current comprehensive strength.
Although, I had known for a long time that Fang Xian came here not just for gold plating, but with gold in his heart, but he needed to have grassroots work experience in the countryside to show off to outsiders and get a chance to get a promotion.
However, in less than half an hour, Fang Xian was able to deal with pelvic fractures and displacement defects that Director Dai and even Huang Bohang could hardly imagine.
After completing the key operations, he dropped the equipment in his hands and stepped off the stage without hesitation. This set of smooth operations made Huang Bohang completely convinced.
"Dr. Fang, are these fractures in the trauma surgery department not difficult for you now?" Huang Bohang was curious.
I heard that in many top teaching hospitals, there are some big fingers.
If you can perform fracture surgery from the skull fracture to the lower toe fracture, there is nothing you are not familiar with or proficient in.
When Fang Xian heard this, he smiled, shook his head and said, "That's not entirely true. There are also many fractures that are difficult to deal with."
"For example, when I was in the trauma center, I encountered an emergency room. It was a complete comminuted fracture of half of the lower limbs and a crushing damage to half of the pelvis. In the end, a professor and I performed an amputation on this patient."
"There is really no way..."
"There are also some fractures, such as burst fractures of the thoracolumbar spine. Even if vertebra replacement is performed, the postoperative effect is not obvious..."
Fang Xian's modesty undoubtedly enhanced Fang Xian's abilities.
Because the types of fractures mentioned by Fang Xian are all diseases that can kill the King of Hell.
A simple fracture may not seem difficult to Fang Xian at all.
Naturally, Fang Xian is too lazy to do ordinary fracture reconstruction and limb reconstruction after suffering injuries. Currently, he is only doing the reconstruction of urinary and defecation functions, and such reconstruction is more than twice as difficult as fracture reconstruction.
"Doctor Fang, do you have more than a month before you have to go back?" Huang Bohang asked in reply while fastening his seat belt after getting into the car.
The expression on his face and his tone were slightly annoyed.
If he had known that Fang Xian was so awesome, he would have quarreled with Fang Xian before. Instead of taking advantage of Fang Xian's presence to get a good deal, he would have felt that Fang Xian was unreliable and always causing trouble.
Now that I realize it, half of the time has passed.
"This time the counterpart support lasted only three months. It's now late February and there are only 28 days in this month. I should have gone back by the end of March." Fang Xian smiled back.
During this time in Cixian, Fang Xian was really free.
Of course, such a demure life has a feeling of tranquility over time.
There are no special emergencies, no difficult diseases, and no long-term surgeries. Fang Xian himself also fell in love with drinking tea, and he could often read the literature, check for omissions, and keep track of his own growth path in a quiet way. While thinking, I made a plan.
At the same time, I also accidentally touched the forefront of clinical scientific research, which is to realize my own technology and export it in a physical way.
This is the first time Fang Xian has been idle for so long since he entered the trauma center.
Such quietness and the reflection it brought made Fang Xian feel calmer.
Naturally, after calming down, Fang Xian felt that his explosive power would become stronger.
Now, Fang Xian has begun to consider whether he can come up with some professional equipment or tools for this disease, such as neural membrane materials and so on.
Anyway, there are many elements that can be added. As long as they are beneficial to the patient's recovery, once the output of scientific research culture is formed, the output power in the medical field will be explosive.
There are 80 billion people in the world, and everyone is subject to birth, aging, illness and death. Even if only one in [-] or even one in [-] patients needs to use a product, the market prospects are very macroscopic.
Moreover, people are born, old, sick and die, and rebirth and death alternate constantly.
Therefore, such a ratio is generally relatively fixed at the same point in time.
In other words, the number of fracture patients around the world every day has been fixed for a long time, and the number of fractures is similar for each disease type.
From this perspective, the sustainable market prospects and the medical market are no smaller than the takeout market!
"Dr. Fang, I hope that I can study hard with you in the next period of time, and strive to learn more and understand more disease types." Huang Bohang was modest and cautious.
"Director Huang, we learn from each other. In fact, your experience in using VAC and VSD has also reminded me. I didn't have much exposure to such aspects before." Fang Xian turned to praise.
It is also from the heart.
"Dr. Fang, tell me, is it better for a county hospital like ours to focus on one disease and improve the quality of our services to a greater extent, or to expand the scope of services and be able to treat more diseases and more What's the priority?" Huang Bohang asked after starting up.
In the department, Huang Bohang thought to himself that his expertise in treating fractures was no less than the surgery performed by the director of Zhang Municipal People's Hospital.
This is also his persistence to provide patients with better service quality. Even if he only specializes in one treatment, it is also an attitude toward patients with this disease.
Specialist treatment, other diseases will naturally be treated by other doctors, so you don’t need to think so much.
"Both of these two statements are actually better."
“When you can’t have it both ways, I think breadth will be better than precision.”
"Because our country has a vast territory, the population density is relatively unconcentrated. Therefore, expanding the scope of services in relatively grassroots hospitals will be more beneficial to the people's medical treatment."
"Of course, from a patient's perspective, accuracy is what they pursue most." Fang Xian also analyzed it relatively objectively.
After a comprehensive analysis of Huang Bohang's surgical techniques, Fang Xianhui found that Huang Bohang was better at treating fractures than Director Dai and others from Wuling Hospital!
Therefore, from this perspective, perhaps Huang Bohang previously only specialized in fracture selection, which would also be helpful to a certain extent.
(End of this chapter)
"Dr. Fang, you haven't looked at the patients that Dr. Ma transferred from the town in detail, have you?"
"I took a look at the patient's diagnosis and treatment process. It's a bit tricky." One morning, after Huang Bohang finished his shift, the team did not even arrange minor surgeries. Huang Bohang politely invited Fang Xian to the director's office again. ask.
Dr. Ma is a good friend and old friend of Huang Bohang. He has conducted remote consultations with these patients and visited the town in person more than two or three times.
The reason why Director Ma from the town hospital came to consult was because Huang Bohang hoped that Fang Xian could help him deal with these difficult and complicated diseases.
After the patient was transferred, Fang Xian didn't take a look at it immediately. Huang Bohang felt that it was understandable. After all, the recovery of infected patients is like a string of silkworms that come and go and take time to kill.
But it had been two or three days, and there was no movement from Fang Xian. Huang Bohang asked Chen Fangqian, Du Lixiao and Ning Han to pay special attention to Fang Xian's movements, but Fang Xian seemed to have forgotten about this incident.
Fang Xian took a sip of tea at this time and said slowly: "Director Huang, Xiyin has been following these cases recently. She has also made corrections to the doctor's orders. I think there is no need to read them."
Huang Bohang's expression froze when he heard this, and he quickly said: "Doctor Fang, the doctor this week is quite good, but after all, he is still a student and immature, she?"
Zhou Xiyin has always been quite low-key in the department. He only works and does not talk, and he only does what he is assigned to do. His main tasks on weekdays are to help Fang Xian with statistical analysis, and to send out corresponding leaflets. .
Even if there is a surgical operation, Zhou Xiyin only goes on stage when he can, and only assists when he can, without breaking the rules at all.
Therefore, in Huang Bohang's opinion, Zhou Xiyin is one of those completely immature and undeveloped medical students. It would be a bit childish to leave these difficult and complicated diseases to Zhou Xiyin to deal with.
"Director Huang, Dr. Zhou's theory and operation are excellent."
"Eight of the beds will need debridement, and I plan to let Dr. Zhou do it. However, if you, Director Huang, want to perform the surgery yourself, I will tell Dr. Zhou and ask her to be your assistant." Fang Xian added weight to Zhou Xiyin. .
In fact, there is a saying. Zhou Xiyin's talent and current ability accumulation may not be as good as Huang Bohang's in professional operations, but in terms of basics, especially theoretical skills, he can beat Huang Bohang.
Of course, experience is not that rich, but experience can be accumulated, and some advanced theories cannot be compensated by pure experience.
When Huang Bohang was about to say something else, Fang Xiancai reminded: "Director Huang, Dr. Zhou's strength is relatively high. She can enter the trauma center at the Affiliated Hospital of Xiangnan University, and she can also be transferred to Chang City. The trauma center is working on it for a while."
"Her professional ability is beyond doubt. Zhou Xiyin has not transferred her skills and ability files from the Medical Association to the medical department of our hospital. Otherwise, Dr. Zhou's skills must be very mature."
"Director Huang, you don't have to worry about this."
As soon as Fang Xian mentioned the trauma center, Huang Bohang's pupils shrank knowingly.
The trauma center of the Affiliated Hospital of Xiangnan University was praised highly by Director Qiu Chengyuan of Zhang Municipal People's Hospital. Fang Xian was also a pervert who came out of the trauma center.
According to this statement, maybe Dr. Zhou is actually very good, but because Fang Xian is here, Zhou Xiyin's excellence is not obvious, and she is particularly restrained and does not let herself have too much sense of presence.
Huang Bohang then smiled and said: "Since Dr. Fang quite recognizes Dr. Zhou's strength, then there is definitely no problem."
"Dr. Fang, actually I am looking for you today for another matter."
"Director Dai from Wuling Hospital received a patient who had a severed limb replanted last night. When he arrived at Wuling Hospital, his vital signs were unstable."
"It was too late to refer the patient to Zhang City, so Director Dai started the emergency operation. It started at two o'clock last night and has been done until now."
"At present, the vital signs have stabilized temporarily, but the patient's pelvis was injured. Now the reconstruction of the pelvis is very troublesome. Director Dai originally wanted to ask Director Qiu from Zhang Municipal People's Hospital to come over and perform a consultation surgery."
"But Director Qiu is also delayed now. The patient's surgery now takes more than six hours. Director Dai originally called me at six o'clock in the morning to ask for help."
"I hope Dr. Fang can help me, but I think it's too early to disturb Dr. Fang's rest, so I pushed back the time. Now, Dr. Fang, can you..."
Huang Bohang respects Fang Xian more and more now, not only because of Fang Xian's skills, but also because of Fang Xian's personality and personality.
When you have the ability, personality is a charm, and persistence is also a charm.
When you are not capable, your personality is stubborn and you are a fool.
But since Fang Xian came, Fang Xian can not only perform major and minor surgeries in the department, but also teach. The patients in the department can only be emptied, not bed-pressed.
It's equivalent to Fang Xian supporting the entire department by himself.
Not only his own team, but also several difficult patients on Director Qin Hongxuan's team were dealt with by Fang Xian.
General requests, as long as they are not excessive, will never be declined.
With such ability, Huang Bohang had no reason to continue to think that Fang Xian was a fledgling brat who only knew how to make trouble and not be a good person.
Being a human being is relative.
In most cases, in the medical field, a certain level of human sophistication is needed because you are incapable of doing so and have something to ask for.
When you can be absolutely self-sufficient, have no need for others, and have all abilities as monolithic, then the so-called being a human being and sticking to yourself is also a kind of charm.
Why do you want to be a human being? It is to make it easier for you to have others help you deal with problems that you cannot handle at critical times. For example, having a good relationship with the operating room will facilitate the arrangement and turnaround of operations.
Establish a good relationship with colleagues in other departments to facilitate joint consultations. During emergency consultations, just one phone call away and the other party can come without any trouble.
This is the simplest friendship.
What's even more awesome is that others will call you over and over again, asking you to treat others' problems at inopportune times, and then the debt of favor owed to you by others will become more and more.
In such a situation, you may not be as smooth as you appear on the surface, and it will become a personality.
……
Fang Xian naturally agreed. He didn't need to be on duty, so he told Zhou Xiyin and the staff on duty in the department that he would go to Wuling Hospital. If there was an emergency, just follow the routine.
If Zhou Xiyin could handle the reset, there would be no need to reset the auxiliary system.
Zhou Xiyin's restoration skills are also superb. Many people have seen this. When Professor Zhou and Professor Fang Yun came to the department, everyone witnessed it personally.
Therefore, there was no surprise about Fang Xian's explanation when he left.Fang Xian and Huang Bohang set out from Ci County People's Hospital at 59:41 in the morning and returned at [-]:[-].
After leaving the operating room, when Huang Bohang respectfully led Fang Xianwen to the parking lot of Wuling Hospital to lead the way, his heart was in turmoil!
Unfathomable is an assessment of his current comprehensive strength.
Although, I had known for a long time that Fang Xian came here not just for gold plating, but with gold in his heart, but he needed to have grassroots work experience in the countryside to show off to outsiders and get a chance to get a promotion.
However, in less than half an hour, Fang Xian was able to deal with pelvic fractures and displacement defects that Director Dai and even Huang Bohang could hardly imagine.
After completing the key operations, he dropped the equipment in his hands and stepped off the stage without hesitation. This set of smooth operations made Huang Bohang completely convinced.
"Dr. Fang, are these fractures in the trauma surgery department not difficult for you now?" Huang Bohang was curious.
I heard that in many top teaching hospitals, there are some big fingers.
If you can perform fracture surgery from the skull fracture to the lower toe fracture, there is nothing you are not familiar with or proficient in.
When Fang Xian heard this, he smiled, shook his head and said, "That's not entirely true. There are also many fractures that are difficult to deal with."
"For example, when I was in the trauma center, I encountered an emergency room. It was a complete comminuted fracture of half of the lower limbs and a crushing damage to half of the pelvis. In the end, a professor and I performed an amputation on this patient."
"There is really no way..."
"There are also some fractures, such as burst fractures of the thoracolumbar spine. Even if vertebra replacement is performed, the postoperative effect is not obvious..."
Fang Xian's modesty undoubtedly enhanced Fang Xian's abilities.
Because the types of fractures mentioned by Fang Xian are all diseases that can kill the King of Hell.
A simple fracture may not seem difficult to Fang Xian at all.
Naturally, Fang Xian is too lazy to do ordinary fracture reconstruction and limb reconstruction after suffering injuries. Currently, he is only doing the reconstruction of urinary and defecation functions, and such reconstruction is more than twice as difficult as fracture reconstruction.
"Doctor Fang, do you have more than a month before you have to go back?" Huang Bohang asked in reply while fastening his seat belt after getting into the car.
The expression on his face and his tone were slightly annoyed.
If he had known that Fang Xian was so awesome, he would have quarreled with Fang Xian before. Instead of taking advantage of Fang Xian's presence to get a good deal, he would have felt that Fang Xian was unreliable and always causing trouble.
Now that I realize it, half of the time has passed.
"This time the counterpart support lasted only three months. It's now late February and there are only 28 days in this month. I should have gone back by the end of March." Fang Xian smiled back.
During this time in Cixian, Fang Xian was really free.
Of course, such a demure life has a feeling of tranquility over time.
There are no special emergencies, no difficult diseases, and no long-term surgeries. Fang Xian himself also fell in love with drinking tea, and he could often read the literature, check for omissions, and keep track of his own growth path in a quiet way. While thinking, I made a plan.
At the same time, I also accidentally touched the forefront of clinical scientific research, which is to realize my own technology and export it in a physical way.
This is the first time Fang Xian has been idle for so long since he entered the trauma center.
Such quietness and the reflection it brought made Fang Xian feel calmer.
Naturally, after calming down, Fang Xian felt that his explosive power would become stronger.
Now, Fang Xian has begun to consider whether he can come up with some professional equipment or tools for this disease, such as neural membrane materials and so on.
Anyway, there are many elements that can be added. As long as they are beneficial to the patient's recovery, once the output of scientific research culture is formed, the output power in the medical field will be explosive.
There are 80 billion people in the world, and everyone is subject to birth, aging, illness and death. Even if only one in [-] or even one in [-] patients needs to use a product, the market prospects are very macroscopic.
Moreover, people are born, old, sick and die, and rebirth and death alternate constantly.
Therefore, such a ratio is generally relatively fixed at the same point in time.
In other words, the number of fracture patients around the world every day has been fixed for a long time, and the number of fractures is similar for each disease type.
From this perspective, the sustainable market prospects and the medical market are no smaller than the takeout market!
"Dr. Fang, I hope that I can study hard with you in the next period of time, and strive to learn more and understand more disease types." Huang Bohang was modest and cautious.
"Director Huang, we learn from each other. In fact, your experience in using VAC and VSD has also reminded me. I didn't have much exposure to such aspects before." Fang Xian turned to praise.
It is also from the heart.
"Dr. Fang, tell me, is it better for a county hospital like ours to focus on one disease and improve the quality of our services to a greater extent, or to expand the scope of services and be able to treat more diseases and more What's the priority?" Huang Bohang asked after starting up.
In the department, Huang Bohang thought to himself that his expertise in treating fractures was no less than the surgery performed by the director of Zhang Municipal People's Hospital.
This is also his persistence to provide patients with better service quality. Even if he only specializes in one treatment, it is also an attitude toward patients with this disease.
Specialist treatment, other diseases will naturally be treated by other doctors, so you don’t need to think so much.
"Both of these two statements are actually better."
“When you can’t have it both ways, I think breadth will be better than precision.”
"Because our country has a vast territory, the population density is relatively unconcentrated. Therefore, expanding the scope of services in relatively grassroots hospitals will be more beneficial to the people's medical treatment."
"Of course, from a patient's perspective, accuracy is what they pursue most." Fang Xian also analyzed it relatively objectively.
After a comprehensive analysis of Huang Bohang's surgical techniques, Fang Xianhui found that Huang Bohang was better at treating fractures than Director Dai and others from Wuling Hospital!
Therefore, from this perspective, perhaps Huang Bohang previously only specialized in fracture selection, which would also be helpful to a certain extent.
(End of this chapter)
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