Gou in the operating room to add some upgrades

Chapter 258 Facing a Choice
"Teacher Wang, Professor Qin, how much water did the patient undergo yesterday? Have you seen it?"

"Sorry, I'm a little late today." Fang Xian asked after entering the comprehensive ward and hurriedly put on his white coat.

In fact, originally, in terms of seniority, he, the youngest attending, should be the one to see the patients and record the patient's corresponding data. This is also the arrangement in the hospital, and it is Associate Professor Qin Long and Associate Professor Zhong Kangqing. , took Fang Xian for surgery.

Qin Long came here to study, so although he has been promoted to associate professor, his attitude at this moment is also very low: "The output is the same as before, and the fecal fistula continues."

"But Brother Xian, you are really a dick. When he was extubated this morning, the nurse in the operating room said that he had morning erections. He was so scared that he called me quickly and asked me to come and deal with it."

When Qin Long spoke, his tone of admiration was not adulterated at all, it was completely sincere.

Qin Long had never seen Fang Xian's surgery or postoperative conditions before. He thought that the hospital was holding on to a result of the hospital, so he was slightly exaggerating.

Functional reconstruction department sounds a bit mysterious, but when it comes to practice, everyone is in the industry, so no one knows who the other is.

There are many types of functional reconstruction.

Even the seekers who defend the Taoism cannot deny the importance of sexual function to everyone.

For some patients, after losing this thing for various reasons, it affects their mental health at worst, and becomes irritable and irritable at worst. This is not a lie.

Urology department specializes in this stuff.

Of course, it is not a good thing to have such an early morning erection. It is just after the operation. If the cavernous body is congested, it will cause the local blood flow to be relatively sluggish. If the nerves that were finally built are broken, then All previous efforts were wasted.

Zhong Kangqing himself didn't know how awesome Fang Xian was at being able to make the patient have a slight morning erection in a short period of time, but after being educated by Qin Long, he bowed slightly at this moment and shouted politely: "Brother Xian, in the future, the surgery The last patient is ours to inspect."

"You need to manage the quality of the surgery and pre-operative planning, and put more thought into educating us. I really don't dare to be so shameless as to ask you to do more."

"Fortunately, I follow Professor Qin and can do such a small thing with a little effort." Zhong Kangqing was being modest.

But this kind of humility comes entirely from the respect and recognition of the opponent's strength.

Of course, there are still expectations. If he himself can reach this point in the future, even if he is only half of Fang Xian's level, not to mention in the whole world, he can at least walk sideways in the entire country of China, which will have countless benefits.

Fang Xian didn't have much time to engage in pleasantries and worldliness with the two of them: "Professor Qin, how did you solve the problem later?"

"You and Professor Zhong can just call me Xiao Fang or Doctor Fang. Calling me Brother Xian is too unconventional to be called me."

Respect is mutual, and Fang Xian also used honorifics.

Qin Long and Zhong Kangqing are older than Lin Hui. If they call themselves brother, it will cause chaos and there is no need.

"Just change to a bed nurse." Qin Long touched the tip of his nose.

Fang Xian was particularly shocked when he heard this. The patient who underwent surgery yesterday was a pure LSP.

"Are the patient's consciousness and vital signs stable? If so, he can be transferred back to the ward. Although our operation is long, it does not involve vascular damage."

"It's not a big problem that I should be transferred back."

Qin Long nodded and said: "Professor Zhou in the ICU said that if the lactate and electrolytes are checked again, if there is no problem, he will be transferred back. At that time, they will send someone to pick up the patient, and someone from the nursing department of our comprehensive ward will be connected. "

"The nurses in our hospital, especially those in the emergency department, have received professional training."

"As long as nothing happens!"

"Li Qiu, you are responsible for tracking down the routine postoperative data. After all these data are collected neatly, you can go down to the operating room."

"Well, make sure to tell the nursing department that the nurse in charge of this patient should have someone older come over and take care of it." Fang Xian gave the order.

"As for postoperative medication, I will follow the arrangements of Professor Qin Long and Professor Zhong Kangqing."

"No, Brother Xian, you need some advice on how to use the medicine." Zhong Kangqing said immediately.

In fact, he understood what Fang Xian meant. Generally speaking, in the department, if the associate professor is responsible for the medication plan, he can use the amount to redeem the award. However, Zhong Kangqing and Qin Long have both combined and cannot take this money.

"Just follow the routine urology and gastrointestinal surgery medications. You need to fast for at least a week after the surgery, and then switch to a liquid diet." After Fang Xian finished explaining to Li Qiu, he walked towards the hospital with Associate Professor Qin Long and others. Direction of ward rounds.

At this time, after seeing Fang Xian and his group coming out, four people from the nursing department in the comprehensive ward followed Fang Xian and others.

The leader, who should be the nurse, explained: "From now on, we will be the specialist nurses in the functional reconstruction department of Dr. Fang's group. We will also follow Dr. Fang and others on ward rounds to know the basic conditions of the patients."

"You can't be careless!"

"Dr. Fang, please give me more advice in the future. The head nurse has explained this in advance..."

The appearance of these nurses made Fang Xian a little surprised, but he immediately expressed his stance, glanced at the name badge of the head nurse, and said: "Sister Qin, thank Sister Xu for me for letting her bother. "

The hospital did not say that it would arrange a specialist nurse for itself, but the nursing department of the comprehensive ward still did so. This was because of the face given by Nurse Xu, who also had a keen ability to catch the situation.

As you know, the Department of Functional Reconstruction is a newly built department with a big cake. If you have a little sense of scientific research, you will know that this is a nursing topic in a new direction.

This arrangement not only facilitates the work of Fang Xian and others, but also makes a certain contribution to the exploration and research of nursing work in our hospital. This is not the scientific research thinking that ordinary head nurses with undergraduate degrees can have.

"It's okay, Doctor Fang. You guys are busy first. Let's talk about thanking you later."

"Mr. Xu, including the leaders of the nursing department, pay special attention to the beds in the functional reconstruction department. It is also a blessing for us that Dr. Fang can bring the clinical team to our comprehensive emergency ward."

"But in principle, we can't particularly disturb Dr. Fang and your work. We may only inquire more when necessary." Zheng Qiqin said very politely, and he carried a large notebook with him, which was already densely packed with information. I wrote a lot of notes.

It seems to be related to the beds shared by Fang Xian and others.

Such a professional nursing team makes Fang Xian feel at ease.

Then without wasting any time, he quickly led people to complete the ward check and confirmed the patient for today's surgery. The preoperative fasting and drinking had been completed, and the patient had undergone an enema last night.

Naturally, Zheng Qiqin was also in the process, saying that she had checked and instructed many times, and she was the one who guarded the enema operation last night...

For gastrointestinal patients, strict enema cleaning is usually required several times before surgery, even if there is an ostomy tube.

After everything was confirmed, Fang Xian led the team into the operating room again and performed an eleven-hour operation.

It's not because the team cooperated well, but because the patient this time was a female patient, so the difficulty of the operation was slightly reduced.

At [-]:[-] in the evening.Fang Xian watched Li Qiu finish suturing the penultimate ligament, and nodded with satisfaction.

What Li Qiu said would not be a hindrance, but it wasn't bad at all.

As for the suturing of the last ligament, Fang Xian left it to Wang Yang.

They haven't seen each other for several months, and Fang Xian doesn't know whether Wang Yang's current operations have made any progress.

Naturally, Wang Yang's operation can only be said to be quite satisfactory. The level of suturing and tendon suturing is almost level 3, which is enough.

After careful suturing, Fang Xian handed over the last, relatively small, functional reconstruction operation to Associate Professor Qin Long of the Department of Urology, and tried a urethroplasty.

Urethroplasty is not difficult. If other factors are not considered, this operation can only be said to be a basic operation in urology. Therefore, it is not difficult for Qin Long to perform it.

After the plastic surgery, the urethra was continuously inserted for drainage. Qin Long then said: "Dr. Fang, in fact, in patients like this, due to long-term urinary catheter insertion or detrusor-related function loss before surgery, female patients have shorter urethras. There will be problems with the anatomy, not to mention male patients.”

"Therefore, generally speaking, urethroplasty is performed routinely after surgery. Otherwise, even if the function is restored, the anatomy will still not be able to achieve the corresponding structure for normal urinary function."

"There are also some patients who are not incontinent and have urethral mutations due to some reasons."

Fang Xian smiled and said, "That's why I say, Professor Qin, that you are a professor specializing in urology. I don't have enough experience in this area."

Fang Xian has only done urological surgery including functional reconstruction, and he still doesn't understand such epidemiological data as thoroughly as Qin Long does.

"Brother Xian, it's just some basic skills. Not worth mentioning."

"Thank you Brother Xian for giving me some opportunities today." Qin Long's hands were itchy at the moment.

Still haven't gotten rid of the habit of calling Fang Xianxian brother.

Itchy hands are when you feel that after you have learned some new skills or operations, you can't help but look forward to operating and getting started. It is an active desire to have a sense of gain when you improve.

Can’t wait to have a few more.

But it's getting late.

"The operation is almost over. Let's go back and check on the patients after yesterday's operation. We should be more cautious and try to be more meticulous in all aspects before and after the operation." After Fang Xian finished speaking, he left the operating room again. Complete handover with patient's family.

Around 08:30 in the evening, when Fang Xian and his team came to the department, the middle-aged man who had performed the surgery yesterday was playing with his baby like a child behind the closed curtain, falling and falling together!
"What are you doing?" Fang Xian opened the curtain slightly and quickly covered it again.

The uncle was a little embarrassed and quickly covered himself with the quilt, his face full of embarrassment: "Doctor Fang, Doctor Fang, I'm sorry..."

Fang Xian then opened the curtain again and warned: "You have to cooperate with our doctors and follow their orders. Otherwise, if you lose the things we finally saved for you, you will lose them again." How unfair is this?"

Fang Xian was really worried about him, although he could understand the other person's shock and joy.

But nerve transplantation is still in the suturing stage. Even if there is a slight nerve reaction, it cannot be your toy!

"No more, Doctor Fang, I swear, I will never do it again." The patient held his middle finger and index finger together, raised his right hand, and vowed.

"I'm not scolding you, it's just that your body is yours, and this thing doesn't have much chance."

"You should also know how long your operation lasted yesterday, okay?"

"Not to mention that he still has a urinary catheter inserted."

"calm down."

"Is there any discomfort? For example, dizziness, vertigo, or discomfort in front of the heart?" Fang Xian was not only worried that he would damage his baby, but also worried about his life safety.

Any surgery has risks. If acute heart failure or arrhythmia occurs after surgery, timely detection and intervention are required.

The patient shook his head: "Everything is fine, Doctor Fang, I'm just a little hungry."

"You can't eat even if you're hungry. Let's take good care of yourself now. Only after you're well and discharged from hospital will you be able to have more convenience. If you're really bored, just move your lower limbs by yourself and let your family members help you move the other lower limbs." Fang Xian instructed. .

Then I checked my body temperature with gloves on, and found no local loss of body temperature caused by blood vessel damage, so I should be fine.

During this ward round, Wang Yang, Qin Long and others did not talk to each other, giving Fang Xian enough time to save face and show off and reap the results.

When is the most fulfilling time to be a doctor, especially a surgeon?

The moment the patient recovers, he comes in lying down, jumps out, or smiles most knowingly.

……

After everything was over, Qin Long and Zhong Kangqing left together as a team to solve the problem of dinner and midnight snacks on their own.

Fang Xian also felt a little tired and planned to go home and take a rest.

After all, they had been fighting for more than ten hours for two consecutive days, and there would be several more fierce battles to come.Don't tire yourself out.

But Wang Yang followed him and asked after leaving the hospital: "Dr. Fang, you did not apply for the Youth Fund of the National Natural Science Foundation of China this year, so what are you going to do with your project? Just simply go ahead and get funding from the Medical Association. ?"

"Actually, in terms of value, although the projects you have done, Dr. Fang, definitely exceed the above-mentioned topics, you still have to go through the application process for the below-mentioned topic fund or youth fund."

"This will make it easier for you to leave Qianqing in the future."

When Fang Xian heard this, he understood what Wang Yang meant: "Brother Yang, have you won the project?"

Fang Xian knew that Wang Yang was particularly diligent and in-depth in his subject.

The topics, especially the more popular ones, are general topics and the Natural Science Youth Fund.

"I'm investing, but I don't know whether to give it or not."

"What I mean is, Dr. Fang, you'd better apply for a youth fund, so that you can become a master's supervisor in the future. Then it will be helpful to evaluate the researcher's title, or even the professor."

"Brother Hui asked me to remind you."

"Because even now, it is impossible to completely break away from scientific research and only focus on professionalism." Wang Yang and Fang Xian walked side by side, looking sideways, with a little respect and appreciation in their eyes, and more importantly, a kind of recognition of similar people.

(End of this chapter)