Gou in the operating room to add some upgrades
Chapter 267 Case Discussion
Chapter 267 Case Discussion
"Haha, it should be easier for young people to communicate with each other." Lin Jiemo laughed dryly, treating Fang Xian's words as unintentional and not hinting at his thoughts at all.
However, Lin Jiemo had to admire Fang Xian's ability to make the two great gods Wang Yang and Yang Luoguan regain their temper.
Anyway, if you ask yourself, he can't do it.
The two of them have a more arrogant temperament than the other. To say that they are incompetent and arrogant is to deceive themselves and others, but it just so happens that these two people are somewhat capable.
As the chief physician of the Thoracic Surgery Department, Wang Yang is a theoretical researcher. In terms of theory, he ranks second. No one in the Shonan Affiliated Hospital dares to rank first. After all, theory and practice are different. If there is nothing in his head, Where do the concepts come from that can be used for theoretical deliberations?
Fortunately, no one is perfect, and Wang Yang's hands-on skills are still a bit poor, but it doesn't matter. As long as a person has a special high point, he can be remembered by others.
As for Yang Rogguan, he is Fang Xian's senior brother. Even though he devoted himself to theoretical development in the first few years, he still has not fallen behind in practical basic operations. With only level 5 basic skills, Yang Rogguan is proficient in three. Although there is no way to compete with Fang Xian. It's easy to compare, but at this age, if you look at the entire country of China, you really can't find many.
"Although their temperaments are not as expected, they still have the momentum to climb up. As long as you have the heart to make progress, everything will be easy!" Fang Xian nodded and said with a smile.
When it comes to climbing up, the one you should pay the most attention to is Yangrou Pass.
His father's achievements were not low, and it would be difficult to surpass them. So on the surface, Yang Roguan looked like he was waiting to die for the rich second generation, but in reality?He has a lot of upward momentum. Otherwise, how could he be on the front line of their Functional Reconstruction Department?It’s not about improving your professional practical abilities.
Unfortunately, if he wants to surpass or stand alongside his father, Professor Yang Gefeng, he can only work towards becoming a world-class level 6 doctor.
As the saying goes, a journey of a thousand miles begins with a single step, and this may be the biggest reason why Yang Rogguan has joined the team.
……
about a week later.
Time has come to the end of April. As a team in the initial stage, introspection is often the most important link. Every time you work for a period of time, you must stop and analyze the problems you are encountering. Only in this way can you promote the development of the team in the future. more stable.
When exploring a new field, this kind of literacy is the most basic.
Just before the May Day holiday, everyone was called together by Fang Xian to sort out this month's workload.
"Overall, the quality and quantity of our surgeries this month were very good. We also recorded the post-operative follow-up work on time for our future research and development."
"However, the prognosis of one of the patients was not satisfactory to the patient and his family." In the room, Associate Professor Qin Long sat on one side and began to summarize and analyze his work. Everyone else looked at him. After all, he was a As a team, every link needs attention.
"This patient's bowel function is quite satisfactory. Although the daily frequency is too high, it is within the normal range and can be regarded as normal. However, urinary incontinence occasionally occurs. Later, his family members also had troubles several times, but they have been resolved. Calm down.”
This is the introspection necessary for emerging subjects. Each link and aspect must be repeatedly demonstrated. Only after a better conclusion is obtained can it be put into practice.
Regarding the prognosis of surgical patients, within the scope of consideration of surgical risks, it cannot be ruled out that there is a problem with the surgical process or actual operation, and no detail can be ignored.
Everyone else looked at each other and did not take the lead in giving their own opinions. Although it was after the operation, in order to build a mature medical system, every link needs to be studied. If any problem arises, a corresponding solution should be found. s reason.
However, the problems that have arisen now are only a few. Even if a sample survey is conducted, there are not enough cases for analysis. Therefore, it is more of a coincidence than a medical accident.
"Our surgery is still in its infancy. Regarding the unknown risks after surgery, we still need a large number of actual cases as a basis for us to discover and solve problems. In this regard, I think we need to fully understand the risks before starting the surgery. Communicate with family members, especially about postoperative effects.”
After all, it is an immature surgical system, and they cannot guarantee the exact postoperative results. Even if it is a mature surgery, who can guarantee that it will be 100% successful?These are all unknowns.
Therefore, before surgery, it is necessary and necessary to communicate with the patient's family about the results of the surgery.
"As for the effect of the surgery, we don't need to guarantee anything. After all, it is an emerging discipline. If we could guarantee any effect, our team would have become the best in the world long ago!"
After listening to Fang Xian's words, everyone else smiled relaxedly.
As he said, the emerging surgical system is still in its immature stage and cannot provide any precise guarantee to patients and their families.Basically, people all over the world are waiting for their team to finalize a document, launch this new surgical system, and form a professional course and training system.
It would be surprising if they could confirm any post-operative results now!
The atmosphere gradually relaxed, and at the same time, Fang Xian also made a second suggestion: "Secondly, regarding the observation of postoperative patients, men and women should be separated. In this way, management can be more convenient and some inconveniences can be avoided. Necessary questions.”
Speaking of this, Fang Xian glanced at the others, who also smiled. Naturally they knew what Fang Xian was talking about. Qin Long coughed twice and nodded: "That's the one I just mentioned."
Hearing this, Fang Xian raised his eyebrows, but didn't seem that surprised. Then he nodded thoughtfully and said several times: "That's not surprising..."
As I said just now, every aspect of the self-examination must be analyzed and demonstrated to ensure that no unexpected problems will arise in these aspects, just like the previous post-operative patients who separated male and female patients. Problems will also be greatly reduced.
"There is another issue that I think needs attention." Associate Professor Zhong Kangqing was sitting next to Fang Xian. When he saw him lost in thought, he followed him abruptly.
Hearing this, everyone else looked at him in unison.
"Yeah." Fang Xian nodded, indicating for him to continue.
"The question I'm thinking about is whether it is necessary to change the medication after the operation. After all, because of the special nature of this operation, it requires better drugs for neurological recovery." "Even some imported drugs, if they are good for neurological function recovery, Rehabilitation of neurological function is more effective, can it also be used?"
Hearing Associate Professor Zhong Kangqing's question, everyone else was more or less silent. This is because China's original drug development is indeed not as good as foreign countries, but if foreign drugs are quoted in this brand-new field, will they be criticized? What about people gossiping?
After all, this brand new field is being expanded and developed by the Chinese team. If it is still necessary to import drugs for subsequent drug treatment, will it be a bit... stretched?
The others looked at each other in confusion. After all, Fang Xian still needed to make the final decision on this issue.
"As for the rational use of medicine, I think we can still explore it." Everyone else had their own thoughts, but Fang Xian nodded, acquiescing to Zhong Kangqing's words.
"Although we are in the initial stage now and have not yet found the best quality postoperative drugs for rational use, after all, it is related to the health of postoperative patients. Naturally, faster recovery is the priority. What about imported drugs?"
At this point, Fang Xian's tone gradually became calmer, and he continued to speak slowly: "Besides, what is the most important thing in research? Seek truth from facts."
"Just because we need to import, we cannot dare to recognize the original development capabilities of domestic drugs..."
"In addition, after this month of surgery, there are indeed some small issues that need to be paid attention to, that is, our division of labor. We must have a clear division of labor system, one carrot for each pit, so that even if there are any sudden problems, we can solve them in time. response."
The next step is to start assigning surgical tasks to others according to their functional expertise.
Yang Languan's surgical skills should be the highest among everyone here except Fang Xian. Therefore, he is responsible for the debridement during the operation. The debridement is relatively complicated and includes initial and second treatment of the wound. When cleaning the wound, he also It is necessary to preserve important blood vessels, nerves and tendon tissue as much as possible, and the delicate operation requires Yang Luoguan to perform it.
As for Zhong Kangqing and Qin Long, they are responsible for the anatomical and functional reconstruction of the corresponding departments.
Fang Xian's task is heavier. As the backbone of the team's development system, Fang Xian needs to pay special attention to all aspects. Therefore, he is responsible for the correction or guidance of anatomical palace lantern reconstruction at any time. In addition, he also needs to be responsible for nerve transposition, Operations in sewing, planting, etc.
With great power comes great responsibility!
As for Li Qiu, he is only responsible for continuing to teach the application of suturing concepts in direct tendon sealing and operation. He is still in the learning stage, so he cannot be asked too much. The pressure can indeed make people improve, but it cannot be too much.
This medical record discussion lasted for more than ten minutes. The whole process of the operation and various subsequent problems were brought to the attention of everyone. Everyone discussed how to deal with it. After everyone discussed the solution, they could put it into practice more quickly. go.
At this moment, there was a knock on the door of the conference room.
Those who suddenly visited during the meeting were the teams from the medical department and scientific research department of the hospital. When they heard that Fang Xian and the others were analyzing and summarizing here, they came to ask for advice in person.
Although it is impolite to suddenly visit someone else in the middle of a meeting, since they are here, it shows one thing, that is, the hospital attaches great importance to this matter, which is why the teams from the Medical Department and Scientific Research Department are asked to Come and ask for advice.
In this way, the conference room became polarized. Several people who were originally sitting facing each other were now sitting on the same side, while people from the medical department and scientific research department were sitting on the opposite side.
"Doctor Fang." A man who looked like he could speak well in the scientific research department said with a smile. "If you encounter any problems with the new subject development carried out by your team, our Scientific Research Department will definitely help. We are all in the same hospital. If you have any difficulties, you can raise them in time."
At the same time, people from the medical department also expressed their attitude: "Yes, the development of new subjects requires careful steps. Our various departments coordinate and cooperate and discuss together, which will also be beneficial to the next development, right Dr. Fang?"
After listening to what they said, Fang Xian used his usual coping rhetoric: "That's natural. Developing new subjects is not easy. If necessary, I will definitely seek your help. After all, the strength of a team is still too small. If If there are others willing to help, that would be great.”
"However, the current subject development is still in its infancy, and there are too many aspects that require time and effort. If you don't have relevant experience, it really won't be of much help. If a group of people are anxious about a problem, it's not a waste of time. Well."
The meaning is very simple. As an emerging subject, even they are still in their infancy. Even if others want to help, they probably won’t be of much help. Moreover, if they encounter some new problems, not only will they not be able to help, but they will also be unable to help. May cause trouble.
Therefore, spiritual encouragement is acceptable, but actual help is omitted.
However, talents in various fields happened to be here, and Fang Xian had a new idea, which was to take advantage of this opportunity to conduct a simulation of a follow-up press conference. Their team had been established for some time, and the work progress had also improved slightly. Naturally, there can be no mistakes at the meeting.
Since it is a press conference, there needs to be one person as the team representative. Fang Xian was originally the best candidate for this representative, but in terms of theory, who in the team can be stronger than Wang Yang?Therefore, he naturally gained the position of representative.
This was an opportunity to show his face. Although Yang Rogguan was not convinced, Wang Yang was the most suitable one and he had to accept it.
In the conference room, Wang Yang stood in front of the table and began to give a brief introduction to the development of the team's emerging subjects. This was not only a simulation of the follow-up project press conference, but also to inform the medical department and scientific research department of their work progress. The team comes to listen.
They are all professionals. Even if they are assigned different functions, they can still hear the development of Fang Xian's team in emerging subjects.
Especially in the follow-up observation and processing of surgery, everything is done in every detail. Although it is a bit troublesome, isn't a mature medical system built on the accumulation of huge basic data?
After listening to Wang Yang's description of the next work, if there is any inappropriateness, others will take the initiative to correct it. This is not to find fault, but to make the subsequent project conference more rigorous.
But Fang Xian was the only one who could point out the problem. Even if Yang Rogguan listened carefully and tried to find any loopholes in Wang Yang's mouth, in the end, except for Fang Xian, he couldn't find any loopholes.
I can only reluctantly admit that in terms of theory, Wang Yang is quite powerful.
(End of this chapter)
"Haha, it should be easier for young people to communicate with each other." Lin Jiemo laughed dryly, treating Fang Xian's words as unintentional and not hinting at his thoughts at all.
However, Lin Jiemo had to admire Fang Xian's ability to make the two great gods Wang Yang and Yang Luoguan regain their temper.
Anyway, if you ask yourself, he can't do it.
The two of them have a more arrogant temperament than the other. To say that they are incompetent and arrogant is to deceive themselves and others, but it just so happens that these two people are somewhat capable.
As the chief physician of the Thoracic Surgery Department, Wang Yang is a theoretical researcher. In terms of theory, he ranks second. No one in the Shonan Affiliated Hospital dares to rank first. After all, theory and practice are different. If there is nothing in his head, Where do the concepts come from that can be used for theoretical deliberations?
Fortunately, no one is perfect, and Wang Yang's hands-on skills are still a bit poor, but it doesn't matter. As long as a person has a special high point, he can be remembered by others.
As for Yang Rogguan, he is Fang Xian's senior brother. Even though he devoted himself to theoretical development in the first few years, he still has not fallen behind in practical basic operations. With only level 5 basic skills, Yang Rogguan is proficient in three. Although there is no way to compete with Fang Xian. It's easy to compare, but at this age, if you look at the entire country of China, you really can't find many.
"Although their temperaments are not as expected, they still have the momentum to climb up. As long as you have the heart to make progress, everything will be easy!" Fang Xian nodded and said with a smile.
When it comes to climbing up, the one you should pay the most attention to is Yangrou Pass.
His father's achievements were not low, and it would be difficult to surpass them. So on the surface, Yang Roguan looked like he was waiting to die for the rich second generation, but in reality?He has a lot of upward momentum. Otherwise, how could he be on the front line of their Functional Reconstruction Department?It’s not about improving your professional practical abilities.
Unfortunately, if he wants to surpass or stand alongside his father, Professor Yang Gefeng, he can only work towards becoming a world-class level 6 doctor.
As the saying goes, a journey of a thousand miles begins with a single step, and this may be the biggest reason why Yang Rogguan has joined the team.
……
about a week later.
Time has come to the end of April. As a team in the initial stage, introspection is often the most important link. Every time you work for a period of time, you must stop and analyze the problems you are encountering. Only in this way can you promote the development of the team in the future. more stable.
When exploring a new field, this kind of literacy is the most basic.
Just before the May Day holiday, everyone was called together by Fang Xian to sort out this month's workload.
"Overall, the quality and quantity of our surgeries this month were very good. We also recorded the post-operative follow-up work on time for our future research and development."
"However, the prognosis of one of the patients was not satisfactory to the patient and his family." In the room, Associate Professor Qin Long sat on one side and began to summarize and analyze his work. Everyone else looked at him. After all, he was a As a team, every link needs attention.
"This patient's bowel function is quite satisfactory. Although the daily frequency is too high, it is within the normal range and can be regarded as normal. However, urinary incontinence occasionally occurs. Later, his family members also had troubles several times, but they have been resolved. Calm down.”
This is the introspection necessary for emerging subjects. Each link and aspect must be repeatedly demonstrated. Only after a better conclusion is obtained can it be put into practice.
Regarding the prognosis of surgical patients, within the scope of consideration of surgical risks, it cannot be ruled out that there is a problem with the surgical process or actual operation, and no detail can be ignored.
Everyone else looked at each other and did not take the lead in giving their own opinions. Although it was after the operation, in order to build a mature medical system, every link needs to be studied. If any problem arises, a corresponding solution should be found. s reason.
However, the problems that have arisen now are only a few. Even if a sample survey is conducted, there are not enough cases for analysis. Therefore, it is more of a coincidence than a medical accident.
"Our surgery is still in its infancy. Regarding the unknown risks after surgery, we still need a large number of actual cases as a basis for us to discover and solve problems. In this regard, I think we need to fully understand the risks before starting the surgery. Communicate with family members, especially about postoperative effects.”
After all, it is an immature surgical system, and they cannot guarantee the exact postoperative results. Even if it is a mature surgery, who can guarantee that it will be 100% successful?These are all unknowns.
Therefore, before surgery, it is necessary and necessary to communicate with the patient's family about the results of the surgery.
"As for the effect of the surgery, we don't need to guarantee anything. After all, it is an emerging discipline. If we could guarantee any effect, our team would have become the best in the world long ago!"
After listening to Fang Xian's words, everyone else smiled relaxedly.
As he said, the emerging surgical system is still in its immature stage and cannot provide any precise guarantee to patients and their families.Basically, people all over the world are waiting for their team to finalize a document, launch this new surgical system, and form a professional course and training system.
It would be surprising if they could confirm any post-operative results now!
The atmosphere gradually relaxed, and at the same time, Fang Xian also made a second suggestion: "Secondly, regarding the observation of postoperative patients, men and women should be separated. In this way, management can be more convenient and some inconveniences can be avoided. Necessary questions.”
Speaking of this, Fang Xian glanced at the others, who also smiled. Naturally they knew what Fang Xian was talking about. Qin Long coughed twice and nodded: "That's the one I just mentioned."
Hearing this, Fang Xian raised his eyebrows, but didn't seem that surprised. Then he nodded thoughtfully and said several times: "That's not surprising..."
As I said just now, every aspect of the self-examination must be analyzed and demonstrated to ensure that no unexpected problems will arise in these aspects, just like the previous post-operative patients who separated male and female patients. Problems will also be greatly reduced.
"There is another issue that I think needs attention." Associate Professor Zhong Kangqing was sitting next to Fang Xian. When he saw him lost in thought, he followed him abruptly.
Hearing this, everyone else looked at him in unison.
"Yeah." Fang Xian nodded, indicating for him to continue.
"The question I'm thinking about is whether it is necessary to change the medication after the operation. After all, because of the special nature of this operation, it requires better drugs for neurological recovery." "Even some imported drugs, if they are good for neurological function recovery, Rehabilitation of neurological function is more effective, can it also be used?"
Hearing Associate Professor Zhong Kangqing's question, everyone else was more or less silent. This is because China's original drug development is indeed not as good as foreign countries, but if foreign drugs are quoted in this brand-new field, will they be criticized? What about people gossiping?
After all, this brand new field is being expanded and developed by the Chinese team. If it is still necessary to import drugs for subsequent drug treatment, will it be a bit... stretched?
The others looked at each other in confusion. After all, Fang Xian still needed to make the final decision on this issue.
"As for the rational use of medicine, I think we can still explore it." Everyone else had their own thoughts, but Fang Xian nodded, acquiescing to Zhong Kangqing's words.
"Although we are in the initial stage now and have not yet found the best quality postoperative drugs for rational use, after all, it is related to the health of postoperative patients. Naturally, faster recovery is the priority. What about imported drugs?"
At this point, Fang Xian's tone gradually became calmer, and he continued to speak slowly: "Besides, what is the most important thing in research? Seek truth from facts."
"Just because we need to import, we cannot dare to recognize the original development capabilities of domestic drugs..."
"In addition, after this month of surgery, there are indeed some small issues that need to be paid attention to, that is, our division of labor. We must have a clear division of labor system, one carrot for each pit, so that even if there are any sudden problems, we can solve them in time. response."
The next step is to start assigning surgical tasks to others according to their functional expertise.
Yang Languan's surgical skills should be the highest among everyone here except Fang Xian. Therefore, he is responsible for the debridement during the operation. The debridement is relatively complicated and includes initial and second treatment of the wound. When cleaning the wound, he also It is necessary to preserve important blood vessels, nerves and tendon tissue as much as possible, and the delicate operation requires Yang Luoguan to perform it.
As for Zhong Kangqing and Qin Long, they are responsible for the anatomical and functional reconstruction of the corresponding departments.
Fang Xian's task is heavier. As the backbone of the team's development system, Fang Xian needs to pay special attention to all aspects. Therefore, he is responsible for the correction or guidance of anatomical palace lantern reconstruction at any time. In addition, he also needs to be responsible for nerve transposition, Operations in sewing, planting, etc.
With great power comes great responsibility!
As for Li Qiu, he is only responsible for continuing to teach the application of suturing concepts in direct tendon sealing and operation. He is still in the learning stage, so he cannot be asked too much. The pressure can indeed make people improve, but it cannot be too much.
This medical record discussion lasted for more than ten minutes. The whole process of the operation and various subsequent problems were brought to the attention of everyone. Everyone discussed how to deal with it. After everyone discussed the solution, they could put it into practice more quickly. go.
At this moment, there was a knock on the door of the conference room.
Those who suddenly visited during the meeting were the teams from the medical department and scientific research department of the hospital. When they heard that Fang Xian and the others were analyzing and summarizing here, they came to ask for advice in person.
Although it is impolite to suddenly visit someone else in the middle of a meeting, since they are here, it shows one thing, that is, the hospital attaches great importance to this matter, which is why the teams from the Medical Department and Scientific Research Department are asked to Come and ask for advice.
In this way, the conference room became polarized. Several people who were originally sitting facing each other were now sitting on the same side, while people from the medical department and scientific research department were sitting on the opposite side.
"Doctor Fang." A man who looked like he could speak well in the scientific research department said with a smile. "If you encounter any problems with the new subject development carried out by your team, our Scientific Research Department will definitely help. We are all in the same hospital. If you have any difficulties, you can raise them in time."
At the same time, people from the medical department also expressed their attitude: "Yes, the development of new subjects requires careful steps. Our various departments coordinate and cooperate and discuss together, which will also be beneficial to the next development, right Dr. Fang?"
After listening to what they said, Fang Xian used his usual coping rhetoric: "That's natural. Developing new subjects is not easy. If necessary, I will definitely seek your help. After all, the strength of a team is still too small. If If there are others willing to help, that would be great.”
"However, the current subject development is still in its infancy, and there are too many aspects that require time and effort. If you don't have relevant experience, it really won't be of much help. If a group of people are anxious about a problem, it's not a waste of time. Well."
The meaning is very simple. As an emerging subject, even they are still in their infancy. Even if others want to help, they probably won’t be of much help. Moreover, if they encounter some new problems, not only will they not be able to help, but they will also be unable to help. May cause trouble.
Therefore, spiritual encouragement is acceptable, but actual help is omitted.
However, talents in various fields happened to be here, and Fang Xian had a new idea, which was to take advantage of this opportunity to conduct a simulation of a follow-up press conference. Their team had been established for some time, and the work progress had also improved slightly. Naturally, there can be no mistakes at the meeting.
Since it is a press conference, there needs to be one person as the team representative. Fang Xian was originally the best candidate for this representative, but in terms of theory, who in the team can be stronger than Wang Yang?Therefore, he naturally gained the position of representative.
This was an opportunity to show his face. Although Yang Rogguan was not convinced, Wang Yang was the most suitable one and he had to accept it.
In the conference room, Wang Yang stood in front of the table and began to give a brief introduction to the development of the team's emerging subjects. This was not only a simulation of the follow-up project press conference, but also to inform the medical department and scientific research department of their work progress. The team comes to listen.
They are all professionals. Even if they are assigned different functions, they can still hear the development of Fang Xian's team in emerging subjects.
Especially in the follow-up observation and processing of surgery, everything is done in every detail. Although it is a bit troublesome, isn't a mature medical system built on the accumulation of huge basic data?
After listening to Wang Yang's description of the next work, if there is any inappropriateness, others will take the initiative to correct it. This is not to find fault, but to make the subsequent project conference more rigorous.
But Fang Xian was the only one who could point out the problem. Even if Yang Rogguan listened carefully and tried to find any loopholes in Wang Yang's mouth, in the end, except for Fang Xian, he couldn't find any loopholes.
I can only reluctantly admit that in terms of theory, Wang Yang is quite powerful.
(End of this chapter)
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