Gou in the operating room to add some upgrades

Chapter 3: Guessing doctor’s orders is fruitful! (Please bookmark and recommend votes)

Skill training room 1321 is a skill training room related to orthopedics. There are seven or eight different skill operation instruments in total.

Fang Xian chose the relevant operating instrument that can practice incision.

The skill operation instrument is divided into an operation console and a display screen. The operation difficulty factor for practice can be selected on the display screen, and the subtlety of the operation can be sensed on the operation console.

Fang Xian chose the level 2 difficulty of the operation technique.

Ask to appear.

[Level 2 incision: Please follow the laser marking line and make an arc-shaped incision with a length of ten centimeters and a deep subcutaneous fascia! 】

[Requirement 1: Do not cut repeatedly, no broken lines appear in the incision, the lateral movement of the incision cannot deviate from the laser marking line by 0.5mm, and the distance between the incision depth and the subcutaneous fascia should not exceed 0.5mm.The incision length error is not more than 0.2cm, and the operation time is not more than 5s. 】

[Requires 2:3 operations to calculate the average value respectively. 】

At the same time, at the operation induction platform, a polyolefin polymer material memory silica gel was synthesized from ethylene and benzoyl propylene, and an s-shaped green laser arc marking line appeared on the operation surface that can still be restored after cutting .

Fang Xian picked up the scalpel at the side, and carefully checked the requirements of the operation and the corresponding details of the incision.

Precisely picked up the scalpel with a pen grip, and began to operate——

About 2 minutes later, Fang Xian completed 3 operations by pausing for half a minute between operations.

Finally, the result appears——

"Average operation time limit: 3.2s. No more than 4s, meeting the standard."

"The average depth of incision: 0.5003cm. The subcutaneous fascia is not injured, and the subcutaneous fascia is less than 0.5mm, which meets the standard."

"The average deviation between the incision and the laser marking line: 0.04mm, no more than 0.5mm, up to the standard."

"The average length of incision: 10.03cm. The error of the incision length does not exceed 0.2cm, which is up to the standard."

"Comprehensive score: 97! Skill proficiency: Level 2 (proficient)."

"Huh!~" Seeing the result, Fang Xian let out a long breath.

My own feeling is correct, and my strength has really been improved.

In this way, the degree of control over the incision depth, length, and arc can be operated even if it is used on a patient. It will not cause too much deviation like a level 1 skill, which will embarrass the superior doctor!
Immediately afterwards, Fang Xian came to the X-ray film reading skills training device, and practiced and confirmed the skills related to X-ray film reading...

Three hours later, Fang Xian left the skill training room with a slight frown.

He felt like he was thinking too much.

Except for the addition of skill points to show that it has reached level 2 skills, the level of other related skills remains the same, and there are no unexpected gains.

But Fang Xian was not discouraged either.

Being able to reach 3 level 2 skills is already pretty good.

And after reaching three level 3 skills, Fang Xian felt that the Affiliated Hospital of Shonan University's minimum requirements for the skills of assistants in the trauma surgery operating room were more objective.

Because right now, after Fang Xian possesses level 2 skills, he will have the confidence to perform operations and surgeries. I can do it. At least I can guarantee that I will not make big mistakes when I am an assistant. The bottom line is here, your superiors can rest assured.

After that, Fang Xian came to the department again.

Because Fang Xian already knows that through medical advice, he can increase the damage to diseases and gain skill points. Then, he has to carefully think and examine again whether there is any news about his three existing patients that he has ignored. , or whether it is possible to obtain greater benefits by changing medical orders.

It may not be useful, but even so, the basic theory of trauma surgery and theories related to pharmacy can be improved by carefully splitting the patient's medication principles.

This is usually the part that surgeons and tube bed doctors tend to ignore.

Because the main battlefield of surgery is still in the operating room. If the operation is done well, then everything will be fine. If the operation is not done well, it is too difficult to solve the problem of surgical patients simply by using medicine, unless you want to challenge Surgical indications and contraindications formulated by a group of experts!
The three patients Fang Xian was in charge of were all postoperative patients.

The current medication regimen is basically the same, with only slight differences.

The principles of postoperative medication for surgery are preventive anti-infection, analgesia, personalized stomach protection, and anticoagulation!Then different medications are given according to the different characteristics of different patients. For example, patients with hypertension need to see whether their blood pressure is well controlled, while patients with diabetes need to take insulin to adjust their blood sugar, etc.!

Of course, these are all things in the basic medical theory, Fang Xian is naturally clear.

Therefore, Fang Xian carefully asked around the patients he was in charge of and confirmed once again that they did not have such underlying diseases.

This left Fang Xian at a loss as to what to do.

At present, there are three patients, one with pelvic fracture, one with bone defect of femur after bone transport, and one with comminuted fracture of tibia and fibula after internal fixation.

These patients were all open fractures, and postoperative antibiotics needed to be used until the inflammatory indicators stabilized, and even a consultation was needed to change the antibiotics at any time.

Anticoagulants and antibiotics cannot be used. Drugs related to stomach protection have been discontinued except for the patient with a pelvic fracture who underwent surgery yesterday to continue to protect the stomach.

"So, except for the painkillers in bed 15, which can be stopped, nothing else can be changed!"

Fang Xian sighed, feeling a little funny that he would want to tinker with such a big outline as a doctor's order, and then get a huge harvest in one fell swoop?
This is too naive!
However, just after Fang Xian stopped the painkillers on bed 15 and changed to oral painkillers.

The panel flashed again——

"Skill points +2!"

"Timely stop the application of intravenous non-selective steroid analgesics, reduce the physical burden of the patient, reduce the chance of complications such as gastric bleeding to a certain extent, cause 2 points of damage to the patient's current sub-health symptoms, and gain 2 skill points!"

Seeing this prompt, Fang Xian's eyes flashed instantly?
"Ah! ~ this?"

Can stopping an analgesic reduce the harm the drug does to the patient's body and cause harm to the patient's sub-health state?

In other words, this patient currently has sub-health, but it is not reflected in the current treatment!
Fang Xian immediately caught the key point.

This is analyzed from the panel information and based on my own medical-related basic theories.

Sub-health!
Fang Xian continued to extract the corresponding knowledge reserves, sub-health state, generally not through drug treatment, but by changing the way of life.

Based on the existing data, it can only be determined that the patient has a sub-healthy gastrointestinal tract. If it is not a disease, is there something wrong with the patient's recent diet?
Fang Xian is not sure, because sub-health is not a specific diagnosis, but you can ask!
"Auntie, what have you been eating lately? Did you not eat the things I told you not to eat before? For example, chili and peppercorns, you should pay attention to this wound." Wearing a white coat, Fang Xian stood on the 15th bed Ask in front of you.

"No, Dr. Fang, you said you can't eat chili and peppercorns. I haven't eaten them. I've been drinking fish soup and eating fish, which are high in protein." The aunt on the 15th bed replied.

But when the aunt in bed 15 said this, another old lady in bed 14, the one with a fractured pelvis, complained: "Doctor Fang, she drank fish soup with millet and pepper, and she added a lot!~"

The old lady spoke seriously.

Fang Xian listened to what the grandmother in bed 14 said, and then looked at the aunt in bed 15 with awe-inspiring eyes.

The aunt in bed 15 said: "Dr. Fang, just this time, I will definitely not eat it next time. As you know, we usually don't have sex without spicy food..."

Fang Xianwen said: "Auntie, it's fine to eat chili peppers at ordinary times, but eating chili peppers after surgery is easy to cause local inflammation. Capsaicin will enter the blood and cause irritation. You can't be so disobedient and ruin your body by yourself." No?"

"Grandma, help me supervise, next time I see it, I will report to Professor Lin directly!"

"Let Professor Lin scold her."

Professor Lin is the leading professor in Fang Xian's group and a giant in trauma surgery in the province.You have a very hot temper. In addition to not daring to scold your superiors, everyone from the head nurse to the bedside doctor, as well as to the patients and their families will scold you, and the scolding will make you lose your temper.

Professor Lin has no superiors.

The aunt quickly shook her head and said, "No, Doctor Fang, I don't dare to eat anymore. I promise."

At this moment, her daughter said: "Mom, I will tell you. Don't eat it. Others are doctors and professionals. They can definitely find it. You still don't believe it..."

"Doctor Fang, I promise I won't give it to my mother, and I won't give it if she asks me any more." She promised.

……

"Persuade the patient to return to a normal diet, speed up the recovery of the wound, reduce the gastrointestinal damage, cause 6 points of damage to the current sub-health state, and gain 6 skill points!"

When Fang Xian walked out, it flickered like this.

Fang Xian's mouth suddenly lit up with joy.

There are no useless skills or useless theories, it just depends on how you use them.

(End of this chapter)