Gou in the operating room to add some upgrades

Chapter 6 Upper Limit and Lower Limit (Please collect and recommend)

Professor Lin's group now has a lot of junior doctors. There are also three in the seventh year, that is, the second year of master's degree or the second year of residency training. The senior brother in grade hasn't come yet.

Adding in the three Ph.D. brothers from the 11th, [-]th, and [-]th academic years, there are nine junior doctors!
Now Li Qiu is the only one who has not reached the threshold of skill requirements for entering the operating room. Can Li Qiu feel a sense of urgency?
After all, next year's new juniors will be here soon. It would be embarrassing if I haven't met the corresponding requirements when they come.

Those who can enter the re-examination stage of the Affiliated Hospital of Shonan University at the undergraduate stage have at least above-average qualifications, which is more or less good-looking.

Others did not pay special attention to the change in Li Qiu's expression. Everyone had come here the same way. The threshold for entering the operating room had to be fought for by oneself, and others could not help much.

Fang Xian is in charge of not many patients, only three beds, all after surgery. He adjusted the medical orders yesterday and only needs to make slight adjustments today, so all Fang Xian needs to do is actually write medical records and change dressings.

Just when he was pushing the dressing trolley back to the dressing room to clean up the dressing trolley, Fan Chengpeng came to him. He had already taken off his white coat and held his badge in his hand: "Brother Xian, let's go, get off!" It's the operating room."

"Take the badge and use it to change the locker key in the locker room later." Fan Chengpeng explained skillfully.

"Okay, Brother Peng, wait for me a moment." After Fang Xian threw the yellow garbage bag in the trash can in the dressing cart into the medical trash can, he quickly washed his hands, took off his name badge, and took off his clothes to follow Fan Chengpeng. Rhythm.

When walking parallel to the elevator with Fan Chengpeng, he asked: "Brother Peng, do you still need to have a badge for the key to the locker room here?"

It's not that Fang Xian has never been in an operating room before, it's just that he hasn't been in the operating room of the Shonan University Affiliated Hospital for a while. When he was at the First Affiliated Hospital of Hengda University, he went in as a trainee. The process seemed to be different from here. .

"Well, the management staff in the operating room prevented you from getting rid of the key, so that you can lose money. If you don't mortgage a thing, you just go straight to where to find someone?"

"The operating room in our hospital is relatively large and the staff is relatively complex, so the management is much stricter." Fan Chengpeng said while pressing the elevator.

Fang Xian then thought of the important point. In the Shonan University Affiliated Hospital, there are training doctors and rotation doctors. Professor Lin's group also has training doctors and rotation doctors who occasionally come to other surgeries. If management is not strengthened, the rotation doctors will be If the names of orthopedics are thrown around, doesn't that mean orthopedics is in chaos?

……

As a surgical resident doctor, basic skills such as changing clothes, washing hands, and dressing must be engraved in the brain, including the principle of asepsis, etc., which are only the basics of the basics of surgery. , it can let you roll the absolute bottom line of the operating room.

After Fang Xian and Fan Chengpeng arrived at the operating room 8, which was actually a trauma surgery room, the operating room was also densely packed with people.

There are five people on the operating table, namely the professor in the group, the associate professor in the group, the attending physician in the group, and the senior doctor, and the other three senior brothers in the seventh year are watching the operation in Zamabu.

Then, next to the anesthesiologist, there were four people sitting in a diamond shape in front of the anesthesia machine. It seemed that the anesthesiologist was teaching. Two circulating nurses in the operating room were swimming around. There was also a trainee girl in the room between the circulating nurses. , holding hands behind his back...

The size of this operating room is about the same size as that of the First Affiliated Hospital of Hengnan University, but the number of people there is more than double!
This had a strong impact on Fang Xian.

After Fan Chengpeng brought Fang Xian into the operating room, he said: "The operation is not over yet, let's find a vacant seat to watch the operation first. According to my teacher's temperament, it is estimated that he will cut the skin in the next operation, and you will be on stage." Assistant. In the next operation, you have a chance to cut the skin like this."

"Rookie protection period?" These words popped into Fang Xian's mind.

As soon as you enter the operating room, you can have the opportunity to experience the incision operation on the patient, which is too awesome.

You must know that doctors are currently the only profession in the world that is legal and actively authorized by the state to make incisions on the skin of living human beings for therapeutic purposes.

Other occupations are either only allowed to be performed on dead people, or on animals.

Or it was intentional injury!
"Basically, cherish it." Fan Chengpeng also encouraged Fang Xian, as if he thought it was nothing.

Fang Xian nodded, and then began to look inside to see the surgical team headed by Professor Lin begin the operation.

At this time, Fang Xian discovered that his knowledge system was very messy. These operations were paradoxical. Some of them were operations he was familiar with, and some were beyond his knowledge and understanding system.

But these parts flew by in an instant, and I couldn't figure out where they were.

But Fang Xian could figure out the name of some of them. After being separated, they can be understood as debridement, tendon suturing, fracture internal fixation, bone transport, bone grafting...

In Fang Xian's vision, it was relatively chaotic.

For more than an hour, Fang Xian was in this state.

Then the operation was over, and the doctoral brothers headed by Xue Li began to suture the wound. At this time, Professor Lin and Associate Professor Song Yu stepped down from the stage.

After scanning around, Lin Jiemo found the new face in the operating room. He spoke in a loud voice: "Xiao Fang, this is your first time in the operating room!"

"Hello, Teacher Lin. Teacher Song." Fang Xian hurriedly stood still and called out.

As the name suggests, Lin Jiemo has a dark complexion and a broad frame. He is a big man, but he is very kind and amiable at the moment. chant?"

Song Yu nodded, pushed up his glasses, and said: "The operating room is a serious place. The department has strict requirements and high standards for you. Firstly, it is to be responsible for the patients who trust our hospital and seek treatment. Secondly, it is to you The lower limits of some behaviors after entering the operating room shall be restricted.”

"A dead rule, do what you are told to do, and don't touch anything you are not told to do."

"So if you are only asked to cut the skin, you must not directly dry the skin on the opposite side, and then ask the superiors to rescue you from the bottom up!"

"I know that you are very powerful, and you also trust the emergency response capabilities of us teachers. But in fact, the rules of our department are also established by your senior brothers generation after generation. You should not expand the territory!" Song Yu Her skin color is very white, her voice is relatively smooth, crisp but not striking, and she is humorous and interesting.

It allows you to remember every word clearly.

Fang Xian briefly imagined the scene of making an incision in an orthopedic surgery and being able to cut from the surface of the skin to the surface of the opposite side. Suddenly he felt that the strict standards for entering the operating room set by these unhuman professors were also Poor and helpless move.

Song Yu went on to say: "The second point is to watch more and talk less. The lower limit of the quality of surgery in the operating room is determined by you, so you have to watch more and ponder."

"Stop talking. The upper limit of surgical quality has nothing to do with you, so don't show off your modest accumulation of knowledge. It's not that your superiors don't want to talk to you, but it's just that you are tired."

"Ask more after the operation. If there is a suitable opportunity, we will answer your questions. I am afraid that you will not ask questions like a gourd."

"That's about it." After Song Yu finished explaining, he sat aside.

As a professor, Lin Jiemo sat under the timing panel in the operating room after speaking the first sentence, and he was still humble with Song Yu at the moment.

"Professor Song, why don't you come?"

"No, no, no, Teacher Lin, it is helpless for me to teach on your behalf in your absence. How can I dare to teach when you are here? If you are scolding me for something I did not do well, you can just say it directly. "Song Yu's tone was respectful, not flattering, full of admiration.

"Then let me do it?" Lin Jiemo didn't refuse, as if he wanted to give Associate Professor Song Yu a chance.

……

Fang Xian still doesn't understand what Professor Lin and Associate Professor Song Yu mean, but when the next patient with a large femur defect is anesthetized, he is performing the incision operation.

Lin Jiemo asked Fang Xian: "Xiao Fang, how long do you think it will take for this surgery to expose the skin to the femur?"

Fang Xian suddenly looked stern, thinking that Lin Jiemo was testing his theoretical basis of anatomy, which was the theoretical basis of orthopedics, and began to recall the corresponding anatomical levels.

Simply put, from the skin to the femur, there are five or six layers, and there are arteries, veins and nerves in the quadriceps anterior!

But Professor Lin's ability is definitely not ordinary, so it shouldn't take about 10 minutes, 10 minutes or so.

"About 10 minutes?" Fang Xian said.

Then Lin Jiemo and Associate Professor Song Yu started to cooperate at full speed.

One cut to the subcutaneous fascia, and then immediately began to switch to the electric knife, then to the fat layer, and finally exposed the deep fascia layer. After blunt rupture, it was directly dried to the end of the femoral defect through the intermuscular space.

And after pulling it away with a hook, Lin Jiemo first looked at the timing panel in the operating room, and then at Song Yu: "Three minutes and 21 seconds, a little slower than last time?"

Song Yu replied: "Professor Lin, the last time it was the pelvis, our group had a lot of pelvic surgeries, so we are proficient."

"So I have to practice! Practice makes perfect!" Lin Jiemo nodded.

Fang Xian was completely petrified!

3 minutes directly from the skin to the surface of the bone, do you still think it is slow?Can I still be a person?

However, no one paid special attention to the change in Fang Xian's expression, but those who were serious about performing surgery performed the surgery, and those who watched the surgery watched the surgery.

When Fang Xian saw the hands of Lin Jiemo and Associate Professor Song Yu, his eyes were filled with envy, and he wished he could cut off those hands and plant them in his own hands.

This is the charm of surgery...

(End of this chapter)