Gou in the operating room to add some upgrades

Chapter 9 Level 3 skills are so easy to use! (For collection, for follow-up)
Medical Routine Basic Theory Level 1 3/25!
Surgical Routine Basic Theory Level 1 14/25!
Basic Theory of Orthopedics Level 2 12/50!
Basic Theory of Trauma Surgery Level 2 35/50!
The next day, in the morning, Fang Xian stared at his panel and looked around. These few skill points are really pitifully few.

Medicine is a large category, with multiple sub-disciplines such as internal medicine, internal medicine, women and children, mental skin psychology, etc. Orthopedics is a small category of surgery such as orthopedic surgery, general surgery, and neurosurgery!
I am just a small resident of trauma surgery, and I will most likely only work in the field of trauma surgery in the future. Fang Xian naturally specialized in trauma surgery in his previous studies, so he gradually put aside basic medical theories and surgical routines theory, put more energy on orthopedics and trauma surgery specialties.

16 skill points.The only thing that can be improved is the theoretical foundation of trauma surgery.

After clearing your skill points.

The basic theory of trauma surgery has been upgraded from level 2 to level 3. Fang Xian's idea is still to work on the theory first, and strive to discover more diagnoses in clinical practice that others are not aware of, so that he can get more skill points.

This is an investment in the nature of a gambler, and the income may not be able to keep up with adding points to the operating skills first.

However, Fang Xian still feels that the most important thing is to explore ways to improve skill points first!

Why are you anxious? Even if you take your time and patiently wait for the opportunity, even if you only get 1 skill point on average every day, after half a year, you will be able to add three to four level 3 skills!

In this way, the cost of trial and error is very low, and the options are very high.

Therefore, this 26-point investment is nothing at all, and it has to be looked at in the longer term.

The reason why I did not choose to add some medical and surgical foundations is because most of the trauma surgery cases are specialist cases. It is a bit wrong to select non-orthopedic diseases from the specialist cases.

Even if it would be better to add some general categories like medical theory and routine, the frequency and probability of skills that can be applied must also be considered...

After the ward rounds on Saturday, Associate Professor Song Yu directly ordered that bed 15 be discharged today!Fang Xian thought of a solution on his own.

Fang Xian is in charge of three beds, 13-15 beds.

Bed 13 was a patient who had undergone bone transfer surgery for a femoral bone defect. They basically had to be hospitalized for a week after the surgery. Bed 14 had a pelvic fracture and needed to be hospitalized for eight or nine days.

Bed 15 is a patient with a comminuted fracture of the tibia and fibula who underwent internal fixation.That is, the aunt who drank millet and pepper fish soup is now on the fourth day after the operation. With her diagnosis, the average post-operative stay at Shonan University Hospital is about five days, three to seven days!

Associate Professor Song Yu gave orders, and Fang Xian could only follow suit!

After the ward check, he rushed to his bed immediately: "Auntie, you are in good condition now. You can get out of bed and move around after the operation. You will be discharged from the hospital today to go home to rest and do functional exercises, right?"

Associate Professor Song Yu also said these words, but the aunt's daughter was a little unhappy when she heard it: "Doctor Fang, let's stay for a few more days, my mother has gone back, and we don't know how to recover, don't worry !"

"Sister, you also know that the turnover of our hospital has always been very fast, and the patients who have made an appointment to be hospitalized are also waiting. So please understand." Fang Xian said.

The aunt on the 14th bed said: "Oh, Dr. Fang, your hospital has so many patients, so don't rush me. You can do one less operation and earn less money. Let me stay for a few more days. .”

"Can you?" She was smiling all over her face, with longing in her eyes, and she didn't want to be discharged from the hospital at all.

Fang Xianwen said, "Auntie, it's wrong for you to talk like this. When you are queuing up, you will think that we will arrange for you to come in and be hospitalized as soon as possible, is it just to earn your money?"

"Think about it for a moment. I suggested you go to Shashi No. [-] Hospital before, but you guys refused to go, right?"

"The patients in the back have the same mentality as you."

"If there weren't so many patients waiting in line, then we definitely wouldn't speed up the turnover." Fang Xian explained very skillfully.

"So? Then I've already moved in," the aunt said with a smile.

"Auntie, your current condition is very good. It's not that there is anything unclear about you. We will discharge you from the hospital. You will just rest and exercise. You don't need injections. You can switch to oral medication starting today."

"It's more convenient to live at home. It's not as noisy as the ward. Don't you think it's better to be more considerate of the patients in the back? They are still helpless and just waiting for treatment."

……

After all, Fang Xiancai finally persuaded the 15-bed aunt to leave.

I thought that the newly admitted patients would come in the afternoon, but who knows, the new 15-bed patient was even more anxious than Fang Xian expected. Fang Xian just finished the relevant procedures for discharge, and then the 15-bed aunt and daughter settled the bill. After finishing, a cart was pushed by the nurse's station, waiting to be admitted to the hospital.

After checking at the nurse's station, he confirmed that he was an appointment patient, so he informed Li Qiu, the doctor on duty, that he was going to be arranged in bed 15. Li Qiu saw that Fang Xian was right next to him, so he didn't need to send a message. The information has been notified.

"Brother Xian, your new patient in bed 15 is here..." Li Qiu said with a smile, and then began to concentrate on writing medical records.

Fang Xian still used Li Qiu to say, he heard what the nurse on duty said, and sighed slightly, thinking that he could still go to the skill training room first, and only need to come back in the afternoon.

But it’s also good, after the 15th bed is collected, you don’t have to worry about it in your heart, and you can practice skills more without distractions.

When Fang Xian walked to the door of the nurse station, the aunt who used to have a bed of 15 was pushed out of the department in a wheelchair by her daughter. When she saw Fang Xian, she greeted her warmly.

"Doctor Fang, we are discharged from the hospital, thank you."

Fang Xian was asking about the basic situation of the eldest sister on the cart, so he just nodded to her.

The aunt in bed 15 noticed that the woman in her 30s had thick gauze and plaster tied up under her legs, and there was light green pus on the surface of the plaster, and her face changed slightly.

"This girl looks so serious."

"Yes, Mom, Dr. Fang is definitely right. Her condition is much more serious than yours. Look at how worried her husband is..."

After probably asking about the medical history of the new eldest sister, Fang Xian said, "So, you have had surgery at Huai City No. [-] Hospital, and now you have infection and the fracture is not healing?"

"Hey, stop talking, the hospital's technology is not good."

"How can there be an infection during an operation?" the woman's husband said.

Hearing this, Fang Xian stared at him seriously and put down his pen and notebook: "Postoperative infections occur from time to time, especially open fractures, which are more likely to be infected. Similar patients here also have infections. .”

The young man was wearing short-sleeved shorts and sneakers, probably in his 30s, and Ben was full of complaints.

Hearing what Fang Xian said at this moment, his emotions calmed down a little: "Doctor, your hospital is definitely different from Huaishi Hospital. The teaching skills here must be much better."

"Bed 15 has been vacated. You can move in first."

"There is only one empty bed in the female ward now. Doctor Fang, please explain it to the patients in the other two beds." The nurse stood up and gave a bunch of materials.

"Okay!~"

Upon hearing this, Fang Xian led the woman and her husband to bed 15 and said, "Have you brought all the examination materials from Huai City No. [-] Hospital?"

"I brought the doctor, but will you admit these examination data?" The middle-aged man asked.

"Why don't you admit it? You must have read too many comments online." Fang Xian smiled casually.

……

After sending them to bed 15, Fang Xian also put on a pair of gloves to help transfer the patient to the bed, and explained in a low voice to the patients and their families in bed 1314 that this was just a common infection and would not be contagious. Then he took the examination information of the patient named Li Jiao and returned to the doctor's office.

Her current situation is quite complicated. A car accident resulted in open fractures of both lower limbs, postoperative infection, and persistent fractures.

Even if you have just been admitted to the hospital, you must take some medicines in time.

For example, the most basic one is anti-infection treatment, and then there is swelling and anticoagulation, especially anticoagulation, which requires special attention!
But while walking, Fang Xian still felt a dull pain in his stomach, so he took another bottle of soda water from the lounge and brought it into the doctor's office.

Seriously looking at the relevant medical records of the No. 1 Civilian Hospital in Huai City, the length of the diagnosis gave Fang Xian a particularly headache.

Trauma of both lower extremities: extensive contusion of the skin and soft tissues of both lower extremities, multiple muscle injuries of both lower extremities, rupture of the anterior tibial artery of the right lower extremity, multiple fractures and displacement of the tibia and fibula of both lower extremities.

Deep vein thrombosis of the left lower limb, infection after open reduction and external fixation of both lower limb fractures...

This is the discharge diagnosis from the No. 1 Civil Hospital in Huai City, but Fang Xian still needs to sort it out again.

The current diagnosis at the Affiliated Hospital of Shonan University should not be so complicated.

After traumatic debridement of both lower extremities, multiple open fractures of both lower extremities and external fixation with external fixation brackets, multiple postoperative infections, and thrombosis of both lower extremities?Delayed fracture healing: nonunion?

Fang Xian put a question mark on the last two points. Because three days had passed since she was discharged from the hospital and transferred to another hospital, it did not mean that there was no thrombosis in her right lower limb.

This is a routine diagnosis related to surgery. Fang Xian initially prescribed anti-infective treatment based on the patient’s bacterial culture and drug sensitivity in the No. 1 Civil Hospital in Huai City. The sensitive antibiotics were piperacillin, sulbactane, and combination Ceftazidime.

This is supported by laboratory tests and must be continued.Please ask the pharmacy department for consultation.

Then there is venous thrombosis, low molecular weight heparin sodium anticoagulant treatment must be given first, and at the same time, please consult with vascular surgery.

When patients have pain, they must receive analgesic treatment. How to choose analgesic drugs requires more thinking.

Fang Xian thought of this, when he was seeing patients, his thoughts suddenly opened up, as if he was much more transparent and organized than before.

Level 3 skills are really easy to use!
(End of this chapter)