Gou in the operating room to add some upgrades

Chapter 207 Tasks and Topics (Please subscribe)
nine in the morning.

In the academic lecture hall of Chang City No. 1 Civil Hospital, Professors Zhou Cheng, Fang Yun and Gong Ziye were sitting in the speaker seats, and the audience was full of people.

"Okay, it's almost done. There is no need for too many people to come and listen. I will just say a few words and leave the rest to Professor Fang Yun to give a report to everyone. Professor Gong and I have something to do and have to leave early. .”

After Zhou Cheng finished speaking, he stood up and bowed to everyone.

Then he sat down and started talking.With a click of the mouse, the video of the patient being excited and crying from the corners of his eyes was played on the big screen in front of him.

The rest of his appearance is blurred, only his eyes.

Zhou Cheng then said: "Today we won't talk about big principles, we will only talk about minor diseases and the current development status of our medical treatment."

"This patient is only 28 years old and unmarried. He is a driver of Lalamove and has a bachelor's degree. He has failed to start a business once."

"Of course, these are not important. What is important is that the pictures of the scene after he destroyed it are like this."

After Zhou Cheng finished speaking, he changed to the next photo.

It contains non-car accident scenes, scenes in the emergency department and on the 120 bus.

A more classic picture is that the skin outside the chest is stained with feces, and the first sexual characteristics are curled up in the curved disk next to it.

The patient was dripping with blood, and a group of green clothes were rescuing him.

"High-energy violent injuries are becoming more and more common nowadays. Since 20 years ago, with the popularity of cars and highways, high-energy violent injuries have become a common disease in almost all prefecture-level city hospitals and even county hospitals. "

"This is the most emotional thing for doctors or traffic policemen who have been on the 120 bus."

"The result of high-energy injuries is damage. The lucky injuries are the damage to the limbs and the head. One only causes disability, and the other directly causes death."

"The less fortunate ones are the damage to the chest wall, abdomen, and lower abdomen."

"Although existing medical developments can help these patients return from death to survival, it is obvious that the functional loss caused by their injuries will be carried for life..."

"This is a technical difficulty that trauma centers and various specialties need to overcome when facing emergency patients. How to save the lives of patients to a greater extent while rescuing their basic functions, especially personality functions."

“It’s not just the mutilation of bowel and bladder functions caused by the mutilation, but also the loss of residual limbs caused by the mutilation of the limbs.”

"Although the patient's life will be fine after amputation, the impact it will have on his future life is also a question that our emergency staff need to discuss."

After Zhou Cheng said this, he drank a cup of tea first.

The people below were recording Zhou Cheng's words, and Fang Xian also wrote them down in his notebook. Obviously, Professor Zhou Cheng's understanding of disease types was still at a different level.

"The second problem is also the problem of talent shortage faced by all prefecture-level city hospitals and county-level city hospitals since the development of the Medical Association."

"Since the Medical Association has conducted certification of physician levels and medical skill levels, it is true that for many outstanding doctors, they have their own way out and can find a more suitable matching unit."

"But the remaining problems have not been solved yet. Although, in recent years, we have been exploring the mechanism of horizontal displacement, which has made up for the problem of high-level brain drain in prefecture-level municipal hospitals to a certain extent."

"However, the mobility of personnel is relatively high, so after the various departments of prefecture-level hospitals form teams, the teams are dispersed, resulting in diseases that could have been cured and have to be overcome again and adjusted again."

"Faced with such a problem, we came up with another solution, which is the 'high-end model'."

"What does that mean?"

Zhou Cheng paused and then said: "For example, Director Fang Yun of the No. 1 Civil Hospital in Chang City was the director of the original trauma center of our Xiangnan University Affiliated Hospital. He is very high-level. In some fields, I I’m sure I’ll be willing to give in.”

Fang Yun glanced at Zhou Cheng but said nothing.

And Zhou Cheng continued: "The reason why he came to Chang City No. 1 Civil Hospital was mainly to get the bottom of things. It is the most important line of defense. Wherever it is needed, he can substitute wherever it is needed, so as to make up for it in the new hospital." During the team building process, the mortality and disability rates are minimized.”

"It can allow the new team to improve the fault tolerance rate to a certain extent. This idea, after being implemented, will also have effects. That is, the current Changshi No. 1 Civil Hospital is already the largest medical center in northwest Hunan Province. In addition to Heng City and Sha City, it is the third medical center in Hunan Province."

"It is the most important line of defense for acute and severe patients in Hunan Province..."

"..."

"..."

After Zhou Cheng first talked about some issues related to strategy, talent, and medical development, he finally brought the topic to Fang Xian.

"I have said so much before, and it all needs to be laid out gradually and slowly."

"But I think Chang City is a very good research area. It is a transportation hub area. Any car entering or leaving northwest Hunan Province will pass through here. It belongs to a central area in northwest Hunan Province."

"Obviously, patients with such injuries are not uncommon, or even common. After all, the highway section here has high gradients and many tunnels, making driving unsafe."

"As long as it's a holiday, there will be constant car accidents around here, even if it's not a holiday."

"I have also been in a traditional Chinese medicine hospital in this city before, so I still have experience."

"Then, if we want to deal with such a topic as damage, then we definitely cannot avoid the issue of functional reconstruction. I think that the patient we saw today, despite the current medical development, failed to preserve part of his function."

"But some of the functions that exist in him are already a breakthrough."

"Even more broadly, at present, for the treatment of damage, the most perfect surgical method and the most perfect plan are in our city. This is the first case of reconstructing the bowel function after damage. And there is hope for a successful case.”

"This is a good thing. Moreover, the surgeon in charge of this surgery, Dr. Fang, is from Chang City. Therefore, on this basis, if we can build a team well, then we will definitely be able to do damage damage in the future." There is a shift in the center of gravity..."

"I really have some other things here, so Professor Fang and Dr. Fang Xian will discuss the remaining issues with everyone!~"

Zhou Cheng squeezed time to speak, and after finishing speaking, he hurried away.

Many people stood up to see him off, and naturally, some people sat below to listen to the more important points and reports.

The lecture given by Zhou Cheng was completely mentioned at the last moment. He said a few words, which was considered as a starting point.

Naturally, the content hidden inside is also quite sharp.

Under the medical association's ladder system, many prefecture-level municipal hospitals currently have difficulty dealing with the issue of how to retain talents. All the talents they managed to cultivate have left.

Water flows to lower place, man goes to higher position.

And if you don't let others go and let others see no hope, then I tell you that some people must be just dawdling, rather than people who work hard to forge ahead.

Why bother working hard to create a future when you can see the end in your lifetime?
Zhou Cheng made a note of Gong Ziye and left.

The director of the Orthopedics Department of Changshi Traditional Chinese Medicine Hospital spoke: "Professor Fang, aren't there currently only West China Hospital, Jishuitan Hospital in Kyoto and a few hospitals in Shanghai that are conducting research on this disease on a more regular basis?"

"In our Hunan Province, at last year's annual meeting, I didn't hear any professor say that there was any follow-up and research on this disease?"

Changshi Traditional Chinese Medicine Hospital is the hospital with the highest level of orthopedics in Changshi.

It was still in danger before, but since Professor Zhou Cheng went there to provide support, its strength has improved sharply again, and now, decades later, it is still at the leading position.

Of course, this calculation definitely cannot include the Trauma Center of No. 1 Civil Hospital in Chang City. Dr. Fang Yun is an exception and is not at the level of discussion.

Hearing this, Fang Yun smiled and said: "Director Zheng, actually, our research on this disease in Hunan Province is only halfway done."

"The trauma surgeon at West China Hospital who deals with injuries is Professor Xu Fengnian. In the middle of this year, he came to the operating room of the trauma center of the Affiliated Hospital of Shonan University and came to fill in the routine procedures for treating injuries in our province. Relatively blank.”

"On the one hand, I actually want to consult with Professor Yang Yifeng about the reconstruction of damaged vascular beds."

"However, during this period, Dr. Fang Xian and Professor Xu Fengnian established a temporary team, and a certain spark was created, which led to the current step."

Director Zheng is the director of Changshi Traditional Chinese Medicine Hospital, named Zheng Xuanlin.

His eyes flickered for a few times, and he continued to ask: "Professor Fang, even the conventional treatment and rescue standards for this disease have not yet been released, so why did it suddenly jump to functional reconstruction?"

"Functional reconstruction, according to the classification of skills by the Medical Association, is already an absolute professional skill, and it is even an advanced and cutting-edge surgery for a specialist. It is not an exaggeration at all."

Zheng Xuanlin actually said, don't lie to me. We are all experts in orthopedics and have been doctors for so many years. It is not easy for anyone to fool anyone.

Development of a new disease.

First ask for a team that can save a small number of patients from dying, and then ask for more teams to save more people from dying and form a routine rescue or treatment process.

Immediately afterwards, the basic surgical techniques of the specialty, the specialty treatment plan, and then the specialty skills are developed step by step.

Fang Yun said: "If Director Zheng knows this, he should know that the most important topic of discussion among emergency rescue patients is whether they died."

"To determine whether to die, the most basic skill is actually basic medical skills, which play an important role in medical rescue."

“So, during Professor Xu Fengnian’s exchange at the Shonan University Affiliated Hospital, Dr. Fang and Professor Xu had already completed the preliminary accumulation work. However, the current plan has not been reviewed and made public by the Medical Association, and it is currently unwritten. "

"However, the corresponding data has already been recorded."

Fang Yun added: "According to the Medical Association and the National Health Commission, the emergency treatment plan for dangerous diseases and third-level and above diseases requires that in the treatment of new diseases, as long as the patient can be rescued in principle, life, and guarantee the principle of no harm.”

"There is a certain degree of flexibility. This topic has already been discussed by the Ethics Association of the Shonan University Affiliated Hospital and the Medical Ethics Branch of the Chinese Medical Association, so there is no need for Director Zheng to worry too much."

Fang Yun understood the sideways inquiry in Zheng Xuanlin's words.Zheng Xuanlin stopped talking.

However, President Lin, who had returned from his visit, seemed a bit tense when he heard that the scene was tense, so he quickly persuaded: "Director Fang, Director Zheng, let's leave these ethics-related debates to more professional people. .”

“In the application and development process of every topic, people from the Society of Medical Ethics will participate and follow up, so we don’t have to worry about it.”

"Injury is a new disease, a big topic, and a cutting-edge topic in the world. The task is heavy and the topic is of great significance. How should our medical system in Changsha face this time's challenges and opportunities."

"Actually, this is the issue we fundamentally need to consider."

"Are you right, Director Fang?" President Lin smiled and asked.

Fang Yun heard this and said: "This subject belongs to Dr. Fang Xian. Whether Dr. Fang Xian wants to do it in our Chang City or at the Affiliated Hospital of Shonan University, it has not yet been decided."

"Dr. Fang Xian is currently a regular employee of the Shonan University Affiliated Hospital. It would be unreasonable to run out with the results as soon as he joined the job."

"President Lin, we'd better not discuss this matter first. Today's small gathering is actually a small, temporary exchange meeting."

"If you are interested, why not ask our Dr. Fang Xian to tell you about the common forms, diagnosis and definition of damage..."

Fang Yun is also a person who is very good at throwing problems. He throws problems directly to Fang Xian and reduces other people's expectations layer by layer. This is the only solution at present.

Fang Yun had already said this, so Fang Xian could only go up and say it.

However, Chairman Lin and others are not particularly concerned about theoretical issues. He only cares about whether this topic can be done in Chang City and whether it can be beneficial to the development of Chang City.

However, some people in orthopedics, especially trauma surgery, were quite interested in hearing it. After all, it was a new thing.

When locating, defining, and grading the severity of new diseases, it is also very helpful to start from the basics and proceed one by one to explore the diseases related to trauma surgery.

Fang Xian's basic theories of orthopedics and trauma surgery are both level 5, and the definition of damage as a disease is directly framed into the disease of trauma surgery. Therefore, the effort of pulling back and forth seems to be easy. .

Although it was done on the spot, he still talked eloquently for several hours, which lasted until two o'clock in the afternoon, and the small gathering just ended...

As soon as the meeting ended, Fang Xian saw that his Uncle Fang Yun lost his temper. At that time, he slapped the teacup on his chest and cursed: "What is this stuff today?"

“Academic conferences are not like academic conferences, reports are not like reports, and discussions are not like discussions.”

"This Chang Geng really does things without any brains."

When Fang Yun got angry, Fang Xian was responsible for cleaning up.

His eyes flickered and he said: "Uncle Yun, maybe Professor Zhou's reputation is too great. These people want to get some light and show their importance. That's why they started such a big battle."

Fang Yun sighed when he heard this: "Originally, it was just a few of us who gathered around in private to sit down and discuss it together, but it ended up like this now, this formalism?"

"I don't want to stay in this fucking Changshi either?" Fang Yun expressed his true feelings this time.

Fang Xian stood beside him without saying a word.

In fact, Fang Xian also wanted to work hard with Professor Zhou Cheng and Professor Gong Ziye to eliminate this disease, such as the next development plan.

But being beaten like this, without any direction, Fang Xian still had to look for ideas on how to rebuild his urinary function.

However, Fang Xian knew that by now, he might need to use his high-authority doctor's card to visit the library of the Medical Association.

Urinary and defecation functions are only basic functions. Perhaps, for some young people, the maintenance of reproductive functions and even sexual functions is also very important.

Functional impairment is also a type of disability, and the one left behind may also be psychologically disabled.

……

On the way back, Fang Xian asked for advice: "Uncle Yun, if we want to do functional reconstruction, is it better to do it in Changshi or Shashi?"

"You just said that I am from Shonan University Hospital."

Fang Yun said: "Let's do it in Changshi. If you do it here, you can get started faster, and there will be very few people who can influence you. Otherwise, if you were in the Affiliated Hospital of Shonan University, there would be too many coveters and eyeliners. "

"Do you still remember what happened to Jiang Yang? If a group of similar people surround you then, you won't have anywhere to cry."

When Fang Xian heard this, he asked again: "Uncle Yun, I actually think Dr. Jiang's theory is okay, but it's a little confusing. Is it possible that Professor Yang and Professor Zhou have nothing to do in this situation?"

"If they can help sort it out, Dr. Jiang Yang will definitely be able to move forward in advancing surgical theory, right?"

Jiang Yang really has something. At least, he can provide himself with some ideas and cognition, and then, through level 5 Ruyi-level skills, he can know which theories are feasible and which are not.

Aren't my Uncle Yun and Professor Zhou amazed by such creative ability?

"You mean Dr. Jiang Yang, him?"

Fang Yun hesitated before speaking: "Dr. Jiang Yang has a master, and his master is something that most of us can't influence."

"The development of disciplines and research should have allowed a hundred flowers to bloom. If Jiang Yang can really find his own way, he may really be able to bring more surgical diseases to its ultimate destination. Let's return to internal medicine."

"At least Dr. Jiang Yang has so far completed the transition from surgery to internal medicine."

"what?"

"Stones, large urinary tract stones." Fang Yun also seemed to have a deep memory of Jiang Yang.

When Fang Xian heard this, he was slightly surprised and asked, "Does the ban on urinary stone surgery in our hospital have anything to do with Dr. Jiang Yang?"

This is so surprising.

In the past, cystoscopic surgery and ureteroscopic surgery for stones were too common. Although there are some medical treatments, there are always some stones that cannot be quickly treated by internal medicine.

"Yeah, but?"

"These treatment plans are still in the clinical trial stage. They are only used routinely in the Shonan University Affiliated Hospital. The corresponding surgical procedures are still performed routinely in many places."

"Moreover, companies currently involved in ureteroscopy are trying every means to find flaws in this treatment plan. After all, this is something that will affect their interests."

"If you want to do pure theory in surgery, the road is too difficult, even more difficult than the development of surgery."

When Fang Yun said this, he added: "Oh, by the way, Professor Zhou sent a message before, letting me tell you that you are actually very awesome. It's just today that this matter has become a big deal. He didn't do it in person. Say this."

"You can't feel a sense of disparity."

"Professor Zhou does not hold academic hearings directly to ensure that you have more free time to do your best in your major."

"Otherwise, look at Professor Zhou now, and me now? I will be dragged down by many mundane things."

"Moreover, Professor Zhou is currently still trying to find a suitable compensation plan for the lack of talents in lower-level hospitals after the establishment of the medical association system, otherwise."

"It will only lead to more and more high-quality resources gathering in big cities, and they will gather like crazy. Small hospitals can only become flow stations and stepping stones, and no one can work down-to-earth."

Fang Yun sighed, as if he was pitying Zhou Cheng.

When Fang Xian heard this, his brows moved slightly.

Then he said: "Uncle Yun, thank you. Thank you also Professor Zhou. You must have shouldered a lot of things for me so that I can stay in the operating room of the trauma center and learn more."

Fang Xian's words were very sincere and direct.

He can not be disturbed too much now. It is estimated that these two have shouldered everything and blocked everything. Otherwise, Fang Xian will definitely face more temptations and troubles. How can he be as relatively free as he is now? Choice?

"Learning is part of it. In addition to learning, you need to do some knowledge."

"Scholarship and medical science cannot be separated from clinical practice. Do you understand?"

"In this world, there are many unknown problems, and there are also many things that can be developed and developed. If you cannot choose freely, then there will be many things that force you to choose."

“Ask more if it’s worth your time.”

"Because, besides me, even Professor Gong and Professor Zhou, they may ask you to do more meaningful things instead of letting you do what you want to do more."

"This is more meaningful. It must be what they think is more meaningful." Fang Yun said as his figure became taller and grander.

Fang Xian nodded.

The space he is in now is actually a dream space. The most he can hear is gossip, without many social factors...

Only the people closest to you will care about what you want to do more and what will make you feel happier. Others will only discuss interests with you, unless you grow up and are strong enough.

"Let's go, take you to meet someone." Fang Yun said.

"Who is it, Uncle Yun?" Fang Xian asked.

"Zhou Xiyin~"

(End of this chapter)