Those years when I hung up and upgraded in the hospital

Chapter 130 Known as Boss Fang (please subscribe)

Today's surgery was not simple. Although it was said that Wei Zhaoliang performed the surgery, Fang Yun and Chai Junye took Wei Zhaoliang to do it, but the angle of the damage to the posterior corner of the medial meniscus this time was particularly tricky.

Therefore, Wei Zhaoliang worked sweatily for half an hour, but still could not safely open the gap to complete the partial meniscus resection.

Chai Junye was eager to try, but after only 10 minutes, Chai Junye felt that his hands were particularly clumsy and he operated like a novice, so he gave up the surgeon's position to Fang Yun.

He was still mumbling: "This meniscus suturing will not make Director Hu run from the outpatient clinic to the operating room to finish it, right?"

Fang Yun didn't dare to be careless and answered relatively conservatively: "I'll try it first."

However, Fang Yun felt as if he had returned home this time. With level [-] experience in arthroscopic surgery, even in the face of damage to the posterior horn of the medial meniscus at a tricky angle, he still had excellent control of the field of vision during partial resection and arthroplasty. .

Level 3 meniscus treatment experience allowed Fang Yun to skillfully use the corresponding instruments in the operation of biting off part of the meniscus.

The operation time was neither long nor short. After about ten minutes, the operation came to an end. After Fang Yun put down the fastfix suture device, he carefully used the probe hook to pull the fixation of the meniscus to test the stability. The sex was pretty good.

Then Fang Yun walked around the joint cavity in the order of reverse joint exploration. No more problems were found, so he handed over the arthroscope again: "It should be almost done."

But when Fang Yun spoke like this, he noticed that both Chai Junye and Wei Zhaoliang were looking in his direction in confusion, without blinking.

After Fang Yun finished speaking for more than ten seconds, Chai Junye sighed softly: "Director Hu Jun said that there are levels of kung fu in arthroscopy. I couldn't believe it before, thinking that Director Hu was making a fool of himself."

"But it looks like today, I think Director Hu's joke might be true, right?"

Fang Yun smiled and replied: "Brother Xiaojun, that was Director Hu's lift. The operation of arthroscopy is a basic skill. Even if the proficiency is slightly higher, it will not be of great help in treating diseases."

Fang Yun responded positively and recognized Chai Junye's guess.

I am better than Director Hu Jun simply in terms of the splendor and proficiency of arthroscopic operations, but in terms of application in treating diseases, the current treatment-related operations are still slightly insufficient.

For example, if a chef is cooking, then the arthroscopy experience is the knife skills, but the treatment and surgery are the final cooking process and heat.

It cannot be said that knife skills are not important, but before the skill reaches a certain level, in fact, only by controlling the process and heat can the final fried dishes taste better.

"That's awesome!" Chai Junye made a fist with his right hand and pressed the patient's knee joint to make a thumbs up. He did not dare to go any higher for fear of violating the principle of sterility.

Wei Zhaoliang silently completed the injection of the "cocktail".

Of course, the "cocktail" cannot be a real cocktail, but is composed of local anesthetic liposomal bupivacaine or ropivacaine plus sodium hyaluronate.

The main function is for routine analgesia after surgery. Generally, only two to three combinations of sports medicine cocktail formulas are enough.

Intra-articular injection is the most common basic skill of joint surgery and sports medicine, and Wei Zhaoliang mastered it steadily.

After the operation, Chai Junye and Wei Zhaoliang were more enthusiastic than Fang Yun, a younger brother who was strong, young, easy to talk to, and could occasionally take advantage of his body.

While arranging for coffee, some snacks were delivered to the department. The main purpose was to ask Fang Yun some tips on arthroscopy operations.

For example, after opening the space at the inner posterior corner of the knee joint through posture, it is still inconvenient to operate. What should I do?Fang Yun also answered one by one. In fact, the reason why Chai Junye and Wei Zhaoliang's operations were a little jerky today was because they did not choose the appropriate position for the operation approach.

Now that we know it is an injury to the posterior corner of the medial meniscus, the operating holes should not be strictly concentrated at the knee-eye position, but should be slightly lower to obtain a larger surgical operating space...

"This is a flexible application of the surgical approach, but in the early stages of learning, or when the field of view for arthroscopic surgery is not particularly good, it is not recommended to change the approach position."

"After all, some of the approaches recommended in textbooks are the most classic approaches. They will avoid more important structural damage." Fang Yun replied.

Chai Junye nodded solemnly: "That's true. People with high skills are bold."

"If you want to move the position of the operating hole approach, it is equivalent to exploring the operation under the non-standard surgical approach on your own, and it also requires a lot of experience to slowly explore."

"Medical surgical operations need to be very rigorous. Standard surgical techniques or approaches are the essence of surgical operations on hundreds of thousands or even millions of patients."

Chai Junye just kept Fang Yun's explanation in his heart. Even if he met again in a short period of time, he would still not imitate Fang Yun's behavior. It was too risky.

If the operating approach is too low, it is easy to directly cause iatrogenic damage to the meniscus during the approach. Once it occurs, the consequences will be very serious.

Fang Yun himself also had a patient awaiting surgery, so after returning to the ward, Fang Yun first asked the patient to complete the pre-operative interview and sign for tomorrow's planned surgery, and then sorted out the discharge medical records and signed them himself. , throw it to the director and head nurse for signature.

After the signature was completed, the head nurse urged Director Hu to sign.

Xiangzhou People's Hospital does not have a general resident, so the head nurse is responsible for signing and proofreading medical records.

In this way, the time came to one o'clock in the afternoon. Fang Yun returned home after eating. It was around two o'clock in the afternoon. He made two follow-up calls and extracted the data. Only then did Fang Yun map the data one by one. On the excel sheet, collect slowly.

After looking at the nine post-operative data samples, Fang Yun also smiled knowingly.

Not long after, Chai Junye and Wei Zhaoliang called. When it was time to have a dinner together, Chai Junye had already called Chief Li Ziye out. This was the first small gathering of mid-level professional titles in the department since the Chinese New Year. I drink a little bit.

The amount is not much, about four taels per person, divided into two bottles.

The place Chai Junye found to eat was a quiet barbecue restaurant by the river in the Economic Development Zone. It was very quiet, and the gentle breeze hit the transparent glass like a knife.

But inside, a small charcoal fire was slowly crackling, warming wine and meat.

The sizzling oil will occasionally splash out. It is a single seat in a single room, and the warm wine will give you a special flavor.

Li Ziye looked at Fang Yun at this moment and said: "In this year's Doctors' Day conference, Xiao Fang was rated as an advanced individual in the category of surgical experts, which should be stable."

"It's not necessarily a surgical expert. After all, there are still directors here, but the young pioneers are definitely safe. At such a young age, he has such a deep skill pool and his ranking is so high." Chai Junye shook his head slightly.

"My nickname is Boss Fang now." Wei Zhaoliang rubbed his hands, held up the small glass, and took a sip alone.

"Brother Liang. Who is Boss Fang?"

(End of this chapter)