Those years when I hung up and upgraded in the hospital

Chapter 34 The significance of grading assessment (please collect, please read)
"Do I really have to go to the operating room?" the young man asked, as if he was quite afraid of the operating room.

"Of course, if you have to go to the operating room, you need strict aseptic operation, and only the operating room has sutures for sewing muscles. If you use ordinary silk thread to suture the muscles, the tension of the sutures will not be enough, especially for the muscles of the lower limbs. The power is relatively strong.”

"The operation is not serious and does not require general anesthesia. But it will definitely require leaving the operating room. We need to talk and sign again..."

After Fang Yun explained this to the patient, he asked: "Dr. Fan, do you know how to write an informed consent form for muscle suturing and debridement?"

Each disease has different risks and precautions during and after surgery.The template is just for the convenience of printing materials and must be modified.

Fan Youhua pursed his lips.

There is a huge gap between the types of diseases in sports medicine and those in trauma surgery.

During the specialist training period, the types of trauma surgery diseases that he could be exposed to were really limited. He never thought that he would work in trauma surgery. He thought that he could stay in the hospital and only perform sports medicine-related surgeries in his life.

"Then call your superiors and tell them about the muscle rupture emergency."

"Ask Dr. Huang or Dr. Lu who is going to do this surgery." Fang Yun explained.

"Doctor Fang, can't you do it?" Fan Youhua asked.

"It can be done, but it involves muscle damage. Dr. Lu and Dr. Huang should do better than me." Fang Yun saw that his muscle suturing and tendon suturing were only level 1, and he didn't want to harm the patient. .

There must be a reason why the Medical Association's grading assessment requires so many level 3 skills.

If suturing is just for the purpose of suturing, Fang Yun can sew the muscles back up at any time, regardless of the patient's postoperative muscle rupture or the degree of postoperative muscle function recovery.

But you can't operate for the sake of operation. When there are better surgeons in the hospital, Fang Yun will not just do it.

If you perform surgery for the sake of operation, it is obviously against your own conscience.

If there is really no other way, for example, if there are only junior doctors like Peng Qingsong and Song Wu in the department, then Fang Yun will never hesitate or refuse.

Fang Yun's words are very true.

When the patient and his wife heard this, they quickly thanked them: "Dr. Fang, thank you for your hard work."

The two of them stopped discussing whether to go to the operating room at all. Fang Yun said so, which proved that the injury he suffered was not minor.

Fan Youhua was on duty, and Fang Yun was only on emergency duty. It was true that he needed to undertake emergency surgery, but Fang Yun also knew that his professional skills were now very poor.

If it's not bad, with my basic skills and theoretical foundation, I still need to come here to take the assessment, and the Medical Association will probably arrange for me to come here and join the job.

In the final analysis, the ability is still not enough.

……

Half an hour later, Huang Xuepei, another senior surgeon from Director Peng's team, entered the operating room.

After entering the operating room, he looked at the patient's wounds and Fang Yun's very experienced debridement techniques, and said with a smile: "Dr. Fang, you are too humble. You can handle such a simple muscle rupture yourself." Yes?"

Fang Yun raised his head and replied sincerely: "Brother Pei, I only did debridement in Lizhen before. When tendon and muscle ruptures occurred, I was basically transferred to another hospital. I don't have much experience."

Fang Yun knew that suturing muscles and tendons required special skills, and he could not perform surgery on patients hastily before mastering it.

Otherwise, the patient's wound will be healed later, but the function will be incomplete, which will affect them for the rest of their life.

"Brother Pei, I've helped you pull out the muscle stump. You can sew it up." Fang Yun said.

"Okay, wait a minute while I get dressed."

At this time, the patient said: "Dr. Huang, thank you for your hard work." This is local anesthesia. There is no equipment nurse, only a mobile tour. She needs to get things, and she has to go to the operating room next door to call her. Naturally, there is no anesthesiologist. .

"No more hard work. In fact, Dr. Fang can also perform such a small operation, but he is more stable."

"Lie down. Dr. Fang did a great job in debriding you. The bleeding has basically stopped now. All you need to do is suture, rinse, and sew up the superficial wounds, and then you can go to the emergency room for injections." Huang Xuepei I explained this while getting dressed.

"Thank you, Dr. Huang. Dr. Fang has already told me that he needs antibiotics for tetanus." The patient was a thief and knew that Huang Xuepei was older and should have more experience.

"Yes, that's all..."

……

Another ten minutes later.

When Fang Yun observed Huang Xuepei's operation, his mood was a little complicated.

Maybe, calling Huang Xuepei here was unnecessary. Huang Xuepei's muscle suturing was just an ordinary wound suturing, without any special skills or professional proficiency.

As far as some of the tendon suturing methods he knew theoretically, Huang Xuepei didn't use them at all. He just sutured the broken ends.

If I had known this, I might as well have started it myself.

When suturing muscles, you still need to pay a little attention to the corresponding suturing techniques.The suturing method is a cognitive and theoretical issue, while the skill level is a category of operational proficiency.

Fang Yun knows that there are at least seven or eight methods of muscle suturing. "8" suture, double "cross" suture, braided suture, buttonhole suture, Kessler suture, trap suture, Kleinert suture.Each has its own applicability.

"Figure 8" suture method: suitable for minor muscle injuries, such as cuts or lacerations.The double "cross" suture method is suitable for medium-sized muscle breaks and can provide stronger support and connection.

The braided suture method is suitable for larger muscle injuries that require a stronger connection and support.

The buttonhole suture method is useful for muscle injuries that require additional support, especially where the muscle ends where it joins.

The Kessler suture is suitable for muscle injuries that require strong support, especially near joints.

The snare suture method is used when a stronger connection needs to be created in the muscle, usually for tendon suturing.

The Kleinert suture is used when a tight connection needs to be created on a muscle or tendon, and is commonly used for flexor tendon sutures in the hands and fingers.

The Kleinert suture is designed to provide a strong and controlled connection to support the normal function of the hand flexor muscles.

As for the suture method for this patient, the braided suture method should actually be chosen. The operational understanding of the suture method is to pass the sutures through the muscles in different directions to create a braided connection.

However, Huang Xuepei did not adopt such an operating concept.

And Huang Xuepei has already come up, so Fang Yun can't tear him down. He can only keep this matter in his heart silently, and he can do it if similar things happen in the future.

After the suturing was completed, the patient thanked Huang Xuepei and Fang Yun, thinking that he had earned something, and was grateful for Fang Yun's sincerity.

Huang Xuepei said calmly: "It's okay, this is our job."

"You can walk now, but you need to walk less and rest more to avoid the sutures from bursting. Now go to the emergency department and tell them about tetanus and intravenous anti-inflammation. They are faster there. The emergency department has regular tetanus shots. If you contact us, Department, you have to wait a long time." Fang Yun explained in detail.

Then Fang Yun sent the patient out of the operating room and asked his wife to push him away.

"Xiao Fang, thank you for your hard work. In fact, you can sew such a muscle rupture yourself in the future." Huang Xuepei told Fang Yun.

"Okay, thank you, Brother Pei." Fang Yun suddenly understood why the Medical Association was conducting a grading assessment.

(End of this chapter)