Those years when I hung up and upgraded in the hospital

Chapter 36 Dr. Fang is sober in the world (please collect and read)
"Brother Yun, did you discover the popliteal schwannoma just now through X-ray reading? So your basic skills in MRI reading are very solid?" After putting the patient in a plaster and sending him out of the hospital, Fan Youhua chased after Fang Yun. Eyes twinkling.

Fang Yun looked at the astonishment on Fan Youhua's face. He was not complacent at all, but sighed: "Xiao Fan, you just said it, this is just basic skills."

"Brother Qin Yun, at my age, who would teach me the basic skills of a doctor?"

"Medical students spend five years learning theory as an undergraduate and three years learning basic skills after graduation. After that, it is no longer time to talk about whether the theory and basic skills are solid. Neither the medical association nor the hospital cares about your basic skills."

Once you are working, you are no longer a student. Basic skills are just the foundation and should be taken for granted. It does not matter whether you are solid or not. The most important thing is what kind of diseases you can see, what kind of operations you can do, and what problems you can actually solve for patients.

Many of Fang Yun's basic operations have reached level 3. When he went to the medical association, the medical association did not just discuss with Fang Yun how solid his basic skills were.

The final evaluation is that the specialist's operation is not in-depth enough.

Fan Youhua pursed his lips when he heard this: "Brother Yun, I think you are still delayed. If you can enter the junior college early, maybe now?"

"Xiao Fan, you're just going to have fun exposing my scars, right?"

"Take your time. Your basic skills in physical examinations related to sports medicine are quite good, but on this patient, you should check for pathological signs." Fang Yun thought for a moment and said one more thing.

"Pathological signs? Isn't this a popliteal schwannoma?" Fan Youhua's expression changed instantly.

"What if popliteal schwannoma is complicated by meningeal irritation? The person came in due to trauma." Fang Yun asked rhetorically.

Basic medical examination is within the scope of operations, but the concept of meningeal irritation is part of basic surgical theory, so we have to be cautious.

Seeing that Fan Youhua was even more nervous, Fang Yun said: "Of course, I have verified it through other methods. If you want to know, go back and read a book with this question. You will definitely remember it deeply."

As Fang Yun said this, he also sighed in his heart. He was already like this and occasionally thought of taking young people with him.

He was also panicking, but Fan Youhua would just listen to the advice, and forget it if he didn't. He would stop talking next time, lest the other party think he was showing off his power here.

"Okay!~" Fan Youhua nodded solemnly, and then deliberately copied it down, obviously writing down this question.

"I'll go sit in the lounge for a while. If there's an emergency, let's take a look at it together." After Fang Yun finished explaining, he saw that Fan Youhua was a little absent-minded. He was probably thinking of checking information and wanted to figure out the problem as soon as possible.

"Okay, Brother Yun."

"Brother Yun, you can actually go home. If there is a problem, I can call you to deal with it. Director Peng arranged for us to be on duty together. In fact, he is asking you to be on duty in the emergency department, and I will be on duty in the ward, including your duty. It's the same sometimes." Fan Youhua said this and revealed some news to Fang Yun.

That is Directors Chen Shengwu and Peng Nanbo, who have almost already confirmed Fang Yun and Fan Youhua.

……

After returning to the lounge.

Fang Yun looked at his panel again——

[Physician level: resident physician. 】

【医学基础技能：缝合术3级、切开术3级、清创术3级、止血术3级、打结术2级、X线阅片术3级、核磁阅片术3级、穿刺术2级、CT阅片术2级、医学基础查体2级、外科常规器械操作经验2级。医学常规检查阅读经验2级。】

【医学基础理论：内科学3级、外科学3级、妇产科学2级、儿科学2级、医学综合3级。】

[Medical specialty theory: General Surgery Level 3, Orthopedics Level 3, Neurosurgery Level 2, Thoracic Surgery Level 2...]

【第一挂机槽位4：骨折切开复位内固定术2级、关节镜操作经验1级、肌腱缝合术1级、骨折手法复位术1级。】【第一挂机单位：某县医院。技能等级上限：3级。】

Basic skills level 2 is enough for application. What I am lacking now are specialized skills, such as open reduction and internal fixation of fractures.

Therefore, the priority of hanging up basic skills should still be lower.

If I didn't seize the opportunity to stay at Longxian People's Hospital this time, I would definitely run out of time if I wanted to have more opportunities in the future.

The experience value of basic operations and basic skills is quite high. There are many patients in the ward. If you take your time, you will soon be able to upgrade other basic skills to level 3 through operation opportunities.

Tendon suture is about to reach level 2. At level 1, hanging up for one day can increase the experience value by about [-]%. Originally, tendon suture has a lot of experience value.

After reaching level 2, when encountering emergency patients in the future, you can either find a big brother who is very reliable in tendon suturing and muscle suturing, or you can do it yourself.

Infectious surgery, although very useful, must go down the slot if no patient is present.

I am not so luxurious that I can waste idle time slots at will. Trauma surgical operations are the mainstream, and everything else is just icing on the cake and does not have much meaning.

……

When I was thinking about it, unexpectedly, another emergency patient came.

But what was a bit troublesome was that the patient who came was a child. Fortunately, the child's emergency treatment was a subluxation of the radial head, which is the simplest and most introductory type of dislocation in orthopedics.

The doctor who attended the emergency room was probably not a professional orthopedic surgeon. He didn't know that subluxation of the radial head was one of the few diseases that could be diagnosed based on medical history, so for the sake of safety, a plain X-ray was taken.

No fractures were seen, so he was sent to the trauma surgery department.

Naturally, the dislocation is not obvious on the X-ray.

Fan Youhua was very excited. After calling Fang Yun out, he asked: "Brother Yun, this should be subluxation of the radial head, right?"

"The child has a history of traction, post-traumatic pain, and weakness in the upper limbs. The motor function of the fingers is OK. X-ray shows no fractures."

"It is not difficult to diagnose radial head subluxation, but it is difficult to make a differential diagnosis. Can you see if she has posterior and lateral dislocation? If so, how should we look at it?"

After Fang Yun finished reading the films, the progress of X-ray reading increased by another one percent.

This is the normal progress of a surgeon's operation. At Longxian Second People's Hospital, there were almost no people taking X-rays. It looked a bit troublesome, so they just yo-yoed. This was the predicament before.

Fan Youhua was suddenly asked again and wanted to check quickly.

Fang Yun stopped him: "Study matters should be done after solving the patient's problem. No matter what your ability is, when the patient comes and joins the work, the first time is to receive the treatment. You can explain to the patient's family and handle it yourself." No, please ask your superiors for instructions."

"But don't check the information secretly or in front of the patient's family members. Otherwise, it will be difficult for you to carry out your work in the future."

"The patient's family can allow you to know, but they will not allow you to not even know. Do you understand?"

Fan Youhua quickly put away his cell phone, pursed his lips and explained: "Brother Yun, there are generally no emergency patients in sports medicine. Even joint dislocations are classified into trauma surgery and joint surgery, and they are all elective surgeries."

"But this is trauma surgery. If the place where you work has this demand, you have to do it..."

(End of this chapter)