Those years when I hung up and upgraded in the hospital

Chapter 37 Silencing Agent (Please collect and read)
Subluxation of the radial head is an introductory operation in orthopedics, and it is not difficult to diagnose and operate.

However, after Fang Yun corrected and reset the child in just ten seconds during the operation, he still sent the film to Luo Su, the senior attending surgeon in the team, and asked Luo Su to help review it to avoid diagnosis. mistake.

Luo Su just took a few glances and asked, "Xiao Fang, can you reset this? Radial head subluxation."

Radial head subluxation and radial head subluxation have the same meaning, and different doctors have different names.

"Brother Luo, I've already finished handling it. It's mainly because I haven't had such experience before and I'm afraid of making mistakes."

"The patient's pain after the operation has been relieved and his functions have been restored. Didn't we tell the patient's family in advance that if the position is not reset, we need you, Brother Luo, to come to the department to save the situation."

Luo Su replied with a haha.

Then he said: "Xiao Fang, your current professional title is at the same level as mine. You don't need to report to me. Even if there is a problem, it is an operational accident and a common complication."

"Are you the attending physician?"

Fang Yun was silent after hearing this, and after a few seconds, he gave Luo Su an OK gesture.

This is the reality of the world. No one will treat themselves as students. They are the attending. Even if their abilities are not that strong, they still treat themselves as the attending in the eyes of most people.

Naturally, there are such requirements.

……

After the emergency class ended one day, Fang Yun discovered that in just one day, the X-ray reading technique reached level 3 1%.

After the skill reaches level 3, the growth rate of experience points while idle will decrease, and the growth caused by operations will also be reduced to [-]%.

But I can’t bear the number of emergency patients who need medical examination at the County People’s Hospital.

For injuries caused by falls, whether there are fractures or not, a radiograph will be taken to confirm.

Speaking of which, it is not expensive. An X-ray of one part only costs 42 yuan. It can buy you peace of mind. In Fang Yun's opinion, it is worth it.

If you don't take advantage of the good tools available, you are just asking for trouble.

In this way, the number of patients Fang Yun received today suddenly increased his experience value by about [-]%, which was very satisfying.

Naturally, there were also two patients with fractures who had strict indications for surgery and were successfully admitted to the hospital.The only patient with trauma caused by trauma was the one with a broken muscle yesterday.

……

Director Long Quan arranged two minor surgeries, one to remove hemangiomas of the lower limbs and the other to remove foreign bodies.

Speaking of the foreign body removal technique, Fang Yun realized that this old man had an unusual origin. The bullet casing remaining in his thigh had been there for many years and had never been removed.

This time, the corresponding bone had osteoporosis and local microfractures. The pain was unbearable, so I thought about coming over and removing the shell.

The old man is over 80 years old and has participated in the suppression of bandits.

I heard him talk about the war when he was only in his teens, but now more than sixty years have passed.

Long County is the boundary of western Hunan.

"Xiao Fang, do you dare to try this hemangioma? It's actually very simple. You just need to expose the distal and proximal approaches of the hemangioma and directly tie it off and remove it."

When Fang Yun heard this, he did not dare to be rash: "Doctor Luo and Dr. Qin must be more experienced than me."

Hemangioma resection requires different operating proficiency due to different sizes of hemangiomas. Small hemangioma can be performed with basic skills. As long as the incision is done well and the bleeding is effective, it can be cut out directly.

However, if a relatively large hemangioma involves a large artery, certain precise operations and corresponding skills are required.

Long Quan looked at Luo Su and Qin Chaowen.

The two of them were also very sensible and told them, "If Xiao Fang can do a minor surgery, just do it." Qin Chaowen said, "If Xiao Fang can do it better, there will be minor surgeries like cyst removal and hemangiomas removal in the future. It’s actually not bad to have Dr. Fang.”

Trauma surgery also performs a lot of minor surgeries, and occasionally it involves removing subcutaneous cysts on the limbs.

This kind of cyst resection does not require many specialized operations. It only requires solid basic skills and good hemostatic suturing.In large hospitals outside, it is an outpatient surgery, but county hospitals do not have many patients, so they are relatively stable and allow patients to be hospitalized for surgery. They will be observed for one to two days after the surgery before being discharged.

Fang Yun was slightly confused.

Long Quan said: "Xiao Fang, please don't refuse. Your theoretical and diagnostic abilities have long surpassed those of ordinary attending physicians, but your current specialized operations are slightly lacking."

"But tall buildings are rising from the ground, and you can find schwannoma in emergency injuries. If you cut out the small cyst, it will definitely be fine."

When Fang Yun got here, he didn't refuse anymore.

The entire surgical procedure of hemangioma resection is actually the flexible application of incision, hemostasis, and suturing. Small hemangioma does not require some delicate operations of vascular surgery.

"Thank you, Director Long." Fang Yun smiled back.

Fang Yun naturally knew about this patient during the ward rounds. It was a hemangioma on the muscle layer under the fat on the front of the thigh, with a diameter of about 30mm*40mm.

There are no major symptoms at first, but the existence of hemangioma is itself a risk factor. If it ruptures, it will cause subcutaneous hematoma, and when it bulges, it will affect the wearing of pants.

The patient, a 32-year-old young woman, had not worn short skirts or shorts this summer. After much hesitation, she chose to cut them off to avoid becoming a destabilizing factor.

Fang Yun, the attending physician, has routine authority to perform this surgery.

After everything was ready, Fang Yun carefully applied the outer skin patch, then glanced at the timing panel in the operating room and said, "Tourist teacher, please help me record the time."

"8:34, surgical incision, anesthesiologist, please confirm the time." The circulating nurse pressed the timing panel and began to copy.

"Okay!~"

Fang Yun didn't hesitate, and cut a 4cm vertical hole with a knife.

After the knife was withdrawn, Fang Yun felt that Director Long Quan was doing his best to prepare the table, and immediately wiped the wound with a dry salt water pad.

Fang Yun didn't hesitate and started to move down slowly with the electric knife.

The depth of the incision is extremely well controlled, only the subcutaneous fascia layer is incised, and the fat layer is not touched at all.

This surgery is not a fracture-related surgery. The hemangioma is under the fat layer. It is currently difficult to absolutely determine that there is no adhesion to the fat layer, so it is difficult to operate directly on the fat layer.

This control of the depth of the incision, as well as the speed and confidence of the incision, made Long Quan click his tongue.

Said: "Luo Su, Qin Chaowen, you two should learn Xiao Fang's exposure. Although incision is only a basic skill, but high-rise buildings are rising from the ground. Dr. Fang's level can be used to routinely perform any surgical incision in our orthopedics department!" "

"Xiao Fang, keep going!" Long Quan praised and motioned for Fang Yun to continue.

Fang Yun nodded, carefully used the vascular forceps to touch the fat layer held up by the hemangioma after the skin was incised, and then carefully peeled it away with blunt force!

Bold but careful, he explained: "Director Long, there is a capsule outside the hemangioma, and the capsule is intact. It will not be punctured directly. During blunt puncture, as long as you don't squeeze in too deep, you are not afraid. The hemangioma ruptured intraoperatively.”

While Fang Yun was operating, he pulled apart the fat layer. After the yellow oil sprayed out, he saw that the outer membrane of the hemangioma had appeared in front of his eyes.

Fang Yun carefully pushed the retractor inside, and the sound of decompression between the fat layer and the hemangioma capsule was heard softly.

However, before Long Quan had time to be surprised, Fang Yun decisively moved the hemostatic forceps on his right hand upwards and exulted: "I knew the nourishing artery was here."

"Click!~" With a sound, after the hemostat was clamped, it was like a silencing agent, and everyone on the operating table fell silent.

(End of this chapter)