Those years when I hung up and upgraded in the hospital

Chapter 12 Level 3 incision (please follow up)
Fang Yun went back to the department first, but after asking Xiang Youde, he didn't hear any new patients coming, and Fang Yun wasn't too disappointed. This was just expected.

Xiang Youde was lying in the lounge, while Song Wu wrote the post-operative medical orders and the corresponding pre-operative medical orders. Before submitting them, he turned around and asked: "Brother Yun, look at these postoperative medical orders." , is it appropriate to drive like this?"

Fang Yun glanced at it and found that the doctor's orders given by Song Wu were also routine medical orders.

Cefuroxime q12h (do not write the dose, only write the frequency. This abbreviation means once every 12 hours. In the future, similar substitutions will be used to avoid water-numbered words) preventive anti-infection.Parecoxib sodium qd for analgesia.

"Lansoprazole, a stomach-protecting drug, can be used once or twice after surgery. There is no need to prescribe long-term medical advice. If the patient does not feel stomach discomfort, he only needs preventive medication."

“After general anesthesia, anesthetic drugs may cause gastrointestinal discomfort, so gastric protection drugs are needed.”

"This patient did not have a drainage tube placed. Director Chen was very confident in the completion of the operation and believed that the bleeding was completely stopped, so only drainage tablets and anticoagulant drugs could be given to the patient on the same day."

"You need to be clear about this. Preventive anticoagulation is to avoid venous thrombosis during the patient's immobilization process. If the drainage tube is not used in time during placement, it is to avoid insufficient hemostasis and excessive bleeding or even hematoma. …”

"Then the patient reports that he has a history of hypertension. Although the blood pressure can be controlled, he must also explain the routine use of medication after surgery. At least he must follow the preoperative medication dosage and reflect the long-term medical instructions for self-prepared medication."

“Surgery will cause bleeding, and the body’s defensive response to bleeding is to constrict blood vessels to avoid bleeding. After vasoconstriction, blood pressure will increase in response to stress. Therefore, blood pressure, heart rate, and pulse must be monitored during the postoperative period. "

"If you don't need ECG monitoring, you have to implement this long-term medical advice. Let's talk to Xiang Youde later and remember to pay attention to your blood pressure. Do you know..."

“You can’t just remember how to use certain medicines and under what circumstances. You also need to understand why you use them, so that you can be more coherent when taking medicines in the future.”

Song Wu smiled and nodded.

But Fang Yun didn't know if the other party listened.

Of course, Fang Yun can't control so much. He respects the fate and choices of others. The only thing everyone can do well is himself. Anyway, Song Wu asked Youde and Peng Qingsong, and Fang Yun would answer them in detail, but what if he didn't ask?

Fang Yun couldn't care so much.

……

After returning to the dormitory from the department, Fang Yun once again bought a few pieces of pork rinds, banana peels, etc. as materials for practice. He used his own simple suture bag and debridement bag to practice skills. After finishing, he looked at the panel and found that There is no change in experience points.

Therefore, even if the upper limit of level hangup is increased, there is still no trickery. Operations that are not performed on the patient will not increase the experience value.

If this is the case, then we can only wait for opportunities and operations...

In the blink of an eye, another three days passed.

Today is August [-]th, and Fang Yun is on duty again.

Although Chen Shengwu said that he was on duty for more than a week, Fang Yun and Dong Yunshan had to be sensible. One person had one day, three days per round.

But at six o'clock in the morning, Fang Yun got up early, bought half of the pig's feet and returned home. After sucking it clean with a nail, he nailed it to the chopping board and picked up the round knife he 'stolen' from the department. and sharp knives were placed on the handles of the knives.

Still no gloves.

After everything was almost ready, Fang Yun, bored, used a three-level incision to shave off the entire pig's front feet, including the trotters.

The pork skin is spread out, with not much fat remaining under the skin.

The perfect fat layer was kicked off and spread out on the kitchen cutting board, like a mattress, crystal clear.

For lean pork, except for the muscles chopped up by the butcher and the starting and ending points of the muscles, the rest of the muscle strips were relatively intact and removed from the bones by Fang Yun. Compared with the deboned meat outside, it is more perfect. One whole strip, Some are wide and some are narrow...

Fang Yun also removed the cartilage between the joints of the pig's forefoot and the various ligaments one by one, placed them in front of the chopping board, and arranged them neatly.

After doing this, Fang Yun smiled:
He murmured: "That's it."

"Level 1 incision can only control the linear shape of the knife, but the depth of the incision is not precise enough."

“Level 2 incision can control the straight and arc shape of the knife, and can bring anatomical theory into the operation, accurately control the depth of the incision, avoid bleeding, and use sharp instruments appropriately. Face incision or blunt dissection.”

"Level 3 incision is a level 2 incision, which can reach the surgical field without breaking all the tissues. The speed of incision has been improved to a certain extent."

"Perhaps if I perform the open reduction and internal fixation of the fracture the day before yesterday, I can save at least 3 minutes in terms of exposure time." After Fang Yun concluded, he quickly removed all the bones, pig muscles and fat. Put it in a garbage bag and throw it out later when you are on duty.

Now, even if my skills are improved, they are of little use except for my own entertainment.

I don’t know when the next surgery will be.

However, the improvement in strength is still very exciting.

Two level 3 skills have been reached, but the experience value of these two skills is relatively high. If you want to get the next level 3 skill, you can only take time to get through it slowly.

For appendectomy and cholecystectomy, the experience value is about to reach half.There is also debridement, which is also about to be upgraded.After the debridement is completed, the next step is to select the skills mentioned in the on-hook slot, perhaps the skills related to film reading.

In this way, around November, before my 30th birthday, I should be able to acquire 6 third-level skills, and then I will have the opportunity to go to the county hospital.

The number of surgeries and operations performed at Longxian Second Hospital is still too small.

This is not something that Director Chen Shengwu can solve due to his high level.

……

At 35:[-], when Fang Yun was having breakfast, the round noodles in the bowl had been finished. While drinking the soup, he soaked the 'oil daddy' into the soup base and stirred it up. This is a delicacy that only locals know.

Fang Yun sat in the corner with his back to the others.

"Sister Ping, I heard that your sister-in-law's surgery was done in our hospital? Why not go to Longxian People's Hospital?" A young nurse asked Jin Ping, the head nurse in the operating room.

Jin Ping lowered her voice: "What do you know?"

"My brother didn't quite believe me at first, so he sent my sister-in-law's post-operative photos to his acquaintance, the orthopedic surgeon at Longxian People's Hospital. He is also the attending physician and a very experienced doctor."

"The doctor said from the beginning that the operation was excellent, it was a very high-quality operation, and the prognosis is very promising."

"As soon as my brother told me that the surgery was done by Director Chen from the Department of Surgery in our hospital, he said at that time that there was no need to worry about the quality of the surgery done by Director Chen!~"

Jin Ping explained this to the little girl in front of her.

The little girl was also a nurse in the operating room. She hesitated: "But Sister Ping, wasn't this surgery done by Dr. Fang from the Department of Surgery? Director Chen just finished it."

"Dr. Fang, isn't he rumored to be a bit funny?"

Jin Ping said: "But Director Chen was by his side the whole time. If he feels dissatisfied with the effect of the operation, do you think he will curse or allow the operation to continue?"

"Have you forgotten how you got here because I haven't scolded you recently?"

The little girl quickly lowered her head and said nothing.

At this time, Fang Yun had just swallowed everything, stood up, and planned to go to the department for duty.

It just happened that the two internal medicine nurses I met a few days ago were also eating noodles and were getting ready to go to work.

After they stood up, they saw Fang Yun. As if they had seen a ghost, they lowered their heads in embarrassment and trotted away...

"Dr. Fang, thank you." Jin Ping also saw Fang Yun turning around at this time.

"Sister Ping, you're welcome. I have to thank you and your sister-in-law for your trust and recognition..." Fang Yun replied humbly.

In fact, I still feel a little guilty. After all, if Director Chen Shengwu hadn't authorized it, Jin Ping's sister-in-law could have received better surgical treatment. Although the results may not be very different, the recovery time may be faster than what she could have done.

There is still a gap in ability.

Fang Yun has to admit this.

"Oh, what you said, Doctor Fang..." Jin Ping was a little embarrassed.

(End of this chapter)