Those years when I hung up and upgraded in the hospital

Chapter 65 Orthopedic Elites (Please collect and read)

"Brother Yun, why are you laughing? Is it because Director Long wants you to perform a formal open reduction and internal fixation of fractures alone tomorrow?" After the operation, Director Chen Shengwu and Ding Yuanqiu got together and went to have dinner alone. .

Fang Yun and Fan Youhua also walked into a small restaurant, Uncle Fan Youhua's restaurant, and ordered three meat and vegetable pots.

Fan Youhua looked at Fang Yunzai's occasional casual smile and asked.

"Yeah, that's about it!" Fang Yun continued to smile unconvincingly, and inadvertently glanced at his increasingly luxurious panel again, feeling that he had become more confident.

Two months have passed since the last time I went to the Xiangzhou Medical Association to try out. It's November, but my face has undergone earth-shaking changes.

[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3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。】

【医学专科理论：普外科3级、骨科学3级、神经外科2级、胸外科2级、感染外科学2级……】

【医学专科技能：四肢简单骨折切开复位内固定术3级、手法复位术2级、肌腱缝合术2级、关节镜操作经验2级、四肢复杂骨折切开复位内固定术2级、阑尾切除术2级、胆囊切除术2级、半月板治疗术1级。】

Several skills that were moved to the AFK slot in September have all reached level 3 after Fang Yun improved them through operations while AFKing.

Among them, open reduction and internal fixation of simple fractures was the first to reach level 3. Around October 20th, Fang Yun removed the on-hook slot and moved open reduction and internal fixation of complex fractures. On-hook slot.

Naturally, complex fractures are also performed in the department. Fang Yun continued to work hard and increased his experience value to more than level 1. After hanging up for more than ten days, he improved again and is currently at level 2 operation proficiency. Spend.

The current idle slot has become like this——

【第一挂机槽位4：关节镜操作经验2级、半月板治疗术1级、肌腱缝合术2级、手法复位术2级。】

[The first AFK unit: a county hospital.The upper limit of skill level: level 3. 】

[Second slot 2: Rotator cuff treatment level 1 (rotator cuff injury suturing, rotator cuff rupture repair, rotator cuff adhesions clearance), shoulder joint release level 1. (Note: The upper limit of the on-hook level of the second on-hook slot is shared with the first on-hook slot)]

Fan Youhua reacted again, his fat face full of the smell of lemon: "Director Chen must have given you permission to go to the Traditional Chinese Medicine Hospital for arthroscopic surgery."

The second idle slot is Director Chen Shengwu, who saw Fang Yun's arthroscopy operation. After reaching a certain level of proficiency, he might even progress faster than him, so he authorized Fang Yun to occasionally go to the county traditional Chinese medicine hospital for surgery. , get more idle slots.

Such an opportunity was obtained only because of the strong connections of Director Chen Shengwu. The Orthopedics Department of Longxian Hospital of Traditional Chinese Medicine has been struggling with arthroscopy for a long time, and Fang Yun is currently one of the best doctors in Longxian County for arthroscopy. , and then I got such benefits.

As the saying goes, one trick is fresh, and it can be eaten all over the world.

In Long County, where medical technology is not particularly developed, and where sports medicine specialists are extremely scarce, Fang Yun grew up to be the best sports medicine doctor in just a few months.

This also made Fang Yun quite sad.

"Absolutely. If Xiao Fan wants to go, I can ask Director Chen to give you this opportunity. Anyway, Director Chen is very familiar with Director Jiang and Director Zhong from the Orthopedics Department of the County Hospital of Traditional Chinese Medicine." Fang Yun suggested.

Fan Youhua quickly regained his clarity: "Brother Yun, I can't do it. What if I can do it? Forget it."

"Compared with a pervert like you, Brother Yun, it's a bit shocking." Fan Youhua was very helpless.

Before Fang Yun, in the field of sports medicine, he only had theory and little practical practice. However, just a few months after Fang Yun was told that sports medicine was to be developed in the department, Fang Yun surpassed him.

Not only in theory, but also in practice.

Director Chen Shengwu became a monk halfway. He couldn't bear to see the arthroscopes in the county hospital gathering dust, so he temporarily switched from joint surgery to sports medicine.

But such a jump was naturally not deep enough, and he was quickly surpassed by Fang Yun.

"Xiao Fan, you definitely have a chance." Fang Yun replied.

Fang Yun knew that Fan Youhua was only slightly behind in operational proficiency. If Fan Youhua could be more proficient in operating mirrors, then Fan Youhua would be able to perform more healing techniques than he could.

After all, I have never worked with a very professional sports medicine doctor. Currently, I just rely on reading books and hanging up to improve my skills.

……

The next day, November [-]nd.

After Fang Yun completed the room check with Director Long Quan, he left the operating room early and took Fan Youhua to start disinfecting and draping.

Naturally, Director Long Quan and Chief Qin Chaowen were not absent either.

Today, although Director Long Quan saw that Fang Yun was becoming more and more proficient in the operation, he gave Fang Yun a separate unit to perform open reduction, plate and screw internal fixation of tibial fractures, but he did not dare to completely delegate his authority.

After all, when Fang Yun first came to the county hospital, his basic skills were solid. However, in terms of specialty, he was only good at theory. In terms of operation, he was actually much lacking and not mature enough.

Disinfect, drape, and reconfirm the patient's diagnosis and fracture status.

After putting on a sterile surgical gown and wrapping the patient's calf with a sterile skin patch, Fang Yun glanced at Long Quan. After receiving the other's approval, he came to the surgeon's position.

Fang Yun is currently the attending surgeon. Simple fracture open reduction and internal fixation is a level 2 operation, and Fang Yun can perform it routinely.

After receiving the bent plate from the equipment nurse, Fang Yun carefully counted the corresponding equipment, then raised his head and said, "Tourist, please note the time."

"At 49:[-], start incision!" After Fang Yun fixed the operation time, he began to operate.

Anteromedial tibial approach was used.

The fracture is a fracture of the middle part of the tibia. The reason why the operation is simple is that there are relatively few soft tissue layers in front of the bone. After almost breaking through the skin and subcutaneous tissue, the deep fascia layer and periosteum layer are reached, and there is not much muscle tissue coverage.

Fang Yun was already proficient in the incision technique. After incising the skin with one smooth stroke, he quickly used the electric knife to penetrate deeply.

The designed surgical incision had already avoided large blood vessels and nerve tissue, so Fang Yun's knife went under the fat layer again, revealing the deep fascial layer.

The operation is capable and without hesitation, just like an elite orthopedic doctor.

(End of this chapter)