Chapter 182 You don't even know what an infection is(1/4)
Chapter 182 You don’t understand what infection is at all (please subscribe)
Author: Jiangdi Youbai
Chapter 182 You don’t understand what infection is at all (please subscribe)
"X-ray reading experience (skilled 28/38)"
"Experience in CT reading (skilled 17/34)"
"Experience in MRI Reading (Specialized 5/490)"
"Experience in Ultrasound Reading (Proficient 0/50)"
"Supervisor beds: 5! (Learning point gain: 5 points/day)"
"Patient in charge: 5. (Learning point gain: 19 points/day)"
"Learning points: 89. (The gain of knowledge points has been settled.)"
Today is indeed a fruitful day——
In terms of MRI reading experience, Long Yuan raised the upgrade limit to more than ten points, so Wu Xie chose to add points to become a specialist level, and then was pushed to the point where the upper limit was reduced to 490.
It's very comfortable.
Moreover, the accumulation of knowledge points, in the process of continuous application, has accumulated to 89 points.
This is very good. With this kind of accumulation speed, it is likely that I will contribute to my participation in the state's young doctor skills competition next month.
The Third Hospital doesn’t want me, I understand, but I don’t have to be convinced.
But the Third Hospital of Hubei Province does not want it, which may represent the attitude of most hospitals in Han City and does not represent its true strength, but it should also be used as a motivation for itself.
Improve your abilities more. If your previous performance evaluation or other aspects can reach a normal level, you won't be unable to accept the teacher's intercession.
But when Wu Xie was thinking about this, Tang Yuewei took the initiative to send him some information.
It is exactly the list of surgical arrangements for the past year by the Traumatology Department of the Affiliated Hospital of the National People's Congress of Hubei Province. It has also been made into an Excel table.
And this was no more than two hours after he and Tang Yuewei proposed it.
The form was definitely not made by Tang Yuewei. Even if she had connections, others would not do it so well. Wu Xie read these details.
Receive and download selected.
At the same time, he replied: "Thank you."
Tang Yuewei: "Are you still not asleep?"
"How could I find out that you were not asleep when I was asleep? If you were asleep, you wouldn't be able to find out that I was not asleep." Wu Xie cleverly sent the other party a tongue twister at that time.
"Go to bed early, otherwise you will be bald."
The eight-character killer weapon made Tang Yuewei hate it.
"If you don't know how to say thank you, you might as well not say thank you at all!"
"Gutou saves his life, let's rest." Tang Yuewei continued to send a look.
She felt that staying up late to do the forms was a waste of time.
Wu Xie sent a few bouquets of flowers with an expression, but did not continue to reply to the text.
Then I clicked on the Excel table and found that the main surgeries at the Trauma Surgery Department of National People's University Hospital were intramedullary nail internal fixation of fractures and plate and screw internal fixation of fractures.
Then add some debridement surgeries for infection, emergency external fixation of fractures, and occasionally schwannoma resection, subcutaneous soft tissue cyst resection, internal fixation device removal, etc.
Basically, the surgeries related to fractures are comprehensive, covering common fractures such as pelvis, humerus, femur, etc., and can be regarded as solving most trauma and emergency patients.
Seeing this, Wu Xie felt confident.
In other words, the current Trauma Surgery Department of National People's Congress Hospital can basically undertake the diagnosis and treatment of all emergency trauma patients, which is a bottleneck period for the development of trauma surgery.
Doctors who are truly proficient in trauma surgery certainly do not perform these surgeries. Otherwise, if my teacher and top hospitals like Tongji Hospital only relied on fracture surgeries to survive, they would definitely starve to death.
Then, I have to think about how to find some surgeries for trauma surgery outpatients, and then bring them to the National People's University Hospital to perform them.
Replantation of severed limbs in hand surgery!
Complex pelvic fractures, multiple fractures. (Operations that traditional trauma surgery does not dare to perform)
Complex nonunion.
Neurovascular repair and reconstruction.
Skin flap transplantation.
Well, these are some diseases that have broken away from traditional trauma surgery, but are not developed at a high level in prefecture-level hospitals. If they can be taken down, then the source of the disease in the entire southwestern Hubei can be attracted.
Let them solve the problem in En City without having to go to Han City.
Replantation of amputated limbs has been relegated to the hand surgery department. If you don’t deal with it for the time being, don’t mess with it. Complex pelvic fractures and multiple fractures are very dangerous. If you dare to do it yourself, National People’s University Hospital may not dare to accept it.
Skin flap transplantation is a very complex surgery.
However, bone nonunion and neurovascular repair and reconstruction can be carried out.
Surgery for nonunion is in principle surgery for fractures. It can be a Category II or Category III surgery. If you fight for it, you can get the permission to do it.
As for the suturing, replantation and repair of nerves and blood vessels, it is a relatively bizarre and very difficult second-category surgery. For such diseases, the patient's symptoms are severe and the operation is difficult, so most people dare not perform it.
But its classification is actually a second-category surgery. This is actually a gap in the current rating of orthopedic surgery.
These are also the two techniques that Long Yuan is good at.
It’s just them!
Wu Xie immediately made up his mind, and then found these skills from his skill list.
"Nonunion reduction and internal fixation (trainee 0/5)"
"Nerve exploration, suturing, repair, and transposition (trainee 0/5)" (Note, this surgery is actually quite complex and has many classifications. The author does not want to slow down the pace too much, so he has unified this surgery. Please read it.
Friends understand.)
"Nerve exploration, suturing, repair, and transposition (trainee 0/5)"
These types of surgeries are all very difficult, and Wu Xie has never had the opportunity to do them before. It is precisely because Tongji Hospital has such difficult surgeries, so when he lacks basic skills, Wu Xie cannot start at all.
study.
After figuring out these skills, Wu Xie thought about it and decided to tap a little more of them.
It took fifteen knowledge points to upgrade all these skills to the entry level!
Because Long Yuan is good at it, if he encounters such a case, he can definitely give you a lot of advice and start from scratch!
If you can gain something, if you have the chance, go to the National People's University Hospital and have a good talk with the director of trauma surgery there about this matter.
Of course, before that, Wu Xie still had to make preparations, which was to reach a specialized level in arthrotomy.
The previous patient with syphilitic arthritis will also need an arthrotomy tomorrow. Long Yuan plans to leave this operation to Wu Xie.
This is also the only surgery tomorrow.
Although this Chu Yuming has syphilis, he also has infectious arthritis. When using penicillin to treat syphilis, joint infections must also be treated at the same time.
In fact, if you are irresponsible, you can just throw Chu Yuming away, cure the syphilis and then deal with the joint infection, but this is particularly unfriendly to Chu Yuming.
In fact, as long as the aseptic principle is strictly controlled during surgery for syphilis patients and the surgeon is not cut during the operation, the infection will not occur...
After making such preparations, Wu Xie fell asleep happily, feeling that the future was promising.
Early the next morning.
Wu Xie sent a message to Tang Yuewei in advance, explaining the special situation of the patient undergoing today's surgery and asking her to be careful. If she was the one to receive anesthesia, she must protect herself.
Tang Yuewei replied: "The anesthesia for this operation was performed by Teacher Tan Hong and Teacher Dong Chun personally. I was just watching."
"The two teachers are very kind. They want to protect me."
Then he replied with a smiley face.
"That's fine, you can remind them when the time comes."
"This morning, I still have to have breakfast with my senior brother and Weige. I have to rely on him to support me!" Wu Xie said directly, which was also an explanation to Tang Yuewei about what happened yesterday morning.
"I know. I'll go to the department to prepare first. You can wait for your senior brother and the others." Tang Yuewei replied.
After seeing this message, Wu Xie looked up and looked into the distance again. Tang Yuewei had eaten breakfast in advance and entered the hospital before Wu Xie even arrived at the noodle shop.
This move made Wu Xie feel quite warm.
How cute is a girl like this who wakes up early and goes to bed late to avoid the embarrassment of yesterday?
When eating noodles in the morning, Long Yuan asked.
"Don't you dare to talk nonsense today?"
Luo Wei: "What's the matter, Brother Yuan?"
Wu Xie raised his head and said, "Senior brother, my classmate has already had breakfast and is probably starting to work now."
Long Yuan was stunned when he heard this, feeling that his happiness was gone.
To be continued...