Being fooled for nothing (please subscribe)

Author: Jiangdi Youbai

Being fooled for nothing (please subscribe)

"Let's go to the operation." Lu Junyin patted Wu Xie on the shoulder to comfort Wu Xie.

In this matter, even if Chang Quansheng deliberately set up a trap, it doesn't matter. Wu Xie didn't ask for the banner, so if others want to give it to you, you have to accept it.

"Director Lu, these fruit baskets?"

"Xu Yahui, come out and distribute these fruit baskets to the patients in the ward. Just say that they are sent by the family members of the patients in the Department of Traditional Chinese Medicine. Let's eat some together." It is better to have fun alone than to have fun together, so Lu Junyin immediately put these fruit baskets together.

The fruit basket is arranged.

In this arrangement, it was said that the other party gave it to the department, and everyone ate it equally.

Wu Xie glanced at Lu Junyin and felt that he had learned knowledge again, but there was no increase in knowledge points.

…

In the operating room, four big men, Zhong Yusheng, He Ling, Long Yuan and Luo Wei, had already started the operation without waiting for Lu Junyin and Wu Xie to arrive.

There are only two surgeries scheduled today.

"Inverted intramedullary nailing for femur fractures and intramedullary nailing for tibial fractures through suprapatellar approach."

The anesthetist is Tang Yuewei, and Dong Chun is standing by as the superior doctor!

Although he is a superior, he is currently consulting Tang Yuewei on some anesthesia-related issues.

When Wu Xie entered, Dong Chun was still asking: "Doctor Tang, how do you judge this patient's medication dosage and operation duration?"

Tang Yuewei began to explain her understanding of the entire surgical team: "The focus and difficulty of fracture surgery is reduction, and the difficulty in reduction is traction. The difficulty of intramedullary nail internal fixation lies in the 'guidance'

The instrument is passed through the broken end of the fracture."

"So after these key operations are clearly understood, the follow-up operations will be performed at a regular internal fixed time, using a programmed process, and the time will be relatively fixed."

"Wu Xie has the fastest surgical reduction speed, and Dr. Long Yuan is the one who performs the most regular surgery. If Wu Xie performs reduction, we can start reducing and stopping the dose after the reduction and X-ray fluoroscopy.

Medicine. If Dr. Long Yuan does the reset himself."

"Considering that there is still prying after resetting, we can..." Tang Yuewei considered this to be gossip, but it didn't count. It was considered professional content, but it didn't count.

Therefore, Wu Xie did not pay too much attention to it. This was related to the anesthesiology department. He could dabble in it, but now he was not allowed to make extraneous matters.

Wu Xie didn't come on stage either. Long Yuan had been here for a month, and most of the time he spent teaching him some basic knowledge of orthopedics and medicine. A small part of the time, Wu Xie explained to Long Yuan some key points and tips on manual reduction.

Yes, Wu Xie was just explaining the tricks to Long Yuan, because after Long Yuan read Xiong Yao's notes, he himself assessed that his skill reset level was above proficiency and not yet full of expertise.

Definitely not as good as Wu Xie, but you can borrow some tips and key nodes, and through experience in operation, you can achieve occasional epiphanies, or operations, cumulative quantitative changes to qualitative changes.

Wu Xie cannot help or participate too much.

Moreover, through his senior brother Long Yuan and Luo Wei who came from the County People's Hospital, Wu Xie had an inner judgment about the level of medical expertise.

With proficient skills, you can get along well in town hospitals. Even in county hospitals, not everyone has proficient skills.

This is not just because of the platform, but because people like Lu Junyin’s generation go to work directly after graduating from bachelor’s degree and do not have any opportunities for standardized training of resident doctors.

The nature of joining a job and becoming a student in a residential school are different. No one is dedicated to teaching you, so everything can only be explored slowly. The older generation has a worse foundation. They can do it themselves, but

If your level is not high enough, you may not know how to teach you to improve.

On the contrary, to a certain extent, their theoretical level when they graduated made their seniors feel that the theory was solid...

Then, the specialization level skills are very good even in the county hospital. Wu Xie discovered that Luo Wei, the old attending physician, only had one specialization level skill that had not been revealed before.

At least it wasn't particularly obvious, being covered up by his senior brother Long Yuan.

Luo Wei's specialized level skill is experience in operating internal fixation devices. It may be that when he was in the county hospital, he often did hard work such as driving nails and applying internal fixation devices, so he was very skilled at it.

But Long Yuan was more experienced in the game than him. In comparison, Luo Wei's skills were not very eye-catching. If Wu Xie hadn't felt that his experience in using internal fixation devices at the proficiency level was not as good as Luo Wei's internal fixation device operation,

I'm afraid I still can't see it.

Then Wu Xie also evaluated that his senior brother had a lot of professional-level skills, at least three or five expert-level skills, and maybe more, but he had no chance to show them.

Because, when he now has a large number of professional-level skills, looking at Long Yuan's surgery, he still feels that the details are slow and there are many places where he can learn and improve. Although Long Yuan cannot match everything Wu Xie needs.

Provide guidance on areas of progress.

but?

Long Yuan could give Wu Xie a lot of feedback. When treating fractures, in addition to manual reduction, he could give some in-depth explanations on basic skills such as how to design the operation and how to open the approach.

Regarding the treatment of fractures.

Although manual reduction is the key, there are also some tricks in the process of fixing the internal fixation device. If you cannot fully master them, you will take more detours during the operation.

In this way, these cases are now counted in the department, and the purpose of multiple learning is achieved.

Long Yuan used them to hone his repositioning techniques, used them as materials for teaching surgery cases, and dissected many details to Wu Xie and others.

If you just want to listen, Wu Xie won’t have to go on stage...

After analyzing it like this, it is possible that if I have to manage beds in the National People's University Hospital with my current qualifications, I will need at least several expert-level skills, or one skill above the expert-level skill.

Only then can we catch the eye of Director Fu Qianjin and get him to agree to this matter.

There may not be many expert-level skills in National People's University Hospital, but that doesn't mean no one has ever had them.

If you want to increase your weight in Fu Qianjin's heart, you must get more, or have skills that are higher than expert level.

In addition, after Qi Qiaowen and Associate Professor Zhou Xiaoning have spent time in Minda Hospital, their horizons will be higher.

In addition, Deputy Chief Physician Huang Yaolong is from hand surgery. If we want to compete with him for the chance to be in charge of the bed,

Then one of two conditions must be met, at least in terms of the number of experts in hand surgery, surpassing Wu Yaolong and reaching a level very close to that of Associate Professor Zhou Xiaoning, so that he can be unobtrusive when leading a group management bed.

Or maybe the level of individual surgical skills in hand surgery is comparable to Professor Qi Qiaowen.

The second point is difficult. At present, it seems that Professor Qi Qiaowen's surgery is at least expert level.

It takes 500 knowledge points to upgrade to the expert level, and 5,000 points to upgrade further. The maximum I can get on the subsistence allowance is 20 points a day, and the average is about 18 points, which takes a year.

After a year, it will be too late to take care of the bed.

Even with the addition of guidance and the knowledge gained from watching private lessons, it would still take half a year.

Therefore, based on this calculation, it is almost impossible to be on the same level as the professor in terms of skill level. Then you can only fill yourself up in the breadth of skills, and don't aim too high.

Otherwise, you are considered Wu Yaolong's junior brother now. If the teacher casually says that you will follow your senior brother and have a good time, can you still dare to say that you will take care of the bed and take senior Huang Yaolong for surgery?

Once identified by Qi Qiaowen, this matter will be very troublesome.

It is difficult to turn around again.

Wu Xie did not simply want to become a doctor, he also had to take care of the bed and get the subsistence allowance. There was no factor that could stop him.

Calculating it this way, for a long time in the future, I can no longer waste my knowledge points on skills other than hand surgery. I must wholeheartedly develop the skills of hand surgery, and I can slowly hone other skills...

Wu Xie was thinking a lot while watching the progress of the operation.

Lu Junyin came on stage, and after joining the position of assistant, he happened to be fiddling with the technique reset together with Long Yuan.

After Wu Xie's mind slowly calmed down and returned to normal, he began to carefully watch the operation progress and read the entire operation through what he saw.

However, this time's reading was different from "reading" the surgeries of Associate Professor Qi Qiaowen and Zhou Xiaoning. When reading the surgeries of the two professors, Wu Xie read from the bottom up, so he had a learning attitude.

However, this time, because some of Wu Xie's skill levels were higher than Long Yuan's, he looked from top to bottom, which was to review, plan and reflect.

To review is to look at the entire general process and have a clear understanding of it.

Planning is what you would do if you had the surgery yourself.

Reflection means thinking about where Long Yuan did not do well enough when performing manual repositioning, and how to evaluate his operation and make corrections.

Of course, after this, Wu Xie needed to change his perspective and continue to see as a student how Long Yuan completed the details of installing the fixture after the reset. If he could do it, during the fixing process

, the principle that the broken end of the fracture that has been reduced will no longer shift and move in a wide range.

Surgical techniques may seem very mysterious, but they actually have different corresponding points. You just need to search for these key points yourself, slowly incorporate them into your bag, and then constantly sort them out to improve your shortcomings and steadily improve your surgical level.

.

This is how I feel about the word level.

While Wu Xie was inspecting the patient, Tang Yuewei finished chatting with Dong Chun, and then looked at the patient's vital signs, which were very stable (on purpose), so he came closer and stood side by side with Wu Xie.

"Aren't you going to perform two surgeries today?" Tang Yuewei asked.

"Well, let's take a closer look at some of the details of senior brother's surgery, learn some of them, correct some of them, and think about how to give feedback to senior brother." Wu Xie used the word feedback very carefully.

The first is learning feedback, and the second is asking feedback. If you can capture more details, you can ask Long Yuan for advice. Long Yuan does not have to teach Wu Xie in a broad spectrum again and again.

Nothing big or small.

"Good method! No wonder you said cases are your learning anchor." Tang Yuewei gave a thumbs up.

"Your learning method is also very good. You use the wholeness as a bridge and fill in the details of the small frame under the big frame." Wu Xie also praised Tang Yuewei in this way.

There is actually no distinction between high and low learning methods, it just depends on what suits you.
To be continued...