Chapter 3: Understanding Medical Advice and Reaping Abundant Rewards

Stopping a painkiller can still reduce the drug's harm to the patient's body, but it may also adversely affect the patient's sub-health condition

Since the primary battlefield of surgery is still in the operating room, if the surgery is performed well, then everything is fine. However, if the surgery is not performed well, it is exceedingly difficult to resolve issues for surgical patients solely through medication, unless you wish to challenge the surgical indications and contraindications established by a group of experts

It may not be useful, but even so, by meticulously analyzing the principles of medication used by patients, it is possible to enhance the foundational theories of trauma surgery and the related theories of pharmacology

Hoo! Upon seeing the result, Fang Xian let out a long sigh.

The aunt in bed 15 said, and then the other old lady in bed 14, who is the one with the pelvic fracture, complained: "Doctor Fang, she added small millet peppers to the fish soup, and quite a lot of them!"

Fang Xian picked up the scalpel beside him, carefully confirming the operational requirements and the corresponding details of the incision procedure

The elderly lady spoke very seriously

Let Professor Lin scold her

Meanwhile, at the operation sensing platform, a type of polyolefin polymer material memory silicone was synthesized from ethylene and benzyl acrylate, which can still be restored after being cut. A green laser arc marking line in the shape of an 'S' appeared on the operational surface.

This left Fang Xian somewhat at a loss as to how to proceed

Therefore, Fang Xian carefully inquired among the patients under his care and confirmed once again that they did not have such underlying diseases

However, Fang Xian is not discouraged

The aunt at bed 15 said: "Doctor Fang, just this once, I absolutely won't eat the illustrated book next time. You know that we generally can't enjoy our meals without spice..."

Professor Lin is the leading professor of Fang Xian's group and a prominent figure in trauma surgery within the province. He has a fiery temper and, except for not daring to scold his superiors, he berates everyone from the head nurse to the attending physicians, as well as patients and their families, and he does so in a manner that leaves them with no room to retaliate.

Fang Xian heard this and advised: "Auntie, it is fine to eat chili peppers normally, but after the surgery, consuming chili peppers can easily lead to local inflammation. Capsaicin can enter the bloodstream and cause irritation. You must not be so disobedient and harm your own body, right?"

There are no useless skills, nor are there useless theories; it all depends on how you apply them

Currently, there are three patients: one with a pelvic fracture, one with a femoral bone defect who has undergone a bone transport procedure, and another with a comminuted fracture of the tibia and fibula who has undergone internal fixation surgery

Fang Xian chose the difficulty level 2 for the operation technique

The average deviation between the incision and the laser marking is 0.04 mm, not exceeding 0.5 mm, which meets the standards

Requirement 2: Perform 3 operations to calculate the average value

Advising the patient to resume a normal diet accelerated the healing process of the wounds, alleviated gastrointestinal damage, and resulted in 6 points of harm to the current sub-health status, earning 6 skill points

Apart from the skill points allocation resulting in the display of having reached level 2 skills, the levels of other related skills remain unchanged, with no unexpected gains.

Antibiotics cannot be administered, anticoagulants cannot be administered, and gastric protective medications have been discontinued for all patients except for the patient with a pelvic fracture who underwent surgery yesterday, who will continue to receive gastric protection

This is too naive

The skills training room 1321 is related to orthopedic skills training, and it contains a total of seven to eight different skill operation devices

Grandma, please supervise me. If I see it again next time, just report it directly to Professor Lin

The current medication regimen is largely consistent, with only slight variations

Fang Xian's lips curled into a smile in an instant

However, it was only after Fang Xian discontinued the 15 beds of painkillers and switched to oral analgesics.

The aunt quickly shook her head and said: "No, Dr. Fang, I dare not, I will not eat anymore, I promise."

At this moment, her daughter said: "Mom, let me tell you, don't eat it. Others are doctors, they are professionals, they will definitely be able to find out, yet you still don't believe it..."

The principles of postoperative medication in surgery are preventive anti-infection, analgesia, personalized gastric protection, and anticoagulation. Additionally, different medications should be administered based on the unique characteristics of each patient. For instance, in the case of patients with hypertension, the focus should be on how well their blood pressure is controlled, while for diabetic patients, insulin adjustments are necessary to regulate blood sugar levels.

Because at this moment, after Fang Xian has acquired Level 2 skills, going to perform surgical operations will instill a sense of confidence, I can do it. At the very least, I can ensure that when I am acting as an assistant, I will not make major mistakes, setting this baseline here, so that my superiors can rest assured.

The skill operation instrument consists of an operation console and a display screen. The display screen allows for the selection of the difficulty coefficient for practice, while the operation console can sense subtle operations.

Achieving three level 2 skills in the book is already quite impressive

Average operation time: 3.2 seconds. Not exceeding 4 seconds, meets the standard

Based on the existing information, it can only be determined that the patient is experiencing gastrointestinal subhealth, rather than a disease. Could it be that the patient's recent diet has some issues

Fang Xian continues to extract the relevant knowledge reserves. The sub-health state is generally not treated with medication, but rather through lifestyle changes

... ...

Average incision depth: 0.5003 cm. No damage to the subcutaneous fascia, with a measurement less than 0.5 mm, compliant.

The three patients under Fang Xian's supervision are all postoperative patients

Fang Xian chose the relevant operating instruments for practicing incision techniques

Fang Xian let out a sigh, finding it somewhat amusing that he would whimsically entertain the idea of altering such a significant medical directive, and then astonishingly achieve great gains from it

It is difficult to determine the level of relaxation, as sub-health is not a specific diagnosis, but it is advisable to inquire about it

After this, Fang Xian once again arrived at the department

This is a part that is generally overlooked by both surgeons and attending physicians during regular times

"Aunt, what have you been eating recently? You haven't eaten the things I advised you not to eat, have you? For example, chili and Sichuan pepper, you need to be careful with that wound." Fang Xian, wearing a white coat, stood in front of bed 15 and asked

Such control over the depth, length, and curvature of the incision can be applied even in actual patient procedures, without the significant deviations characteristic of a Level 1 skill, thereby avoiding difficulties for the supervising physician

"No, Dr. Fang, you just said I shouldn't eat spicy peppers and Sichuan peppercorns, but I haven't eaten any. Recently, I've only been drinking fish soup and eating fish meat, which is high in protein." This is how the lady in bed 15 responded.

These patients all have open fractures, and postoperative antibiotics need to be administered until the inflammatory indicators stabilize, and consultations may be required at any time to adjust the antibiotics

One's own feelings are not mistaken; the strength has indeed been genuinely enhanced

The panel flashed again

Ah! What is this?

Finally, the result appears

Immediately afterwards, Fang Xian arrived at the X-ray interpretation skill training device, where he practiced and validated skills related to X-ray interpretation

Fang quickly captured the key point among them

Sub-health

Therefore, except for the painkillers for bed 15, all other medications cannot be changed

Approximately two minutes later, Fang Xian completed 3 operations, taking a half-minute break after each operation.

When Fang Xian stepped out, there was a brief flicker.

This is derived from the analysis of panel information, based on one's own foundational theories related to medicine

Upon seeing this prompt, Fang Xian's gaze flickered momentarily

Of course, these are all fundamental theories in medicine, which Fang Xian is naturally well aware of

Since Fang Xian is already aware that following medical advice can increase the damage from diseases and earn skill points, he must carefully reconsider and examine his current 3 patients to determine if there are any messages he has overlooked or if he can achieve greater benefits and resources by altering the medical advice

Professor Lin has no superior above him

He precisely grasped the scalpel with a pen-like grip and began the operation

The average length of the cut is 10.03 cm. The error in the length of the incision does not exceed 0.2 cm, which meets the standards

Fang Xian listened to the old lady in bed 14 speak, then turned to look at the aunt in bed 15, her gaze stern.

In other words, this patient is currently in a sub-healthy state, but this is not reflected in the current treatment!

Requirement 1: No repeated incisions, the incision must not exhibit any zigzag patterns, the lateral deviation of the incision must not exceed 0.5mm from the laser marking, and the depth of the incision must not exceed 0.5mm from the subcutaneous fascia. The error in incision length must not exceed 0.2cm, and the duration of the operation must not exceed 5 seconds

Skill Points + 2

Three hours later, Fang Xian slightly furrowed his brow as he left the skills training room

Moreover, after achieving 3 Level 2 skills, Fang Xian felt that the baseline skill requirements for surgical assistants in the trauma operating room at Xiangnan University Affiliated Hospital were relatively objective

Dr. Fang, I assure you that I will not give it to my mother, even if she begs me again. She has given her guarantee

Incision Procedure Level 2: Please follow the laser marking and make an incision of ten centimeters in length with a curved cut, penetrating to the depth of the subcutaneous fascia

Overall Score: 97! Skill Proficiency Level: 2 (Proficient)

He feels that he is overthinking a bit

Timely cessation of non-selective intravenous steroid analgesics alleviated the physical burden on patients, reduced the incidence of complications such as gastrointestinal bleeding to some extent, caused 2 points of harm to the patients' current sub-health symptoms, and earned 2 skill points

Requirements appear