Chapter 6, Upper and Lower Limits
I know that you possess great strength and have a high level of trust in our emergency response capabilities as teachers. However, the rules of our department have been established over generations by your senior brothers, so please refrain from expanding the territory further. Song Yu has a fair complexion, a moderately smooth voice, crisp yet not harsh, and is both humorous and interesting
In Fang Xian's perspective, it appears relatively chaotic
Lin Jiemo asked Fang Xian: "Xiao Fang, how long do you think it will take to expose the femur from the skin in this surgery?"
A dead rule dictates that you should do what you are told to do and refrain from touching what you are not allowed to do
Either it was intentional harm
The operating room management personnel are trying to prevent you from losing the key, as it would be easy for them to hold you accountable for compensation. If you do not leave something as collateral, where would they go to find you if you just leave
Fang Xian has indeed been in the operating room, but has not yet entered the operating room of Xiangnan University Affiliated Hospital. Previously, when at the First Affiliated Hospital of Hunan University, he entered as an intern, and the procedures there seem to differ somewhat from those here
Upon entering the operating room, there is an opportunity to personally experience the incision procedure on the patient, which is truly remarkable
Hello, Teacher Lin. Teacher Song. Fang Xian quickly stood up straight and then called out to others
Fang Xian and Fan Chengpeng arrived in the operating room that truly belonged to trauma surgery, where the room was densely packed with people.
This is where the charm of surgery lies
Fang Xianbian thought of the crucial point that at Xiangnan University Affiliated Hospital, there are resident doctors and rotating doctors. Professor Lin's group also has resident doctors and occasionally rotating doctors from other surgical departments. If management is not strengthened, then when the rotating doctors report the names for orthopedics, it will be a mess, and orthopedics will be in disarray
While walking alongside Fan Chengpeng towards the elevator, I asked, "Brother Peng, do we still need to deposit the chest badge for the changing room key here?"
After the surgery, feel free to ask questions. Whenever there is an appropriate opportunity, we will provide answers for you. We are just concerned that you may remain silent like a closed gourd and not ask anything
Newcomer protection period? These few words suddenly popped into Fang Xian's mind
Therefore, if you are only required to make an incision, you must absolutely avoid cutting directly through to the skin on the opposite side, and then rely on your superiors to provide emergency rescue for you
Speak less; the upper limit of surgical quality is unrelated to you, so do not flaunt your rather limited accumulation of knowledge. It is not that the superiors do not want to engage with you, but rather that they are exhausted
Professor Song, why don't you come over?
Fang Xian is in charge of a manageable number of patients, with only three beds, all of whom are post-operative cases. He adjusted the medical orders yesterday, and today only minor adjustments are needed. Therefore, what Fang Xian actually needs to do is write medical records and change dressings
Then the surgery was completed, and the senior colleagues with doctoral degrees led by Xue Li began to suture the wound. At this moment, Professor Lin and Associate Professor Song Yu both left the operating room
Song Yu nodded, adjusted his glasses, and said: "The operating room is a serious place. The department has strict requirements for you, with high standards. This is firstly to be responsible for the patients who trust our hospital for treatment, and secondly to impose constraints on the minimum standards of your behavior once you enter the operating room"
There is a part that can be inferred as a name, which, when broken down, can be understood as debridement, tendon suture, internal fixation of fractures, bone transport, bone grafting ... ...
... ...
"Then return it to me?" Lin Jiemo did not decline, as if he also wanted to give Associate Professor Song Yu an opportunity.
After scanning the room, Lin Jiemo spotted a new face in the operating room. He spoke up with a loud voice, clearly a person with a booming presence: "Xiao Fang, this is your first time in the operating room!"
"That's about it." After Song Yu finished speaking, he sat down to the side
This has a significant impact on Fang Xian.
Fang Xian currently does not understand what Professor Lin and Associate Professor Song Yu really mean, but at present, when a patient with a large segmental defect of the femur is anesthetized and the surgical incision is being performed.
However, these parts drifted by in an instant, leaving one completely at a loss as to where to find any clues.
Then Lin Jiemo and Associate Professor Song Yu quickly began to collaborate extensively
A single incision was made to the subcutaneous fascia, followed immediately by the transition to an electrosurgical knife, then proceeding to the fat layer, and finally exposing the deep fascia layer. After blunt dissection, access was achieved directly to the femoral defect through the intermuscular space
After Fan Chengpeng brought Fang Xian into the operating room, he said: "The surgery has not yet concluded, so find a vacant spot to observe the procedure. Based on my teacher's temperament, I estimate that in the next surgery, he will perform the incision, and you will assist on stage. In the subsequent surgery, you will have an opportunity to make an incision like this."
Fang Xian's expression suddenly became serious, as he believed that Lin Jiemo was testing his foundational knowledge of anatomy, which pertains to the theoretical basis of orthopedics. He began to recall the corresponding anatomical levels.
In three minutes, directly from the skin to the surface of the bone, do you still think it's slow? Can you still consider yourself a person?
When Fang Xian is idle, he becomes completely petrified
Then, beside the anesthesiologist, four individuals were seated in a diamond formation in front of the anesthesia machine, as if the anesthesiologist was conducting a teaching session. Two circulating nurses were moving about in the operating room, and among the circulating nurses, there was also a young intern from the library, standing with her hands behind her back
However, Professor Lin's abilities are certainly exceptional, so it should not take around twenty minutes; ten minutes should be sufficient
... ...
The size of this operating room is similar to that of the First Affiliated Hospital of Hengnan University, but the number of people is more than double that there
Fang Xian nodded and then began to observe as the surgical team led by Professor Lin commenced the operation
There are five individuals in the operating room: the professor of the group, the associate professor of the group, the attending physician of the group, a doctoral degree senior, and three seniors in their seventh year who are observing the surgical procedure while practicing a horse stance.
Other professions are either only permitted to be practiced on the deceased or on animals
Others did not pay particular attention to Li Qiu's change in expression; everyone has gone through this process. To cross the threshold of the operating room, one must strive for it oneself, as others cannot offer much assistance.
It is important to note that doctors are currently the only profession in the world that is legally and actively authorized by the state to make incisions on the skin of living humans for therapeutic purposes, and this is exclusive to them
Alright, Brother Peng, please wait for me a moment. After Fang Xian threw the yellow garbage bag from the trash bin in the dressing cart into the medical waste bin, he hurriedly washed his hands, took off his name badge, and removed his clothes to keep pace with Fan Chengpeng.
However, no one paid particular attention to Fang Xian's changing expressions; instead, those performing the surgery focused intently on the operation, while those observing the surgery watched with great seriousness
It allows you to remember each character clearly and distinctly
Currently, only Li Qiu has not yet met the skill requirements to enter the operating room, how can Li Qiu not feel a sense of urgency
As a surgical resident, the fundamental skills such as changing clothes, washing hands, and dressing must be ingrained in your mind through diligent practice and study, including the principles of sterility, which are merely the basics within surgery. It is assumed that you must be proficient in these skills; if you are not, it is an absolute bottom line that you may be dismissed from the operating room.
"No, no, no, Teacher Lin, it is a last resort for me to take over the teaching in your absence. With you here, how could I dare to lead the instruction? If you wish to criticize me for my shortcomings, please feel free to speak directly." Song Yu's tone was respectful, conveying admiration rather than flattery, filled with a sense of submission.
The operating room in our hospital is relatively large, and the personnel are also quite complex, so management needs to be much stricter. " Fan Chengpeng said this while pressing the elevator button.
Approximately ten minutes? Fang Xian said.
Fang Xian, upon seeing the hands of Associate Professors Lin Jiemo and Song Yu, was filled with envy, wishing she could sever those two pairs of hands and graft them onto her own.
After all, the new junior students will be arriving soon next year. If I have not met the corresponding requirements by the time they arrive, how embarrassing that would be
"It's about the same, so cherish it well." Fan Chengpeng also encouraged Fang Xian a bit, as if he felt that there was nothing significant in his words
In simple terms, there are about five to six layers from the skin to the femur, and within the quadriceps muscle, there are also arteries, veins, and nerves
Therefore, practice is still necessary! Skill comes with familiarity!" Lin Jiemo nodded.
And after using the curved hook to pull it open, Lin Jiemo first looked at the timer panel in the operating room, and then turned to Song Yu: "Three minutes and twenty-one seconds, slightly slower than last time, isn't it?"
Fang Xian roughly imagined a scenario in orthopedic surgery where a skin incision could extend from the surface of one side to the surface of the opposite side. Suddenly, he felt that these professors, who are not human, have established such stringent standards for entering the operating room, which is also a pitiable and helpless act
Those who are able to advance to the re-examination stage at Xiangnan University Affiliated Hospital during their undergraduate studies possess at least above-average qualifications, and they also have a certain degree of pride.
"Take the name tag with you; you will need it to exchange for the locker key in the changing room later," Fan Chengpeng instructed skillfully
In addition, there are three doctoral degree seniors from the ninth, tenth, and eleventh academic years, along with nine junior physicians
At this moment, Fang Xian realized that his knowledge system was quite disordered. These operations seemed plausible; some were familiar to him, while others exceeded his understanding of the knowledge framework.
Lin Jiemo, true to his name, has very dark skin and a broad frame; he is quite a hefty individual. Despite his tendency to be abrasive, he is currently very amiable, tilting his head to look at Song Yu, who is a head shorter than him: "Professor Song, shall we stick to the old routine?"
As a professor, Lin Jiemo sat under the timing panel in the operating room after finishing his first sentence, still modestly conversing with Song Yuqian.
Just as I was pushing the medication cart back to the dressing room and had finished cleaning it, Fan Chengpeng came looking for me. He had already taken off his white coat and was holding his name badge in his hand: "Xian Ge, I'm leaving, heading to the operating room."
Professor Lin's group currently has several junior doctors, including three in their seventh year, which corresponds to the second year of the master's program or the second year of residency training. Even the seniors in their eighth year have already gone to seek employment, while the new first-year doctoral students have yet to arrive
For more than an hour, Fang Xian remained in such a state
Song Yu then stated: "The second point is to observe more and speak less. The minimum quality standard of surgeries in the operating room is determined by you, so it is essential to observe and contemplate more."
Song Yu replied: "Professor Lin, last time it was the pelvis. Our group performs many pelvic surgeries, so we are quite skilled at it"