Yang Ping thought a lot about the meeting with Huang Jiacai.
With an annual salary of one million, he actually has no doubt that the skills in the current system are increasing, and the single skill of replanting a severed finger will soon break through the perfect level and advance to the master level.
This level is not low in any hand surgery hospital. Not to mention annual salary of one million, annual salary of 500,000 to 600,000 is very common.
But once he leaves the platform of a large tertiary hospital like Sanbo and misses out on a meritocratic talent like Director Han, he may end up working as a hand surgeon in a small hospital, which is not what Yang Ping wants.
He should have greater achievements, and his goals can be higher and further. As for financial income, Yang Ping believes that it will happen naturally.
After some analysis and thinking, Yang Ping became more determined in his ideas.
Five-segment replantation has made the Orthopedics Department of Sanbo Hospital famous.
A large number of patients with amputated fingers go to Sanbo Hospital almost every day.
Yang Ping, Tian Yuan, and Song Zimo took turns to perform replantation of severed fingers. Doctors Zhang Lin Xiaowu and other doctors were also taken to the department laboratory by Song Zimo to train in microsurgery. Director Han required doctors at the attending level and below to train in microsurgery.
Surgery must eventually be able to independently complete replantation of severed fingers.
Yang Ping entered the system and checked the task completion: the progress bar was at 30%.
Now he is relieved. According to this trend, completing the task will not be a problem.
Yang Ping only has more than 9,000 points left from last time, so he doesn’t dare to spend them randomly for the time being.
He has learned well now that if he has more points, he can squander it, but if he has less points, he can only reserve them for emergencies.
Yang Ping had just arrived not long ago. Although he was an attending physician, he was previously a resident physician. Now he has performed well in several operations. Director Han immediately straightened him up and appointed him as an attending physician.
Director Han has his own plan. The development of orthopedics has completed its initial accumulation, and now he plans to enter a period of rapid expansion.
Building a talent team is the most important thing. Although there are several senior directors under me, they are all quite satisfactory.
Tian Yuan is very good. He is only in his thirties and can already take charge of his own business. Song Zimo is extremely talented and will show his talents with a little training.
But I feel that there are still not enough talents. Now there is Yang Ping. Looking at these operations, he has completely surpassed Song Zimo.
This gave him a little more confidence, and it was time to launch his rapid expansion strategy.
He decided to help Yang Ping apply for permission for third-level surgery to make him run faster. He took the application form and knocked on the office of Professor Zhang Zongshun, the hospital's expert team.
The old man took off his reading glasses, pointed at the words with his fingers, read them again, and said: "Master's degree means excellent replantation of amputated limbs. Replantation of amputated limbs is not a rare thing now, and the surgery is common."
He is right. Replantation of amputated fingers is a very common operation. Hand surgery hospitals that are popping up everywhere do not perform it every day. People just need to accept the job, and there is no need to do it to the extreme.
The expert group is a feature of Sanbo. A group of retired well-known domestic experts and professors were hired. Because of their age, they no longer perform surgeries and mainly go out to outpatient clinics.
In addition to outpatient visits, there are also some tasks, most of which are of a supervisory nature, such as assessing surgical authority. The power is in their hands, and this is when they have the most sense of presence.
"Follow the procedure and go through all the surgeries above. Han Laoer, if you hadn't strongly recommended it, we wouldn't have started the procedure for newcomers without special education background. This is a channel for special talents, so he
The surgery score is not just passing, but an average of 80 or above." The old man put on his glasses.
"He made great contributions to the hospital last time." Lao Han defended, wanting to say a few more words for Yang Ping, at least lower the score of the operation, so that it would be less difficult.
The old man raised his head and looked from the upper edge of his glasses: "That won't work. It's two different things. Didn't we already take him through a special channel?"
These old stubborns were also one-sided when they were young, and they all looked like bullshit. Lao Han couldn't keep up the fight, so he had to agree.
"That's it, let's get into the process. According to the list above, the surgery video will be sent over every Friday. We, the old guys, will meet on Friday to give a score. Director Han, you are a bit biased, Section
There are so many attending doctors here, but I haven’t seen you apply for all the third-level surgeries. Isn’t this just here?” The old man is also a shrewd person.
"Now that the Trauma Emergency Center is open, the number of orthopedic surgeries has increased sharply. I am short of people and capable people." Lao Han said helplessly.
In this way, after bargaining, the matter is settled. At least they agree to start the process, and the only thing left is to complete the operation.
Lao Han has never seen how well Yang Ping performed other operations. Many doctors can only replant severed fingers, and they often cannot even repair a simple fracture.
Well, I just take this opportunity to see how Yang Ping's other surgeries go. If it's as good as the replantation of a severed finger, just put more burdens on his shoulders; if it really doesn't work, then you have to train him well yourself.
Whether a knife is a good one depends on whether it can be used directly or needs sharpening.
Returning to the office from the administrative building, Song Zimo was waiting for Lao Han. Song Zimo submitted the teaching surgery for the next week to Lao Han for review.
"I don't need to watch the teaching surgery next week. You can just sign it up for me." Old Han took a sip of tea.
Song Zimo flipped through the textbook: "Fracture of clavicle, Director Tian will do it."
There are several teaching surgeries every week to allow young residents and attending physicians to learn and master the practical steps of surgery. Director Tian is usually the surgeon, and a few are also performed by Song Zimo.
In addition to following the national doctor training system, Sanbo Hospital also has its own system. Three years of regular training and five years of specialist training are required to be considered an entry-level specialist.
"Tell Yang Ping that he will do it next week. Are the cases ready?" Lao Han asked with concern.
"Ready, three cases, all of which are clavicle fractures, simple, pulverized, requiring neurovascular exploration. They are all typical cases. The patients are all young people and have no underlying diseases.
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Song Zimo is the secretary of the Department of Orthopedics, and these teaching cases are selected and determined by him.
Clavicle surgery is simple, so let’s try it first. After talking to Song Zimo, Director Han called Yang Ping over and closed the office door.
"Xiao Yang, your surgical authority is extended to fractures of limbs and pelvis. Do you think it is possible? Yes! The hospital will start to examine you. If not, it doesn't matter. You will stay with me for a while, and I will familiarize you with it.
”
This was Lao Han's unabashed truth, and Yang Ping knew in his heart that Lao Han was helping him fight for greater surgical authority from the hospital.
I was very moved and said: "Don't worry, I will definitely live up to your high expectations."
"With your words, I feel relieved. I have submitted the application form, and Mr. Zhang, the leader of the expert team, has also agreed. Starting from next week, you will perform all teaching surgeries, and the teaching surgeries will be scheduled for Thursday.
Zhou's surgery was for clavicle fracture, and three machines were prepared. One of them requires the exploration of the subclavian blood vessels and nerves, which is more troublesome, but don't worry, I will be in the audience when the time comes, and you can always be with me if you need anything." Lao Han encouraged him.
In any industry, meeting a good teacher is extremely valuable and will save you a lot of detours. A good teacher will not only point you in the direction, but also give you a ride at critical moments.
"There is still a long road ahead. Keep up the good work and keep going. Remember, your goal is further away. Don't give up easily." Old Han cast his torch-like gaze.
Yang Ping nodded: "Well, thank you, director!"
"Get ready and review the surgery for clavicle fracture. Although it is the simplest surgery in orthopedics, it is not so easy to do it well. Every step must be in place. Also, your surgery score is on average eighty points.
Only then can you obtain permission to perform surgery."
"Understood!" Yang Ping was very confident.
Yang Ping was thankful that he had saved some points and came out of Director Han's office.
Yang Ping entered the system, gritted his teeth and spent a thousand cents to purchase 500 clavicle fracture surgeries.
In one breath, I performed 500 cases of various clavicle fractures in the system, from unqualified to qualified, and finally every one was perfect.
On Thursday, after the shift rounds, the young residents and attending physicians all gathered in the orthopedic operating room, which is the operating room with a demonstration classroom next to it.
Everyone had been waiting in the demonstration classroom nearby. The interns were not scheduled to come, because at this stage, the interns have not yet formed a concept of specialist surgery, and they could not understand it. However, some interns still took the time to come. Beach chair, Xiao Wu serves as an assistant, washes hands regularly, disinfects sheets, and wears surgical gowns.
Su Yixuan's instrument nurse, because there are many operations, in order to improve the tacit understanding of surgical cooperation, the operating room specially arranged for Su Yixuan to equip Yang Ping with the instrument.
After pre-operative check, start the operation!
Many people are curious about how a doctor who has perfected replantation of severed fingers is doing other surgeries, and there are also people who want to see him capsize in order to gain psychological balance.
Song Zimo has been longing for this day for a long time, of course, not to see him capsize, but to see how his operation other than replanting his severed finger is going to be?
Knife!
Needless to say, just reach out.
Just pat his palm gently.
First vertically, then tilted at 45 degrees, then stand up and close the knife.
The beautiful incision, along the skin lines, is called a machete incision! It is formed in one step and just cuts through the skin. It is neither opaque nor excessive force, cutting into the deep fascia.
The epiclavicular nerve is avoided!
Pull the hook and insert it. Xiaowu uses two hands, the upper and lower hooks, to pull the incised skin apart.
"Be gentle!" Yang Ping reminded Xiao Wu.
The force on the hook was too great, so Xiao Wu immediately lowered the force on his hand.
Electric knife!
As the electric knife incised the deep fascia and platysma muscles, smoke came out, but it was all sucked away by the suction device on the left hand, and the unpleasant burnt smell only spread out a little.
Before the spot bleeding could develop into a large scale, they were eliminated one by one by the electric knife like a whack-a-mole.
Pushing forward layer by layer, there is almost no blood visible on the gauze, only dots and faint.
The periosteum is incised, and the electrosurgery is formed again. The periosteal dissector gently performs subperiosteal dissection, exposing a limited bone surface.
Needless to say, the reduction forceps have been delivered. This is the first time Su Yixuan has performed surgery on Yang Ping other than replantation of a severed finger. However, the two figures have rehearsed countless times in advance, and they understand each other tacitly and naturally.
Is there a tacit understanding that is natural?
Two point-type reduction forceps are used to clamp both ends of the fracture, pull gently to align the fracture, and utilize the stability of the fracture itself.
Another set of reduction forceps quickly clamped the fracture end, and a 1.5 mm Kirschner wire was drilled perpendicular to the fracture line. It just penetrated and stopped.
The temporary fixation is firm and stable, and the reduction clamp is removed.
The template of the steel plate is attached, pre-bent and shaped, and then the steel plate is shaped according to the template.
The six-hole steel plate fits perfectly on the clavicle, with drilling, depth and tapping. Each step has a clear rhythm, no omissions, no rush, no delay, and steady progress.
Six screws were inserted.
Flush!
Layered sutures with absorbable sutures inside.
Finally, the skin is sutured continuously intradermally with fine nylon threads, which is the so-called cosmetic suture.
6 minutes, from incision to suturing, it only took 6 minutes.
Song Zimo's wish was fulfilled, but his curiosity did not weaken. On the contrary, it became more and more intense. What would it be like to undergo other surgeries? This concept was deeply rooted in his heart and turned into obsessive-compulsive disorder.
Although it was a simple operation, it was done so perfectly that it looked like a textbook.
There was a smile on Lao Han's face. This boy did not embarrass himself.
This operation is just a small trial, and it seems to be a good one!
