Doctors who work as clinical doctors should brag when necessary, but they must be cautious, because if they brag too much, sooner or later they will overturn, and it will be very embarrassing after the overturn.

Clinicians are like soldiers. Sooner or later you have to go on the field and you can't just talk.

Therefore, for clinicians, bragging is also based on their own level. If they exaggerate a little, or brag in front of some laymen, no one will understand anyway. But if they meet an expert and get started, the depth will come out.

.

Even if he is as strong as Master Ma, he still has to lament that if he doesn’t talk about martial ethics, he is like a rat’s tail juice.

Zheng Jinfan's PhD does have some technical content.

Although it was just a relatively simple tracheotomy, Han Shengxue was also watching and nodding.

Zheng Jinfan had very good control over the size, location, and propriety of the incisions. Even the assistant doctors who were responsible for retracting the incisions couldn't help but admire Dr. Turtle a little more.

Surgery is a minor surgery, but it also has risks. Different people perform it, and the degree of roughness is different. For the same level of surgery, the difference between a powerful surgeon and an ordinary surgeon is mainly reflected in the fact that they start with a steady hand and do not have too many unnecessary operations.

, cut where you should cut, and never touch the places that shouldn't be cut, even if it's just insignificant things.

It is also reflected in the prognosis.

After all, the prognosis cannot be seen at the moment, so at least to the senses, the master gives the impression that it is clean and smooth as a whole.

Just like doing a test, you don't tell the answer, the paper is clean and the handwriting is neat, which makes the marking teacher much more pleasing to the eye.

Of course, whether doing surgery or answering questions, accuracy is the first priority, so every doctor should pursue correctness first, and then the paper. But if you can ensure the accuracy while also ensuring the paper

, which is undoubtedly worth extra points.

Zheng Jinfan moved his wrist and very lightly cut an inverted U-shaped cartilage flap on the tracheal cartilage ring. This operation seemed very natural...

"Director Han!"

After suturing, Zheng Jinfan gently handed the needle pliers to the instrument nurse at the side, and looked back at Han Shengxue: "Do you have anything else to explain?"

"Do a follow-up check and notify the respiratory department."

Han Shengxue gave an order, and then nodded to Zheng Jinfan: "Dr. Zheng's clinical operation surprised me a little."

To be honest, Han Shengxue was actually a little worried that Dr. Zheng would lose his reputation.

Carrying a false reputation, hanging around in his own department, and when the time comes, he will leave and make a mess of himself.

Especially Zheng Jinfan, who had just arrived yesterday, approached Fang Le, which made Han Sheng even more aware that Zheng Jinfan was here to gain fame.

After watching Zheng Jinfan's operation just now, Han Shengxue's sense of Zheng Jinfan has improved a bit.

Tracheotomy is not considered a major surgery, but in the 1990s, the risk was still very high. According to Han Shengxue, the operation Zheng Jinfan just performed could only be done by five people in their emergency department.

Moreover, Zheng Jinfan is engaged in emergency medicine in the United States, and he knows a lot. Tracheotomy is only insignificant. If Zheng Jinfan can achieve the same level in other aspects, then the emergency department will indeed make a profit.

"Made Director Han laugh."

Zheng Jinfan smiled.

...

"Doctor Fang."

While eating in the cafeteria at noon, Huang Xiaolong whispered to Fang Le about Zheng Jinfan's operations that morning.

"Dr. Zheng is pretty good at doing tracheostomy..."

"How old is the patient?"

Fang Le asked while eating.

"40 years old."

Huang Xiaolong said.

"what's the situation?"

"Acute respiratory distress syndrome."

Huang Xiaolong told Fang Le in detail: "The patient is a decoration worker. He inhaled a large amount of dust, which caused him to cough and have difficulty breathing. Because of the long delay in delivery, he already suffered from severe acute respiratory distress when he arrived at the hospital...

."

"No previous history of respiratory illness?"

Fang Le continued to ask.

"I don't know if I don't do a physical examination. I cough occasionally, but the lung examination shows that the disease is not serious. This time it should be caused by a large amount of harmful dust."

"Zheng Jinfan used open tracheotomy?"

Fang Le asked again.

"yes."

Huang Xiaolong asked in confusion: "Dr. Fang, is there something wrong?"

"No."

Fang Le shook his head: "But according to you, in the patient's case, it would be faster to use percutaneous dilation of the tracheotomy, right?"

"Percutaneous Dilatational Tracheostomy?"

Huang Xiaolong was a little confused: "Dr. Fang, do you also know about tracheostomy?"

The chopsticks in Huang Xiaolong's hand almost fell to the ground.

He was also close to Fang Le, so he told Fang Le some things about Zheng Jinfan. He didn't expect that Fang Le could insert a mouth after tracheotomy, and he also knew about percutaneous dilation of tracheotomy.

Huang Xiaolong had only heard of transcutaneous dilation, and it seemed that no one in the department knew it yet.

In the 20th century, open surgical tracheostomy was the most common and widely used in clinical practice. Open surgical tracheostomy is still basically used in China.

However, percutaneous dilational tracheostomy is now available and has been used clinically since 1985.

Compared with open surgery, percutaneous dilatational tracheostomy is simple, fast, easy to learn and cost-effective. Using a small surgical incision for tracheal intubation is better than st (open surgical tracheotomy).

The main advantages in terms of cutting).

Of course, as PDT was used more and more clinically in the late 1990s, some disadvantages of PDT compared to ST were gradually revealed. There are advantages and disadvantages, such as thoracotomy and minimally invasive surgery.

Before minimally invasive surgery is fully mature, the specific surgical selection must still be based on the patient's specific situation.

Various factors can be eliminated, and the advantages of PDT are unparalleled. First of all, PDT is easy to learn, which makes it easier to promote PDT. Secondly, PDT is simple and fast, and can even be operated during the ICU operation. It does not have to be in the operating room.

Yes, PDT requires fewer medical personnel and has lower equipment and time requirements.

In some videos from later generations, doctors performed emergency tracheotomy on patients outside the hospital or on high-speed trains and subways, and most of them used PDT.

"Well, I know a little bit."

Fang Le nodded slightly.

Fang Le just asked Huang Xiaolong so many questions just to understand one thing. Zheng Jinfan may not know PDT, or he may not know much about it. After all, PDT has only been used in clinical practice for ten years, while FT has been used clinically for seven years.

For eighty years, this is what most doctors have learned about.

If so, promoting PDT in Xijing's emergency department is actually a good opportunity to make a name for himself. Zheng Jinfan shouldn't not know about it.

"I said Fang Le, what else don't you know?"

Now that Cheng Yunxing heard Fang Le say that he knew a little bit, he felt a little allergic.

Everything is worth 100 million points?

"I don't know who your future girlfriend is."

Fang Le said to Cheng Yunxing with a smile.

"I'm too lazy to care about you."

Cheng Yunxing blushed and buried his head in eating.

"Dr. Fang, do you know how to percutaneously dilate the tracheostomy?"

Huang Xiaolong asked a little excitedly.

"What's wrong?"

Fang Le asked Huang Xiaolong with a smile.

"If you can, I will create an opportunity for you."

Huang Xiaolong whispered: "That Dr. Zheng was obviously a bit targeted at you in the morning. Director Han has obviously changed his view of Dr. Zheng today."

"Thank you Mr. Huang."

Fang Le smiled and said thank you, look, this is the benefit of having someone.

As the chief resident, it is quite easy for Huang Xiaolong to create opportunities for Fang Le.

"Doctor Fang, please wait for news from me."

Huang Xiaolong smiled.

"Aren't you afraid that I'll slap you in the face and make you look fat?"

Fang Le asked Huang Xiaolong with a smile.
To be continued...