"Dr. Zheng came back from the United States, so he should be able to do it, right?"
Listening to Han Shengxue's sudden question, the muscles on Zheng Jinfan's face twitched uncontrollably again.
Sure enough, the situation that worried him the most and embarrassed him the most came.
If it's about traditional Chinese medicine or bone injuries, then it's okay if you can't do it. I'm not almighty, but now I'm being outperformed by Fang Le in an operation like tracheotomy. Zheng Jinfan's mood
One can imagine.
Tracheotomy is no different than other surgeries. Although this surgery is not very complicated or too big, it has a special status in the emergency field.
It can be said that tracheotomy and tracheal intubation are essential surgeries in the emergency department, or the most common surgeries.
As emergency department doctors, we often encounter interstitial lung disease, acute respiratory distress syndrome, chronic obstructive pulmonary disease or muscle disease, chronic thoracic contraction or chest wall instability, and restrictive ventilation disorders caused by diaphragmatic paralysis.
patient.
Most of these patients require long-term assisted ventilation.
In a modern emergency department, certainly not every doctor can perform tracheal intubation or tracheotomy, but in the emergency department there must be a doctor who can perform tracheotomy.
Clinically, tracheostomy is one of the oldest surgical interventions. Even though this life-saving method also has a high complication rate and high mortality rate, it is undeniable that this surgical intervention does
It saved the lives of many patients at critical times.
As a top graduate and doctoral student from the Massachusetts Institute of Technology in the United States, Zheng Jinfan always talks about how good he is in the field of emergency medicine. Nowadays, Dr. Zheng does not know how to perform one of the most common and commonly used interventional surgeries in emergency departments. He is really good at it.
It makes people lose face.
Can.......
No, it means no.
Zheng Jinfan can't lie yet or show off his strength. If he tries to show off his strength, what will happen if he encounters a patient again next time?
"I did come into contact with and understand pdt when I was in the United States, but I had no actual clinical practice. Fang Le really opened my eyes today."
Dr. Zheng forced a smile on his face and tried to look more natural.
"Dr. Zheng doesn't know how!"
Han Shengxue was a little surprised.
Director Han actually doesn’t know much about PDT, but in Han Shengxue’s opinion, Fang Le knows it, and Zheng Jinfan should also know it, right?
Unexpectedly, Zheng Jinfan didn't know how to do it.
"Um."
Zheng Jinfan's expression was quite unnatural, and Han Shengxue's "unexpected" use made Zheng Jinfan even more embarrassed and wanted to find a crack in the ground to get in.
"If I have the chance, I would like to ask Fang Leduo for advice."
Zheng Jinfan tried his best to let himself be natural: "The current clinical application rate of PDT is not too high, but it also has its own advantages, especially the simplicity and speed of PDT, which is even more advantageous when there is a lack of emergency personnel."
"Well, I knew this when I was in Shanghai."
Han Shengxue nodded and said: "A deputy director over there told me that with the continuous improvement and improvement of medical equipment, PDT will gradually occupy the clinical application rate of ST and become the tracheostomy for critically ill patients in the ICU in the future.
common operations.”
"Director Han, since PDT has great potential, should we promote it in the department?"
Yang Xiaohui is a very qualified deputy, he understands Boss Han's thoughts very well, and he is very timely in complimenting him.
"Um."
Han Shengxue glanced at Yang Xiaohui approvingly: "Director Yang is right. PDT is a new type of tracheostomy. Although it still has various shortcomings, it also has advantages. We medical workers must keep pace with the times. This
One point is particularly crucial..."
As he said that, Han Shengxue looked at Zheng Jinfan: "What did Dr. Zheng say?"
"Director Han is right, it should be promoted."
Zheng Jinfan hurriedly expressed his position.
From the first day he came to the emergency department, Zheng Jinfan's personality was that of a forward-looking young doctor who understands the international medical situation and is in charge of the domestic emergency level and emergency trends, Dr. Turtle.
PDT is a new surgical intervention in the emergency field. At this time, Zheng Jinfan must agree or even promote it, no matter how unwilling he is.
"Dr. Zheng is a top student who came back from the United States, a top talent. Dr. Zheng says so, so we must pay attention to it."
Han Shengxue had been depressed for several days, but today he finally felt a lot more at ease.
Knowing that Fang Le had played such a trick was more of a relief to Han Shengxue than Zheng Jinfan had to figure it out on his own.
"Why does Dr. Zheng say that?"
Zheng Jinfan said nothing, but he was extremely depressed. This time today, Dr. Zheng really had no temper at all.
What clinical doctors fear most is being crushed by others technically.
From yesterday to today, Zheng Jinfan has actually been waiting for the opportunity to show off in front of Fang Le in person, but he has never found the opportunity.
Unexpectedly, before he had a chance to perform, Fang Le performed in front of him first, still in the field of emergency first aid.
It really makes no sense.
Looking at Fang Le's young face, he looks like he is twenty-one or twelve years old, and the immaturity on his face has not completely faded away. Where did he learn that skill just now?
"Xiao Huang!"
As Han Shengxue was talking, Huang Xiaolong also came out of the rescue room, and Han Shengxue hurriedly shouted.
"Director Han."
"Know the patient's follow-up situation at any time, and record the patient's recovery and follow-up performance in detail. This is very important. You should do it in person."
"I understand, Director Han."
Huang Xiaolong responded hurriedly.
"Lao Yang!"
Han Shengxue then said to Yang Xiaohui: "If you have similar patients in the future, you can consult Xiao Fang. If there are suitable patients, you can let Xiao Fang continue to get started and accumulate more relevant experience."
"I understand, Director Han."
Yang Xiaohui responded with a smile.
"Um."
Han Shengxue nodded and looked at Fang Le again: "Xiao Fang, please systematically organize the key points and precautions of this operation. When we accumulate more clinical experience in the future, we can promote it to the whole department."
"I understand, Director Han."
Fang Le also responded with a smile.
"Okay, let's all disperse."
Han Shengxue smiled and waved, then walked to his office.
When he turned around, Han Shengxue was already smiling.
After dinner, some doctors who had just returned to the duty room were a little surprised when they saw Han Shengxue walking into the duty room.
Director Han is in a good mood today, with a smile on his face and his eyes turning into slits.
Did you encounter something happy?
Many people were asking about each other.
It's rare to see Director Han look like this today.
Han Shengxue is in a good mood now. If he were not still at work, Director Han would have wanted to find someone to have a drink with.
Comfortable, refreshing, really quite refreshing, just like when a person feels stuffy on a hot day and suddenly drinks a bottle of cold beer, his whole body is instantly refreshed.
In the past two days, Han Shengxue has been worried about Fang Le and Zheng Jinfan getting into trouble.
Although Fang Le seems to be easy to talk to, Han Shengxue knows that that boy is very arrogant. If it were another intern, who would dare not to give Zheng Jinfan face for the first time?
And Zheng Jinfan is not easy to deal with either.
Both of them are arrogant and capable. If this breaks out, Han Shengxue is really a bit too big-headed to favor anyone.
It's fine now, and Han Shengxue is completely relieved.
With Fang Le's surgery today, Zheng Jinfan can no longer suppress Fang Le.
Even though it is just a minor surgery, this surgery is still a blank area in Xijing Hospital.
For doctors, blank areas and uninhabited areas have always been restricted areas, and no one dares to touch them casually. But once someone touches this area, it is definitely very popular.
Especially some blank areas and no-man’s land where patient groups are large.
For example, Fang Le's manual hemostasis, although powerful, is partial and difficult to master, but PDT is different. Fang Le, who mastered this operation, instantly became special in the emergency department.
Even if Fang Le really gets into trouble with Zheng Jinfan and Zheng Jinfan leaves, Han Shengxue will have an explanation to the hospital.
From this point of view, Han Shengxue actually prefers Fang Le in his heart.
"Dr. Fang really surprised me."
After Han Shengxue and Yang Xiaohui left, Zheng Jinfan and Fang Le walked together. Unknowingly, the title had been changed again from Xiao Fang yesterday to Dr. Fang.
"Um?"
Fang Le raised his head and looked at Zheng Jinfan innocently, meaning: "Why are you surprised?"
"I didn't expect that Dr. Fang not only has a high level of suturing skills, but he can also perform tracheotomy and knows how to perform percutaneous dilation tracheotomy."
Zheng Jinfan was really a little emotional: "As far as I know, there are not many hospitals in China that have begun clinical application of percutaneous dilation tracheostomy, right?"
"I don't know either."
Fang Le told the truth.
In this era, information sharing is still too inconvenient. Especially for some information that is out of the scope of one's own area, one can only understand it through news, newspapers and the like, and many things are only superficially understood.
It is far from being like 20 or 30 years later when everyone knows about even the most serious things.
"Where did Dr. Fang learn this percutaneous dilational tracheotomy?"
Zheng Jinfan asked curiously.
"I went to Jiangzhong once before."
Fang Le said casually.
There has to be a reason for this kind of thing, just deal with it. No one knows about it anyway.
"You've been to Jiangzhong for less than a week, right?"
Xingxing’s classmate who was following him finally couldn’t help but interrupt.
Everything is in Jiangzhong. Others don’t know how many days Fang Le has been in Jiangzhong. How can he not know?
"Dr. Fang learned PDT in less than a week?"
Zheng Jinfan looked at Fang Le with suspicious eyes.