Although tracheotomy is not a very complicated major surgery, it is an emergency surgery rather than an elective surgery. Even in emergency surgery, tracheotomy is the kind that cannot be delayed.
To be more precise, organotomy should be an emergency rescue intervention operation and a life-saving method at critical times.
Therefore, there is no way to select patients for this type of surgery, or the waiting period for patients is very short, and there is almost no waiting time. Specifically, in clinical practice, it is something that can be encountered, but not something that can be expected.
What cannot be said is not that similar patients are rare, but...
If they are encountered, they need to be rescued immediately. If they are not encountered, there is no way to find or store similar patients.
For doctors, patients are also a kind of resource. Especially for surgeons, they need a lot of clinical practice and a lot of surgical accumulation. In some fields, some special patients are even exclusive to the director and cannot be touched by others.
of.
Fang Le's status became more special after he demonstrated his other surgical skills besides suturing in the emergency department with a case of percutaneous dilational tracheostomy.
"There was no organ damage, no immediate complications such as pneumothorax or hypoxia, and no subsequent clinical complications such as postoperative dysphagia. The recovery was quite good."
During the ward rounds, Han Shengxue personally examined the patients.
"Can you speak?"
"Can!"
The patient nodded.
"It seems that Xiaofang's recovery after this case of PDT is quite good."
Walking out of the ward, Han Shengxue spoke to Yang Xiaohui and Zheng Jinfan who were following him.
"Um!"
Yang Xiaohui nodded.
"Director Han is right."
Zheng Jinfan also nodded slightly.
"Dr. Zheng has no clinical experience. He should have seen many patients after PDT in the United States, right?"
Han Sheng learned about Zheng Jinfan.
"Yeah, I've seen it."
Zheng Jinfan nodded: "And I have actually done some research for a period of time. As far as the prognosis is concerned, the patient's prognosis is excellent in this case done by Dr. Fang. Dr. Fang's initial positioning was accurate, the incision was not large, and the operation was very precise.
In terms of technical skills, it is definitely top-notch.”
Although Zheng Jinfan really didn't want to evaluate, he had to make an objective evaluation.
In terms of understanding of PDT, Zheng Jinfan is naturally far superior to Han Shengxue and others. In this kind of matter, Zheng Jinfan cannot be careless.
As a forward-looking medical student, Zheng Jinfan is very clear about the advantages of PDT. If more complications can be avoided, the proportion of PDT in clinical applications will definitely continue to increase.
If Zheng Jinfan is not objective at this time, he will be slapped in the face very quickly.
"The last time I went to Shanghai, I heard that the complications of PDT are quite serious."
Han Shengxue asked Zheng Jinfan with a smile.
"yes."
Zheng Jinfan nodded and said: "At present, the technology in all aspects is not very mature, especially the use of supporting medical equipment, so in clinical practice, PDT has many disadvantages, especially positioning. The doctor's personal operation is very critical. At this point
Dr. Fang did a great job."
"I really don't know how this kid Fang Le learned it."
Han Shengxue chuckled.
Zheng Jinfan didn't answer. He knew very well that Han Shengxue asked him deliberately just now.
Although a small tracheotomy doesn't mean anything at all, Fang Le's surgery really made Zheng Jinfan a little passive.
Especially something like Fang Le, which popped up out of nowhere, made Zheng Jinfan want to scold her.
Completely out of line with common sense.
You think you know him well enough, and you think he shouldn't be able to do it, but he does, and his level is not low.
A student of the College of Traditional Chinese Medicine, from a rural family, with nothing special about him, suddenly knew how to sew, and even a veteran like Gao Dawei was impressed.
Then suddenly I will do pdt again.
And stop bleeding with bare hands.
Zheng Jinfan himself naturally has a lot of things that he has not yet shown, but now Zheng Jinfan himself is not sure whether Fang Le will suddenly fall in love with something else.
“Who is responsible for the patient’s follow-up care?”
Han Sheng learned about Yang Xiaohui.
"It's also Fang Le who uses the Chinese medicine treatment plan."
Yang Xiaohui said hurriedly.
"Everyone has Fang Le?" Han Shengxue asked.
"yes."
Yang Xiaohui said: "Xiaofang's level of Chinese medicine is very high, and the patient recovered quickly after taking the medicine."
"What a genius."
Han Shengxue smiled and said: "Since the patient recovered well, it means that Xiaofang's level is good, and we can try to promote this aspect."
"Um."
Yang Xiaohui nodded and said: "If there are similar patients in the future, Fang Le can be responsible."
"What does Dr. Zheng think?"
Han Sheng learned about Zheng Jinfan.
"Um."
Zheng Jinfan nodded: "I think it's feasible."
At this time, what else could Zheng Jinfan say.
The cool thing about white space is that no one knows how to do it.
At this time, even if Zheng Jinfan wanted to argue, he had no temper.
There is no doubt that there is a need to promote pdt. The entire department is just like Fang Lehui. How can we stop it?
Can't stop it.
In this case, Zheng Jinfan could only show his generosity: "Director Han, how about assigning a few people to Dr. Fang to focus on this area right now?"
"Well, I think it's okay."
Han Shengxue said: "Dr. Zheng also understands this aspect, so it is still Dr. Zheng's responsibility."
"this......"
Zheng Jinfan was stunned for a moment: "It's not good, what if Dr. Fang has any objections?"
Han Shengxue still asked him to take responsibility, which surprised Zheng Jinfan.
You must know that the authority of the person in charge of the medical team is quite large. In addition to having to keep track of everything, the person in charge of the medical records of the members of the medical team can be used directly.
After all, if something goes wrong, the person in charge must also bear responsibility. The main responsibility is naturally the attending doctor, but the front line behind the scenes must be jointly and severally liable.
And generally speaking, the level of third-line doctors is definitely not as good as that of second-line doctors, and the second-line doctors are definitely not as good as first-line doctors. Superior doctors lead subordinate doctors, and this is true in name, regardless of whether the superior doctors teach or not.
People like Fang Le are special cases.
Just now, Zheng Jinfan actually meant to let Fang Le go, but Han Shengxue disagreed now.
For a moment, Zheng Jinfan couldn't understand Han Shengxue's thoughts.
When he asked for someone that day, Han Shengxue was obviously unhappy. Now that he didn't want it, Han Shengxue still gave it to him.
"Xiao Fang is still very easy to talk to."
Han Shengxue said with a smile: "After all, Dr. Zheng came back from the United States. He has experienced everything in our department and we can't pick anyone second. Dr. Zheng can have a systematic understanding of PDT and cooperate with Fang Le to improve this aspect."
Han Shengxue paused as he said this: "Fang Le, let me talk."
"Then I will follow your arrangements, Director Han."
Zheng Jinfan nodded.
Han Shengxue continued to ask Fang Le to follow him, and Zheng Jinfan was naturally happy. Although Zheng Jinfan did not know how to operate PDT clinically, he did understand it and knew some theoretical things. If he could really publish a paper on this aspect, it would be very good.
"Director Han, what do you think?"
After Zheng Jinfan left, Yang Xiaohui followed Han Shengxue into the office and asked Han Shengxue with a smile.
"After all, he is Dr. Turtle. He should stay if he can. We don't have too many talents."
Han Shengxue said: "If you want to keep people, you still have to give them benefits, and..."
"Besides, Zheng Jinfan also has his own channels and connections. If Zheng Jinfan really takes the lead, will it be beneficial to Fang Le?"
Yang Xiaohui asked with a smile.
"Old Yang, have you noticed it too?"
Han Shengxue chuckled and said: "Actually, Fang Le is not that difficult to talk to. The person named Zheng looked a bit ugly on the first day he came here, and the field of hemostasis is different from that of PDT."
"Isn't it more than that?"
Yang Xiaohui said: "PDT is currently blank in our Qinzhou Province, why does Fang Le know it?"
"But Zheng Jinfan is different. After all, he came back from the United States. If we cooperate with each other, the effect will be different."
Yang Xiaohui chuckled and said: "You don't want Fang Le to be too pushy and stand in the limelight, but you also want to help Fang Le get famous."
"The main reason is that Zheng Jinfan's name is easy to use."
Han Shengxue laughed and said: "Dr. Turtle, a top student at MIT, what are the thoughts of other hospitals after hearing this?"
"Interns from the College of Traditional Chinese Medicine, what do other hospitals think after hearing this?"
While talking, Han Shengxue poured a glass of water for Yang Xiaohui: "There are some things that we cannot accept, but we must let everyone accept them, and we must also learn to package them when appropriate."
"That's what you said."
Yang Xiaohui smiled and flattered him: "With Director Han here, our department will surely prosper."
"It's not easy to be a master."
Han Shengxue felt very comfortable being photographed by Yang Xiaohui, and said with a smile: "I'm afraid Xiaofang doesn't understand."
Although Yang Xiaohui knew that Han Shengxue did Versailles on purpose... the word had not appeared at this time, but the meaning was similar. Yang Xiaohui knew that Han Shengxue did it on purpose, but he still smiled and cooperated: "Fang Le is a good person and not rigid, so he can definitely understand.
Your painstaking efforts are also for him."
Fang Le really didn’t have any objections, it was just a small PDT. When Han Shengxue approached Fang Le to talk, Fang Le nodded happily.
In the eyes of others, Fang Le is an intern who has not yet graduated, but the soul in the intern's body is not new. In terms of experience, Fang Le is not necessarily inferior to Han Shengxue.
pdt is still a relatively unfamiliar field for some domestic hospitals. Being named Dr. Turtle can indeed get twice the result with half the effort.
Fang Le knew very well that Han Shengxue's goal was not just to promote the department or the whole hospital, but also to promote the entire Qinzhou Province, and the reputation of the emergency department of Xijing Hospital rose instantly.
Once you become famous, resources, support, talents, and many other things will follow.
However, Fang Le has a condition: "I will choose the person."
"Since you are the one doing the promotion, you must have the final say."
Although Han Shengxue had known for a long time that Fang Le would agree, he still didn't expect Fang Le to agree so happily. Originally, he had prepared a rhetoric, but now it was like a punch on cotton, which made people feel a little aggrieved.