As soon as Fang Le came out of Han Shengxue's office, Chen Jidong came to Fang Le with a smile on his face.
"Dr. Chen, is there something wrong?"
Fang Le was stunned for a moment.
It had been several days since Han Shengxue was divided into groups that day. Although Fang Le, Chen Jidong and Li Xiwen were in a group, he really hadn't spoken much to Chen Jidong.
Chen Jidong came forward unexpectedly, which surprised Fang Le.
Of course, it was just a moment of surprise that Fang Le understood what was going on.
"Nothing's wrong. Didn't I just want to ask Dr. Fang if he has anything to do? I happen to be fine at the moment."
Chen Jidong said with some flattery.
After checking the room in the morning, Chen Jidong heard someone in the department saying that Han Shengxue planned to ask Fang Le to promote PDT in the department, and Zheng Jinfan also supported it.
A few days ago, Chen Jidong had been a little reserved and a bit embarrassed.
After all, Fang Le is just an intern, and this status is very embarrassing. Many residents in the department are actually a little reserved.
The hospital has always been very hierarchical. Interns please the residents and call them teachers when they see them. Residents please the attending doctors and call them teachers when they see them. I have never seen residents please interns.
In hospitals, many doctors have bad tempers, and it’s not without reason. After so many years of struggling to get ahead, why don’t you vent your grievances?
From interns to senior residents, many residents look forward to their internships every year. Although they are just a bunch of useless newcomers, it is also a pleasure to follow them and call them teachers.
This is also the reason why Fang Le and Zheng Jinfan had different attitudes when they came to the department.
If you really want to count, Fang Le actually showed more things than Zheng Jinfan, but many people were polite when they saw Zheng Jinfan, and pretended not to see anything when they saw Fang Le.
It's not easy to say hello.
Just call me "Xiao Fang" casually. He is a high-level person, so calling him "Xiao Fang" is a bit exaggerating.
But if you call me Dr. Fang, show some respect, but it won't save your face.
Zheng Jinfan is different, Dr. Turtle, a top student, and his identity brings with it a halo.
So far, the only people close to Fang Le in the department are Gao Dawei and Huang Xiaolong. Cheng Yunxing and Cheng Yunhai are both interns, not counting them. Fang Le has spoken for Huang Xiaolong, and many people can still understand.
As for Gao Dawei, many people have been complaining about him in the past few days.
"After all, he's also the chief physician. He really doesn't have any shame."
"I have no skin and no face."
There are many words like this.
There was still a big gap between the atmosphere in the 1990s and the following ten years or so. College students were already popular, but those who went to college were more arrogant, jobs were easy to find, and there were relatively few dog-lickers.
But no matter how arrogant you are, you can't stand the reality.
When he learned that Han Shengxue planned to let Fang Le promote PDT in the department, Chen Jidong couldn't sit still for a moment.
Other medical groups are okay. In the same medical group, Fang Le promotes pdt. The group's main energy is in this direction. So, Fang Le has the final say on the opportunities in the near future.
Although PDT is a minor surgery, minor surgeries are also surgeries. For residents, surgeries at this level are actually the surgeries they mainly participate in.
"What Dr. Chen said should mean that I am following your orders."
Fang Le said with a smile: "You are in hospital and I am intern."
"There is no order of precedence, the one who achieves it comes first."
Chen Jidong said with a shy face: "Dr. Fang, you are very skilled, I will learn from you."
"Okay, I have something to call Dr. Chen."
Fang Le smiled and nodded.
"If you need anything, just ask the doctor."
Chen Jidong followed Fang Le and tried his best to please him.
"If I had known, I would have started dating Fang Letao a few days ago."
While following Fang Le to please him, Chen Jidong blamed himself in his heart.
"Doctor Fang, the patient is here."
Chen Jidong was talking next to Fang Le when a nurse came to notify him at the door of the duty room.
"knew."
As he spoke, Fang Le hurriedly left the duty room. As he walked, Fang Le asked the nurse: "What kind of patient?"
"Upper airway obstruction."
The nurse is young and a little shy when talking to Fang Le: "Director Han and Director Yang have told me that from today on, patients with upper respiratory tract obstruction and alveolar ventilation deficiency will be given priority to you."
Chen Jidong, who followed Fang Le out, couldn't help but rub his hands as he listened, and his face became a little excited.
The upper respiratory tract is blocked, and a tracheotomy is most likely required. Now he is the only one around Fang Le...
"Dr. Chen."
Fang Le turned around and shouted.
"Doctor Fang."
Chen Jidong tried his best to control his emotions.
"Do me a favor." Fang Le said.
"Doctor Fang, please tell me."
"Help me call Doctor Gao and the others."
"Ah good!"
Chen Jidong was stunned for a moment when he heard Fang Le's words, and then nodded a little disappointed.
Call Gao Dawei and the others?
pdt Chen Jidong has heard in the past few days that there are not many people needed, only three people are enough. Gao Dawei and the others are here, so what does he have to do?
"Doctor Chen, hurry up."
Fang Le urged and followed the nurse to the emergency room without looking back.
"Doctor Fang!"
Huang Xiaolong was already in the emergency room and said hello to Fang Le. Huang Xiaolong hurriedly told Fang Le about the patient's condition: "Severe throat infection and swelling."
"Let me see."
Fang Le walked to the side and washed his hands, then stepped forward and examined the patient first.
Although Fang Le himself treats Chinese medicine and Western medicine equally, as a general practitioner who was first exposed to Chinese medicine since childhood, Fang Le is naturally different from a simple surgeon when facing patients.
In terms of treatment philosophy, Fang Le is opposed to one size fits all.
When you can't meet a patient, you can operate on all kinds of patients. At the same time, Fang Le is not like traditional Chinese medicine doctors who are averse to surgery. When necessary, surgical treatment is also indispensable.
At any time, saving lives is more important than anything else. When doctors consider other things, they must do so on the premise that the patient's life is safe. If his life is gone, what else can he consider?
Therefore, when performing a tracheotomy, Fang Le must first confirm whether the patient must undergo this operation. Tracheotomy surgery, whether it is ST or PDT, will cause complications and sequelae, such as loss of voice and permanent voice loss.
Changes, difficulty swallowing, tracheal stenosis and other sequelae, many of which will accompany patients throughout their lives.
"Get ready for surgery."
After the examination, Fang Le said to Huang Xiaolong.
In fact, before Fang Le could say anything, Huang Xiaolong was already making preparations. Tracheotomy is an emergency operation and cannot be delayed. It is almost urgent.
"Doctor Fang!"
At the door of the rescue room, Gao Dawei, Cheng Yunhai, Cheng Yunxing and Chen Jidong came in together.
"Tracheotomy, preparation for surgery."
Fang Le didn't look back and directly ordered: "Doctor Gao and Huang Xiaolong help me, Cheng Yunhai prepares, everyone else should go and do the work, the anesthesiologist will perform the sedation?"
Chen Jidong opened his mouth, but finally did not dare to speak.
The first task Fang Le gave him was to call someone, and he had no part in the operation.
Cheng Yunxing didn't care, he had no intention of taking the surgical route.
"Dr. Fang, did you ask Chen Jidong to inform us?"
After Chen Jidong and Cheng Yunxing left, Gao Dawei smiled and said to Fang Le.
"Dr. Chen is happy to help."
Fang Le said something and stepped forward: "Get ready."
"Both Xiao Huang and Dr. Gao have done open surgeries. I won't go into too many details. Just pay attention to a few points."
As he spoke, Fang Leyi stretched out his hand: "Knife!"
The instrument nurse hurriedly patted the prepared scalpel into Fang Le's hand.
Gao Dawei and Huang Xiaolong both listened carefully. When Fang Le called him Xiao Huang, Huang Xiaolong pretended not to hear.
While speaking, the scalpel in Fang Le's hand had already been cut.
"When you are doing it, if you are not very sure, you still have to draw a line. PDT has very high requirements for positioning, and many complications are caused by inaccurate positioning."
Fang Le talked while doing it.
Tracheotomy, essentially, there are three methods used to place the plastic organotomy device. Upper, middle, or lower tracheostomy can be used. After exposing the thyroid isthmus and retracting it caudally, the first and second tracheostomy devices are placed.
Alternatively, an upper tracheotomy is performed between the second and third tracheal rings, a median tracheotomy is performed between the third and fourth tracheal rings, and the inferior tracheotomy is performed between the fourth and fifth tracheal rings.
Gao Dawei and Huang Xiaolong both know this, and Fang Le also briefly talked about the disadvantages: "If you go up, damage to the cricoid cartilage can easily lead to severe tracheal stenosis..."
Gao Dawei and Huang Xiaolong both listened carefully.
"Hook!"
Fang Le's voice sounded, and the two people hurriedly cooperated and used retractors to pull apart the straight muscles of the binding areas on both sides laterally.
Huang Xiaolong had already seen Fang Le undergo an operation once, which was relatively good. Gao Dawei saw it for the first time. While pulling the hook, Gao Dawei watched Fang Le's operation closely, his eyes widening.
Last time Gao Dawei flattered him and said that he would not be surprised even if Fang Le received a heart transplant one day. That is to say, by the way, heart transplantation will be the most cutting-edge surgery in 20 or 30 years, but it is even more important at this time.
Needless to say, not being surprised is bragging.
In 1672, the world's first human orthotopic heart transplant was performed. After the transplant, the patient only survived for 18 days due to lung infection. For a long time after that, there was not much progress in heart transplant surgery until 1981, when cyclosporine was used.
It was used clinically at the University of Minnesota in 1982 and widely used in heart transplantation in 1984. Since then, heart transplantation has entered a stage of rapid development.
The first heart transplant operation in China was in 1978, and the patient only survived for 109 days after the operation. In recent years, domestic heart transplant surgery has made great progress, but even so, if Fang Le could complete the heart transplant operation in 1995
, that’s also a heifer flying, it’s awesome.
Heart surgery is still far away, let’s just talk about this tracheotomy.
Gao Dawei was a little shocked.
Fang Le really knows everything.
Gao Dawei couldn't help but think of the first time Fang Le came to the treatment room. At that time, he was still thinking of teaching Fang Le, but in the blink of an eye he became a student.