godfather of surgery
Chapter 206 Gold Hook Silver Hook
Chapter 206 Gold Hook Silver Hook
Regarding the extra sum of money in Sisi's account, Yang Ping could only go to the security department to check the video when he had time to see who paid it.
This is just an explanation to Sisi's parents. In fact, it is meaningless to investigate who gave it.
If someone makes a mistake, they will naturally come to the door when they turn around; if there is a good-hearted person, they are willing to remain anonymous and have their own reasons, so let him be a good person quietly.
Director Han finally returned to the office, the matter of the jade bracelet fell apart, let's not talk about it.
Director Zhao of the medical office also lost his patience. It would be inappropriate to call Director Han and Director Tan over for this shit. He has surgery every day and organizes training day and night, and he has to worry about these bad things. Can't bear it.
Originally, the hospital said that it would be settled by paying 2000 yuan, but Police Officer Wang also thought it was good, so the matter was resolved.However, the family members insisted that the bracelet was worth hundreds of thousands of yuan, and insisted on paying 30 yuan in compensation.
Director Zhao said that if the two thousand disagreed, they would find a third-party professional organization to appraise the value of the bracelet. The family members disagreed, saying that the appraisal institution was definitely the same as the hospital.
This doesn't work, that doesn't work either, the only way is to pay 30 yuan!
30, go and grab it. Director Zhao has worked in the medical office for many years, and has encountered many rascals, but he has never seen such a rascal. It is boring to talk about it: "Don't talk about it, you go sue us, go to the court, the court How much should we pay after the judgment, we pay a lot of money; those who have not gone through the court will not pay a penny now. Let me tell you clearly, our doctor did not make a mistake at all. In this case, the limbs are severely swollen, and the bracelet affects the blood. Luckily, the limb will soon be necrotic due to ischemia. The situation is urgent. In order to save the limb, the bracelet was smashed, which is in line with the medical emergency procedure. As for whether to sign, in this emergency situation, you do not need to sign—"
"I don't care about you anymore, go sue? Who doesn't know that it's all yours, can we win you? Let's make a concession, 18, one point can't be less, if you don't pay, you don't open the door to see a doctor Yes, I come to your hospital every day, and you, I follow you every day to and from get off work." Seeing that Director Zhao stopped talking, the family members became anxious and spoke harshly.
Director Zhao waved his hand: "I haven't been to the court, I won't pay a penny, I won't pay a dollar and eight, 18? Dreaming! Security, call security, give it away!"
The matter was forcibly interrupted like this. I originally wanted to pay 2000 yuan to settle the matter, but the other party refused to let go. Talking to them, I really thought that the doctor had done something wrong.
Yang Ping reported on his visit to the Municipal People's Hospital for a consultation. Director Han said indifferently: "It's only a morning, and we can't miss anything. Let's go!"
Director Han's straightforwardness was as expected. Master Han sat as if thinking about something, with his hands crossed and his thumbs circling each other.
Yang Ping saw what he wanted to say: "Director?"
Director Han came back to his senses: "It's okay, go get busy."
Mr. Liao finished his consultation and stopped by the training room in the administration building. This was his first visit.
The scene was really hot, it was still daytime, if it was night, it would be even more lively.
There are orthopedics, extracerebral, thoracic, and urological surgeries. The orthopedics department is the main one. All the staff of the trauma orthopedics department will participate in the training. The other wards of the orthopedics department and other surgeries will all be trained by qualified personnel.
Washing hands and dressing, wearing gloves, disinfecting sheets, cutting, suturing, hemostasis, knotting, separating, pulling hooks, and holding suction devices are all under training, and each item is trained repeatedly, so that practice makes perfect.
Liao finally opened his eyes. He saw several doctors practicing retractors. There were strict regulations on what kind of surgery, how to position the retractors, which hand to use, one hand or two, how to use force, and the level and depth of the hooks.
How many suction devices are placed, which direction are they coming from, and how to match the blood sucking and smoking? Mr. Liao approached another person who is training to use the suction device. After watching for a few minutes, the suction device is really in place.
I am a senior resident doctor, and I am about to be promoted to an attending physician. I don't know that the suction device can be used so proficiently.
In the simulated operation area, red pigment is ejected from a tube to replace the blood. The suction device is flexible and precise, and the blood is sucked cleanly. The field of view of the operation area is very well controlled. Under such an operation field, the operation is naturally more effective with less effort. .
"No, you are not in the right position, this will interfere with the chief surgeon's movements!"
"Keep your head up and your chest up. If you lower your head too much, it will pollute the field of surgery and reduce the operating range of the main surgeon."
"The force of the retractor is too great, it doesn't need to be so strong, it's easy to get tired."
"Remember my demonstration, everyone must ask me if you don't understand, you must be perfect and proficient, form muscle memory, and don't move out of shape at any time!"
Song Zimo walked back and forth among the crowd, supervised the training colleagues, found problems in time and corrected them in time. Zhang Lin and Xiao Wu also trained among these crowds. Although they held positions in the training group, they were not trainers and had to be like everyone else undergo training.
Director Tian is there, leading Director Ouyang and Director Bai to train. Although these directors usually do a good job in surgery, it is more difficult to train every movement standard than those young doctors. After all, they are stereotyped.
The anesthesiologist's training is in another room. Fatty Liang's training content is different from that of clinicians. Most of his training content is tracheal intubation, lumbar puncture, puncture of various nerve blocks, especially in various abnormal situations. Cannula puncture.
Regarding the knowledge of anesthesia machines, it was enough to master the use of anesthesia machines in the past. Now Yang Ping requires to understand the structure and principle of anesthesia machines, some fault handling, various operations, and various parameters, and be proficient in each one. Know it by heart.
Yang Ping invited the engineers from the anesthesia machine manufacturer, and specially explained the structural principles, some fault judgments and troubleshooting to the anesthesiologist. Familiar with the use of anesthesia machine.
Nurses’ training is in a separate room. In the operating room, head nurse Jiang and Xiao Su are training other equipment nurses. They must be familiar with the procedures of each traumatic orthopedic surgery, and even ask themselves to simulate it. Only in this way can they Have a deep understanding of the surgical steps and know how to cooperate.
Hundreds of orthopedic surgical instruments were placed on a rectangular table. In the past, nurses only knew what the instruments were called, what they looked like, and how to use them.
Now, the history of the invention of these instruments, what improvements have been made to form the current appearance, why it is in such a shape, and why it is used in this way requires mastering all of it.
Other departments followed the training plan specified by the orthopedics department. The preoperative emergency department, the surgical department, the postoperative trauma ICU, the auxiliary anesthesiology department, the operating room, the blood transfusion department, etc. all participated in the training. , meticulous.
The entire first floor is in full swing, and everyone is very serious.
Nothing is difficult in the world, as long as there is a heart, this sentence is most suitable for the present.
Several colleagues in the imaging department are training for fast film reading, but they can't do it. The reading time is still far from the requirement. If the speed is forced to increase, it is easy to make mistakes and miss diagnosis.
Film reading requires long-term accumulation, and it is difficult to improve in the short term.
They also took a lot of thought, took out the images and pictures of all trauma patients since the establishment of the Sanbo Hospital, and studied them again, but they still couldn't achieve the required reading speed.
The surgeon is waiting on the stage, and you will not be able to produce an accurate report for a long time. This link takes too long and will delay the advancement of the entire process.
The Imaging Department couldn't hold back in this activity. Director Meng came up with a trick. Since one person can't do it, then several more people can be added.
It was originally planned to provide two doctors to support, but now seven doctors are transferred from the department.The head, chest, abdomen, spine, upper limbs, lower limbs, and pelvis are read by a doctor for each part, and finally a unified report is compiled.This decomposition, each performing its duties, is fast and good, and it is not easy to make mistakes.
These doctors are each in charge of a part, and watch the films of the part they are responsible for every day. After training like this, the speed is quite satisfactory, which is many times faster than before.
Mr. Liao finished a circle, and the more he watched, the more excited he became, and he couldn't restrain his blood boiling. It's a pity that he didn't participate in such an exciting historical event and didn't work hard with everyone.
He walked to the training point of his department, and several younger deputy chief physicians were busy studying the anatomy in an orderly manner, paying no attention to him at all.
"Director Bao?"
After shouting several times, Director Bao turned to look at him: "Xiao Liao——"
Then it was busy again.
I wanted to express some heartwarming words of condolences, but there was no time at all, and Mr. Liao left angrily. He really hated himself. He is still a resident doctor and has no chance to participate in such activities.
If possible, I would even carry a stretcher.
Judging by everyone's enthusiasm, the rumors I heard before are self-defeating, saying that under high pressure, everyone's spirits are close to collapse. Does this look like a collapse?Lao Bao looked serious, like an intern who had just graduated from the clinic.
Professor Zhang Zongshun, with his hands behind his back, was walking in the corridor, room by room. During this time, the general orthopedic clinic was closed, and he was fine.
As a consultant for the training team of the hospital, he has nothing to do with his idle job. It is all operated by young people, so he joins in the fun.
This atmosphere, the long-lost feeling.
When I was young, in the 60s and [-]s, in that fiery era, I was poor!But everyone is full of energy, full of energy, and has the momentum to change the world.
Now, these young people are full of vigor and vigor, and it is really comfortable to watch.
From time to time, he will give advice to Yang Ping, but he will never intervene. After all, he is old, and although he maintains the habit of learning, his thinking and concepts still cannot keep up with young people. If you are busy, it is easy to make mistakes.
Xiaowu and Zhang Lin are in the same group as Yang Ping. If Yang Ping is the main surgeon, Song Zimo will definitely be the first assistant, and Zhang Lin Xiaowu will be the second and third assistants. The main task may be to pull the hook.
So in addition to the basic content of their training, the special focus is on the manipulation of retractors and attractors, because their group will be the key group at that time, Xiaowu Zhang Lin was given a nickname by the orthopedic brothers: Golden Hook, Silver Hook!
As a puller on the stage, this is a supreme title, and most people can't bear it.
It is said that in some large hospitals, some doctors are 50 or 40 years old, and their professional titles cannot be promoted. They can only pull the hook on the stage.
It's an honor for these two buddies to receive this title at such a young age!
As for who is the golden hook and who is the silver hook, the two of them can't argue, so we won't mention it for the time being, we will see the decision later.
A partial anatomy of the pelvis was drawn on the whiteboard, and Yang Ping explained the anatomy cyclically every day. These anatomical diagrams were all drawn by Song Zimo.
Professor Zhang stood in front of the whiteboard and watched. Yang Ping came back, so he hurried over to chat with the old man.
"Old Zhang!" Yang Ping called out respectfully.
"Xiao Yang, you have worked hard." Professor Zhang turned his head.
"Everyone has worked hard." Yang Ping asked Professor Zhang to sit down.
Seeing this scene, Professor Zhang was quite touched:
"Our country has a weak foundation and started late. It is natural that there are gaps in all walks of life. You have not experienced the most difficult era. Even at that time, we built atomic bombs, hydrogen bombs, missiles, satellites, and nuclear submarines by ourselves."
"The developed countries in Europe, America and Japan are stronger than us, but as long as we work hard, we can narrow the gap and catch up."
"We Chinese are no worse than anyone else, it's just a short-lived decline in modern times."
"You have studied history, and you don't talk about other things, just talk about porcelain and silk. In ancient times, they were exported all over the world. In Europe, they were things that rich nobles could afford. Europeans studied for hundreds of years before they made them. Inferior imitations, what is porcelain, is to play with mud, our ancestors can turn mud into things that make money all over the world, don't you think it's amazing?"
"We are the descendants of such a smart and hard-working nation, can't we? Xiao Yang, you are doing the right thing. You are not afraid of powerful enemies, keep your feet on the ground, despise the enemy strategically, and pay attention to the enemy tactically!"
Yang Ping listened carefully, and helped Professor Zhang sit down:
"Thank you, Mr. Zhang, for your teaching. Sit down and rest, and drink a glass of water."
"I'll sit down, you guys are busy, don't worry about me, as long as we keep working hard, it will be a matter of time to catch up with them, not in five years, not in ten years, not in ten years, not in 20 years - I am afraid that this old man will not see this day !"
Mr. Zhang sat down and took the water from Yang Ping.
"Son, good job, you must be firm in your will in the future, don't be influenced by messy temptations, and work hard for the country. It's nonsense to say that science has no borders. Science has no borders. Why do we have a technological blockade against us? Those Europeans and Americans Tech conglomerate, why lock technology in a safe? That's all a lie."
Mr. Zhang waved his hand and took a sip of water.
(End of this chapter)
Regarding the extra sum of money in Sisi's account, Yang Ping could only go to the security department to check the video when he had time to see who paid it.
This is just an explanation to Sisi's parents. In fact, it is meaningless to investigate who gave it.
If someone makes a mistake, they will naturally come to the door when they turn around; if there is a good-hearted person, they are willing to remain anonymous and have their own reasons, so let him be a good person quietly.
Director Han finally returned to the office, the matter of the jade bracelet fell apart, let's not talk about it.
Director Zhao of the medical office also lost his patience. It would be inappropriate to call Director Han and Director Tan over for this shit. He has surgery every day and organizes training day and night, and he has to worry about these bad things. Can't bear it.
Originally, the hospital said that it would be settled by paying 2000 yuan, but Police Officer Wang also thought it was good, so the matter was resolved.However, the family members insisted that the bracelet was worth hundreds of thousands of yuan, and insisted on paying 30 yuan in compensation.
Director Zhao said that if the two thousand disagreed, they would find a third-party professional organization to appraise the value of the bracelet. The family members disagreed, saying that the appraisal institution was definitely the same as the hospital.
This doesn't work, that doesn't work either, the only way is to pay 30 yuan!
30, go and grab it. Director Zhao has worked in the medical office for many years, and has encountered many rascals, but he has never seen such a rascal. It is boring to talk about it: "Don't talk about it, you go sue us, go to the court, the court How much should we pay after the judgment, we pay a lot of money; those who have not gone through the court will not pay a penny now. Let me tell you clearly, our doctor did not make a mistake at all. In this case, the limbs are severely swollen, and the bracelet affects the blood. Luckily, the limb will soon be necrotic due to ischemia. The situation is urgent. In order to save the limb, the bracelet was smashed, which is in line with the medical emergency procedure. As for whether to sign, in this emergency situation, you do not need to sign—"
"I don't care about you anymore, go sue? Who doesn't know that it's all yours, can we win you? Let's make a concession, 18, one point can't be less, if you don't pay, you don't open the door to see a doctor Yes, I come to your hospital every day, and you, I follow you every day to and from get off work." Seeing that Director Zhao stopped talking, the family members became anxious and spoke harshly.
Director Zhao waved his hand: "I haven't been to the court, I won't pay a penny, I won't pay a dollar and eight, 18? Dreaming! Security, call security, give it away!"
The matter was forcibly interrupted like this. I originally wanted to pay 2000 yuan to settle the matter, but the other party refused to let go. Talking to them, I really thought that the doctor had done something wrong.
Yang Ping reported on his visit to the Municipal People's Hospital for a consultation. Director Han said indifferently: "It's only a morning, and we can't miss anything. Let's go!"
Director Han's straightforwardness was as expected. Master Han sat as if thinking about something, with his hands crossed and his thumbs circling each other.
Yang Ping saw what he wanted to say: "Director?"
Director Han came back to his senses: "It's okay, go get busy."
Mr. Liao finished his consultation and stopped by the training room in the administration building. This was his first visit.
The scene was really hot, it was still daytime, if it was night, it would be even more lively.
There are orthopedics, extracerebral, thoracic, and urological surgeries. The orthopedics department is the main one. All the staff of the trauma orthopedics department will participate in the training. The other wards of the orthopedics department and other surgeries will all be trained by qualified personnel.
Washing hands and dressing, wearing gloves, disinfecting sheets, cutting, suturing, hemostasis, knotting, separating, pulling hooks, and holding suction devices are all under training, and each item is trained repeatedly, so that practice makes perfect.
Liao finally opened his eyes. He saw several doctors practicing retractors. There were strict regulations on what kind of surgery, how to position the retractors, which hand to use, one hand or two, how to use force, and the level and depth of the hooks.
How many suction devices are placed, which direction are they coming from, and how to match the blood sucking and smoking? Mr. Liao approached another person who is training to use the suction device. After watching for a few minutes, the suction device is really in place.
I am a senior resident doctor, and I am about to be promoted to an attending physician. I don't know that the suction device can be used so proficiently.
In the simulated operation area, red pigment is ejected from a tube to replace the blood. The suction device is flexible and precise, and the blood is sucked cleanly. The field of view of the operation area is very well controlled. Under such an operation field, the operation is naturally more effective with less effort. .
"No, you are not in the right position, this will interfere with the chief surgeon's movements!"
"Keep your head up and your chest up. If you lower your head too much, it will pollute the field of surgery and reduce the operating range of the main surgeon."
"The force of the retractor is too great, it doesn't need to be so strong, it's easy to get tired."
"Remember my demonstration, everyone must ask me if you don't understand, you must be perfect and proficient, form muscle memory, and don't move out of shape at any time!"
Song Zimo walked back and forth among the crowd, supervised the training colleagues, found problems in time and corrected them in time. Zhang Lin and Xiao Wu also trained among these crowds. Although they held positions in the training group, they were not trainers and had to be like everyone else undergo training.
Director Tian is there, leading Director Ouyang and Director Bai to train. Although these directors usually do a good job in surgery, it is more difficult to train every movement standard than those young doctors. After all, they are stereotyped.
The anesthesiologist's training is in another room. Fatty Liang's training content is different from that of clinicians. Most of his training content is tracheal intubation, lumbar puncture, puncture of various nerve blocks, especially in various abnormal situations. Cannula puncture.
Regarding the knowledge of anesthesia machines, it was enough to master the use of anesthesia machines in the past. Now Yang Ping requires to understand the structure and principle of anesthesia machines, some fault handling, various operations, and various parameters, and be proficient in each one. Know it by heart.
Yang Ping invited the engineers from the anesthesia machine manufacturer, and specially explained the structural principles, some fault judgments and troubleshooting to the anesthesiologist. Familiar with the use of anesthesia machine.
Nurses’ training is in a separate room. In the operating room, head nurse Jiang and Xiao Su are training other equipment nurses. They must be familiar with the procedures of each traumatic orthopedic surgery, and even ask themselves to simulate it. Only in this way can they Have a deep understanding of the surgical steps and know how to cooperate.
Hundreds of orthopedic surgical instruments were placed on a rectangular table. In the past, nurses only knew what the instruments were called, what they looked like, and how to use them.
Now, the history of the invention of these instruments, what improvements have been made to form the current appearance, why it is in such a shape, and why it is used in this way requires mastering all of it.
Other departments followed the training plan specified by the orthopedics department. The preoperative emergency department, the surgical department, the postoperative trauma ICU, the auxiliary anesthesiology department, the operating room, the blood transfusion department, etc. all participated in the training. , meticulous.
The entire first floor is in full swing, and everyone is very serious.
Nothing is difficult in the world, as long as there is a heart, this sentence is most suitable for the present.
Several colleagues in the imaging department are training for fast film reading, but they can't do it. The reading time is still far from the requirement. If the speed is forced to increase, it is easy to make mistakes and miss diagnosis.
Film reading requires long-term accumulation, and it is difficult to improve in the short term.
They also took a lot of thought, took out the images and pictures of all trauma patients since the establishment of the Sanbo Hospital, and studied them again, but they still couldn't achieve the required reading speed.
The surgeon is waiting on the stage, and you will not be able to produce an accurate report for a long time. This link takes too long and will delay the advancement of the entire process.
The Imaging Department couldn't hold back in this activity. Director Meng came up with a trick. Since one person can't do it, then several more people can be added.
It was originally planned to provide two doctors to support, but now seven doctors are transferred from the department.The head, chest, abdomen, spine, upper limbs, lower limbs, and pelvis are read by a doctor for each part, and finally a unified report is compiled.This decomposition, each performing its duties, is fast and good, and it is not easy to make mistakes.
These doctors are each in charge of a part, and watch the films of the part they are responsible for every day. After training like this, the speed is quite satisfactory, which is many times faster than before.
Mr. Liao finished a circle, and the more he watched, the more excited he became, and he couldn't restrain his blood boiling. It's a pity that he didn't participate in such an exciting historical event and didn't work hard with everyone.
He walked to the training point of his department, and several younger deputy chief physicians were busy studying the anatomy in an orderly manner, paying no attention to him at all.
"Director Bao?"
After shouting several times, Director Bao turned to look at him: "Xiao Liao——"
Then it was busy again.
I wanted to express some heartwarming words of condolences, but there was no time at all, and Mr. Liao left angrily. He really hated himself. He is still a resident doctor and has no chance to participate in such activities.
If possible, I would even carry a stretcher.
Judging by everyone's enthusiasm, the rumors I heard before are self-defeating, saying that under high pressure, everyone's spirits are close to collapse. Does this look like a collapse?Lao Bao looked serious, like an intern who had just graduated from the clinic.
Professor Zhang Zongshun, with his hands behind his back, was walking in the corridor, room by room. During this time, the general orthopedic clinic was closed, and he was fine.
As a consultant for the training team of the hospital, he has nothing to do with his idle job. It is all operated by young people, so he joins in the fun.
This atmosphere, the long-lost feeling.
When I was young, in the 60s and [-]s, in that fiery era, I was poor!But everyone is full of energy, full of energy, and has the momentum to change the world.
Now, these young people are full of vigor and vigor, and it is really comfortable to watch.
From time to time, he will give advice to Yang Ping, but he will never intervene. After all, he is old, and although he maintains the habit of learning, his thinking and concepts still cannot keep up with young people. If you are busy, it is easy to make mistakes.
Xiaowu and Zhang Lin are in the same group as Yang Ping. If Yang Ping is the main surgeon, Song Zimo will definitely be the first assistant, and Zhang Lin Xiaowu will be the second and third assistants. The main task may be to pull the hook.
So in addition to the basic content of their training, the special focus is on the manipulation of retractors and attractors, because their group will be the key group at that time, Xiaowu Zhang Lin was given a nickname by the orthopedic brothers: Golden Hook, Silver Hook!
As a puller on the stage, this is a supreme title, and most people can't bear it.
It is said that in some large hospitals, some doctors are 50 or 40 years old, and their professional titles cannot be promoted. They can only pull the hook on the stage.
It's an honor for these two buddies to receive this title at such a young age!
As for who is the golden hook and who is the silver hook, the two of them can't argue, so we won't mention it for the time being, we will see the decision later.
A partial anatomy of the pelvis was drawn on the whiteboard, and Yang Ping explained the anatomy cyclically every day. These anatomical diagrams were all drawn by Song Zimo.
Professor Zhang stood in front of the whiteboard and watched. Yang Ping came back, so he hurried over to chat with the old man.
"Old Zhang!" Yang Ping called out respectfully.
"Xiao Yang, you have worked hard." Professor Zhang turned his head.
"Everyone has worked hard." Yang Ping asked Professor Zhang to sit down.
Seeing this scene, Professor Zhang was quite touched:
"Our country has a weak foundation and started late. It is natural that there are gaps in all walks of life. You have not experienced the most difficult era. Even at that time, we built atomic bombs, hydrogen bombs, missiles, satellites, and nuclear submarines by ourselves."
"The developed countries in Europe, America and Japan are stronger than us, but as long as we work hard, we can narrow the gap and catch up."
"We Chinese are no worse than anyone else, it's just a short-lived decline in modern times."
"You have studied history, and you don't talk about other things, just talk about porcelain and silk. In ancient times, they were exported all over the world. In Europe, they were things that rich nobles could afford. Europeans studied for hundreds of years before they made them. Inferior imitations, what is porcelain, is to play with mud, our ancestors can turn mud into things that make money all over the world, don't you think it's amazing?"
"We are the descendants of such a smart and hard-working nation, can't we? Xiao Yang, you are doing the right thing. You are not afraid of powerful enemies, keep your feet on the ground, despise the enemy strategically, and pay attention to the enemy tactically!"
Yang Ping listened carefully, and helped Professor Zhang sit down:
"Thank you, Mr. Zhang, for your teaching. Sit down and rest, and drink a glass of water."
"I'll sit down, you guys are busy, don't worry about me, as long as we keep working hard, it will be a matter of time to catch up with them, not in five years, not in ten years, not in ten years, not in 20 years - I am afraid that this old man will not see this day !"
Mr. Zhang sat down and took the water from Yang Ping.
"Son, good job, you must be firm in your will in the future, don't be influenced by messy temptations, and work hard for the country. It's nonsense to say that science has no borders. Science has no borders. Why do we have a technological blockade against us? Those Europeans and Americans Tech conglomerate, why lock technology in a safe? That's all a lie."
Mr. Zhang waved his hand and took a sip of water.
(End of this chapter)
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