Chapter 186 Fang Han gets started
Before we knew it, November entered. After two months of internship, the interns ushered in their first rotation.
After checking the room in the morning, Fang Han and Liang Qunfeng entered the operating room, and a group of rotation interns also entered the emergency department.
This time, there were many interns who were transferred to the emergency department, with a total of six people, and a few of them chatting while talking, and they were in great interest.
Lin Xiaofeng walked in with other interns and said excitedly: "Fang Han is in the emergency department. I heard that they are not rotating this time. I have always heard that Fang Han is very awesome in the emergency department. This time we can also see it."
"I can finally see Master Fang..."
Other interns are also very excited. Fang Han is now a legendary, an indelible legendary figure in this intern circle, and is an existence that every intern looks up to.
Several people were talking and laughing, as if they had entered the Grand View Garden.
"What's the point of arguing?"
A nurse walked over with a gloomy face, and the group of people hurriedly stopped laughing, each of them became cautious.
After internships in other departments for so many days, there was no newcomer present at this moment. Naturally, everyone knows the authority of nurses. For these interns, senior nurses in the hospital are sometimes more terrifying than attending doctors or even directors.
The attending physician or director generally does not make things difficult for the intern at will, and at worst it just ignores it.
But these nurses are different. The nurses are busy all day long and it is rare to bully interns. This is also a kind of adjustment in life.
If you offend a nurse, don’t say that you won’t get the chance to get it for a long time. The little nurse can even make you run away with her and her legs.
"Sister Nurse, we are all interns who have been revolving around. What should we do? "Lin Xiaofeng shouted boldly.
"Since you are in a rotation, you don't know what to do or not?"
The nurse still had a gloomy face and pointed: "If you have nothing to do, go to the lounge to wait. Don't stand here and be blinded. If you have something to do, you will call you."
Several interns nodded and bowed quickly and left in shame.
Several people were walking and met a resident doctor who looked at him: "Are you new trainees coming to rotate?"
"Yes, yes!" Several people nodded quickly.
The resident reached out to the crowd and said, "You, you two, come with me."
The two people who were clicked were suddenly filled with joy, while the others had resentment on their faces, like young wives who were dissatisfied with desire.
Among the two people who were clicked was Chen Xiaofeng. The resident doctor led the two people along and asked, "Do you have any medicine?"
"Are you changing the dressing for the patient?"
The inpatient nodded: "Yes, there are several patients with bone injuries in the observation room that need to change the dressing. You two are fine, right?"
"No problem, no problem." Chen Xiaofeng and another intern hurriedly said: "Disin it first, then apply medicine, and then bandage it."
"Be careful when the time comes, don't be frivolous." The inpatient held the shelf of the superior doctor.
Generally speaking, this kind of thing is done by nurses, but with these interns, we naturally let the interns do it. Although it is just a small dressing change job, it is a rare opportunity for these interns. It is better to be able to apply medicine to patients than to be idle, right?
......
In the operating room, Liang Qunfeng was busy chatting with Fang Han on the side: "Xiao Fang, how is your right arm recovering?"
"It feels almost done. If you don't try hard, you won't feel anything."
"Will you do the stitching later?" Liang Qunfeng asked.
"Yes." Fang Han would have itchy hands long ago. If it weren't for his right arm injury, he would have gotten started.
It has been thirty days since his right arm was injured and he has recovered very well.
People often say that it is damaged by muscles and bones for a day. This period refers to the body being injured by external trauma, causing fractures to damage the tendons. After 100 days of treatment and rest, it can only be completely cured.
This 100-day is actually a broad statement, and it has some truth, but the specific situation needs to be analyzed in detail.
Generally speaking, fracture healing is a continuous process, which can be roughly divided into three stages. The first stage is called the hematoma mechanization stage. Within 6-hour after the fracture, the hematoma begins to form coagulation clots, capillaries proliferate, various fibroblasts invade, the hematoma becomes vibrant, and the granulation tissue becomes fibrous connective tissue, which initially connects the fracture ends. This period is completed about 2-3 weeks after the fracture.
The second phase is called the formation stage of the original callus. The fibrous connective tissue at the fracture end is ossified by the hyperplasia, degeneration, and calcification of chondrocytes. This is the internal ossification of the cartilage, which generally takes 4-weeks.
The third phase is called the callus transformation period. The original callus is transformed, osteoblasts proliferate, and new bone trabecula gradually increases, and gradually arranges into regular and dense bone trabecula, causing the fracture end to form a bone connection. This period takes -2 weeks.
In this way, it usually takes about thirteen to eighteen weeks from the beginning of the fracture to the bone connection, which is about three months.
However, in fact, the fracture healing process is affected by many factors, such as age, physical health, fracture location, fracture type, degree of soft tissue damage, whether to get infected and treatment methods, etc.
If a child has a femoral fracture basically heals in about one month, it often takes 3 months for adults to heal.
For example, fractures heal quickly in areas with rich blood circulation, and parts with poor blood circulation supply heal slowly. Poor fracture alignment, serious soft tissue damage, infection at the fracture, insecure fixation, and premature activity can all affect the healing degree of the fracture.
There are also fractures, and the recovery of the same reduction treatment with traditional Chinese medicine is faster than that of Western medicine surgery. In the first case, simple reduction will not damage the tendons and veins and skin. There will be no impact on other local parts after the bone is reduced. In Western medicine surgery, the injured part will also undergo surgery, and the infection must be controlled after the operation. The healing and recovery of the muscles near the fracture will also affect the recovery of the bones.
Fang Han's right upper arm was just a simple skeletal fracture and did not injure soft tissue. Moreover, it was a reduction surgery performed by everyone like Liao Yiming. After the operation, he used a bruising and injury ointment made by Guo Wenyuan.
Moreover, Fang Han himself is a doctor and has great attainments in bone injuries. He knows what to pay attention to during bone injuries, what foods to eat to help recover, and also knows how to rehabilitate...
At the same time, Fang Han is a martial arts practitioner. He is only in his twenties this year. He is strong and has much stronger resistance and recovery ability than ordinary people.
It's only thirty days now, and Fang Han's right arm can move freely. As long as he doesn't do any physical work, it usually has no effect. It has no effect on eating or writing words at all.
As for stitching?
I haven't tried it, and Fang Han doesn't know if it works.
Lin Guangcai, who was working on the side, secretly looked at Fang Han. Facing Fang Han, he no longer had the courage to be jealous, only admiration and envy, and even envy was a little redundant.
During this scramble of Liang Qunfeng's surgery, debridement and suture, they were done by Dr. Lin Guangcai and Dr. Chen. Most of the time, Lin Guangcai didn't have much chance and was all taken by Dr. Chen. Now Fang Han has started to do it, and he has no chance at all.
However, Lin Guangcai was not in a hurry, and he was always flowing. Dr. Chen was just helping temporarily. When Fang Han could really get started, Dr. Chen would not follow the small team. When Liang Qunfeng left and Fang Han became the actual leader, he would be the real pillar. Apart from Dr. Fang, he would be him.
As for Li Xiaofei and others, who did not understand the stitching?
Liang Qunfeng is now very skilled in this joint replacement surgery. While talking to Fang Han, he was at the end of the operation.
"Xiao Fang, try suture. If it doesn't work, then change to Dr. Chen."
Fang Han had already put on gloves, and moved his pen and walked onto the operating table. The nurse next to him hurriedly handed Fang Han a needle holder and gave Fang Han a charming smile.
Lin Guangcai's eyes were straightened. He had been following Liang Qunfeng for more than 20 days, and he had never seen the young nurse smile at him.
Fang Han held the needle holder and moved his fingers for a while. He felt that the impact was not very big, so he started to get started.
The system redeemed primary suture skill has a very significant advantage, that is, it can keep Fang Han at the best level at any time, and even if he doesn't contact him for a long time, his level will not regress.
I have to say that this is a very powerful ability.
Not to mention the interns’ hospitalization, even if they are attending doctors, their level of level will decline if they don’t practice for a long time.
External technology is a process of practice making perfect. It is just like practicing martial arts. You have to practice every day. The so-called practice in summer and practice in winter is not as simple as saying.
There is a saying that goes: if you don’t move forward, you will retreat. If you don’t practice for a long time, you will inevitably have a process of unfamiliarity. This is like reviewing your homework. Even if you are a top student and don’t read a book for a year, you will not be able to do anything.
However, the system redemption skills do not have this disadvantage. Whether it is primary suture or Baguazhang mastery, it seems to be integrated into Fang Han's bones. Even if he doesn't practice, he will be in the peak state at any time.
Because of the injury to the right arm, Fang Han's flexibility was still affected to a certain extent, so he used simple intermittent suture. Simple intermittent suture is the simplest and most commonly used suture technique. Each stitch is tied separately, and is often used in the suture of the skin, subcutaneous tissue, muscles, and aponeurosis, especially suitable for infectious wound sutures.
The wound in the joint replacement surgery is not too big, and there will be no bleeding. Even if Fang Han sutures it slowly, it will not have much impact.
Fang Han sutured slowly, but Lin Guangcai and the others next to him didn't think so. They just thought Fang Han's sewing was really smooth, especially when Fang Han was injured in his right arm.
Chapter completed!