The meeting with Huang Jiacai, Yang Ping thought a lot.

Millions of annual salaries, in fact, he does not doubt that the skills in the current system are increasing, and the single skill of replanting with broken fingers is about to break through the perfect level and advance to the master level.

At this level, it will not be low in any hand surgery hospital, not to mention the annual salary of one million, the annual salary of five or six hundred thousand is very common.

But once I get out of the platform of a large tertiary hospital like Sanbo, I will miss Director Han's meritocracy. He may stop at being a hand surgeon in a small hospital, which is not what Yang Ping wants.

You should have a bigger job, and your goal can be higher and farther. As for economic income, Yang Ping believes that it is a matter of course.

Through some analysis and thinking, Yang Ping became more determined in his ideas.

The five-stage replantation made the orthopedic department of Sanbo Hospital famous.

A large number of patients with severed fingers ran to Sanbo Hospital, almost every day.

Yang Ping, Tian Yuan, and Song Zimo took turns to replant their fingers, and Zhang Lin Xiaowu and other doctors were also taken by Song Zimo to the department laboratory to train in microsurgery. Director Han asked the attending doctors and below to train in microsurgery, and eventually be able to complete finger amputation and replantation independently.

Yang Ping entered the system and checked the completion of the task: the progress bar was at 30%.

Now he is relieved that according to this trend, it is not a problem to complete the task.

Yang Ping only has more than 9,000 points left in his hand last time, and he doesn't dare to spend it for the time being.

He is now learning to be well-behaved, he can squander it with more points, and he can only use it for emergency backup if he has fewer points.

Yang Ping has just arrived, although he is the attending physician, but he used to be a resident doctor, and now he has performed well in several consecutive surgeries. Director Han immediately straightened him up and set him as the attending physician.

Director Han has his own plans, the development of orthopedics has completed the initial accumulation, and now he plans to enter a period of rapid expansion.

The construction of the talent team is the most important, although there are several directors under his hands, but they are all decent.

Tian Yuan is very good, he is only in his thirties, and he can already take charge of himself, Song Zimo is extremely talented, and with a little training, he will be sharp.

But I feel that there are still not enough talents, and now there is a Yang Ping, looking at these operations, he completely surpasses Song Zimo.

This gave him a little more confidence in his heart, and it was time to start the strategy of rapid expansion.

He decided to help Yang Ping apply for permission for third-level surgery, allowing him to run faster. With the application form, he knocked on the office of Professor Zhang Zongshun, a member of the hospital's expert group.

The old man took off his reading glasses, pointed to the words with his fingers, read them, and said: "Master's degree, that is, amputated limb replantation is excellent, amputated limb replantation is not a rare thing now, and surgery is popular." ”

He was right, finger replantation is a very popular operation, and hand surgery hospitals are popping up everywhere, and any one of them does it every day. People only need to take the job, and they don't need to do it to the extreme.

The expert group, which is the characteristic of Sanbo, a group of retired well-known domestic experts and professors, were hired, because of their age, they no longer perform surgery, and usually mainly go out of the outpatient clinic.

In addition to outpatient visits, there are also some tasks, most of which are of a supervisory nature, such as assessing surgical authority, the power is in their hands, and it is also when they have the most presence.

"Let's go through the process, go through all the above surgeries, Han Lao Er, if you don't highly recommend it, new arrivals, and those with no special education background, we won't start the process. This is a special talent channel, so his surgical score is not only passing, but also an average of more than 80 points. The old man put on his glasses.

"He did a great job for the hospital last time." Lao Han defended and wanted to help Yang Ping say a few more words, at least lower the score of the operation, so that the difficulty would be lower.

The old man raised his head, his gaze revealing from the upper edge of his glasses: "This is not good, two different things, haven't we already taken him through a special passage?" ”

These old stubborn people were also party characters when they were young, and they were like bull's noses, and Lao Han didn't want to compete anymore, so he had to agree.

"That's it, let's go into the process, follow the list above, send the video of the operation every Friday, and a few of our old Fridays meet and give a score. Director Han, you are a little eccentric, there are so many attending patients in the department, I haven't seen you apply for tertiary surgery, this has only been here for a short time, right? "The old man is also a shrewd man.

"Now that the trauma emergency center is listed, the number of orthopedic surgeries has skyrocketed, and I am short of people, and I am short of capable people." Old Han said helplessly.

In this way, bargaining, this matter is done, at least the people agree to start the process, and the rest is to do the operation well.

How Yang Ping's other surgeries are done, Lao Han has never seen it, many doctors will only do finger replantation, and they can't even take a simple fracture, which is also frequent.

It's good to take this opportunity to see how Yang Ping's other surgeries are. If it is as good as replanting a severed finger, add a burden directly to his shoulders; If it really doesn't work, then you have to train him well.

Whether the knife is a knife or a knife depends on whether it can be used directly or needs to be sharpened.

Returning to the office from the administrative building, Song Zimo was waiting for Lao Han, and Song Zimo handed over the next week's teaching surgery to Lao Han for a look.

"I don't need to watch next week's teaching surgery, you can just report it to me." Lao Han took a sip of tea.

Song Zimo flipped through the textbook: "The collarbone is fractured, Director Tian does it." ”

There are several teaching surgeries every week to allow young residents and attending physicians to learn and master the practical steps of surgery, which are generally performed by Director Tian, and a few are also operated by Song Zimo.

In addition to following the national doctor training system, Sanbo Hospital also has its own system, three years of regular training and five years of specialist training, before you can be regarded as an entry-level specialist.

"Tell Yang Ping, change him next week, are the cases ready?" Old Han asked with concern.

"Ready, three, all of them are collarbone fractures, simple, crushed, neurovascular needs to be explored, all are typical cases, the patients are all young people, and there is no underlying disease.

Song Zimo is the secretary of the Department of Orthopedics, and these teaching cases are selected and determined by him.

Clavicle surgery is simple, or good, try the water first. After Director Han finished talking to Song Zimo, he called Yang Ping over and closed the door of the office.

"Xiao Yang, your surgical authority, I want to help you extend to the fracture of your limbs and pelvis, do you think it's okay? Yes! The hospital began to examine you, it doesn't matter if you can't, you will be with me for a while, and I will get acquainted with you. ”

Lao Han didn't hide the truth, Yang Ping knew in his heart that this was Lao Han helping him fight for greater surgical authority from the hospital.

I was very moved and said, "Don't worry, I will live up to my high expectations." ”

"With your words, I am relieved. I have already submitted the application form, and the leader of the expert group, Mr. Zhang, has also agreed. From next week, the teaching surgery will be done by you, the teaching surgery will be scheduled on Thursday, and the next week's operation will be a clavicle fracture, and three will be prepared, one of which will explore the subclavian vascular nerve, which is more troublesome, but not afraid, I will be offstage at that time, and I will be there at any time if there is something. Old Han gave him encouragement.

In any industry, meeting a good teacher is precious, and there are many detours. A good teacher will not only point you in the direction, but also give you a ride at a critical time.

"There's still a long way to go, keep it up, keep going, remember, your goal is further afield, don't give up easily." Old Han's torch-like gaze came.

Yang Ping nodded: "Well, thank you, Director!" ”

"You are ready to prepare, review the surgery for a broken collarbone, although it is the simplest surgery in orthopedics, but it is not so easy to do well, every step must be in place. Also, your surgical score must be 80 points on average to get the surgical privilege. ”

"Understood!" Yang Ping is very confident.

Yang Ping was glad that he had left some points and came out of Director Han's office.

Yang Ping entered the system, gritted his teeth and spent a thousand points, and purchased 500 cases of clavicle fracture surgery.

In one go, five hundred cases of various clavicle fractures were done in the system, from unqualified, to qualified, and finally each one was perfect.

On Thursday, after the rounds, the young residents and attending physicians gathered in the orthopedic operating room, which is the operating room with a classroom next to it.

Everyone sat in the demonstration room next to them early, and the interns were not arranged, because the interns had not yet formed a concept of specialized surgery at this stage, and they could not understand it in vain, but some interns still took the time to come.

Beach chair position, Xiao Wu as an assistant, regular hand washing, disinfection sheets, and surgical gowns.

Su Yixuan's instrument nurse, because there are many surgeries, in order to improve the tacit understanding of surgical cooperation, the operating room specially arranged for Su Yixuan to match Yang Ping with a table.

After the preoperative check, the stage is opened!

For a doctor who has achieved perfect finger replantation, many people are curious about other surgeries, and there is no shortage of people who want to see him capsize in order to seek psychological balance.

Song Zimo has been longing for this day for a long time, of course, not to see him capsize, but to see what happened to his surgery other than finger amputation and replantation?

Knife!

Needless to say, just reach out.

I gently patted his palm.

First vertically, then 45 degrees of inclination, then stand up, and retract the knife.

Nice cut, along the skin grain, called a machete cut! Once formed, just cut the skin, neither impermeable nor too forced, cut to the deep fascia.

The clavicle epithelial nerve is avoided!

Pull the hook, insert, Xiao Wu two hands, upper and lower two pull hooks, and pull the cut skin.

"Be gentle!" Yang Ping reminded Xiao Wu.

The force of the hook was too great, and Xiao Wu immediately reduced the force on his hand.

Electric knife!

As the electric knife cut through the deep fascia and platysma muscle, the smoke came out, but it was all sucked up by the suction device of the left hand, and the unpleasant smell of burning only diffused a little.

Before the punctate hemorrhage could form a scale, it was eliminated one by one like an electric knife hitting a whackle.

Advancing layer by layer, there is hardly any blood on the gauze, only dots and faint.

The periosteum is cut open, and the electric knife is shaped again. The periosteal dissection is performed delicately, and the limited bone surface is exposed.

Needless to say, the reduction forceps have been delivered to the hand, this is the first time Su Yixuan has given Yang Ping an operation other than finger amputation and replantation, but the two portraits have been rehearsed countless times in advance, tacitly and naturally.

Could it be that tacit understanding is also natural?

Point reduction forceps, two handles, clamp both ends of the fracture, gently pull, the fracture is aligned, and the stability of the fracture itself is used.

Another reduction forceps quickly clamped the end of the fracture, and a 1.5 mm K-wire needle, drilled into the vertical fracture line, just penetrated, and stopped.

The temporary fixation is firm and stable, and the reset forceps are withdrawn.

The formwork of the steel plate is pasted, pre-bent and shaped, and then the steel plate is shaped according to the template.

The six-hole steel plate is perfectly attached to the collarbone, drilled and sounded and tapped, and each step is rhythmically distinct, not omitted, not rushed, and steadily advanced.

Six screws are placed.

Rinse!

Layered sutures with absorbable sutures inside.

Finally, the skin, with continuous intradermal sutures of fine nylon threads, is known as cosmetic suture.

6 minutes, from incision to suture, it took only 6 minutes.

Song Zimo's wish was satisfied, but his curiosity did not weaken because of this, but became more and more enhanced, and what about other surgeries, this concept was deeply rooted in his heart and became obsessive-compulsive disorder.

Although it was a simple operation, it was done so perfectly that it was textbook-so-good.

Lao Han had a smile on his face, this kid didn't embarrass himself.

This surgery is just a small test, and it seems that the knife is good!