Chapter 122 We eat and cry the devil and them (please subscribe!)

At present, China’s definition of surgical grade is from the perspective of trauma surgery, at least from the definition of fracture.

It is defined based on the surgical method and the location of the fracture.

There are not many definitions of Level II surgery.

To sum it up, there are just a few points.

Keywords: simple long bone fracture, non-intramedullary nail internal fixation.

Apart from this, there is no more strict and detailed classification.

The fracture must first be classified.

Once the type of fracture changes, the grade of surgery will increase.

For example, if a simple fracture turns into a complex fracture, or a fracture involving the articular surface, then the surgical level will be automatically upgraded to Level III surgery.

Similarly, the level of surgery is also related to the internal fixation method.

For a simple fracture, if you choose to use plates and screws for internal fixation, it will be a Level II surgery, but if intramedullary pins are used for internal fixation, it will become a Level III surgery.

This is a strict definition.

Wang Yongjin and others have been working in orthopedic trauma for so many years, so naturally they don’t need Zhou Cheng’s endorsement in front of them.

Moreover, this endorsement is really memorizing the textbook, and does not mean to take the blame for them.

However, they originally only wanted Zhou Cheng to fix the fracture of the medial malleolus with steel plates and screws and that would be it.

But what about Zhou Cheng?

he?

He he he.

Wang Yongjin had a grimace on his face and almost lost his balance, mainly because he was angry at Zhou Cheng.

He even thought about many reasons why Zhou Cheng would suddenly change the surgical method. Zhou Cheng even said to him that he was showing off his skills just now and deliberately made a small incision.

That's fine, Wang Yongjin is willing to stand up for Zhou Cheng and endorse Dou Chengpeng in front of his old face.

He said that with senior directors like us here, the young man might have been a little presumptuous, thinking that someone was keeping the whole story under wraps.

This makes sense. With superiors around, lower-level doctors have confidence. Isn’t this the case across the country? Isn’t it the same all over the world?

Can?

What Wang Yongjin never expected was that Zhou Cheng turned out to be?

In addition to his great skills, he also has a thorough understanding of the definition of orthopedic surgery level——

Then, think of ways to exempt yourself.

Medial malleolus fractures cannot be classified into simple and complex types. This is the specialized knowledge of orthopedics. Although this patient's fracture is simple, it still involves the articular surface, by definition.

Indeed, if plate and screw internal fixation is used, it is classified as a third-level surgery.

But the current guidelines don’t classify this so strictly. If you don’t tell us, we won’t sell you. Who can cause trouble for you?

What is Zhou Cheng’s current choice of internal fixation method?

It is screw internal fixation, which is an absolute level II surgery.

According to the current definition, it cannot be classified as a level III surgery.

If it is impossible to insert a screw, it is classified as a level III surgery, right?

Because, in terms of surgical classification, in addition to instructing doctors that their professional titles should be consistent with the surgical positioning, they should not skip surgeries.

It also has something to do with the pricing of the surgical method. To insert a screw and be charged according to the level III surgery is indeed a bit too much...

So, therefore, soso!

To sum up——

What Zhou Cheng did was not unreasonable or showing off his skills. Instead, he was trying to figure it out for himself from the bottom up!

He uses headless compression screws, which is strictly at the level of controlled surgery!!!

Today I am only authorized for Level II surgeries, and I will only perform Level II surgeries.

do you know?

He's controlling the surgical level -

What's the point of downgrading the operation?

This is a flaw in the current definition of orthopedic surgery levels by the expert team in China...

From another level, for the sake of safety, he first made himself invincible.

You want me to perform level II surgery, but the patient assigned to me is wrong...

But it doesn't matter. I have used my own strength to force the wrong patient to undergo level II surgery, so I won't cause you any trouble.

Wang Yongjin and others, who could understand what Zhou Cheng was saying, were really speechless.

I was confused by Zhou Cheng’s explanation in my heart——

Dou Chengpeng didn't quite understand, and turned to ask Wang Yongjin: "So? Director Wang? What level of surgery was this surgery just now?"

"Can't it be?" Dou Chengpeng didn't dare to say it. Although he was sure that the patient could not hear it, the patient was not under general anesthesia. If he listened to these things and reported Zhou Cheng, it would be absolutely doomed.

Everything done is wrong.

The resident doctor jumped over the rank and performed a level III surgery. When Dou Chengpeng heard this, his scalp went numb. Once word got out about the incident.

The Eighth Hospital is going to be famous.

It took Wang Yongjin a while to regain his composure, and he quickly shook his head and said, "No, no, no, Chief Dou, this is not a Level III surgery, this is an absolute Level II surgery."

"If screwing in can be considered a level III surgery, then it will be too easy for us orthopedic doctors to make money."

"I dare not say that."

He said this, but in his heart, he secretly classified Zhou Cheng's surgery as a level IV surgery.

Because although there is currently no definition in the Chinese guide, according to Luo Yun, it is estimated that the guides around the world do not have this definition, so from another level, it is a new technique.

However, the tools Zhou Cheng used were readily available, and he just happened to get into such a trap. Others couldn't say that it was a level IV surgery or a new surgery to trouble Zhou Cheng.

This young man.

Dou Chengpeng breathed a long sigh of relief and replied: "That's good, that's fine over there."

Then he looked at Wang Yongjin with a smile, and then changed the topic to business.

"Director Wang, how is the completion of this surgery? How should we rate it?" Dou Chengpeng was seriously asking for advice, and everything was still based on the directors of the Department of Orthopedics.

Anyway, if there is a problem in the future, it is them to look for.

"I think I'll give you ninety points first."

"Zeng Yi, Yan Haihan, what did you say?" Wang Yongjin did not dare to speak too fully.

There are many procedures required to develop and promote new techniques. We cannot make it too public at the moment. We need to get the procedures right before we promote them.

Otherwise, if Zhou Cheng is praised too highly in advance and something goes wrong while following the procedure, then Zhou Cheng will be harmed.

I also hope that Zhou Cheng will not be too proud, complacent, or even arrogant.

However, according to what Zhou Cheng has said so far, he is definitely not a proud and complacent person, but is stable to the core of a turtle.

Zeng Yi and Yan Haihan didn't dare to say anything, so they naturally obeyed. They agreed with Zeng Yi's statement: "I also think that if I give it 80 to 90 points, it will be regarded as a successful operation.

.”

Because I don’t know how, I dare not call the surgical process perfect. This is just caution.

Some clinical operations may seem fancy, but whether they are useful or not depends on the results of follow-up, rather than personal evaluation.

In the long history, many new surgical procedures have appeared, but they were all short-lived and caused many patients and doctors to pay a heavy price. This is how the Ethics Professional Committee was born...

Zeng Yi and the others did not dare to rashly go beyond this to learn how to do things.

We can only wait until we get Zhou Cheng's Level II surgical authorization, then think about the small incision open reduction and internal fixation that Zhou Cheng did today in detail, and then find a way to go through the Ethics Society approval and other processes.

"Then I'll listen to Director Zeng and give it ninety points." Dou Chengpeng also likes the beauty of adulthood.

Since both Wang Yongjin and Director Zeng Yi felt that this operation was done extremely well, they just talked about the key points of this operation during the analysis.

The joint surface is flat and the fracture line is hidden, which is a high-quality postoperative review performance.

After this, Cai Dongfan led Zeng Yi and others downstairs to rest.

Of course, while going downstairs, Cai Dongfan was asked by Yan Haihan and Zeng Yi to inquire in detail about Zhou Cheng's daily performance in the department.

Cai Dongfan said: "Xiao Zhou has always been a steady person."

"In the past two years, I haven't noticed anything unusual about him. Moreover, before he got the Level I surgery and operation authority I granted him, he never handled a single patient personally. All emergency patients were given to Luo Yun.

The call was made.”

When Wang Yongjin and others heard this, they immediately took a deep breath.

He said with some shock: "Then this young man is really calm."

Then Wang Yongjin turned to look at Zeng Yi, cursed and asked: "Zeng Yi, how are you? Is what I told you right?"

"In this world, most of the geniuses who can go further are walking within the rules and doing them well, and then they stand out?"

"Remember how frizzy and frizzy you were when you were with me?"

“I’ve just had a few level II surgeries and now I’m thinking about level III surgeries. Now I feel like I’m not up to the task, right?”
To be continued...