My medical skills add experience

Chapter 100 Qiao Yu was Bullied, Broken Bones and Reconnected
The matter of opening the door for Su Qianqian in the middle of the night did not cause waves in Zhou Can's life.

Legend has it that after the hero saved the beauty, the good thing that the beauty promised with her body did not happen.

He is still the ordinary doctor in the emergency department.

In addition to working hard to improve various medical skills every day, I read books and study.

Compared with those rich second generations who only know how to spend their days and drinks, or who are only thinking about how to make quick money, he is simply an outlier.

He likes money, but he loves medicine even more.

Almost all of my thoughts are used to study medicine.

The improvement in level is also obvious.

During the regular training exam, Jin Mingxi, who had stronger surgical skills than him, has now been thrown several blocks away by him.Zhou Can's basic skills of sharp knife have already begun to see the way, and he is moving towards a little success.

But Jin Mingxi was still pinching a thin strand of hair with one hand every day, and then raised his arms slightly, sitting still like an old monk in meditation.

This kind of static work is the most tormenting.

The speed of progress is also extremely slow.

It takes at least one or two years of practice to get a glimpse of the way.It takes three to five years of practice to achieve a little success.

However, Jin Mingxi himself likes this practice method very much.

Every day after work, I sat there and stopped moving.

A practice is several hours.

The whole person seemed to be in a daze.

It seems that Dr. Xu is right, he is suitable for taking the path of 'steadiness'.

Except for practicing the basic skills of the surgical style, Zhou Can was ahead of Jin Mingxi.When performing surgery in the operating room, he is also a latecomer, surpassing Jin Mingxi by a large margin.

At present, Jin Mingxi is still receiving the punishment of suspending his qualification for independent surgery because of the accident.

I can only be an assistant to Dr. Xu every day.

Except for the tasks of getting retractors and sewing skin, Dr. Xu would not give him any slightly risky surgical tasks.

How long this punishment will last, no one knows.

It is conceivable how much the surgical level can be improved by pulling the hook and sewing the skin all the time?

The most is to gain a little knowledge.

Looking at Zhou Can again, he can get two or three second-level surgeries every day.Opportunities for a few to a dozen first-level surgeries.

Such a large amount of surgery is no less than that of ordinary attending physicians.

The improvement of Zhou Can's surgical ability is enough to describe it as a rapid progress.

Coupled with the assistance of the medical experience value system, the speed of progress is even more terrifying.

Under the ebb and flow, it is not surprising that Jin Mingxi was left far behind by him and overtook him in all directions.

Not to mention Jin Mingxi, even Dr. Lu and Dr. Lin, two senior residents, were not spared.

He was also surpassed by Zhou Can.

Perhaps only Dr. Cui, whose strength is close to the level of the attending doctor, can compare with Zhou Can.

……

Today is Friday, and a week is coming to an end.

How time flies.

Zhou Can was with Dr. Xu.If Dr. Xu does not take a vacation, he cannot take a vacation.

Hospital interns and regular trainees have no human rights at all when it comes to vacations.As long as the teaching teachers do not take vacations, the interns and regular trainees they supervise are not allowed to take vacations.

Dr. Xu often only rests for about one day a month, or even does not rest for a day.Zhou Can and Jin Mingxi could only go to work together.

This has something to do with the shortage of manpower in the operating room of the emergency department.

There are only two attending physicians in the operating room.

If someone is on vacation, another attending doctor may need to work two consecutive shifts.

In addition, Dr. Xu is on the morning shift, which is also the busiest shift in the emergency operating room.

Doctor Fu couldn't handle many sudden emergency operations.

In order to ensure the normal operation of the emergency operating room, Dr. Xu can only minimize the number of vacations.

Zhou Can walked quickly into the emergency department as usual.

"Morning, Doctor Zhou!"

"morning!"

"Doctor Zhou is very handsome today!"

"Haha, I can't even praise you for being beautiful!
Along the way, from time to time, doctors or nurses greeted Zhou Can enthusiastically.

Now basically all the doctors and nurses in the entire department know that Zhou Can performed very well in the operating room.

If you don't fawn on Zhou Can when he is still Gui Peisheng, you won't be able to fawn on him even if you want to in the future.

Ye Tingting walked over with her little waist twisted and gripped.

"Morning, Sister Ye!"

Zhou Can took the initiative to greet her with a smile.

It can be felt that Zhou Can's attitude towards her is obviously much more enthusiastic than that of other nurses.

The reason for this is simple.

Zhou Can was already closer to her.In addition, when he had an accident last time, the other nurses avoided him one by one, but Ye Tingting did not avoid suspicion.

Therefore, it is normal for Zhou Can to repay her.

This is a fundamental principle of human emotion.If you treat me well, I will naturally treat you well.

"Tell you one thing." Ye Tingting lowered her voice.

"you say!"

Zhou Can didn't know what was going on, making it so mysterious.

Ye Tingting glanced around, but there was no one else nearby.Then he whispered, "Qiao Yu was bullied yesterday!"

"Who did it?"

Zhou Can's anger gushed out instantly.

Qiao Yu is such a kind person, the person who bullies her is really nothing.

"She wanted the head nurse to transfer her to the morning shift every week. This request was not excessive at all. But Tian Tian and Pan Xinyao insisted on opposing it. In the end, the head nurse had no choice but to agree to Qiao Yu's request to transfer the shift. .I told you this, not to make you trouble anyone. I just guessed that Qiao Yu wanted to be transferred to an early shift, probably to work as a surgical nurse for you."

"Yesterday I saw her leave the nursing office with red eyes. You have to comfort her."

If Ye Tingting hadn't had a good relationship with Zhou Can, she wouldn't have told him about it.

"Okay, thank you for telling me such an important thing."

Zhou Can has long been upset seeing that Tian Tian.

Now that Tian Tian bullied Qiao Yu with another nurse named Pan Xinyao, his heart was filled with anger.

Not everyone can have the protection and support of a good teacher like Dr. Xu.

Not everyone is as lucky as him to get a medical skill experience point system.

Qiao Yu is indeed excellent.

But now she is just a regular nurse, and she has no way to fight against the two senior nurses.

To be more realistic, if Zhou Can hadn't met such a noble person as Dr. Xu, if he hadn't been appreciated by Director Lou, Dean Zhu and others.No matter how good he is, any resident doctor who is the best can eat him to death.

The hierarchy of hospitals is stricter than that of ordinary companies and enterprises.

Zhou Can did not call or send a message to Qiao Yu.

It is inappropriate to send her a message or call her at this time.

She is a strong girl.Being bullied is something that hurts face and self-esteem.

The best way is to pretend not to know about it.

Give her enough face.

But don't think that Zhou Can will just forget about it.

He will find a way as soon as possible to help her solve this matter.

Nurses, like doctors, want to improve their status and don't need anything else, as long as they make achievements in academic or medical skills.

Zhou Can's idea is very simple, to help her improve her status.

At that time, she will be able to find her own place.

This is a hundred times better than calling to comfort her now.

Zhou Can walked into the operating room, Dr. Xu, Dr. Lu, and Jin Mingxi all arrived.

Speaking of Dr. Lu, the recent changes are really quite big.

Regardless of the quality of the surgery he performed.At least his attitude is quite correct.Every day, the horsepower is fully turned on, and one operation after another is performed non-stop.The number of late arrivals is also less and less.

It is difficult to see the shadow of laziness from him.

"Okay, everyone has arrived. As usual, Xiao Zhou and Dr. Lu operate independently. Jin Mingxi will be my assistant. Call two equipment nurses to come in."

Dr. Xu quickly made arrangements.

The worst thing is Jin Mingxi, who can only watch Zhou Can and Dr. Lu doing surgery alone every day.

Soon, two equipment nurses walked in.

Li Shishi and Tian Tian.

"Good morning, Doctor Zhou! You look so special today! Hee hee!"

Tian Tian smiled happily and walked straight to his side.

"Teacher, Dr. Zhou and I are also old partners, don't compete with me!"

This scheming bitch, she still feels good about herself.

Little did he know that Zhou Can hated her to the extreme.

But now I have to bear with her, when the time is right, Zhou Can will straighten things out
At this time, Zhou Can showed strong concentration.

"Let's start the operation!"

Zhou Can had no expression on his face, imitating Dr. Xu and playing aloofly.

Soon, patients who needed surgery were sent to the operating room.Zhou Canlao's first surgery was replantation of severed fingers.

Because of its great reputation, Tuya Hospital has a population of more than 800 million.

The emergency department is full of surgeries 24 hours a day.

This is the first time for Zhou Can to do the replantation of severed fingers alone.

I have participated in most of the surgical tasks of severed finger replantation under the guidance of the teacher before, and there is no record of failure for the time being.

Dr. Xu assigned this patient directly to him this time, presumably because he wanted to exercise his ability to connect broken bones.

This is also the only part of the operation that Zhou Can has not actually performed.

"How long has it been since you cut off your finger?"

"About an hour! Doctor, can my finger still work?"

The patient was so painful that cold sweat broke out on his forehead.

The amputated finger has been treated by the doctors and nurses in the emergency department.Did nothing else but refrigerate.

This slows down the rate of death of severed limbs.

Generally speaking, the shorter the time for replantation of amputated limbs, the better.

Theoretically, it would be difficult to pick up jobs for more than six to eight hours.If the storage environment is harsh, this time will be shorter.

"Don't worry too much, we will do our best to replant the amputated finger for you. Whether you can accept it depends on many aspects, including whether the whole operation process is smooth, whether the blood supply is smooth, postoperative care, etc. We often The survival rate of severed finger replantation is very high, if you actively cooperate with the treatment, the effect will definitely be better.”

After working in the operating room for more than a month, Zhou Can also learned the basic survival skills of doctors to "flicker".

This is one of the essential skills in dealing with patients.

"Don't worry, I will actively cooperate."

The patient was tricked into going in by him, and actively cooperated with the operation like a good baby on the spot.

Tian Tian next to her was still chatting with Li Shishi and Dr. Lu who were not far away.

"Anesthetic!"

Zhou Can had to remind her.

Then she started to dispense a local anesthetic.

In general, ropivacaine is the commonly used local anesthetic of choice.A single use should not exceed 3mg/kg, and even a fat man of five hundred catties should not exceed the limit of 200mg.

When used, it needs to be diluted with saline.

These tasks are prepared by the equipment nurse.

If it is a major operation, it will be prepared by the visiting nurse and checked by the equipment nurse.

However, major operations are generally performed under spinal anesthesia or general anesthesia, and there are not many opportunities to use local anesthetics.

Zhou Can is going to give him brachial plexus block anesthesia for this patient.

Generally speaking, the effect is quite good.

The duration of anesthesia can reach more than four hours.

For such a long time, with his operation speed, it is enough to connect a severed finger.

Tian Tian finally prepared the anesthetic and handed it to Zhou Can.

After the patient's left hand was successfully anesthetized, he was ready for the next step.

debridement.

This medical skill is currently at the inferior level of a resident doctor.

The rise is a bit slow, but it can't be helped.

A patient brings him at most one or two debridement experience points.And not every patient needs debridement.

The patient's severed finger should have been injured by a sharp weapon, and the fracture was neat.

This is beneficial for surgery.

It is worth mentioning that debridement of amputated fingers is not as random as imagined.Regular large hospitals like theirs often choose to debride the wound under a microscope.The purpose is to prevent the blood vessels and nerves trapped in the subcutaneous tissue from being removed.

Debridement does not only debride the section of the remaining severed finger, but also includes the severed part.

The most difficult thing to do is bone debridement.

Even for this kind of wound with relatively neat incisions, the broken end of the bone needs to be removed by about 0.5 cm to ensure successful bone grafting.

After the debridement was completed, it was time to test him.

set bones.

According to the patient's condition, Zhou Can chose to use a stainless steel needle to connect the medullary cavity of the severed finger.

Doctor Xu came over and stood by to supervise and guide.

This is because Zhou Can will screw up.

"The steel needle that breaks the phalanx!"

Zhou Can was a little crazy.

This Tian Tian is as stupid as a pig, except for the conventional surgical instruments and consumables, she is just like wood.

Reminders are needed to prepare impromptu.

This also seriously affected the operation process.

In the operating room, perhaps only Dr. Xu has the right to scold her.

Zhou Can has no right to scold her.

In terms of seniority, she is older than Zhou Can.

"What size steel needle do you use?"

Tian Tian asked.

"1mm."

Zhou Can really wanted to call her a pig.This kind of question still needs to be asked.

If Qiao Yu had been the equipment nurse for him, she would have been ready a long time ago.

I really don't know what Tian Tian put his mind on?
If you are not interested in surgery, you can not be a nurse for preparing equipment.

After she got the steel needle ready, Zhou Can got impatient for a long time.Even Dr. Xu next to him couldn't stand it.

"Tian Tian, ​​next time you have to prepare in advance, otherwise it will greatly delay the operation time."

In front of the patient, this was enough to save her face.

"Okay, okay! The main reason is that this patient was the first to enter the operating room, so the preparations were not so thorough." She promised, promising to do it again next time.

Zhou Can took the steel needle and began to carefully fix the bone marrow cavity at both ends of the severed finger.

He has seen Dr. Xu perform this operation many times, and Dr. Xu has taught him all the essentials, techniques, and precautions.

Normally, this kind of orthopedic surgery skills can only be learned during the regular training of orthopedic surgery.

Therefore, having a great teacher can indeed increase the efficiency of regular training several times.

He operated carefully, step by step, and finally successfully fixed the severed finger and the stump of the finger.

Checked it out to make sure it's correct.

【Congratulations on your bone fracture surgery.Can be used for splicing after bone fracture. 】

[Osteosynthesis, current experience value, level 1 10/[-].Internship failing level. 】

He was depressed for a while, why is it so low?
Fortunately, the phalanx of this patient's severed finger was successfully grafted.

(End of this chapter)