My medical skills add experience

Chapter 2 Double Experience

An intern is the most humble existence in the hospital, even worse than the cleaning staff.

Doing the most tiring work, I was scolded countless times a day.Teachers scolded, department doctors scolded, nurses scolded, and sometimes had to be scolded by patients and their families.The key is not paid yet.

Bear the burden of humiliation in order to survive as soon as possible.

When you become a regular training doctor, your treatment in all aspects will be greatly improved.It won't be so hard.

……

That night, Zhou Can slept very soundly, feeling more relaxed than ever.

In the dream, he became famous and became a master surgeon.All kinds of extremely difficult operations that famous doctors could not handle, he solved them with a wave of his hand.Tuya Hospital is proud of him, and the medical community respects him as a master of modern surgery.

When he woke up, he realized that it was just Huang Liang's dream.

He was still that little intern.

Just wait, sooner or later your dream will come true.

Glancing at the wall clock on the wall, it was 7:10.

Because I went to bed very late, I woke up more than an hour later than usual.

In the dormitory, roommates who get up early are already reading books, or practicing basic skills such as toothpick beans and sewing.

The internship is coming to an end, and he can feel the tension and anxiety in the air.

Everyone is trying their best to make themselves stronger.

I heard that Tuya's regular training recruitment is open to both the interns of the hospital and social medical personnel, and the competition is fierce beyond imagination.

Thousands of people participated in the regular training and exams, and it would be nice if 20 people stayed in the end.

The elimination rate is as high as 98%, which is scary to think about.

It is not an exaggeration to describe it as a success.

A person's life is actually a competition all the time.

Only a small part of the best can enter key middle schools.Then junior high school will be promoted to high school, and a large part will be eliminated.Take the college entrance examination and eliminate a large part.The postgraduate entrance examination eliminated some of them.

Those who stay to the end will stand at the top of the pyramid.

Zhou Can failed the postgraduate entrance examination after graduating from university.

This time, he didn't want to fail again.Must kill.

Morning is prime time for reading, clear mind and strong memory.After he finished washing, he saw that there was still some time, and hurriedly took out the medical book to read.

The rise of every famous doctor depends on the accumulation of time.

This book is 1000 cases of surgical pathological diagnosis compiled by Mr. Huang Houzhong and many famous surgeons.The book records a large number of real cases.

"The patient is a 34-year-old woman who lives in a rural area. Seven years ago, she found a thickened neck without any treatment. In the past two years, the thickened neck was obvious and she felt dyspnea, but she had no symptoms of hoarseness or dysphagia. Touch her own , multiple nodules were palpable in the front of the neck, the largest was the size of a chicken egg, and the smallest was about the size of a peach pit. I once went to the clinic and took "iodized sugar pills" for treatment, and the tumor in the front of the neck did not decrease significantly..."

Zhou Can carefully read the cases in the book.

According to the patient's symptoms, medical history and examination results, he began to deduce the cause and pathology.

After some deduction, he thought it was a typical scapular gland tumor.

After the reasoning was completed, after reading the diagnosis results of the famous teacher, as expected, it was indeed a tumor of the scapular gland.

Finally, after the female patient underwent surgical treatment, the tumor removed was detected as benign.

It is also a blessing in misfortune.

Because of thyroid tumors, the probability of malignancy is high.

Zhou Can just finished reading this case.

[Pathological diagnosis experience value +0.1. 】

I didn't expect that reading books can also increase experience points, which is really a surprise.

It seems that there is no need to worry about the pathological diagnosis falling behind in the future.

Its importance is no less than that of surgical techniques.

Pathological diagnosis is a test of a doctor's application of medical knowledge, as well as the accumulation of diagnosis and treatment experience, analysis ability, judgment ability and other comprehensive levels.

Having tasted the benefits, and was about to read another case, the roommate greeted, "Zhou Can, let's go, you will be scolded for being late."

He closed the book and went to work in the hospital with a few roommates.

He is currently practicing in the Department of General Surgery. Writing medical records, performing various nursing care for patients, changing dressings, measuring blood pressure, writing medical records, and performing operations are his basic daily routine.

Don't think that you will have the opportunity to practice surgery after surgery.

It takes several hours to stand on the operating table with the instructor, and sometimes it takes more than ten hours to stand for an operation.The only things that can be obtained are hooks, skin cleaning and the like.

Don't even think about closing the cavity and sewing the skin.

The teachers who lead them are very high-level, the deputy director level, and there are more than a dozen interns under them.

When performing surgery on stage, the lineup is even more luxurious.

The attending level is only worthy of being a first aid.

If there is a chance to close the mouth, those residents rush to do it like hungry wolves.

How can I get an intern?

The day passed so uneventfully.

Zhou Can wanted to have wings, so he immediately flew back to the dormitory to practice medical skills.

The day after tomorrow is regular training recruitment, time is very tight, he must race against the clock.

It is difficult to buy pigskin for practice suturing in the vegetable market.Its thickness and refrigeration treatment have requirements.He usually buys them in the teaching building of the hospital.

When he was choosing pigskin, he had a whim, should he buy a white mouse and go back to practice dissection and hemostasis?

Hemostasis has always been his weakness, but he can't be held back by it.

After some selection, I bought a medium-sized pigskin and spent 40 yuan.The price of white mice is relatively expensive, almost 60 mice.He bought the best one and spent a full 200 yuan.

With such a high price, ordinary interns really can't afford it.

Zhou Can's family background is good, in order to improve his medical skills, he is willing to spend money.

Return to the dormitory with the pigskin and the white mouse.

"Hey, Brother Can is a pigskin and a white mouse. It seems that he is going to practice until two or three o'clock today!"

"Isn't this going to be recruited immediately? Grind your guns before the battle, and shine even if you don't shine. You are all working hard. I can't hold back the 211 dormitory!"

Zhou Can responded with a smile.

"I heard that this year's regular training recruitment is open to the whole country, and the number of applicants has exceeded 2000. In previous years, there were only about [-] applicants. This year, the difficulty of staying is at least doubled. Our lives are miserable!"

"Gu Jie, where did you hear the news? Is it true?"

The roommates tensed up.

"It's absolutely true. And the number is still increasing. I think this year is Xuan!"

Gu Jie's parents work in the health system and are well-informed.

Zhou Can's heart was heavy after hearing the news.

However, so many people rush to join Tuya, which also shows that every position here is very popular.

Good stuff, everyone wants it.

It's up to each other.

Zhou Can began to practice against the clock.

First cut a hole in the pigskin.

[Cutting experience value +0.1. 】

Cool!
It's still 0.2 short of being able to advance to a level.

Make persistent efforts and continue to dissect this piece of pigskin.

Finally, the sweet congratulations sounded.

[Congratulations on your incision technique being upgraded to level two!Current experience value 0/100.The lower level of training in anatomical ability. 】

The cutting has reached the standard training level, which is so cool.

Now his understanding and operation of anatomy have jumped to a new level.When cutting, the hand does not shake or tremble, whether it is vertical cutting or oblique cutting, it can be easily competent.Even Liao, which was previously untouchable, has made great progress.

Try to experience a secondary incision on pigskin.

When he looked at the pigskin, he was surprised to see the lines on it.

This is a capability that was not there before.

Holding the scalpel and cutting it down, the feel is quite different from before.Now I can vaguely perceive the subtle differences in cutting the epidermis, dermis, and muscle layers.

I heard that a good surgeon cuts off a stack of paper with a knife, and cuts as many layers as he wants.At that level, the incisor has been practiced to the point of perfection.

As long as their knives touch the wall of a blood vessel, they can sense it immediately.

This can greatly avoid the tragedy of cutting off important blood vessels or nerves during the operation.

Zhou Can's current level of anatomy is better than most interns.

If he can be promoted to the third level and reach the level of a resident doctor, he will probably have the strength to crush outstanding interns.The chances of being killed out of thousands of troops can be much higher.

After cutting and upgrading, he began to practice suturing and knotting diligently.

In less than an hour, he sewed 150 stitches.

This efficiency is more than a star and a half faster than yesterday, and it has increased several times.

And the sewing effect is much higher than the practice level.

Looking at the rapidly increasing experience points, Zhou Can was full of energy.

Work hard, strive to upgrade the two medical skills of suture and ligation to the third level tonight.

Another hour passed, and the whole pigskin was covered with seams.

A total of more than 340 stitches were used.

If I had known earlier, I should have bought a bigger pigskin and brought it home.

He looked up at the clock on the wall, it was less than 9 o'clock.

He used to have 300 stitches and had to stay up until at least 1am.Now a full four hours have been shortened, and he is so happy that he wants to cry.

After getting up and moving around, he found that all his roommates were also 'struggling'.

The best one should be Gu Jie.

He is practicing tail vascular anastomosis in white rats.

This is a delicate job of high difficulty.

Must be done with a microscope.

"Gu Jie's suturing may have reached or approached the level of a resident doctor."

Zhou Can secretly guessed.

Sitting back in front of his practice bench, he looked at the white mouse.

"I'm sorry, man!"

There are two common methods of anesthesia for white mice, one is cotton ball anesthesia.Buckle it into a beaker, put in a cotton ball soaked in ether, and keep turning it.After a few minutes, the mice will be anesthetized and left to be slaughtered.

Zhou Can used intraperitoneal anesthesia for it.

The advantages are fast onset and long-lasting anesthesia.

After a while, the white mouse remained motionless, as if dead.

Fix it on its back on a surgical wax dish, and start the dissection.

After choosing the knife position, hold the scalpel and cut open its belly carefully.

Compared with cutting the pigskin, he was obviously a little nervous.

Practicing on living creatures can't help but worry about cutting its intestines and internal organs.

As soon as the knife was cut down, blood came out immediately.

These will increase the tension of the surgeon.

Fortunately, the incision has been upgraded to the second level.

Helped him tremendously.

A four-centimeter-long wound appeared, and the intestines inside were not cut.The blade is fairly neat.

[Cutting experience value +0.2. 】

"No mistake, right? How did the experience point double?"

Zhou Can was extremely surprised.

(End of this chapter)