My medical skills add experience

Chapter 208 Turning the Tide, Director Yang Qing's Worries
The patient is a 40-year-old female patient with an unknown mass on the outside of her left elbow.According to her self-report, the mass continued to grow, which brought some inconvenience to her daily life.

She was afraid that it was a malignant tumor, and she was terrified.Come to the hospital one by one to remove the mass.

Worried that the small hospital would not cut cleanly, or even have problems after the operation, he chose the most famous Tuya Hospital in the province for treatment.

After Deputy Director Liu gave her a diagnosis, he suggested surgical resection and then pathological examination.

Zhou Can had cut many subcutaneous tumors in the emergency department before.

An anesthesiologist is not even needed for this kind of operation, and the brachial plexus can be anesthetized directly.

Zhou Can only asked for an equipment nurse.

Everything is ready to go.

After conducting a preliminary inspection of the patient's mass, he deftly took the local anesthetic prepared by the equipment nurse, and quickly administered local anesthesia to the patient's arm.

Still the old rule, a total of three bets.

You can earn three injection experience points, but it doesn't make sense to only earn one point.

Old Liu watched from the side, with a puzzled expression on his face.Obviously this kid's injection skills are very good, why do he have to inject so many times?
Although he was puzzled, as long as the operation went well, Mr. Liu would not say much.

The vast majority of chief physicians can tolerate some minor flaws of their doctors.

As long as the overall safety and quality of the operation is guaranteed, they will remain silent.

"Doctor, can an older doctor perform this operation on me? I'm afraid!"

Female patients of this age are usually less shy than young girls.

When it comes to interests, they dare to speak out.

"Don't worry, the doctor who operated on you looks young and has extraordinary skills. He has done many operations like yours." Deputy Director Liu helped Zhou Can speak.

It is very necessary to put gold on the face of young doctors.

It can dispel the doubts of patients and let them cooperate with the operation.

After Zhou Can gave the patient anesthesia, the next operation almost frightened Mr. Liu into a heart attack.

Whether it is cutting open, separating the tumor, or removing the entire tumor, the speed is amazing.

Three times, five times and two times removed the tumor.

Hemostasis, debridement, and preparation for sutures.

A series of quick movements made Liu Lao's brain unable to recover.

He just didn't make a mistake, and he cut quickly and well.

The incision was smooth, the separation of the tumor was excellent, and the hemostasis was perfect.The amount of bleeding was pitifully minimal.

Unexpectedly, Zhou Can stopped at this moment.

His brows were slightly frowned.

"The operation was done very well, and Dr. Zhou can suture the wound!"

Elder Liu reminded from the side.

He thought that Zhou Can wanted to ask himself to check it out and make sure there was no problem before suturing the surgical wound.

"When I was operating on her, I found that there seemed to be a small cyst on the inside. Does this need to be removed together?"

Zhou Can not only reported to Mr. Liu, but also consulted the patient.

"Where is it? Let me see!"

Old Liu approached and touched the area designated by Zhou Can.

"It's a bit like a small nodule, not big." He really felt it.Maybe because the tumor was too small and it grew on the inside, it was not found during the examination.

"You are a regular hospital, and you have had an examination before the operation. Now tell me that there is still a small tumor, do you want to temporarily increase the price?"

The female patient's complexion was a little ugly.

These days, there have been too many negative news about the various dark revelations about the hospital.

There have been many news reports of temporary price increases for half of the operations performed on patients on the operating table.

"The size of this tumor is very small. Since you have concerns, let's ignore it. After the operation, you can just pay attention to it. If you find that it has increased, you can come to the hospital for treatment."

Deputy Director Liu has dealt with all kinds of patients.

Hearing what the patient said, he immediately dismissed the idea of ​​temporarily adding surgeries.

Zhou Can would not say anything more.

Directly suture the wound to the patient.

"Remember not to eat spicy food, do not do strenuous exercise with this hand, so as not to open the wound. Also, avoid touching the wound with water..."

Zhou Can explained some precautions to the patient.

Some female patients especially like to be clean.

He takes a bath every day, and he especially likes to take a bath or shower.

The wound gets wet easily.

This will increase the difficulty of wound healing and the risk of wound infection and suppuration.

The female patient didn't even say thank you when she left.

Obviously, I am very disgusted with the behavior of temporarily wanting to increase the price during the operation.

Under the condition of anesthesia, when Zhou Can and Liu Lao pressed the small swelling on the inside of her elbow, she didn't feel anything.

Before coming to the hospital, she did not find any tumor growing inside her elbow.

So, she thought the doctor was trying to scam money.

After the patient was sent away, the next one entered.

Zhou Can still performed the operation for the patient with ease.

Elder Liu stared at it in a daze.

Now he finally understands why the emergency department can suddenly increase nearly [-] surgeries a month.

According to Zhou Can's frightening speed and the number of patients in the emergency department, it is definitely not a problem for Zhou Can to complete [-] surgeries a month alone.

"This kid is really a lucky star sent by God! With his operation speed and operation ability, the operation patients treated by our team are fully capable of digesting them. He can even increase the number of operations performed."

Old Liu was secretly happy.

After seeing Zhou Can's terrifying operation speed, he realized that this kid had been hiding everything before.

Zhou Can has been here for more than a month.

I have done many surgeries with Mr. Liu, because they are all major surgeries with extremely high risks, and he is a novice with little experience.Therefore, stability is the main priority during the operation.

Never pursued speed.

This time he was allowed to complete the primary and secondary operations independently, and he seemed to have returned to the time when he was doing crazy operations in the emergency department.

Can't help but enter the berserk mode.

The operation speed is several times faster than before.

Zhou Can's operation speed is actually faster than when he was in the emergency department, and the quality is better.

Because whether it is his quick knife technique or other medical skills, he has improved a lot compared to a year ago.

Three hours later, Zhou Can digested six primary and secondary operations by himself.

Equipment nurses are also well-informed.

After seeing Zhou Can's terrifying speed, she was also shocked.

She has worked as an operating nurse for many general surgery doctors, but she has never seen anyone perform an operation as fast as Zhou Can.

"Any more?"

Zhou Can performed six first- and second-level surgeries in one go, but he was still a little bit unsatisfied.

Old Liu couldn't help but smile wryly.

"Today's primary and secondary operations were almost completely wiped out by you alone. Good boy, you really didn't brag. The apprentices brought out by Lao Xu not only did not weaken his reputation, but the young ones are better than the blue ones."

Deputy Director Liu was full of praise for Zhou Can's surgical skills.

Although he is a deputy chief physician with decades of experience in surgery, in terms of the speed of surgery, he can't keep up with Zhou Can.

This kid is too good.

"Zhou Can, fast surgery is a good thing, but you must pay attention to safety first. You can't ignore safety in pursuit of speed."

Deputy Director Liu was somewhat worried.

Back then, Dr. Xu was so powerful, and because of his pursuit of extreme speed, something happened in the end.

Surgery is performed on living patients, so zero accidents must be pursued.

"Please don't worry, I will keep my sense of proportion. Even the female patient with a tumor on the inside of her elbow is somewhat worrying. As long as her tumor grows a little bit, it may compress the radial nerve. At that time, there will be obvious problems with straightening her left hand."

Zhou Can has done a lot of this kind of first- and second-level surgeries, so he can be called well-informed.

Accurate predictions can be made in advance for many diseases.

This ability is actually one of the advanced abilities of famous doctors.

"Dr. Zhou really finished all six operations? My second-level operation, it took me more than three hours until now."

He Hansheng also finished the operation and walked in at this time.

He was a bit unlucky today. The second-level operation he performed was full of twists and turns, and it was already a high incense to be able to complete it smoothly.

"Hmm! If I hadn't seen it with my own eyes, even I wouldn't have believed that Zhou Can's operation speed would be so terrifying. Usually, when this kid participates in a third-level major operation, the speed is fast, which is more or less reasonable. Today, I will do a surgery." Secondary surgery is simply scary."

The sadness on Liu Lao's face disappeared at some point.

In its place was a sunny good mood.

A faint smile reappeared on his face.

Zhou Can stood up at the critical moment and showed his surgical ability to turn the tide. It was really a ray of light in the dark, which rekindled his hope.

"Doctor Zhou, great job! Do you know that as long as you maintain this terrifying operation speed, you can revive our team. After the staff of our team has been streamlined, we can travel lightly, and the volume of operations and the quality of operations will not be reduced. , which would give us a huge advantage.”

He Hansheng was also full of excitement, and the previous depression and gloom were swept away.

With Zhou Can's terrifying surgical ability, not only did all the decline disappear, but it became an advantage instead.

A team of ten people can complete 150 surgeries a month.Compared with a group of four people completing [-] operations, there is no advantage at all.

And surgery is not the more doctors the better.

When there are too many people, there may be mixed good and bad technologies, and there are good and bad technologies.

At that time, the total number of operations will be considerable, and the per capita operation volume will not look good, which may lead to a serious decline in the quality of operations.

"As a resident doctor, I have held back the group. If I have one-tenth of Dr. Zhou's ability, I can help the group."

As a resident doctor, Wan Sanluo had been helping He Hansheng just now.

Secondary surgery requires an assistant.

Elder Liu also became Zhou Can's assistant just now.

After all, a person only has two hands, and it is difficult to complete some complicated operations alone.

There is also a pull hook or something, and an assistant is also needed to help.

"Xiao Wan, you don't have to underestimate yourself. Everyone has their own use. If the number of surgeries in our team doesn't decrease, you'll have to pay more attention to the management of the ward."

Mr. Liu comforted Wan Sanbao.

A medical team is equivalent to a complete machine, and its operation is inseparable from small screws.

Wan Sanlao's ability is not particularly outstanding, but he is by no means the bottom among residents.

It's only because Zhou Can is too monstrous that it pales in comparison.

"Okay, even if I live in the hospital every day this month, I will also manage the inpatients in this group well. If I can't do the work of rushing into battle, then I will serve as a good logistics for you."

Wansanlao is also very happy to have found his own value.

To be honest, under extremely unfavorable circumstances, Wan Sanluo did not defect to other groups like the other three doctors, which is already very good.

At least the character aspect is guaranteed.

Not the kind of person who sees profit and forgets righteousness.

Now that Zhou Can has solved the biggest problem in the group, everyone is full of hope and fighting spirit.

The morale of this group was restored to full value in an instant.

……

After five days in a row, Zhou Can felt like he had been injected with chicken blood, and his surgical ability became stronger and stronger.

If it wasn't for Qiao Yu's training outside Shenwai, he would have wanted to call her over to help.

Thinking that she will only stay in the general surgery department for less than a month, and when Zhou Can leaves, it is impossible for her to follow her.This matter has to be given up.

According to Zhou Can's regular training plan, general surgery is his last stop in surgery.

Because general surgery includes liver and gallbladder, stomach, pancreas, breast, urinary and so on.

One of the most difficult to learn is the stomach.

Because this is the digestive system of the human body, there are various rare diseases, which make people extremely headache.

Even though Zhou Can has been working in digestive surgery for three months, he still dare not say how good he is.

The digestive system of the human body, and various diseases caused by the digestive system, let alone erudition.

At most, I know a thing or two.

Originally, according to Zhou Can's idea, he should have at least three months of regular training in general surgery.

Because in general surgery, you can see a variety of common diseases, as well as some unheard of intractable diseases.

Director Yang Qing sat in the office with several doctors under him to discuss surgical cases, formulate surgical plans for some key patients, or consult together to try to find out the cause.

In some difficult cases, even if his entire team works together to diagnose, the cause cannot be clearly diagnosed.

This phenomenon is not just his group, but the entire Tuya Hospital, and even all major hospitals in the world.

For many diseases, doctors have no way to find out the etiology and pathological mechanism.

Some can be controlled with drugs, while others can only be treated symptomatically, with correction of vital signs.

"Today, two cases failed to diagnose the cause, which is really regrettable."

The discussion was almost over, and Director Yang Qing made a concluding speech.

"Director Yang, don't worry. The etiology of these two patients is extremely complicated. We can't diagnose it, and other teams can't do it. These two difficult patients have already sought treatment in many large hospitals, and they also failed to find out the definite cause. Cause."

A fat deputy chief physician said.

"That is to say, but if this kind of difficult patient can be diagnosed and successfully cured, it can add a lot of points to our team. It can even become an excellent case in this field. Pancreas and breast are two promising ones. In the field of medicine. I don’t want to miss out and be taken away by another group.”

Director Yang Qing was somewhat worried.

Fear of capsizing in the gutter.

In the construction of a new sub-department this time, when the hospital selects the fields of expertise of each team, in addition to looking at the number of common cases cured in this field, there is also an extremely important reference index.

That is the diagnosis and cure of difficult cases.

How did the famous doctor come about?

It is a case that others cannot cure. If you can cure it, you can take the opportunity to make a name for yourself.

No matter how good a doctor is, even if he cures [-] common cases, he cannot become a famous doctor.

If he can cure ten difficult and difficult cases, those are patients who cannot be cured by other big hospitals, other experts and famous doctors, the celebrity effect will be far more than that of the one who cured [-] ordinary cases doctor.

If the hospital wants to establish a brand name, it will first consider this doctor who has cured ten difficult and difficult cases.

Why do you value the number of publications and impact factors of SCI papers when evaluating deputy high and senior professional titles?
It is because being able to write high-quality SCI papers can create a sensation in that medical field.Whether it is patients or colleagues in the medical field, they all recognize and believe this.

"By the way, how is Deputy Director Liu's team doing recently? Three doctors have left. I believe that the amount of operations they perform must be greatly reduced, right?"

Yang Qing was able to bring out such an excellent team and always maintain the top overall strength, not only because of his extraordinary medical skills, but also because of his high wisdom and management ability.

Paying attention to the enemy tactically and despising the enemy strategically is a routine that many masters like to play.

Although Deputy Director Liu is just a deputy chief physician, he has strong surgical skills and rich experience in diagnosis and treatment.Even richer than Yang Qing.

After all, Yang Qing is several years younger than Liu Lao.

"It doesn't seem to be decreasing!"

An attending physician replied cautiously.

(End of this chapter)