My medical skills add experience

Chapter 215 Improving the cohesion of departments, Dr. Wu was convinced

"The schedule has been drawn up. You can check it out. If you have any objections, please raise them in person. If you have no objections, I will report them directly."

The biggest official Liu used to be was leading a team and serving as the team leader.

It's really uncomfortable for him to manage a department now.

"The arrangement above is obviously unfair!"

grumbled a young female resident.

Her voice was not loud, but Zhou Can could hear her clearly.

Most of the above doctor schedules were worked out by Zhou Can.There is only one purpose, to ensure the efficient operation of the department.

"What do you think is unfair?"

Zhou Can didn't know her name, but only knew that this female resident was in Director Mo's group.

"All I was given were writing cases, bed management, and surgery, but all I was given were high-end jobs like surgery, outpatient appointments with the chief physician, etc. It's very unfair. Tired of work. , just do the chores for us, and you can do those technical tasks yourself, and you can grow up quickly, we are terribly tired, but it is difficult to learn useful new knowledge."

The female resident doctor was quite young, and she showed two canine teeth when she spoke.

Coupled with her heroic appearance and beautiful appearance, it is difficult for people to feel bad for her.

On the contrary, I think this girl is straightforward and cute.

"Do you think it's too much for me to take away most of the surgery that originally belonged to you?"

Zhou Can didn't rush to explain, but asked her back with a smile.

"What do you mean?"

The female resident doctor raised her eyebrows and looked at Zhou Can without showing weakness.

"Wu Ziyu, don't talk nonsense! Dr. Zhou is young and promising, how can you compare with him!" Director Mo Kedo was worried that his resident physician would anger Zhou Can, and there would be no good fruit for him.

Because they are all just new members of the department.

Liu Lao's original team members are the core.

Although Zhou Can is just Gui Peisheng, he has a very high status in this team.

In addition, Vice President Ye and Vice President Bei all favor Zhou Can very much. How can she, an ordinary resident, be able to shake her?
"I guess there are quite a few people who have the same idea as Dr. Wu Ziyu. They think that I have given myself all the high-end work and arranged all kinds of miscellaneous and basic tasks for you. Dr. Wu, thank you for speaking up."

Zhou Can was not angry at all, but thanked her instead.

This confused everyone.

Is this kid a hypocrite, putting on a show in front of 'the masses'?

"Let me explain to you the reason for this arrangement. Although the hospital gave each sub-department a seven-day adaptation period, allowing everyone to handle the patients in hand within seven days. But I want our department to win at the starting line. The best The solution is to shorten this adaptation period. Try to deal with the accumulated patients in the shortest possible time, go into battle lightly, and let more manpower be devoted to the diagnosis and treatment of breast cancer patients as soon as possible."

After listening to Zhou Can's explanation, the other doctors nodded one after another, and they no longer looked at Zhou Can with dissatisfaction.

On the contrary, there is a little more trust.

"I won't hide it from you. My operation is relatively fast. In addition, I will soon leave breast and breast surgery and go to the internal medicine department to participate in regular training. So I want to do my last for this department and do everything I can. I will take over the patients who have undergone surgery, and I will operate on them. In this way, you can have more time and energy to welcome new breast cancer patients."

By doing this, Zhou Can not only did not "fill his own pockets", but had good intentions.

Dr. Wu Ziyu, who questioned him, felt hot on his face.

"If what you said is true, I will apologize to you at that time!" She said with some embarrassment.

"Why did Dr. Zhou help us?" Someone asked again.

People are selfish, they will first consider their own interests.

It was hard for them to believe that Zhou Can was so great and selfless.

"Because we are all in the same department now, a family, and our own. That's all." Zhou Can's words instantly made the questioner ashamed,
The other newly joined doctors were all moved when they heard this.

At the same time, I also feel extremely warm.

My own people, the three words instantly connected the hearts of more than [-] people.

The cohesion of this new department rose instantly.

The human heart is the most complicated.

A scholar can die for a confidant, and a woman can tolerate a person who pleases her.

Their ownership of this new department has now increased a lot.

"Dr. Zhou Can's words are great! You used to belong to different groups or teams, and now you have joined Nail and Breast Surgery. That is a family. Everyone is a part of this department. Think about one thing and work together I believe that nail and breast surgery can make achievements in the shortest possible time. I will try to make nail and breast surgery a new brand of Tuya one day."

Liu Lao admired Zhou Can from the bottom of his heart.

When the resident doctor named Wu Ziyu questioned Zhou Can in public, Mr. Liu felt a little displeased and even more worried.

The department has just been established, and people's hearts are unstable.

Didn't she deliberately disrupt the situation by making such a fuss?
Liu Lao secretly scolded this girl for being ignorant in his heart.

Fortunately, Zhou Can's adaptability is super strong. Not only did he not quarrel with Wu Ziyu, but he expressed his gratitude to her in a very gracious manner.

Then after some explanations, the sentence of one's own people actually made the hearts of the new department more stable.

A real master can take advantage of the situation in adversity and turn disadvantage into advantage.

Zhou Can has initially possessed this kind of handling ability.

"This kid is really my lucky star. Nail and breast surgery has his help, so be happy!"

Elder Liu also liked Zhou Can even more.

The schedule and the list of department personnel were successfully submitted.The hospital will change the files of these people, and the consultation time and department of the outpatient number also need to be changed in the hospital's registration system.

……

In the operating room, a male patient in his sixties was quietly lying on the operating table.

Liu Lao, Director Mo, Wu Ziyu, Zhou Can and others will jointly operate on this patient.

A large tumor can be seen on the patient's neck near the left collarbone.The diameter is larger than a sea bowl, and it looks extremely scary.

This patient discovered a thyroid mass more than 20 years ago, but because he had no other symptoms, he did not go to the hospital for treatment.Later, symptoms of hyperthyroidism appeared, so I went to the local health center to take some medicine.

The drug taken by the patient is methimazole, also known as methimazole.

Recently, the thyroid mass continued to grow and began to compress the trachea, and the patient felt that he had difficulty breathing.Especially when lying on the side, the symptoms are especially obvious.

The family members were worried that the huge thyroid tumor would threaten the patient's life, so they sent it to Tuya Hospital, hoping for surgical treatment.

The patient was received by Director Mo, and after queuing for several days, he finally got a bed.

Prepare for inpatient surgery.

Zhou Can took over the patient's surgical task.Director Mo was a little worried, and female resident doctor Wu Ziyu wanted to see if Zhou Can's operation was really fast.

So Director Mo took her to participate in the operation.

Director Mo himself also wanted to see Zhou Can's surgical ability.

Everyone wants to open their eyes and satisfy their curiosity.

Zhou Can is helping the anesthesiologist to give the patient preoperative anesthesia.I saw that he quickly prepared the patients for preoperative anesthesia in a very professional way.

Including intubation, ventilator, and some preparations to prevent accidents during the operation at any time.

His anesthesia has grown since acquired.

But there is one thing that makes him very depressed. Only this kind of general anesthesia or spinal anesthesia can increase experience points.Ordinary local anesthesia does not increase experience points.

At first, I thought the system might have a convulsion.

Later, when his anesthesia was upgraded to the second level, that is, the standard training level, he realized that this anesthesia is not another anesthesia.

The anesthesia he obtained includes anesthesia, life support, life monitoring, and even the establishment of extracorporeal circulation and so on.It is a very advanced medical skill.

With a local anesthetic, the system may think that an individual can do it, and there is no technical content.

That's why he doesn't add experience points to him.

His current experience in anesthesia is 98/100, an excellent level for Gui Peisheng.Adding another 2 points of experience can be promoted to the level of a resident doctor.

It's still hard to get promoted.

"Can I do the anesthesia?" Zhou Can asked the anesthesiologist.

"Okay! Don't do it too fast, this patient is too old, I'm afraid he won't be able to bear it."

The anesthesiologist is none other than an old acquaintance doctor.

He has cooperated with Zhou Can not once or twice.

So trust is high.

Even for high-risk operations such as anesthesia administration, he delegated authority to Zhou Can to operate.

In addition to his willingness to delegate power, Dr. Feng is also willing to delegate power.

At least half of Zhou Can's 98 anesthesia experience points were earned from these two doctors.

There are two commonly used methods of general anesthesia.

The anesthetic drugs are inhaled through the respiratory tract and injected intravenously into the body to temporarily inhibit the central nervous system, and the patient will lose consciousness and relax skeletal muscles.

Local anesthesia generally uses a little more intramuscular injection.

It can also be seen from this that the risk of general anesthesia is much higher than that of local anesthesia.

Current general anesthesia operations mostly use respiratory intubation and inhalation drug administration.It is safer than intravenous administration, and if the patient has problems during anesthesia, the drug can be stopped immediately.

Recovery from anesthesia is also more convenient.

This patient was administered by inhalation.

Zhou Can adjusted the dosage of anesthetic very carefully, and let the patient inhale into the body with mechanical breathing.

After successful inhalational general anesthesia, the patient will stop breathing, so the endotracheal tube must be connected to the anesthesia machine for mechanical ventilation.

Overall, this operation still carries a fairly high level of risk.

It can only be said that it is relatively safe.

The patient slowly loses consciousness, as if falling asleep.

There was no response when Zhou Can called the patient's name, and there was no response when he patted the patient's shoulder.

He observed the patient's vital signs, and they were generally stable.

[Experience value of anesthesia +1. 】

His experience in anesthesia was only 1 point away from being promoted to the level of a resident doctor.The upgrade should be done today.

Because he took over most of the surgical patients who were backlogged by other doctors in the department.

Most of these are above grade II surgeries.

In fact, first-degree surgery rarely requires hospitalization.Most of them are treated in outpatient clinics.

Especially in a large hospital like Tuya, the anesthesia space is extremely tight. As long as the patient is assessed to have no major problems after surgery, the patient is basically not allowed to be hospitalized.

"The anesthesia was successfully implemented, the patient's signs are stable, and the operation is possible!"

"Well, come over and be the knife!"

Old Liu looked serious.

For major surgery, the pressure on the superior doctors is actually great.

Their serious expressions are also an invisible deterrent to junior doctors.It's almost like the whole audience is reminding the subordinate doctors, be careful, don't make any trouble for me.

Zhou Can walked to the chief surgeon on the operating table and stood still, and the nurse put on sterile gloves for him.

Director Mo took Wu Ziyu to watch.

At present, Zhou Can's intubation, proficient operation of various instruments, and anesthesia in anesthesia operations are all excellent.

The two couldn't help looking forward to Zhou Can's surgical ability.

Especially Wu Ziyu, she was somewhat shocked to see that Zhou Can was actually competent for the work of an anesthesiologist and directly established a general anesthesia channel for patients.

Although surgeons are required to rotate to the Department of Anesthesiology for at least one month of training, many of them have only learned the superficial aspects of anesthesia.

It is just a more detailed understanding of the entire anesthesia process.

As for how to deal with emergencies during the anesthesia process, which anesthesia method is suitable for various major operations, what preparations should be made before the operation, and what are the contraindications.Many doctors are poorly informed.

After all, there is a specialization in the art industry!

Surgeons are good at holding a scalpel, and anesthesiologists need to have both internal and external training, and they need to have a solid foundation in both internal medicine and surgery.

An excellent anesthesiologist needs to continuously accumulate various surgical anesthesia and rescue experiences to improve the life support ability of patients throughout the perioperative period.

It must be said here that anesthesiologists are not only responsible for the safety of patients during surgery.

An excellent anesthesiologist will give a safety assessment to the patient throughout the perioperative period.

Including preoperative, intraoperative, postoperative after hospitalization, until the patient is discharged safely.

It can also be seen from this that when anesthesiologists participate in larger operations, they are never dispatched suddenly.Instead, they will participate when discussing the surgical plan before the operation.

After Zhou Can stood still at the chief surgeon's position, he began to play back the patient's examination data in his mind.

The result of MRI examination was: the patient had a huge space occupying in the left lobe of the thyroid gland, the size was 81*110*115mm, part of it entered the thorax, the trachea and mediastinum were compressed to the right, and the local stenosis.

The patient also underwent an enhanced CT of the neck, and the tumor was about the same size as the MRI, but slightly larger.The tumor boundary is clear, the plain scan density is uneven, and the central low-density area.

Judging from the results of these examinations, although the tumor is large, it is more likely to be benign.

The patient's age was too old, and he had abnormal thyroid function before operation.The preoperative chest radiograph even suggested that the patient had bilateral emphysema.Operating on such patients is extremely risky.

Zhou Can also worked hard and carefully cut from the edge of the knife.

With just one stab, Director Mo and Wu Ziyu's eyes widened immediately, and expressions of horror appeared on their faces.

They have thought that Zhou Can's surgical ability is much better than that of ordinary regular trainees.

But I didn't expect Zhou Can's incision skills to be so high.

And the cutting speed is fast and precise.

Next, Zhou Can let the two of them thoroughly see what is called the demeanor of passing on the sword.

I saw him incision first, exposing the tumor in the operative field, then quickly separated it, and finally performed the resection.

Watching Zhou Can's three strokes, five cuts and two cuts, he successfully cut off this huge tumor with a diameter of more than 10cm.During the operation, it was found that there were multiple cystic nodules with a diameter of more than 1.5 cm in the right thyroid gland, and Zhou Can was given to remove them together.

The hemostasis and ligation during the operation made them amazed even more.

Until the end of the operation, the two still looked at each other stupidly.

Can't come back to God for a long time.

"Surgery can do this! Oh my God, it's unbelievable."

Wu Ziyu's beautiful eyes showed extreme shock and unspeakable admiration.

Watching Zhou Can perform surgery on patients seemed to open a new window for her.

In the past, when I saw other senior doctors performing operations, they were always cautious, prudent and prudent, cautious and cautious.Now watching Zhou Can perform surgery, it's like playing.

It's so fast that the eyes can't keep up.

But it still does so well.When separating, no matter it is the surrounding important blood vessels or nerves, it can be perfectly avoided.No harm will be done by mistake.

Ligation of blood vessels in advance, or electrocoagulation to stop bleeding, every movement became very handsome in her eyes.

The blood loss during the whole operation is very small.

This is inseparable from Zhou Can's superb hemostasis.

The wound was cut very smoothly, and the suture made her mistakenly think that it was performed by a chief physician with extremely rich surgical experience and high suturing skills.

And it was the first time she had seen Zhou Can's suturing operation.

After the wound was sutured, it looked very comfortable.

It is foreseeable that the wound healing time of the patient will be greatly shortened, and the scar of the wound will be very small.

Only now did she understand why Liu's team performed nearly 98.4 surgeries last month, and the success rate of the surgeries was not only not lowered, but as high as 4.8%, with an average score of [-] for the quality of surgeries.
With Zhou Can's level, it is not surprising that he can achieve such a high surgical success rate and quality score.

A surgery with a success rate of more than 90% is considered excellent.

More than 95%, that is extremely good.

After 95%, every increase of one percentage point is as difficult as climbing the sky.

Zhou Cansheng has increased by 3.4 percentage points on this extremely excellent basis, which is almost the ceiling of the surgical world.

"After watching Dr. Zhou's operation today, I realized that I was just a frog sitting at the bottom of a well. There are people beyond people, and there is a sky beyond the sky. Dr. Zhou's surgical skills are superb, and there is something unimaginable. The speed of daring to think is hard to match in my life. Yesterday I publicly questioned Dr. Zhou's unfair arrangement of doctors' work tasks, and now I solemnly apologize to you. I'm sorry!"

She bowed to Zhou Can.

His words were full of shame, but his eyes were full of admiration for Zhou Can.

"Dr. Wu is serious. It's good that the misunderstanding is cleared up. There is no need to make a serious apology. We are all doctors in the same department, and we should trust and help each other."

It was not easy for Zhou Can to help her.

Because he is a lesbian.

It's pretty good to convince her.

(End of this chapter)