My medical skills add experience

Chapter 275
Dean Tian, ​​who was standing next to him and was about to speak out to stop Zhou Can from operating, seemed to be pinched by an invisible big hand suddenly by the neck.Shengsheng swallowed back the words that had come to his lips.

"This live Pearson is awesome!"

After she prevented Zhou Can from swallowing his words, she couldn't help uttering a dialect.

The main reason is that Zhou Can's performance was too shocking.

The doctors at Xinxiang Maternity and Children's Hospital didn't dare to do it at all. After Tuya's two chief physicians tried to rescue her, they all ended in failure.It is enough to prove how difficult the rescue is this time.

It is definitely a hell-level rescue difficulty.

But after Zhou Can got started, he directly changed the situation in just 11 seconds, turned the world around, and brought the sick child back from the death line.

This kind of miraculous ability convinced Dean Tian that the meat of the buns is really not in the folds.

It turns out that Zhu Pearson can be stronger than the chief physician.

Although it is a bit subversive, but after witnessing it with her own eyes, she must accept this fact.

After the shock, Dean Tian was replaced by ecstasy.

Although the airway of the sick child has not been completely dredged, after removing the largest scab that blocked the airway, the sick child finally recovered part of his respiratory function.As long as the oxygen can be transported into the lungs, the waste gas inside can be discharged, and the exchange of blood and oxygen can be completed, the life of the sick child can be guaranteed.

When doctors save lives, they often seek stability first, save the lives of patients, and then try to solve the lesions.

"Doctor Zhou's advanced surgical ability is so strong! He is really a role model for our generation." Chen Jiaojiao looked at Zhou Can who was like a hero who saved the world, and her long and narrow eyes shone with admiration.

"Actually, don't be too surprised. There are quite a lot of young doctors in Tuya Hospital who are good at surgery." Yang Chan obviously said this to Chen Jiaojiao.

She didn't know why, but seeing Chen Jiaojiao worshiping Zhou Can, she felt an inexplicable sense of crisis in her heart.

She didn't want to see this phenomenon.

"There are indeed many excellent young doctors in Tuya, but young doctors who are good at advanced surgery are very rare! Dr. Yang should also know that people with traditional surgical talents do not necessarily have advanced surgical talents. People with advanced surgical talents , It’s still useless if you don’t have traditional surgical talent. Because advanced surgery must be based on traditional surgery.”

Chen Jiaojiao did not agree with Yang Chan's point of view.

"Dr. Zhou's ability to pinch out the scabs in the bronchi so easily shows that his grasping skills are at least at the attending level. You know, he has just participated in the residency training for more than a year, not even two years. This is It’s a terrible achievement. At least I can’t even grip beans stably now, and if I want to reach Dr. Zhou’s grasping level, I may not be able to achieve it after five years of hard work.”

What she said was the truth.

The training period for surgeons is much longer than imagined.

Many surgical operations are easy to learn but difficult to master.

Even if it is just a seemingly simple skin suture, many doctors can only reach the upper-middle level after ten years of hard work.

If you want to achieve a very high level of suturing, it is difficult to succeed without two or 30 years of hard work.

"Don't deify him!" Yang Chan muttered, and didn't discuss this matter any more.

After Zhou Can successfully removed the first scab, he gained 101 grasping experience points as expected.Among them, one hundred points were rewarded to him by the system.

He was not proud of it, but continued to make persistent efforts to clean up the bronchial tubes of sick children.

The inside was actually quite blocked, and the purulent secretions accumulated deep in the trachea, so we had to patiently clean it up little by little.

……

After nearly two hours, the operation on the sick child was completed.

The airway was completely unblocked, and the respiratory function recovered about [-]%.The cyanotic complexion slowly returned to normal, but it looked a little flushed.The nails and fingertips all returned to normal blood color.Blood pressure, heart rate, respiration and many other vital signs were restored to a relatively safe threshold.

The sick child still has a high fever of 41 degrees.

Zhou Can really wanted to give the sick child a postoperative doctor's order. His condition was more complicated, and he had to use enough antibiotics to prevent the bronchitis from getting worse.At that time, the purulent secretion will easily block the bronchi of the sick child again.

It is also necessary to find a way to reduce the fever of the sick child and avoid burning the brain.

When a child has a high fever of 41 degrees, basically there will be a problem of insanity. A high fever of [-] degrees is already very scary.It is easy to burn out the brain and leave serious sequelae.

Prescribing the postoperative doctor's order for this sick child can exercise his pharmacology and pathology in practice.

It means a lot to him.

"Director Zhang, you can let me try to prescribe postoperative medical advice for the sick child, and then please check it out for me, is that okay?"

Zhou Can has always been thick-skinned when rushing for surgery tasks.

Those new doctors who are too thin-skinned may still be in the state of "giant baby" after three years of training.

In other words, there is no ability to practice medicine independently at all.

As long as you leave the superior doctor, there will be a phenomenon of giant babies who can't do this and can't do that.

"Yes! It's really gratifying to see that you can work so hard. Yang Chan, you have to learn more from Dr. Zhou."

Director Zhang Bihua readily agreed.

Even the dangerous scab extraction from the bronchi was done by Zhou Can. How could she refuse a chance to prescribe a doctor's order without any danger?

Unexpectedly, Yang Chan was involved in this matter.

Squad leader Yang has always been arrogant and asked her to learn from Zhou Can. From a psychological point of view, it must be difficult for her to accept.

However, Zhou Can performed really well today.

It also let her see Zhou Can's true strength.

These displayed strengths are just the tip of the iceberg.In the past two years of regular training, Zhou Can has surpassed other opponents in many fields.As he rotated to internal medicine to make up for the shortcoming of pharmacology, he has begun to show a trend of flourishing.

Traditional surgery, endoscopic surgery, pathological diagnosis, pharmacological syndrome differentiation, critical care, all fields have reached a very high level.

After Zhang Bihua agreed, Zhou Can gave the sick child a series of postoperative medical orders on the spot.

Under normal circumstances, the difficulty of postoperative doctor's order is much higher than that of admission doctor's order and general hospitalization doctor's order.

Especially for patients who have just undergone tracheotomy and experienced life-and-death rescue, there will be more factors to be considered in the postoperative doctor's order.This patient is a toddler who is only one and a half years old, so the difficulty has to be raised to a higher level.

Therefore, it is also a challenge for Zhou Can.

"Bronchitis must be controlled with antibacterial drugs. Common antibacterial drugs for bronchitis include penicillins, cephalosporins, erythromycins, and quinolones. Different drugs target different pathogenic bacteria. For example, the cephalosporins that people are familiar with, It is used in almost many antibacterial and anti-inflammatory treatments. Chronic bronchitis in the elderly is prone to repeated infections, and the effect of using it is better. However, cephalosporins are quite dangerous..."

After Zhou Can got the opportunity to get the doctor's advice after surgery, he found that there were too many factors to consider just for the medication of bronchitis in sick children.

But he was already mentally prepared for this.

Step by step careful syndrome differentiation, and then prescribe the most suitable medication.

After 10 minutes, he dawdled and finally wrote the postoperative doctor's order for the sick child.

【Pharmacological syndrome differentiation experience value +1. For the first time, you successfully prescribe postoperative medical advice for young children, and you will be rewarded with pharmacological syndrome differentiation experience value +100. 】

Looking at the 101 points of experience in pharmacology dialectics recorded in the account, Zhou Can smiled knowingly.

What he cultivated and what he gained, his various medical skills were accumulated little by little, and finally improved.

In less than two years, he was able to raise so many medical skills to the level above the attending level, and the effort he put in was several times that of others.The hardships are only clear to him.

Zhang Bihua took Zhou Can's doctor's order and read it carefully, with admiration on his face.

"Dr. Zhou has been in training for less than two years, and he can independently prescribe postoperative medical orders, and he has considered quite comprehensively. The combination of medications is appropriate, the dosage is cautious, and the method is appropriate. It is really amazing. Some places can be slightly modified, maybe because of your clinical experience in pediatrics

Insufficient, so some medication and details refer to the dosage of adults. "

Zhang Bihua pointed out the shortcomings to him.

After Zhou Can heard it, he accepted it with an open mind.

For example, the dosage of drugs and drugs with higher safety, he did refer to the dosage method of halving for adults.

In addition, this sick child is, strictly speaking, somewhere between an infant and a toddler.The way of medication should be milder, and the tolerance of sick children must be considered.

After the doctor's order is revised, it can be handed over to the nurse for execution.

Although the rescue was extremely thrilling, at the critical moment, Zhou Can unblocked part of the sick child's airway, and finally succeeded in rescuing him.

According to the rules of the hospital, the sick child could not be revived. It was because the doctors and nurses tried their best, and they can only express their regret.There is no fault, but if a person dies, the hospital must be dishonored.

Now that people have been saved, that's a big deal.

Especially for Xinxiang Maternity and Children's Hospital, which is half dead and urgently needs to use a few typical critical cases and difficult cases to re-establish the authority of the hospital, it must be hyped and publicized to death.

Whether it is extremely peaceful, the haze is gone.

Dean Tian has recovered from the previous despair at this moment.

An adverse event that was enough to make Xinxiang Women's and Children's Hospital worse, has now turned into a great thing.It is really a thought of hell and a thought of heaven.

The transformation is only in an instant.

"Director Zhang, Doctor Zhou, and Director Dai, it's really hard work for you to rescue this sick child. I won't say much to thank you. When the seven-day expert clinic is over, we at Xinxiang Maternity and Children's Hospital will definitely express it. .”

Dean Tian is quite a real person, he doesn't play with those fake things.

It is said that it is likely to give money to the three people after the expert clinic is over.

Sealing a red envelope is a very normal operation.

It must be said that this kind of red envelope sealed by Xinxiang Women's and Children's Hospital is used to reward the contributions of the doctors who are attending the clinic, and it can be accepted openly and aboveboard.Reasonable and legal, without any risk.

Doctors are not allowed to accept red envelopes from patients and their families, especially asking for benefits in disguise, which is simply a high-voltage line that challenges medical ethics.

Doctors are smarter now.

The brain-dead behavior of accepting red envelopes from family members and patients rarely happens again.However, secretly transferring benefits with medical representatives, as long as it is kept secret, it is much safer than receiving red envelopes.

Before there were no express regulations, even if they were found out, it would not be a big deal.

Because this is a common phenomenon in the medical industry.

Everyone worked hard to be admitted to a medical university, studied hard for five or eight years, spent a lot of money on studying, and finally went through the two stages of labor exploitation of internship and training, and then took a job and officially made money.

Get a little, isn't this a normal thing?
If it is true that after deducting the five social insurances and one housing fund every month, I only get two to three thousand yuan, which is not enough to support my family.Who is still a doctor?
At least that's what everyone did before the policy was clearly stipulated.

Prescribing medicines, using consumables, and getting some kickbacks are also a lot of income.

After being promoted to an attending physician, I gained a bit of fame. I went to other hospitals for consultation several times a month, or cooperated with some small clinics to earn some extra money.Coupled with regular wages, life will be more nourishing.

In addition to the above-mentioned methods of earning gray income and earning extra money, there are many ways for doctors to increase their income.

This varies from person to person.

In short, as long as it is not blatant to harm the patient, it is fine to cut the leeks of the patient's family members.

When Dean Tian thanked the three of them, he put Zhou Can in front of Director Dai, which was an interesting hint.

Director Dai contributed the least to the rescue of this sick child, while Zhou Can contributed the most.

But Director Zhang has the highest status and has some merits.After comprehensive consideration, Dean Tian made a simple ranking of thanks to Shunli, and Zhou Can ranked second. There is nothing wrong with it.

Director Dai may feel a little uncomfortable if his mind is small.

The real society is like this, and there is no way to make everyone comfortable.

Positioning yourself is very important.

You can neither think too highly of yourself nor too small of others.

"Director Zhang, I would like to ask you, isn't the best young doctor in your Tuya Hospital Dr. Du Leng, a returnee who has just been promoted to the attending physician? I think this Dr. Zhou is stronger than Du Leng. Forgive my ignorance, can you Can you tell me about Dr. Zhou's background, so that I can get to know the young and promising Dr. Zhou again!"

Dean Tian can secure the position of dean, and his ability to climb the crowd is not weak.

Seeing Zhou Can's performance so eye-catching, she immediately wanted to get to know Zhou Can better and establish a little friendship first.If Zhou Can becomes famous in the future, it will be of great benefit to Xinxiang Maternity and Children's Hospital and Director Tian himself.

"Du Leng graduated from a prestigious overseas university and received a doctorate. He is indeed very good. But in terms of diagnostic ability and surgical ability, as far as I know, Dr. Zhou should have the potential to become a leader of the younger generation of our Tuya Hospital. Here, Dean Tian can experience it on his own."

Director Zhang Bihua gave Zhou Can such a high evaluation that Zhou Can's eyelids twitched in fright.

Is this inappropriate to bring hatred to Zhou Can?

Let him become the leader of the younger generation, and he is like a cloud of strong people, with a lot of graduates, masters and doctors in the Tuya General Academy.This also praised Zhou Can too highly.

At least Zhou Can never has that confidence now.

If the current speed of improvement in medical skills can be maintained, it will not be a big problem to become a leader of the new generation in five or eight years.

Compared with a highly educated special talent like Du Leng, he actually has certain disadvantages.For example, in training, he had to be trained for three years honestly, and Du Leng was promoted directly to attending after only one year of training.

If Zhou Can wants to be promoted to attending, he needs to work for at least four years after the regular training is over.

Undergraduates who successfully obtain the qualifications for regular training after their internships are over, at this time they belong to medical doctors, or medical students.After obtaining the medical license, he was promoted to a doctor.

Zhou Can is now at the doctor level.

Then the regular training is over and he is promoted to a resident doctor.After working for four years, take the examination of attendings, and if you pass, you can be promoted to attendings.

Du Leng is a doctor of medicine, and he will be automatically promoted to attending doctor after one year.

And the gap behind will widen.

After a doctoral student is promoted to an intermediate professional title, that is, after being promoted to an attending physician, it only takes three years for a doctoral student to be awarded an associate senior professional title.At that time, Zhou Can was still working as a junior resident doctor.

How do the two compare?
Those who tout the theory that academic qualifications are useless and think that ability is better than everything else are novices who have never experienced social beatings.

The starting points are different, and the two are not comparable at all.

Even if the ability is as monstrous as Zhou Can's, if he wants to overtake Du Leng, he must work hard on his education.Find a way to improve your education as soon as possible.

The most common part-time graduate student is a pathway.

While working and taking the postgraduate entrance examination.

That's what most undergraduates do.

Whether you pass the exam or not is another matter, at least an on-the-job graduate degree is better than a bachelor's degree.

The board should be bigger too.

It is not difficult for Zhou Can to get a master's degree. As long as he asks, the senior management of Tuya Hospital will probably find a way to help him solve it.

Director Yin Hua, Director Tan and others from the Department of Internal Medicine have already greeted Zhou Can. As long as Zhou Can is willing to switch to the Department of Internal Medicine, they will help Zhou Can solve the problem of academic qualifications.

However, Zhou Can has his own plans. He will take another path to improve his academic qualifications.

(End of this chapter)