My medical skills add experience

Chapter 28 Injection Medicine
"Ku Yisaac! The sutures are neat, the sutures are spaced reasonably, the knots are firm, and the skin of the incision is tight. This level is pretty good!" Dr. Xu nodded in satisfaction after the examination.

"Have you had your tetanus shot?"

"Already hit!"

"That's okay, remember to ask the patient to go to the epidemic prevention station for rabies vaccination in time. Come here to change the medicine once a day. Push the patient out."

Dr. Xu issued a doctor's order.

The biggest risk of being bitten by a dog is rabies.

The mortality rate of this disease is 100%.

Vaccination is the only effective form of protection.

"Dr. Zhou can sew so well when he just entered the operating room, he is very good!"

Doctor Lu smiled and praised him.

"I am over-flattered!"

Zhou Can handled it carefully.

From Dr. Lu's sloppy attitude when treating patients, it can be seen that this person has an average character.

The second debridement done to the patient just now may make Dr. Lu feel bad.

have to guard against.

"Don't be modest! Being praised by Dr. Xu is enough to prove that you are extraordinary. If you are so good, you will have to share more of our emergency department's operations in the future!"

Doctor Lu still praised him with a smile.

It's just that no matter what Zhou Can heard, he felt that this guy had no good intentions.

As a newcomer, Zhou Can naturally lowered his posture.

It's better to show people as a 'little white'.

"No problem, no problem. I'm a junior, so I should work more."

The answer was impeccable.

Doctor Lu didn't say anything more.

The atmosphere on both sides is quite harmonious.

The operating room in the emergency department is actually quite busy.

The patient bitten by the dog had just been pushed out, and a new patient was pushed into the operating room.

"This patient accidentally fell and injured. There was a 4cm long wound on the left forehead. After examination, there was no bleeding in the brain. Dr. Luo Yong saw it and said that the wound should be stitched in the operating room."

Dr. Xu took the film and watched it carefully, but found no problem.

"Okay, let's get to work!" Dr. Xu said to the nurse, then turned to look at the patient. "Can I go?"

"can."

"From the photos taken so far, no major problems have been found, only flesh injuries. We are going to do debridement and suture for you. According to your description, when you fell, your head hit the edge of the coffee table, right?"

"That's right. The ground I just dragged was too slippery, and I accidentally fell."

"You are lucky! We saw an old lady two days ago, and she suffered a femur fracture. She needs a major operation. Be careful when you just finish mopping."

Dr. Xu is strict with his subordinates, but he is kind when talking to patients.

This made Zhou Can see his lovely side.

"Doctor Zhou, I will leave this patient to you!"

Dr. Xu turned his head and threw the patient to him directly.

"okay!"

Zhou Can couldn't help being overjoyed, the opportunity to earn experience points came again.

It seems that Dr. Xu didn't 'fight' and didn't know each other. After the misunderstanding of lying was resolved, Dr. Xu's trust in him was soaring.

Coupled with the fact that he showed good surgical skills, this patient who broke his head was directly rewarded for exercise.

He knew that in order to obtain more surgical opportunities from Dr. Xu, he had to do every operation carefully.

"Come on, please lie down first. After I give you local anesthesia, I will clean the wound first. If there is no problem, you can directly suture the wound."

Communicating with patients before surgery is an essential quality for every doctor.

It allows patients to have a general understanding of the whole process of surgery, increases trust in doctors, and reduces disputes between doctors and patients.

"Doctor Zhou, please be more careful. When suturing, try not to leave ugly scars."

"Will do."

For the head, face, neck, arms and other positions, in addition to the healing of the wound, the aesthetics of the patient after recovery should also be considered.

Whether an unsightly scar is formed is not only related to the constitution of the scar, but also closely related to the doctor's suturing level.

Zhou Can's suturing level is placed in a county-level hospital, which is almost equivalent to the attending level.

It's definitely enough to sew a small wound on the forehead.

Let the patient lie on his side and give anesthesia first.

Local anesthesia injections have been tested many times on small animals before, but this is the first time on humans.

The forehead has less muscle, only a thin layer of skin, and the hard skull underneath.

It is more difficult to inject anesthesia than other parts.

Zhou Can couldn't be bothered.

Insert the needle at an angle and inject it.

[Congratulations on obtaining the injection medicine skill, the current experience value is 1/10 of the first level.Internship failing level. 】

Zhou Can was a little confused.

Is an injection considered a medical skill?
Under normal circumstances, the most powerful injection must be the nurse.

Injecting various drugs to patients is basically done by nurses.The more you practice, the more refined your technique will be.

"Fortunately, it's just an injection of anesthesia for the patient. If you give the injection to a child, with the three-legged cat's unqualified injection technique, I'm afraid the family will beat him to death every minute."

If you fail the internship level, you are better than ordinary people, so you have to hurry up to get up.

Originally, two injections were enough.

Zhou Can was envious of the super high experience value when injecting into the human body.

Leng is to inject anesthesia into four parts.

In this way, a total of 4 injection experience points were easily earned.

He must quickly find a way to improve this medical skill.

Injection medicine is not only used for injections, but can also be used in multiple scenarios during surgery.

The skills are not overwhelming.

No matter what kind of medical skill, too rubbish is not a good thing after all.

Easily a flaw for him.

"Well, can you still feel the pain now?"

He questioned the patient.

"It's numb, it doesn't seem to hurt anymore."

Patients report their truest feelings.

It appears that the anesthetic has worked and debridement can begin.

After washing away the congestion and possible debris in the wound with hydrogen peroxide, he observed it carefully and found that the wound was in good condition.

Just sew it up.

It took less than 10 minutes for Zhou Can to suture.

There were five stitches in total.

Checked again, no problem.

This is Zhou Can's first operation. Although it is only a small operation, it is of great significance.

Hosting an operation and participating in an operation are two completely different concepts.

It is the comprehensive ability to stand on one side to preside over the surgery.

"Doctor Xu, please check it out." Zhou Can looked up and found that Dr. Xu was standing by and watching.

"Well, it's handled well."

After the patient's wound was disinfected for the second time, gauze was applied and sent out.

The rest will be handled by the own nurses according to the doctor's orders.

"I have a basic idea of ​​Zhou Can's surgical ability. Jin Mingxi, try it for the next patient."

"to make!"

Jin Mingxi's heart was already itching to see Zhou Can's meritorious deeds.

Immediately readily agreed.

Soon, another patient came in.

The patient had a mild femoral hernia.

Jin Mingxi took the initiative to examine the patient.

"The patient's condition is not serious, and there is no incarceration. I think manual reset is enough, and no surgery is needed. Doctor Xu, what do you think?"

It can be seen that Jin Mingxi has extremely rich diagnostic experience and strong strength.

"Are you sure you can complete the manipulation reset?"

Doctor Xu asked back.

"Have."

He answered firmly.

"Then what are you waiting for, hurry up!"

Dr. Xu fully delegated power.

Jin Mingxi asked the patient to lie down, relax, and then skillfully reset the patient.

In fact, patients can sometimes slip it back themselves.

The so-called hernia is most of the time when the intestine leaks out through the weak point of the hernia sac.

Formation of a raised bump in places such as the abdomen or the base of the thighs.

There are big and small.

Sometimes it may even be invisible to the naked eye.

The patient will experience excruciating pain.

Symptoms are mild, just reset the manipulation.No surgery is required.

It's just that the disease is prone to recurrence.

"All right."

As soon as Jin Mingxi's words fell, the patient's painful humming stopped immediately.

This also fully demonstrated his powerful strength.

"After going back, take a good rest. Do not cough hard, lift weights, or exercise strenuously in a short period of time, so as not to cause recurrence. If you feel unwell, come to the hospital immediately."

After he cured the patient, he professionally told the patient some precautions.

The femoral hernia patient was cured so easily and walked out of the operating room by himself.

"Not bad, this time we recruited two go-getters from the emergency department, which is definitely good news."

Doctor Xu showed a rare smile.

The emergency department has two go-getters at once, which is enough to greatly alleviate the serious shortage of emergency department staff.

"Doctor Jin, I think you are very experienced in both treatment techniques and prescribing medical orders. Which hospital used to be the best?"

Doctor Xu's name for him has changed.

This is a kind of recognition, but also a kind of respect.

(End of this chapter)