My medical skills add experience

Chapter 30 Fighting to preside over secondary surgery
Although the aunt was sweating from the pain at the moment and her face was distorted, she still tried her best to squeeze out a smile that was uglier than crying.

"Young man, I was wrong in the morning, and please don't be as knowledgeable as an old woman like me."

People have to bow their heads under the roof.

Being called auntie by Zhou Can in the morning is like digging her ancestral grave.

Now, in order to get Zhou Can's forgiveness, she calls herself an old woman.

Auntie's ability to seek advantages and avoid disadvantages is really not bragging.

His eyes were full of desire to survive.

In the morning, he had a good time thinking about it, and he said a lot of harsh words, which offended Zhou Can to death.If you don't apologize quickly at this time, if you get on the operating table, Zhou Can will cut her two more times.

What can I do then?

In fact, she is purely judging the belly of a gentleman with the heart of a villain.

Zhou Can is not as narrow-minded as her.It is even more impossible to desecrate the sacred profession of doctors and make fun of patients' lives.

"Don't worry, it's just a misunderstanding in the morning, and I won't care about it."

Zhou Can waved his hand generously.

It is enough to get the patient's bow and apology.

It was quite refreshing to see this bitter and mean aunt bowing her head.

"Good man! The young man is such a good man! See if you can take special care of me, an old man, and don't ask family members to come over. Is that okay?"

The aunt pretended to be pitiful and begged sadly.

"How can you do without the company of your family members? Who will take care of you in the hospital? Push her out first. This Ronaldinho is just messing around. How can such a patient who does not meet the conditions for surgery be pushed into the operating room?"

Dr. Xu saw that Zhou Can was just a newcomer and had little experience in dealing with such difficult patients.

He made this villain with a dark face.

Needless to say, this is what my aunt eats.

When he heard that she was going to be pushed out, he panicked on the spot.

From morning to now, she has been queuing up and seeing a doctor. She dragged her sick body for nearly a day, and finally begged Dr. Luo outside to agree to operate on her in the emergency department.

Now seeing that the operation will be possible soon, because there is no companion to fall short, she naturally refuses to give up.

"Hey, I'm calling, call now. Please, don't push me out!"

The aunt saw that the leading doctor was very strict, pretended to be pitiful, and begged that the method was not working, so she had to honestly call the family.

The phone got through.

"Daughter..." As soon as the aunt called her daughter, she lost control of her emotions and couldn't continue speaking with sobs.

It is quite different from the strong and aggressive image in the outpatient hall in the morning.

"Mom, what's wrong?"

A young woman's Nunuuo voice came from the other end of the phone.

It's hard to say, the voice is sweet, with a hint of laziness.

"I... woo woo..."

The aunt was the first to cry.

Zhou Can saw that this was not a problem. The operating room of the emergency department was very busy.Aunt's emotions are out of control, and I'm afraid it will be difficult to express things clearly.

"Why don't I tell your daughter!"

Zhou Can stretched out his hand to signal.

The aunt pursed her lips tightly and handed him the phone with red eyes.

"Hi, I'm a doctor from Tuya Hospital."

"May I ask what's the matter with my mother?"

The woman's voice was trembling, obviously flustered.

Suddenly hearing that her mother was sick in the hospital, she must have been very nervous.

It can also be seen from this that the relationship between mother and daughter is not bad.

The aunt is so seriously ill, why doesn't she want to tell her daughter?
"Your mother has cecal calculus and is in urgent need of surgery. However, according to the hospital's regulations, considering that the patient needs to be hospitalized and the operation is risky, family members must be accompanied."

"Ah... Is my mother's illness serious? She didn't tell me! Doctor, I'll come over right away. Which department is it in Tuya Hospital?"

The aunt's daughter suddenly heard that her mother was seriously ill, and she was very anxious.

"We are in the emergency department of Tuya Hospital. When we arrive, we will go directly to the operating room. When will you arrive?"

Zhou Can asked.

"About two hours! I'll ask the boss for leave right away."

The mother and daughter should not live together.

Two hours' drive, at least more than 100 kilometers apart.

"Well, okay, pay attention to safety on the road."

Zhou Can hung up the phone.

After returning the phone to the aunt, he looked at Dr. Xu.

In such a situation, if the family members agree to rush over to accompany them, they can have the surgery first, or they can wait until the family members arrive.

"Doctor, I have already signed the consent form for the operation, please do it for me quickly!"

Aunt begged again.

Dr. Xu did not immediately agree, but said seriously, "We can do your operation in emergency. But I want to tell you that, from your examination results, although the intestinal obstruction is a bit serious, it is far from being life-threatening immediately. If you are not particularly anxious, you can go to a specialist for treatment. The specialist has better technology and more advanced equipment, and can perform laparoscopic surgery for you. The wound is smaller and the postoperative recovery is faster, but the price will be a little more expensive.”

Laparoscopic surgery is already a tertiary surgery.

The technical requirements for doctors are higher, and the equipment is more advanced.

From this point of view, because specialists specialize in a certain field, their medical skills are indeed much better than emergency medicine.

"No, no, I'll do it here with you."

Aunt shook her head again and again.

She was quite suspicious, probably thinking that the doctor was trying to trick her into paying more for the operation.

So I declined without thinking.

"If you insist on performing this operation in the emergency department, we can only perform routine operations here, do you agree?"

"agree."

"Okay, then I will arrange it for you."

Doctor Xu didn't say any more.

"Notify the anesthesiologist to come over to prepare for preoperative anesthesia, and call the nurse Ye Tingting to help. Tang Ling, you should prepare the patient for the operation first."

Cecal calculi surgery seems to be only a second-level minor operation, but at least five medical staff are required.

An anesthetist, chief surgeon, an assistant, an equipment nurse and a nurse on tour.

It would be better for a female nurse to do the work of cleaning the skin of a female patient.

Soon, the anesthesiologist arrived. After reading the patient's information and having a brief exchange, he confirmed that there was no problem and asked her to sign.

The anesthetist then gave her an epidural.

"The anesthesia is successful, the patient's vital signs are normal, and the operation can be performed."

Dr. Xu has already stood at the chief surgeon's position.

Zhou Can's eyes became hot.

The previous two surgeries were just minor incidents.

Especially the patient with the forehead injury, even in the first-level surgery, it can only belong to the simplest.

The current appendectomy operation is a real second-level operation.

And it belongs to the higher difficulty in the secondary operation.

It would be of great significance to Zhou Can if he could get the opportunity to practice this operation.

In the relevant regulations, there is such a clause in the evaluation of doctors' surgical ability: those who complete 80% of the same level of surgery are deemed to have passed the evaluation of surgical ability, and can be granted the same level of surgical authority.

What does that mean?

That is to say, if Zhou Can can complete 80% of the appendix removal operation by himself, he will be able to obtain the authority of the second-level operation.

Of course, because he has not yet obtained a doctor's qualification certificate, let alone registered a medical practitioner's certificate, he cannot practice medicine alone.

But leaning against a big tree is good for enjoying the shade!

It is no problem to work under the guidance of superior doctors.

The doorway here is big.

The hospital implements a three-level responsibility system.

Zhou Can is just a trainee, and the doctors who are in charge of taking care of him, as well as the doctors at the next level, have to be responsible for his actions.

If he puts the patient to death, Dr. Xu is the one who bears the main responsibility.

It is conceivable that it is a matter of future and destiny, so Dr. Xu will naturally take him seriously.

He would definitely not dare to do a job with a higher risk.

It would be different if Zhou Can could show his ability to independently complete the second-level surgery.

At least in Dr. Xu's mind, he was able to obtain the qualification for second-level surgery.

If there is such a job in the future, I will trust him to do it with confidence.

This is exactly what Zhou Can needs.

The operating room of the emergency department is basically a first-level and second-level operation.

If you can only obtain the first-level surgical qualification, you will definitely miss many opportunities.For example, medical skills such as dissection, separation, and anastomosis are difficult to exercise and improve.

If secondary surgery can also be done, then it will be awesome.

It's not a problem for Zhou Can to spend a day in the operating room and easily earn two to three hundred experience points.

(End of this chapter)