My medical skills add experience

Chapter 5
"Look at the rashes on the patient's body, which only appeared after the operation started. When I clean the skin of the patient in the ward, I can confirm that the patient does not have these rashes on the patient's body."

The faces of the doctors became a little ugly.

Especially the main swordsman and one assistant.

They are all the first and second responsible persons.

"What nonsense are you talking about? Do you mean we made these rashes?" The hospital chief scolded in a deep voice.

This is not a joke.

The patient suddenly went into shock on the operating table, and Zhou Can still said that, which is tantamount to pinning the responsibility for the accident to the chief surgeon and others.

This kid is pure and ignorant, he doesn't know what he can say and what he can't say.

"Director, I think the patient is a symptom of allergies."

Zhou Can ignored the chief resident and continued.

"allergy?"

Director Liu's eyes lit up instantly.

Yes, why didn't you think about it?It was only because the patient went into shock suddenly that his mind was in a panic.

"Have you ever done a skin test for anesthesia?"

Director Liu turned to ask the anesthesiologist.

"I've done it, everything is normal. And I asked the family members and patients before the operation, and there is no history of allergies to anesthetics." The anesthesiologist dared not take the blame.

"I think the patient probably has a rubber allergy."

Zhou Can continued.

"Why do you say that?"

Director Liu found that this intern was not simple, and he already attached great importance to Zhou Can's opinion.

"Because when I was collecting blood from the patient, I tied the patient's arm tightly with a rubber tube, and he showed a very resistant expression. At that time, I didn't think much about it. Now that the patient suddenly went into shock, coupled with the various symptoms revealed, I boldly speculated that the patient should It's a rubber allergy."

Zhou Can calmly stated his conclusion.

[Pathological diagnosis experience value +1. 】

The sudden increase in experience points, and an increase of a whole point of experience points, is simply a pie from heaven.

It made him happy.

With all the experience points in hand, he was even more sure that his diagnosis was correct.

It turns out that using medical skills on patients can increase the experience value by ten times that of reading.No wonder all doctors say that going to the operating table is the only way to grow fast.

Now he finally understood why it was just an opportunity to sew skin and close his mouth, and those normally proud residents fought for it like hungry wolves.

For rapid growth.

"Anti-shock treatment was given to the patient immediately. Everyone changed the rubber items. The roving nurse immediately called the family to ask if the patient had a history of rubber allergy."

Director Liu acted decisively and made a series of arrangements.

When you should be decisive in rescuing patients, you must not be mother-in-law.If the prime time for rescue is delayed, there will be no recovery.

After rescue, the patient's vital signs gradually returned to normal.

"It's alright, it's alright!"

The anesthetist was as happy as a child.

During the operation, the life of the patient is escorted by the anesthesiologist.

Every doctor wants the patient to leave the operating room safely.

Everyone breathed a sigh of relief, with smiles on their faces.

At this time, another good news came.

"Director Liu, I asked the family members just now. The patient is indeed allergic to rubber." The itinerant nurse in the audience came back after making the phone call.

"Okay! The cause of the shock has been confirmed, and I can operate with confidence this time."

Director Liu is quite old, and he was really scared just now.

Almost no guarantee at night.

After the crisis was resolved, he immediately thought of the biggest hero.

Looking at Zhou Can who was standing in the distance, his gaze was more amiable than ever before.

"Xiao Zhou, right?"

"Student Zhou Can."

Zhou Can was very speechless. After nearly a year of internship, his teacher didn't even remember his name.

But this kind of thing is normal.

The teaching teachers are generally not low-level. In fact, they rarely lead the interns themselves.Generally, it is under the supervision of the attendants and inpatients.

The most in charge of Zhou Can is the chief inpatient - Dr. Fang.

"You have performed very well. You are calm in times of crisis and have solid medical knowledge. You can apply what you have learned at critical moments, and you can connect some details of patients and make a comprehensive argument. This is especially valuable."

Director Liu used several commendatory words such as "very good", "unruffled in times of danger" and "very valuable".

It can be seen how much he admired Zhou Can's performance just now.

"Come on, stand up here, you will stand in this position for my surgery in the future. Young people, you should train more."

The seat Director Liu was referring to was the seat of the hospital terminal.

This position is often referred to as the 'four support position'.

It is extremely difficult to get this position in Director Liu's surgery.

Even the resident doctors can only take turns to stand in that position.

Now Mr. Liu personally spoke to assign that position to Zhou Can, which made all the residents and interns envious.

"Thank you Director Liu for cultivating!"

Zhou Can was flattered to suddenly enjoy such good treatment.

After a one-year internship, he followed the teacher to the operating room countless times, and it was the first time he stood in such an important position.

I was always squeezed out of the fourth assistant's seat when I was hospitalized, and I was very disappointed.

Taking advantage of Mr. Liu's good mood at the moment, he forced a smile and said, "Director Liu, although I have studied with you for several years, I am only 28 years old, and I am also a young man in your mouth! Old man, don't care about me."

A crying child has milk.

The main reason for the hospitalization is that Zhou Can will always occupy the position of the fourth assistant in the future, and the others will not have a chance, so he said so.

"Haha, you bastard, you have a smooth tongue. Don't worry, everyone has opportunities." Director Liu scolded with a smile.

"With your words, I feel relieved. I want to be your student for the rest of my life." The hospital is always good at playing the emotional card.

A few words coaxed Mr. Liu until his eyebrows curled up.

If you leave a good impression in the hearts of the leaders, it will be easier to get training opportunities in the future.

"Okay, let's continue with the operation! Xiao Zhou, help me pull the hook, and pay attention to how I free the diseased tissue, especially the parts next to the large blood vessels and important nerves. Skill and experience are extremely important."

Mr. Liu continued to operate on patients.

And directly let Zhou Can participate in the operation.Although it is just a hook job, this is a third-level general surgery.

There is an attending doctor who is doing the work of pulling the hook.

It is an honor for him, an intern, to be among the drag hooks.

The clever mouth of the hospital manager failed to shake Zhou Can's position in Director Liu's heart after all.In today's operation, he is destined to stand behind Zhou Can.

At this moment, Old Liu has already started.

Carefully peeled off the huge lymph node mass and the surrounding tissue with one knife at a time.

The scalpel seemed alive in his hands.

Which part should be cut with the knife, the strength, angle, length of the stroke, etc., are all ingenious.

The cooperation of the first aid is also in place.

When the diseased tissue is peeled off, new bleeding points will continue to be generated.

As soon as he helps, he will immediately point over with the electrocoagulation knife in his hand.

The bleeding stopped instantly.

The two of them cooperated very well.

The job of the second assistant is to assist the chief surgeon in the operation.For example, support the tumor, or pull away the tissue that may hinder the operation, so that the best surgical field of view is exposed in front of the surgeon, etc.

Zhou Can found that participating in the operation at close range and observing from a distance are completely different.

It was obviously Mr. Liu who was doing the knife, but Zhou Can was nervous as if he was on the scene.

Every time he saw Liu Laodao up and down, his heart would fluctuate accordingly.

When the knife was dropped, his heart was suspended and he was very nervous.I can't help worrying, what if the knife cuts the patient's artery?Shouldn't it cut a nerve?

It wasn't until Old Liu raised his knife and the patient was safe that he breathed a sigh of relief, and his heart fell to the ground.

……

The operation went smoothly, and all the lymph nodes and tumors that needed to be removed were successfully removed one by one.

Zhou Can consciously gained a lot.

I have a deeper understanding of the separation and resection of tumors and lymph nodes.

For example, when separating the tumor from the arteries, how to reduce the risk without injuring the blood vessels.Another example is the complex surgical environment around the tumor, how to remove the cocoons, remove the obstacles step by step, and so on.

Also, Kazusuke's flexible use of various methods of hemostasis also inspired him a lot.

Which blood vessels need to be ligated and which need to be hemostatized?

How to operate the bleeding point next to the nerve and so on.

These are difficult to learn in books.

Must learn in actual combat.

The operating table is like a battlefield, ever-changing.Different situations require different approaches.

This requires doctors to continue to accumulate and use flexibly.

"Okay! It's all cut up, remember to take it for pathological examination. According to my personal experience, the possibility of malignant transformation is very small." Liu Lao explained after looking at the cut tumors and nodules on the plate.

"He Hansheng, Song Ze, I will leave it to you to stop the bleeding from the surgical wound."

These words were obviously addressed to the first and second assistants.

During the operation, these two people are equivalent to the right-hand man of the chief surgeon.

The medical skills of the two are not weak, and they have undertaken many important tasks during the operation.

"You've worked hard, take a rest first, and let us check if we don't do enough." The first assistant was very humble.

The second assistant should belong to that kind of practical school.

Don't talk much, just work silently.

Assist when it's time to assist, and charge when it's time to charge.

Zhou Can and the third assistant were still pulling the hook hard, watching the first and second assistants do blood vessel anastomosis and fluid extraction.

These jobs are very technical work.

General indications are not necessarily competent.

If the hemostasis of the surgical wound is not done well, it is easy to cause hematoma and effusion after suturing.This can seriously affect patient recovery.

"Old Liu, the wound has stopped bleeding, please check again."

Director Liu didn't dare to be careless and checked carefully.

Especially in some hidden locations, they will even be poked open for a closer look.

This rigorous style is very worth learning for young doctors.

"Pretty well done, ready to sew skin."

Director Liu nodded with satisfaction after checking.

For a job like leather sewing, the first, second, and third aids are not valued.

At this time, Zhou Can, who had been hooking directly, felt that the opportunity had come.

His current suture and ligation have reached the excellent level of regular training. He dare not do blood vessel anastomosis and viscera suture, but skin suture should be no problem.

Zhou Can was not the only one staring at the chance of skin stitching. The residents and interns behind him were all eagerly waiting.

The opportunity is fleeting.

It's not easy to speak after being robbed by others.

Zhou Can plucked up his courage and said, "Director, can you give me the opportunity to sew the skin?"

　Wow, thank you book friend 20180314094908194 for your support.

　　
　
(End of this chapter)