My medical skills add experience

Chapter 512 Level [-] Pathological Diagnosis, Became an 'Expert'
Observing for half an hour is a common practice in the face of some uncertainties in surgery.

Especially the observation of blood supply, which involves the supply of oxygen and nutrients to organs and related tissues.It's not immediately obvious.

For example, the limbs are bitten by poisonous snakes or spiders. At this time, the correct way is to tie the wound near the heart to prevent the circulation of blood supply.The purpose is to prevent the venom from entering key parts such as the heart and nerve center along the blood circulation.

Many people don't know that if the limbs are tied tightly for more than half an hour, they should be loosened and then tied again.

Because limb ischemia lasts for more than half an hour, irreversible necrosis is prone to occur.

Similarly, in the observation of some imperceptible organs and tissues, continuous observation should be maintained for more than half an hour to ensure safety.

In addition, like the patient at the moment, observing the urine output, color, etc., can also play a certain role in auxiliary diagnosis.

Qiao Yu, Pu Dingdong and others watched Zhou Can take the lead and complete a four-level major surgery that had never been tried before. They were not only excited, but also proud and admired.

The stronger Zhou Can is, the more glory they will have.

For them, it is more of an incentive.The boss is already so strong, they naturally can't fall behind too much.This will motivate them to work hard.

Three 10 minutes passed quickly.

Director Feng's expression was always serious, sometimes looking at the urine, sometimes looking at the monitoring equipment, sometimes looking at the patient's pupils and the inside of the abdominal cavity.

As the strongest anesthesiologist in Tuya Hospital, his level is also extremely high.

Whether it is rescuing critically ill patients or judging the patient's physical condition, he has extremely rich experience.

"The cavity can be closed! The patient's blood supply is in good condition, and the organs are running stably. Experiments have proved that Xiao Zhou's idea is completely feasible. In the future, it can even be used for reference in other surgical fields."

Director Feng was satisfied with the result after careful inspection.

"Zhou Can, it's up to you to close the cavity! Our closing speed is too slow."

Although Director Xueyan is not the chief surgeon in name, her status is there.

Director Bu is not responsible for any directing work during the operation except for his name.

"no problem!"

The first innovative operation that Zhou Can worked so hard to complete, he naturally wanted a good result.

The risk can be further reduced by letting him close the mouth himself.

If the cavity is not closed properly, it will cause problems such as infection and long-term difficulty in wound healing. These are all troublesome things.

In addition, since it is the first innovative operation, based on Director Xueyan and others' intentions, as long as the operation is successful, it is likely that this case will be used for publicity.The technique of suturing the wound is not perfect, not delicate, and it is easy to form unsightly scars.

Twenty-five minutes later, Zhou Can perfectly sutured the patient's wound.

[Complete innovative surgery, pathological diagnosis +10000. 】

Zhou Can was a little dazed when he saw the huge reward for pathological diagnosis that he suddenly received.

Can't believe it.

It feels like being hit by a pie from the sky.

Innovating a surgery and successfully implementing it can actually increase so much experience in pathological diagnosis.

So pleasantly surprised.

But after thinking about it carefully, the design of this operation requires a comprehensive diagnosis of the human body's blood circulation, organ operation, aortic dissection repair, etc., and it should be used flexibly and then innovated.

Then it is necessary to ensure that the operation can be successfully carried out, and the patient's postoperative treatment effect is as he imagined, so that this [-] experience points can be obtained.

It's not too much.

[Congratulations on your promotion to the sixth level of pathological diagnosis and medical skills, the current experience value is 1/1000000, and the primary level of chief physician.It can diagnose difficult cases in general practice, and is good at diagnosing cases in pediatrics, cardiothoracic surgery, general surgery, and acute and severe diseases. 】

His pathological diagnosis was directly promoted to level six.

I have been thinking about it for many years, but I didn't expect that I was only in my 20s and less than 30 years old, and my pathological diagnosis level was actually promoted to the level of a chief physician.

You know, this gold content is much higher than the gold content of Zhenggao.

This is a real level of medical skills.

Some chief physicians with high professional titles may have better diagnostic ability than attending physicians.There are not a few such academic chief physicians.

In other words, the theoretical level of this type of chief physician is very high.

For example, a chief physician in the urology department may be extremely proficient in the medical knowledge in the field of urology, or even in a certain subdivision of the field.He has also published high-level papers in related fields.

However, this doctor may usually be engaged in relatively little diagnosis and treatment work, and the accumulation of actual combat experience is somewhat unsatisfactory.

For some difficult cases of diagnosis and treatment, it is even more stretched.

Pathological diagnosis is also the most important medical skill among all clinical medical skills, and its importance is even higher than that of surgery.

Even if it is to perform surgery on a patient, the doctor must first know what disease the patient has?What is the cause?How to do surgery, in order to achieve satisfactory results.

If the level of pathological diagnosis is poor, no matter how strong the surgical ability is, he can only be a "thug".

Where others direct you to cut, you will cut there.

After Zhou Can's pathological diagnosis was promoted to level six, he also discovered an important thing.

The system seems to have directly assigned him a 'division'.

The medical fields he is good at are currently four medical disciplines.

Cardiothoracic surgery is more specific, and general surgery, pediatrics, and acute and severe diseases are more general.

Their coverage is very broad.

Just a pediatric department is enough to give birth to general medicine.

General surgery is also known as the origin department of surgery, and all the top surgical departments in the tall and high schools have evolved from general surgery.

The earliest surgeons could only do some simple treatment of limbs and common wounds on the body surface.

As for chest opening and craniotomy, just look at how Hua Tuo died in ancient times.

Cao Cao: "You told me that you want to cut my head open? I cut off your head first and kicked it as a ball. Come here, push out this traitor who intends to kill the king."

Even in Western countries, the earliest surgery was created because of war.

And at that time, even ordinary amputations had a frighteningly high mortality rate.

Not to mention the psychiatric surgery method invented by a liar in a certain western country, which directly knocks nails into the head and destroys the brain.Many patients have become fools because of this.

But in that backward era, this liar's surgical method was carried out everywhere for a long time.

Zhou Can's pathological diagnosis, although the system has designated him a medical field that he is good at, but in fact, it is not much different from a general practitioner.

At most, it is obstetrics and gynecology, or neurology, orthopedics, orthopedic surgery and other specialized fields are not very good at.

After all, his time as a doctor is still a bit shorter, and he basically doesn't have many opportunities to use mobile phones for a one-year internship, and he only does odd jobs.He is quite lucky, the three-year regular training was very fulfilling, and he learned a lot, which can be counted as official working years.

It has only been more than two years since I became a regular.

With just over five years of formal work experience, it is already very heaven-defying to be able to achieve the current achievements.

"Being well-versed in all disciplines is not as good as being good at one. First, we should further cultivate these fields of expertise. After the results of the postgraduate entrance examination come out, if we can be admitted, we can further cultivate in the field of orthopedics. As for other medical fields, we can only put aside for a while. put."

Zhou Can made further plans for his future.

As his medical skills became more and more advanced, he found that proficiency was more important than learning.

Even if other medical fields are not qualified, as long as one can reach the expert level, patients can be treated well in diagnosis and treatment.

However, if you are really only proficient in one segmented field, you will definitely need to ask for help frequently in diagnosis and treatment.

It's still better for him to dabble in a wider range now.

"Director Bu, Director Xue, can this patient go directly to the intensive care unit for a few days after waking up from anesthesia? Although the operation went well, there are too many uncertainties. I think the patient's family conditions are very good, so I don't care Spend a little more money."

According to the actual situation of the patient, Zhou Can discussed the postoperative care level of the patient with the two chief physicians.

This patient does not need to be admitted to the intensive care unit of the intensive care department, but only needs to be admitted to the intensive care unit of the cardiothoracic surgery department.

The intensive care units of these heavy departments, also known as small ICUs, have not bad nursing standards.

The rescue ability may be a little weaker than that of the intensive care medicine department.

After all, they are more professional, with more complete hardware and a stronger talent team.

"I have no opinion."

Director Bu looked at Director Xueyan.

"agree."

Director Xue also nodded in agreement.

This kind of thing, the superior doctor will generally agree.

……

In the blink of an eye, five days passed. After the operation, the patient Chen Zhongzhi was recovering very well.

Almost all the major operations were performed by Zhou Can, and the patient himself was still very young, plus he lived in the intensive care unit and enjoyed special care.It's normal to recover well.

His surgical wound has initially healed after five days.

However, it will take at least three months for such a deep surgical wound to heal completely.Under normal circumstances, he can be discharged from the hospital in half a month.

As long as you don't try to kill yourself, you have to paw at the surgical wound, or do some strenuous exercise right after the stitches are removed, basically there is no big problem.

On this day, Zhou Can got off work and rushed to the cardiothoracic surgery department to help as usual.

No way, since the last live broadcast, the cardiothoracic surgery department was almost overwhelmed.Even the number of consultations in the emergency department has increased significantly, many of whom are patients with chest pain and distress.

The famous doctor effect can indeed bring huge benefits to the hospital.

Zhou Can became famous in the first battle, but he was only a low-level resident doctor. Many family members and patients saw him and called him an expert.

This made him feel rather embarrassed.

The senior leaders of the hospital all have red faces recently, and even Vice President Bai, who has always been unpredictable, has a smile on his face.

To be able to watch the hospital's business grow rapidly and its strength continue to grow stronger, this is a real achievement for them.

In the eyes of Dean Zhu, Tuya Hospital is like his own child.

No one does not want their children to be successful.

"Doctor Zhou is here! It's early today!"

Young and beautiful nurse girls like to say hello and chat with Zhou Can.

Even knowing that he has a girlfriend, he still enjoys it.

It's like even if a man is married, when he sees young and beautiful girls, he still likes to deal with them.It's just instinct.

I really saw that the pretty girl still had a serious face, and nine out of ten of that kind of men were prudish.

Another one is probably gay.

Women are similar, old aunts like small fresh meat.

Of course, there are moral red lines and legal red lines, and this kind of liking will be restrained within a certain range.

"Come and see you sooner!" Zhou Can responded with a smile, he rarely put on airs in front of other doctors and nurses.Unless you meet the kind of stalker with a thicker skin than a city wall, then you have no choice but to keep a cold face.

"I heard that the Department of Cardiothoracic Surgery received eight critical and difficult cases today. Is it true?"

"Of course it's true! There are many patients and family members looking for you to see a doctor! Just now, a family member said that he would like to thank you in person. I told her that you may not come here until after seven o'clock in the afternoon."

The nurse girls stopped their work and looked for opportunities to talk to Zhou Can.

Even if you don't want to have a relationship with him and get to know him better, if you need Zhou Can's help in the future, it's easy to talk.

For example, if one of their family members unfortunately falls ill, and it happens to be a disease in the field of cardiothoracic surgery, they can ask Zhou Can to take special care of them and help them perform the surgery.

Especially for some patients with difficult operations, ordinary doctors may not be able to cure them.

With Zhou Can performing the surgery himself, you can save worry and effort, and greatly reduce the risk of surgery.

You might even save a lot of money.

"When family members or patients give me something and thank me specifically, you can help me shirk it. Tell them, just say that our medical staff should do what we should do to treat patients, and let them not be polite. Of course, if someone asks I am troublesome, you should also help to say more good things, try to let them not complain about me, don't trouble me. Tomorrow I will invite everyone in your nurse station to drink milk tea."

Zhou Can is self-willed when he is rich.

I have never been stingy with spending some small money to build a good relationship with these colleagues.

With a good relationship with the nurses, they can help Zhou Can avoid a lot of unnecessary troubles.

"Hehe, Doctor Zhou is really humorous!"

"Then we're serious, and we'll tell the sisters later."

The three nurse girls were very happy when they heard that Zhou Can invited them to drink milk tea.

"One word from a gentleman, four horses are hard to chase. After counting, give me the list, and I will call the milk tea shop to send it over."

After Zhou Can finished speaking, he waved his hand.

"I'll go to the ward to see some key patients first, and we'll talk next time."

"goodbye!"

They waved back.

Zhou Can came to the inpatient ward and began rounds of some key patients.The main thing is to understand their current physical condition, and to deal with problems in a timely manner.If it is some difficult cases and the cause has not been found yet, more useful information can also be obtained through hospital observation.

Now it's an 'expert', but it's different.

Many patients and family members greeted him actively and enthusiastically when they saw him, and respected him very much.

(End of this chapter)