My medical skills add experience

Chapter 57 The fifth advanced medical skill

"I understand why Tuya's interns seem to be on the hook! Every hard work reaps the rewards. From you, you can see how hard-working Tuya's interns are! No wonder I worked so hard to take the exam. It took six years to finally get Tuya's regular training qualification. Because my opponents are not only social doctors with rich experience in diagnosis and treatment, but also a group of extremely monstrous interns!"

Jin Mingxi gained a deeper understanding of Tuya Hospital after seeing Zhou Can's surgical practice table.

Even interns can be so strong.

The strength of those attending and chief physicians is absolutely terrifying.

In such a big environment with strong people like clouds, it is more conducive to his growth.

As long as he can survive, he will definitely be able to quickly improve his medical skills in all aspects.

After the simple greetings between the two, they each went their own way.

Jin Mingxi continued to write the operation summary, while Zhou Can simply recorded some key problems in the operation, such as mistakes in anastomosis of blood vessels, and some areas that can be improved during the operation.

Then use the seamless suture method taught by Dr. Xu, and briefly record it with words and drawings that I can understand.

Now it's just a matter of mastering the method.

There is still a long way to go to truly master this suture medicine.

Even if he wanted to practice, he had to wait for his suturing skills to be promoted to the attending level.

After writing the necessary surgical summary, he took out the soybeans he bought home, set up the molds, and began to practice the implantation.

This bionic mold is specially designed for doctors to practice implantation.

On the way to the insertion point, anti-human obstacles were set up one after another.

Moreover, there are nearly forty insertion points on this mold, and their insertion difficulty is divided into several levels.

For the two most difficult insertion points, even though Zhou Can has a third-level insertion technique, he still trembles at the double-strand battle.

It is estimated that at least level [-] implantation is required before you can try to challenge it.

He took the long arm forceps used for surgery.

The reason why it is difficult to insert is that its operation is often operated with long arms.Even sometimes relying on only one guide wire for traction, the operation is very difficult, as you can imagine.

Practice placement, usually initially with tweezers or toothpicks.

In the hospital cafeteria, you can often see doctors eating with two toothpicks.

What they practice is the basic skills of surgery.

Zhou Can's implantation has reached the level of a resident doctor, so he no longer needs to practice with toothpicks and tweezers.

Instead, challenge the more difficult long-arm clamp.

If you practice this well, you can lay a good foundation for future minimally invasive surgery.

Various tools such as rongeurs, rotary cutters, needle holders, and curettes used in minimally invasive surgery belong to long-arm manipulation.

He holds the long-arm tongs to pick up the beans in the pot.

These are dried soybeans.

The texture is hard and the skin is slippery.

The difficulty of gripping is quite high.

After trying more than ten times in a row, I finally managed to get one out.

The main reason is that the arm of the long-arm pliers is close to [-] centimeters, and it is particularly difficult to operate.In addition, the beans are smooth, so it will lead to multiple clamping failures.

If it was replaced with a toothpick or short tweezers, Zhou Can was sure that he would be able to clamp it firmly once.

【Congratulations on getting the grasping technique!Advanced medical skills, which can operate tools such as forceps and tweezers in surgical instruments to clamp and grasp objects or human tissues. 】

Zhou Can was excited when he saw this brand-new medical skill.

Another advanced medical skill, this is the fifth one.

[Gripping technique, level three, current experience value 0/1000.Inferior level of resident medicine. 】

Not bad, as soon as it appeared, it reached level three.

The application scenarios of this medical technique are also very wide.Almost all high-end surgeries require it.

It is a required skill for high-end surgery.

Clamp the soybean firmly, and slowly place it into the first practice point in the bionic mold.

Hit it once!
[Gain experience value 0.001. 】

Seeing how little experience points Zhou Can had, a black line appeared on his forehead.

Now he has figured out the routine of the experience point system.

The practice is too simple, and it will use this kind of beggar-style very little experience to correct Zhou Can's 'laziness'.

The difficulty of the first five insertion points on the bionic mold is really low.

Suitable for beginners like interns.

He is now at the level of a resident doctor, and practicing the insertion that is only as difficult as an intern doctor is simply inferior.It's no wonder that the system will give punitive very little experience points.

He grabs again.

It was a little better than the first time, and it only took eight times to successfully pick up a soybean.

[Gripping skill experience value +0.1.] This time, I directly choose to place it at the placement point of medium difficulty.

After a lot of effort, it was finally placed into the target slot.

[Insertion experience +0.1.]

He couldn't help sighing, it was really not easy to earn the 0.1 experience points of implantation.

All beginnings are hard.

Hope to practice more times, the efficiency can be improved!
Every insertion point on this bionic mold is actually set by simulating the real structure of the human body.For example, the seventh insertion point is the only way for gastroscope exploration. The No. 14 insertion point is a similar structure to the left branch of the coronary artery.

In the future, when patients are operated on, they will almost always be encountered.

In actual surgery, it is definitely more difficult than mold practice.

So you have to practice hard now, and you will be able to catch it when you come to the operating table in the future.

He practiced picking and placing over and over again.

Practice makes perfect.

Gradually, his movements became smoother and his efficiency quietly improved.

The failure rate of using long-arm pliers to grasp soybeans dropped from about 8 times to about 6 times.The placement success rate can reach almost 80%.

After practicing for nearly two hours, his grasping experience value increased by 7.8 points, and his insertion experience value increased by 6 points.

Compared with the experience value of real surgery, it is quite slow.

However, it is also a good choice to improve medical skills such as this kind of medical skills that are difficult to get training opportunities at the current stage, relying on accumulated practice.

Looking at the time, he stopped the two exercises of grasping and placing.

There are ten white mice beside it.

200 yuan a piece, a full 2000 yuan was spent, so it can't be wasted.

These white mice are mainly used to practice the three medical skills of hemostasis, incision and separation.

As for suturing and ligation, you can get a lot of practical opportunities in the operating room every day, so there is no need to spend five times more time on white mice.

After the ten white mice were given group anesthesia by him, one of them was caught out at random.

Put it on its back on the wax table, fix the limbs, and start practicing the three medical skills.

Anatomy!

[Cutting experience value +0.2.]

After successfully cutting a surgical wound, blood gushes out from multiple parts of the wound immediately.

The electric coagulation knife clicked over immediately.

【Hemostasis experience value +0.2.+0.2.+0.2...】

The speed of earning experience points for hemostasis ranks first, and no medical skill dares to rank second.

After an operation window was cut in its abdomen, the wound was pulled to both sides with a hook to expose the field of view of the abdominal cavity operation.Then aim at the pile of intestines, and start practicing separation medicine.

Under his control, the scalpel flexibly separated the cecum from the colonic band.

[Separation experience value +0.2. 】

The hand slipped, the force was not controlled well, and the intestines were accidentally cut.

The contents of the intestines spurted out.

He was so frightened that he hurriedly performed a ligation.

However, the feces ejected from the intestines still polluted the abdominal cavity of the white mice.

Fortunately, this is just a white mouse. If it is performing appendix surgery on a patient, it is unimaginable.This is definitely a serious medical malpractice.

The abdominal cavity is polluted by fecal fluid accumulated in the intestine, and the consequences are extremely serious.

Because the contents of the intestinal cavity are highly irritating, it will cause dehydration, fever, and even toxic shock in patients. It is likely to cause death of patients.In addition, the peritonitis and various complications caused will be life-threatening.

After he ligated the stump of the intestine, he finally managed to control the situation.

[Ligation experience value +0.2.]

I felt that this section of intestine was cut and ligated anyway, so it was better to just cut off the end that connects to the rectum.

Knife up and down.

Successfully severed the intestines of white mice.

In this way, most of the intestines can be easily lifted out of the abdominal cavity for surgery.

[Cutting experience value +0.2.]

Zhou Can was a little confused.

In this way, you can also get 0.2 cutting experience points?
How does it feel like a bug in the experience value system has been discovered.

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(End of this chapter)