My medical skills add experience

Chapter 582 Super coincidence, a subversive breakthrough in stabilizing the knife

"Okay, then please...!"

It was the first time that Fu Chachun used the honorific title to Zhou Can, and he was obviously a little embarrassed.

It's like a little daughter-in-law who has just passed through the door and changes her name to mom and dad, always feeling a little embarrassed.

"Okay, this matter has a better solution. Old Fu, if you do something wrong, you have to accept the punishment. You neglected your duty during the operation. This is the first crime. It is the first crime to insult Zhou Can in public and contradict the leader. two."

After Director Lou tried his best to match up, the matter has advanced to this point, and he has no intention of ending it here.

Those who should be punished must be punished.

It's just that Fu Chachun's punishment will not be so severe that he should be fired now.

"I accept the punishment!"

Fu Chachun nodded honestly.

"Suspend the operation authority for a week. If the operation is still not standardized in the future, the operation authority will be permanently cancelled. You publicly apologize to Zhou Can within the department to eliminate the adverse effects. You must be clear about one thing, Zhou Can is now the operator of the operation. The deputy head of the office is your leader, respecting the superior is the minimum criterion for every employee."

After Director Lou got through Fu Chachun's ideological work, he told Fu Chachun mercilessly that Zhou Can was his leader.

"It is acceptable to suspend the operation authority for a week. I just apologized to Dr. Zhou in public. Can I apologize to Dr. Zhou in front of the main leaders of the department instead?"

Fu Chachun still had lingering fears when he thought of the negative impact of writing the review half a year ago.

This time, it hurt his self-esteem to ask him to apologize to Zhou Can in public.

"This matter is not negotiable."

Director Lou directly responded with six words.

Fu Chachun is honest and timid on the surface, but actually quite cunning.He looked at Zhou Can with pleading eyes, looking pitiful.

It's just a pity that Zhou Can has never been a holy mother.

If Director Lou hadn't come forward to solve the problem in person today, according to Zhou Can's temperament, Fu Chachun would definitely have to get out of the emergency room.At the very least, he would be kicked out of the operating room and permanently disqualified from surgery.

Apologizing in front of the doctors and nurses of the whole department is even more indispensable.

At this moment, Zhou Can has come to his senses.

Director Lou's appearance in person can actually be interpreted as a kind of protection for Fu Chachun.

It's like your own child has made a mistake, and if someone else educates him, it must be a severe beating.Educated by parents, although it is also very strict, but mainly scolding.

"I accept!"

Seeing that Zhou Can didn't express anything, Fu Chachun had no choice but to accept the reality resentfully.

"After get off work, I will hold a short meeting of the whole department. I just have something to announce. At that time, you will apologize to Zhou Can in public at the meeting. Go get busy!"

After Director Lou made the final decision, he waved his hand.

The two walked out of the director's office one after another, and many colleagues in the department watched secretly.They found that Fu Chachun was like a half-defeated rooster, with his head down and his face ashen.Zhou Can was the same as before, with a calm expression.

It seems that Fu Chachun lost.

Everyone quietly discussed the department's final handling of this matter.

Unfortunately, the two parties did not reveal anything.

……

In the operating room, a female patient in bed 1 was lying quietly on the operating table.

Because she has a good foundation of trust in Zhou Can, when Zhou Can communicated with her, it went very smoothly.The family members are honest ordinary people. Now that their daughter has a problem with her toes, after listening to Zhou Can's explanation, they just think that they are unlucky and have encountered unavoidable "postoperative complications".

Although their family is not rich, they are still willing to risk another operation for their daughter's health.

Because Zhou Can had a detailed understanding of the situation with Fu Chachun before the operation, after the operation began, he directly loosened the suture of the third toe of his left foot.The severed nerve was successfully found with almost no effort.

In an anatomical diagram, blood vessels are represented by red lines and nerves by yellow lines.

Finding the nerve is not easy for a surgeon without extensive surgical experience.

Because in clinical practice, nerves look like normal body tissue.It is often good at hiding in a piece of muscle, and it is even more difficult to find.

There are many types of nerves, such as the most famous trigeminal nerve, spinal cord, and brain stem, as well as the lesser-known sympathetic nerve, parasympathetic nerve, vagus nerve, autonomic plexus, and so on.

After finding the two sections of the severed nerve, it is necessary to debride the sections first, and then anastomose under the microscope.

It can be seen from this that any surgical operation has an interdependent relationship.

The more surgical skills you master and the higher the level of each surgical skill, the easier it is to succeed in surgery.

The anastomosis of nerves is not only a delicate project, but the effect after anastomosis is often unsatisfactory.

Because nerve cells are the only non-renewable cells in the body.

Non-renewable means it cannot grow and heal.

It can only rely on the connection of the conductive filaments in the neurons to allow the nerve electrical signals to regain circulation.

But even if it is only the tiniest nerve, there are still tens of thousands of tiny nerve bundles inside it, like precision wires.Cutting off the nerve also means cutting off all the nerve bundles that are many times thinner than a hair.

Few surgeons can accurately connect them one by one.

As long as a small part of them is guaranteed to be successfully docked, it is considered a successful nerve anastomosis.

In clinical practice, it is often seen that the spinal cord of the patient is injured and the lower body is paralyzed due to dancing, high fall injury, and car accident injury.There is no way to cure this kind of patients after going to large hospitals all over the country and even foreign hospitals.

The reason is that the repair and anastomosis of nerves are extremely difficult.

With the current level of human science and technology and medical treatment, there is no way to accurately connect the severed nerve bundles one by one.

This is almost an impossible surgical task.

Therefore, after Fu Chachun accidentally severed the patient's third toe nerve, he chose to ignore it.

The first must be the fear of taking responsibility for the accident.

Secondly, it is also because the anastomosis rate of nerves is too low.

His surgical skills are so-so, and he doesn't even have the idea of ​​trying to anastomose.

All motor and most sensory nerves in the foot originate from the sciatic nerve.Only the branch of the femoral nerve, known to surgeons as the saphenous nerve, runs through the ankle and the inside of the foot, where it innervates sensation to the skin.

The sciatic nerve divides into two branches, the one that runs straight down is called the tibial nerve, and the one that runs along the outer side is called the common peroneal nerve.

After knowing the general branch of the foot nerve, it is not difficult to find out the reason why the third toe loses the functions of flexion, pain and touch.

To put it bluntly, the nerve from the sciatic nerve to the third toe was cut off at the third toe.

Putting it back could potentially restore movement and sensory function to the patient's third toe.

Zhou Can's current anastomosis has been promoted to the sixth level, which is the primary level of the director.It is very awesome.

In addition, he has a high talent for nerve anastomosis, and he is like a god when operating.

It’s hard to say, but when the broken nerves are anastomosed, it’s as if they’ve been done billions of times. Every movement, how the nerves are connected, is so familiar that it can’t be more familiar.

And every stitch is just right.

He knew that whether the nerve function of this toe was restored, it carried a girl's dream.

So, he pulled out all the stops.

During the treatment, he could feel that there seemed to be an invisible force helping him.

This invisible power is particularly mysterious, like a blessing to the soul, making every operation of him more precise and satisfactory.

After nearly two hours, the operation was over.

It was originally just a minor operation, but it took Zhou Can nearly two hours.This is enough for him to complete a difficult level four major surgery.

He, a well-known sharp knife player in Tuya Hospital, performed the slowest surgery for the first time in a record.

Because the anastomosis of nerves needs to be extremely precise, even if there is only one stitch that is not sutured properly, all previous efforts may be wasted and the effect of the operation will be greatly reduced.

During the whole operation, Zhou Can only felt like he was piling up towers.

The higher the pile, the more dangerous it is.

If any block is not stacked properly, it may cause the entire tower to collapse.

Slow and steady are twin brothers.

This is the surgical experience Director Hu Kan told Zhou Can.

Before, he didn't quite understand.

Because after his own experiments, he is fully capable of achieving both speed and stability without delay.

He didn't really understand the true meaning of Director Hu Kan's words until he completed the slowest operation in history.

"The slower the more stable!"

This is his latest understanding of the knife stabilization method, and it is also a subversive understanding.

Because before this, he always thought that as long as it was stable enough, even if the speed was increased appropriately, it would not affect the stability.In actual operation, he has been verified countless times, and all of them are successful.

"Am I stepping into the second advanced realm of stabilizing the knife?"

Seeing mountains as mountains is the first realm.Seeing the mountain is not the mountain is the second realm.Seeing mountains or mountains is the third state, and it is also the highest state of returning to simplicity.

After the operation, Zhou Can had a new understanding.

[You successfully completed a nerve anastomosis operation, and obtained a qualitative breakthrough, anastomosis experience +1, reward anastomosis experience +10000. 】

[The experience value reward of steady knife method +10000. 】

[The heart of benevolence and special medical skill experience +1. 】

He was very pleasantly surprised to see these additional experience points after the operation.

It is a certain confirmation of what I just thought.

He can clearly feel the qualitative breakthrough of matching this nerve.Rewarding [-] anastomosis experience points is very reasonable.

Even, he felt that even if [-] blood vessels, nerves or intestines were anastomosed, such a big breakthrough would not be possible.

It's really a qualitative improvement.

What it's like to jump from Bronze to Silver.

It was an extra surprise to reward [-] experience points for the Steady Sword Technique.

That's because he has a new understanding and a deeper understanding of Wen's understanding.

Looking at the mountain is not a mountain. He used to think that speed can also guarantee stability, but it was overthrown.

With such a major comprehension of the Steady Sword Technique, it should be rewarded with [-] experience points.

Facts have proved that it is not necessary to hold a scalpel for dissection to increase the experience value of stabilizing the knife.When performing other medical operations, there is a new breakthrough in the comprehension of stability, which can also improve the stability of the knife.

This also made Zhou Can more convinced that all laws in the world are interlinked, and that all roads can lead to Rome.

This has been verified not only by him, but also by other doctors.For example, Jiang Wei, through the combination of reading and clinical practice, also promoted pharmacological syndrome differentiation to the director level at a young age.

The experience value of the compassionate heart medicine skill has also increased by 1.

Although the addition is not much, it is of great significance.

He vaguely guessed that in the process of nerve anastomosis, he was assisted by a mysterious force, and it is likely that the heart of benevolence is playing a unique role.

This medical skill is very special, and it seems to be specially used to help his soul.

"Okay, push it back to the ward and take good care of it! I will pay special attention to it during my daily rounds."

After Zhou Can completed a small toe nerve anastomosis operation, he was so tired that he was about to collapse.

Just now he was concentrating on performing the operation on the patient, and he put all his body and mind into the operation, which made him ignore the consumption of his body at all.

The consumption of energy and physical strength is too great.

"Boss, it's time for dinner. Shall we go to eat first, rest and then perform surgery or what?"

Ma Xiaolan asked.

"Listen to you, everyone has worked hard, let's go eat first!"

When Zhou Can performed this nerve anastomosis operation, the two doctors under him were not idle.

Together they do what they can.

I also made three sets in two hours, which is quite good.

It's just that Yang Zhi and Pu Dingdong don't have the talent for sharp knife, and the operation speed is affected by Zhou Can, which is faster than ordinary doctors.But fast enough.

Zhou Can did not recruit a third doctor into the team for a long time, and he did have multiple considerations.

Luo Shigen, who had been with him for nearly a year, had already said hello, and came to find Zhou Can to return to the team after three years of regular training.

Zhou Can is a person who is very affectionate and loyal. Every time he wants to recruit someone, he will silently reserve a place for Luo Shigentle in his heart.

Also, he had to consider inheritance issues.

Whether it's Dr. Xu's fast swordsmanship or Director Hu Kan's steady swordsmanship, someone needs to inherit it.

Director Hu Kan's steady sword technique has been passed on to many people, but Zhou Can is the only one who has really reached a high level.

Director Xueyan also has certain attainments in the field of stabilizing swordsmanship, but is much inferior to Zhou Can.

There is another person who has made great progress, and that is Jin Mingxi.

This guy is good at cheating, performing surgery, and practicing steady knife skills.It's kind of talented.

It's just that he doesn't have a medical skill experience point system, so the advancement of the steady knife technique is far from being comparable to Zhou Can's.

Currently in rapid progress.

There is still a long way to go to achieve certain achievements and the ability to independently preside over tertiary surgeries.He was originally an attending physician, so it was easier for him to win the title of deputy senior than Zhou Can.

After all, the working years required to hit the subtropical high school have already reached the standard.

What Zhou Can lacks the most at present is the number of working years.

However, as long as the academic qualifications are upgraded, the requirements for working years can be greatly shortened, so it is quite worth looking forward to.He is now in graduate school and is learning very quickly in the field of orthopedics.

As for the clinical operation, hehe... It's not a problem to directly hit his mentor in multiple fields.

It is estimated that by the time he finishes his postgraduate studies, Tuya's orthopedics department will have another strong player.

Director Shen has already spoken, hoping that one day, Zhou Can can also open an outpatient account in the Department of Orthopedics just like he helped the Department of Pediatrics.

(End of this chapter)