My medical skills add experience
Chapter 87
Chapter 87
When Zhou Can changed his clothes and came out, Dr. Xu had already left.
Zhou Can walked out of the operating room, thinking in his mind that he would buy ten more mice and go home to practice his surgical skills.
Strive to upgrade the incision to the middle level of resident medicine.
In fact, his experience value of separation technique has also reached the third level 520.2/1000.Just shy of 80 or so to move up to mediocre.
The importance of this medical skill is even higher than that of incision.
It is needed to peel off various diseased tissues and tumors.
Jin Mingxi caught up from behind.
"Doctor Zhou, I have known you for so long and I have never invited you to dinner. How about I treat you tonight?"
Zhou Can turned to look at him.
"Why do you suddenly want to invite me to dinner? I'm afraid I won't be able to stay for two days and leave?"
Living together with Jin Mingxi, there is no gap when joking around.
"Haha, your brain circuit is really special. I just wanted to celebrate your safe return, but you... I'm really speechless! Haven't you passed away yet?"
Jin Mingxi rubbed his forehead and laughed.
"I don't think I'm the only one with a very special brain circuit. Does it have anything to do with whether I've broken my body?"
Zhou Can scratched his head and couldn't figure out the connection between the two.
"If you haven't broken your body, then you are a virgin. Of course it is childish!"
When Jin Mingxi said this, Zhou Can suddenly realized.
He couldn't help but also laughed and said, "Haha, what era is this, and you still practice feudal superstition! Don't worry, my matter is over, it's impossible to stay for two days and leave!"
He found that Jin Mingxi looked at a very silent person, and let go when chatting, which was quite humorous.
Zhou Can glanced at the time on his phone, "It's still early, I'll buy a few white mice and go back to the apartment to practice surgery for a while, how about going to dinner around six o'clock?"
"Can you stop working so hard? Those of us who were admitted to the hospital at the same time are very stressed!"
Jin Mingxi thinks she is pretty good, but compared with Zhou Can, a monster, she can only watch helplessly being left behind by him.
"If you don't work hard, you can't do it! All of you must have rich work experience or high academic qualifications. I don't care what I want. If you don't work hard, you will really only be eliminated."
This is really not an exaggeration.
Tuya's regular training recruitment is getting more stringent year by year.Especially this year, affected by many aspects, it is too curly.
Many high-end talents with more than ten years of work experience and even a master's degree have failed to make it into the top [-].
Three or four graduate MDs were eliminated.
Zhou Can's undergraduate education is the lowest.
Almost no work experience.
If you want to carve out a world among so many strong people, if you don't work hard enough, even with the medical experience system, it will be useless.
"Dr. Zhou, Dr. Zhou, there are patients and their family members looking for you. They have been waiting for almost two hours." A nurse ran over and told Zhou Can, pointing to the rest area.
Zhou Can turned his head and saw a middle-aged couple sitting on a row of chairs for patients to rest.
He didn't know the well-dressed middle-aged woman.
But he recognized the man in the hospital gown at a glance.
It was the patient with acute myocardial infarction encountered in the last regular training exam.
He felt very relieved to see the patient recover.
He immediately walked over quickly.
The middle-aged man also recognized him, and immediately stood up with the support of the middle-aged woman, looking at Zhou Can with a grateful smile on his face.
"Doctor Zhou remember me?"
"Remember! You are the patient with acute myocardial infarction! How is your body now?"
Zhou Can asked with concern.
"I had the operation, because the treatment was timely, and the attending doctor said that my recovery is quite good. I was discharged from the hospital today and I am going to go home to rest."
Patients discharged from the hospital within three to five days of myocardial infarction surgery are generally in good condition, indicating that no extensive necrosis of the myocardium has occurred.
More severe cases usually require hospitalization for about two weeks.
If conduction cannot be restored after surgery, a pacemaker needs to be implanted, and the hospital stay will be longer.
"You can be discharged from the hospital so quickly. The situation is very ideal. After returning home, you must follow the doctor's advice and rest more." After hearing this, Zhou Can felt happy for the patient.
"I was able to regain this life and recover so well, thanks to your help! No, after leaving the hospital, my wife and I immediately thought of coming over to say thank you in person."
After the middle-aged man finished speaking, his wife smiled and nodded to Zhou Can.
"The chief surgeon told me that if I was sent three minutes later, I might die. Even if I could be rescued, the prognosis would be very unsatisfactory. My old Cui is not familiar with the hospital's treatment process, and he is a strong person. If it is not for your help Let him go to the emergency department for quick treatment, and he will stand in the outpatient hall stupidly in line, and the consequences will be unimaginable."
The middle-aged woman speaks in a leisurely manner, with a graceful and luxurious demeanor.
The smile on the face is even more like a spring breeze.
"Doctor Zhou, on behalf of Old Cui, on behalf of our whole family, thank you!"
She pressed her neckline with one hand, and bowed to Zhou Can instead of her husband.
"I just did what a doctor should do, you don't have to be polite! Speaking of thanks, I can't thank you for reporting the situation to the hospital leaders in time and helping me clarify the lateness! If you didn't help me clarify in time, I can only lose this year's regular training recruitment opportunity."
Zhou Can is also grateful for their kindness and gratitude.
Kindness given to the right person is called kindness.
Giving it to the wrong person is called hurting.
"Speaking of this, I didn't know about it at first. Before the operation, Lao Cui told the nurse to tell me about it, and then asked me to find the hospital leader to clarify it in time."
she explained.
"At that time, I thought, I can't delay this guy's future!" Mr. Cui looked at Zhou Can. "You were late for the exam because you saved me, didn't it affect you too much?"
"At first, I was blocked by the examiner from entering the examination room. Later, the medical department came forward to clarify for me, and the examiner let me in. The hospital also gave me an extra [-] points for medical ethics."
When Zhou Can talked about that day, he was filled with emotion.
Good people get rewarded in the end.
"That ten points is too right. You, an intern, dare to take the huge risk of being late for the exam to save an irrelevant person. This kind of golden virtue should be highly praised."
Mr. Cui was very happy to hear that the result was not bad.
"Oh, that's right! Can Dr. Zhou give us his private phone number? It's fate that we know each other, and you are my savior. I'm a little older than you, so I hope we can visit often in the future."
Mr. Cui and his wife can be seen as well-educated and qualified people.
Zhou Can is very happy to be able to make friends with such a person.
Immediately gladly informed the other party of the phone number and saved the phone number.
"If you're not afraid that I will cause you trouble, you can add a WeChat account, and it will be more convenient to chat in the future." Mr. Cui said with a smile.
Telephone chat is more direct, and WeChat chat has a certain buffer space.
Calls are generally for urgent matters, or work needs, business contacts and the like.Look serious and formal.
WeChat chats are more casual.
"Okay!"
Zhou Can readily agreed.
People are willing to take the initiative to make friends with him, which is to think highly of him.
Adding WeChat and saving each other's phone numbers means that the relationship between each other has taken a big step closer.
"I should have invited Dr. Zhou to have a light meal. My body has not fully recovered, and I can't drink alcohol. I have to refrain from eating a lot of things, so it would be a lot less fun. Wait until I fully recover, and then invite you .”
Mr. Cui asked him for his phone number, probably just to invite him to dinner in the future.
"Okay, I won't waste your time. My family owns a foreign trade company, and now I'm sick, and my son is abroad again. My wife is responsible for everything."
Opening a foreign trade company can make a lot of money if you do well.
And it's foreigners' money.
"So my sister-in-law is so capable! No wonder she looks like a strong woman!"
Zhou Can boasted with a smile.
Gifts of roses, hand a fragrance.
Appropriately praise others more, in fact, there are many benefits, and it is easier to gain the favor of others.
"Hehe, are you complimenting me or hurting me? Strong woman is a double meaning now."
She covered her mouth and chuckled.
"Of course it's a compliment! Sister-in-law is such a gentle, considerate and capable woman, I'm afraid no derogatory term would dare to use it on you."
Chat sometimes has to improvise.
Otherwise, it will be cold every minute, or even capsize.
"Haha, Doctor Zhou is not only benevolent and skilled, but also has first-rate skills in boasting! Let's go, goodbye!"
She smiled happily and waved her hands, helping Mr. Cui to leave together.
……
On the way back to the apartment with 8 mice, Zhou Can was in a particularly bright mood.
When the haze is cleared, it will be extremely peaceful.
His life has become brighter after going through this storm.
Considering that Jin Mingxi wanted to invite him to dinner, it would definitely delay some time, so he deliberately bought two less white mice.
In the apartment, Zhou Can greedily earns a steady stream of medical experience points from the little white mice.
Jin Mingxi is still persistently practicing knotting.
Slices of white tofu were ruined by him.
Even for surgeons, everyone's main direction of operation will be different.
If Zhou Can didn't have an experience point system, he might be like Jin Mingxi, in addition to practicing the four most basic medical skills, and then choose one or two surgical directions as his specialization.
Don't look down on knotting, you can also become a famous surgeon if you practice well.
It was around 40:[-], when Zhou Can consumed the third mouse, Jin Mingxi invited him to a small restaurant for a sip.During the period, the two drank seven or eight bottles of beer.
The last time I saw Jin Mingxi was drunk after attending a class reunion, I thought he couldn't drink well.
Hey, I didn't expect that I really underestimated people.
After five bottles of beer, Jin Mingxi still acted like a normal person.
Zhou Can only found out after asking.
At the last class reunion, because he blocked a lot of wine for the female classmate named Ye Zi, the three male classmates were dissatisfied, so they joined hands to punish him.It is enough to propose to drink white plus red.
The so-called white plus red is a mixed wine.
In the end, Jin Mingxi fought three against one and was almost fucked to the point of stomach bleeding.
The three of them were all brought down by him, and he was also drunk after being sent back to the apartment by Ye Zi.
From this point of view, under Jin Mingxi's gentle appearance, there is also a bloody side.
Zhou Can and him got closer through eating and drinking this time.
After returning to the dormitory, Zhou Can devoted himself to medical practice again.
Around 20:[-] in the evening, he received a message.
Click to view.
It was sent by Yang Chan.
"Just after surgery, you'll be fine!"
I thought she was very cold and would not reply to messages.
But even after replying to the message, there was still a hint of aloofness in the content.
"Thank you for everything! (Rose)"
Zhou Can knew in her heart that she had put a lot of effort into this matter.
Director Zhang Bihua was willing to speak up for Zhou Can because of her face.
In terms of the weight of discourse, two Lou directors may not be as good as one Zhang Bihua.
As for why a dignified head of the obstetrics and gynecology department valued Yang Chan, an intern doctor with a bachelor's degree, no one knew the reason.
The only way to know is to ask the parties.
"You're welcome!"
She replied with three words.
That is really cherishing words like gold.
Based on Zhou Can's understanding of her, the chat should end here.
He once again devoted himself to tireless medical practice.
When all eight white mice were consumed, his incision and separation skills had all risen to the average level of a resident doctor.The experience value of ligation is 894/1000 for the third level.
Already far ahead of sutures.
As long as he buys another ten white mice to practice at home tomorrow night, ligation will definitely be promoted to level four, and will become his second main medical skill.
This speed of progress is really frightening.
You know, he has only been trained for a few days.
Incision surgery has finally risen to the intermediate level of resident medicine. If you have the opportunity tomorrow, you should be able to ask Dr. Xu for a first-level surgery anatomy opportunity to show your strength.
However, such opportunities in the emergency department are quite rare.
General surgery has the most incision practice opportunities.For example, lipoma cutting, hemorrhoid cutting, and so on.
……
Going to work the next day, Zhou Can deeply felt what it means to be cold and cold in the world.
Only a few people such as Ye Tingting and Dr. Luo still warmly greeted him.Many colleagues in the emergency department deliberately kept a distance from him.
That kind of alienation cannot be seen or touched, but can be truly felt.
This is the real adult world.
He was not affected at all, everyone was just colleagues in the same department, it was impossible to ask everyone to focus on him and lick him unconditionally.
A few days ago, when he became popular in the emergency department, everyone saw his amazing development potential, so they naturally wanted to build a good relationship.
In the future, if you ask for something, you can talk to each other.
Many doctors and nurses have been in this system for a long time, and they are actually very clear in their hearts who are easy to get promoted step by step, and they need to look up to them in the end.Who are those who just eat their own food and live an ordinary life.
This time, Zhou Can was suspended from the medical department without any warning. Coupled with Dr. Lu's broken mouth, he was stalking the wind and spreading rumors everywhere.
In the end, many colleagues thought that Zhou Can had offended a certain leader of the hospital and committed a serious crime.
It was normal for everyone to avoid him.
It's just that these people probably never imagined in their dreams that Vice President Bai, who put extreme pressure on Zhou Can, now owes Zhou Can a debt of favor.
The relationship with Zhou Can, not to mention very close.
Not bad at least.
It's even more nonsense for the two to have a feud or something.
Vice President Bai not only suppressed him again, but also provided some help and care within his ability.
If these people knew the truth, they would probably come to lick him again.
But Zhou Can had already seen clearly and looked down on this kind of flattery.He does not need it.
It is more in line with his desire to grow silently and become stronger now.
Entering the operating room, Dr. Lin and Dr. Xu are on duty today.
"Morning, Doctor Lin!"
"morning!"
Doctor Lin nodded, with a lukewarm attitude.
It's a little better than those who avoid Zhou Can and deliberately distance themselves.
Naturally, Zhou Can would not be overly ingratiating, he just needed to hug Dr. Xu's thigh.
Dr. Lin and Dr. Lu are likely to be resident doctors at the age of 40.At that time, if you are lucky, you will be eliminated to the Second Affiliated Hospital.If you're unlucky, I'm afraid you'll have to find another job in a prefecture-level hospital.
"Xiao Zhou, are you operating alone today or as my assistant?"
Doctor Xu asked.
Gui Peisheng who can get this treatment, Zhou Can is probably No.1.
In addition, Gui Peisheng is secretly happy to get one or two training opportunities such as skin sewing from the superior doctor.
"Surgery alone!"
What Zhou Can has to do now is to upgrade all four basic medical skills to the attending level as soon as possible.
Then as an assistant to Dr. Xu, he will be able to participate in important parts of the secondary surgery.
"Call two more equipment nurses to come in and help, let's start the operation!"
Dr. Xu's position in the operating room of the emergency department is second only to Director Lou.
In fact, Director Lou seldom went to the operating room to preside over the work.
Therefore, Dr. Xu is basically the boss here.
At the same time, he dispatched two equipment nurses into the operating room to help him all day. Doctor Fu absolutely did not have the right to do so.
For Dr. Xu, it was just a matter of one sentence.
This is the difference.
From this point, it can be seen that even if everyone is an attending physician in a department, their status can vary from high to low.
Soon, two equipment nurses walked in.
One is Tian Tian, and the other is Zhou Can's favorite partner Qiao Yu.
Tian Tian's eyes communicated with Zhou Can, then moved away, and walked quickly towards Jin Mingxi.
At work, she seemed rigid and dull in doing things.But as a person, he has a delicate mind. Whether dealing with colleagues or family members, he is very scheming.
Now walking towards Jin Mingxi quickly, he was just worried about being Zhou Can's assistant and getting into unnecessary trouble.
This is exactly what Zhou Can wants.
Jin Mingxi's complexion turned bitter for a while. He cooperated with Tian Tian yesterday, but it was hard to say.
I have a deep understanding of what it means to be a pig-like teammate.
I finally understood why the number of surgeries completed decreased by several as soon as Zhou Can cooperated with Tian Tian.Cooperating with Qiao Yu is like a god's help.
There really is a difference between people.
They are also equipment nurses, but their working ability is very different.
"Doctor Zhou, congratulations!"
Qiao Yu said with a slight smile.
"Thank you!"
Zhou Can was grateful from the bottom of his heart.
When she approached, Zhou Can whispered, "Aren't you afraid of getting into trouble for being my assistant?"
Qiao Yu rolled her delicate eyes.
"Don't say such sad things, can you? In order to be your assistant, I begged the head nurse for a long time yesterday before agreeing to let me work early today!"
The morning shift is also called the day shift.
If it is an inpatient department, only the morning shift nurse is the real person in charge.They are fixed, and they are on the morning shift every day.
Evening and night shift nurses are on duty in turn.
They are called on-duty nurses, and they are quite different from day-shift nurses.The status is not as good as the day shift nurse, and the business is also not so professional.
Because of the special departments in the emergency department, most of the nurses' positions are mobile.
Everyone wanted to work the day shift, and Qiao Yu, a newcomer, hardly had any competitiveness.
It was really not easy for her to ask the head nurse to help transfer a day shift.
He must have said a lot of good things and begged for a long time.
"Don't be angry, just kidding. I invite you to drink ten cups of milk tea as a token of apology, okay?"
Zhou Can quickly apologized to her.
"It's almost there!"
She turned anger into a smile.
Tian Tian, who was not far away, was avoiding Zhou Can just now, keeping a distance from him.
Now that Zhou Can was going to invite Qiao Yu to drink milk tea ten times, she immediately became excited.
"A generous person like Dr. Zhou can't just invite Qiao Yu!"
The vast majority of women love to take advantage of small things.
Tian Tian also wanted to drink ten cups of milk tea with Zhou Can.
"Dr. Zhou's salary is only so little for a month. He just invited all the nurses in our emergency department nurses to drink milk tea, so stop ripping him off! I was just joking with him, and I didn't really ask him to invite him."
Qiao Yu quickly helped Zhou Can speak.
She was worried that Zhou Can would save face, so she agreed to Tian Tian's request.
"No, no, no, a man keeps his word. If I say please, I will invite you. As for Tian Tian and others, it will be the same when I have money in the future." Zhou Can is not a fool with a lot of money.
The last time I promised to invite all the nurses to drink milk tea, it was to build a good relationship with them and get acquainted with them.
This Tian Tian has too many eyes, if he is really taken advantage of, it is the wrong person.
To even wish to enjoy the same treatment as Qiao Yu is simply wishful thinking.
Zhou Can said it beautifully, but in his heart he secretly thought, she deserves it?
"Okay, okay! Then I wish Dr. Zhou a rich man as soon as possible!"
Seeing that she couldn't gather the wool, Tian Tian had to give up.
Qiao Yu enjoyed a different special treatment, and felt like drinking honey in her heart.
The smile on his face became even brighter.
"What flavor do you like to drink?"
Zhou Can asked her.
"Really? Then treat me to a cup of jasmine-flavored milk tea."
She thought about it and said.
People are just that weird sometimes.
Tian Tian's kind of person who has racked his brains to take advantage of it will not get it.People like Qiao Yu who are not greedy are easier to get.
"no problem!"
How could Zhou Can only invite one cup?
I will definitely buy her ten drinks.
While talking, patients who need surgery have been admitted into the operating room one after another.
Another busy day has begun.
Zhou Can has Qiao Yu as his 'golden partner'. It would be really refreshing if the operation is performed quickly and efficiently.
Look at Jin Mingxi again, his unrequited expression can't even be blocked by a mask.
His heart was probably quite broken.
Zhou Can has already had three surgeries, and he only finished one.
This gap is really too big.
"Qiao Yu, help me pay attention to Dr. Xu's side. If you find a simple excision operation, call me."
Zhou Can's incision technique has finally reached the intermediate level of a resident doctor, and he really wants to find a chance to practice.
If I have to describe it, it's a technical itch.
He has lost count of the number of mice dissected.But it has never been tried on patients.
In fact, as long as the incision reaches the lower level of a resident doctor, you can participate in some simple resections.
For example, removing foreign bodies from the subcutaneous tissue, cutting some simple external hemorrhoids, etc.
One patient after another was taken into the operating room and pushed out after the operation was completed.
The opportunity Zhou Can was waiting for never came.
When getting off work, a middle-aged woman whose face was swollen into a bulldog was pushed into the operating room.
At this moment, Zhou Can has no surgery left in his hands.
Jin Mingxi's operation is finishing.
Because Dr. Fu will come over soon to take over the shift, and since Dr. Fu is unwilling to get too close to him now, he is afraid of being implicated.Zhou Can didn't want to make the scene embarrassing, so he didn't call in any new surgery patients.
The same goes for getting off work early and practicing medicine with mice at home.
"Hey, the surgery you want is here!"
Qiao Yu whispered to him.
Looking at the woman with a huge swollen face, Zhou Can couldn't help but feel refreshed.
Based on my feeling, the swelling on the woman's face should be something like a lipoma.
"How did she do it? Have you done all the inspections?"
Doctor Xu asked.
"The inspections are all in place, and this is the result of the relevant inspections. She has acne on her face, and she became like this after being picked with an acne needle. Doctor Luo checked and said there was an abscess inside."
The nurse briefly explained the situation.
Picking pimples has its own risks.
Because acne usually grows on the face.
The blood circulation in the face is very rich, and the criss-crossing blood vessels shuttle through the facial muscles.
The superficial veins join the deep veins and enter directly into the venocavernous sinus of the cranium.
The most frightening thing is that there are no venous valves in the facial veins to prevent blood backflow.
When the muscles contract, blood can flow back into the brain, the heart, and then all organs throughout the body.
I believe that many people have heard of the dangerous triangle of the face.
For example, the upper lip under the nose is particularly prone to rashes, blisters, and acne.At this time, if someone squeezes them hard, it may cause pus to pour into the blood and invade the heart along with the veins.
The consequences of this will be very serious.
Doctors have repeatedly publicized that the rash and blisters in the danger triangle should not be squeezed, but there are always some people who don't take it seriously.
Zhou Can has seen a real case. A 19-year-old guy was admitted to the ICU because he squeezed a pimple on his upper lip, but he couldn't be rescued and died in the end.
Luck can really kill people.
The opportunity for incision surgery that Zhou Can had been waiting for finally came.
I was very excited.
But he had dealt with Dr. Lin.This kind of operation, Dr. Lin must rush.
If Doctor Fu was on duty, Zhou Can would definitely have no chance.
It is my own teacher who is on duty now, so there is a lot to do.
As long as Dr. Xu is sure that he really has that surgical ability, he will definitely give him this training opportunity.
As for Dr. Lin, there is a high probability that he can only watch from the sidelines.
After all, there is no difference between intimacy and distance.
"Teacher, she should undergo superficial tumor resection!"
Zhou Can looked forward to the examination results with a shy face.
Then take the initiative to express surgical views.
Dr. Xu took him with him for several days and got to know him to a certain extent.
This kid is not usually so enthusiastic.
He glanced at Zhou Can, "Tell me about your surgery plan."
"According to the examination images, there must be an abscess inside, and the size is not small. First, a small incision is made here to suck out the tumor. Then the wound is enlarged, the internal tumor is peeled off, and finally the tumor is removed. Next, debridement , sewing."
Zhou Can has seen many similar surgery videos on the Internet.
During the internship, I saw the resident general doctor in the general surgery department perform similar operations.
But he was still a young intern at that time, and he didn't even have a chance to help.
You can only stand on the sidelines and learn from the sidelines.
Dr. Xu took a deep look into Zhou Can's eyes, as if he understood Zhou Can's eager eyes.
He said indifferently, "It's up to you to incise and drain the pus! But you must first draw the surgical line."
This is still not very reassuring.
If the blood vessels or important nerves in the face are cut off, causing the patient's facial paralysis, it will be a catastrophe.
"okay!"
Zhou Can really wanted to hold Dr. Xu in his arms and kiss him.
The teacher was really kind to him.
He had never performed an incision on a patient.
Now, the opportunity has finally come.
Even if it is just a small incision of less than 2cm, it is an important step for him.
The patient is guided to lie on the operating table.
Seeing such a young doctor operate on her, I must be reluctant in my heart.This has revealed some from the eyes.
However, due to various concerns, she finally remained silent.
A hospital as big as Tuya has such a high reputation.Even if it is just a young doctor, his medical skills must not be too bad.
It is much better than local small hospitals.
"This is the scalpel position to drain the pus! This is the scalpel position to expand the surgical wound and remove the internal tumor after the pus is drained."
Zhou Can drew the position of the knife.
After Dr. Xu saw it, his eyes showed admiration.
The knife position avoids important blood vessels and nerves, and is relatively cautious and conservative.
This attitude of putting safety first made Dr. Xu very satisfied.
"The knife position is well drawn, let's start!"
Zhou Can was not in a hurry to start.
"Can you ask Qiao Yu to be an equipment nurse for me? I have cooperated with her for a long time, and I have a high degree of tacit understanding, and the operation will be done more smoothly." Zhou Can asked Dr. Xu.
This kind of opportunity is very precious to Zhou Can, in fact, it is equally precious to Qiao Yu, a regular training nurse.
She is just a supplement to the operating room nurse.
If it weren't for Dr. Xu's bold delegation of authority to Zhou Can and Jin Mingxi recently, they would have to operate alone.It is difficult for Qiao Yu to enter the operating room several times a month.
Even if they are transferred to the operating room, they often act as nurses on tour.
Those experienced instrument nurses would definitely look down on instrument delivery for such a minor operation.
Qiao Yu needed it very much.
A gleam of splendor flashed in her beautiful eyes, and a surprised expression flashed across her face.
It seems that Zhou Can will help her progress together.
"can!"
Doctor Xu nodded in agreement.
Tang Ling naturally acted according to the face of the chief surgeon.
Seeing that Dr. Xu agreed, she immediately stepped aside and said with a smile, "Qiao Yu, stand here! If you don't know anything, you can ask me anytime!"
Tang Ling is honest and kind, and she does things in a down-to-earth manner.
These are her advantages.
"Thank you!"
Qiao Yu nodded to her with a grateful smile.
For the first time, I took the position of the chief surgeon and deputy first on the operating table.
A powerful equipment nurse, her role is not inferior to Yisuke.
After she sterilized the patient's operating area, she first sucked the prepared local anesthetic into the syringe, then exhausted the air, and handed it to Zhou Can.
His injection technique has already reached the third level, and he is quietly moving towards the middle level of resident medicine.
Because the area requiring surgery is relatively large, Zhou Can chose to inject anesthesia from six different points.
"Can you still feel the pain?"
He waited for a while, guessing that the anesthetic had taken effect, and began to conduct a small test.
"No pain!"
The patient's speech has become a little awkward.
This is caused by extensive anesthesia on the face.
A sharp lancet was handed over to Zhou Can.
Her cooperation is always so tacit.
The two began to cooperate to operate on the patient.
Zhou Can took the knife with sharp eyes, focused expression, and calm movements.
The knife in his hand crossed the drawn knife line impartially.
A little blood came out, but more of it was stinky pus.
Zhou Can quickly sucked it up with the aspirator.
He didn't care about the microbleeding of the surgical wound.
A little bleeding from this suppurative part is beneficial.
It can drain the toxins and pus that may potentially be in the blood.
After the pus was sucked out, the swelling on the patient's face did not drop too much.
This shows that the volume of the tumor inside is not small.
"This tumor is a bit big! Dr. Xu, can you leave it to me to remove it?"
Doctor Lin really made a move.
In the face of interests, no one will be polite.
He first emphasized that the tumor was very large, and the subconscious meaning was that the task of removing it was absolutely impossible for a rookie like Zhou Can.
Then it was logical to ask Dr. Xu to entrust him with the operation.
Compared with Dr. Lu, Dr. Lin speaks more politely and takes Zhou Can's feelings into consideration.
I will not directly say some offensive words to suppress Zhou Can.
The two sides can barely be regarded as a fair competition.
Of course, interpreted from another angle, Dr. Lin must be bullying the small with the big.
He has been a resident doctor for four years, so he is considered an old man.
Zhou Can is just a newcomer, Ji Peisheng.
The status and work experience of the two parties are all unequal.
But if a newcomer wants to stand out, it is so cruel.It is equivalent to a wolf snatching meat from a lion's mouth.
"Look first!"
Dr. Xu gave him a cold look, and was so frightened that Dr. Lin didn't dare to grab him any more.
It is estimated that after this time, Dr. Lin has somewhat recognized the reality.
"Xiao Zhou, you continue!"
In front of the patient, there are many things that are inconvenient to say.
It can only give some vague hints.
"Ok!"
Zhou Can was overjoyed.It seems that the incision just now has been preliminarily approved by Dr. Xu.
Qiao Yu had already handed over the scalpel.
After receiving the knife, he carefully enlarged the wound to about 4.5cm, then looked up at Dr. Lin.
"Please ask Dr. Lin to pull the hook for me!"
"Row!"
Dr. Lin readily agreed, and took the flat hook to enlarge the wound.
The situation inside is revealed to everyone.
The suppuration is actually not serious, just superficial and slight suppuration.What really caused the patient's facial swelling was a tumor with a diameter conservatively estimated to exceed 3cm.
It doesn't look like a sebaceous cyst.
The whole body is light yellow, a bit like chicken fat.
The specific nature may need to be cut out for pathological examination to know.
"Picking the acne might just be the trigger. The tumor could already be there. It gets irritated, then gets infected, and it grows very quickly."
After Dr. Xu saw it, his face was a little dignified.
Every time he encounters a slightly more complicated illness, he basically has this expression.
"Xiao Zhou, tell me about your operation plan."
He had to check for Zhou Can.
Only when he was sure that the operation plan was reliable and safe would he agree to allow Zhou Can to continue the operation.
"First, simply debride the wound, then find the blood vessels at the root of the tumor, clamp it with a hemostat, and then peel off the tumor and surrounding tissues little by little. Finally, resection is performed."
"Well, let me clamp the blood vessel for you."
The incision was not that big, and it was actually a bit crowded for three people to operate it.
It is estimated that Dr. Xu was also worried, so he personally helped Zhou Can clamp the blood vessel.It is convenient to stop or guide at any time.
Zhou Can's hemostasis is at the attending level, which provides him with great help in finding blood vessels.
After debridement, I turned around along the tumor, and soon found the root blood vessel.
Generally speaking, all tumors are capable of continuous growth and have blood vessels to feed them.
This tumor just happened to grow on the face, otherwise it would be a small tumor that is not popular.Compared with those huge liver tumors with a diameter of more than 20cm, it is nothing.
Benign tumors growing on the liver, with a diameter of less than 5cm, are benign. Doctors usually tell patients that this does not need to be treated.
Just check it regularly.
"Teacher, please help me clamp this blood vessel."
Zhou Can directly exposed the blood vessel.
"Tsk tsk! You can accurately find the blood vessels at the root of the tumor so quickly, awesome!"
Dr. Lin next to him couldn't help boasting.
At least he didn't have the ability.
"I am over-flattered!"
Zhou Can smiled humbly.
In terms of hemostasis, even Doctor Fu is inferior to him.Dr. Lin's hemostasis level is at best average among residents, far worse than Zhou Can's.
"It's true." Dr. Xu also nodded in praise.
After clamping the root blood vessel with a hemostat, he did not forget to point out several subordinate doctors.
"If you need to keep the blood vessels, you must be careful when clamping, don't use too much force, so as not to damage the blood vessel tissue."
Many newcomers are prone to make this mistake.
When clamping the blood vessel, I was nervous and worried that the bleeding would not be stopped, so I clamped very hard.
The part of the blood vessel to be removed is naturally no problem.
If the blood vessel to be preserved is clipped like this, it will be easily abolished.
Doctor Lin waited quietly.
Finding the blood vessels at the root of the tumor is only the first step.
The complexity and difficulty of this operation far exceeded that of a first-level operation.
In fact, it is already a second-level surgical level.
He didn't believe that Zhou Can, a newcomer, would be able to do the next tumor separation.
Even he, a senior resident doctor, is not fully sure.
At most, just dare to try.
This is also the reason why he tried his best to win the opportunity of this operation.
In the past, Dr. Xu might not have allowed Zhou Can to participate in such a relatively high-risk operation.
Maybe what happened yesterday also stimulated him.
If it weren't for the fact that there are many big bosses in the department speaking for Zhou Can, it is very likely that Zhou Can is still suspended.Even worse results.
Dr. Xu's position is light and soft, and he can only watch helplessly, and there is nothing he can do.
Therefore, he accelerated the training of Zhou Can.
I want Zhou Can to become stronger faster and increase his status and weight.
I saw Zhou Can hold the scalpel and began to carefully separate the tumor from the surrounding tissue.
One knife at a time, it is accurate and steady, and the knife is in place.
When detached from the surrounding normal tissues, his movements are swift and efficient.When it is separated from the blood vessel, it is pushed forward slowly, with the strength, angle, and process all properly grasped.
"Good boy, you are really generous! This separation technique is at least at the level of a resident doctor. And it is still above the average level of a resident doctor."
Dr. Xu was more pleased than anyone else when he saw Zhou Can handle the knife with ease and grasp the proportions just right.
This kid is really against the sky.
Originally, I just wanted to see how good Zhou Can's incision skills were, and I wanted to see how Zhou Can's separation talent was.
He is ready to call stop and take over the mess at any time.
In the end, Zhou Can didn't give him a chance to stop at all, but gave him a huge surprise.
Fortunately, such a talented apprentice was rescued.
He felt that risking his life to stand up for Zhou Can, everything he did was very worthwhile.
Dr. Lin, who was waiting for an opportunity, was dumbfounded.
My heart is cold and cold.
Zhou Can's separation technique is so good, it is more than enough to be competent for the separation and resection of this tumor.Dr. Lin will never have another chance.
Jin Mingxi has also finished the operation at this moment, and stands by the side with his neck stretched out to watch.
His expression is more interesting.
It's just a hell of an expression.
He is a doctor who has been working for more than ten years, and he has quite a lot of experience in surgery, and his surgical ability is not bad.
However, Zhou Can's ability to separate made him feel deeply frustrated.
This newcomer is too evil.
This is an advanced medical separation technique, much more difficult than incision.
How did Zhou Can practice?
Jin Mingxi lived with Zhou Can every day, except that Zhou Can often dissected a large number of mice, and did not see him do other exercises!
At this point, it was time for the handover.
Dr. Fu, Dr. Lu, and nurse Liu Xia came to take over.
As soon as I entered the operating room, I saw several doctors operating on a patient around the operating table.
Take a closer look, good guy, Dr. Xu is actually beating someone up.
"Shit, why is he standing on the chief surgeon's seat? Attending physicians, senior residents, all help him, this kid's treatment is so special!"
Dr. Lu's cheeks twitched with jealousy.
His eyes were fixed on Zhou Can who was concentrating on the surgery.
He has never enjoyed such treatment.
Then, he made another discovery.
Qiao Yu, who has been chasing him for a long time, is actually working as an equipment nurse for Zhou Can.The two appeared to be very close.
Dr. Lu's heart felt like ten thousand ants were gnawing on him, which made him very uncomfortable.
It would be great if the person standing on the chief knife position was him!
Of course, he can only imagine this kind of thing.
Qiao Yu also worked as an equipment nurse for him a few times, but every time it was a business.He has never been so intimate as with Zhou Can.
This made Dr. Lu even more uncomfortable.
There are also bursts of cramps in my heart.
Dr. Fu is very curious. It's time for the shift change. What kind of operation is not done yet?
Walking forward, he first greeted Dr. Xu with a smile, "It's rare for Dr. Xu to work overtime for surgery!"
"A surgical excision of superficial subcutaneous tumors."
After Dr. Xu made an introduction, his eyes fixed on Zhou Can's movements again.
He didn't dare to be careless.
Must keep an eye on it.
Doctor Fu didn't take it seriously at first, but when he saw what Zhou Can was doing, his eyes widened suddenly as if by magic.
This, this is too scary!
A Gui Peisheng was actually separating a facial tumor.The key is that the movement is not only calm and smooth, but also the peeling effect is surprisingly good.It's really shocking to have this kind of ability appear in a doctor who has just been trained for a few days.
Zhou Can has basically separated the entire tumor from the surrounding tissues.
The most critical part of the vessel is being isolated.
It can be said that every knife is dancing on the tip of the knife, and a little carelessness will cut a blood vessel.
However, he just didn't have any accidents, and his knives were precise. You say it's irritating or not.
Dr. Lu was also curious to see Dr. Fu's exaggerated expression after seeing Zhou Can's operation.
Come forward to see what's going on.
"This, this... Is the boy transformed from a monster? You can play the separation technique so smoothly!" Doctor Lu's expression was not much better than that of Doctor Fu, even a little more exaggerated.
Not only the eyeballs were rounded, but even the mouth was opened into an O shape.
Although Dr. Lu is lazy, he still has sharp eyesight.At a glance, Zhou Can's separation technique beat him by several blocks.
The shock in my heart can be imagined.
The manuscripts that have been saved for half a month are all exploded, and those who can subscribe to this are all true love.Brother Jiang bows to you and sees you tomorrow.There is still a chapter every day around 7:7 am, and another chapter at [-]:[-] pm.
(End of this chapter)
When Zhou Can changed his clothes and came out, Dr. Xu had already left.
Zhou Can walked out of the operating room, thinking in his mind that he would buy ten more mice and go home to practice his surgical skills.
Strive to upgrade the incision to the middle level of resident medicine.
In fact, his experience value of separation technique has also reached the third level 520.2/1000.Just shy of 80 or so to move up to mediocre.
The importance of this medical skill is even higher than that of incision.
It is needed to peel off various diseased tissues and tumors.
Jin Mingxi caught up from behind.
"Doctor Zhou, I have known you for so long and I have never invited you to dinner. How about I treat you tonight?"
Zhou Can turned to look at him.
"Why do you suddenly want to invite me to dinner? I'm afraid I won't be able to stay for two days and leave?"
Living together with Jin Mingxi, there is no gap when joking around.
"Haha, your brain circuit is really special. I just wanted to celebrate your safe return, but you... I'm really speechless! Haven't you passed away yet?"
Jin Mingxi rubbed his forehead and laughed.
"I don't think I'm the only one with a very special brain circuit. Does it have anything to do with whether I've broken my body?"
Zhou Can scratched his head and couldn't figure out the connection between the two.
"If you haven't broken your body, then you are a virgin. Of course it is childish!"
When Jin Mingxi said this, Zhou Can suddenly realized.
He couldn't help but also laughed and said, "Haha, what era is this, and you still practice feudal superstition! Don't worry, my matter is over, it's impossible to stay for two days and leave!"
He found that Jin Mingxi looked at a very silent person, and let go when chatting, which was quite humorous.
Zhou Can glanced at the time on his phone, "It's still early, I'll buy a few white mice and go back to the apartment to practice surgery for a while, how about going to dinner around six o'clock?"
"Can you stop working so hard? Those of us who were admitted to the hospital at the same time are very stressed!"
Jin Mingxi thinks she is pretty good, but compared with Zhou Can, a monster, she can only watch helplessly being left behind by him.
"If you don't work hard, you can't do it! All of you must have rich work experience or high academic qualifications. I don't care what I want. If you don't work hard, you will really only be eliminated."
This is really not an exaggeration.
Tuya's regular training recruitment is getting more stringent year by year.Especially this year, affected by many aspects, it is too curly.
Many high-end talents with more than ten years of work experience and even a master's degree have failed to make it into the top [-].
Three or four graduate MDs were eliminated.
Zhou Can's undergraduate education is the lowest.
Almost no work experience.
If you want to carve out a world among so many strong people, if you don't work hard enough, even with the medical experience system, it will be useless.
"Dr. Zhou, Dr. Zhou, there are patients and their family members looking for you. They have been waiting for almost two hours." A nurse ran over and told Zhou Can, pointing to the rest area.
Zhou Can turned his head and saw a middle-aged couple sitting on a row of chairs for patients to rest.
He didn't know the well-dressed middle-aged woman.
But he recognized the man in the hospital gown at a glance.
It was the patient with acute myocardial infarction encountered in the last regular training exam.
He felt very relieved to see the patient recover.
He immediately walked over quickly.
The middle-aged man also recognized him, and immediately stood up with the support of the middle-aged woman, looking at Zhou Can with a grateful smile on his face.
"Doctor Zhou remember me?"
"Remember! You are the patient with acute myocardial infarction! How is your body now?"
Zhou Can asked with concern.
"I had the operation, because the treatment was timely, and the attending doctor said that my recovery is quite good. I was discharged from the hospital today and I am going to go home to rest."
Patients discharged from the hospital within three to five days of myocardial infarction surgery are generally in good condition, indicating that no extensive necrosis of the myocardium has occurred.
More severe cases usually require hospitalization for about two weeks.
If conduction cannot be restored after surgery, a pacemaker needs to be implanted, and the hospital stay will be longer.
"You can be discharged from the hospital so quickly. The situation is very ideal. After returning home, you must follow the doctor's advice and rest more." After hearing this, Zhou Can felt happy for the patient.
"I was able to regain this life and recover so well, thanks to your help! No, after leaving the hospital, my wife and I immediately thought of coming over to say thank you in person."
After the middle-aged man finished speaking, his wife smiled and nodded to Zhou Can.
"The chief surgeon told me that if I was sent three minutes later, I might die. Even if I could be rescued, the prognosis would be very unsatisfactory. My old Cui is not familiar with the hospital's treatment process, and he is a strong person. If it is not for your help Let him go to the emergency department for quick treatment, and he will stand in the outpatient hall stupidly in line, and the consequences will be unimaginable."
The middle-aged woman speaks in a leisurely manner, with a graceful and luxurious demeanor.
The smile on the face is even more like a spring breeze.
"Doctor Zhou, on behalf of Old Cui, on behalf of our whole family, thank you!"
She pressed her neckline with one hand, and bowed to Zhou Can instead of her husband.
"I just did what a doctor should do, you don't have to be polite! Speaking of thanks, I can't thank you for reporting the situation to the hospital leaders in time and helping me clarify the lateness! If you didn't help me clarify in time, I can only lose this year's regular training recruitment opportunity."
Zhou Can is also grateful for their kindness and gratitude.
Kindness given to the right person is called kindness.
Giving it to the wrong person is called hurting.
"Speaking of this, I didn't know about it at first. Before the operation, Lao Cui told the nurse to tell me about it, and then asked me to find the hospital leader to clarify it in time."
she explained.
"At that time, I thought, I can't delay this guy's future!" Mr. Cui looked at Zhou Can. "You were late for the exam because you saved me, didn't it affect you too much?"
"At first, I was blocked by the examiner from entering the examination room. Later, the medical department came forward to clarify for me, and the examiner let me in. The hospital also gave me an extra [-] points for medical ethics."
When Zhou Can talked about that day, he was filled with emotion.
Good people get rewarded in the end.
"That ten points is too right. You, an intern, dare to take the huge risk of being late for the exam to save an irrelevant person. This kind of golden virtue should be highly praised."
Mr. Cui was very happy to hear that the result was not bad.
"Oh, that's right! Can Dr. Zhou give us his private phone number? It's fate that we know each other, and you are my savior. I'm a little older than you, so I hope we can visit often in the future."
Mr. Cui and his wife can be seen as well-educated and qualified people.
Zhou Can is very happy to be able to make friends with such a person.
Immediately gladly informed the other party of the phone number and saved the phone number.
"If you're not afraid that I will cause you trouble, you can add a WeChat account, and it will be more convenient to chat in the future." Mr. Cui said with a smile.
Telephone chat is more direct, and WeChat chat has a certain buffer space.
Calls are generally for urgent matters, or work needs, business contacts and the like.Look serious and formal.
WeChat chats are more casual.
"Okay!"
Zhou Can readily agreed.
People are willing to take the initiative to make friends with him, which is to think highly of him.
Adding WeChat and saving each other's phone numbers means that the relationship between each other has taken a big step closer.
"I should have invited Dr. Zhou to have a light meal. My body has not fully recovered, and I can't drink alcohol. I have to refrain from eating a lot of things, so it would be a lot less fun. Wait until I fully recover, and then invite you .”
Mr. Cui asked him for his phone number, probably just to invite him to dinner in the future.
"Okay, I won't waste your time. My family owns a foreign trade company, and now I'm sick, and my son is abroad again. My wife is responsible for everything."
Opening a foreign trade company can make a lot of money if you do well.
And it's foreigners' money.
"So my sister-in-law is so capable! No wonder she looks like a strong woman!"
Zhou Can boasted with a smile.
Gifts of roses, hand a fragrance.
Appropriately praise others more, in fact, there are many benefits, and it is easier to gain the favor of others.
"Hehe, are you complimenting me or hurting me? Strong woman is a double meaning now."
She covered her mouth and chuckled.
"Of course it's a compliment! Sister-in-law is such a gentle, considerate and capable woman, I'm afraid no derogatory term would dare to use it on you."
Chat sometimes has to improvise.
Otherwise, it will be cold every minute, or even capsize.
"Haha, Doctor Zhou is not only benevolent and skilled, but also has first-rate skills in boasting! Let's go, goodbye!"
She smiled happily and waved her hands, helping Mr. Cui to leave together.
……
On the way back to the apartment with 8 mice, Zhou Can was in a particularly bright mood.
When the haze is cleared, it will be extremely peaceful.
His life has become brighter after going through this storm.
Considering that Jin Mingxi wanted to invite him to dinner, it would definitely delay some time, so he deliberately bought two less white mice.
In the apartment, Zhou Can greedily earns a steady stream of medical experience points from the little white mice.
Jin Mingxi is still persistently practicing knotting.
Slices of white tofu were ruined by him.
Even for surgeons, everyone's main direction of operation will be different.
If Zhou Can didn't have an experience point system, he might be like Jin Mingxi, in addition to practicing the four most basic medical skills, and then choose one or two surgical directions as his specialization.
Don't look down on knotting, you can also become a famous surgeon if you practice well.
It was around 40:[-], when Zhou Can consumed the third mouse, Jin Mingxi invited him to a small restaurant for a sip.During the period, the two drank seven or eight bottles of beer.
The last time I saw Jin Mingxi was drunk after attending a class reunion, I thought he couldn't drink well.
Hey, I didn't expect that I really underestimated people.
After five bottles of beer, Jin Mingxi still acted like a normal person.
Zhou Can only found out after asking.
At the last class reunion, because he blocked a lot of wine for the female classmate named Ye Zi, the three male classmates were dissatisfied, so they joined hands to punish him.It is enough to propose to drink white plus red.
The so-called white plus red is a mixed wine.
In the end, Jin Mingxi fought three against one and was almost fucked to the point of stomach bleeding.
The three of them were all brought down by him, and he was also drunk after being sent back to the apartment by Ye Zi.
From this point of view, under Jin Mingxi's gentle appearance, there is also a bloody side.
Zhou Can and him got closer through eating and drinking this time.
After returning to the dormitory, Zhou Can devoted himself to medical practice again.
Around 20:[-] in the evening, he received a message.
Click to view.
It was sent by Yang Chan.
"Just after surgery, you'll be fine!"
I thought she was very cold and would not reply to messages.
But even after replying to the message, there was still a hint of aloofness in the content.
"Thank you for everything! (Rose)"
Zhou Can knew in her heart that she had put a lot of effort into this matter.
Director Zhang Bihua was willing to speak up for Zhou Can because of her face.
In terms of the weight of discourse, two Lou directors may not be as good as one Zhang Bihua.
As for why a dignified head of the obstetrics and gynecology department valued Yang Chan, an intern doctor with a bachelor's degree, no one knew the reason.
The only way to know is to ask the parties.
"You're welcome!"
She replied with three words.
That is really cherishing words like gold.
Based on Zhou Can's understanding of her, the chat should end here.
He once again devoted himself to tireless medical practice.
When all eight white mice were consumed, his incision and separation skills had all risen to the average level of a resident doctor.The experience value of ligation is 894/1000 for the third level.
Already far ahead of sutures.
As long as he buys another ten white mice to practice at home tomorrow night, ligation will definitely be promoted to level four, and will become his second main medical skill.
This speed of progress is really frightening.
You know, he has only been trained for a few days.
Incision surgery has finally risen to the intermediate level of resident medicine. If you have the opportunity tomorrow, you should be able to ask Dr. Xu for a first-level surgery anatomy opportunity to show your strength.
However, such opportunities in the emergency department are quite rare.
General surgery has the most incision practice opportunities.For example, lipoma cutting, hemorrhoid cutting, and so on.
……
Going to work the next day, Zhou Can deeply felt what it means to be cold and cold in the world.
Only a few people such as Ye Tingting and Dr. Luo still warmly greeted him.Many colleagues in the emergency department deliberately kept a distance from him.
That kind of alienation cannot be seen or touched, but can be truly felt.
This is the real adult world.
He was not affected at all, everyone was just colleagues in the same department, it was impossible to ask everyone to focus on him and lick him unconditionally.
A few days ago, when he became popular in the emergency department, everyone saw his amazing development potential, so they naturally wanted to build a good relationship.
In the future, if you ask for something, you can talk to each other.
Many doctors and nurses have been in this system for a long time, and they are actually very clear in their hearts who are easy to get promoted step by step, and they need to look up to them in the end.Who are those who just eat their own food and live an ordinary life.
This time, Zhou Can was suspended from the medical department without any warning. Coupled with Dr. Lu's broken mouth, he was stalking the wind and spreading rumors everywhere.
In the end, many colleagues thought that Zhou Can had offended a certain leader of the hospital and committed a serious crime.
It was normal for everyone to avoid him.
It's just that these people probably never imagined in their dreams that Vice President Bai, who put extreme pressure on Zhou Can, now owes Zhou Can a debt of favor.
The relationship with Zhou Can, not to mention very close.
Not bad at least.
It's even more nonsense for the two to have a feud or something.
Vice President Bai not only suppressed him again, but also provided some help and care within his ability.
If these people knew the truth, they would probably come to lick him again.
But Zhou Can had already seen clearly and looked down on this kind of flattery.He does not need it.
It is more in line with his desire to grow silently and become stronger now.
Entering the operating room, Dr. Lin and Dr. Xu are on duty today.
"Morning, Doctor Lin!"
"morning!"
Doctor Lin nodded, with a lukewarm attitude.
It's a little better than those who avoid Zhou Can and deliberately distance themselves.
Naturally, Zhou Can would not be overly ingratiating, he just needed to hug Dr. Xu's thigh.
Dr. Lin and Dr. Lu are likely to be resident doctors at the age of 40.At that time, if you are lucky, you will be eliminated to the Second Affiliated Hospital.If you're unlucky, I'm afraid you'll have to find another job in a prefecture-level hospital.
"Xiao Zhou, are you operating alone today or as my assistant?"
Doctor Xu asked.
Gui Peisheng who can get this treatment, Zhou Can is probably No.1.
In addition, Gui Peisheng is secretly happy to get one or two training opportunities such as skin sewing from the superior doctor.
"Surgery alone!"
What Zhou Can has to do now is to upgrade all four basic medical skills to the attending level as soon as possible.
Then as an assistant to Dr. Xu, he will be able to participate in important parts of the secondary surgery.
"Call two more equipment nurses to come in and help, let's start the operation!"
Dr. Xu's position in the operating room of the emergency department is second only to Director Lou.
In fact, Director Lou seldom went to the operating room to preside over the work.
Therefore, Dr. Xu is basically the boss here.
At the same time, he dispatched two equipment nurses into the operating room to help him all day. Doctor Fu absolutely did not have the right to do so.
For Dr. Xu, it was just a matter of one sentence.
This is the difference.
From this point, it can be seen that even if everyone is an attending physician in a department, their status can vary from high to low.
Soon, two equipment nurses walked in.
One is Tian Tian, and the other is Zhou Can's favorite partner Qiao Yu.
Tian Tian's eyes communicated with Zhou Can, then moved away, and walked quickly towards Jin Mingxi.
At work, she seemed rigid and dull in doing things.But as a person, he has a delicate mind. Whether dealing with colleagues or family members, he is very scheming.
Now walking towards Jin Mingxi quickly, he was just worried about being Zhou Can's assistant and getting into unnecessary trouble.
This is exactly what Zhou Can wants.
Jin Mingxi's complexion turned bitter for a while. He cooperated with Tian Tian yesterday, but it was hard to say.
I have a deep understanding of what it means to be a pig-like teammate.
I finally understood why the number of surgeries completed decreased by several as soon as Zhou Can cooperated with Tian Tian.Cooperating with Qiao Yu is like a god's help.
There really is a difference between people.
They are also equipment nurses, but their working ability is very different.
"Doctor Zhou, congratulations!"
Qiao Yu said with a slight smile.
"Thank you!"
Zhou Can was grateful from the bottom of his heart.
When she approached, Zhou Can whispered, "Aren't you afraid of getting into trouble for being my assistant?"
Qiao Yu rolled her delicate eyes.
"Don't say such sad things, can you? In order to be your assistant, I begged the head nurse for a long time yesterday before agreeing to let me work early today!"
The morning shift is also called the day shift.
If it is an inpatient department, only the morning shift nurse is the real person in charge.They are fixed, and they are on the morning shift every day.
Evening and night shift nurses are on duty in turn.
They are called on-duty nurses, and they are quite different from day-shift nurses.The status is not as good as the day shift nurse, and the business is also not so professional.
Because of the special departments in the emergency department, most of the nurses' positions are mobile.
Everyone wanted to work the day shift, and Qiao Yu, a newcomer, hardly had any competitiveness.
It was really not easy for her to ask the head nurse to help transfer a day shift.
He must have said a lot of good things and begged for a long time.
"Don't be angry, just kidding. I invite you to drink ten cups of milk tea as a token of apology, okay?"
Zhou Can quickly apologized to her.
"It's almost there!"
She turned anger into a smile.
Tian Tian, who was not far away, was avoiding Zhou Can just now, keeping a distance from him.
Now that Zhou Can was going to invite Qiao Yu to drink milk tea ten times, she immediately became excited.
"A generous person like Dr. Zhou can't just invite Qiao Yu!"
The vast majority of women love to take advantage of small things.
Tian Tian also wanted to drink ten cups of milk tea with Zhou Can.
"Dr. Zhou's salary is only so little for a month. He just invited all the nurses in our emergency department nurses to drink milk tea, so stop ripping him off! I was just joking with him, and I didn't really ask him to invite him."
Qiao Yu quickly helped Zhou Can speak.
She was worried that Zhou Can would save face, so she agreed to Tian Tian's request.
"No, no, no, a man keeps his word. If I say please, I will invite you. As for Tian Tian and others, it will be the same when I have money in the future." Zhou Can is not a fool with a lot of money.
The last time I promised to invite all the nurses to drink milk tea, it was to build a good relationship with them and get acquainted with them.
This Tian Tian has too many eyes, if he is really taken advantage of, it is the wrong person.
To even wish to enjoy the same treatment as Qiao Yu is simply wishful thinking.
Zhou Can said it beautifully, but in his heart he secretly thought, she deserves it?
"Okay, okay! Then I wish Dr. Zhou a rich man as soon as possible!"
Seeing that she couldn't gather the wool, Tian Tian had to give up.
Qiao Yu enjoyed a different special treatment, and felt like drinking honey in her heart.
The smile on his face became even brighter.
"What flavor do you like to drink?"
Zhou Can asked her.
"Really? Then treat me to a cup of jasmine-flavored milk tea."
She thought about it and said.
People are just that weird sometimes.
Tian Tian's kind of person who has racked his brains to take advantage of it will not get it.People like Qiao Yu who are not greedy are easier to get.
"no problem!"
How could Zhou Can only invite one cup?
I will definitely buy her ten drinks.
While talking, patients who need surgery have been admitted into the operating room one after another.
Another busy day has begun.
Zhou Can has Qiao Yu as his 'golden partner'. It would be really refreshing if the operation is performed quickly and efficiently.
Look at Jin Mingxi again, his unrequited expression can't even be blocked by a mask.
His heart was probably quite broken.
Zhou Can has already had three surgeries, and he only finished one.
This gap is really too big.
"Qiao Yu, help me pay attention to Dr. Xu's side. If you find a simple excision operation, call me."
Zhou Can's incision technique has finally reached the intermediate level of a resident doctor, and he really wants to find a chance to practice.
If I have to describe it, it's a technical itch.
He has lost count of the number of mice dissected.But it has never been tried on patients.
In fact, as long as the incision reaches the lower level of a resident doctor, you can participate in some simple resections.
For example, removing foreign bodies from the subcutaneous tissue, cutting some simple external hemorrhoids, etc.
One patient after another was taken into the operating room and pushed out after the operation was completed.
The opportunity Zhou Can was waiting for never came.
When getting off work, a middle-aged woman whose face was swollen into a bulldog was pushed into the operating room.
At this moment, Zhou Can has no surgery left in his hands.
Jin Mingxi's operation is finishing.
Because Dr. Fu will come over soon to take over the shift, and since Dr. Fu is unwilling to get too close to him now, he is afraid of being implicated.Zhou Can didn't want to make the scene embarrassing, so he didn't call in any new surgery patients.
The same goes for getting off work early and practicing medicine with mice at home.
"Hey, the surgery you want is here!"
Qiao Yu whispered to him.
Looking at the woman with a huge swollen face, Zhou Can couldn't help but feel refreshed.
Based on my feeling, the swelling on the woman's face should be something like a lipoma.
"How did she do it? Have you done all the inspections?"
Doctor Xu asked.
"The inspections are all in place, and this is the result of the relevant inspections. She has acne on her face, and she became like this after being picked with an acne needle. Doctor Luo checked and said there was an abscess inside."
The nurse briefly explained the situation.
Picking pimples has its own risks.
Because acne usually grows on the face.
The blood circulation in the face is very rich, and the criss-crossing blood vessels shuttle through the facial muscles.
The superficial veins join the deep veins and enter directly into the venocavernous sinus of the cranium.
The most frightening thing is that there are no venous valves in the facial veins to prevent blood backflow.
When the muscles contract, blood can flow back into the brain, the heart, and then all organs throughout the body.
I believe that many people have heard of the dangerous triangle of the face.
For example, the upper lip under the nose is particularly prone to rashes, blisters, and acne.At this time, if someone squeezes them hard, it may cause pus to pour into the blood and invade the heart along with the veins.
The consequences of this will be very serious.
Doctors have repeatedly publicized that the rash and blisters in the danger triangle should not be squeezed, but there are always some people who don't take it seriously.
Zhou Can has seen a real case. A 19-year-old guy was admitted to the ICU because he squeezed a pimple on his upper lip, but he couldn't be rescued and died in the end.
Luck can really kill people.
The opportunity for incision surgery that Zhou Can had been waiting for finally came.
I was very excited.
But he had dealt with Dr. Lin.This kind of operation, Dr. Lin must rush.
If Doctor Fu was on duty, Zhou Can would definitely have no chance.
It is my own teacher who is on duty now, so there is a lot to do.
As long as Dr. Xu is sure that he really has that surgical ability, he will definitely give him this training opportunity.
As for Dr. Lin, there is a high probability that he can only watch from the sidelines.
After all, there is no difference between intimacy and distance.
"Teacher, she should undergo superficial tumor resection!"
Zhou Can looked forward to the examination results with a shy face.
Then take the initiative to express surgical views.
Dr. Xu took him with him for several days and got to know him to a certain extent.
This kid is not usually so enthusiastic.
He glanced at Zhou Can, "Tell me about your surgery plan."
"According to the examination images, there must be an abscess inside, and the size is not small. First, a small incision is made here to suck out the tumor. Then the wound is enlarged, the internal tumor is peeled off, and finally the tumor is removed. Next, debridement , sewing."
Zhou Can has seen many similar surgery videos on the Internet.
During the internship, I saw the resident general doctor in the general surgery department perform similar operations.
But he was still a young intern at that time, and he didn't even have a chance to help.
You can only stand on the sidelines and learn from the sidelines.
Dr. Xu took a deep look into Zhou Can's eyes, as if he understood Zhou Can's eager eyes.
He said indifferently, "It's up to you to incise and drain the pus! But you must first draw the surgical line."
This is still not very reassuring.
If the blood vessels or important nerves in the face are cut off, causing the patient's facial paralysis, it will be a catastrophe.
"okay!"
Zhou Can really wanted to hold Dr. Xu in his arms and kiss him.
The teacher was really kind to him.
He had never performed an incision on a patient.
Now, the opportunity has finally come.
Even if it is just a small incision of less than 2cm, it is an important step for him.
The patient is guided to lie on the operating table.
Seeing such a young doctor operate on her, I must be reluctant in my heart.This has revealed some from the eyes.
However, due to various concerns, she finally remained silent.
A hospital as big as Tuya has such a high reputation.Even if it is just a young doctor, his medical skills must not be too bad.
It is much better than local small hospitals.
"This is the scalpel position to drain the pus! This is the scalpel position to expand the surgical wound and remove the internal tumor after the pus is drained."
Zhou Can drew the position of the knife.
After Dr. Xu saw it, his eyes showed admiration.
The knife position avoids important blood vessels and nerves, and is relatively cautious and conservative.
This attitude of putting safety first made Dr. Xu very satisfied.
"The knife position is well drawn, let's start!"
Zhou Can was not in a hurry to start.
"Can you ask Qiao Yu to be an equipment nurse for me? I have cooperated with her for a long time, and I have a high degree of tacit understanding, and the operation will be done more smoothly." Zhou Can asked Dr. Xu.
This kind of opportunity is very precious to Zhou Can, in fact, it is equally precious to Qiao Yu, a regular training nurse.
She is just a supplement to the operating room nurse.
If it weren't for Dr. Xu's bold delegation of authority to Zhou Can and Jin Mingxi recently, they would have to operate alone.It is difficult for Qiao Yu to enter the operating room several times a month.
Even if they are transferred to the operating room, they often act as nurses on tour.
Those experienced instrument nurses would definitely look down on instrument delivery for such a minor operation.
Qiao Yu needed it very much.
A gleam of splendor flashed in her beautiful eyes, and a surprised expression flashed across her face.
It seems that Zhou Can will help her progress together.
"can!"
Doctor Xu nodded in agreement.
Tang Ling naturally acted according to the face of the chief surgeon.
Seeing that Dr. Xu agreed, she immediately stepped aside and said with a smile, "Qiao Yu, stand here! If you don't know anything, you can ask me anytime!"
Tang Ling is honest and kind, and she does things in a down-to-earth manner.
These are her advantages.
"Thank you!"
Qiao Yu nodded to her with a grateful smile.
For the first time, I took the position of the chief surgeon and deputy first on the operating table.
A powerful equipment nurse, her role is not inferior to Yisuke.
After she sterilized the patient's operating area, she first sucked the prepared local anesthetic into the syringe, then exhausted the air, and handed it to Zhou Can.
His injection technique has already reached the third level, and he is quietly moving towards the middle level of resident medicine.
Because the area requiring surgery is relatively large, Zhou Can chose to inject anesthesia from six different points.
"Can you still feel the pain?"
He waited for a while, guessing that the anesthetic had taken effect, and began to conduct a small test.
"No pain!"
The patient's speech has become a little awkward.
This is caused by extensive anesthesia on the face.
A sharp lancet was handed over to Zhou Can.
Her cooperation is always so tacit.
The two began to cooperate to operate on the patient.
Zhou Can took the knife with sharp eyes, focused expression, and calm movements.
The knife in his hand crossed the drawn knife line impartially.
A little blood came out, but more of it was stinky pus.
Zhou Can quickly sucked it up with the aspirator.
He didn't care about the microbleeding of the surgical wound.
A little bleeding from this suppurative part is beneficial.
It can drain the toxins and pus that may potentially be in the blood.
After the pus was sucked out, the swelling on the patient's face did not drop too much.
This shows that the volume of the tumor inside is not small.
"This tumor is a bit big! Dr. Xu, can you leave it to me to remove it?"
Doctor Lin really made a move.
In the face of interests, no one will be polite.
He first emphasized that the tumor was very large, and the subconscious meaning was that the task of removing it was absolutely impossible for a rookie like Zhou Can.
Then it was logical to ask Dr. Xu to entrust him with the operation.
Compared with Dr. Lu, Dr. Lin speaks more politely and takes Zhou Can's feelings into consideration.
I will not directly say some offensive words to suppress Zhou Can.
The two sides can barely be regarded as a fair competition.
Of course, interpreted from another angle, Dr. Lin must be bullying the small with the big.
He has been a resident doctor for four years, so he is considered an old man.
Zhou Can is just a newcomer, Ji Peisheng.
The status and work experience of the two parties are all unequal.
But if a newcomer wants to stand out, it is so cruel.It is equivalent to a wolf snatching meat from a lion's mouth.
"Look first!"
Dr. Xu gave him a cold look, and was so frightened that Dr. Lin didn't dare to grab him any more.
It is estimated that after this time, Dr. Lin has somewhat recognized the reality.
"Xiao Zhou, you continue!"
In front of the patient, there are many things that are inconvenient to say.
It can only give some vague hints.
"Ok!"
Zhou Can was overjoyed.It seems that the incision just now has been preliminarily approved by Dr. Xu.
Qiao Yu had already handed over the scalpel.
After receiving the knife, he carefully enlarged the wound to about 4.5cm, then looked up at Dr. Lin.
"Please ask Dr. Lin to pull the hook for me!"
"Row!"
Dr. Lin readily agreed, and took the flat hook to enlarge the wound.
The situation inside is revealed to everyone.
The suppuration is actually not serious, just superficial and slight suppuration.What really caused the patient's facial swelling was a tumor with a diameter conservatively estimated to exceed 3cm.
It doesn't look like a sebaceous cyst.
The whole body is light yellow, a bit like chicken fat.
The specific nature may need to be cut out for pathological examination to know.
"Picking the acne might just be the trigger. The tumor could already be there. It gets irritated, then gets infected, and it grows very quickly."
After Dr. Xu saw it, his face was a little dignified.
Every time he encounters a slightly more complicated illness, he basically has this expression.
"Xiao Zhou, tell me about your operation plan."
He had to check for Zhou Can.
Only when he was sure that the operation plan was reliable and safe would he agree to allow Zhou Can to continue the operation.
"First, simply debride the wound, then find the blood vessels at the root of the tumor, clamp it with a hemostat, and then peel off the tumor and surrounding tissues little by little. Finally, resection is performed."
"Well, let me clamp the blood vessel for you."
The incision was not that big, and it was actually a bit crowded for three people to operate it.
It is estimated that Dr. Xu was also worried, so he personally helped Zhou Can clamp the blood vessel.It is convenient to stop or guide at any time.
Zhou Can's hemostasis is at the attending level, which provides him with great help in finding blood vessels.
After debridement, I turned around along the tumor, and soon found the root blood vessel.
Generally speaking, all tumors are capable of continuous growth and have blood vessels to feed them.
This tumor just happened to grow on the face, otherwise it would be a small tumor that is not popular.Compared with those huge liver tumors with a diameter of more than 20cm, it is nothing.
Benign tumors growing on the liver, with a diameter of less than 5cm, are benign. Doctors usually tell patients that this does not need to be treated.
Just check it regularly.
"Teacher, please help me clamp this blood vessel."
Zhou Can directly exposed the blood vessel.
"Tsk tsk! You can accurately find the blood vessels at the root of the tumor so quickly, awesome!"
Dr. Lin next to him couldn't help boasting.
At least he didn't have the ability.
"I am over-flattered!"
Zhou Can smiled humbly.
In terms of hemostasis, even Doctor Fu is inferior to him.Dr. Lin's hemostasis level is at best average among residents, far worse than Zhou Can's.
"It's true." Dr. Xu also nodded in praise.
After clamping the root blood vessel with a hemostat, he did not forget to point out several subordinate doctors.
"If you need to keep the blood vessels, you must be careful when clamping, don't use too much force, so as not to damage the blood vessel tissue."
Many newcomers are prone to make this mistake.
When clamping the blood vessel, I was nervous and worried that the bleeding would not be stopped, so I clamped very hard.
The part of the blood vessel to be removed is naturally no problem.
If the blood vessel to be preserved is clipped like this, it will be easily abolished.
Doctor Lin waited quietly.
Finding the blood vessels at the root of the tumor is only the first step.
The complexity and difficulty of this operation far exceeded that of a first-level operation.
In fact, it is already a second-level surgical level.
He didn't believe that Zhou Can, a newcomer, would be able to do the next tumor separation.
Even he, a senior resident doctor, is not fully sure.
At most, just dare to try.
This is also the reason why he tried his best to win the opportunity of this operation.
In the past, Dr. Xu might not have allowed Zhou Can to participate in such a relatively high-risk operation.
Maybe what happened yesterday also stimulated him.
If it weren't for the fact that there are many big bosses in the department speaking for Zhou Can, it is very likely that Zhou Can is still suspended.Even worse results.
Dr. Xu's position is light and soft, and he can only watch helplessly, and there is nothing he can do.
Therefore, he accelerated the training of Zhou Can.
I want Zhou Can to become stronger faster and increase his status and weight.
I saw Zhou Can hold the scalpel and began to carefully separate the tumor from the surrounding tissue.
One knife at a time, it is accurate and steady, and the knife is in place.
When detached from the surrounding normal tissues, his movements are swift and efficient.When it is separated from the blood vessel, it is pushed forward slowly, with the strength, angle, and process all properly grasped.
"Good boy, you are really generous! This separation technique is at least at the level of a resident doctor. And it is still above the average level of a resident doctor."
Dr. Xu was more pleased than anyone else when he saw Zhou Can handle the knife with ease and grasp the proportions just right.
This kid is really against the sky.
Originally, I just wanted to see how good Zhou Can's incision skills were, and I wanted to see how Zhou Can's separation talent was.
He is ready to call stop and take over the mess at any time.
In the end, Zhou Can didn't give him a chance to stop at all, but gave him a huge surprise.
Fortunately, such a talented apprentice was rescued.
He felt that risking his life to stand up for Zhou Can, everything he did was very worthwhile.
Dr. Lin, who was waiting for an opportunity, was dumbfounded.
My heart is cold and cold.
Zhou Can's separation technique is so good, it is more than enough to be competent for the separation and resection of this tumor.Dr. Lin will never have another chance.
Jin Mingxi has also finished the operation at this moment, and stands by the side with his neck stretched out to watch.
His expression is more interesting.
It's just a hell of an expression.
He is a doctor who has been working for more than ten years, and he has quite a lot of experience in surgery, and his surgical ability is not bad.
However, Zhou Can's ability to separate made him feel deeply frustrated.
This newcomer is too evil.
This is an advanced medical separation technique, much more difficult than incision.
How did Zhou Can practice?
Jin Mingxi lived with Zhou Can every day, except that Zhou Can often dissected a large number of mice, and did not see him do other exercises!
At this point, it was time for the handover.
Dr. Fu, Dr. Lu, and nurse Liu Xia came to take over.
As soon as I entered the operating room, I saw several doctors operating on a patient around the operating table.
Take a closer look, good guy, Dr. Xu is actually beating someone up.
"Shit, why is he standing on the chief surgeon's seat? Attending physicians, senior residents, all help him, this kid's treatment is so special!"
Dr. Lu's cheeks twitched with jealousy.
His eyes were fixed on Zhou Can who was concentrating on the surgery.
He has never enjoyed such treatment.
Then, he made another discovery.
Qiao Yu, who has been chasing him for a long time, is actually working as an equipment nurse for Zhou Can.The two appeared to be very close.
Dr. Lu's heart felt like ten thousand ants were gnawing on him, which made him very uncomfortable.
It would be great if the person standing on the chief knife position was him!
Of course, he can only imagine this kind of thing.
Qiao Yu also worked as an equipment nurse for him a few times, but every time it was a business.He has never been so intimate as with Zhou Can.
This made Dr. Lu even more uncomfortable.
There are also bursts of cramps in my heart.
Dr. Fu is very curious. It's time for the shift change. What kind of operation is not done yet?
Walking forward, he first greeted Dr. Xu with a smile, "It's rare for Dr. Xu to work overtime for surgery!"
"A surgical excision of superficial subcutaneous tumors."
After Dr. Xu made an introduction, his eyes fixed on Zhou Can's movements again.
He didn't dare to be careless.
Must keep an eye on it.
Doctor Fu didn't take it seriously at first, but when he saw what Zhou Can was doing, his eyes widened suddenly as if by magic.
This, this is too scary!
A Gui Peisheng was actually separating a facial tumor.The key is that the movement is not only calm and smooth, but also the peeling effect is surprisingly good.It's really shocking to have this kind of ability appear in a doctor who has just been trained for a few days.
Zhou Can has basically separated the entire tumor from the surrounding tissues.
The most critical part of the vessel is being isolated.
It can be said that every knife is dancing on the tip of the knife, and a little carelessness will cut a blood vessel.
However, he just didn't have any accidents, and his knives were precise. You say it's irritating or not.
Dr. Lu was also curious to see Dr. Fu's exaggerated expression after seeing Zhou Can's operation.
Come forward to see what's going on.
"This, this... Is the boy transformed from a monster? You can play the separation technique so smoothly!" Doctor Lu's expression was not much better than that of Doctor Fu, even a little more exaggerated.
Not only the eyeballs were rounded, but even the mouth was opened into an O shape.
Although Dr. Lu is lazy, he still has sharp eyesight.At a glance, Zhou Can's separation technique beat him by several blocks.
The shock in my heart can be imagined.
The manuscripts that have been saved for half a month are all exploded, and those who can subscribe to this are all true love.Brother Jiang bows to you and sees you tomorrow.There is still a chapter every day around 7:7 am, and another chapter at [-]:[-] pm.
(End of this chapter)
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