My medical skills can add experience points Chapter 124 Waste of effort, Director Shen is late
Although Du Leng was very angry in his heart, the smile on his face remained the same.
Anyway, he is a doctor studying abroad, so it is impossible to quarrel with Zhou Can because of such an unfounded matter.
"Dr. Shan brought a new student?"
Du Leng's eyes seemed to fall on Zhou Can's face inadvertently.
Dr. Shan turned his head to look at Zhou Can, and said with a smile, "He is Gui Peisheng who has just transferred to orthopedic surgery. I don't know if I will teach him!" Zhou Can is so good that it is possible for the director to take him personally.
She is just a newly promoted attending physician, and it is still possible to take care of ordinary Pearson.
Zhou Can is such an evildoer, it may not be her turn.
"Oh, that's how it is! I know this Dr. Zhou, who happened to participate in the regular training recruitment at the same time as me. Speaking of it, I still admire him. Back then, he was late for the exam and saved a patient with acute myocardial infarction. The hospital gave him 10 points for medical ethics, so he successfully won the first place in this year's regular training exam."
Du Leng said admiration, but there was no expression of admiration on his face.
His intentions are very sinister.
In fact, it was to tell Dr. Shan that Zhou Can won the first place in the regular training exam because of his moral points, not because of his real skills.
"Anyway, it's really not easy for him to get the first overall score as an undergraduate."
Du Leng really harbored evil intentions.
After going around for a long time, Zhou Can was belittled in disguise.
After talking about the extra points for medical ethics, I focused on Zhou Can's low education.
"Sigh, the growth potential of undergraduates is generally a bit low these days! It's a pity..." Du Leng shook his head and sighed, with a grumpy face of feeling sorry for Zhou Can.
"Doctor Shan, I have something else to do, so I'm leaving first."
Du Leng's coquettish operation has only one purpose, which is to find ways to reduce Zhou Can's impression points in Doctor Shan's mind.
A Gui Peisheng who has no potential and no ability has no sense of presence in front of the teacher.
The treatment he received was also very different from those of the elite Gui Peisheng.
When Du Leng passed by Zhou Can, he smiled at him.
"Do not worry too much, Dr. Zhou. Even if you don't learn any skills in the regular training in other departments, it will not affect your future work. Anyway, you will eventually return to work in the emergency department, where the requirements for doctors are very low."
Zhou Can was expressionless, and just hummed through his nostrils.
This is enough to give Du Leng face.
In his eyes, so what if he is a doctor of returnees? If you have real skills, you can still be an opponent.
If you can only play tricks, the skills under your hands are very weak, and you don't even have the qualifications to be his opponent.
He would rather deal with vulgar people with foul mouths.
I don't want to waste time with such a sanctimonious hypocrite.
Du Leng showed a sinister smile of a successful trick, and walked away.
It can only be said that he underestimated Zhou Can's ability.
Although Zhou Can arrived at the Orthopedic Surgery Department in less than two days, the situation has already opened up. With his real skills, he won the initial appreciation of Dr. Shan and Director Shen.
The chance of sitting on the bench is already very small.
…
The four of them finished their meal and soon returned to the operating room to continue fighting.
Those words of Du Leng did not affect Zhou Can in any way.
Dr. Shan still let Zhou Can be his assistant.
In the following operations, Zhou Can has been performing very well. The other Gui Peisheng saw that this was not going to work. If they didn't strive for a chance to perform once or twice, they might just be eliminated.
So they fought for some performance opportunities in the operation.
At most, Doctor Shan gave them power to stop the bleeding or sew the skin.
As a result, after several rounds, Doctor Shan never gave them another chance.
There is no other reason, the other five Gui Peisheng are far behind Zhou Can. Leaving an attending-level assistant unused, instead let some rookies at the regular training level mess around there, unless her brain is sick.
At around five o'clock in the afternoon, Dr. Shan pointed to the inspection report on the light curtain and said to several Gui Peisheng, "This is a patient with necrosis of the femoral head. Now it can be clearly seen that the blood supply has been lost. It will be like Like a dead tree, it quickly dries up and collapses."
Zhou Can listened very carefully.
He thinks his knowledge of orthopedic surgery is very shallow.
The three-month orthopedic surgery training should be able to help him make up for this shortcoming.
Make him acquainted with the treatment of most orthopedic diseases, as well as the pathology, pathogenesis.
He hopes that after the remaining 33-month training period is over, he will return to the emergency department and be able to help the emergency department grow rapidly.
This is also his promise to Director Lou and Dr. Xu.
"Necrosis of the femoral head, how to treat it, does anyone know?"
Doctor Shan asked six regular trainees questions.
"Entire hip replacement!"
"Bone necrosis, there should be only replacement, there is no other way!"
After listening to Gui Peisheng's answers, she shook her head slightly.
"I read a method in a medical book, and I know the general principle, but I don't know the specific operation."
Zhou Can replied.
"Oh, tell me what method it is?"
Doctor Shan also wanted to see if Zhou Can's knowledge was profound enough.
"Replacing the artificial hip joint is the last resort. There is also a lower-cost rescue method called bone grafting. There are two types of bone grafting. One is to use a vascularized bone flap to implant into the necrotic In the femoral head, this method of bone grafting is difficult to operate. Second, if the bone necrosis is not particularly serious, you can drill the hole and fill it with bone fragments to reduce the intraosseous pressure and at the same time induce the necrotic femoral area to restore blood supply."
Zhou Can found that reading more books usually has many benefits, which can be used at critical moments.
It is beneficial to open a book, which is the golden and jade good words left by the ancients.
"Well, the answer is very good. The operation we are going to perform on this patient today is to use a bone flap with a vascular pedicle for transplantation, trying to save the patient's necrotic femoral head."
When Dr. Shan announced the operation plan, his face was full of pride.
You can tell from the name that this surgery is highly technical.
She, a newly promoted attending doctor, is indeed proud and proud of being able to complete such a difficult operation.
The patient was quickly wheeled into the operating room.
The anesthetist also arrived in a hurry.
Anesthesiologists are frequently used in orthopedic surgery.
There is no way, many of the operations it performs are major operations.
Both spinal anesthesia and general anesthesia must be performed by a professional anesthesiologist.
The risk of getting this level of surgery is also very high.
The patient was not particularly old, only about thirty-five or sixteen years old. She is a petite female patient.
Her lower body was covered with a blanket.
In the eyes of doctors, patients are not divided into men and women. Like this patient, she couldn't even keep her underpants during the operation. She must be a little embarrassed in her heart.
But compared with relieving the pain, this kind of detail is not so important.
After the anesthesiologist skillfully examined the patient, he directly administered general anesthesia to her.
It may also be in consideration of the patient's feelings that she was given general anesthesia.
Normally speaking, it is also possible for her to perform lumbar puncture and epidural anesthesia for this operation.
"The anesthesia was successfully implemented, the patient's physical condition is stable, and the operation can be performed."
Anesthesiologist's routine debriefing.
Doctor Shan has performed multiple surgeries, and it has always seemed relatively easy.
At this moment, her expression was quite dignified.
"This operation is divided into two major steps. First, confirm the degree of necrosis of the femoral head in the recipient area. If the degree of necrosis is mild, you can directly drill holes for bone grafting. But like this patient, the necrosis of the femoral head is already serious, and only by reducing the intraosseous pressure The bone grafting method is difficult to do. It needs to help it establish a new blood supply."
She is teaching while operating.
This kind of difficult operation observation opportunity is not only attractive to the six Gui Peisheng students, but even the two residents, Tang and He, are also serious about watching and studying.
Because Zhou Can acted as a helper, he was close to the water and had the advantage first, which was a great convenience when studying.
You can understand each operation step more clearly.
"First confirm the size of the femoral head to be implanted in the recipient area. Then free one or two groups of blood vessels."
She picked up the scalpel and directly cut the patient's epidermis and fat layer.
Zhou Can hurriedly stopped the bleeding beside him.
After showing the somewhat collapsed femoral head, Dr. Tang stepped forward to help pull the hook together to expose a more sufficient surgical field of view.
In this step, the most difficult thing is to free the two sets of blood vessels.
She operates carefully.
When freeing the first artery, it went smoothly.
Zhou Can, who was helping to pull the hook, found that her free technique was relatively weak. There is only the resident level, and it has not reached the level of attending.
After all, the separation technique is an advanced medical skill, so it is difficult to practice and the speed of improvement is slow.
It's pretty good for her to be at her current level.
Maybe many attending doctors are not as good at separation as hers.
When she freed the second vein, because the situation was too complicated, the femur collapsed, which greatly increased the difficulty of freeing the vein.
Time passed by every minute and every second.
Sweat kept gushing from her forehead. The patrolling nurse kept wiping her sweat away.
It can be seen that although Dr. Shan is wearing a hood, the little hair exposed on her forehead and other places has been completely wet with sweat.
"The Point Guard Is Here"
"No, it's too difficult to dissociate this blood vessel. I'm afraid I have to ask Director Shen to come over and perform the surgery himself."
After she tried many times, not only the progress was slow.
The free blood vessels were also very sloppy, and on several occasions they almost broke the walls of the blood vessels.
"Help me contact Director Shen!"
This is for the patrolling nurse.
She temporarily stopped surgery.
The call got through quickly.
"Teacher, I have encountered a difficult matter. This patient's femoral head necrosis is beyond imagination. It is too difficult to free the blood vessels in the recipient area, and my level is not up to it. I may need to ask you to come and perform the surgery yourself."
At critical moments, it is the cheapest and most reliable to ask your own teacher for help.
Ask other higher-level doctors for help. Due to hospital rules, they may help you wipe your ass.
A scolding meal is indispensable.
It is also possible to be reduced in power, and the qualifications for similar surgeries will be restricted in the future.
Just like Zhou Can's teacher is Dr. Xu.
Leave him the direct phone number, and tell him that even if something happens at three o'clock in the middle of the night, you can call him over to help wipe your butt.
You ask another director to try in the middle of the night?
"All right, I'll wait for you!"
She ended the call helplessly.
Zhou Can could hear clearly from the side. Director Shen seemed to be presiding over an important major operation and couldn't get away at all.
This matter is a little difficult to handle.
Director Shen will not be able to make it in a while, the patient is naked and has an opening on his body.
The operation encountered difficulties, and the chief surgeon, Dr. Shan, was unable to solve the problem due to his limited skills, so he could only let the patient wait.
Time passed by every minute and every second.
Director Shen didn't know when he would be able to rush over, and Director Shan's face was full of sadness.
She really didn't expect the operation to be so difficult.
Now riding a tiger is hard to get off, which makes her very worried.
"Doctor Shan, can I try?"
Zhou Can boldly made a request.
He knew very well that Doctor Shan refused to even give him the chance to cut the epidermis.
How could he be allowed to do this important job of freeing blood vessels?
Doctor Shan stared at Zhou Can with sharp eyes.
"What did you say?"
"I said can I mobilize this blood vessel? In the emergency department, I mobilized the intestines."
Zhou Can quickly brought out his successful experience.
"What surgery requires free bowel?"
She stared into Zhou Can's eyes and asked.
"Appendectomy!"
She has never done this operation, but she knows the general operation steps.
It is indeed necessary to separate the omentum from the bowel.
The difficulty is not low.
"Are you sure?"
"I dare not say 100% sure, more than 90%!"
Doctor Shan is at war between heaven and man, do you want to let this volunteer Gui Peisheng try?
After all, Zhou Can has always performed very well.
In the end, she decided to take the risk and let Zhou Can try.
This has a certain risk, but it is still within the acceptable range.
In case Zhoucan behaves badly, she just needs to stop immediately.
"Try it! But you must be careful, stop immediately if you are not sure. If you dare to be brave, act recklessly, and I will directly cancel your qualification for regular training."
These words are more frightening.
She should not have the ability to cancel Zhou Can's training qualification.
The most is to give a certain punishment.
After all, Zhou Can didn't do anything harmful or unforgivable.
"Doctor Shan, do you really decide to let him try? He is only Gui Peisheng after all!"
Doctor Tang tried to dissuade.
Because of an accident, he will be somewhat implicated.
"There is no better way right now. A person's eyes can't lie, his eyes reveal a strong confidence, let him try!"
Doctor Shan explained.
Zhou Can stood in the position of Doctor Shan, took the scalpel from the equipment nurse, and began to free the vein.
Experts will know if there is one as soon as they make a move.
When everyone saw Zhou Can's calm posture, they already understood that he might really have this ability.
One knife!
The blood vessel was fine, and a small section was successfully freed.
Doctor Shan's heart jumped to his throat and immediately fell to the ground.
When Zhou Can performed the second knife, her heart hung up again. The spirit is also highly nervous, and his eyes are firmly on the knife in Zhou Can's hand.
As long as there is something wrong, she will stop immediately.
"Uh... This, this, is it really a free blood vessel? Why does it feel like peeling sugar cane?"
She found that every time Zhou Can made a knife, he was crisp and neat.
It's not as cautious as she is at all, walking on thin ice.
Her heart seemed to be on a roller coaster, rising and falling with Zhou Can's scalpel.
She couldn't help being nervous.
Because something happened, she was responsible.
Zhou Can's movements became faster and faster. The vein, which was difficult to free, was like playing with him in his hands. It only took about five minutes to free it.
You know, it was not that difficult for Dr. Shan to dissociate the first artery, and it still took nearly half an hour.
The gap between the two sides is too great.
She is the chief surgeon and attending physician!
Moreover, free blood vessels are very challenging for the operator to dissect.
"Doctor Shan, this blood vessel has been separated!"
Zhou Can was about to give up his seat and return the scalpel to the nurse.
"Good job! It's not finished yet, Dr. Zhou continues." Dr. Shan said to him with a smile.
Only then did everyone recover from the extreme shock.
When looking at Zhou Can, it was like looking at a monster.
"Be good, I have been in the operating room for four years, and I have never seen such a powerful Gui Peisheng. Let me say, Doctor Zhou, tell everyone the truth, is he Gui Peisheng?"
Dr. Tang can be regarded as a senior resident physician.
At this moment, after watching Zhou Can separate the difficult vein, it is really shocking.
It was Director Shen who came to do the surgery himself, probably at this level.
The speed is not necessarily as fast as Zhou Can.
"Our batch of regular trainees is done! How can we compare with such a monster!"
This person expressed the common aspiration of all Gui Peisheng.
"We are not competing with a regular trainee, but with an attending physician."
Another Gui Peisheng said depressed and helpless.
"It's not as exaggerated as you say! I just happen to be good at dissociation." Zhou Can defended with a modest smile.
"Doctor Zhou is really good at many things, puncture, hemostasis, suturing, dissociation... This is just a day of contact with you. Who knows how many specialties will emerge in the future? Comrades, I admit defeat. It's not that I'm cowardly, but The opponent is too strong."
Gui Peisheng, who is quite good at watching movies, said with a dejected look on his face.
"Okay, okay, if you want to praise Dr. Zhou, wait until the operation is finished. No one is allowed to chat anymore, so as not to affect Dr. Zhou's operation."
Doctor Shan forcibly silenced everyone.
Otherwise, these people praised Zhou Can for not taking a break for half an hour. Is this operation still possible?
Free blood vessels are extremely risky.
If it affects Zhou Can and causes an accident, she will be responsible for it.
Zhou Can then continued to free blood vessels.
one, two...
When the last root was about to be dissociated, Director Shen hurried over to rescue his apprentice—Dr. Shan.
When I first entered the operating room, I took a closer look and was almost scared to pee.
Why is it that a strange young male doctor is doing the surgery?
"Shan Dan~www.mtlnovel.com~ what's going on?"
"Teacher, you are here!" Doctor Shan greeted the teacher quickly when he saw the teacher coming. "Dr. Zhou Can's separation level is very high. I don't know when you will be able to complete the operation, so I asked him to try it. As you can see, he did a good job."
Doctor Shan explained.
Director Shen stared at Zhou Can's scalpel, feeling no less shocked than the others.
"My operation was not finished. I only did the most important part of the operation, and I asked an assistant to take over. I thought that I would help you free the blood vessel first. I didn't expect it to give me an accident. Surprised. Dr. Zhou Can really deserves his reputation, no wonder even Director Xie of our major surgery has mentioned it many times."
When it comes to the word mention, the bite is a bit heavy.
I feel that Director Xie should not be praising Zhou Can, but annoyed that Zhou Can is too capable in the emergency department and has performed too many operations.
Then you may discuss countermeasures with other chief physicians in surgery.
Of course, such discussions must be conducted behind closed doors.
Outreach will not be allowed.
"His fame is so great that even Director Xie knows about it?"
Doctor Shan asked in surprise.
"The number of surgeries he performed in the emergency department alone exceeded a thousand in a month, and even more than 1,200 in the last month. Do you think he is famous?"
When Director Shen looked at Zhou Can, his eyes were all sizing up the monster.
In the past, he still felt that the results of Director Xie's investigation were watery. How could it be possible for a regular trainee who had just joined the training for three months to be so strong?
At this moment, seeing is believing.
He totally believed it. +Bookmark+