My Medical Skills Can Add Experience Points Chapter 125 Dust Settled, Replantation of Failed Severed Fingers
"He, can he perform so many operations per month by himself?" Dr. Shan was a little awkward when speaking.
With two assistants and two nurses, she can complete 500 operations a month, which is considered very good. In fact, the number of surgeries she completes in a month is generally around 400.
Others were also taken aback by the amount.
Now they finally understand why Zhou Can is so powerful.
Because people have more opportunities to practice surgery in one month than many residents do in a year.
As for those Gui Peisheng, many of them have never touched a scalpel. Even the opportunity to sew the skin was only taken two or three times. To preside over an operation independently is even more unthinkable.
Compared with Zhou Can's actual combat experience, they can only look up to Zhou Can like reptiles on the ground look up to the stars in the sky.
"As far as I know, it should be so."
Director Shen looked at Zhou Can.
Hope he can confirm it himself.
Zhou Can's background was exposed by Director Shen, and he said with a shy smile, "Actually, it's not as exaggerated as everyone thinks! It's just some simple first-level surgeries."
In fact, if Director Xie hadn't suppressed him, he might have vomited in the secondary operation.
"Really make more than 1,200 units a month! You are awesome!"
Doctor Shan couldn't help giving him a thumbs up.
This amount is really awesome.
"Dr. Shan, since your problem here has been solved, I'll go back to the No. 2 operating room first. The sternotomy is too dangerous. I don't pay attention to it. I'm really worried."
Director Shen came in a hurry and left in a hurry.
Before leaving, he took a deep look at Zhou Can, with love in his eyes.
Love is what many leaders have in common.
Director Shen is one of the chief physicians in orthopedic surgery. When he met a young doctor with extraordinary talent, he liked it from the bottom of his heart.
Unavoidably aroused the love of talent.
Although he didn't say anything when he left, it can be seen from his eyes that he will probably train Zhou Can himself in the future.
…
After Director Shen left, the operation had to continue.
It can be felt that Dr. Shan's trust in Zhou Can has obviously risen to a new level.
In addition to the work of freeing blood vessels, he was left to do it.
Zhou Can also participated a lot in the following important surgical steps.
He even had Zhou Can anastomose a blood vessel.
However, Zhou Can's anastomosis is weaker than that of Dr. Shan.
This is an advanced medical skill.
She also did not reach the attending level.
At present, it looks like an excellent level of resident medicine.
Zhou Can is a little ashamed, he has only reached the low level of a resident doctor.
The main reason is that there are almost no anastomoses of blood vessels and nerves in the first-level surgery. This advanced medical skill eventually stagnated.
He himself was in no hurry.
As long as he obtains a doctor's license, he will be able to participate in secondary surgery.
By the time they finished the femoral bone graft operation, it was already past seven in the evening.
This is the case in the operating room, and the off-duty is more flexible.
You must complete the surgical tasks of the day before you can leave work.
"Thank you for your hard work today. The six of you performed very well. I will give you a fair score based on your actual performance. Let's all get off work."
Dr. Shan's words sounded very pleasant, but the Gui Peisheng knew in their hearts that Zhou Can was the only one who was steadily promoted.
As for the others, we have to see how the other two groups of Gui Peisheng perform.
Zhou Can was still in the inpatient department with Dr. He the next day.
Unlike being an intern before, many things now need to be learned to handle independently. Dr. He is also very concerned about his potential stock. As long as he understands it himself, he will teach it to Zhou Can without reservation.
When it comes to unreserved teaching, we must popularize science.
General doctor's knowledge, surgical skills, methods and technical points to solve various common diseases, almost all the superior doctors are willing to teach the subordinate doctors without reservation.
However, some unique secret skills and core techniques for treating various difficult and miscellaneous diseases are only passed on by almost all doctors to "disciples in the mantle and bowl", "disciples passed on in person".
At present, all the large and small hospitals in China are almost in this tone.
For many young doctors, from the day of internship, all they have to do is to please a deputy director or chief physician who matches their main direction.
Although the success rate will not be very high, once you are favored by a doctor of this level, even if you can't become a mantle disciple, but just be included in the gate wall, it is enough to make your future bright.
At least in the field of specialization of that chief physician, you can be well taught.
How much an individual can comprehend and learn, that is the creation of the individual.
Some interns and regular trainees have no ambitions and are timid. They enter a large hospital to work, and the object of their favor is basically a resident doctor who is one level higher than themselves.
Unless this kind of person is extremely talented, there is a high probability that he will become a member of the ordinary doctor team.
It is difficult to have a particularly great achievement in a lifetime.
Zhou Can clearly realized this very early on. Therefore, during his internship, he would always treat the general doctor in the hospital with an attitude of neither offending nor licking.
Later, in the operating room, he performed the third-level operation with Deputy Director Liu. Once he found an opportunity to be appreciated by Deputy Director Liu, he jumped out without hesitation.
Even offending the general doctor in the hospital didn't care.
This is his growth strategy.
There is a saying that goes well, a general cannot cut a fly with a sword. If you want to become a big tree, don't compete with grass.
Sometimes, vision and pattern also determine the upper limit of a person's growth.
Just imagine, arguing with a few regular trainees every day, and the object of fawning is a resident doctor who is one level higher than yourself.
Where can it be so great?
Zhou Can was busy in the hospital bed area until around 6:00 p.m., when he was supposed to get off work.
Dr. He walked over with a smile and took over his work.
"Go to the doctor's office! Dr. Yang will make new work assignments for you. In the future, you will be assigned to work in the operating room. If you have hospitalization problems, or some patients who need special care, you can come to me at any time."
Dr. He's attitude towards him is so friendly, he probably already knew that Zhou Can could work in the operating room.
Zhou Can walked quickly into the doctor's office with anxiety.
Before the results were announced, no matter how strong he was, he was still a little unconfident.
All eighteen Gui Peisheng gathered in the office.
Many people are nervous.
Dr. Yang is still in charge, with young Dr. He assisting.
Zhou Can and Dr. He worked together in the operating room for a day. He found that Dr. He's surgical ability was very weak, but that Dr. Tang was much stronger.
It is not difficult to see from this point.
People with poor surgical skills will often be assigned to various chores.
"It's all here! In the past three days, the eighteen of you have been working hard to compete for excellence, and you have performed well."
Doctor Yang first said a cliché.
Then began to talk about the key points.
"It's a pity that the number of training places in the operating room is limited, and there is no way to let all of you work in the operating room. After the preliminary screening of the attending physicians in the operating room and the final discussion of several chief physicians, it is decided to let the following six people enter the operating room to participate Daily training. The other 12 people will have the opportunity to participate in the operation room for regular training during the operation."
This is common practice in most departments.
With limited resources, we can only focus on training a small group and extensively train a large number.
"Zhou Can, Lu Bubi, Cheng Daile..."
Zhou Can actually ranked first.
It seems that the superior doctors are very optimistic about him.
As long as it is a little fairer, it is undisputed that he, the evildoer, ranks first.
After reading the names of five people, Jin Mingxi's name still did not appear.
As soon as Zhou Can turned his head, he found that Jin Mingxi was clutching the corner of his clothes, with last hope on his face, staring closely at the list in Doctor Yang's hand.
If he fails to choose, Jin Mingxi will lose the opportunity one step at a time, and will be one step behind others from now on.
Orthopedic surgery training is really important.
It determines whether the future operation foundation is solid.
During the three months of orthopedic surgery training, if you fail to learn enough surgical knowledge and skills, it is impossible to make up for it by reading books and watching teaching videos.
It is bound to affect the subsequent rotation competition of various departments.
One step behind, one step behind.
And after becoming a resident doctor, the gap will further widen. It is very detrimental to the promotion of attending in the future.
This is why Jin Mingxi is so nervous.
His age is already not young. He is 35 years old and only has a bachelor's degree. If he delays for another two years, he will die until he retires as an attending physician.
In the end, he wants to return to his hometown County People's Hospital after he has completed his studies, and his great dream of improving the overall medical level of the hospital will definitely be greatly reduced.
"Don't worry, if you lose the election, I will find a way to help you in the future."
Zhou Can patted his hand and comforted him softly.
"Um!"
Jin Mingxi nodded gratefully.
"The last name, Jin Mingxi."
Dr. Yang deliberately whetted everyone's appetite and left enough suspense before announcing the name of the sixth person.
"yeah!"
Jin Mingxi clenched his fist hard, extremely excited.
The few seconds of suffering just now seemed to him as long as a century.
The twelve Gui Peisheng who were not selected all showed extremely disappointed expressions.
Their mood is low, and their hearts must be very uncomfortable.
But the competition is so cruel.
Those who can go up, and those who are mediocre go down.
"Don't be discouraged if you are not selected. There is a long way to go in medicine. As long as we keep studying hard and constantly improving the level of diagnosis and treatment, we will always achieve something. To be honest, I was also one of the regular trainees who were not selected. .However, with my perseverance and perseverance, I was finally promoted to the attending physician of orthopedic surgery. I will share with you.”
Dr. Yang saw that many people were extremely depressed, so he warmly exposed the gloomy history of the year to motivate them.
Gui Peisheng, whose self-confidence had been severely hit, raised his head again after hearing this.
There was a firm light in his eyes.
This doctor Yang is quite a good person.
"The six people who have successfully advanced will report directly to the operating room tomorrow. Zhou Can, Lu Bubi, and Cheng Daile will directly report to Dr. Shan tomorrow. Wang Bin, Fan Wen, and Jin Mingxi will directly report to me."
Arrangements were made directly for the six people.
Based on my feeling, Dr. Yang's surgical ability should be weaker than that of Dr. Shan.
Zhou Can was wondering if the three assigned to Dr. Shan meant they were better?
Now that the dust has settled, he has successfully entered the orthopedic surgery room, and his heart is finally settled. In the next three months, I will study hard and learn as many orthopedic surgery skills as possible, as well as surgical methods for dealing with various orthopedic diseases.
…
The next day, Zhou Can rushed to the Orthopedic Surgery Department early to report to Dr. Shan.
The working hours of the operating room here are different from those of the emergency department.
The emergency room is open 24 hours a day.
In the specialized operating room, except for overtime work for various special major operations, the normal working hours are to enter the operating room around 7.30 in the morning. Leave work after 5.30pm.
The off-duty time can occasionally be advanced when the operation is fully completed.
But even if the operating room is fine, the doctors and nurses are still worried that their attendance will count them as leaving early. Generally, I will write the case in the office, or the operation record, experience, or check the doctor's order, etc.
Stay up until that point before leaving get off work.
In fact, leaving get off work late is the norm.
"Good morning, Doctor Shan!"
As soon as Zhou Can arrived at the orthopedic surgery corridor, he saw Dr. Shan.
She had already changed into her white coat and was reading some inspection reports in her hand.
"morning!"
She looked up at Zhou Can, then continued to look down at the inspection report.
Zhou Can hurriedly changed into her overalls and followed her.
Among the three Gui Peisheng, I didn't expect him to be the first one to arrive.
"When everyone is here, prepare for rounds. This case is of great learning value, you can take a look."
She handed Zhou Can a case with the inspection report in it.
Come early, it seems that you can still get some special care.
After Zhou Can took it, he studied hard.
Not long after, Doctor He, Doctor Tang, and two other Gui Peisheng arrived one after another.
"Let's start the rounds!"
She led several people towards the bed area.
"Doctor He, do you know which beds are the surgical patients in our group?"
"It's already been counted! Bed No. 46 to No. 145, plus Ward No. 5 and No. 6."
With so many beds, it is certainly not for a single doctor.
The group she mentioned was probably the entire orthopedic trauma surgery group led by Director Shen.
The chief physician usually checks the room once a week.
This requires the attending doctors to be diligent and take good care of the surgical patients in this group.
They checked the beds one by one.
Zhou Can followed behind, just watching and listening to their conversation silently.
Until now, UU reading www. uukanshu.com He will start to gradually learn to make ward rounds independently.
Doctor Shan asks about the conditions of patients in different situations, and then makes treatment arrangements based on the reports of the bed doctor, interns, and the patient's response.
There is a lot of knowledge here.
He greedily absorbed the knowledge and experience in it.
Rounding the ward with the superior doctor at this moment is completely different from the ward round during the previous internship.
Interns cannot prescribe medical orders, let alone prescribe prescriptions.
A single doctor can flexibly make adjustments according to the situation of each patient.
For example, if someone reported that the postoperative pain was unbearable, she would prescribe painkillers for the patient.
"Doctor Shan, please see how my husband's hand is doing? It's been almost 24 hours since the operation, but his four fingers still don't feel any sensation."
The male patient on the hospital bed is about fifty years old.
All four fingers on his right hand were amputated and replanted.
At this moment, the four fingers are still pale.
There is obviously a problem with the blood supply.
Zhou Can secretly wondered that all four fingers had blood supply problems. It should not be that the doctor's vascular anastomosis was not done well, but something went wrong in other aspects.
Coincidentally, he was lucky enough to perform two finger replantation operations.
Could have done more sets.
Later, Director Xie ordered a team leader of the quality control department to suppress him, and in front of Vice President Ye, restricted him from undergoing more than one level of surgery.
Since then, Zhou Can has never had a severed finger replanted.
He stared at the patient's four fingers. Did these four severed fingers miss the golden replantation time within 6 hours? +Bookmark+