If I have to generalize the usefulness of Kuai Dao, it is like the internal strength in martial arts.
If you practice it well, use your 'internal strength' to activate those surgical techniques that require the use of knives, and you can double, or even tenfold, your original medical skills. For example, the dissection surgery performed in the operating room today, although the attendings were only of inferior level, successfully separated the tumor remnants that Director Wen could not separate.
And it only took one knife.
Zhou Can's current props for practicing quick knife are still carrots.
However, with his great improvement in knife skills, it is no longer necessary to cut carrots into four pieces.
Simply split down the middle and cut in half.
The small scalpel seemed to come to life in his hand, whether it was cutting horizontally, picking up, obliquely, or sideways, it could be cut flexibly and precisely. The cut carrot slices are uniform in size and thickness.
It has to be said that his knife skills are no worse than that of chefs in star-rated hotels.
There is no shortcut in the practice of quick knife technique.
Relying on his chopping carrots one by one, he steadily improved.
Used radishes should be counted in tons, not bags.
…
Day by day.
In the Department of Neurosurgery, he followed Director Wen to perform operations, consultations, and ward rounds. With his rare dual surgical talent, excellent pathological diagnosis ability, unique diagnostic thinking, and serious and rigorous working attitude, he soon became Director Wen's most dependent assistant.
Now, whenever Director Wen performs surgery or consults difficult cases, the first thing he does is to look up to see if Zhou Can is here.
It's unbelievable that a chief physician should rely on such a training doctor to such an extent.
If you have to delve into the reason, just two words, interest.
Director Wen's surgeries have been significantly increasing recently.
For some ultra-difficult operations, when the patient's physical tolerance is very weak, if traditional surgery is performed, the consultation opinion given must not recommend surgery.
Now with the help of Zhou Can, there is often one more consultation opinion given. Traditional surgery is not recommended, and endoscopic surgery can be tried.
If Zhou Can expresses the key part of this endoscopic surgery, he has great confidence.
Director Wen will write "endoscopic surgery is recommended" in the consultation opinion column.
Zhou Can's many advanced medical skills have been upgraded to the attending level, but only anastomosis is still at the resident level.
In the past, it was only a first-level operation, and there was almost no need for anastomosis.
The operations performed by Director Wen are at least level 3, and many neurosurgeries involve complicated blood vessels and nerves. The demand for the use of anastomosis has increased dramatically.
Anastomosis at the resident level is okay for ordinary blood vessels and nerves.
But endoscopic operation, it seems dwarfed by comparison.
In particular, some anastomotic ring mirrors are extremely complicated, surrounded by many important nerves, blood vessels, vertebrae, skulls, and brain tissue interference, and the difficulty of anastomosis is doubled.
At present, Zhou Can's six advanced medical skills, separation, insertion, grasping, and debridement, have all been upgraded to the fourth level, reaching the level of attending.
Only the two advanced medical skills of anastomosis and transmission are still at the third level.
Because I practice more after get off work, the experience value is already close to the fourth level.
As long as you practice for another week or so, you should be able to rise to the attending level.
This is because the teleportation technique is very rarely used for the time being, and he is not in a hurry to upgrade.
What really worries him is the anastomosis, the current experience value is 116.8/1000 for the third level. To be promoted to level four, there is still nearly 900 experience points short.
Anastomosis of a nerve or blood vessel can only add 1 experience point.
Where did he get the chance to practice 900 anastomoses?
As for using white mice to practice, it is very uneconomical.
It takes 20 minutes to anastomose a blood vessel, and the experience value obtained is 0.2.
He needs to anastomose five blood vessels before he can gain 1 experience point.
In other words, it takes at least 100 minutes for him to earn 1 point of consistent experience. In practice, it would take at least two hours to anastomose five rat tail vessels.
Because there are many preparations such as anesthesia, cutting blood vessels, and stripping in the early stage, they will take up a lot of time.
Therefore, it is extremely uneconomical to practice anastomosis on animals.
For two hours, he spent reading medical books or practicing quick-knife skills, and the gains were much greater.
If you want to quickly earn experience points for anastomosis, you have to perform operations on patients.
You only earn 1 experience point for anastomosis of a blood vessel for a patient, which is still very slow!
Zhou Can's mind was very bright, and he quickly thought of a way.
When doing endoscopic surgery, he found that he could get an extra 100 experience point reward for using an endoscope for the first time to use a certain medical technique, or to perform endoscopic surgery on that organ for the first time.
Ever since, he ran wildly on the avenue of earning experience points crazily.
As long as he finds that there is an opportunity for anastomosis in endoscopic surgery, he will do everything possible to win it.
Unless some matches are extremely difficult and the confidence is very small, there is no way but to give up decisively.
Earning experience points and high rewards is important.
But safety is more important.
Don't look at Director Wen's willingness to entrust him with various high-risk surgical tasks. That's because he built a foundation of trust step by step.
So far, it has maintained 0 mistakes and 0 accidents.
Zhou Can is very clear that as long as he fails once, the trust accumulated through hard work will immediately disappear.
Therefore, we must not lose the big because of the small.
As long as Director Wen always trusts him, there will be a steady stream of opportunities for surgery.
It's been like this for more than a month.
Zhou Can's anastomosis finally rose to level four.
So far, his shortcomings have finally been filled. There are more surgical tasks that can be challenged.
After the anastomosis was upgraded to the fourth level, he felt most clearly that the difficult blood vessels, nerves, tendons, and intestines that could not be anastomosed before can now be all competent.
The patency efficiency of the anastomotic blood vessels and intestinal tubes has been greatly improved.
In the past, for a blood vessel with an internal diameter of 2 mm, after anastomosis, the internal diameter of the anastomotic site would shrink to about 1 mm.
Its patency efficiency has been reduced by half.
Before the operation, 100 milliliters of blood can pass through in one minute. After the operation, only 50ml of blood can pass through in one minute. This effect is actually quite large.
After his anastomosis was upgraded to level 4, the inner diameter of blood vessels with an inner diameter of 2 mm can be retained by about 1.5 mm after anastomosis.
Needless to say, this is a huge improvement.
In addition, the tightness and tension resistance after anastomosis of blood vessels or intestines are at least doubled.
There are many doctors with poor surgical skills who anastomose intestinal tubes to patients, and intestinal leakage occurs as a result. The consequences of this can be very serious.
After his anastomosis is upgraded to level four, the possibility of intestinal leakage or blood vessel leakage is almost zero.
In addition to the obvious progress mentioned above, there is also the fact that when anastomosing blood vessels or nerves, most of the interference caused by the surrounding complex environment can be eliminated.
In the end, he performed the anastomosis under the endoscope, and the operation was more skilled and easier.
Zhou Can came to a conclusion that in order to complete various operations under endoscopy more flexibly, advanced medical skills must at least reach the attending level to be barely sufficient.
For more than a month, Zhou Can not only performed surgery and consultation with Director Wen, but also gained a lot of experience in advanced medical skills and pathological diagnosis. When he had time, he also went to the orthopedic surgery manual reset room to help.
Last time I sent an old ginseng to Dr. Fu Zhi'an in the manipulation restoration room, and the effect was quite good.
Zhou Can's bone setting has progressed very fast.
Now it has reached the intermediate level of resident medicine, and it is only a little bit close to being promoted to the excellent level of resident medicine.
The various bone setting and reduction knowledge, skills, precautions, and operation methods learned are innumerable.
With the blessing of the experience point system, he has risen unstoppably and rapidly by virtue of his diligence and hard work.
…
In the neurosurgery director's office, Wu Baihe stared at the summary report of last month's surgery, and remained silent for a long time.
Du Leng and several of Wu Baihe's apprentices were all present.
These people are highly valued by Wu Baihe, and he has spared no effort in cultivating them.
These people will be brought along for various surgeries.
Needless to say, a few apprentices, many of them are already attending or even at the level of deputy director.
"Director Wu, is there something wrong with the summary report?"
"I can't even make a report, and I will have to scold them later."
The disciples spoke out one after another.
It is unimaginable that a strong surgical team has the right to speak and its status in the department.
Wu Baihe is already strong enough, and no one can shake his status outside the gods.
Now some of his apprentices have become deputy chief physicians, which also makes Wu Baihe's status even higher, and he has more say in the department.
"The report statistics should not be wrong. I'm just curious about how Director Wen performed so many surgeries last month? Among them were grade 3 and 4 surgeries, and endoscopic surgeries were adopted. And the success rate of surgeries is terribly high. 100 percent success rate."
Wu Baihe looked at the data on the report, and even he himself couldn't believe it.
"No way?"
Several people came forward to check it out.
"I remember Director Wen's talent for endoscopic surgery is very ordinary. He usually tries his best to formulate traditional surgical plans for patients. Now that he has suddenly performed a large number of endoscopic surgeries, I think there are only two possibilities. Either he has already obtained A major breakthrough, or one of his doctors has a very high talent in endoscopic surgery."
"Advanced surgical talent is not something you can have if you want to. Director Wen had no experience in endoscopic surgery before, and his performance was mediocre. It is unlikely that he will suddenly make a major breakthrough in this area. I am more inclined to the latter Opinion. Which of his doctors has a very high talent for advanced surgery. Now that he has been trained, he can complete so many endoscopic surgeries in just one month."
"We can also do endoscopic surgery, but the success rate is 100%, which is really scary."
"I know the two attending physicians under Director Wen. They are very talented in endoscopy. I haven't heard of any talents in this field!"
Wu Baihe's apprentices, you have a word, and I have a word.
Or how can I say that three cobblers are worth one Zhuge Liang! It is much better for many people to make suggestions and discuss together than to think about it alone.
"Look at the thinking behind these difficult surgeries. To be honest, even I feel sincere admiration."
Wu Baihe pointed to some of the surgeries and said.
As the director of the department of Shenwai, the performance of the department will be summarized to him every month.
He can see which doctor has done what, made meritorious service or made omissions or mistakes in diagnosis and treatment.
Of course, if the doctor below did not report it, he would definitely have no way of knowing.
"If the teacher thinks that the performance of Director Wen's group is too outstanding, I can find a way to recruit that person to our group."
Du Leng's way of thinking is as insidious as his person.
He came up with this idea more as an expression of allegiance.
Want to gain the deep trust of Wu Baihe.
"Xiao Du, although you gave this idea out of good intentions, I still want to criticize you. We doctors must not be so narrow-minded. Especially the same department, that is, a family, we must unite, don't Vicious competition. Don't do anything that destroys unity. Understand?"
Wu Baihe looked at Du Leng very seriously.
"clear!"
Du Leng agreed happily, God knows what he was thinking.
After staying abroad for a long time, it is normal for me to become selfish and selfish under the influence of Western thought.
The idea of the capital world is to put personal interests first, our side first, and not allow others to surpass me.
"Director Wen's team has outstanding performance last month. This is a good thing. It shows that we are growing and becoming stronger. I have to ask him another day, who is such a genius, who has experience in endoscopic surgery?" Extremely talented. There are too few such talents, so we must cultivate them well."
Wu Baihe also has people who are good at endoscopic surgery.
Including himself, the endoscopic surgery talent is not bad.
But there is no one with a particularly good talent for endoscopic surgery.
It can only be said that it is above the standard and passable.
Discovering that a talent with outstanding endoscopic surgery talent suddenly appeared in the neurosurgery room, Wu Baihe was full of surprises, and even had extremely high expectations.
After the neurosurgery department's performance last month was reported according to the regulations, it soon attracted the attention of Director Xie.
Director Xie had a smile on his face after reading it.
"Director Wu, Shenwai may have performed so many endoscopic surgeries last month, and the success rate of the surgeries is extremely high, and the satisfaction rate of patients after discharge is also very high. It seems that you have paid great attention to quality and technology. good."
Director Xie highly affirmed Shenwai's performance last month.
"To tell you the truth, it's not because of me alone that we have made such great progress. Many difficult endoscopic operations were completed by Director Wen's team."
Wu Baihe is not greedy for merit.
Whose credit is his.
"Oh, old Wen's endoscopic surgery?" Director Xie may not even be able to name some general surgeons. But for the chief physician and deputy chief physician of the surgery, all of them know the basics.
"Old Wen's endoscopic surgery has not been very good before, why did it suddenly become so good?"
"I haven't had time to ask him about this. But according to my speculation and that of the doctors under me, it should be that Director Wen has a talent with excellent endoscopic surgery talent."
Wu Baihe was a straightforward person, and he didn't hide anything from him, he said everything.
Strictly speaking, Director Xie is his immediate boss. UU Reading www.uukanshu.com
However, among the chief physicians, everyone is a distinguished, accomplished and powerful figure, and no one will compare themselves with each other.
There is mutual respect between each other.
Then everyone will consciously support and respect those who have higher administrative positions than themselves.
This is also the rule of survival in the workplace.
"So that's the case, I just said it! But this is a great thing, our surgery is short of talents in this field. Internal medicine, pediatrics, obstetrics and gynecology, and the oncology department of the Second Attached are all vigorously promoting endoscopic surgery and microscopic surgery." Invasive surgery is a major trend. We also need to cultivate more talents in this field in surgery, so that we can remain invincible in the competition."
Director Xie said earnestly.
As the director of a large department, he must take a long-term view and play a big game of chess for the entire department well.
Otherwise, the entire department will decline rapidly in the fierce competition.
Regardless of the various departments of Tuya Surgery, the situation is very good now. However, endoscopic surgery has really developed, and surgery has not kept up with the pace of the times. Patients will use their feet to choose treatment methods and departments that are more beneficial to them.
"By the way, the talent under Director Wen is really good. He can complete so many difficult endoscopic operations. I have to ask in person. In the future, when other departments of surgery encounter difficult operations, they can also be invited to the joint consultation. combined surgery."
Director Xie is short-tempered.
After feeling that there was a lot to be done about this matter, he couldn't hold back, and immediately went to Shenwai to find Director Wen to understand the situation.
I'm also going to meet that super genius, give encouragement, and build a little emotional foundation.
At this moment, Director Wen has just led Zhou Can and others to complete a four-level intracranial tumor resection.
It's endoscopic surgery.
very successful.
He is also in a great mood. This day is particularly hopeful.