"Well, the sewing is okay. It's not bad to have such a good performance on stage for the first time."
Director Liu first affirmed his stitching.
Then the topic changed, "However, there are still some things that need to be improved. For example, the stitch spacing can be shortened. After knotting, the cortex will fit more tightly. Now with the naked eye, it can be seen from the surface that the fit is dense. There are actually tiny gaps in the dermis. That's not going to help the wound heal."
Only someone like Liu Lao who has a lot of experience in surgery can see the existence of small gaps under the cortex at a glance.
"Also here, when choosing the needle position, you can get closer to the incision margin. As the Analects said, far away will cause complaints, and closeness will not be inferior. If the needle position is too far from the incision margin, the suture will be drawn too long and the strength will be loose. Needle position If it is too close to the cutting edge, the suture distance is short and the pulling force is strong, but it is easy to cause the skin to be torn. This degree can only be controlled by yourself.”
Director Liu usually rarely explains these basic suture points.
I also saw that Zhou Can is a good seedling, worth cultivating.
This is the detailed explanation.
"By the way, the selection of needle positions during suturing is not uniform. Some parts of the skin are tough and can be closer to the incisional edge. Some parts of the skin are fragile, and the distance from the incisional edge should be properly extended to ensure that it does not break."
The seemingly simple skin sewing has so many profound skills.
"Students have memorized it, and they will definitely understand it in practice in the future."
Zhou Can nodded sincerely and said.
Which parts of the skin are tender and which parts have strong skin toughness must be slowly explored in surgical practice.
And different age, gender, skin strength will be different.
Children's skin is definitely more tender than the elderly. Women's skin is thinner than men's.
The difference can only be understood and accumulated by oneself.
Seeing that he has a very humble attitude towards learning, Mr. Liu loves this student even more.
"Your potential is very good. You can do your best in the recruitment of Tuya Guipei this time. If you can stay, I can apply to the hospital and I will guide you."
When the other interns heard Mr. Liu say this, their eyes turned red with jealousy.
This is a great opportunity.
You know, Mr. Liu is at the level of deputy director. If it wasn't for his poor academic performance, he would have been the director long ago.
Among the deputy chief physicians of the general surgery department, Mr. Liu is definitely one of the best.
I don't know how many doctors and residents who want to seek guidance from Mr. Liu. Even the attendants are vying to be Mr. Liu's students.
Now that Mr. Liu actually threw an olive branch at Zhou Can, an intern, how could he not be envied?
"Doctor Zhou, it's your luck to meet a nobleman!" the hospital chief said sourly.
The sourness turned sour, but his address to Zhou Can quietly changed.
From Xiao Zhou to Dr. Zhou.
With such a trace of respect.
"Thank you Director Liu for your appreciation!"
Zhou Can is not stupid, so he hastened to thank him for such a good deed.
Old Liu smiled and nodded slightly.
He looked at the anesthesiologist.
"How is the patient's condition?"
"The patient is waking up, and his signs are stable. The blood oxygen is slightly worse, but it is within the normal range."
"Well, I'll leave it to you guys here." Elder Liu looked at Kazusuke again. "Doctor He, please pay more attention to the patient's postoperative twelve hours. If there is any abnormality, please call me at any time."
This major surgery is extremely dangerous.
Twelve hours after surgery is called the high-risk period.
In the whole perioperative period, its risk factor is second only to the operation stage.
"Okay. You can go to the symposium without worry!"
If we compare their group to a small sect, Yizhu's status is equivalent to that of a big brother.
When the master is not around, the elder brother assumes the duties of the master.
Not long after, the patient regained consciousness and behaved normally after the operation.
After observing that there is no problem, he issued a doctor's order and sent him back to the ward to recuperate.
…
Back in the office, the interns who usually had little contact with each other became enthusiastic about him.
The cold and serious resident doctors also became more polite to him.
His status in the department has risen significantly.
It feels so good to win the respect of everyone with this kind of real ability.
It also strengthened his determination to continue to improve his medical skills.
After writing the medical record and finishing the work at hand, Zhou Can began to figure out how to upgrade one or two medical skills as much as possible before tomorrow.
At present, the two medical techniques of suturing and ligation have reached the level of hospitalization, so there is no need to worry about it.
Hemostasis medical skills can only wait until after get off work, buy white mice or rabbits and go back to the dormitory to practice. Now I'm just an intern. If I want to go to the operating table to fight for the opportunity to exercise to stop the patient's bleeding, I'm just wanting to eat.
Anatomy can only be practiced at home.
Originally, Zhou Can did not expect to advance to the third level of anatomy before the regular training was recruited.
Because he has too many medical skills to improve and time is limited, he can only give priority to the more important suture, ligation, and pathological diagnosis.
Now, suddenly, he has great ambitions.
If you really want to upgrade all these five medical skills to the third level, you will definitely be sure to apply for a regular training doctor.
At that time, it will be other people who should worry about losing the election.
Pathological diagnosis is the most difficult medical skill to improve.
But it ranks first among all medical skills, and no medical skill can shake its position.
Zhou Can was appreciated by Director Liu today, and he jumped from an unknown intern to a key training target. More than half of the credit belongs to his pathological diagnosis and medical skills.
It shows how useful it is.
Now prepare to raise it up first.
He checked the experience value of pathological diagnosis, level two, 90.6/100. Excellent level of training.
Only 9.4 experience points are needed to be promoted to the third level.
If you upgrade by reading cases, you can only add 0.1 experience points for each case you read. He needs to read 94 cases, which is estimated to take at least several days.
In the operating room, he added 1 experience point to the successful diagnosis of the patient.
After tasting the huge sweetness, he began to think about it.
Where is the easiest place to get a diagnosis? It must be a clinic.
Checked the roster.
It turns out that Dr. Yizhu He will come to the outpatient clinic in the afternoon.
Zhou Can's mind immediately became active.
Taking advantage of the relationship appreciated by Director Liu, he begged Dr. He with a shy face, and maybe he would agree to give him a chance to practice as an assistant to the doctor.
At this moment, Dr. He is carefully checking the written case.
Zhou Can stood up and walked over.
"Doctor He, would you like some water for your teacup?"
He Hansheng is not only the attending doctor, but also has the highest status among all the attending doctors in the department in terms of seniority.
Many people speculate that next year he is likely to be promoted to deputy chief doctor.
On weekdays, they are kind to these junior doctors.
Dr. He looked up at Zhou Can.
"You kid has nothing to show courtesy, so you must ask me for something. Tell me, what's the matter?"
Zhou Can's little thought was seen through, and he couldn't help laughing.
"Hehe, I didn't expect that Dr. He not only has superb surgical skills, but also has a lot of enthusiasm in psychological medicine. I am so small, I can't escape your eyes at all."
Zhou Can flattered him first.
Thousands of wears and thousands of wears, flattery does not wear.
Everyone loves to hear good words.
Especially in front of the leader, occasionally saying a few nice words can greatly enhance the favor in the leader's mind.
Things to do next will be much easier.
"Tomorrow will be the recruitment for regular training. My pathological diagnosis is lack of practice. I checked the duty list just now. You will come to the outpatient clinic in the afternoon. Can you bring me along to help you and accumulate some practical experience with you?"
Zhou Can said what he asked for with a shy face.
"Well... okay, you follow me to the outpatient clinic in the afternoon. UU reading www.uukanshu.com"
After a little hesitation, Dr. He readily agreed.
"Thank you! If the regular training has been recruited, I will treat you to a big meal."
Zhou Can was so happy that he thanked repeatedly.
Give it a go and turn your bike into a motorcycle.
When it's time to fight, you have to fight bravely.
Let's see, isn't there an opportunity to exercise as a medical assistant?
He did the math, 9.4 experience points, if every patient diagnosed can add 1 experience point. It only needs to diagnose 10 patients to upgrade the pathological diagnosis to the third level.
"Doctor Fang, assign Xiao Zhou's work to someone else in the afternoon, and he will come with me for consultation." Dr. He greeted the chief resident doctor Fang.
Most of the work arrangements for general surgery interns are managed by Dr. Fang.
"OK!"
Dr. He personally opened the mouth, and Dr. Fang only had to agree.
I saw him take out a roster, and then began to forcibly add tasks to other interns.
"Xiao Gao, take care of the patients in beds 21 to 26 in the afternoon. Xiao Wu, I'll leave it to you to follow up on the patients in beds 29 and 31..."
In this way, Zhou Can's work in the afternoon was allotted by the hospital manager.
Even if the interns who were given the task were unwilling, no one dared to challenge the authority of the hospital.
I can only agree in a muffled voice.
Social competition is everywhere, survival of the fittest.
The strong go up and the weak go down, this is the law of nature.
Dr. He is willing to give Zhou Can a training opportunity because he feels that Zhou Can has great potential and is worth training.
As for other interns being squeezed, this is the result of fair competition.
Opportunities are available to everyone, and if you seize them, you can climb higher.
There is an opportunity to become stronger and stronger.