"Tian, the operation is great, you did an excellent job!"

After getting out of the operating room and taking off his clothes, Tian Lu was just leaning against the wall, and a very sincere compliment came from behind him.

Hurriedly turned his head to see that a surgical nurse who was working together just now was standing behind him, looked at him with a smile on his face and asked, "I heard that this is your first operation?"

"Yes!"

Tian Lu hurriedly stood up straight, and said with a smile: "I'm so nervous, my hands are still shaking!"

Although the physician is in the driver's seat during the procedure, the role of the nurse should not be underestimated. Moreover, the surgical nurse is originally a high-status nurse in the hospital, and the annual salary of the one in front of her is much higher than that of Tian Lu.

"I don't see that!"

The surgical nurse laughed and said, "Overall, although it is a little slower, it is perfect, I hope to continue to cooperate with you next time!"

After speaking, the surgical nurse left, and Tian Lu breathed a sigh of relief and leaned against the wall again. I didn't feel that after the operation, the fatigue caused by the high mental tension came to my heart in an instant.

Although it was not a big operation, before and during the operation, Tian Lu was indeed very nervous: after all, this was his first operation in reality, and it was not the patient simulated in the system lying on the operating table, but the living flesh and blood!

The moment the scalpel cut through the skin of his neck, Tian Lu almost thought that his heart had stopped beating!

"Huh. ”

Recalling that suffocating moment, Tian Lu couldn't help but laugh in a low voice. He doesn't think there's anything embarrassing about this, nervousness is nervousness, there is no need to hide it, but there is some regret in his heart: through this operation, Tian Lu found that the operation support system of the system is extremely strong, but after all, it is not omnipotent, he can't control his own autonomous operation, and he can't restrain the user's nervousness, and in the end everything still depends on himself.

And from another point of view, the operation assistance function of the system is only carried out according to the predetermined plan after all, and the ability to respond to emergencies needs to be confirmed by experiments. There are no accidents in today's surgery, and the actual situation of the patient is indeed consistent with the results of the examination and diagnosis, but if it is a complex case that needs to be explored during the operation to determine the follow-up plan, I am afraid that the role of the system is debatable.

Either way, it's a successful start!

It turns out that the clinical operations support system can be a huge role for a surgeon!

Putting aside the understanding of the disease and other comprehensive abilities, in the case of a specific surgical process, in addition to the individual's understanding and talent, whether there is an opportunity to do it, and how many opportunities to do it, are important factors in determining a surgeon's surgical ability.

Many surgeons in China, although they are not members of the professional committee or big-name experts, but once they are specific to a certain type or type of surgery, other doctors often think of their names first. It may be very difficult for these doctors to create a new type of surgery, or even to improve those traditional procedures, but the experience of hundreds, or even thousands of cases, makes them understand this or a type of surgery far beyond others!

In the words of the oil seller: "I have no other, but I know him." ”

How to make the smallest surgical incision, how to remove the lesion cleanestly, how to go under the knife to avoid damage to the surrounding nerves and blood vessels, and to what extent do the surrounding lymph nodes need to be dissected?。。。。。。

These things cannot be completely understood by theoretical study.

As a simple example, according to the location and size of the lesion, what is the most appropriate place to make the incision?

This kind of thing depends entirely on experience. The literature can only let you know that others can do this, but only doctors who have performed a sufficient number of surgeries can truly turn this theoretical knowledge into their own operational ability.

In this regard, Tianlu has an absolute advantage!

As long as he truly understands the principle and understands the whole process, he can simulate it in the system, so as to accurately complete all operations with the assistance of the system!

This is the essence of the clinical operation support system!

。。。。。。

There is nothing to do for the time being, Tian Lu is out of the operating room, and several other residents are there, so after seeing Tian Lu, they naturally want to come up to congratulate them, and the blonde girl is no exception. Tian Lu came to the Department of General Surgery to transfer to the department, and he was not a competitor of several people, and in this regard, the mood of several people changed very quickly.

After a short break, Tian Lu re-entered the system.

The whole process of the operation just now has been entered into the clinical operation support system from the first perspective by the entry function, and with the attitude of appreciating his own work, Tian Lu watched it again and again with ten times the speed.

"Hey, it's not bad!"

Tian Lu was quite satisfied with his performance today, secretly complacent, and then gave a series of orders to the system.

"Establish a library of templates for general surgery. ”

"Establish a thyroid surgery template library under the general surgery template library. ”

"The current surgery is saved as a surgical template and is included in the Thyroid Surgery Template Library, No.: Thyroid Surgery No. 001, Title: Left Lobe and Isthmus Resection of the Thyroid Glander and Prophylactic Left Zone VI Lymph Node Dissection. ”

Soon, in the empty hall of the clinical operations support system, a huge icon appeared.

This is a function that Tian Lu discovered after exploring the diagnosis and support system a few days ago, a clinical operation or operation, which can be saved by the system as a template for users to review or use again for reference in the future. In fact, this function does not necessarily have to be the operation or operation completed by Tian Lu himself to be saved, and the operation simulated by the previous system can also be saved, but this first template is quite meaningful to Tian Lu, and the opportunity is reserved for the first operation that he did by himself.

Once the surgical template is established, if you encounter similar surgeries in the future, Tian Lu no longer needs to simulate in advance to formulate a surgical plan, and it can be used immediately, which is very convenient.

Of course, with the increase of experience, or learning more knowledge, Tian Lu can also add various "plug-ins" to the surgical template, for example, today's operation, you can completely add "vascular bleeding treatment plan" and "recurrent laryngeal nerve injury treatment plan。。。。。。

As soon as the template was saved, the residents' BB machines rang, and Tian Lu immediately swarmed out with the crowd.

The work of a general surgery resident is varied and hectic.

Tian Lu is now a first-year resident, and he is on duty every other day, in the ward when he is on duty, and when he is not on duty, he goes to the operating room. He also has to follow the attending to the outpatient clinic twice a week, and of course, in his current capacity, the outpatient must be checked by the attending physician after seeing it.

Generally, you must arrive at the hospital at more than 6 o'clock in the morning, and then start from the ward, understand the patient's condition, study the patient's examination results, record information, etc., and then start at 7 o'clock, the whole team will follow the chief resident to start the ward rounds, communicate with the patient, and discuss the condition and treatment plan. Each day before going to surgery, the chief resident will have a short teaching session. The more capable the residents are, the more they can help, and the burden on the attending staff and professors will be reduced, so they are also happy to pass on more experience and knowledge to the young residents.

Lectures are given once a week on Wednesdays by professors from the university or professors from other schools, and teaching rounds and case discussions are conducted once a week on Fridays。。。。。。

Essentially, residents still count as students and have a lot to learn.

In addition to physical examination and introduction to the basic situation of the hospital, the first week of admission to the hospital is to conduct basic life support training in advanced life support, that is, to teach residents how to do cardiac massage, artificial respiration, tracheal intubation, etc., and learn standardized methods for rescuing patients, so that after residents enter the clinic, they will know how to deal with or rescue patients, and know what steps to follow. Surgeons also pass the Advanced Life Support Trauma exam and know how to use standardized methods to resuscitate patients when encountering seriously injured patients.

For a general surgeon, it is not only necessary to do a good job in the most important surgical skills, but also to master a lot of basic and clinical knowledge, understand the knowledge of intensive care, and be clear about the surgical indications, preoperative preparation, postoperative treatment and complications of the disease.

When there is an operation, the attending physician will select the resident to be the assistant, and some surgeries will even be performed by the resident surgeon. It can be said that the degree of letting go of the attending physician represents the degree of trust he has in the resident. Therefore, the resident must not only do a good job, but also know the patient's medical history, indications for surgery, etc., and have a good understanding of the related diseases. Before the operation, the attending will ask why the surgery is done, how to do it, how to prevent risks and other knowledge points, and you can do it if you can answer it, and you can't do it if you can't answer it.

With sufficient knowledge, good surgical operation and good patient management, you will be able to gain more trust from the attending physicians and thus get more opportunities.

In addition to professional knowledge, residents also learn how to communicate with patients, how to communicate with patients' families, and even some chores, such as sorting out surgical records for attending physicians。。。。。。

For Tian Lu, most of the knowledge, even including the professors' lectures, does not need to pay too much attention, and a lot of content has already been deeply imprinted in his mind, but the clinical operation, as well as the experience of case diagnosis, and even the ways and means of communicating with patients, are all things that he urgently needs.

In his free time, while others may still be holding books or residency manuals to make up for the difficulties encountered in today's work, Tian Lu is busy watching teaching operations and surgery videos, or finding senior residents and attending physicians, and eagerly absorbing clinical experience.

Busy and fulfilling, this is Tian Lu's first feeling of residency work in just a few days.

After a while, while everyone was resting, Dr. Howard called Tian Lu over.

"Tian, the patient with the lump in the right lower abdomen in the morning has been diagnosed. Seeing Tian Lu's outstanding performance today, Howard said happily.

Tian Lu's eyes lit up, and he hurriedly asked, "What is the result?"

"Antral cancer!"

Dr. Howard said: "First I did a gastroenterography, which showed severe gastric prolapse, and showed a narrow antrum and poor gastric peristalsis. So she had a gastroscopy and found antral cancer. ”

"Oh, that's right. ”

Tian Lu nodded, although it was with the help of the system, he was able to make accurate judgments, which made him feel very happy.

"Surgery has been scheduled for her. ”

Dr. Howard raised an eyebrow and said with a smile, "How about it? Are you interested? But this time you can't be the main surgeon, you can only be my assistant!"

"Of course I am!"

For the first time, Tian Lu replied categorically.