Chapter 2: Double Experience

The intern is the most humble existence in the hospital, not even as good as the cleaner.

I did the most tiring work, and I was scolded countless times a day. Teachers scolded, department doctors scolded, nurses also scolded, and sometimes they had to be scolded by patients and their families. The key is not salary.

endure humiliation and burden, in order to get out as soon as possible.

When he becomes a regular training doctor, the treatment in all aspects will be greatly improved. It won't be so hard.

……

This night, Zhou Can slept very soundly, and he had never been more relaxed.

In his dream, he became famous and became a surgeon. All kinds of famous doctors can't handle the super difficult surgery, he waved his hand to solve it. Tuya Hospital is proud of him, and the medical community respects him as the holy hand of modern surgery.

When I woke up, I found that it was just a dream of Huang Liang.

He's still that little intern.

Wait, sooner or later your dreams will come true.

Glancing at the wall clock on the wall, it's 7:10.

Because I slept late, I got up more than an hour later than usual.

In the dormitory, roommates who wake up early are already reading books, or practicing basic skills such as toothpicks, beans, and stitching.

As the internship drew to a close, he could feel the tension and anxiety that permeated the air.

Everyone is desperately trying to make themselves stronger.

I heard that Tuya's regular training recruitment is also open to interns and social medicine personnel in our hospital, and the competition is fierce beyond imagination.

Thousands of people participated in the regular training and exam, and it would be good if 20 people stayed in the end.

The elimination rate of more than 98% is terrifying to think about.

It is not an exaggeration to describe it as a success.

In fact, people's lives are always competitive.

Only the best of the best can enter key middle schools. Then junior high school and high school will be eliminated. Entering the university and then eliminating a large part of it. Some of them were eliminated from the graduate school entrance examination.

Those who are left last will stand at the top of the pyramid.

After graduating from university, Zhou Can failed the graduate school entrance examination.

This time, he didn't want to fail again. You have to kill it.

Morning is the golden time to read, with a clear mind and a strong memory. After he finished washing, he saw that there was still some time, and quickly took out the medical book to read.

The rise of every famous doctor depends on the accumulation of time.

This is a 1,000 cases of surgical pathological diagnosis compiled by Mr. Huang Houzhong and a number of famous surgeons. The book contains a large number of real-life cases.

"The patient is a 34-year-old female who lives in a rural area. Neck thickening was found 7 years ago without any treatment. In the past two years, the neck has become significantly thickened, and he has difficulty breathing, but there are no symptoms of hoarseness and dysphagia. By touching on its own, multiple nodules can be palpated in front of the neck, the largest chicken egg is the size, and the smallest is about the size of a peach pit. I once went to the clinic and took "iodized sugar pills" for treatment, and there was no significant reduction in the anterior neck swelling......"

Zhou Can carefully read the cases in the book.

Based on the patient's symptoms, medical history, and examination results, he began to deduce the cause and pathology.

After some speculation, he thought it was a typical glandular tumor.

After reasoning, I read the diagnosis results of the famous teacher at the back, and as expected, it was really a glandular tumor.

Eventually, after the female patient underwent surgery, the removed tumor was found to be benign.

It's also a blessing in misfortune.

Because of thyroid tumors, there is a high chance of malignancy.

Zhou Can just finished reading this case.

[Pathological diagnosis experience value +0.1.] 】

I didn't expect to read a book to increase my experience points, which was a real surprise.

It seems that there is no need to worry about the pathological diagnosis in the future.

Its importance is in no way inferior to that of surgical techniques.

Pathological diagnosis tests a doctor's application of medical knowledge, as well as the accumulation of diagnosis and treatment experience, analytical ability, judgment ability and other comprehensive levels.

tasted the benefits, and was about to read another case, when the roommate greeted, "Zhou Can, let's go, let's go, I'll be scolded for being late." ”

He closed his book and followed a few roommates to work at the hospital.

His current internship department is general surgery, and the hard work of writing medical records, giving various nursing care to patients, changing dressings, measuring blood pressure, writing disease records, and following surgeries is his basic routine.

Don't think that with surgery, you will have the opportunity to exercise surgery.

It takes several hours to stand on the operating table with the instructor, and sometimes even stand for more than ten hours for an operation. The only things that can be caught are always hooks, clean skins and other jobs.

Don't even think about closing the cavity and sewing the skin.

The teachers who took them were of a very high level, the deputy director level, and there were more than a dozen interns under them.

When the surgery was performed, the lineup was even more luxurious.

The attending level is only worthy of being an assistant.

There is a chance to sew the skin and close the cavity, and those resident doctors rush to do it like hungry wolves.

How can you still get interns?

The day passed without incident.

Zhou Can couldn't wait to have wings, and immediately flew back to the dormitory to practice medical skills.

The day after tomorrow is the regular training recruitment, the time is very tight, and he must race against time.

Pig rinds for practice sewing are hard to come by in the wet market. Its thickness and refrigeration are required. He usually buys it in the hospital science and education building.

When choosing the pig skin, he had a whim, should he buy a white mouse by the way and go back to practice dissection and stop bleeding?

Hemostasis has always been his weakness, and he can't be held back by it.

After some selection, I bought a medium-sized pork skin and spent 40 yuan. The price of white mice is more expensive, almost 60 mice each. He bought the best, spending a full 200 yuan.

With such a high price, the average intern really can't afford it.

Zhou Can's family background is good, and in order to improve his medical skills, he is willing to spend money.

Take the pigskin and the mouse back to the dormitory.

"Yo, Brother Can is both a pigskin and a white mouse, it seems that he is going to practice until two or three o'clock today!"

"Isn't this going to be a regular recruitment right away? Grinding guns in battle, not bright but also light. You're all working hard, I can't hold back the 211 dormitory! ”

Zhou Can responded with a smile.

"I heard that this year's regular training recruitment is open to the whole country, and the number of applicants has exceeded 4,000. In previous years, about 2,000 people applied, but this year, the difficulty of staying has at least doubled. We're going to have a hard time! ”

"Gu Jie, where did you hear the news? Is it true? ”

The roommates tensed up all at once.

"It's true. And the number of people is still increasing, I think this year is a hanging! ”

Gu Jie's parents work in the health system and are well-informed.

After hearing the news, Zhou Can's heart was very heavy.

However, so many people rushed to enter Tuya, which also shows that every post here is very fragrant.

Good stuff, everybody wants it.

It's good to each according to his ability.

Zhou Can began to practice against time.

First, a cut was made in the pigskin.

[Slice XP +0.1.] 】

Refreshing!

There is still a gap of 0.2 to move up one level.

Continue to dissect this piece of pigskin.

Finally, a pleasant sound of congratulations rang out.

[Congratulations on your incision promotion to Level 2!] Current experience is 0/100. Anatomical ability is trained at an inferior level. 】

The incision has also reached the level of regular training, which is so refreshing.

His understanding and operation of anatomy have now jumped to a new level. When cutting, the hand does not tremble, whether it is a vertical cut or an oblique cut, it can be easily competent. Even the wandering that was previously untouchable has made great progress.

Try a secondary incision on a pigskin.

When his eyes looked at the pigskin, he was surprised to see the lines on it.

This is an ability that was not available before.

When you hold the scalpel and cut it, it feels very different from before. Now I can vaguely perceive the subtle differences between the epidermis, dermis, and muscle layers.

I heard that a powerful surgeon took a knife and cut it against a stack of paper, and cut a few layers if he wanted. At that level, he has practiced cutting to the point of being superb.

As soon as their knives touched the walls of their blood vessels, they could sense them immediately.

This can greatly avoid the tragedy of cutting important blood vessels or nerves during surgery.

Zhou Can's current anatomical level is already better than most interns.

If you can be promoted to the third level and reach the level of a resident doctor, it is estimated that you will have the strength to crush excellent interns. The chances of being out of the crowd are much higher.

After the incision was upgraded, he began to practice stitching and tying knots diligently.

In less than an hour, he had 150 stitches.

This efficiency is more than a star and a half faster than yesterday, and it is several times faster.

And the sewing effect is much higher than the internship level.

Looking at the rapidly growing experience value, Zhou Can was full of energy.

Strive to upgrade the two medical skills of suturing and ligation to the third level tonight.

Another hour passed, and the whole piece of pigskin was sewn all over.

In total, more than 340 stitches were attached.

I knew I should have bought a bigger piece of pigskin to go home.

Looking up at the wall clock on the wall, it was not until 9 o'clock.

He used to have 300 stitches and had to stay up until at least 1 a.m. Now it has been shortened by four hours, and he is so happy that he wants to cry.

Getting up and moving, he found that his roommates were all 'fighting' one by one.

The best should be Gu Jie.

He is practicing tail vascular anastomosis in white rats.

This is a delicate job that is very difficult.

This can only be done with the help of a microscope.

"Gu Jie's sutures may be at or near the level of a resident doctor."

Zhou Can secretly guessed.

Sitting back at his practice table, he looked at the white mouse.

"Dude, I'm sorry!"

There are two common methods of anesthesia in mice, one is cotton ball anesthesia. Buckle it into a beaker, put in a cotton ball soaked in ether, and rotate constantly. After a few minutes, the rat will be anesthetized and slaughtered.

Zhou Can used intraperitoneal anesthesia for it.

The advantage is that the onset of action is fast and the anesthesia is long-lasting.

After a few moments, the mouse remained motionless, as if dead.

Fix it on its back to the surgical wax disc and begin dissection.

Once you have chosen the knife position, hold the scalpel and carefully cut its belly.

He was visibly nervous compared to cutting open the pigskin.

When you practice on a living creature, you can't help but worry about cutting through its intestines and internal organs.

As soon as the knife went down, blood immediately came out.

All of this can increase the nervousness of the surgeon.

Fortunately, the incision has been upgraded to Level 2.

Gave him a huge help.

A four-centimeter-long wound appeared, and the intestines inside were not cut. The knife edge is quite neat.

[Slice XP +0.2.] 】

"Isn't that wrong? How did you double your experience points? ”

Zhou Can was extremely surprised.