The opportunity is right in front of you, and you have to be bold and thick-skinned to get it.

"Dr. Xu, can you let me have an open abdomen?"

"No way!"

Dr. Xu didn't think about it and flatly refused.

The corners of Dr. Lu's mouth pulled out a smile, and when he looked at Zhou Can, he was somewhat mocking, he didn't know what it meant.

"Zhou Can, don't worry, when the time is ripe, Dr. Xu will give you a chance to exercise." Ye Tingting winked at him and said words of relief.

"Hmm!"

Zhou Can smiled back at her gratefully.

This is a second-level surgery, and although an open abdomen is not as dangerous as a thoracotomy, it is also not a small risk. Dr. Hsu's rejection was what he expected.

Opportunities are always fought for.

Whether it succeeds or not, this is not something he can control.

At least I have worked hard and I will not leave regrets.

"Stand in that position, look hard!"

After Dr. Xu rejected his request, he gave him the opportunity to see the learning from the best angle.

Zhou Can was secretly happy in his heart, and Dr. Xu clearly intended to cultivate him.

"When choosing a scalpel position, it is important to avoid important blood vessels and nerves that may be present. There is not much difference in the position of the appendix between men and women, but the anatomical position variation of the appendix itself can sometimes vary greatly, which requires the combination of the patient's film to determine the knife position. Normally, the appendix is located in the right lower quadrant, and the middle and outer 1/3 of the upper line between the umbilicus and the iliac area is called the McCephalic point. ”

While explaining, Dr. Xu demonstrated.

"Oh, her Mai's point is here, and during the operation, an incision will be made along the Mai's point."

This kind of real-world experience is very important.

It was summed up by the predecessors after countless surgeries.

This ensures that the surgery is error-free to the greatest extent.

Zhou Can kept them in mind one by one, and he also put away the idea of rushing forward. Settle down and study hard.

After Dr. Xu finished explaining, he began to go under the knife.

I saw that the scalpel seemed to be alive in his hand.

Drop the knife and pull it back.

His eyes are sharp, and his movements are accurate, steady and fast.

The skin, subcutaneous fat, anterior sheath of the rectus abdominis muscle, rectus abdominis muscle, posterior sheath of the rectus abdominis muscle, and the layers of human tissue were cut by him layer by layer.

Zhou Can's eyes straightened.

This level is not inferior to Director Liu.

I never thought that the worst emergency department would hide such a powerful master. And Dr. Xu turned out to be only an attending doctor.

Not even the deputy director.

With such a high level of surgery, it is really condescending to be an attending in the emergency department.

As the layers of tissue were cut open, blood began to bubble up rapidly.

Dr. Lu, the first assistant, immediately held the electrocoagulation knife to help stop the bleeding.

It's just that Dr. Lu's level is really not complimentary.

The speed is okay, but accidental injuries or incomplete hemostasis occur from time to time.

He is a very sloppy person.

No wonder it was kicked out by the weight department.

If you can't correct the sloppy work, you can only do first- and second-level surgery. I can't even preside over the second-level surgery, so I can only be an assistant.

At this level of hemostasis, Zhou Can is much stronger than him.

Contempt is contempt, Zhou Can is just a regular trainee, and naturally he is not qualified to criticize a senior resident doctor.

Dr. Xu frowned, but didn't say much.

I guess it can't be helped.

The emergency department is already understaffed, even if Dr. Lu's level dishes and attitude are sloppy, he can only use it.

This is the reality of the emergency department.

But now with Zhou Can and Jin Mingxi, this situation will soon change.

"Remember, here you are left with only two layers of peritoneal fat and peritoneum. You must be careful when operating, and you must not try to save trouble quickly, one size fits all. What is the most important thing about surgery? It's not the technology that explodes, it's the safety. Otherwise, no matter how good you are, a small mistake may make you unrecoverable. ”

When Dr. Koh said his last sentence, his tone was very special.

It seems to be with a deep emotion in it.

This made Zhou Can have some guesses about Dr. Xu's story.

I saw Dr. Xu holding the scalpel, as if carving a handicraft, his expression was solemn and focused, and he drew unhurriedly.

The peritoneal muscle fat layer is perfectly cut.

This is followed by the peritoneal layer.

As soon as everything was opened, pus overflowed.

Dr. Lu stood in Ichisuke's seat, like a dead man, unable to move.

In this case, the pus-discharged discharge must be removed immediately.

Zhou Can didn't ask for instructions this time.

It's too late to ask for instructions.

Immediately pick up the suction device and suck the pus clean.

"I didn't expect the suppuration to be so severe. She must have been suffering from this illness for a long time. ”

Dr. Xu cast an appreciative look at Zhou Can.

If it weren't for Zhou Can's quick reaction just now, it would be easy to cause wound contamination.

"Doctor Lu, you stand over there and take charge of the hook with Jin Mingxi. Xiao Zhou stood here and was responsible for assisting. ”

Dr. Xu saw that Zhou Can's auxiliary ability and adaptability seemed to be better than Dr. Lu's, and he didn't leave Dr. Lu with any affection, and directly changed Zhou Can to a helper seat.

Appendectomy retractor is not particularly hard and the operation time is relatively short.

But this arrangement is equivalent to promoting Zhou Can to the first assistant, and Dr. Lu, who is older and higher-level, has been demoted to the second assistant.

Even with a mask, I could feel that Dr. Lu's face was a little unsightly.

Zhou Can is how to arrange and do it from his superiors anyway.

After standing on the seat of the first assistant, he had an electrocoagulation knife in one hand and an aspirator in the other.

Embattled.

The peritoneum is cut little by little and ends up as large as the surgical wound.

At this point, you can already see what's going on inside.

A foul smell came to my face.

The abscess is worse than expected.

Necrotic tissues stick together, like minced meat.

"Make the wound a little bigger."

Zhou Can quickly electrocoagulated the bleeding point to stop the bleeding, and then carefully sucked out the pus in the abscess.

It must be suctioned cleanly, otherwise it is easy to cause abdominal cavity contamination.

That's a big problem.

There is no harm without contrast.

Compared with Dr. Lu's clumsy assistance, Zhou Can not only has a serious attitude ten times, but also has a level of hemostasis that is enough to throw off Dr. Lu's two streets.

"Xiao Zhou, you come to find the cecum."

"Good!"

Zhou Can understands that Dr. Xu is focusing on cultivating himself.

It's almost a hands-on lesson.

He followed the colonic band, brushed aside the fat lobes on both sides, and searched carefully with his eyes. Soon the cecum was found, which was slightly whiter than the small intestine. But it's not just white, it's gray.

If you find the cecum, you find the appendix.

Because they are connected.

Zhou Can used gauze to pad his fingers, lifted the cecum, and then successfully found the appendix along the colonic belt.

"The adhesion seems to be particularly severe."

Zhou Can looked at Dr. Xu.

"It's not hard to separate them, just be careful."

Dr. Koh seemed very calm.

I saw him carefully separate the adhesion tissue. The whole process is meticulous, precise, unhurried, and faintly reveals the demeanor of a master.

When separating, he continued to teach Zhou Can some skills and explain the main points.

It took nearly half an hour to completely separate the adhesion tissue.

"Now you can remove the necrotic cecum. Remember, whether the cecum or appendix is removed, try to do it outside the abdominal cavity to prevent contamination of the abdominal cavity. If the conditions do not allow, it can only be excised in the abdominal cavity, and gauze must be padded around it to properly protect the tissues of the abdominal cavity. ”

The lesions have been isolated, and abdominal resection is sufficient.

The severed end of the colon was sutured, and Dr. Xu personally sutured it.

Among them, the main points, precautions, and various sewing methods, he told Zhou Can and Jin Mingxi without reservation. As for Dr. Lu, he should have been taught a long time ago.

"Put the intestines back, then clean up the accumulated blood and fluid, and after the examination is correct, be sure to check the number of surgical instruments and consumables."

There are often irresponsible doctors who forget about surgical instruments or gauze in the patient's body.

Eventually, it results in medical malpractice.

These good habits need to be developed from the very beginning.

"Xiao Zhou, let's shut your belly!"

Dr. Xu was right that he did not agree to open his abdomen and remove his cecum.

Because Zhou Can lacks both experience and surgical skills.

After this study, at least next time, let Zhou Can cut the cecum or appendix, and the grasp will be much greater.

The growth of every doctor is accumulated over time.

The XP system can speed up his growth, but it can't help him overnight.

Dr. Xu also gave him a little bit of authority and cultivated him slowly.

It seems to be harsh, but it is actually a kind of love.

If a child has just learned to walk, letting him run is tantamount to harming him. Because the kid couldn't run very far, and he would fall badly.

Zhou Can sewed up the abdominal cavity of the patient and earned another 20 experience points.

A total of 10 stitches were given to the patient.

His suturing skills are also becoming more and more proficient.

Suturing on a patient and suturing on a pigskin or mouse are completely two different concepts.

First of all, the feel is different.

The human skin is more delicate and appears more delicate when stitched.

In addition, there is no psychological pressure when practicing with pigskin. When stitching a patient, it is natural to feel nervous and psychologically stressed. The mental power is also highly concentrated throughout the whole process.

To be precise, this is the fourth time he has stitched on a patient.

Compared with the first time, there is significant progress in all aspects.

Although he can't be as calm as Dr. Xu, at least he won't be as nervous as the first time. When he closed the abdominal cavity for the patient just now, his heart was relatively calm.

This kind of mood improvement is by no means something that the experience point system can give.

It can only be improved through surgical experience.

"The sewing is okay, and in the future, there will be work such as suturing the epidermis and closing the abdominal cavity, and you can do it. This kind of work, it is estimated that Dr. Lu and Dr. Jin have long been unable to see it, right? ”

Even a fool can see that Dr. Xu is deliberately cultivating Zhou Can.

"It's good to let Zhou Can exercise more." Jin Mingxi made a statement.

"I really don't like sewing skin and closing the cavity. When will Dr. Xu let me preside over a second-level surgery! Dr. Lu said with a smile.

"When will you get rid of your sloppy problem, come and make this request to me again!" Dr. Xu said him mercilessly.

Dr. Lu smiled awkwardly and stopped talking.

The old lady's operation was a success, and after waking up from anesthesia, she was pushed out of the operating room by the nurse.

……

In the emergency operating room, a steady stream of patients are sent in, and the volume is full.

For Zhou Can, it is simply a paradise for upgrading his medical skills.

Unfortunately, there are many surgeries that cannot be done.

Either Dr. Xu will preside over it, or the patient can only be persuaded to transfer to a specialist for surgery.

It was busy until twelve o'clock in the evening, when the doctor who took over the shift came, and Zhou Can got off work.

When he walked out of the hospital, Zhou Can felt that his body was almost falling apart.

Being a doctor is really tiring.

But today's harvest is unimaginable.

Not only did he achieve his goal of staying in the hospital as a regular trainee, but he also quickly integrated into the emergency department. It has been preliminarily recognized by Director Lou and Dr. Xu.

In the future, as long as you don't die by yourself, the future of development is absolutely bright.

Dr. Koh has now clearly begun to focus on developing him.

Even Jin Mingxi didn't have this treatment.

In addition, he has earned a lot of experience points in suturing, hemostasis, ligation, injection, and the four medical techniques. Slicing experience is the least earned, earning only 2 points.

The slightly risky autopsy, Dr. Xu was worried that something would happen, so he basically did it himself, and he didn't dare to let Zhou Can get started.

At most, when cutting, Zhou Can will be explained in detail to the key points and precautions of each step.

At the end of the day, it takes a long time to develop a medical talent.

It's not a day or two.

Zhou Can also made learning adjustments according to the current situation.

When you return to the dormitory after work, you can buy more mice and rabbits to practice anatomy at home. Although practicing anatomy on a critter increases 5 times less experience than practicing on a human body.

But there's no risk.

And if you want to practice, you can practice at home every day. Even if he only increased twenty or thirty incision experience points a day, and practiced for two or three months, his incision medical skills could be upgraded to the main level.

He didn't have time to look at his phone all day, so he reached out and checked it.

There are quite a lot of unread messages.

The group of classmates of Class 512 has exploded.

Almost all the students and teachers sent messages in the group to congratulate him and Yang Chan on successfully obtaining the qualification for regular training.

Yang Chan has already replied in the group.

It is nothing more than thanking the teacher for cultivation and thanking the students for their blessings.

Zhou Can didn't reply in the group for a long time, and some classmates quit.

Begin to bring knots.

What do you say that he is flying now, how can he ignore the teacher and classmates?

What's more, some people say that he is now the champion of the Tuya Hospital's regular training exam, and he doesn't even pay attention to the teacher, but he is afraid that he has long forgotten the teacher's kindness.

Zhou Can roughly flipped through the messages of the class group, and was speechless for a while.