Chapter 57: The Fifth Advanced Medical Technique
"I can understand why Tuya's interns are like hanging up one by one! A hard work, a harvest. You can see from you how hard Tuya's interns really work! No wonder I worked hard for six years to finally get Tuya's training qualification. Because my opponents are not only experienced social doctors, but also a group of extremely evil interns! ”
After Jin Mingxi saw Zhou Can's surgical practice table, he had a deeper understanding of Tuya Hospital.
Even interns can be so strong.
The strength of those attending physicians and chief physicians is absolutely terrifying.
In such a strong environment, it is more conducive to his growth.
As long as he can survive, he will definitely be able to quickly improve his medical skills in all aspects.
After a simple cold and noisy exchange, the two went their own way.
Jin Mingxi continued to write a summary of the operation, while Zhou Can simply recorded some key problems in the operation, such as mistakes in anastomosis and some areas that could be improved during the operation.
Then he took the traceless stitching method taught by Dr. Xu and recorded it briefly with words and drawings that he could understand.
Now it's just a matter of getting the hang of it.
There is still a long way to go before you can truly master this suturing technique.
Even if he wanted to practice, he had to wait for his suturing skills to be promoted to the main level.
After writing the necessary operation summary, he took out the soybeans he had bought home, set up the mold, and began to practice the implantation surgery.
This biomimetic mold is specifically designed for doctors to practice implantation.
On the way to the placement point, anti-human obstacles are set up.
And there are nearly forty insertion points on this mold, and their insertion difficulty is divided into multiple levels.
The two most difficult insertion points, even if Zhou Can has a third-level insertion technique, he can see the double trembling and trembling.
It is estimated that at least four levels of implantation will be required before you can try to challenge it.
He had removed the long-arm forceps used for surgery.
The reason why it is difficult to insert is that it is often operated by long arms. Even sometimes only relying on a guidewire traction, the difficulty of operation can be imagined.
Implantation is usually practiced with forceps or toothpicks at first.
In the hospital cafeteria, it is common to see doctors eating with two toothpicks.
They practice the basics of surgery.
Zhou Can has now reached the level of a resident doctor in the implantation, so there is no need to practice with toothpicks and tweezers.
Instead, it's a more difficult long-arm plier.
If you practice this, you can lay a good foundation for minimally invasive surgery in the future.
A variety of tools such as rongeurs, rotary cutters, needle holders, curettes and other tools used in minimally invasive surgery are all long-arm manipulation.
He holds the long-arm pliers and picks up the beans in the pot.
These are dried soybeans.
The texture is hard and the skin is slippery.
The difficulty of the clamping is quite high.
After more than ten attempts in a row, I finally succeeded in clipping one pill.
The main thing is that the arm rod of the long-arm pliers is close to 30 centimeters, and it is particularly disobedient when operating. In addition, the beans are smooth, so it will lead to multiple clamping failures.
If you change it to a toothpick or short tweezers, Zhou Can is sure that he will be successfully clamped at one time.
[Congratulations on obtaining the Grip Technique!] Advanced medical skills, can operate forceps, tweezers and other tools in surgical instruments to clamp and grasp objects or human tissues. 】
Zhou Can looked at this brand-new medical technique and was excited.
Another advanced medical skill, this is the fifth.
[Grasping, Level 3, current experience 0/1000.] Inferior level of residency. 】
It's not bad, as soon as it appears, it's as high as level three.
The application scenarios of this medical technique are also very wide. It is required for almost all high-end surgeries.
It is a compulsory skill for high-end surgery.
Clamp the soybean firmly and slowly insert it into the first practice point in the bionic mold.
One hit!
[Gain XP 0.001.] 】
Zhou Can saw such a small amount of experience points, and black lines appeared on his forehead.
Now he has figured out the routine of the experience point system.
If it is too simple to practice, it will use this kind of beggar style with very little experience points to correct Zhou Can's 'laziness'.
The first five insertion points on the bionic mold are really low.
It is suitable for interns who are novice to practice.
He is now at the level of a resident doctor, and the practice is only an intern difficult placement, which is simply worse than that. It's no wonder that the system gives punitively very little experience.
He clamped again.
It was a little better than the first picking, and it only took eight times to successfully clamp a soybean.
[Grasping Experience +0.1.] This time, you will directly choose to place it at a medium-difficulty placement point.
It took a lot of effort to finally place it in the target slot.
【Implantation XP +0.1.】
He couldn't help but sigh, it was really not easy to earn this 0.1 placement experience point.
It's hard to get started.
I hope to practice a few more times and improve my efficiency!
Each insertion point on this bionic mold is actually set up to simulate the real structure of the human body. For example, the seventh insertion point, which is the necessary way for gastroscopy exploration. The fourteenth insertion point is similar to the structure of the left coronary branch.
In the future, when you operate on a patient, you can almost encounter it.
In actual surgery, it is definitely more difficult than mold exercises.
So now you have to practice hard and get on the operating table in the future before you can get your hands on it.
He repeated the practice of clamping and inserting over and over again.
Skill comes from practice.
Gradually, his movements became more and more fluid, and his efficiency was quietly improving.
The failure rate of using long-arm pliers to grasp soybeans has dropped from about 8 times to about 6 times. The success rate of placement can reach almost 80%.
After practicing for nearly two hours, his gripping experience increased by 7.8 and his placement experience increased by 6 points.
Compared to the experience value of real surgery, it is quite slow.
However, it is also a good choice to improve a medical skill like this, which is difficult to get the opportunity to exercise at the current stage, by accumulating practice over time.
Looking at the time, he stopped the two exercises of grasping and inserting.
There are 10 white rats next to it.
200 yuan a piece, it cost 2,000 yuan, but it can't be wasted.
These rats are mainly used to practice the three medical techniques of hemostasis, incision, and separation.
As for sutures and ligations, there are plenty of practical opportunities in the operating room every day, and there is no need to spend five times as much time on mice.
After he administered herd anesthesia, he grabbed one of the ten rats.
Place it on its back on a wax table, immobilize its limbs, and begin to practice the three medical techniques.
Dissect!
[Slice EXP +0.2.]
After a successful incision was made, blood poured out of multiple parts of the wound.
The electrocoagulation knife immediately clicked.
[Hemostasis XP +0.2.+0.2.+0.2......]
The speed of earning experience points to stop bleeding is called the first, and no medical skill dares to call it the second.
After cutting an operating window in the abdomen, the wound is pulled open to both sides with a hook, exposing the abdominal surgical field. Then aim at the pile of intestines and start practicing the art of separation.
The scalpel was under his control, and with a little bit of dexterity, separated the cecum from the colonic belt.
[Separation XP +0.2.] 】
As soon as his hand slipped, his strength was not well controlled, and he accidentally cut his intestines.
The contents of the intestines squirted out.
Frightened, he hurriedly sterilized.
However, the filth from the intestines still contaminated the abdominal cavity of the rats.
Fortunately, this is just a white mouse, and if it is performing appendix surgery on a patient, it is unimaginable. This is definitely a serious medical malpractice.
The abdominal cavity is contaminated with fecal fluid that has accumulated in the intestines, and the consequences are extremely serious.
Due to the strong irritation of intestinal contents, it can cause dehydration, fever, and even toxic shock. It is very likely to lead to the death of the patient. In addition, peritonitis and various complications can be life-threatening.
After ligating the severed end of the intestine, he finally managed to control the situation.
[Ligation XP +0.2.]
I feel that this section of intestine has been cut and ligated anyway, so it is better to cut off the end of it that connects it to the excretory rectum.
Hand up and knife down.
Successfully severed the intestines of the white rats.
In this way, most of the intestines can be easily lifted out for extra-abdominal surgery.
[Slice EXP +0.2.]
Zhou Can was a little confused.
This also gives you 0.2 slicing experience?
How does it feel like a bug in the experience value system has been discovered?