Chapter 61: Tuya's Three Famous Swords
Fortunately, Zhou Can is still quite angry, and so far, he has not poked the basket for Dr. Xu.
As he continued to accumulate experience in various surgeries, he also did better and better.
On the other hand, Jin Mingxi, although he has accumulated more than ten years of rich experience in diagnosis and treatment, he has asked Dr. Xu very few times. But it basically belongs to eating the old book, and the progress is far inferior to Zhou Can.
Also, Zhou Can's surgery speed is much faster than Jin Mingxi's, which is also a big advantage.
He did three surgeries, and Kim Mingxi did two at most.
And as Zhou Can's skills become more and more proficient, the gap between the two is still widening.
The more surgeries you do, the more you will see, and the more experience you will accumulate, which will only get better and better.
Kim also seems to feel this disparity.
He tried his best to catch up, but after all, he was more than ten years older than Zhou Can, and his physical and mental strength couldn't keep up. Tired and sweaty, but nothing worked.
……
He was busy until four o'clock in the afternoon, and Zhou Can had already performed eighteen surgeries.
The most gained is the experience points of suturing and ligation.
Even if we calculate based on the average of 5 stitches per operation, 18 surgeries can add 90 points of suture experience and about 80 points of ligation experience.
Ligation experience points are earned less because some sutures do not require a single stitch and ligation.
For example, continuous stitching.
All you need to do is tie the knot twice at the beginning and again at the end.
Therefore, the experience value of suturing is more than the experience value of ligation.
He also earned a lot of experience in debridement, a full 11 points.
At this rate, it only takes eight or nine days to escalate debridement to the level of a resident.
Debridement is widely used in surgery.
A good debridement can not only greatly reduce the chance of wound infection and suppuration, but also greatly reduce the difficulty of suturing. It makes the stitching perfect.
Wounds will also heal faster and better, reducing the likelihood of scar growth.
Not to mention the importance of debridement in salvage work.
Whether vascular debridement is done well or not is directly related to the success rate of rescue.
In addition, debridement can also play a role in the cleaning of necrotic tissues and the cleaning of infected and purulent lesions.
It seems to be a simple debridement technique, but it is among the higher medical skills, and there is a reason for it.
It is as important as anastomosis, insertion, and separation.
In addition to the above harvest, he also has a 'small' harvest.
Four injections of anesthetic for one patient, 72 injections for 18 patients.
Gained a total of 72 injection experience.
His injection XP would have been level 2 48/100. After increasing 72 points, it is directly upgraded to level 3, and the current experience value is 20/1000.
Although this medical technique does not seem to be very useful in surgery, it is based on the idea that more skills do not pressure the body.
One more medical skill is a good thing after all.
At least now let him give the child an injection, establish an intravenous access or something, and he doesn't have to worry about being beaten anymore.
Fully capable of doing it right the first time.
His current injection level should be on the same level as that of the nurse.
That's a lot better than the average nurse.
"Xiao Zhou, how do you feel?"
Dr. Xu took off his gloves and looked at him.
"It feels good, the harvest in one day is greater than the gain in a month when I was an intern."
Thanks to Dr. Xu's greeting with the attending doctor, more than a dozen patients who should have undergone surgery in the specialist outpatient clinic were admitted.
Of the 18 surgeries performed, only four were debridement and suture surgeries such as knife wounds and bruises.
There are all kinds of other surgeries.
He even had a thrombosed external hemorrhoid surgery.
It is important to know that hemorrhoid surgery is generally a secondary or tertiary surgery. Not to mention Zhou Can, even his teacher, Dr. Xu, is not qualified to preside over tertiary surgery.
But there are exceptions.
Thrombosed external hemorrhoids surgery is a first-class surgery.
This is also an important reason why Zhou Can can get it.
Through this surgery, he learned a lot of valuable experience in dealing with hemorrhoids. For example, how to make radial incisions, how to identify blood clots, how to deal with blood clots, and so on.
There are six or seven surgeries like this that have never been done before.
That's why he always consults Dr. Koh.
Today's harvest is really extraordinary.
"Hehe, it seems to be working pretty well! Tomorrow can continue. Dr. Xu smiled with relief.
His gaze looked at Kim Mingxi.
"Dr. Kim, what about you?"
"There must be gains, but they can't be compared with Zhou Can's demon. For the same debridement and suturing operation, he took almost half the time to operate the operation than mine. The key quality is still very high, and he is really convinced. ”
Jin Mingxi's face was full of helplessness.
Ability is different for everyone.
Zhou Can's surgical ability has improved too quickly. When it comes to the training exam, it may be a little weaker than Jin Mingxi. Now it has begun to take the lead and achieve overtaking.
"You don't have to compare yourself to anyone, just surpass yourself."
Dr. Koh is actually quite suitable to be a teacher.
Basically, each junior doctor is taught according to his aptitude.
For example, Dr. Lin, who has mediocre talent, only asks him to slowly improve his basic surgical ability. For example, the lazy and irresponsible Dr. Lu, he pulled him by his side as an assistant and tried his best to urge Dr. Lu to work hard.
For Zhou Can, a good seedling that is rare in a thousand years, he is delegating power step by step.
The opportunity to exercise should be satisfied.
The part of the operation with uncontrollable risks will never be allowed to be used by Zhou Can.
It is worthy of the words 'leniency and severity'.
It will not let the apprentice get into trouble, nor will it hinder the apprentice's growth.
Dr. Xu's gaze looked at Zhou Can again, revealing a trace of kindness and a trace of reminiscence of the past.
The look is quite complicated.
"Xiao Zhou, the speed of the operation is fast, which is a good thing and a bad thing, do you understand?"
Zhou Can shook his head puzzled.
"I just know that every second counts to save a patient, and the sooner the surgery is completed, the less harm it will do to the patient's body. When rescuing a critically ill patient, even a second faster can potentially save a life. ”
For example, patients with heavy bleeding.
The sooner the cause of the bleeding is found, the sooner the surgery is performed, the better.
If it drags on for a long time, the patient may not be able to get off the operating table.
"There is nothing wrong with pursuing fast. It's just that once you pursue fast, your mentality is easy to become anxious. Especially when you have the ability to do fourth-level major surgery in the future, many of the key parts of the operation have strict requirements and must be completed in two or three minutes, or even a few seconds. At this time, the brain must be too fast. Just a small mistake can make you regret it for life. ”
A thoughtful light flashed in Zhou Can's eyes.
If you don't experience it yourself, I'm afraid it's hard to say what these profound feelings are.
"Teacher, are you respectfully called 'Xu Yidao' because you were also a fast knife player before?" This kind of words, Zhou Can also asked after careful consideration.
Because he was so curious about Dr. Xu's past.
"It's no secret that this has been in the dust for several years. At that time, I was a famous knife in the Department of General Surgery, and I was known as the three famous knives of Tuya along with Director Wu Baihe of Shenwai and Director Hu Kan of the Department of Cardiothoracic Surgery. Wu Baihe is known for his delicate surgery, which can reach 0.1 mm for all kinds of extremely difficult cuts. ”
Dr. Hui's tone was full of fond memories of the past.
It was also the highlight of his life.
Wu Baihe's surgical ability is even more astounding.
What is the concept of cutting in surgery with an accuracy of 0.1 mm?
The chief surgeon, when cutting a stack of papers, he can cut as many sheets as he wants. This is enough to make countless surgeons adore and look up to.
The thickness of a piece of paper is about one millimeter.
0.1 mm, which is only one-tenth of the thickness of a sheet of paper.
Wu Baihe's accuracy at the level of director of surgery has improved his accuracy by ten times.
It's no wonder that he was able to lay the foundation for the neurosurgery department at Tuya Hospital.
This surgical ability is enough to make many chief surgeons look up to for a lifetime.
Because it's a height that they can't reach no matter how much they practice.
I have to say that in addition to diligence, talent and chance are also very important.