Chapter 87: No, Cut, Separate, and Advance
By the time Zhou Can came out after changing his clothes, Dr. Xu had already left.
Zhou Can walked out of the operating room, thinking in his heart that he would buy ten more mice to go home to practice his surgical skills.
Aim to upgrade the incision to the middle level of a resident.
In fact, his Separation Technique experience has also reached level 3 520.2/1000. It's only about 80 points away from moving up to the middle level.
The importance of this technique is even greater than that of incision.
It is needed to peel off all kinds of diseased tissues and tumors.
Jin Mingxi chased after him from behind.
"Doctor Zhou, I've known you for so long and I've never invited you to dinner. What shall I ask of you tonight? ”
Zhou Can turned his head to look at him.
"Why do you suddenly want to invite me to dinner? I'm afraid I won't be able to stay for two days and leave? ”
Living with Jin Mingxi, there is no barrier to joking.
"Haha, your brain circuit is really special. I watched you return safely, and I wanted to celebrate you, but you ...... I'm speechless! Haven't broken yet? ”
Jin Mingxi stroked his forehead and laughed.
"I'm not the only one who thinks brain circuits are very special. What does this have to do with whether or not I have ever broken my body? ”
Zhou Can couldn't figure out the connection between the two.
"If you haven't broken your body, it's a boy's body. Of course, it's a child's talk! ”
When Jin Mingxi said this, Zhou Can suddenly realized.
couldn't help laughing and said, "Haha, what age is this, and you are still engaged in feudal superstition!" Don't worry, I've already passed this matter, and it's impossible to stay for two days and leave! ”
He found that Jin Mingxi looked at a very silent person, and let go when chatting, which was quite humorous.
Zhou Can glanced at the time on his mobile phone, "It's still a little early, I'll buy a few white mice and go back to the apartment to practice surgery for a while, how about going to eat at six o'clock?" ”
"Can you not fight so hard? Those of us who were admitted to the hospital at the same time were very stressful! ”
Jin Mingxi thinks that he is quite good, but compared to Zhou Can, the demon, he can only watch being left behind by him.
"If you don't fight, you can't do it! You are either experienced in work or highly educated, I have nothing, and if I don't work hard, I can really only be eliminated. ”
This is really not an exaggeration.
Tuya's regular training recruitment is becoming more and more stringent year by year. Especially this year, due to the influence of many aspects, it is too rolled.
Many high-end talents with more than ten years of work experience and even a master's degree have failed to enter the top 20.
There are three or four graduate MDs who are eliminated.
Zhou Can's undergraduate degree is the lowest.
Work experience is almost non-existent.
If you want to fight your way out of so many strong people, if you don't work hard enough, even if you have a medical experience point system, it's useless.
"Doctor Zhou, Doctor Zhou, there are patients and family members over there who have come to look for you. I've been waiting for almost two hours. A nurse ran over to tell Zhou Can, and pointed to the rest area.
Zhou Can turned his head to look and saw a middle-aged couple sitting on a row of chairs for patients to rest.
He didn't know the middle-aged woman who was dressed very well.
But the man in the hospital gown, he recognized it at a glance.
It is the acute myocardial infarction patient I encountered in the last regular training exam.
He was very relieved to see this patient recover.
He immediately walked briskly over.
The middle-aged man also recognized him, and immediately stood up with the support of the middle-aged woman, looking at Zhou Can with a grateful smile on his face.
"Does Dr. Zhou remember me?"
"Remember! You're the one with an acute myocardial infarction! How is the body now? ”
Zhou Can asked with concern.
"I had surgery, and because of the timely treatment, the attending doctor said that my recovery was quite good. I was discharged from the hospital today and am ready to go home to recuperate. ”
People who are discharged from the hospital after myocardial infarction surgery are generally in good condition after three to five days, indicating that there is no large-scale myocardial necrosis.
In more severe cases, hospitalization is usually required for about two weeks.
If conduction is not restored after surgery, a pacemaker will need to be implanted, and the hospital stay will be longer.
"You're in a great situation to be discharged so quickly. When you return home, be sure to follow your doctor's instructions and get plenty of rest. After hearing this, Zhou Can was happy for the patient.
"I was able to get this life back and recover so well, thanks to your help! No, after being discharged from the hospital, my wife and I immediately thought about coming over and saying thank you in person. ”
After the middle-aged man finished speaking, his wife also smiled and nodded to Zhou Can.
"The surgeon told me that if I was three minutes late, I might die. Even if it can be saved, the prognosis will be very unsatisfactory. My old Cui is not familiar with the hospital's treatment process, and he has to be strong. If you hadn't helped him to the emergency department for quick treatment, he would have stood in the outpatient hall stupidly and lined up, and the consequences were really unimaginable. ”
The middle-aged woman speaks unhurriedly, and her temperament is graceful and luxurious.
The smile on his face is even more like a spring breeze.
"Doctor Zhou, on behalf of Lao Cui and on behalf of our whole family, thank you!"
She pressed the neckline with one hand and bowed to Zhou Can instead of her husband.
"I'm just doing what a doctor does, you're welcome! Speaking of thanks, I can't thank you for reacting to the hospital leaders in a timely manner and helping me clarify the matter of being late! If you hadn't clarified it for me in time, I would have lost this year's regular training recruitment opportunity. ”
Zhou Can is equally grateful for their kindness and gratitude.
Kindness is given to the right person, it is called kindness.
To the wrong person, it's called harm.
"Speaking of which, I was completely unaware of it at first. Before the operation, Lao Cui told the nurse that she must tell me about it, and then asked me to find the hospital leaders to clarify in time. ”
She explained.
"At that time, I thought, I can't delay the future of other guys!" Mr. Cui looked at Zhou Can. "Because you were late for the exam because you saved me, it didn't affect you too much, right?"
"At first, I was blocked by the examiner and was not allowed to enter the examination room. Later, the medical department came forward to clarify it for me, and the examiner let me in. The hospital also gave me an extra 10 points of medical ethics. ”
Zhou Can was full of emotion when he talked about the events of that day.
Good people are rewarded in the end.
"That's too right. If you, a trainee, dare to take the huge risk of being late for an exam to save an irrelevant person, this kind of golden virtue should be highly praised. ”
Mr. Cui was also quite happy to hear that the results were not bad.
"Oh, yes! Can Dr. Chow give us his personal phone number? It's fate that we know each other, and you are my savior, I'm obsessed with how old you are, so I hope that you can come and go often in the future. ”
Mr. and Mrs. Cui look like cultivated and high-quality people.
To be able to make friends with such a person, Zhou Can is very happy.
Immediately gladly told the other party the phone number and saved the phone number of each other.
"If you're not afraid that I'll cause you trouble, you can add a WeChat, and it will be more convenient to chat in the future." Mr. Cui said with a smile.
Phone chat is more direct, and WeChat chat has a certain buffer space.
Calls are generally made when there is an urgent matter, or a work need, a business dealing, and so on. Be more serious and formal.
WeChat chats are more casual.
"Okay!"
Zhou Can readily agreed.
People are willing to take the initiative to make friends with him, which is worthy of him.
Adding WeChat and storing phone numbers for each other means that the relationship between them is a big step closer.
"I was supposed to have had a light meal with Dr. Zhou. My body hasn't fully recovered, I can't drink alcohol, and I have to keep a lot of things in my mouth, so it's a lot less fun. I'll ask you another day when I'm fully recovered. ”
Mr. Cui asked him for his phone number, probably just to invite him to dinner in the future.
"Alright, I won't delay you. My family runs a foreign trade company, and now I am sick, and my son is abroad, and everything is supported by my wife. ”
If you do a good job in opening a foreign trade company, you can make a lot of money.
And it's foreigners' money that is earned.
"It turns out that my sister-in-law is so capable! No wonder she looks like a strong woman! ”
Zhou Can praised with a smile.
Give people roses, and there is a lingering fragrance in your hands.
Praise others more appropriately, in fact, there are many benefits, and it is easier to gain the favor of others.
"Hehe, is this a compliment to me, or is it a disservice to me? Strong woman is now a double word. ”
She chuckled.
"Of course it's a boast! Sister-in-law is such a gentle, considerate and capable woman, I'm afraid that no derogatory word dares to put it on your head. ”
Chatting sometimes has to be improvised.
Otherwise, it will be cold in minutes, and even capsize.
"Haha, Dr. Zhou is not only benevolent and benevolent, but also first-class in this boasting ability! Let's go, goodbye! ”
She smiled happily and waved her hand, and helped Mr. Cui to leave together.
……
On the way back to the apartment with 8 guinea pigs, Zhou Can's mood was particularly bright.
The haze is gone, or the pole is coming.
After experiencing this storm in his life, he has become even more brilliant.
Considering that Jin Mingxi was going to invite him to dinner, he would definitely have to delay some time at that time, so he deliberately bought two less white mice.
In the apartment, Zhou Can greedily earned a steady stream of medical experience points from the mice.
Kim Mingxi is still persistently practicing knotting.
Slice by piece of white tofu was ruined by him.
Even if you are a surgeon, everyone's surgical focus will be different.
If Zhou Can didn't have an experience value system, he might be like Jin Mingxi, in addition to practicing the most basic four medical skills, and then choosing one or two surgical directions as a specialty.
Don't look down on knotting, you can also become a famous surgeon if you practice it.
It was about six forty o'clock, and when Zhou Can consumed the third guinea pig, Jin Mingxi invited him to a small restaurant for a sip. During this time, the two of them drank seven or eight bottles of beer.
Last time, I saw Jin Mingxi come back drunk after attending a class reunion, and I thought he couldn't drink enough.
Hey, I didn't expect to underestimate people.
Five bottles of beer are down, and Jin Mingxi is still like a nobody.
Zhou Can only found out when he asked.
At the last class reunion, because he blocked a lot of wine for the female classmate named Yezi, the three male classmates were dissatisfied, so they joined forces to rectify him. It is interesting to propose to drink white and red.
The so-called white and red is a mixed wine.
In the end, Jin Mingxi was one against three, and he was almost not dried until his stomach bleeds.
The three of them were all put down by him, and he was also sent back to the apartment by the leaves, drunk like mud.
From this point of view, Jin Mingxi's gentle appearance also has a bloody side.
Zhou Can and him through this dinner and drink, the relationship has invisibly narrowed a little closer.
After returning to the dormitory, Zhou Can once again devoted himself to medical practice.
It was close to 8:20 p.m. when he received a message.
Click here to view.
Yang Chan sent it.
"Just had surgery, it's fine!"
I thought she was very cold and wouldn't reply to messages.
But even if the message is replied, the content is still a little cold.
"Thank you for everything you did for me! (Rose)"
Zhou Can knew in her heart that she had also made a lot of efforts in this incident.
Director Zhang Bihua was willing to stand up and help Zhou Can speak, all for her sake.
In terms of the weight of discourse, two directors Lou may not be as good as one Zhang Bihua.
As for why a dignified director of obstetrics and gynecology would attach so much importance to Yang Chan, an intern doctor with a bachelor's degree, no one knows the reason.
Only by asking the person concerned can you know.
"You're welcome!"
She replied with three words.
That's really a treasure of words.
With Zhou Can's understanding of her, the chat should end here.
He once again devoted himself to the tireless practice of medicine.
By the time all eight mice were consumed, his incision and separation skills had all been upgraded to the average level of a resident doctor. Ligation XP Level 3 894/1000.
Already significantly ahead of sutures.
As long as he buys ten more rats to practice at home tomorrow night, he will definitely be able to upgrade to level 4 and will become his second main medical skill.
This rate of progress is really terrifying.
You know, he's only been training for a few days.
The incision has finally been raised to the middle level of a resident, and if there is a chance tomorrow, I should be able to ask Dr. Xu for an autopsy opportunity for a first-level surgery to show my strength.
However, there are very few such opportunities in the emergency department.
The incision practice in general surgery has the most opportunities. For example, cutting lipomas, cutting hemorrhoids, and so on.
……
The next day at work, Zhou Can deeply felt what the world is called hot and cold.
Only a few people such as Ye Tingting and Dr. Luo still greeted him warmly. Many of his colleagues in the other emergency department deliberately kept their distance from him.
The estrangement can't be seen or touched, but it can be truly felt.
This is the real adult world.
He was not affected by anything, everyone is just a colleague in the same department, and it is impossible to ask everyone to focus on him and lick him unconditionally.
A few days ago, when he became popular in the emergency department, everyone saw that his development potential was amazing, and naturally wanted to have a good relationship.
In the future, if you have something to ask for, you can also talk.
Many doctors and nurses have been in this system for a long time, and they actually know very well in their hearts which people are easy to rise step by step, and eventually need them to look up. Which people are just mixed mouths, ordinary people live a lifetime.
Zhou Can was suspended by the medical department without warning this time, coupled with Dr. Lu's broken mouth, chasing after the wind, he heard a little gossip and went around publicizing.
In the end, many colleagues thought that Zhou Can had offended a certain big leader of the hospital and committed a big crime.
It's normal for everyone to avoid him.
It's just that these people can't even dream that Vice Dean Bai, who put extreme pressure on Zhou Can, now owes Zhou Can a debt of affection.
The relationship with Zhou Can is not to mention very close.
At least not bad.
The two have a feud or something, that's even more nonsense.
Vice President Bai not only suppressed him again, but also provided some help and care to his ability.
If these people knew the truth, they probably should come and lick him again.
However, Zhou Can has long seen this kind of flattery and looked down on it. He doesn't need to.
Now he is growing silently like this, growing fast and strong, which is more in line with his heart.
Entering the operating room, Dr. Lin and Dr. Xu are on duty today.
"Doctor Lin, morning!"
"Morning!"
Dr. Lin nodded, lukewarm.
It's a little better than those who hide from Zhou Can and deliberately distance themselves.
Zhou Can naturally didn't stammer too much, he just needed to hug Dr. Xu's thigh.
Dr. Lin and Dr. Lu are still only residents when they are forty years old. When the time comes, if you are lucky, you will be eliminated to the Second Affiliated Hospital. If you're unlucky, I'm afraid you'll have to jump to a prefecture-level hospital.
"Xiao Zhou, are you operating alone today or are you going to be my assistant?"
Dr. Xu asked.
can have this kind of treatment, Zhou Can is probably the first person.
Other trainees are secretly happy to get one or two exercises such as skin sewing from senior doctors.
"Let's do it alone!"
What Zhou Can has to do now is to raise all four basic medical skills to the attending level as soon as possible.
Then as an assistant to Dr. Xu, he will be able to participate in an important part of the secondary surgery.
"Call two more instrument nurses in to help and start the operation!"
Dr. Xu's status in the emergency department's operating room is second only to Director Lou.
In fact, Director Lou rarely goes to the operating room to preside over the work.
Therefore, Dr. Xu is basically equivalent to the boss here.
At the same time, two instrument nurses were sent into the operating room to help all day, and Dr. Fu absolutely did not have this power.
For Dr. Hui, it's just a matter of words.
That's the difference.
From this point, it can be seen that even if everyone is the attending physician of the same department, the status is high and low.
Soon, two instrument nurses walked in.
One is Tian Tian, and the other is Zhou Can's favorite partner Qiao Yu.
Tian Tian's eyes exchanged with Zhou Can, then moved away and walked quickly towards Jin Mingxi.
At work, she seems rigid and stupid. But being a man is exquisite, whether dealing with colleagues or family members, he is very scheming.
Now he is walking quickly towards Jin Mingxi, just worried about being Zhou Can's assistant and causing unnecessary trouble.
This is exactly what Zhou Can wants.
Jin Mingxi's face was bitter for a while, he cooperated with Tian Tian yesterday, but there were words of suffering.
I deeply realized what it means to be a pig-like teammate.
I finally understood why Zhou Canyi cooperated with Tian Tian, and the number of completed surgeries would drop by several units. Cooperating with Qiao Yu is like divine help.
There really is a difference between people.
is also an instrument nurse, but her work ability is very different.
"Doctor Zhou, congratulations!"
Qiao Yu said with a light smile.
"Thank you!"
Zhou Can is grateful from the bottom of his heart.
When she approached, Zhou Can whispered, "Aren't you afraid of getting into trouble as an assistant for me?" ”
Qiao Yu rolled her eyes.
"Don't say such sad things, okay? In order to be your assistant, I specially begged the head nurse yesterday for a long time before agreeing to let me go to class early today! ”
The morning shift is also known as the day shift.
In the case of an inpatient unit, only the morning nurse is the one who is really in charge. They are fixed and work morning shifts every day.
Nurses on night and night shifts take turns on duty.
They are called nurses on duty, and they are actually quite different from day shift nurses. The status is not as good as that of the day shift nurse, and the business is also not so professional.
Because of the special departments in the emergency department, most of the nurses' positions are mobile.
Everyone wants to work the day shift, and Qiao Yu is a newcomer who hardly has any competitiveness.
It was not easy for her to ask the head nurse to help transfer to the day shift.
I must have said a lot of good things and begged for a long time.
"Don't be angry, just kidding. Please drink ten cups of milk tea as a sign of reparation, okay? ”
Zhou Can hurriedly apologized to her.
"That's pretty much it!"
She turned to laughter.
Tian Tian, who was not far away, was still avoiding Zhou Can just now, keeping a distance from him.
Now when she heard that Zhou Can was going to invite Qiao Yu to drink milk tea ten times, she immediately became energetic.
"Doctor Zhou is such a generous person, you can't just invite Qiao Yu!"
The vast majority of women like to take advantage of small things.
Tian Tian also wanted to rub Zhou Can ten cups of milk tea to drink.
"Dr. Zhou only has such a salary a month, and he just invited all the nurses in our emergency department nurse station to drink milk tea, so don't knock him again! I was just joking with him, and I didn't really ask him to ask for it. ”
Qiao Yu hurriedly helped Zhou Can speak.
She was worried that Zhou Can would hinder her face, and agreed to Tian Tian's request.
"No, no, no, men are talking, I say please you. As for Tian Tian and the others, it will be the same when I have money in the future. "Zhou Can is not stupid and has a lot of money.
The last time I promised to invite all the nurses to drink milk tea, it was to have a good relationship with them and get acquainted with each other.
This Tian Tian has too many eyes, and he really regards him as the wronged leader, which is the wrong choice.
is also delusional to enjoy the same treatment as Qiao Yu, it is simply delusional.
Zhou Can said it beautifully, but in his heart he said secretly, she is also worthy?
"Okay, okay! Then I wish Dr. Zhou to become a rich man as soon as possible! ”
Tian Tian saw that he couldn't get the wool, so he had to give up.
Qiao Yu enjoyed a different special treatment, and his heart was like drinking honey.
The smile on his face became even brighter.
"What do you like to drink?"
Zhou Can asked her.
"Really, please? Then treat me to a cup of jasmine-scented milk tea. ”
She thought for a moment and said.
Sometimes, people are just so weird.
Tian Tian, the kind of person who hollowed out his heart and thought to take advantage, couldn't get it. A person like Qiao Yu who is not greedy is easier to obtain.
"No problem!"
How could Zhou Can only ask for a cup?
I'm sure I'll ask her to drink it ten times.
While he was talking, patients who needed surgery were already being taken into the operating room.
A busy day has started again.
Zhou Can has Qiao Yu, the 'golden partner', if the operation is helped, fast and efficient, it is really refreshing.
Look at Jin Mingxi again, his loveless expression can't even stop the mask.
His heart was quite broken.
Zhou Candu has already done three surgeries, and he has only finished one.
That's a huge gap.
"Qiao Yu, help me pay attention to Dr. Xu's side. If you find a simple excision, call me. ”
Zhou Can's incision was finally promoted to the middle level of a resident doctor, and he really wanted to find an opportunity to practice his hands.
If I have to describe it, it's a technical itch.
He couldn't remember the number of dissected mice. But it has never been tried on a patient.
In fact, as long as the incision reaches the level of the inferior level of the resident doctor, you can participate in some simple resections.
For example, the removal of foreign bodies in the subcutaneous tissue, the cutting of some simple external hemorrhoids, etc.
One patient after another was taken into the operating room, and after the surgery was completed, they were pushed out again.
The opportunity that Zhou Can was waiting for never appeared.
Near the end of the day, a middle-aged woman with a swollen face that had become a bull terrier was pushed and taken to the operating room.
At this moment, there was no operation in Zhou Can's hands.
Kim Myung-hee's surgery is in the final stages.
Because Dr. Fu will come over to take over the shift soon, in view of Dr. Fu's reluctance to get too close to him now, for fear of being implicated. Zhou Can didn't want to embarrass the scene, so he didn't call in any more surgical patients.
It's the same with getting off work early and going home to practice medicine with a guinea pig.
"Hey, here's the surgery you wanted!"
Qiao Yu whispered to him.
Zhou Can looked at the woman with a super swollen bag on her face, and couldn't help but feel refreshed.
Feeling that the swollen lump on the woman's face should be something like a lipoma.
"How did she get it? Have all the tests been done? ”
Dr. Koh asked.
"The checks are all in place, and here are the results of the relevant checks. She had acne on her face, and she became like this after picking it with a pimple needle. Dr. Luo checked it and said there was an abscess inside. ”
The nurse gave a brief account of the situation.
Picking acne comes with its own risks.
Because acne usually grows on the face.
Blood circulation in the face is abundant, and blood vessels crisscross the facial muscles.
The superficial veins connect to the deep veins and go directly into the venous cavernous sinus within the skull.
The most terrible thing is that there are no venous valves in the veins of the face that stop the blood from flowing back.
When muscles contract, blood can regurgitate into the skull, heart, and then throughout the body.
I'm sure many of you have heard of the Danger Triangle of the face.
For example, the upper lip under the nose is particularly prone to rashes, blisters, and acne. At this time, if someone pushes them too hard, it may cause pus to pour back into the bloodstream and invade the heart with the veins.
The consequences will be severe.
Doctors have repeatedly advertised that red rashes and blisters in the danger triangle should not be squeezed, but there are always some people who do not take it seriously.
Zhou Can has seen a real case, a nineteen-year-old guy because of a pimple on his upper lip, and then admitted to the ICU, but in the end he still couldn't be rescued and died.
Luck can really kill people.
The opportunity for incisional surgery that Zhou Can had been waiting for finally came.
I was very excited.
However, he had dealings with Dr. Lim. This kind of surgery, Dr. Lin must rush it.
If Dr. Fu was on duty, Zhou Can would definitely not have a chance.
Now it's my own teacher on duty, so there's a lot to be done.
As long as Dr. Xu is sure that he really has the ability to operate, he will definitely give him this opportunity to exercise.
As for Dr. Lin, there is a high probability that he can only watch from the sidelines.
After all, intimacy is not different.
"Teacher, she should have a superficial lumpectomy!"
Zhou Can looked at the results of the examination with a shy face.
Then take the initiative to express your views on the operation.
Dr. Xu took him for several days and got to know him well.
This kid hasn't been so enthusiastic before.
He glanced at Zhou Can, "Tell me about your surgical plan." ”
"According to the examination images, there must be an abscess inside, and the size is not small. Make a small incision from here to suck the lump out. The wound is then enlarged, the inside of the mass is peeled off, and the mass is finally removed. This is followed by debridement and sutures. ”
Zhou Can has seen multiple videos of similar surgeries online.
During my internship, I saw a similar operation performed by Dr. Fang in the Department of General Surgery.
However, he was still a small intern at that time, and he couldn't even get a chance to help.
can only stand under the stage and watch and learn.
Dr. Xu stared at Zhou Can's eyes and took a deep look, as if he understood Zhou Can's longing eyes.
With an indifferent expression, he said: "It's up to you to cut and drain the pus!" But first draw the surgical line. ”
It's still not very reassuring.
If everything breaks the blood vessels or important nerves of the face, causing the patient to be paralyzed, it will be a big disaster.
"Okay!"
Zhou Canzhen couldn't wait to hug Dr. Xu and kiss him.
The teacher was so good to him.
He has never performed an incision on a patient.
Now, the opportunity has finally arrived.
Even if it is just a small incision of less than 2cm first, it is an important step for him.
The patient is guided to lie on the operating table.
Seeing such a young doctor operating on her must have been reluctant in my heart. This already reveals something from the eyes.
However, due to various concerns, she eventually remained silent.
Tuya is such a big hospital and has such a high reputation. Even if he is only a young doctor, his medical skills must not be too bad.
It's always much better than a small local hospital.
"This is the scalpel position for draining pus! This is a scalpel position that enlarges the surgical wound and removes the internal mass after the pus is drained. ”
Zhou Can drew the knife position.
After seeing it, Dr. Xu looked at it with admiration.
The knife position avoids important blood vessels and nerves, and is relatively cautious and conservative.
This attitude of putting safety first is very satisfying to Dr. Koh.
"The knife position is well drawn, let's get started!"
Zhou Can didn't rush to start.
"Can you let Qiao Yu be an instrument nurse for me? I have been working with her for a long time, and I have a high degree of tacit understanding, and the surgery will be smoother. Zhou Can asked Dr. Xu.
This kind of opportunity is very precious to Zhou Can, but it is also valuable to Qiao Yu, a regular nurse.
She is just a complement as an operating room nurse.
If it weren't for the recent bold delegation of authority to Zhou Can and Jin Mingxi, let them operate alone. It is difficult for Qiao Yu to enter the operating room several times a month.
Even if she is transferred to the operating room, she often plays the role of a patrol nurse.
This kind of instrument delivery for minor surgery is definitely not looked down upon by those experienced instrument nurses.
Qiao Yu needed it very much.
A flash of brilliance flashed in her beautiful eyes, and a look of surprise crossed her face.
It seems that she didn't expect Zhou Can to help her progress together.
"Yes!"
Dr. Xu nodded in agreement.
Tang Ling naturally acted on the face of the main knife.
Seeing that Dr. Xu agreed, she immediately stepped aside and said with a smile, "Qiao Yu, stand here!" If you are unfamiliar, you can always ask me! ”
Tang Ling is honest, kind, and down-to-earth and serious.
These are her strengths.
"Thank you!"
Qiao Yu smiled appreciatively at her and nodded.
For the first time, he stood in the position of the chief surgeon and the deputy on the operating table.
A powerful instrument nurse, the role is not inferior to that of a helper.
After disinfecting the patient's surgical area, she first sucked the prepared local anesthetic medicine into the syringe, then expelled the air and handed it to Zhou Can.
His injections had already reached level 3 and were quietly moving towards the average level of a resident.
Because of the large area that required surgery, Zhou Can chose to inject anesthetics from six different points.
"Can you still feel the pain?"
He waited for a moment, estimated that the anesthetic had worked, and began to perform a small test.
"It doesn't hurt!"
The patient's speech has become a little uncomfortable.
This is caused by extensive anaesthesia of the face.
A sharp lancet was handed to Zhou Can.
Her cooperation is always so tacit.
The two began to cooperate in the operation of the patient.
Zhou Can took the knife, his eyes were fierce, his expression was focused, and his movements were calm.
The knife in his hand crossed the drawn knife line impartially.
There was a little blood coming out, but more of it was foul-smelling pus.
Zhou Can hurriedly took a pus suction device to suck it clean.
For minor bleeding from the surgical wound, he did not have a tube.
This kind of suppurative site, a little blood, but it is beneficial.
It can drain toxins and pus that may be hidden in the blood.
After the pus was suctioned, the swollen patch on the patient's face did not drop much.
This indicates that the size of the lump inside is not small.
"This lump is a bit big! Dr. Xu, can you leave it to me? ”
Dr. Lin did it.
In the face of interests, no one will be polite.
He first emphasized that this lump was very large, and the subconscious meaning was the task of removing it, and Zhou Can, a newcomer, was definitely not up to the task.
Then, naturally, he asked Dr. Xu to hand over the operation to him.
Compared with Dr. Luk, Dr. Lin speaks more politely and takes care of Zhou Can's feelings.
will not directly say some offensive words to suppress Zhou Can.
The two sides can barely be considered a level playing field.
Of course, from another point of view, Dr. Lin must be bullying the small.
He has been a resident doctor for four years and is considered an old man.
Zhou Can is just a rookie trainee.
The status and work experience of both parties are not equal.
But if a newcomer wants to come out, it's so cruel. It is equivalent to a wolf snatching meat from a lion's mouth to eat.
"Look at it first!"
Dr. Xu glanced at him with a cold look in his eyes, and Dr. Lin was so frightened that he didn't dare to grab it anymore.
It is estimated that Dr. Lin has somewhat recognized the reality after this time.
"Xiao Zhou, you continue!"
There are a lot of things that are inconvenient to say in front of the patient.
It can only give some subtle hints.
"Okay!"
Zhou Can was overjoyed. It seems that the incision just now has been preliminarily approved by Dr. Xu.
Qiao Yu had already handed over the scalpel.
Taking the knife, he carefully enlarged the wound to about 4.5cm, and then looked up at Dr. Lin.
"Please Dr. Lin help me pull the hook!"
"Okay!"
Dr. Lin readily agreed, and the wound was enlarged by removing the flat hook.
The situation inside was revealed to everyone.
The suppuration is not serious, it is only superficial and mild. What really caused the swelling of the patient's face was a lump with a diameter of more than 3 cm, which was conservatively estimated.
It doesn't look like a sebaceous cyst.
The whole body is pale yellow, a bit like chicken fat.
The specific nature may need to be excised and pathological examination to be known.
"Picking acne can just be the trigger. The tumor can already be there. Irritation, coupled with infection, quickly grows larger. ”
After seeing it, Dr. Xu's face was slightly solemn.
Every time he encounters a slightly more complicated condition, he basically has this expression.
"Xiao Zhou, tell me about your surgical plan."
He had to check for Zhou Can.
Only when he was sure that the surgical plan was reliable and safe, he would agree to let Zhou Can continue the operation.
"First simple debridement, then find the blood vessels at the root of the mass, clamp it with a hemostat, and then peel off the tumor from the surrounding tissues little by little. Finally, resection is performed. ”
"Well, I'll help you clamp the blood vessels."
The wound is not big, and it is operated by three people, which is actually a bit crowded.
It is estimated that Dr. Xu is also not at ease, so he will personally help Zhou Can clamp the blood vessels. It is convenient to stop or instruct at any time.
Zhou Can's hemostasis is at the main level, which provides him with good help in finding blood vessels.
After debridement, the tumor was turned over and the root blood vessel was quickly found.
Generally speaking, all lumps are able to grow continuously, and there are blood vessels to feed them.
This tumor is just on the face, otherwise it will be a small tumor that does not enter the stream. Compared to the huge tumors of the liver that are more than 20 cm in diameter, it is nothing.
Benign tumors on the liver, less than 5 cm in diameter, are benign and are usually told by doctors that they do not need to be treated.
Just check it out regularly.
"Teacher, please help me clamp this blood vessel."
Zhou Can directly exposed that blood vessel.
"Tsk! So quickly, you can accurately find the root blood vessels of the mass, Niu B! ”
Dr. Lin next to him couldn't help but boast.
At least he doesn't have the skills.
"Prizes, prizes!"
Zhou Can smiled humbly.
When it comes to hemostasis, even the rich doctors are inferior to him. Dr. Lin's level of hemostasis is at best average in the hospital, which is far worse than Zhou Can's.
"There are two hits, indeed." Dr. Xu also nodded in praise.
After clamping the root blood vessels with a hemostat, he did not forget to instruct a few junior doctors.
"If you need to preserve the blood vessels, you must pay attention when clamping them, and don't use too much force, so as not to hurt the vascular tissue."
Many newcomers are prone to this mistake.
When I clamped the blood vessels, I was nervous and worried that I would not be able to stop the bleeding, so I clamped them very hard.
The part of the blood vessel to be removed is naturally fine.
If the blood vessels to be preserved are clamped like this, they can easily be discarded.
Dr. Lin waited quietly.
Finding the root blood vessel of the mass is only the first step.
The complexity and difficulty of this operation far exceed that of first-class surgery.
In fact, it is already a second-level surgical level.
He didn't believe that Zhou Can, a newcomer, would be able to handle the next lump separation.
Even he, a senior resident doctor, was not completely sure.
At most, I just dare to try it.
That's why he's desperate to get the chance at this surgery.
Previously, Dr. Xu might not have allowed Zhou Can to participate in this higher-risk surgery.
Maybe it was yesterday that spurred him on.
If it weren't for the fact that many department bosses helped Zhou Can speak, it is likely that Zhou Can would still be suspended. Or even worse.
Dr. Xu's position is soft-spoken, and he can only watch, and there will be no way.
Therefore, he accelerated the cultivation of Zhou Can.
I want Zhou Can to become stronger faster and improve his status and weight.
I saw Zhou Can holding the scalpel and began to carefully separate the tumor from the surrounding tissues.
One knife after another, accurate and steady, the knife is in place.
When detached from the surrounding ordinary tissue, he moves quickly and efficiently. When separating from the blood vessels, it is slowly propelled, and the force, angle, and process are all just right.
"Good boy, what a big one! This separation is at least at the level of a resident doctor. And it's also an upper-average level of residency. ”
Dr. Xu watched Zhou Can move the knife with ease, and he was happier than anyone else.
This son is really against the sky.
Originally, I just saw that Zhou Can's incision was good, so I wanted to see how Zhou Can's separation talent was.
He was ready to stop and take over the mess at any time.
As a result, Zhou Can didn't give him a chance to stop at all, and gave him a big surprise.
The apprentice with such a talent against the sky was fortunately rescued.
He felt that everything he had done for Zhou Can was very worthwhile.
Dr. Lin, who had been waiting for an opportunity next to him, looked stupid.
The heart is cool and cold.
Zhou Can's separation technique is so good, and he is competent for the isolation and removal of this tumor, which is more than enough. Dr. Lim will not be given another chance.
Jin Mingxi had also finished the operation at this moment, and stood by with his neck stretched out to watch.
His expression is more interesting.
It's just a hellish expression.
He is a doctor who has worked for more than ten years, and he has a lot of experience in surgery, and his surgical ability is not bad.
But Zhou Can's ability to separate made him feel a deep sense of frustration in his heart.
This newcomer is too wicked.
This is a high-level medical separation technique, which is much more difficult than incision.
How did Zhou Can practice?
Jin Mingxi lives with Zhou Can every day, except for seeing Zhou Can often dissect a large number of mice, I haven't seen him do other exercises!
At this point, it's time for the shift to take over.
Dr. Fu, Dr. Lu, and nurse Liu Xia came over to take over.
As soon as I entered the operating room, I saw several doctors gathered around the operating table to operate on a patient.
Look at it again, good guy, Dr. Xu is actually giving people a hand.
"Rub, why did he stand in the main knife position? The attending and senior resident doctors all gave him a hand, and this kid's treatment is so special! ”
Dr. Lu's cheeks twitched with jealousy.
His eyes were fixed on Zhou Can, who was concentrating on the operation.
He had never enjoyed such treatment.
Immediately after that, he made a new discovery.
Qiao Yu, who has been pursuing for a long time, is actually working as an instrument nurse for Zhou Can. The two behaved intimately.
Dr. Lu's heart was like 10,000 ants gnawing on him, which made him particularly uncomfortable.
It would be nice if it was him the one standing in the main sword seat!
Of course, he can only imagine this kind of thing.
Qiao Yu also worked as an instrument nurse for him a few times, but every time it was a businessman. I have never been so intimate with Zhou Can as I have ever been.
This made Dr. Lu even more uncomfortable.
There are also bouts of colic in my heart.
Dr. Fu is very curious, this is the time for the handover, what kind of operation has not been done yet?
Walking forward, he first greeted Dr. Xu with a smile and said, "It's rare for Dr. Xu to work overtime for surgery!" ”
"A superficial subcutaneous mass excision."
Doctor Xu introduced, and his eyes were fixed on Zhou Can's movements again.
He didn't dare to be careless.
It's time to keep an eye on it.
Doctor Fu didn't care about it at first, but when he looked at what Zhou Can was doing, his eyes widened suddenly.
This, this is too scary, isn't it?
A regular trainee is actually isolating a facial tumor. The key is that the movement is not only calm and smooth, but also the peeling effect is surprisingly good. This kind of ability appeared in a doctor who had just been trained for a few days, which was really shocking.
Zhou Can has basically separated the entire tumor from the surrounding tissues.
The most critical parts of the blood vessels are being separated.
It can be said that every knife is dancing on the tip of the knife, and the slightest mistake will cut the blood vessels.
It's just that he just doesn't have an accident, the knife is accurate, you say that you are not angry.
Dr. Lu saw that Dr. Fu showed a very exaggerated expression after seeing Zhou Can's operation, and he was also curious.
Come up and take a look.
"This, this...... Is the kid a monster? The separation technique is so slippery! Dr. Lu's expression was not much better than that of Dr. Fu, and even a little more exaggerated.
Not only are the eyes round, but even the mouth is open into an O-shape.
Although Dr. Lu is lazy, he still has eyesight. At a glance, he could see that Zhou Can's separation technique threw him several streets.
The shock in my heart can be imagined.
I saved the manuscript for half a month, and it all exploded, and all of the people who can subscribe to this are true love. Brother Jiang bows to you and will see you tomorrow. It's still a chapter around 7 a.m. and another chapter at 7 p.m. every day.
(End of chapter)