Everyone watched Zhou Can perform a powerful medical technique that should not belong to the Guipei doctor.

The blood vessels on the lump were successfully peeled off by him little by little.

Finally, the separation is almost over.

"Teacher, I'm going to cut off these capillaries that grow in the lump, and then electrocoagulate to stop the bleeding. Finally, the lump is completely separated from the muscle tissue and removed, do you think it is okay? ”

Out of respect and caution, Zhou Can did not rush to finish.

Instead, consult Dr. Xu first.

"That's a good plan!"

Dr. Xu never hesitated to praise him in front of his patients.

With the teacher's affirmation, Zhou Can had a bottom in his heart.

Step by step, complete the rest of the surgical work.

The tiny blood vessels growing within the mass are amputated and the bleeding is stopped by electrocoagulation.

In fact, the root of that main blood vessel was clamped by Dr. Xu, and when these capillaries were cut, the amount of bleeding was very small.

During the procedure, bleeding must be minimized as much as possible.

It's not just because of the gore, it puts psychological pressure on the caster. The gushing blood can also obscure the view of the surgery, causing a lot of trouble.

The correct operation of removing the lump is generally to cut off the supply first, and then proceed to the next steps.

Dr. Fu had already seen Zhou Can's hemostasis, and he was still amazed when he saw it again at this moment.

Not to mention Dr. Lu, Dr. Lin, and Kim Mingxi.

Seeing that Zhou Can's hemostasis technique was so exquisite, in addition to their envy, they also had a lot of pressure.

But it's also a good thing.

When there is pressure, there will be motivation!

Walking with tigers and wolves is mostly fierce beasts, and flying with phoenixes will be handsome birds.

Only by being in the company of the strong can you become stronger.

Zhou Can finished treating the blood vessels and successfully separated the tumor from the surrounding tissues, and then only the last step remained.

That's excision.

He was not soft at all, and simply cut off the lump to the root.

"Xiao Zhou, you cut this lump very well. Remember, whether it's a benign lump or a malignant lump, it's okay to cut as much normal tissue as you can during excision. In order to achieve a clean excision and no recurrence. ”

"Understood!"

Zhou Can nodded and wrote it down.

If the malignant tumor is not completely removed, the consequences are very serious.

This will cause the cancer cells to spread and eventually lose the chance for surgery.

This kind of thing is very common.

For example, breast cancer, uterine fibroids, stomach cancer...... When encountering a doctor with poor medical skills, it is not uncommon for him to be unclean.

Tumors have one of the biggest features.

If you don't stimulate it, it may just grow normally.

Once stimulated, it is really a foot high, and the magic is one foot high.

In order to survive, it will go crazy into 'explosive' mode.

Not only does the speed of division and replication double, but it also rapidly shifts to surrounding tissues.

Getting to that point is an absolute disaster for the patient.

"Teacher, can you see that debridement and suturing are possible?"

The lump was successfully removed, and the patient's originally high and swollen cheeks have basically disappeared.

Dr. Xu carefully examined it and there was no problem.

Signal that he can debride and suture.

More than 20 minutes later, Zhou Can successfully completed debridement and skin suture.

The right side of the patient's face appears to have flattened.

"Well, the surgery is well done and the subcutaneous lump on your face has been successfully removed. If there is any abnormality in the wound, you must report it to our medical staff in time. ”

Dr. Koh admonished the patient.

Taking advantage of the time when Zhou Can was stitched, he had already prescribed a doctor's order.

Let Qiao Yu take the patient to the infusion area to hang a drip.

After the patient left, Dr. Xu looked at Zhou Can, and then his gaze swept over Dr. Lu, Jin Mingxi, and Dr. Lin.

"It is important to pay attention to the post-operative care of this surgery. If the wound is infected and suppurated, it must be treated promptly and decisively. Postoperatively, antibiotics are best given intravenously and anti-inflammatory drugs are taken by mouth. For the first three days, the patient can be asked to come for an infusion once a day to facilitate observation of the patient's wound. ”

Dr. Xu taught several people his experience in surgical nursing.

"Xiao Zhou, if you practice medicine independently in the future, this kind of patient with a greater postoperative risk must tell the nurses in the infusion area to pay special attention to the patient's condition. So, it's actually good to invite them to a cup of milk tea once in a while. They will also be more attentive to what you have to say. ”

Doctors and nurses are two systems.

Interdependence.

The status of doctors is higher than that of nurses, but if the relationship is not good, it is also bad for doctors.

They are only responsible for doing their normal work, and no one can say anything about them.

If something really happens, the unlucky one must be the doctor in question.

Of the several doctors here, only Zhou Can is a newcomer, and there are many unspoken rules in the department that he is afraid that he will not understand, so Dr. Xu opened it up and taught him.

"Overall, you did a pretty good job with this surgery. However, you should also be aware of some shortcomings. For example, when peeling off a lump, the incision margin is not neat. Also, debridement is not particularly in place. The stitching is not particularly good, it can only be regarded as above the level. These are the areas that need to be strengthened. ”

In front of everyone, Dr. Xu pointed out many shortcomings of Zhou Can.

Debridement has now become a weakness for Zhou Can.

Because it's still only a standard training level.

There is no way to do it, after all, his working hours are too short.

The foundation is still quite weak.

It's impossible to eat a fat man in one bite.

The improvement of various medical skills takes time, and there are opportunities to exercise, so you can only take your time.

This time, he was able to remove the lump smoothly on his own, without poking out any baskets, which is already a huge step forward for him.

"I'll go the extra mile!"

Zhou Can humbly accepted the teacher's advice.

Face up to your own shortcomings.

At the same time, he also noticed that after Dr. Xu pointed out a bunch of shortcomings to him in public, Dr. Lu and the others looked at him and became much more friendly.

Only then did Zhou Can understand the teacher's good intentions.

The wood is beautiful in the forest, and the wind will destroy it.

Too good is easy to attract envy.

Finding some shortcomings appropriately, so that other jealous people can find psychological balance, is also a kind of protection for him.

It can also reduce a lot of unnecessary trouble.

"Oh, Dr. Xu's requirements for Xiao Zhou are too high! His level is already standing out among the trainees, you can't ask him to be at the same level as us! ”

Lo and behold, the effect is out.

Doctor Fu began to help Zhou Can say good things.

"If the jade is not cut, it can't be wrong, and you can't be wrong to be strict with him!"

Dr. Xu achieved the desired results and did not delay any longer.

"Okay, the operating room will be handed over to you, and we will call it a day and go home."

……

The days went by like this, and Dr. Fu never mentioned asking Zhou Can to work overtime.

Many colleagues in the emergency department have always kept a distance from Zhou Can.

Zhou Can commutes to and from work on time every day, and under the care of Dr. Xu, he has been doing first-level surgery independently.

Ever since he showed that he had a moderate level of incision and dissection as a resident, Dr. Koh gradually began to perform some simple excisions.

However, as long as the risk is slightly higher, when Zhou Can operates, Dr. Xu will stand by and guide.

In terms of safety, Dr. Xu is particularly strict.

In addition to earning experience quickly in the operating room, because there is no need to work overtime for a while, Zhou Can will buy eight to ten white mice every day and return to the apartment to practice.

His experience in the three medical techniques of incision, separation, and ligation is constantly soaring.

It really was one day at a time.

However, this practice mode is also very expensive.

The purchase fee of white rats alone requires 1,600 yuan to 2,000 yuan per day.

It's close to 60,000 yuan a month.

If you are an ordinary person, you can't bear it at all.

Fortunately, rat practice is only an initial need. When most of his medical skills are upgraded to the main level, the main battlefield for practicing medical skills will be completely transferred to the operating room.

When the time comes, you can earn medical experience points directly from patients, which will be faster, and not only will you not spend money, but you will also be able to make money.

However, the salary of regular trainees is relatively fixed.

According to the relevant national documents, the doctor writes a case for 10 yuan, and the duty pay is 50 yuan at a time, but it is really time to pay the salary. None of this money is available.

It's useless to find a teacher who is trained by regulations.

Looking for the director of the department, I'm afraid that I don't have that fat gall. Occasionally, there are people who are hard and not afraid of death, and they really asked the director of the department about it, but in the end it was still not done.

If the hospital doesn't issue it, it is impossible to deduct it from the department, right?

Therefore, what regular trainees can get is basically a pitiful meal allowance every month, a basic salary, and a state subsidy. Overtime pay may be appropriately given for a month.

What bonuses, performance commissions, and surgical commissions, that's thinking about fart.

However, there are also some doctors who go to Tuya to participate in regular training as a continuing student, and in addition to the above-mentioned salary, their original unit will also pay them a salary.

Of course, there is a huge difference between those who participate in the regular training as a further study and Zhou Can, who are the main recruiters of this college.

If you want to learn real skills, you must be a general practitioner like Zhou Can.

Belong to the 'core disciples' of the hospital.

The hospital will train them as future successors.

In addition to this, there are also regular trainees. The status is much worse than that of a general practitioner.

But it's also cultivated as one's own person.

It is not uncommon for individual trainees to be recruited to be particularly excellent, and eventually become the leader of a certain discipline in the department, or the leader of the group, the chief physician, and the director of the department.

In short, if you want to divide the three types of trainees into higher grades.

The best in all subjects, the recruitment quota is very small, the difficulty is high, and the weight is also high. As long as the department has demand, it will recruit a group of trainees from related majors to be trained, and the fittest will be won. At the end of the regular training, some people can be lucky to get the opportunity to stay in the hospital and become regular. After someone gets the training certificate, they may be eliminated.

Continuing education is the worst.

To put it bluntly, some prefecture-level hospitals or small hospitals have sent doctors to gild.

If you can learn something back, it is difficult to learn core medical skills.

Tuya Hospital conservatively estimates that the total number of regular training doctors recruited in a year is at least more than 200.

The difference can only be experienced by yourself.

……

It is worth mentioning that he found an obvious problem in the process of using white mice to practice medicine.

That is, since his hemostatic technique was upgraded to the fourth level, there was nothing abnormal.

But not long ago, when the experience points rose to level 4 1000/10000, they suddenly couldn't rise.

If you stop bleeding on the patient, you can still increase your experience by 1 point at a time.

However, if you practice with mice, hemostasis can only increase by 0.001 each time.

He knew very well that this was a punitive experience point given by the experience point system.

He had similar problems with suturing in the past.

The only solution is to earn on the patient.

Other methods are largely ineffective.

He secretly guessed that it was likely that the practice of hemostasis on white rats had reached its peak.

That's why continuing to practice is basically ineffective.

It's quite reasonable to think about.

Hemostasis below grade 4 is basically based on electrocoagulation. However, after being promoted to level 4, the methods of hemostasis began to become more complex and diverse. It is no longer a simple matter of electrocoagulation to stop bleeding or ligation of blood vessels.

Its hemostasis has risen to a new level from diagnosis, to drugs, hemostatic ideas, hemostasis methods, and all aspects.

To achieve this level of hemostasis, every hemostasis will be a test.

Zhou Can had a feeling that since this problem had occurred in hemostasis, other medical techniques would definitely appear.

He's still short on how long he has been earning the XP system, and there's still a lot to explore.

This system can help him quickly improve his medical skills, but it is not the kind of blind stand-alone practice. Instead, he guided Zhou Can to find the most correct way to practice by the amount of experience points he gained at one time.

For example, for diagnosing complex cases that are extremely difficult, for each case diagnosed, in addition to 1 ordinary experience point, you can also get a reward of 100 large experience points.

After it was already difficult to earn experience points on the white rat, he was not discouraged.

Instead, they continue to use the rat to quickly earn experience points for other healing skills.

Anyway, he can afford to burn money.

……

In the blink of an eye, sixteen days have passed.

Zhou Can has lived a very fulfilling life these days, and all medical skills are improving by leaps and bounds. He has accumulated a lot of first-level surgical experience through surgery.

Following hemostasis, a number of medical techniques have been successfully promoted to the attending level.

Incision, suturing, ligation, injection, separation, all of these techniques have now been successfully promoted to the rank of major.

When their experience points rise above 1000/10000, they have the same problem as hemostasis.

Practicing on mice is no longer up.

It can only be earned by performing surgeries on patients in the operating room.

At present, the experience value of these five medical skills is basically more than 1,000. Injections are a little less, only 252/10000.

Mainly because he didn't practice injections on mice.

It was only by giving local anesthesia to patients every day in the operating room that it had risen to the current level.

Now, his level of injection is on the same level as that of the older nurse in charge. Many little nurses are not as good as him in injections.

Of course, injections are certainly not just for injections.

In the future, as he has access to more advanced surgical opportunities, there will definitely be a wider range of applications.

In addition, his debridement has finally been upgraded from Level 2 to Level 3.

Current experience: Level 3 41/1000.

Inferior level of residency.

With this level, the debridement of the first and second level surgeries is basically sufficient.

It's finally made up for this shortcoming.

Of course, if you can rise higher in the future, it will be better.

"All of my four basic surgical skills have been promoted to the attending level, and I can't improve my practice mice. It's time to ascend to the next level of anastomosis, grasping, and inserting these three advanced medical skills. ”

Zhou Can thought about it in his heart and made a new practice plan for himself.

The anastomosis of rattail nerves, blood vessels, and intestines can all be practiced.

Although the earning speed is a bit slower, and you can only get 0.2 experience points once you match it, but it's pretty good.

He can basically anastomosis a small blood vessel in about fifteen minutes.

You can earn about 6 to 7 matching XP points for one night of practice.

I believe that if you persist for about a year, the anastomosis will definitely be able to rise to the main level

Since he learned that the domestic minimally invasive field is very backward, he secretly included the improvement of minimally invasive surgery capabilities in the plan.

In the morning, Zhou Can went to work in the hospital as usual.

"Doctor Zhou, morning!"

"Morning!"

"Wow, Dr. Zhou is getting more and more handsome!"

"Hehe, it's your eyes that have become beautiful!"

Zhou Can responded to them with a smile one by one.

After his colleagues in the emergency department distanced himself for a while, the rumors eventually stopped at the wise man.

More than half a month has passed, and Zhou Can is doing well every day, and he hasn't seen any hospital leaders trouble him.

The rumors spread by Dr. Lu are self-defeating.

Everyone gradually resumed normal interaction with him.

That's how realistic the workplace is.

Although it is also about friendship, the most important thing is interests.

Taking advantage of the last accident, it was like a demon mirror, allowing Zhou Can to recognize the faces of every colleague.

It's been a good growth for him as well.

"Xiao Zhou, Jin Mingxi, don't go to the operating room yet. Come with me to the morning meeting! ”

Dr. Xu greeted the two.

Zhou Can has not attended any meetings since he became a doctor.

On the contrary, when I was an intern, I often had to have meetings. If you don't participate, you will have to deduct 50 yuan once.

"Teacher, can you give me some more first-level surgery patients who are slightly more difficult today?"

Zhou Can asked with a shy face as he walked forward with Dr. Xu.

After many medical techniques were promoted to the attending level, he was no longer satisfied with simple debridement and suturing, but wanted to do some more difficult surgeries.

(End of chapter)