Chapter 91: Shop around, the right one is the best
"Are you going to choose Quick Knife as the route of surgical development?" Dr. Xu turned his head to stare at him.
I asked Zhou Can once last time, but Zhou Can hadn't thought about it yet.
This time, he took the initiative to ask about the practice method of the quick knife, which made Dr. Xu hope again.
He was too eager for Zhou Can to be his quick knife heir.
"Hmm...... Haven't thought about it yet! But it doesn't prevent me from understanding the advantages and disadvantages of your quick knife and Director Hu's 'most stable scalpel'. Zhou Can said with a wry smile.
"You kid, this is shopping around! Okay, just let me tell you what are the surgical styles, what are the advantages and disadvantages. ”
Dr. Xu couldn't help but shake his head and laugh.
"The three most common surgical styles are steady, precise and fast. Director Hu's surgery is characterized by stability, which can cope with almost most surgeries, ensuring that the surgical process is extremely smooth and stable like an old dog. However, because it is too stable, it is destined that the operation speed will not be fast. It can be 'fine' to a certain extent, but it can't be accurate to the point of being exquisite. ”
The biggest feature of stability is that it is safe and secure, and the smooth completion of the operation is guaranteed.
However, because it can't be fast or achieve extreme precision, it is destined to have some surgeries that require a short completion time, or extremely detailed excision, separation, etc., it can't do it.
This is also an important reason why Director Hu Kan's reputation is not as good as Wu Baihe.
There are many high-precision surgeries, and he can't do it.
Either give up, or ask someone else to take the knife.
Just participating in the surgery is equivalent to a supporting role in a movie actor. The fame is naturally not as big as the protagonist.
The only thing that is often remembered is the main character.
Of course, supporting roles also have a chance to come out, even surpassing the protagonist, but that is a very small number after all.
The profession of a doctor has a strict hierarchy and rules. is just a 'supporting role' involved in the operation, and it is almost impossible to surpass the chief surgeon in fame.
It is estimated that this is also an unspeakable pain in Director Hu Kan's heart.
When he chooses to be stable as his style, he is destined to be stable all the time, and he can't be as radiant as Wu Baihe and Dr. Xu, and everyone knows it.
"Let's talk about my 'fast' style. There is a proverb in the martial arts, called the world's martial arts, only fast and not broken. That's basically the same with surgery. When the speed is extremely fast, it seems to give up stability, but in this fast process, it can bring its own stable effect. For example, if you cut it quickly with one knife, the most you will cut is wrong or overcut, but you hardly need to think about the problems of hand shaking and stuttering. ”
That's true.
According to the kinetic energy and potential energy of physics, when it is extremely fast, the cutting route must be a straight line. It can't be a wavy line.
The operation time has been greatly shortened, and it is no longer necessary to maintain a high concentration of mental energy for more than ten hours.
Maybe half an hour, maybe an hour or two.
Each surgical style has its own advantages and disadvantages.
Just like people, no one is perfect.
"The disadvantage of being fast is that you can't fully control it, and it's easy to have your hands faster than your brain. In addition, as long as you have concerns in your heart, you can't do it extremely fast. This requires more practice in order to be able to do it freely. However, even if it is free, it is still not safe. Then I have pondered the reasons for the accident countless times in the past few years, and I think that as long as I have peace in my heart, I can restrain the anxiety and restlessness caused by the pursuit of extreme speed. It is equivalent to putting a double bumper on the quick bolt, and the probability of an accident should be controllable to zero. ”
When Dr. Xu said this, there was an almost eccentric confidence on his face and eyes.
The hand is faster than the brain, and the wrong organ is cut, or there are too many cuts, which happens in the operating room. Dr. Koh is an absolute expert in this area and has the most right to speak.
"I believe the teacher's philosophy is correct."
Others don't believe him, but Zhou Can is convinced.
It is not a blind worship, but a comprehensive judgment made from some clues, words and deeds of Dr. Xu.
"Thank you!"
Dr. Xu glanced at Zhou Can deeply, the two looked at each other, and Dr. Xu actually had a feeling of finding a soulmate.
Maybe it's because after the accident, his status has dropped greatly, and he can't even turn over for the rest of his life, so any idea he thinks is a loser's remark in the eyes of outsiders.
Not recognized, not valued.
So much so that when someone suddenly recognized his point of view from the bottom of his heart, Dr. Xu was so excited that he said thank you to his apprentice.
It was the first time the teacher had been so polite to him.
This made Zhou Can a little uncomfortable.
Because being too polite is a sign of rustiness.
On the contrary, he liked the teacher Xu who was very strict with him.
"Let's talk about the third surgical style, fine. Wu Baihe, a neurosurgeon, has reached the point of reaching the pinnacle in this field. ”
Zhou Can noticed that the teacher used the word "closer".
This shows that Wu Baihe has not reached the extreme in the field of precision, but has a high attainment.
"Fine, can be understood as precision, fine. During surgery, even if you go under the knife next to the brainstem, even if you peel off the tumor on the coronary artery, or anastomosis nerve, special blood vessels, etc., you can do what you want and what you want to do. Other doctors dare not do dangerous surgeries, he dares to do, this is the advantage. Over the years, Wu Baihe has successfully completed at least 100 extremely difficult surgeries. ”
"Although there is a certain failure rate, he does perform many extremely difficult surgeries that the chief doctor considers contraindicated."
The ability of precise surgery should be the best among the three styles of stability, speed and precision.
In particular, making a name for yourself is simply a supreme weapon.
For example, there is a tumor next to the brainstem. No one dares to govern.
Other hospitals have sentenced patients to death and recommended conservative treatment.
Wu Baihe relied on his precise surgical ability to cut off the tumor. The patient survived and recovered.
Wu Baihe, chief physician of the Department of Neurosurgery of Tuya Hospital, led the department's elite surgical team to successfully treat a high-risk patient with a tumor in the forbidden area of life through surgery.
The forbidden zone is the center of human life, an untouchable area recognized by the medical profession, where tumors are grown, which is almost equivalent to a death sentence......
With such a publicity, how can ordinary people who eat melons stop it.
It is natural to think that Tuya's neurosurgery is the best in the world. If you have a disease in this area in the future, you should go there for medical treatment. Because there are the most authoritative doctors there.
This is the famous doctor effect.
Wu Baihe alone can attract countless admiring patients.
Even doctors in other hospitals can't handle a patient who needs surgery next to the brainstem. If the patient and his family are sensible enough, they will tell the patient that they can go to Tuya for treatment.
"Let's talk about the shortcomings of Jing. Personally, I believe that people will have seven emotions and six desires, and they will have obsessions, which is also destined to take the route of precision surgery style, and they will not be able to reach the ultimate in their lives. What's more, humans may not be able to control their own arms to the point of extreme precision, let alone holding a scalpel or other instruments. ”
The structure of the human body is extremely complex, and the movement instructions issued by the cerebellum can be executed by 95% of the body, which is considered very good.
In fact, if it is an unfamiliar action command, the execution rate of the body may only be about 60%.
To use the simplest analogy, we watch someone else ride a bicycle by sitting on the saddle of the car, pressing the pedals with both feet, and holding the header of the car with both hands to grasp the direction.
When we sit up, the cerebellum gives instructions, and we do it.
As a result, two teeth were lost, and his nose and face were swollen and he got up from the ground.
Mom sells batches, others are obviously riding like this! Why do I wrestle as soon as I ride it?
This is just one example of the body's inability to fully execute cerebellar instructions in place.
Because the brain only visually collects the posture of other people's bicycles, and then analyzes it, and then communicates the command to the cerebellum. Eventually, the cerebellum sends out motor commands.
It neglects the sense of balance.
It wasn't until we had finally mastered the balance of riding a bike after falling so many times that we were able to handle it with ease.
The same is true for surgery with a scalpel or other instruments.
Due to the influence of mood, thought, balance, strength and other factors, it will not be able to achieve the accuracy that the brain wants to achieve.
After listening to the three most common surgical styles, Zhou Can couldn't help but fall into deep thought.
There are pros and cons to each surgery.
Which one is better, he is difficult to decide for a while.
"Teacher, can you choose two of these surgical styles at the same time?"
Zhou Can asked.
"There shouldn't be a way, at least countless seniors have tried, and none of them succeeded. When I first started practicing, the clash of the three styles was not particularly obvious. The higher the level, the greater the conflict. In the end, the fire and water do not melt, so we can only abandon other styles and retain one style. ”
Dr. Xu is from the past, and he said no, so he naturally has his reasons.
You can't have both abalone and bear's paws.
"Of course, you're just laying the foundation now, and you can practice the basic skills of the three styles. Although the three cannot be combined, they have a mutual shadow of each other. For example, my fast knife style, precision and stability are needed. Director Hu pinched his hair and raised his arms, and you can also practice them. It's all very good. ”
Dr. Xu was not in a hurry to let Zhou Can choose which style.
Instead, let him practice the basic skills of the three styles.
"What about the basic skills of the fast knife? How to practice. ”
Zhou Can humbly asked.
It seems that after getting off work, in addition to doing surgical exercises on mice, there are a lot of things.
These advanced surgical practice methods can only be learned in a big hospital like Tuya.
Jin Mingxi's ears were straight.
refused to let go of every word Dr. Xu said.
This kind of learning opportunity, he is still stained with Zhou Can's light.
Normally, Dr. Xu probably wouldn't teach anyone else.
"There are multiple practice steps in the basic skills of Quick Knife. In the beginning, you can practice cutting turnips. As for the two requirements, the faster the better, to ensure that the thickness of each slice of radish is consistent. This is equivalent to practicing the basic skills of both fast and fine styles at the same time. ”
It turns out that radish is used for this purpose in addition to practicing sewing and carving.
Zhou Can felt a bit like learning to be a cook, and he started practicing with knife skills first.
"When you practice cutting turnips, you'd better practice with both your left and right hands. There are many surgeries that are more suitable for left-handed operation. There is also the fact that the left hand is more flexible than the right hand. ”
Dr. Xu made another request.
Regarding the flexibility of the left hand than the right hand, Zhou Can knows something.
This secret is also known only to those who study medicine.
Many people think that the right hand is not only stronger than the left hand, but also that the right hand is more flexible, which is actually a misconception.
The strength of the right hand is great because in our human habits, there are more opportunities for exercising with the right hand carrying heavy objects. The right hand is more flexible than the left hand, also because the right hand is used more in life than the left hand.
For example, we use our right hand to write, our right hand to hold chopsticks, and our right hand to play ball...... The more you use your right hand, the more dependent your body will be.
Eventually, a vicious circle is formed.
The right hand is the main one, and the left hand is secondary.
But in medicine, it's not.
The left hand corresponds to the right side of the brain, and the right hand corresponds to the left side of the brain.
There is a clear functional difference between the two halves of the brain.
The left brain determines the logical thinking of man, that is, the rational side. The right brain, on the other hand, tends to think artistically, that is, the emotional side.
The two hemispheres of the brain have a cooperative relationship.
The left brain is responsible for language and logical thinking, while the right brain does work that is difficult to swap into words, replacing verbal thinking through representations.
Scientific research has found that the right brain contains all the information that human beings have obtained, such as important instincts and autonomic nervous system functions necessary for human life, as well as morality, ethical concepts, and the laws of the universe.
The left side of the brain stores the information that a person has acquired over a lifetime.
The right brain is more creative, while the left brain is like a computer with rigorous programs, processing various instructions and information more mechanically.
Therefore, the left hand, which is controlled by the right brain, is more flexible than the right hand, which is controlled by the left brain.
It's just that we ordinary people rarely exercise it.
"Today, after work, I went to the vegetable market to buy radishes to practice fast knives."
Zhou Can couldn't wait to practice the fast knife.
This kind of basic surgical ability with a strong style is not something that the experience system can help him.
It can only be obtained by repeated practice.
"I'll go too! Get off work together! ”
Jin Mingxi followed.
He seemed to have his eyes on Zhou Can now. I want to progress with Zhou Can.
"Jin Mingxi, during this time, I watched your surgical ability and made a comprehensive assessment of your talent and heart. I think it's okay for you to practice the basics of Kuaidao now, but it's not suitable for Kuaidao. ”
Dr. Xu's words were like a scoop of cold water poured on Jin Mingxi's head.
"Why? Isn't Zhou Can also able to practice fast knives? ”
Jin Mingxi is now being opened up by Zhou Can There is a huge gap, and there is already pressure.
Hearing Dr. Xu say that he was not suitable for the fast knife style really hit him hard.
"First of all, you don't have the kind of stillness that Xiao Zhou has. Secondly, you are an old man who is very cautious and steady during the operation. So I suggest that you can choose stable or fine. ”
No two leaves are the same in the world, and neither are people.
Everyone is unique, and there will be differences in all aspects of heart, way of thinking, personality, body preferences, etc.
As for the difference in physiognomy, that's secondary.
"Mingxi, I think what the teacher said is very reasonable, what suits you is the best."
Zhou Can was also beside him to persuade him.
has been working with Jin Mingxi for so long, and the relationship between the two is getting closer and closer, and they have a certain friendship.
Zhou Can's name for him has also quietly changed.
It's a little more intimate.
"Oh well! I listen to you. "Jin Mingxi is a thirty-five-year-old person with considerable social experience. Naturally, it can be seen that Zhou Can and Dr. Xu are really good for him.
"Dr. Xu, which style do you think is more suitable for me?"
It is a matter of the future and the main direction of attack, and Jin Mingxi is also afraid of detours.
He is not too young to afford a delay.
When people reach middle age, in addition to family, love, and friendship, the most precious thing is probably time and energy.
"I can't comment on which style suits you better. You can practice cutting radishes with Zhou Can first, and when you have a certain foundation, I will observe and observe, and then give you a more pertinent evaluation. Maybe when the time comes, you'll be able to make the right choice yourself. ”
Doctor Xu thought about it and said seriously.
"Okay! Thank you! ”
Jin Mingxi didn't panic this time.
The three of them returned to the emergency department, and Dr. Xu asked Zhou Can and Jin Mingxi to go to the operating room first. Instead, he went to greet the attending doctors, asking them to properly admit some difficult first- and second-level surgical patients when they were admitted to surgery.
Director Xie of the Department of Surgery asked for guilt at the morning meeting today, but was defeated by Director Lou's words.
Dr. Xu will definitely seize this favorable opportunity to get more opportunities for surgery and exercise for his disciples.
Zhou Can's progress, he can see it.
Sutures, ligation, incision, hemostasis, and separation have all been initially met with the main level. It's even more powerful than those specialized senior residents.
It is necessary to make the surgery more difficult.
It's just that when it comes to this matter, Dr. Xu also feels a little evil.
Because Zhou Can's speed of progress is really terrifying.
In the end, he attributed it to Zhou Can's excellent understanding, coupled with his careful guidance, and the number of surgeries as many as twenty or thirty per day. A variety of conditions have created Zhou Can's progress speed, which is a bit terrifying.
……
In the operating room, Zhou Can changed into a surgical protective suit and waited for the auxiliary instrument nurse to come in.
He was a little nervous.
What I am most afraid of is Tian Tian's appearance.
But there are only a few nurses in the emergency department, and he has no choice.
The most ideal thing is for Tian Tian and Qiao Yu to appear together.
Because Qiao Yu will take the initiative to choose to cooperate with Zhou Can every time. In this way, no one can rob him.
The person who served as Dr. Xu's instrument nurse was Liu Xia, who had already prepared in the operating room.
At this time, a pretty figure walked into the operating room.
Zhou Can's eyes lit up, and a happy smile appeared on his face. hit the luck, today it was finally Qiao Yu's turn to work in the morning.
He hadn't had surgery with Qiao Yu for at least a week.
She's either on the night shift or on the night shift.
After getting off work yesterday, Zhou Can also sent her a message through WeChat.
"Qiao Yu, do you have an opinion about me? It's been a long time since I've seen you as an instrument nurse. ”
She first replied with an expression of grievance and wanted to cry.
Then tell Zhou Can that the nurse's schedule is not up to her. Many sisters want to go to the morning class, but she has little qualifications, she is just a newcomer, and she can't grab others at all.
I didn't expect the message I just sent yesterday, and she came today.
For Zhou Can, he was a little overjoyed.
Now that all of his four basic medical skills have been promoted to the attending level, as long as he accumulates some experience in difficult first- and second-level surgeries, his status in the operating room will rise.
If he can gain Dr. Xu's trust and perform more than 15 or more primary and secondary surgeries alone every day, or even more, he can apply to Director Lou for a more regular surgical nurse in a timely manner.
As long as he can really generate revenue for the emergency department, Director Lou should agree.
When the time comes, when choosing a fixed surgery nurse, he will definitely try his best to choose Qiao Yu.
Looking at Dr. Xu's attitude, as long as it is beneficial to the development of Zhou Can's surgery, Dr. Xu will strongly support it.
So, the chances of this happening are quite high.
However, I can't eat hot tofu in a hurry, so what I need to do now is to do a lot of first-level difficult surgeries and try to do some low-difficulty second-level surgeries. Work steadily and steadily, and strive to be able to cope with the first and second level surgeries independently as soon as possible.
With his learning ability and medical skills, it can be achieved in three or four months at most.
Winning Qiao Yu to be a fixed surgery nurse is only his first step. He has bigger plans for development.
Strive to make some dazzling results.
Let Director Lou understand that he didn't pick the wrong person at the beginning.
(End of chapter)