The matter of opening the door to Su Qianqian in the middle of the night did not cause waves in Zhou Can's life.

Legend has it that after the hero saved the beauty, the good deeds promised by the beauty did not happen.

He's still the ordinary emergency department doctor.

In addition to working hard to improve various medical skills every day, it is to read books and learn.

Compared with those rich second generations who only know how to spend all day drinking, or are full of thinking about how to make quick money, he is simply an outlier.

He loves money, but he loves medicine even more.

Almost all of his mind is devoted to studying medicine.

The improvement in the level is also obvious.

During the regular training exam, Jin Mingxi, who was stronger than him in surgery, has now been thrown out several streets by him. Zhou Can's basic skills of fast knives have already gotten a glimpse of the way and are moving towards a slight success.

Jin Mingxi is still pinching a thin hair with one hand every day, and then his arms are slightly raised, sitting still like an old monk.

This kind of meditation is the most torturous.

The pace of progress is also unusually slow.

It takes at least a year or two to get a first glimpse of the path. It takes three or five years of practice to achieve a little success.

However, Jin Mingxi himself likes this practice method very much.

Every day after work, I sat there and didn't move.

It's hours of practice.

The whole person is like a demon.

It seems that Dr. Xu is right, and he is suitable to take the path of 'stability'.

In addition to the basic practice of surgical style, Zhou Can walked ahead of Jin Mingxi. In the operating room, he is also a latecomer, and he has surpassed Jin Mingxi by a large margin.

At present, Jin Mingxi is still receiving the punishment of suspending his qualification for independent surgery because of the accident.

He can only work as an assistant to Dr. Xu every day.

Except for the tasks of being able to pull the hook and sew the skin, Dr. Xu did not give him the slightly risky surgical tasks.

How long this punishment will last is not clear.

It is conceivable how much the level of surgery can be improved if the hook is always pulled and the skin is sewn?

At most, it's a little bit more insightful.

Looking at Zhou Can again, he can get two or three second-level surgeries every day. A few to a dozen first-level surgical opportunities.

With such a large amount of surgery, it is no less than that of ordinary attending physicians.

Zhou Can's surgical ability has improved, which can be described as a thousand miles in a day.

Coupled with the assistance of the medical experience point system, the progress speed is even more terrifying.

Under the advantages of one another, it is not surprising that Jin Mingxi was left far behind him and overtook him in all directions.

Not to mention Jin Mingxi, even Dr. Lu and Dr. Lin, two senior residents, were not spared.

was also surpassed by Zhou Can.

Perhaps only Dr. Cui, whose strength is close to the attending level, can still compare with Zhou Can.

……

Today is Friday, and a week is about to pass.

Time flies.

Zhou Can followed Dr. Xu. If Dr. Xu doesn't take a vacation, he can't take a vacation.

Hospital interns and trainees can be said to have no human rights at all when it comes to vacation. As long as the instructor does not take a vacation, the interns and trainees are not allowed to take vacations.

Dr. Koh often only takes about one day off a month, or even none at all. Zhou Can and Jin Mingxi can only go to work together.

This has something to do with the shortage of manpower in the emergency department's operating room.

There are only two operating room attending physicians.

If someone is on leave, another attending physician may need to be on two shifts in a row.

In addition, Dr. Xu is on the morning shift, which is also the busiest shift in the emergency operating room.

There are many sudden emergency surgeries, and Dr. Fu can't handle them at all.

In order to ensure the normal operation of the emergency operating room, Dr. Xu can only minimize his vacation.

Zhou Can walked into the emergency department as usual.

"Doctor Zhou, morning!"

"Morning!"

"Dr. Zhou is very handsome today!"

"Haha, I can't even praise you for your beauty!

Along the way, from time to time, doctors or nurses took the initiative to greet Zhou Can enthusiastically.

Now basically the doctors and nurses in the entire department know that Zhou Can is particularly good in the operating room.

If you don't take advantage of Zhou Can when he is still a regular trainee, he won't be able to stammer if he wants to in the future.

Ye Tingting twisted Yingying's small waist and walked over.

"Sister Ye is early!"

Zhou Can took the initiative to greet her with a smile.

It can be felt that Zhou Can's attitude towards her is obviously much warmer than that of other nurses.

The reason for this is simple.

Zhou Can was originally closer to her. In addition, when he had an accident last time, other nurses avoided him one by one, but Ye Tingting did not avoid suspicion.

Therefore, it is normal for Zhou Can to repay her.

This is a fundamental principle of human emotion. If you are good to me, I will be good to you.

"Tell me something." Ye Tingting lowered her voice.

"You say!"

Zhou Can didn't know what was going on, he was so mysterious.

Ye Tingting's gaze swept around, and there was no one else nearby. Only then did he whisper: "Qiao Yu was bullied yesterday!" ”

"Who did it?"

Zhou Can's anger erupted instantly.

Qiao Yu is such a kind person, the person who bullied her is really not a thing.

She wants the head nurse to move her to a morning shift every week, which is not too much. But Tian Tian and Pan Xinjian insisted on opposing it. In the end, the head nurse had no choice but did not agree to Qiao Yu's request for shift. I'm telling you this, not to trouble anyone. It's just guess that Qiao Yu wants to transfer to a morning shift, most likely to be a surgical nurse for you. ”

"Yesterday I saw her leave the nursing office with red eyes. You have to comfort them. ”

If Ye Tingting hadn't had a good relationship with Zhou Can, she wouldn't have told him about it.

"Okay, thank you for telling me such an important thing."

Zhou Can had already seen that Tian Tian unhappy.

Now that he learned that Tian Tian was bullying Qiao Yu with another nurse named Pan Xinkey, his heart was full of anger.

Not everyone can have a good teacher like Dr. Xu to protect and support them.

Not everyone is as lucky as he is to gain a medical experience system.

Qiao Yu is indeed excellent.

But she is now only a regular nurse, and there is no way to fight against the two senior old nurses.

To be realistic, if Zhou Can hadn't met Dr. Xu, a nobleman, if he hadn't been appreciated by Director Lou, Dean Zhu and others. No matter how good he is, any of the most talented residents can eat him to death.

The level of the hospital is stricter, which is better than that of ordinary companies and enterprises.

Zhou Can did not call or message Qiao Yu.

At this time, it is very inappropriate to send her a message or call.

She's a strong girl. Being bullied is a very shame-hurting thing and self-esteem.

The best thing to do is to pretend not to know about it.

Save her face.

But don't think that Zhou Can will forget it like this.

He will find a way to help her solve this matter as soon as possible.

Nurses, like doctors, don't need anything else if they want to improve their status, as long as they make achievements in academics or medical skills.

Zhou Can's idea is very simple, to help her improve her status.

When the time comes, she will be able to get back on the field herself.

It's a hundred times better than calling her to comfort her now.

Zhou Can walked into the operating room, and Dr. Xu, Dr. Lu, and Jin Mingxi all arrived.

Speaking of Dr. Lu, the recent changes are really quite big.

It doesn't matter what the quality of the surgery he does. At least his attitude is quite good. Every day is full power, one operation after another. The number of lates is also decreasing.

It's hard to see the shadow of laziness in him anymore.

"Okay, everyone has arrived, the old rules, Xiao Zhou and Dr. Lu operated independently. Kim Mingxi was my assistant. Call two more instrument nurses in. ”

Dr. Koh made arrangements quickly.

The worst thing is Jin Mingxi, who can now only watch the greedy Zhou Can and Dr. Lu perform surgery alone every day.

Soon, two instrument nurses walked in.

Li Shishi and Tian Tian.

"Doctor Zhou, morning! You look so special today! Hee-hee! ”

Tian Tian smiled happily and walked straight to his side.

"Master, I and Dr. Zhou are also old partners, don't rob me!"

This scheming, she still feels good about herself.

didn't know that Zhou Can was already extremely disgusted with her.

But now I have to put up with her, and when the time is ripe, Zhou Can will set things right as soon as possible

At this time, Zhou Can showed strong concentration.

"Let's start the operation!"

Zhou Can's face was expressionless, and he learned from Doctor Xu to play cold.

Soon, patients who need surgery are sent to the operating room. Zhou Canlao's first surgery was finger replantation.

Tuya Hospital is famous and has a population of more than 8 million.

There are endless surgeries in the emergency department 24 hours a day.

Doing finger replantation alone, Zhou Can This is the first time.

In the past, I have participated in most of the surgical tasks of finger amputation and replantation under the guidance of the teacher, and there is no record of failure for the time being.

Dr. Xu directly assigned the patient to him this time, probably to exercise his ability to continue broken bones.

This is also the only part of surgery that Zhou Can has not practiced.

"How long has it been since you severed your finger?"

"About an hour! Doctor, can I still take this finger alive? ”

The patient was in pain and cold sweat broke out on his forehead.

The truncation means that it has been handled by the attending doctor and nurse in the emergency department. I didn't do anything else, just refrigerated.

This slows down the rate of death of the severed limb.

In general, the shorter the time for amputated limb replantation, the better.

Theoretically, it would be difficult to pick up work for more than six to eight hours. If the storage environment is poor, this time will be shorter.

"Don't worry too much, we'll do our best to give you a finger replantation. Whether or not the surgery can be carried out depends on many aspects, including whether the whole surgical process is smooth, whether the blood flow is smooth, post-operative care, etc. We often perform finger amputation replantation surgery here, and the survival rate is very high, so if you actively cooperate with the treatment, the results will definitely be better. ”

After more than a month in the operating room, Zhou Can also learned the doctor's basic survival skill "flickering".

This is one of the essential skills for dealing with patients.

"Don't worry, I will actively cooperate."

The patient was fooled into by him, and actively cooperated with the operation on the spot like a good baby.

Tian Tian next to him was still chatting with Master Li and Dr. Lu not far away.

"Anesthetic!"

Zhou Can had to remind her.

Then she began to dispense a local anesthetic.

In general, ropivacaine is the preferred commonly used local anesthetic drug. A single use should not exceed 3mg/kg, even if it is a big fat man of 500 catties, it should not exceed the limit dosage of 200mg.

When used, it needs to be diluted with normal saline.

These tasks are prepared by the instrument nurse.

If it is a major surgery, it will be prepared by the patrol nurse and examined by the instrument nurse.

However, major surgery is generally performed under spinal anesthesia or general anesthesia, and there are not many opportunities to use local anesthetics.

At the moment, Zhou Can is going to give him brachial plexus block anesthesia.

In general, the results are pretty good.

The duration of anesthesia can be more than four hours.

For such a long time, with the speed of his operation, it was completely enough to connect a severed finger.

Tian Tian finally prepared the anesthetic and handed it to Zhou Can.

After successfully anesthetizing the patient's left hand, he can move on to the next step.

Debridement.

This medical skill is currently at the inferior level of resident medicine.

It's a little slow, but it can't be helped.

A patient gives him a maximum of one or two debridement experience points. And not every patient needs debridement.

The severed finger of the patient should have been wounded by a sharp weapon, and the fracture should be neat.

This is beneficial for surgery.

It is worth mentioning that finger debridement is not as casual as imagined. A regular large hospital like theirs often chooses debridement under a microscope. In order to prevent the removal of blood vessels and nerves trapped in the subcutaneous tissue.

Debridement is not only for the section of the residual severed finger, but also for the part that is severed.

The hardest part is bone debridement.

Even if the incision is relatively neat, the broken end of the bone needs to be removed by about 0.5cm to ensure that the bone graft can be successful.

After the debridement is complete, the next time is to test him.

Bone.

According to the patient's condition, Zhou Can is ready to choose to use a stainless steel needle to connect the broken digital pulp cavity.

Dr. Xu walked over and stood by to supervise the guidance.

This is for fear that Zhou Can will mess up.

"The steel needle that broke the phalange!"

Zhou Can was a little crazy.

This Tian Tian is as stupid as a pig, except for the conventional surgical instruments and consumables, she doesn't need to be reminded too much, everything else is like wood.

A reminder is required to prepare on an ad hoc basis.

This also seriously affects the course of the operation.

In the operating room, I am afraid that only Dr. Xu is qualified to scold her.

Zhou Can has no right to scold her.

In terms of qualifications, she is older than Zhou Can.

"What size steel needle?"

Tian Tian asked.

“1mm.”

Zhou Can really wanted to scold her for being a pig. This kind of question needs to be asked.

If Qiao Yu was to be an instrument nurse for him, he would have been ready for a long time.

I really don't know what Tian Tian put his mind on?

If you are not interested in surgery, you can not prepare the instrument nurse.

After she prepared the steel needle, Zhou Can had already waited impatiently. Even Dr. Xu next to him couldn't stand it.

"Tian Tian, next time you have to prepare in advance, otherwise the operation time will be greatly delayed."

In front of the patient, this is already enough to save her face.

"Okay, okay! The main reason is that this patient is the first to enter the operating room, so the preparation is not so thorough. She promised to promise that the offender would be repaid next time.

Zhou Can took the steel needle and began to carefully fix the bone marrow cavity at both ends of the severed finger.

He has seen Dr. Xu operate this operation many times, and Dr. Xu has already taught him the essentials, skills, and precautions.

Normally, such a medical skill in orthopedic surgery can only be learned when the orthopedic surgery rotation is trained.

Therefore, having a good teacher can indeed increase the efficiency of regular training and learning several times.

He operated carefully, step by step, and finally succeeded in fixing the severed finger and the stump of the finger.

I checked it and made sure it was correct.

[Congratulations on obtaining the Broken Bone Joint.] It can be used for continuation after bone breakage. 】

[Broken Bone Joint, current experience points, level 1/10.] Internship failing level. 】

He was depressed for a while, why is it so low?

Fortunately, the patient's severed finger phalanx was successfully grafted.

(End of chapter)