Zhou Can took a look at the training table, and the second training department was orthopedic surgery, which lasted for three months.

Orthopedic surgery has a very high weight in the field of surgery, from thoracotomy and craniotomy to the replantation of a finger.

It is a must in surgery.

Zhou Can is full of expectations for this new department.

During his three months in the emergency department, he spent most of his time in the operating room.

I also learned about surgery.

Three months of surgical work in the emergency department is even more than five years of work for others.

He has several basic surgical skills that have reached the average level of the attending department.

With this strength, he will be able to enter the orthopedic surgery training, and he will definitely be able to get ahead soon.

The next day, he and Jin Mingxi rushed to the orthopedic surgery department early to report.

The second stop of the two of them was orthopedic surgery.

When I walked into the Department of Orthopedic Surgery, I saw that there was already a long queue at the outpatient clinic. Those in wheelchairs, on crutches, with bandages hanging from their arms, and even some patients lying on carts.

Most of the patients who come here are injured in accidents.

"Good guys, there are no fewer patients here than in the emergency department!"

Jin Mingxi couldn't help but sigh.

"Orthopaedic surgery and general surgery are probably the two busiest departments in surgery. Let's go to the doctor's office first. ”

Zhou Can looked at these patients, his eyes lit up, this is all experience value!

"Hello, may I ask who Dr. Guipei is going to report to?"

Zhou Can didn't ask the nurse this time.

I happened to see a middle-aged male doctor in his forties passing by, and hurriedly stepped forward to ask.

"What department are you from?"

"Emergency Department!"

"Come with me!"

"Thank you!"

Zhou Can has the impression that the doctors of orthopedic surgery are generally cold. This middle-aged male doctor is too easy to talk to, right?

Ask for directions and take them to report in person.

From time to time, doctors or nurses took the initiative to greet the man.

Call this person Dr. Yang.

"Come in! Each person takes a form and registers. ”

Dr. Yang led the two into a fairly spacious office.

At this moment, there are already several young doctors filling out the same forms as them.

"Xiao He, how many people has the hospital arranged for orthopedic training this time?"

Dr. Yang asked the young doctor in the office who was sending and receiving forms.

"The sum of each department is a total of thirteen people, plus the five people we have set to recruit, a total of eighteen regular training doctors."

Trainees are generally coordinated and arranged by the hospital to arrange the training department.

For example, Zhou Can and they were transferred from the emergency department to the orthopedic surgery department, so there will be regular trainees from other departments transferred to the emergency department.

Only in this way can the stable operation of the entire hospital be ensured.

"It's a lot of people! But it's also a good thing, with one more person to work, everyone can be more relaxed. ”

Dr. Yang sat in the head of the office.

It seems that this batch of trainees is under his control.

Zhou Can also said that how did the doctor of orthopedic surgery become so enthusiastic? It turned out that it was the right person to ask.

While they were filling out the form, another person came to report for duty.

"Hurry up and fill out the form. You only need to write one or two that you think you are best at. I really don't know how to write, so write which department you're from. ”

Dr. Yang raised his wrist to look at the time, and probably felt that these rules were too ink.

So he urged.

Zhou Can has already filled it in.

In the specialty column, he wrote about sutures and ligation.

Because these two basic medical skills have the highest experience value, they are already about to reach the excellent level of the main treatment.

Soon, all eighteen trainees had filled out the forms.

"Let me introduce myself, my surname is Yang, and I am responsible for the pre-arrangement and management of the entire orthopedic surgery training period. First of all, on behalf of the Department of Orthopaedic Surgery, I would like to welcome you here. ”

Dr. Yang's gaze swept over the eighteen people.

"Since the restructuring of Tuya, the implementation of the capable up, the mediocre down, survival of the fittest mechanism. It doesn't matter what department you come from, or what background you have, the competition for training opportunities will be the same. ”

This is an early vaccination.

Let those who come from the weight department put away their arrogance, and let those who have a background cut off their thoughts.

Don't think about going through the back door, giving gifts, etc.

The clinical department has always been a place of feather for related households.

If he doesn't have real skills in his hands, even if it's the dean's son, no doctor dares to let him do it to patients.

What should I do if I cut the patient down with a knife?

If something happens, the dean will not only not appreciate it, but will also want to slap the senior doctor to death. You're trying to fucking kill my son, aren't you? Knowing that his surgical ability was weak, he asked him to cut it.

"Let's talk about the department's demand for trainees. There are only two 100,000-level operating rooms in the operating room, which need to be assisted by six trainees. An outpatient manual reduction unit requires one. On the inpatient side, the more the merrier. ”

Fools know that going into the operating room is definitely the best.

Outpatient manual reduction is also not bad.

The worst thing is to be a regular trainee in the inpatient department, who works a lot and is tired, and is easy to be scolded by family members and patients. All kinds of tube beds, on duty, writing cases, and doing chores are enough to tire people into dogs.

"Of course, you don't have to worry too much, the hospital's standardized training for you is all-round. It's not that you don't have the opportunity to study in the operating room if you are assigned to the inpatient unit. It's just that the focus of learning is different. ”

After seeing that everyone's expressions were slightly nervous, Dr. Yang smiled gently and comforted everyone.

The Department of Orthopaedic Surgery asked him to manage the trainees, and he naturally had strong management and coordination skills.

"To be fair, you will be in the operating room in batches for the first three days. Those who perform well will be left behind by the surgeon in the operating room. Don't be discouraged if you get knocked out. Surgery is not the only way out. And even if you are assigned to the inpatient department, as long as you perform well, you may still have the opportunity to perform surgery. ”

Surgeons can't do surgery, and the only way out is to choose more difficult academic studies.

It's just that there are very few people who have made a name for themselves on this road.

If you look closely at the famous doctors in each surgical department, you will know that all of them are well done in surgery. Most of their academic achievements are also closely related to surgical ability.

After all, academics come from practice.

"Anyway, everyone's chances are the same, so I'll assign you the first three days of work."

Dr. Yang directly divided the 18 information sheets in his hand into three parts.

"Xiao He, read the names of the six people who worked in the operating room today."

He handed the first information sheet to the young doctor.

"Fan Wen, Wang Bin, Jin Mingxi......"

A total of six people's names were read.

Zhou Can may not have been in the first batch because of the late submission of the form.

It's also good that you can get acquainted with the orthopedic surgery environment for an extra day or two.

He knew very well that if he could not be selected for the operating room, his development would definitely be much worse.

Although his surgical ability is very strong enough to crush everyone, he must do his best to be more secure.

"The six people who just read their names went to work in the operating room. The remaining twelve people stayed on the side of the inpatient department. Your main task for the first three days is to familiarize yourself with the patient's entire process from admission to discharge. I don't need to say more about the things such as managing the bed, writing cases, following surgeries, and ward rounds, you have already learned them during the internship stage. ”

What is done in the internship and training stages is actually different.

It's like going to kindergarten, the main thing is to learn to abide by the rules of the school, as well as the recognition of the pinyin alphabet, the meaning of the numbers 1 to 10. In the first grade of primary school, children are required to not only be able to recognize the phonetic alphabet, but also to be able to write, be able to spell and begin to learn to write simple Chinese characters. In math, children will also be required to learn addition and subtraction within 10, as well as larger numbers.

The same goes for doctors.

Step by step, step by step to improve business capabilities.

Doctors need to gradually complete certain risky tasks independently.

For example, tube beds.

What should an intern do if he or she notices that a patient is coughing violently or complains of stomach pain? Then you must call a senior doctor to deal with it!

If this kind of thing happens to the doctors, they must learn to diagnose it themselves.

If you call a senior doctor for a big fart, you will definitely be scolded to death.

"Xiao He, go and ask Mr. Xiang to come over!"

Dr. Yang commanded.

Mr. Xiang is not the CEO of the company, but the general manager of hospitalization.

That's what hospitals are generally called.

Many newcomers think that the status of hospitalization is very high, but this is not the case.

Don't look at the hospitalization, I always scold many regular trainees and interns as grandchildren, command this work, and arrange that work.

In fact, the overall status of hospitalization is much lower than that of the attending officer.

This position usually comes on a rotational basis, and the time is one year, which is considered a chore.

To live in the hospital on duty.

To be able to become a resident general, there are some things in common, more than three years of resident work experience. I have advanced training.

In fact, this is also a necessary process for the promotion of the main rule.

Often, I go to study for half a year to a year, and then I stay in charge for a total of one year after I come back, and then I take the exam for promotion to attending physician. After passing, you will get an attending physician's certificate. If there is a place available at the hospital, you will be hired as the attending physician.

However, the number of appointments is limited, and if you are not hired within a year, there is no need to worry.

At this point, as long as you don't get into a big disaster, the main treatment is basically stable.

At most, it's just waiting in line.

It is worth mentioning that the difficulty of the examination is not high, and many people can pass it in one go.

What is really difficult is to take the medical practitioner certificate one year after graduation. This pass rate is quite low, basically only one out of five people passes.

If you haven't taken the test in the first year, you can take it again in the second year.

It's really not pouring cold water on those who haven't taken the test.

I didn't take the test the first time, the second time, and the third time...... There is a high probability that you will not be able to pass the test.

The smart way to do this is to change to administration in a timely manner, or change careers.

After all, age can't stand it.

He graduated from a bachelor's degree at the age of 24 and got a certificate at the age of 26. People with dull qualifications have never been able to pass the exam, and they will be close to 30 years old after two or three years of casual boiling. It's going to be very stressful.

It's not that piece of material, and decisive stop loss is the smartest thing to do.

Soon, a male doctor in his early thirties hurriedly walked in.

The man was of medium height, with thick, thick eyebrows, like two black brooms above his eyes.

From the perspective of physiognomy, such people are generally very impatient and have a rough personality.

"Mr. Xiang, these twelve people will be arranged by you first. After three days, when the people are selected in the operating room, you can make long-term training arrangements for them. ”

Dr. Yang said to the man.

"No problem!"

Doctor Xiang's gaze swept over Zhou Can and the others, and he waved his hand.

"Come with me!"

This style of acting is really vigorous and resolute, and it will never drag mud and water.

Zhou Can and the others followed him to the ward area.

There are nine inpatient wards in the Department of Orthopaedic Surgery, with the remainder being open bed areas. The total number of beds is conservatively estimated at at least more than three hundred.

The scale is quite terrifying.

Many small tertiary hospitals have a total of only about 500 beds. In order to be rated as the top three, some even need to inflate some hospital beds to reach this number.

Tuya is just an orthopedic surgeon with more than 300 beds. It has so many departments, and the total number of beds must be an extremely staggering number.

With this volume, it is difficult to find three in one province.

What's more, the number of beds in its first and second branches has not been added.

"I don't know your names, so in order to save time, I'll just follow the list to assign you beds. For the past three days, you are only assisting for the time being, and you do not need to be in charge of these beds. ”

Dr. Xiang read the list and assigned a batch of beds for each person.

The number of beds per person is about 8 to 12, and the number varies.

The number of tube beds is mainly determined by the ability of the tube bed doctor.

Zhou Can was assigned beds 115-124.

A total of ten beds are managed.

As Dr. Xiang said, he was just assisting in the management. The ten beds are all in the hands of a doctor named He Zhang.

This person will definitely have regular training and intern doctors to assist him.

"Who's that, don't be stunned, hurry up and come over to help put on a plaster."

A busy doctor beckoned to Zhou Can.

"That's you, come over quickly."

Zhou Can hurriedly walked over.

He had taken a scalpel, but he had never put a plasterboard on a patient.

"The patient suffered a fall from a high and suffered a serious fracture in his right leg and has undergone surgery. There is a slight fracture of the scaphoid bone in the arch of the left leg. The doctor in charge asked us to put a cast on him. ”

The patient's right leg can be seen mummified.

It is not clear what surgery was done.

If you have a fracture, even after surgery, you need to fix it from the outside to allow the bone to heal.

This cycle will be relatively long.

There is a principle of priority for doctors to deal with patients' conditions. Fatal injuries are treated first, followed by serious injuries and minor injuries last.

There are many kinds of falls, such as falling from a building, falling from a cliff, or breaking a branch while climbing a tree, and falling to the ground unlucky.

High falls are often accompanied by serious internal injuries.

The patient in front of him only broke his leg, which is considered very lucky.

"Look at you're dumbfounded, you haven't put a cast on a patient yet, have you?"

"I really haven't done it!"

Zhou Can squatted down, not knowing how to help.

"I'll teach you once and you'll learn! Measure the length of the patient's foot from the sole of the foot to the ankle. Then measure the width of the soles of the feet. ”

The doctor is not tall, estimated to be only about 1.65 meters.

Twenty-eight or nineteen years old.

Zhou Can didn't know him, but just now the general inpatient doctor assigned Gui Peisheng, and this person must have been watching from the side.

"Okay, I remember. Are you Dr. He Zhang? ”

The other party spoke politely, at least not as fiercely as expected.

Only then did Zhou Can dare to take the initiative to ask the other party's name.

"Hmmm! I'm a resident here, and I'm in charge of 115-124 beds. In addition to you, there are three interns. Originally, there was also a regular trainee, but he has been transferred out today. ”

Sure enough, it was Dr. He Zhang.

Even in a large hospital like Tuya Hospital, the workload of a regular training doctor is already very heavy. It is used as a resident for most of the time.

Before the handover of the regular training doctor was in place, the person was directly transferred.

This shows that the entire hospital is staffed with doctors quite tightly.

"After measuring, you memorize the length, and then make the plaster ring into a plaster strip of the right length. Width generally doesn't care about it. Parts of the limb that are too wide can be splinted directly. In cases like this, a plaster cast is sufficient. ”

Dr. He Zhang's hands and feet are quite nimble.

The patients, like the vast majority of patients, remained silent.

Quietly watching the doctor busy for him.

"These things are essential materials for plasterboard. Plaster, plaster wool, bandages. ”

He identified Zhou Can one by one.

The three things are easy to distinguish, Zhou Can nodded, indicating that he remembered it.

"After making the gypsum strip of the right length, the following is to make gypsum cotton. Remember, the length and width should be grasped well. ”

In fact, it is customized according to the patient's left foot.

"You go and fetch half a bucket of hot water, the temperature is about 50 degrees. Hot water is available in the boiling water room over there. ”

He Zhang deliberately let Zhou Can quickly familiarize himself with the environment.

Soon, Zhou Can brought hot water.

There is no way to measure the water temperature, so it is tested.

The temperature of the human body is about 36-37 degrees, and it feels a little hot, which is the water temperature of about forty or fifty degrees.

Dr. He Zhang was very satisfied to see that he had brought the water so quickly.

I tested the temperature of the water with my hand and a smile appeared on my face.

"It's okay to do things! What is your name? ”

"My name is Zhou Can! You can call me Xiao Zhou. ”

Zhou Can was so narrow when he first came that he lowered his posture very low.

"Doctor Zhou, the next thing is to soak the plaster strips in the water."

I saw that after the gypsum strip soaked in, a large number of bubbles began to emerge immediately.

"Remember, be sure to wait for the bubbles to stop before taking them out."

After a while, it stopped bubbling.

Dr. He Zhang took out the plaster strip that had been soaked softly. Quickly pinch it with your hands.

"Squeeze as much water out as possible and spread it out on top of the plaster wool. It must be fast, not too long, or it will harden quickly. ”

After it was done, Dr. He Zhang instructed Zhou Can to lift the patient's left leg.

"If the patient is able, you can directly ask him to step on it."

After speaking, Dr. He Zhang looked at the patient.

"Uncle, it will hurt a little, just bear with it."

Nearby, two family members of the patient were watching.

The explanation must be explained in place, so as not to cause unnecessary misunderstandings.

I saw Dr. He Zhang holding the patient's instep with one hand and holding the plaster cast against the patient's sole with the other. It is then quickly wrapped according to the shape of the patient's foot.

"Doctor Zhou, hold on, don't let the plaster come loose."

Dr. He waited until Zhou Can held him, then removed the bandage and began to wrap it around the patient. Use up one roll of bandages, and open another roll.

After a few minutes, the cast was firmly held in place with a bandage on the patient's foot, down to the heel.

"Remember, the bandage can't be too tight and not too loose. In particular, these parts can be tightened and can lead to avascular necrosis of the limbs. After wrapping, you can adjust the shape of the cast with your hands to make it fit more closely with the patient's foot. ”

Zhou Can just started the whole process.

When the patient's cast is finished.

[Congratulations on obtaining external fixation of fractures, which can be used for external fixation of fracture patients and help the fracture site heal quickly. 】

[Fracture external fixation, current experience value: level 1/10, intern failing level.] 】

obtained another orthopedic medical skill, and Zhou Can was overjoyed.

Although it is only the most basic medical technique of orthopedics, it has a very high probability of being used in surgery.

Especially in the orthopedic department, many minor fractures only need a cast.

"There's another one over there that needs to be put in a plaster, this time it's up to you to operate, and I'll guide you."

"Okay!"

Zhou Can readily agreed.

Dr. He Zhang definitely hopes that he can get started quickly, and next time he has a plaster, he can directly call Zhou Can to complete it.

This is a patient with a broken hand who needs to be hung from his neck after a cast has been applied.

"The severe part of his fracture is mainly the hip joint, and the surgical plan has not yet been formulated, so he was immobilized for the fractured arm first." This is a very thin middle-aged woman, lying on the hospital bed and humming.

The mouth kept shouting, going to die, going to die.

When encountering this kind of patient, Zhou Can is generally very careful.

The family member who accompanied her to the clinic was a young man in his twenties, who was supposed to be her son. This unfilial son is holding his mobile phone and playing games next to him.

(End of chapter)