Not long after, a new surgical patient was pushed into the operating room.

This time, there is only one regular trainee left for Zhou Can, but there is no need to test him again.

Dr. Ho took the initiative to display the patient's examination report on the light screen.

"The patient had surgery for a broken arm bone early last year, which was fixed with two steel nails. Judging by the patient's recovery, the fracture healed well and now requires surgery to remove the nails. ”

Dr. Shan took the initiative to introduce the patient's condition.

In general, surgeries in the operating room are scheduled in advance.

When to do what surgery today, the chief surgeon, assistant, and nurse all know in their hearts.

The removal of the intraosseous fixation is not particularly difficult.

But the stakes are significant.

It is also possible that the procedure is not done properly, or the removal time is too early, resulting in a refracture or infection of the patient.

The patient was quickly brought in.

The steel nail in the elbow joint of the right arm needs to be removed.

Dr. Shan was very cautious in performing the operation.

Even though she had already gone through layers of checks, she still conducted a series of examinations and inquiries on the patient, and after evaluation, she felt that the steel nail could be removed, and then the operation began.

Zhou Can naturally took the anesthetic needle prepared by the nurse and pricked four needles into the armpit of the patient's right arm.

The puncture site for brachial plexus anesthesia is not fixed.

The actual choice is made according to the needs of the surgery.

Sometimes the upper and lower collarbones, and the mucoscapular groove are also the sites where the anesthetic is injected.

The purpose is to block the conduction of nerves in the arm.

In fact, the principle of painkillers is very similar to anesthetics, which also blocks nerve conduction.

Many people are in too much pain to stand it, but they are reluctant to use painkillers. Listen to the 'fake science' on the Internet, thinking that painkillers will cause harm to the body. And there are sequelae.

It can make people stupid and stupid.

In fact, this is all nonsense.

As long as the dosage is mastered, there will be almost no so-called 'negative effects' on the body.

In ancient times, Guan Yu scraped bones to cure poison, did not use anesthetics, and could talk and laugh while receiving Hua Tuo's surgery while playing chess with others. Maybe there is such a tough guy, and it is more likely that the anesthetic of that era was not yet mature.

He didn't dare to take it.

Modern people, there is really no need to follow Guan Erye to suffer that sin.

Some pains can really make people feel dizzy.

Zhou Can's injection is at the main level, and his local anesthesia has a faster onset time and better effect.

"Doctor Shan! The anesthesia was successful and the operation was possible. ”

"Hmm!"

She nodded slightly.

The nurse is very professional in performing the second disinfection of the surgical site.

The wound and nail positions have been drawn on the patient's arm.

Dr. Shan skillfully and delicately incised a wound, and Zhou Can cooperated with tacit understanding to stop the bleeding. This part is actually a layer of skin, and the bones are directly exposed.

Metal spikes can also be seen.

She seemed cautious throughout the process.

Zhou Can stood next to him and followed to help, but he also learned a lot.

A total of two steel nails.

Remove this one first, and after examination, confirm that the bone has healed fairly well and there is no risk of removing it, and then remove the other one.

Sometimes, doctors tend to remove the internal fixation device in multiple batches to be on the safe side.

"The stitching will be yours!"

After Dr. Shan successfully removed the two steel nails, he was also very tired.

Thanks to Zhou Can's help, it was so smooth.

"No problem."

Zhou Can happily agreed.

He didn't miss any opportunity to earn medical experience.

With such a small incision, it only took him a few minutes to complete the debridement and suturing.

It is not for nothing that so many first-level surgeries have been performed in the emergency department.

In terms of the speed of surgery, I am afraid that few people can be faster than him.

"Tsk, Dr. Zhou's suturing technique is really good! Fast and good! ”

She couldn't help but praise.

"Actually, my anatomy skills are okay, when will I give a chance to exercise!"

Zhou Can is already very modest.

Because he still has many medical skills that have reached level 3 or above.

"There is a suitable opportunity, I look at it!"

She didn't say anything full.

After all, according to the safety rules of the operating room, interns are generally required to be off-line operations, that is, operations that pose a safety risk to patients, and interns can only be observants.

You can only stand on the side and learn.

Regular trainees, can give some punctures, sewing and other work.

To go under the knife on a patient, you must at least stay up to the level of a senior resident doctor before you can get a very small number of exercise opportunities.

Doctor Shan can relax a little, this is already a great trust in Zhou Cantian.

After the patient was sent out, a nurse stood behind the second door and asked, "Doctor Shan, there is a child with a dislocated arm here, can you join a team to help him do it?" ”

There are all kinds of human relations in any hospital.

For example, when a nurse helps the child cut the line, it is either an acquaintance or the child has a certain background.

"Dislocated arm, you should let him go to the manual reduction room!"

Dr. Shan did not explicitly refuse.

Dislocations, unless a very small number of particularly severe cases require surgery, can be reduced manually.

It is also a must-have skill for orthopedic surgeons.

"It's off work over there, and there's no one until two o'clock in the afternoon. This child's grandfather works in the Health Bureau, and he personally brought the child over, you see......"

Although the nurse did not say it explicitly, the meaning of the words was basically clear.

This child is the grandson of the relevant leader of the competent department.

For Tuya Hospital, the rank of the director and others is not low. The general leaders of the Health Bureau came, and they couldn't even reach the level of the dean's personal reception.

But for a low-level nurse, even if she is just an ordinary member of the Health Bureau, she is still a leader.

In fact, if you can survive to your grandparents, no matter how you are, you can at least survive to be a section-level cadre.

"Since he is the grandson of the superior leader, he should take care of it. The leader's work is so busy, how can he wait until after two o'clock in the afternoon! It just so happens that I'm not particularly busy here, so let's bring the kids in! ”

Dr. Shan immediately changed his tune.

Zhou Can couldn't help but open his eyes, he has gained a lot of knowledge today.

No matter how proud the doctor is, when facing the leader, it is basically the same.

At most, the degree of licking is different.

The child was quickly taken into the operating room, and his grandfather followed him through the first door outside.

This is an old man with gray hair and a fairly energetic spirit.

"Which one is Doctor Shan?"

"I am! Hello! ”

Dr. Shan lowered his posture.

"My name is Qiu Jianye, I work in the Western District Health Bureau, I will go there to do things in the future, welcome to my office for tea!" Before the old man came in, he must have asked the nurse which doctor had the highest status in the operating room.

The old man didn't report his position, and he didn't even say which department he worked in.

Others couldn't hear it, but Zhou Can felt that this person was very empty.

At least not a big leader.

If you die, you will be a deputy section-level cadre. Even lower. And the department where it is located should be the kind that does not have much real power.

"Okay, thank you! I'll treat your grandson right now, and you can sit and rest in a chair outside the operating room. ”

She spoke very tactfully.

It's obviously inviting people out, but you can't just say that you are invited out.

Instead, in a concerned tone, ask the other party to sit on a chair outside the operating room to rest.

In this way, not only will people not be disgusted, but they will also think that the doctor is very enthusiastic.

When the old man left the operating room, Dr. Shan took the child's film and looked at it.

"The situation is fine, it's just that the shoulder joint is dislocated, and after reduction, it can be suspended on the neck with a bandage for three or four weeks."

She made a diagnosis after watching the film.

"Kid, how old are you?"

"Six!"

As soon as the child opened his mouth, the hole in his front teeth was revealed.

His teeth were all black, and the tooth decay was particularly severe.

I definitely don't eat a shortage of sweets.

Eating too much sweets can easily cause osteoporosis and weak physique.

This can make your child more likely to fracture and dislocate.

"This arm hurts, doesn't it?"

"Hmmm! Pain! ”

He bit his lip and his eyes were teary.

"When you are reset later, it will hurt a little. But after the pain, your disease will be cured, and there will be no more pain. You're a brave little man! Can you hold back? ”

Dr. Shan did the ideological work for the little boy.

"Yes!"

Children, the most innocent.

As soon as you praise him for his bravery, he will really show you bravery.

"Doctor Zhou, please hold the child from behind and hold his shoulder."

"Okay!"

Zhou Can hugged the little boy from behind and pressed against his right shoulder.

The little boy's body was thinner and lighter than expected.

Today's parents are too doting on their children. All kinds of junk food tubes are full.

In fact, it harmed the child.

Dr. Shan grabbed the child's arm with one hand and the arm with the other, first helping him relax his muscles.

Then rotate slowly.

"Kid, have you read?"

"Kindergarten Class!"

"Wow, it's a student with an older child, no wonder you're so brave! What did your grandfather do? ”

"My teachers often praise me for being great! My grandfather...... Uh, it's like it's in the fight against HIV...... Ahh......h Woo, it hurts! The little boy was just halfway through his answer, when he saw that Dr. Shan had found the right position and pushed it up hard.

It's a trick.

Zhou Can heard a muffled sound of "click".

He knew that the shoulder reduction had been successful.

The moment of repositioning brought severe pain, which directly made this 'brave' little boy cry.

Tears flowed down his face.

If I'm not mistaken, his grandfather worked in the AIDS prevention and control department of the Health Bureau.

No wonder you have to go into the operating room to say hello to such an attending doctor as Dr. Shan and go into the operating room in person.

If you change to a leader with real power, you can do it with a phone call.

[Congratulations on obtaining osteopathy, which can properly reduce the displaced fracture end and treat soft tissue injuries, so that the dislocated joint can be restored to its original position and motor function can be restored. 】

Zhou Can just assisted, but he didn't expect to gain a medical skill.

However, in the process of helping, he did learn how to reduce the entire shoulder joint.

At least how to operate, he had a clear and complete idea in his head.

I learned osteopathy, and I am still quite popular in orthopedics.

Even if you don't know anything else, you just need to sit in the manual reduction room, and you can eat for a lifetime.

"Bring me a roll of bandages!"

After Dr. Shan successfully reduced the dislocated shoulder joint to the child, he hung him around his neck with a bandage.

Shoulder dislocation, after healing, can not lift heavy objects for a short period of time, violent shaking and so on.

Otherwise, it will dislocate again.

Those acrobats who ran the rivers and lakes could see that they lowered their arms and threw them twice, and their arms were dislocated.

In fact, it is because the shoulder joint has become habitually dislocated due to frequent dislocations.

In order to achieve the desired effect of acting, many people start practicing from a young age.

Because a dislocated arm is very painful, a child of a few years old will definitely not take the initiative to practice. It was the head of the juggany troupe and the acrobatic master who forcibly dislocated the child's arm. The purpose is to win the sympathy of the audience and get more rewards.

This is actually a very cruel act.

It should be resisted.

Just like encountering a child with a disabled hand or foot begging for money on the street, it is likely that the traffickers will seize the kindness and compassion of the public, and deliberately break the hands and feet of the abducted child to make the disabled person beg for money.

It should also be resisted, and not deceived by those traffickers who have lost their conscience.

"Okay, remember that this hand can't be taken off for a month!"

Dr. Shan touched the little boy's head.

"Woo...... Good! ”

He was still sobbing.

I may feel a little embarrassed, but I forcibly held back and didn't cry.

This little boy is so cute.

provoked everyone to laugh.

Dr. Shan did not send him out in person and explained the precautions to the child's grandfather. It's about letting the nurses do it all. It is enough to show that after she figured out the identity of the child's grandfather, she only did this step of favoring.

The identity of the other party is not worthy of her being too humble.

One is that the other party is old and has no room for growth. The second is that the other party's department can hardly provide her with any help.

Things that don't benefit are very realistic for everyone.

Besides, Tuya's attending doctor's status is actually not as low as imagined.

A promising attending doctor like her has a higher status.

Not long after, Dr. Tang and the others came back after eating.

It was Zhou Can's turn for them to eat.

The doctors in the operating room are actually quite hard.

Under normal circumstances, you can only use the time of eating to go to the toilet.

Zhou Can worked in the orthopedic surgery room for a morning and gained a lot.

Not only did he initially gain the trust of Dr. Shan, but he also learned a new medical skill.

Dr. Shan took the three of them to the cafeteria for dinner.

Out of the operating room, Dr. Shan didn't have much to offer.

"Dr. Zhou looks very young, did he apply for Tuya's regular training just after the internship?"

She asked, curiously.

Dr. He and the nurse named Wang Xiaohong listened from the side.

"I studied at Tuya Medical University, and my internship was also at Tuya Hospital. After graduating, I participated in Tuya's regular training recruitment examination, and I was lucky and was admitted. ”

Zhou Can recalled the experience of the original examination and training, and still felt that it was not easy.

If it weren't for the experience point system, the eight people in their dormitory would definitely be wiped out.

Tuya's general practice doctor is really difficult to examine.

"I became the champion of regular training in one hand, which is also called luck?"

Dr. Ho's cheeks twitched.

"Huh!"

Wang Xiaohong snickered.

Her personality seems to be quite introverted. During the morning in the operating room, she barely said a word except for the necessary work exchanges.

However, she is very professional and meticulous in her work.

Much better than all the surgical nurses in the emergency department.

Whether it is the elderly nurse in charge Liu Xia, Tang Ling, or Qiao Yu, there is a gap with her.

Qiao Yu's main reason is that his working years are too short, and with two or three years of work experience, he should be able to surpass Wang Xiaohong.

It can also be seen from this that a strong department is not only good at doctors, but also at a high level of nurses.

"After the internship, you were admitted to the regular training of this hospital, so you have only worked in the emergency department for three months, right? How do you practice hemostasis, suturing, and puncture? It's too strong. ”

After listening to Zhou Can's experience, Dr. Shan was shocked.

"I can like this line of work, so I usually practice a little more. Then, during the three months of training in the emergency department, I met a good teacher and gave me plenty of opportunities to exercise. The level has also come up. ”

Zhou Can naturally wouldn't say anything about the experience point system.

The level can be raised so quickly, and I should really be grateful to Dr. Xu.

A large number of surgical practice opportunities have made Zhou Can a success.

"I've also been trained in emergency room planning. The operating room in the emergency room is very shabby, and the number of surgeries is not much. It's really amazing that you've grown so much in three months. ”

Dr. Shan is a very proud person, and he admires Zhou Can from the bottom of his heart at this moment.

She probably didn't know that because of Zhou Can and Jin Mingxi, the number of surgeries in a month increased by more than 1,000 in a month.

With such a large amount, even Director Xie was red-eyed.

Several people soon came to the restaurant on the second floor.

A few people walked out after eating, and the two sides met head-on.

"Yo, Dr. Du is eating late today!"

Dr. Shan smiled and greeted the young doctor who was headed.

Zhou Can lowered his head slightly, it was really a narrow road.

I didn't expect to meet Du Leng here.

Seeing Du Leng hugging back and forth, many doctors and nurses holding him, it seems that he has developed quite well in surgery.

Come to think of it, they are returnee doctors.

Even if you are not a postdoctoral fellow, you already have an extremely dazzling resume.

Dr. Shan is a very promising attending physician in the Department of Orthopedic Surgery, and he actually took the initiative to greet the smiling face when he met. It can be seen how high Du Leng's status is in surgery.

"The Department of Cardiothoracic Surgery had a major consultation operation with a very difficult degree today, and I was dragged to participate. It took a long time to discuss with several directors and deputy chief physicians to formulate the surgical plan, so I came late. ”

Du Leng's words were all showing off.

Which trainee is eligible to participate in a major consultation at that level? Even if you participate, it's as a student.

However, Du Liang participated in the discussion as a member of the consultation.

This is really bullish B.

The corners of Zhou Can's mouth twitched, and he couldn't help but think of the time when Du Leng talked on paper in the emergency department.

Medical theory does have a high level, but in the end, because of the lack of practical experience, he was slapped in the face.

This subtle expression of his happened to be seen by Du Leng.

In fact, as soon as the two groups of people looked at each other, Du Leng had already discovered Zhou Can who was following Doctor Shan.

He just showed off two sentences in front of Dr. Shan and others, and after others heard it, they all looked adoring. Only Zhou Can, the bastard, showed a hint of imperceptible ridicule.

Du Leng naturally knew what Zhou Can was laughing at.

Remembering the consultation in the emergency room, he was a little crazy.

It was a lifetime of shame.

(End of chapter)