Although Du Leng was very angry in his heart, he still had a smile on his face.

After all, he is a doctor studying abroad, and it is impossible to quarrel with Zhou Can because of such an unfounded matter.

"Is Dr. Shan bringing a new student?"

Du Leng's gaze seemed to fall on Zhou Can's face inadvertently.

Doctor Shan turned his head to look at Zhou Can and introduced with a smile.

"He is a regular trainee who has just been transferred to orthopedic surgery, and I don't know if I want to teach him!" Zhou Can is so good, it is possible for the director to take him personally.

She is only a newly promoted attending physician, and it is still possible to bring ordinary trainees.

Zhou Can is so wicked, he may not be able to get her turn.

"Oh, I see! I know this Dr. Zhou, and he happened to participate in the regular training recruitment at the same time as me. Speaking of which, I still admire him, he was late for the exam and saved an acute myocardial infarction patient. The hospital added 10 points to his medical ethics, so he successfully won the first place in this year's regular training exam. ”

Du Leng said admiration, but there was no expression of admiration on his face.

This man's intentions are very sinister.

In fact, it was to tell Dr. Shan that Zhou Can's first place in the regular training exam was obtained because of the moral bonus points, and he did not rely on his real skills.

"In any case, it is not easy for him to get the first overall score as an undergraduate."

Du Leng really harbored evil intentions.

went around for a long time, which was to belittle Zhou Can in disguise.

After talking about the medical ethics plus points, he focused on Zhou Can's low education.

"Alas, the growth potential of undergraduates is generally a bit low these days! It's a pity......" Du Leng shook his head and sighed, with a cat crying mouse face that felt sorry for Zhou Can.

"Doctor Shan, I still have something to do, so I'll go first."

Du Leng's operation has only one purpose, that is, to find ways to reduce Zhou Can's impression score in Dr. Shan's mind.

A trainee with no potential and no ability has no sense of existence in front of the teacher.

The treatment he received was also very different from those elite-level trainees.

When Du Leng passed by Zhou Can's side, he smiled at him.

"Dr. Zhou doesn't have to worry too much, even if you don't learn any skills in other departments, it won't affect your future work. You're going to end up working in the emergency department anyway, where the requirements for doctors are low. ”

Zhou Can's face was expressionless, and he just hummed from his nostrils.

This is already enough to give Du Leng face.

In his eyes, what if he was a returnee doctor? If you have real skills, you can be an opponent.

If he only plays tricks, his skills are very weak, and he is not even qualified to be his opponent.

He would rather deal with vulgar people who are full of foul language.

I don't want to waste time with such sanctimonious hypocrites.

Du Leng thought that his treacherous plan had succeeded, and with a hint of a sinister smile on his face, he walked away.

It can only be said that he underestimated Zhou Can's ability.

Although Zhou Can has been in the Department of Orthopedic Surgery for less than two days, he has already opened up the situation. With his real skills, he won the initial appreciation of Dr. Shan and Director Shen.

The chances of sitting on a cold bench are already very small.

……

After the four of them finished eating, they quickly returned to the operating room to continue their struggle.

Du Leng's words did not have any impact on Zhou Can.

Doctor Shan still asked Zhou Can to be a helper.

In the following surgeries, Zhou Can has been performing very well. The other trainees saw that it would not work if they continued like this, and if they didn't fight for one or two more opportunities to perform, they were afraid that they would only be eliminated.

So they rushed to get some opportunities to perform in the operation.

At most, a single doctor gives them the authority to stop bleeding or sew the skin.

As a result, after a few rounds, Dr. Shan never gave them a chance again.

There is no other reason, the other five trainees are too far behind Zhou Can. Putting an officiant-level assistant is not used, but instead letting some rookies with a regular training level toss around there, unless her brain is sick.

It was close to five o'clock in the afternoon, and Dr. Shan pointed to the examination report on the light curtain and said to several trainees, "This is a patient with necrosis of the femoral head. Now you can clearly see that the blood supply has been lost, and it will quickly dry up and collapse like a dead tree. ”

Zhou Can listened very carefully.

He thinks his knowledge of orthopedic surgery is very shallow.

Three months of orthopedic surgery training should be able to help him fill this shortcoming.

Familiarize him with the treatment of most orthopedic diseases, as well as pathology, pathogenesis.

He hopes that after the remaining 33 months of regular training, he will return to the emergency department and be able to help the emergency department grow rapidly.

This is also the promise he made to Director Lou and Dr. Xu.

"Necrosis of the femoral head, how to treat it, does anyone know?"

Dr. Shan asks questions to the six trainees.

"Replace the entire hip joint!"

"Bone necrosis, it should only be replaced, there is no other way!"

After listening to the answers, she shook her head slightly.

"I've seen a method in medical books and know the general principle, but the specific operation is not clear."

Zhou Can replied.

"Oh, tell me how?"

Dr. Shan also wanted to see if Zhou Can's knowledge was profound enough.

"Replacing an artificial hip joint is the last resort. There is also a less costly salvage method called bone grafting. There are two types of bone grafting, one is to use a bone flap with a vascular pedicle to implant into the necrotic femoral head, which is difficult to operate. Second, if the bone necrosis is not particularly severe, it can be filled with bone crushed bone after drilling, which can reduce the intraosseous pressure and induce the necrotic femoral area to restore blood supply. ”

Zhou Can found that reading more books usually has many benefits, and he can use it at critical moments.

Opening the book is beneficial, but it is a golden and jade good word left by the ancients.

Well, that's a very good answer. The operation we are going to perform on this patient today is to use a bone flap with a vascular pedicle for transplantation in an attempt to revive the patient's necrotic femoral head. ”

Dr. Shan announced the surgery with a pride on his face.

As you can tell from the name, this surgery is extremely technical.

She is a new attending doctor who can perform such a difficult operation, which is indeed something to be proud of.

The patient was quickly wheeled into the operating room.

The anesthesiologist also arrived in a hurry.

Orthopedic surgery uses anesthesiologists very frequently.

It can't be helped, many of the surgeries it does are major surgeries.

Both spinal anesthesia and general anesthesia must be performed by a professional anesthesiologist.

The risk of surgery at this level is also very high.

The patient's age was not very old, only thirty-five or sixteen years old. She is a petite female patient.

Her lower body is covered with a blanket.

In the eyes of doctors, patients are both male and female. Like this patient, she couldn't even keep her pants during the operation, and she must have felt a little embarrassed in her heart.

But compared to relieving the pain, this kind of subsection is less important.

After the anesthesiologist skillfully examined the patient, he directly administered general anesthesia to her.

It may also be that the patient's feelings are taken into account before she is given general anesthesia.

Normally, it is okay for her to perform lumbar puncture epidural anesthesia for this operation.

"The anesthesia was successfully administered, the patient's signs were stable, and the operation was ready for surgery."

Routine debriefing of anesthesiologists.

Dr. Shan has performed multiple surgeries and has always seemed relatively relaxed.

At this moment, her expression was quite solemn.

"This surgery is a two-step process. First, the degree of necrosis of the femoral head in the recipient area is confirmed. If the degree of necrosis is mild, bone grafting can be done directly. However, the necrosis of the femoral head in patients like this one is already severe, and it is difficult to rely on bone grafting methods to reduce intraosseous pressure. This requires helping it to establish a new blood supply. ”

She teaches and operates.

This kind of difficult surgical observation opportunity is not only attractive to the six trainees, but even the two resident doctors, Tang and He, are also serious to watch and learn.

Because Zhou Can acted as a helper, he was close to the water and got the moon first, which took up a lot of convenience when studying.

Each surgical step can be understood more clearly.

"Determine the size of the femoral head that needs to be implanted in the recipient area. One or two sets of blood vessels are then freed. ”

She picked up a scalpel and cut directly through the patient's epidermis and fat layer.

Zhou Can hurriedly stopped the bleeding on the side.

After revealing the somewhat collapsed femoral head, Dr. Tang stepped forward to help pull the hook together, exposing a more adequate surgical view.

In this step, the most difficult thing is to free two sets of blood vessels.

She operated carefully.

When the first artery is free, it is relatively smooth.

Zhou Can, who was helping to pull the hook next to her, found that her free technique was relatively weak. It is only at the level of a resident doctor, and it does not reach the level of attending at all.

After all, the separation technique is a high-level medical technique, and it is difficult to practice and the improvement speed is slow.

It's very good that she can have the current level.

It may be that many of the attending doctors are not as good as hers.

When she disconnected the second vein, the femur collapsed because the situation was too complicated, which greatly increased the difficulty of disabling the vein.

The clock ticks by.

Her sweat kept pouring down her forehead. The patrol nurse kept wiping her sweat.

It can be seen that although Dr. Shan is wearing a hood, the little hair exposed at the corners of her forehead and other places has been soaked with sweat.

"No, it's too difficult to be free. I'm afraid I'll have to ask Director Shen to come over and do it himself. ”

After several attempts, her progress was slow.

The free blood vessels are also very sloppy, and there are a few times when they almost break the blood vessel walls.

"Help me contact Director Shen!"

This is said to the patrol nurse.

She stopped the surgery for the time being.

The call went through quickly.

"Teacher, I've got something tricky. This patient's femoral head necrosis is beyond imagination, and when the blood vessels in the recipient area are free, the difficulty is too high, and my level cannot reach it, so I may need to ask you to come and operate in person. ”

This is the importance of having a strong honest man.

At critical moments, asking for help from your own teacher is the lowest cost and the most reliable.

Ask other senior doctors for help, and because of the rules of the hospital, they may help you wipe your buttocks.

A stinking scold is indispensable.

There is also the possibility of being downgraded and restrictions on access to similar surgeries in the future.

Just like Zhou Can's teacher is Dr. Xu.

Leave him the phone number directly, and tell him that even if something happens at three o'clock in the middle of the night, you can call him over to help wipe his buttocks.

Do you call other directors to try it in the middle of the night?

"Okay then, I'll wait for you!"

She ended the call with some reluctance.

Zhou Can heard it fairly clearly next to him, Director Shen seemed to be presiding over an important major operation, and he couldn't pull away at all.

It's a bit more difficult.

Director Shen will not be able to catch up for a while, and the patient is bare-chested and has an opening on his body.

When the operation encountered a dilemma, the single doctor in charge of the surgeon could not solve it because of his limited level, so he could only let the patient wait.

The clock ticks by.

Director Shen didn't know when he would be able to come over, and Director Shan's face was full of sadness.

She really didn't expect the operation to be so difficult.

Now it's hard to ride a tiger, and it makes her worried.

"Doctor Shan, can you let me try?"

Zhou Can had the courage to make a request.

He knew very well that Dr. Shan would not even give him the opportunity to cut the epidermis.

How could this important work of free blood vessels get him started?

Doctor Shan stared at Zhou Can with a sharp gaze.

"What did you say?"

"I said can you let me free this vein? In the emergency department, I had my bowels free. ”

Zhou Can hurriedly brought out his successful experience.

"What surgery requires free bowel?"

She stared into Zhou Can's eyes and asked.

"Appendectomy!"

She hadn't done this surgery before, but she knew the general procedure.

There is a real need to separate the omentum from the bowel.

The difficulty is not low.

"Are you sure?"

"I don't dare to say that I am 10% sure, more than 90%!"

Doctor Shan is at war between heaven and man, do you want to let this self-volunteering trainee try it?

After all, Zhou Can has always performed very well.

Eventually, she decided to take the risk and let Zhou Can try.

There is a certain amount of risk, but it is still within the limits of tolerance.

In case Zhou Chan behaves badly, she just needs to stop immediately.

"Try it! But be careful, stop immediately if you're not sure. If you dare to be strong, Hu Lai, I will directly cancel your qualification for regular training. ”

The scare component of this statement is even greater.

She shouldn't be able to cancel Zhou Can's training qualifications.

At most, a certain penalty will be given.

After all, Zhou Can didn't do anything unreasonable and unforgivable.

"Doctor Shan, did you really decide to let him try? After all, he's just a trainee! ”

Dr. Tang tried to dissuade him.

Because of the accident, he will also be somewhat implicated.

"There's no better way to do it right now. A person's eyes don't deceive, his eyes reveal a strong confidence, let him try! ”

Dr. Shan explained.

Zhou Can stood in Doctor Shan's position, took the scalpel from the instrument nurse's hand, and began to free the vein.

As soon as the connoisseur makes a move, he will know if there is one.

When everyone saw Zhou Can's calm posture, they already understood that he might really have this ability.

A knife!

The blood vessels are fine, and they have successfully dissociated a small section.

Doctor Shan jumped to the heart of his throat and suddenly fell to the ground.

When Zhou Can performed the second knife, her heart hung again. The spirit was also highly nervous, and his eyes were fixed on the knife in Zhou Can's hand.

If something is wrong, she'll stop it immediately.

"Uh...... This, this, is it really free blood vessels? How does it feel like you're peeling a sugar cane? ”

She found that Zhou Can was crisp and neat every time he made a knife.

Not at all as cautious as she is, walking on thin ice.

Her heart was like riding a roller coaster, rising and falling with Zhou Can's scalpel.

I can't help but be nervous.

Because something happened, she was responsible.

Zhou Can's movements are getting faster and faster. The vein, which was difficult to get out, was in his hands, and it was like playing. It only took about five minutes to get it out of here.

You must know that Dr. Shan is not so difficult to free the first artery and blood vessel, and it still took nearly half an hour.

The gap between the two sides is too great.

She's the surgeon and the attending physician!

Moreover, free blood vessels are very challenging for the surgeon's dissociation.

"Doctor Shan, this blood vessel is separated!"

Zhou Can was ready to give up his position and hand the scalpel back to the nurse.

"Well done! It's not done yet, Dr. Zhou continued. Dr. Shan said to him with a smile.

Only then did the crowd recover from their shock.

When he looked at Zhou Can, it was like looking at a monster.

"I'm a good girl, I've been in the operating room for four years, and I've never seen such a powerful trainee. I said, Dr. Zhou, tell you the truth, is it a trainee? ”

Dr. Tang is also a senior resident.

At this moment, after watching Zhou Can's separation of the difficult veins, it was really shocking.

It was Director Shen who came to take charge of the knife in person, and it is estimated that it is at this level.

The speed is not necessarily as fast as Zhou Can.

"Our batch of trainees is finished! When you encounter such a demon, how can you compare! ”

This man spoke the common sentiment of all the trainees.

"We're not competing with a trainee, we're competing with an attending physician."

Another Gui Peisheng said depressedly and helplessly.

"It's as exaggerated as you say! I just happen to be good at free. Zhou Can smiled humbly and defended.

"Dr. Zhou is really good at a lot of things, puncture, hemostasis, suturing, and free...... And that's just a day of contact with you. Who knows how many more will emerge in the future? Comrades, I throw in the towel. It's not that I'm instigating, it's that the opponent is too strong. ”

The standard trainee, who watched the film at a high level, said with a depressed face.

"Okay, okay, you have to praise Dr. Zhou, and wait until this operation is done. No one is allowed to make small talk anymore, so as not to affect Dr. Zhou's surgery. ”

Doctor Shan forced everyone to be silenced.

Otherwise, these people praised Zhou Chan for half an hour without resting. Is this surgery still done?

Free blood vessels are extremely risky.

In case it affects Zhou Can and causes some accidents, she has to take this responsibility.

Zhou Can then continued to free blood vessels.

One, two......

When he was about to finish the last root, Director Shen hurried over to rescue his apprentice, Dr. Shan.

As soon as I entered the operating room, I looked at it and almost scared to pee.

Why did you change to a strange young male doctor in charge of the surgery?

"Shan Dan, what's going on?"

"Teacher, you're here!" When Dr. Shan saw the teacher coming, he hurriedly greeted him. "Dr. Zhou Can's level of separation is very high, I don't know when you will be able to finish the surgery, so I let him give it a try. As you can see, he did a great job. ”

Dr. Shan explained.

Director Shen's eyes stared at Zhou Can's scalpel, and the shock in his heart was no worse than that of others.

"I didn't finish the operation, I only did the most important part of the operation, and let Ichisuke take over the top. I thought I'd come over and help you get that blood vessel out of the way first. Unexpectedly, it gave me an unexpected surprise. Dr. Zhou Can really lives up to his reputation, no wonder even Director Xie of our Department of General Surgery has mentioned it many times. ”

When it comes to mentioning the word, the bite is a bit heavy.

I feel that Director Xie should not be praising Zhou Can, but annoyed that Zhou Can is too capable in the emergency department and has done too many surgeries.

Then you may consult with other chief surgeons of surgery.

Of course, this discussion must have taken place behind closed doors.

Outside traffic will not be allowed.

"He's so famous that even Director Xie knows about it?"

Doctor Shan asked with some surprise.

"He operated more than 1,000 in the emergency department alone, and it was as high as more than 1,200 last month, do you think he is famous?"

When Director Shen looked at Zhou Can, his eyes were full of monster eyes.

In the past, he still thought that the results of Director Xie's investigation were watery, and a trainee who had just participated in the three-month program was just a trainee, how could it be so strong?

At the moment, seeing is believing.

He was convinced.

(End of chapter)