Chapter 125: The dust settles, and the severed finger of failure is replanted

"He, he can do so many surgeries a month alone?" Doctor Shan is a little uneasy to speak.

With two assistants and two nurses, she can complete 500 surgeries a month, which is already very good. In fact, the number of surgeries she performs in a month is generally 400.

Others were also intimidated by the number.

Now they finally understand why Zhou Can is so powerful.

Because the number of surgical practice opportunities in one month is more than the amount of many residents in a year.

As for these trainees, many of them have not yet touched a scalpel. Even the opportunity to sew the skin has only been fished out two or three times. Presiding over an operation independently is even more unthinkable.

Compared with Zhou Can's actual combat experience, they can only look up to Zhou Can like a reptile on the ground looking up at the stars in the sky.

"As far as I know, it should be so."

Director Shen's gaze looked at Zhou Can.

Hopefully he himself confirms.

Zhou Can's old background was exposed by Director Shen, and he smiled a little shyly, "Actually, it's not as exaggerated as everyone thinks!" It's just some simple first-level surgery. ”

In fact, if Director Xie hadn't suppressed him, the second-level surgery might have been done.

"It's really more than 1,200 units a month! You're awesome! ”

Dr. Shan couldn't help but give him a thumbs up.

That's the amount that's a real cow.

"Doctor Shan, since your problem here has been solved, I'll go back to the No. 2 operating room first. The sternal osteotomy is too dangerous, and I don't stare at it, so I'm really a little worried. ”

Director Shen came in a hurry and hurried away.

Before leaving, he took a deep look at Zhou Can, and his eyes were full of love.

Love is the common denominator of many leaders.

Director Shen is one of the most well-known chief physicians in the Department of Orthopedic Surgery, and when he meets a talented young doctor, he likes it from the bottom of his heart.

I can't help but love talents.

Although he didn't say anything when he left, it could be seen from his eyes that he was likely to personally cultivate Zhou Can in the future.

……

After Director Shen left, the operation had to be continued.

I can feel that Dr. Shan's trust in Zhou Can has obviously risen to a new level.

In addition to the work of free blood vessels, he will do it.

Some of the later important surgical steps also involved Zhou Can a lot.

even let Zhou Can anastomosis a blood vessel.

However, Zhou Can's anastomosis is weaker than that of Dr. Shan.

This is a higher medical skill.

She also did not reach the level of chief.

It is currently at the excellent level of residency.

Zhou Can was a little ashamed, he had only reached the inferior level of a resident doctor.

The main reason is that in the first level of surgery, there is almost no vascular and nerve anastomosis. This advanced medical skill eventually came to a standstill.

He himself was not in a hurry.

As long as he has obtained the doctor's license, he is able to participate in the second-level surgery.

By the time they finished the femoral bone grafting operation, it was already past seven o'clock in the evening.

The operating room is like this, and it is more flexible to get off work.

The day's surgical assignments must be completed before leaving work.

"Thank you all for your hard work today. All six of you are doing very well, and I will give you a fair score based on your actual performance, so let's get off work. ”

Doctor Shan's words are very good, but several Gui Peisheng understand in their hearts that Zhou Can is the only one who has been stably promoted.

As for the others, we will have to see how the other two trainees far.

Zhou Can was still in the inpatient department the next day with Dr. He.

Unlike in the past, when you were an intern, you need to learn to handle a lot of things independently. Dr. He is also very attentive to his potential stock. As long as he understands it, he will teach it to Zhou Can without reservation.

When it comes to teaching without reservations, we must popularize science.

The knowledge of general doctors, surgical skills, methods and technical points to solve various common diseases, almost all senior doctors are willing to teach junior doctors without reservation.

However, some unique secret techniques and core techniques for the treatment of various incurable diseases are only passed on to 'mantle disciples' and 'personal disciples' by almost all doctors.

At present, all large and small hospitals in China are almost in this tone.

For many young doctors, from the day of their internship, all they have to do is to please a deputy director or chief physician who matches their main direction.

Although the success rate will not be very high, once you are favored by a doctor of this level, even if you can't be a mantle disciple, just be included in the door wall, it is enough to make your future bright.

At least in the area of expertise of the chief physician, you can be well taught.

How much an individual can comprehend and learn, that is the individual's creation.

Some interns and trainees are not ambitious and timid, and they work in big hospitals, and the object of their favor is basically a resident doctor who is one level higher than themselves.

This kind of person, unless he is talented, is likely to become a member of the team of ordinary doctors.

It's hard to achieve anything particularly big in a lifetime.

Zhou Can realized this very early on. Therefore, when he was interning, he always had an attitude of neither offending nor licking the general doctor in the hospital.

Later, he followed Deputy Director Liu to perform the tertiary surgery in the operating room, and once he found an opportunity to be appreciated by Deputy Director Liu, he jumped out without hesitation.

Even if you offend the general doctor, you don't care.

That's his strategy for growing up.

There is a good saying that a general has a sword and does not cut flies. If you want to become a big tree, don't fight with the grass.

Sometimes, the vision and pattern also determine the upper limit of a person's growth.

Imagine, fighting with a few trainees every day, and the object of the tie is a resident doctor who is one level higher than himself.

How powerful can it be?

Zhou Can was busy in the hospital bed area until about six o'clock in the afternoon, and it was supposed to be time to get off work.

Dr. He walked over with a smile and took the initiative to take over his work.

"Let's go to the doctor's office! Dr. Yang will make a new assignment to you. In the future, if you are assigned to work in the operating room, if you have any problems with hospitalization, or some patients who need special monitoring, you can come to me at any time. ”

Dr. He was so friendly to him that he probably already knew that Zhou Can would be able to work in the operating room.

With an uneasy heart, Zhou Can walked quickly into the doctor's office.

Before the results were announced, no matter how strong his strength was, he was still a little unconfident.

All eighteen regular trainees gathered in the office.

A lot of people are nervous.

It was still Dr. Yang who was in charge, with the young Dr. Ho assisting by his side.

Zhou Can and Dr. He worked together in the operating room for a day. He found that Dr. He's surgical ability was very weak, but that Dr. Tang was much stronger.

It is not difficult to see from this.

People with poor surgical ability will often be assigned to various chores.

"It's all here! In the past three days, all 18 of you have been working hard to achieve excellence, and your performance has been good. ”

Dr. Yang first said a clichΓ©.

And then we got to the point.

"Unfortunately, there are only a limited number of places in the operating room, so there is no way for all of you to work in the operating room. After the preliminary screening of the attending physicians in the operating room and the final discussion of several chief physicians, it was decided to let the following six people enter the operating room to participate in the daily routine training. The other 12 people had the opportunity to enter the operating room for regular training during the operation. ”

This is a common practice in the vast majority of departments.

With limited resources, we can only focus on cultivating a small group and extensively train a large number of people.

"Zhou Can, Lu Bubi, Cheng Daile......"

Zhou Can actually ranked first.

It seems that the senior doctors are very optimistic about him.

But think about it.

As long as it's a little fair, it's undisputed that he's the demon in the first place.

The names of the five people have been read, and Kim Mingxi's name still does not appear.

As soon as Zhou Can turned his head, he found Jin Mingxi clutching the corner of his clothes, with the last hope on his face, staring closely at the list in Dr. Yang's hand.

If he chooses, Jin Mingxi will lose the opportunity and fall behind others step by step.

The training of orthopedic surgery is so important.

It determines whether the foundation of future surgery is solid.

If you fail to learn enough surgical knowledge and skills during the three months of orthopedic surgery, these cannot be made up by reading books and watching teaching videos.

It will inevitably affect the subsequent rotation competition of various departments.

One step behind, one step behind.

And after becoming a resident doctor, the gap will widen even further. It is very detrimental to the promotion of the main treatment in the future.

This is also the reason why Jin Mingxi is nervous like this.

His age itself is not small, 35 years old, with only a bachelor's degree, if he is delayed for another two years, he will die and retire.

In the end, he wants to return to the county people's hospital in his hometown after he has achieved some success in his studies and his great dream of improving the overall medical level of the hospital will definitely be greatly discounted.

"Don't worry, if you don't succeed, I'll find a way to help you in the future."

Zhou Can patted his hand and comforted him softly.

"Hmm!"

Jin Mingxi nodded gratefully.

"One last name, Kim Myung-hee."

Dr. Yang deliberately whetted everyone's appetite and left enough suspense before announcing the name of the sixth person.

"Yay!"

Jin Mingxi clenched his fists hard, too excited.

Those few seconds of torment just now seemed like a century had passed for him.

The twelve trainees who were unsuccessful showed extremely disappointed expressions.

They are depressed, and they must be very uncomfortable in their hearts.

But the competition is so cruel.

The capable go up, and the mediocre go down.

"Don't be discouraged if you're not chosen. As long as we continue to study hard and continuously improve the level of diagnosis and treatment, we will always achieve something. To tell you the truth, I was one of the unsuccessful trainees back then. However, with my perseverance and perseverance, I was eventually promoted to the rank of attending physician in the Department of Orthopaedic Surgery. I join you in my encouragement. ”

Dr. Yeung saw that many people were extremely depressed, and he deliberately exposed the gloomy history of the year to motivate them.

Some of the trainees, whose self-confidence had been severely hit, raised their heads again after hearing this.

There was a determined glint in his eyes.

This Dr. Yang is quite a good person.

"The six people who have successfully advanced will report directly to the operating room tomorrow. Zhou Can, Lu Bubi, Cheng Daile, report directly to the doctor tomorrow. Wang Bin, Fan Wen, and Jin Mingxi reported to me directly. ”

Arrangements were made directly for six people.

I feel that Dr. Yang's surgical ability should be weaker than that of Dr. Shan.

Zhou Can was thinking, does being assigned to the three people under Doctor Shan mean that they are better?

Now that the dust has settled, he has successfully entered the orthopedic surgery room, and his hanging heart has fallen to the ground. The next three months are all about studying hard and learning as much as possible about orthopedic surgery skills and surgical methods for dealing with various orthopedic diseases.

……

The next day, Zhou Can rushed to the orthopedic surgery department early to report to the doctor.

The operating room hours here are different from those of the emergency department.

The emergency department is 24 hours a day.

In the specialist operating room, except for various special major surgeries, the normal working hours are about 7.30 in the morning. Leave work after 5.30pm.

Occasionally, the end of work can be brought forward if the surgery is fully completed.

However, even if the operating room is fine, doctors and nurses are still worried that attendance will count them as early departures. Generally, I will write down the medical records in the office, or the surgical records, experience, or check the doctor's orders.

Stay up until the end of the day and then get off work.

In fact, leaving work late is the norm.

"Doctor Shan, it's early!"

As soon as Zhou Can arrived at the orthopedic surgery corridor, he saw Dr. Shan.

She had already changed into a white coat and was reading the inspection report in her hand.

"Morning!"

She glanced up at Zhou Can, and then continued to look down at the inspection report.

Zhou Can hurriedly changed into work clothes and followed her.

Three trainees, I didn't expect him to be the earliest.

"When everyone is ready, prepare for the ward rounds. This case is very instructive, you can take a look. ”

She handed Zhou Can a case with an examination report in it.

If you come early, it seems that you can still get some special care.

After Zhou Can took it, he studied carefully.

Not long after, Dr. He, Dr. Tang, and two other trainees arrived one after another.

"Let's start rounds!"

She led a few people to the hospital bed area.

"Doctor He, what are the beds for the surgical patients in our group, do you have a number?"

"It's already been counted! Beds 46 to 145, plus wards 5 and 6. ”

With so many beds, it's certainly not a single doctor.

The group she said was likely to be the entire orthopedic trauma surgery group led by Director Shen.

The chief physician usually only checks once a week.

This requires the attending doctors to be diligent and take good care of the surgical patients in this group.

They checked the hospital bed after bed.

Zhou Can followed, just silently watching and listening to their conversation.

By now, he is going to start learning to do his own rounds.

Doctor Shan asks patients with different conditions, and then makes treatment arrangements according to the situation reported by the doctor in charge and the intern, as well as the patient's response.

There's a lot of learning in it.

He greedily absorbs the knowledge and experience from it.

At this moment, following the ward rounds with the senior doctor is completely different from the ward rounds during the previous internship.

Interns can't prescribe medical orders, let alone prescriptions.

However, doctors can flexibly adjust to each patient's situation.

For example, when someone reported unbearable postoperative pain, she prescribed painkillers to the patient.

"Doctor Shan, could you please see how my husband's hand is doing? It's been almost 24 hours since the surgery, but he still doesn't feel any sensation in all four fingers. ”

The male patient on the hospital bed, about 50 years old.

All four fingers of his right hand were severed and replanted.

At the moment, it looks like the four fingers are still pale.

Obvious problems with blood supply.

Zhou Can secretly wondered that all four fingers had blood supply problems. It should not be that the doctor's vascular anastomosis is not done well, but that there is something wrong with other aspects.

It just so happened that he had the privilege of having done two finger replantation surgeries.

Could have done more desks.

Later, Director Xie instructed a team leader in the quality control department to suppress him, and in front of Vice President Ye, he was restricted from undergoing any more first-level surgeries.

Since then, Zhou Can has never done finger replantation.

He stared at the patient's four fingers, could it be that these four severed fingers had missed the golden replantation time of less than 6 hours?

(End of chapter)