"Doctor Zhou, Doctor Zhang, pay attention to my reduction technique!"

After Dr. Foo touched the patient's temporomandibular joint, his face was slightly solemn.

If the operation is not difficult, he will definitely let Zhou Can get hands-on exercise.

Now I find that the situation is not very good, and the patient is not very good at talking.

He can only do it himself.

"Come, sit with your back against the wall, your head against the wall."

Dr. Foo guides the patient to sit down.

"Yes, that's it! Hold this position and don't move. ”

After the patient was seated, Dr. Foo asked the nurse to fetch two pieces of clean gauze. Then wrap your thumb around it and insert it into the patient's mouth.

"Notice that when reducing, the thumb buckles the patient's posterior masseter muscle. This is the location. ”

When Zhou Can and Dr. Zhang saw clearly, his four fingers were placed on the lower edge of his mandible.

"Hold it here with your fingers and slowly press down on your jaw. Remember, it's the back press. At the same time, the patient's chin should be pushed upwards, as if holding a bowl of soup. ”

This metaphor is really vivid.

Zhou Can was engrossed in learning.

Carefully comprehend the key points of operation and the intention of each action.

"You can see what I'm doing, right?"

"I see it clearly!"

Zhou Can and Dr. Zhang nodded at the same time.

"Excellent! Relax, relax! Yes, that's it! ”

Seeing that the time was ripe, Dr. Fu gently pushed back. A slight bone beep is heard.

Immediately afterward, Dr. Foo quickly pulled his finger out of the patient's mouth.

"It's that simple! After repositioning the patient's joint, it is important to quickly withdraw the hand to prevent being bitten. ”

When the patient has a dislocated temporomandibular joint, he cannot bite.

After reduction, the patient is in pain and is prone to bite the doctor's hand by inertial instinct.

Zhou Can saw it and understood.

The patient tried it with his mouth open and closed, and a smile of joy broke out on his face.

"Haha, it's really good, it's good! Ha ha...... Uh-uh-uh......"

The patient just laughed twice, and his jaw was dislocated again.

This scene stunned several doctors and nurses.

"A dislocation can cause a joint to loosen. After the manual is reset, you should not laugh or open your mouth widely. I just reset it for you, and it fell off again, how can I get this? ”

Dr. Foo was speechless.

I've never seen a patient so capable.

"Doctor, we usually buy a mobile phone, TV or something, and if something goes wrong, we can enjoy the three-pack policy. My brother has just finished treatment and hasn't walked out of the treatment room yet, so you have to be responsible! ”

The patient's younger brother was about 40 years old, and instead of finding problems from his brother, he directly moved out of the three-guarantee policy for household appliances.

It is clear that he wants the doctor to treat it for free again.

In fact, there are not many such cunning family members.

As long as money is involved, they will never be polite to the doctor.

"It stands to reason that I have successfully reset him just now. For another treatment, you should register and pay again. I don't think it's easy for you two brothers, so the treatment fee will not be charged extra, and the consumables fee will be paid up. No problem, right? ”

Dr. Foo gives the utmost care to his patients within his ability.

"That's fine, thank you, doctor."

The patient's younger brother smiled with satisfaction.

Thank you again and again.

Asking him to shoot a film again and pay for treatment once will definitely turn the world upside down.

"Doctor Fu, can you let me do it this time?"

Zhou Can watched and studied the whole process just now, and thought that he had already comprehended the key points.

At present, he has an excellent opportunity to practice his hand, and he wants to strike while the iron is hot, combining learning with practice.

"Okay!"

Dr. Foo readily agreed.

The family members were a little reluctant and said, "Is this young doctor okay?" Don't break my brother. ”

"Don't worry, he's the best young doctor in our department, no problem at all."

Dr. Fu put gold on Zhou Can's face.

The family did not say anything more.

Zhou Can did the same, let the patient sit down, and reset the patient according to Dr. Fu's operating techniques.

I saw him holding the patient's jaw and gently pushing it under the extremely distrustful gaze of the patient and his family.

The sound of bones rang out again.

The temporomandibular joint was successfully reduced again.

"Very well done!"

Dr. Foo praised him. Zhou Can's learning ability and hands-on ability are indeed the strongest he has ever seen.

After the patient was cured, he did not dare to laugh anymore.

Learn your lesson and become cautious.

Dr. Fu used gauze to fix the patient's jaw, explained some precautions, and prescribed medicine. The sick man is gone.

In the following days, although Dr. Fu didn't say anything, he obviously relied more on Zhou Can.

Every day, there are various exercise opportunities for bone reduction, and Zhou Can gets soft hands.

The level of orthopaedic reduction is also getting higher and better.

The full days always pass very quickly.

In the blink of an eye, Zhou Can's time in orthopedic surgery was over. His osteopathy is now close to the average level of a resident doctor.

The orthopedic surgeon's evaluation of his training is excellent.

He is also the only one among the eighteen regular trainees to receive this evaluation.

After work, Zhou Can went to the pharmacy to buy an old ginseng.

The kind of hundreds of thousands, forty hundred thousands, he definitely can't afford it.

I chose the 3,000 gear.

After buying, guard the exit of the hospital's staff parking lot.

It didn't take long for Dr. Foo to come out in a white Honda.

Zhou Can hurriedly waved his hand to stop it.

"Dr. Zhou, is this trying to give me a ride?" Dr. Fu asked with a smile.

Zhou Can opened the co-pilot's door and sat in directly.

"Isn't this the end of orthopedic surgery! I'm going to neurosurgery tomorrow, and I'm afraid it's hard to see you again. ”

After completing his orthopaedic surgery training, his next stop was neurosurgery.

It was not arranged by himself, but by the hospital.

"Haha, is this a mixture of feelings that have been with me for half a month?" Dr. Foo drove his car out of the hospital slowly.

Blocking the door of the parking lot, that is unimaginable.

The staff of the hospital, no one dares to do such a crazy thing.

"I'm not afraid of your flesh, I really have a trace of feelings. It's just the two of us, and I don't beat around the bush. When I was first transferred to the orthopaedic surgery clinic, I was like an abandoned baby. You didn't avoid suspicion, let me follow you to learn the orthopedic technique, this kindness is very heavy. It is said that it is easy to put icing on the cake, but it is difficult to send charcoal in the snow. I see that you have a lot of gray hair on your temples, and you must be very tired on weekdays, this old ginseng is a little bit of caution on my part, and I hope you don't dislike it. ”

Zhou Can took the opportunity to put the old ginseng in the glove box next to the main driver.

"Ouch, why do you still give such a valuable thing? Take it back. I have received your heart. ”

Dr. Foo repeatedly refused.

"Not worth a few bucks. I heard that old ginseng can supplement lean yuan. I don't mean anything else, I just want a good doctor like you to be young forever. It can benefit more patients and bring out more new doctors. ”

Zhou Can spent a lot of thought on giving gifts.

For more than half a month, Dr. Fu has almost taught him everything.

The osteopathy he learned, even if he opened a clinic, was enough for him to use for a lifetime.

Sending an old ginseng should be a good way to express his gratitude.

"I live in the dormitory of the hospital, and I just got off the bus in front, please stop."

Zhou Can's gift and what he should say are finished.

Get out of the car immediately.

"If you have time in the future and want to practice the orthopedic reduction technique, you can go to the manual reduction room at any time to find me."

Dr. Foo slowly pressed the brakes on the side of the road.

The old ginseng sent by Zhou Can has achieved very good results.

At least, Dr. Foo knew he was a sensible man.

"This is what you said, only half a month of regular training in the manual reduction room, and learning is definitely not enough. When I have time, I can really run the manual reset room and learn from you. ”

Zhou Can was overjoyed and hit the snake with the stick.

It seems that the old-timers are not wrong, what is the meaning of knowledge? It's not enough to just be able to read, you have to be able to give gifts to be appreciated by your superiors. In one's element.

At least this old ginseng is the right one.

"Haha, no problem. You are such a good helper, I am always welcome. If you come, I will give you all of it. Dr. Fu stopped the car, and Zhou Can pulled the door and got out of the car.

"On the day you were transferred to the orthopedic surgery clinic, Director Shen actually greeted me, Dr. Chi and Dr. Shan, and asked us to take care of you more and not waste a talent."

Dr. Fu revealed another thing that made Zhou Can feel very heartwarming.

Hospitals, too, are not all intrigues and competing interests.

There are still many doctors with a conscience.

"Another day, I will thank Director Shen well. Thank you for telling me about it. ”

Zhou Can waved his hand.

"Slow down and stay safe! Good bye! ”

After closing the car door and watching Dr. Fu's car drive away, Zhou Can turned around and left with a smile.

There are many doctors, after the completion of the training, there is basically no contact with the senior doctors in the department.

On the one hand, he has low self-esteem and does not dare to communicate with senior doctors. On the other hand, most of the senior doctors are cold and cannot be amiable to every trainee.

Zhou Can is not only excellent, but also humble, and it is not surprising that he can be loved by many senior doctors.

People who are really engaged in medical research are rarely as calculating as Director Xie.

Because in Tuya Hospital, doctors with a little ability will not have a low income.

When they meet some good seedlings, they like it from the bottom of their hearts.

Zhou Can currently trains two departments.

Needless to say, the emergency department has been appreciated by Director Lou and Dr. Xu. This time I went to the orthopedic surgery department for training, and I won the love and care of Director Shen, Dr. Fu, Dr. Shan, Dr. Chi and others, and established friendship.

His contacts in the hospital are quietly expanding little by little.

This will certainly be of great benefit to his future development.

……

The next day, Zhou Can and Jin Mingxi reported to the neurosurgery department together.

"Lao Jin, our fate is really not shallow! Take the training together, enter the emergency department together, and the departments that rotate are so similar. ”

Zhou Can joked with a smile.

"Hehe, it's fate. This orthopedic surgery training time is too short. It would be nice to have the opportunity to learn more deeply from a doctor in the field of joints. ”

Kim Mingxi complained.

"If you want to learn all the fields, you dare to think about it. It's a great luck for the two of us to be able to enter the operating room. If you want to learn the surgical knowledge and advanced theories of bone and joint, you can apply directly to the Department of Orthopedic Surgery after becoming a resident! ”

Zhou Can gave him advice.

From the current point of view, Jin Mingxi should have planned the direction of development.

"Hey, have you decided on a field of specialization?"

Zhou Can asked him.

"Hmmm! I figured it out last night. Jin Mingxi nodded. When I first entered Tuya, I still thought that I could learn a certain level of medical skills in each subject and strive to become a general practitioner. During the three months I spent in Tuyaguipei, I opened my eyes and realized a lot. A person's life has limited energy and talent, not to mention being proficient in all subjects, it is a subdivision that needs to be exhausted for a lifetime if you want to do well. ”

Jin Mingxi can have such a high consciousness, which shows that in the past six months, both knowledge and medical knowledge have improved a lot.

"That's all you can think of! Tell me, which field are you going to focus on? ”

Zhou Can asked with a smile.

"Surgery!" And he replied with four words.

"I have a good talent in surgery. Then my academic qualifications were not high, and it was almost impossible for me to enter internal medicine, and the conditions were restricted. Majoring in surgery is the only way out. ”

He should have summed it up profoundly.

Reality forced him to make the most rational choice.

"I think it's good that you chose surgery. At least every day after work, I can't do it if I sit there motionless and practice the basic skills of 'steady' knives. The fact that you can stick with it every day shows that you are interested in it. However, surgery is also subdivided into many departments, and listening to what you mean, I still haven't given up the idea of becoming a general practitioner! ”

Zhou Can has a medical experience value system, and he doesn't dare to say that he must be sure to be a general practitioner.

Jin Mingxi may have to bow to reality again in the future and narrow his main field of attack.

"Anyway, I gave up on internal medicine, as for which subdivisions of surgery should be specialized, I will talk about it later. You can only take one step and see one step. ”

While the two were talking, they had already come to Tuya's neurosurgery.

This time, it didn't take much effort to find the doctor's office.

The old process, fill out the form first.

The doctor named Liu Yongquan was a middle-aged doctor in his early forties. Tall and thin, with a lot of hair on his face and on the back of his hands, with a little yellow. For example, humans who have not succeeded in evolution still have ape characteristics.

"It's all carefully filled, this time there are a total of 20 regular trainees, and you will be divided into two groups and take turns to complete standardized training in the inpatient department and operating room."

Generally speaking, regular trainees who have not obtained a medical practitioner's certificate are rarely arranged to go to outpatient clinics.

Theoretically, it basically takes one and a half years for medical undergraduates to get a doctor's license after graduation. This is still the case of being able to pass the test smoothly in one attempt.

Shenwai is recognized as a top-notch department and belongs to the ceiling of surgery.

The surgery is known for its high precision.

It does not have as much surgery as orthopedics, but its revenue-generating capacity is not weaker than that of orthopedics.

Shenwai casually treats an aneurysm, and the cost is hundreds of thousands.

When Zhou Can was an intern, he met an unlucky patient with a total of four aneurysms and a total cost of more than 540,000 yuan.

The diseases treated by the Department of Neurological Surgery are broadly divided into the following categories.

Brain injuries, such as skull fractures, cerebral contusions, cerebral hematomas, etc.

Many people think that craniotomy is a matter of orthopedic surgery, but in fact, it is too much to look down on orthopedic surgery.

Orthopedic surgery is mainly about bone trauma, joints, and ligaments. If you ask the orthopedic surgeon to open the chest and craniotomy, it is equivalent to asking a primary school student to complete a college student's problem.

It's so embarrassing.

The second category is vascular disease. Aneurysms, arteriovenous malformations, etc.

The third category, functional diseases, trigeminal neuralgia, glossopharyngeal neuralgia, epilepsy, convulsions, etc.

From here, it is not difficult to see that the top departments are actually closely connected.

Orthopedic surgery involves the spine, cervical spine and other parts that accompany the nerves, and it is necessary to ask a surgeon to perform the surgery.

When Shenwai has some vascular diseases, he may also ask surgeons from other departments to help.

When treating functional diseases, you can't get it right, so you have to ask doctors from the Department of Internal Medicine and Urology for help.

As a result, there has never been a truly independent discipline in the field of medicine.

There are intricate links between the various disciplines.

"It's all filled in, isn't it? Next, I will randomly assign you work tasks, twenty people, each in a group of two, responsible for dozens of beds. We have a total of 125 beds in the Department of Neurosurgery, including four intensive care units with 20 beds. For the time being, you will only be responsible for 105 regular beds. ”

The number of patients in neurosurgery is relatively small.

However, the length of hospital stay is longer.

In general surgery, many patients can be discharged after only two or three days of hospitalization. In the neurosurgery department, staying for ten days and half a month is considered very lucky.

"The bed you are responsible for, if the patient has not yet been operated, then you have to follow up. Then, when the patient is operating, you can follow into the operating room and have the opportunity to observe and learn. As for whether you can get the opportunity to get started, it depends on whether the surgeon is willing to give you the authority. ”

Different departments have obvious differences in the training mechanism.

Shenwai's requirements for trainees are one-stop follow-up.

From the patient's admission to discharge, the patient must be followed up and responsible throughout the hospitalization.

It's actually pretty good.

It will be easier to take responsibility for people, and the management will be more refined.

"As a special reminder, neurosurgery inpatients, even if they live in ordinary beds, should not be taken lightly. Danger can happen at any time. If something happens, the doctor in charge of the bed, the attending doctor, and the director of the department will all be unlucky, but the trainee in charge of the bed will not be able to escape. The punishment practice of our department is to cancel the qualification for regular training at the lightest. ”

Dr. Liu Yongquan spoke very seriously.

The words that came out made every trainee feel great pressure.

The disqualification of regular training basically means the end of the career.

That is, they have zero chance of trial and error.

"Zhou Can and Jiang Xiaohua, the first group, are in charge of beds 21-31. Jin Mingxi, Chen Hao, the second group, is in charge of the ...... of beds No. 32-42"

The number of beds is 105.

The front five teams, each responsible for 11 beds.

The workload is slightly heavier than that of the later groups.

Zhou Can doesn't care, an extra bed is a good thing in his opinion.

It means one more chance to get into the operating room and exercise.

He has now advanced many advanced medical skills to the level of a resident doctor, plus he has a high talent for neuroanastomosis. If Director Xie stopped suppressing him, maybe in the two months of Shenwai training, it would be unknown if he would be able to get a lot of mobile phone opportunities.

In short, he is quite confident.

(End of chapter)