It must be mentioned here that some people do not understand the difference between a head nurse and a chief nurse. The head nurse is equivalent to an administrative position, while the chief nurse is a professional rating.

Larger departments tend to have more than two head nurses.

They are responsible for the arrangement of nursing tasks in the department.

In fact, the head nurse is often the head nurse.

Zhou Can didn't want to have a stiff relationship with the nurse as soon as he arrived in the new department. But everyone stepped on their heads, and peed, and they still wanted to be grandchildren, and they were obedient, and he was ready to suffer more birds in the next two months.

Chinese soldiers have a saying since ancient times, fight with one punch, so as not to come with a hundred punches.

It's still necessary to show your temper properly and make people think that you're not a bully.

It is said that to pick persimmons, you should pick soft ones.

Zhou Can took this female nurse, and the worst result was that he couldn't be lazy when he was on night duty.

So, he wasn't afraid at all.

And with his understanding of human nature, as long as he behaves very well in the following days, he will be appreciated by a senior doctor at the level of deputy director. There is a high probability that this nurse in charge will bow to him and take the initiative to repair the relationship.

At this moment, the nurse in charge stared at him with green eyes.

She obviously didn't expect the young new doctor to be so tough.

"I will truthfully reflect your work attitude to Dr. Cheng Gang and Dr. Liu Yongquan."

After saying that, she huffed and went to disinfect the patient with a plate.

This also means that her first confrontation with Zhou Can ended with her admitting instigation.

By the time Zhou Can arrived at the bed, she was about to finish disinfecting the patient.

Jiang Xiaohua covered her mouth and nose and stood there watching from a distance.

I don't know if he is so sensitive to feces and urine, why did he choose the profession of a doctor?

Doctors are a life-saving profession.

Dealing with blood, feces, urine, and pus is indispensable.

In some patients, the wound is purulent and infected, and the foul smell is more pungent than that of feces and urine.

There is also the moment the patient's abdominal cavity is opened, and the smell does not work even if he is wearing a mask.

If he can't even accept this kind of small scene, it's better to change careers as soon as possible.

This nurse in charge named Hu Shuiling has a very bad temper, is cold and arrogant, but her speed of work is okay.

The patient has been sterilized skillfully.

I saw her pick up the urinary tube and turn her head to look at Zhou Can who was standing at the end of the bed.

If her attitude had been better before, Zhou Can would have rushed to do this job a long time ago.

After all, you can get 1 XP point.

Now, let her get it.

Hu Shuiling is at least thirty years old, and she should be a married woman.

Far less shy about male bodies than those little nurses.

Besides, nurses who have worked for several years have a urinary catheter, not a few hundred times a year, but at least one or two hundred times.

However, most of the male doctors in the department are very gentlemanly.

When giving a catheter to a male patient, it is a little embarrassing to consider that the female nurse will be embarrassed. So most of them will do it easily.

Hu Shuiling also knew that he had offended Zhou Can to death, and looked at Jiang Xiaohua in the distance.

It's a pity that Jiang Xiaohua didn't react at all.

Staring in the other direction, he didn't seem to notice the nurse's plea look.

She gritted her teeth and decided not to ask for anyone more.

"Why don't you just get a urinary catheter? The old lady still doesn't believe it, and she can still have fun without the help of the doctor. ”

With a dark face and frowning, she began to catheter the patient.

"Whew......"

The patient screamed.

If you weren't paralyzed in bed, you would definitely be able to collapse.

Sometimes, doctors choose to wait until the patient has a general anesthetic before giving the catheter.

Because this process does cause pain to the patient.

In particular, some people who are not skilled in operation or whose body structure is different from ordinary people.

For example, when men reach middle and old age, the prostate gland is generally enlarged, which may squeeze and cause distortion and displacement of the urinary tract.

"Please bear with me, and you'll be fine right away."

Hu Shuiling continued the operation while reassuring the patient.

It's just been guided many times, but the operation has not been successful.

The patient's screams grew more and more terrible.

The female nanny I invited couldn't stand it anymore.

"Comrade nurse, you are not new, are you? Isn't the patient screaming all the time and can't hear it? ”

This middle-aged aunt's mouth is very powerful.

Few people can resist the power of the poisonous tongue.

Hu Shuiling was originally angry with Zhou Can, but now that she was scolded by a nanny, her face became even more ugly.

"I can hear the patient's screams, but the urinary catheter is originally a technical job, not as simple as you as a nanny, cooking for someone and wiping your body."

When did the old nurse suffer?

Doctors, family members, and patients, they have never been afraid.

The female nanny was just blind and reminded her, but she was despised by Hu Shuiling's insinuation.

She quit immediately.

Sometimes, doctor-patient disputes are triggered by a disagreement.

"Obviously the operation is not professional, I haven't done a good job of getting a pipe for a long time, and I don't like to listen to it? Have you never seen a man's body or what's going on? The little girl's family doesn't know how to be ashamed. If you can't, you can call a doctor to help you get it! I have to do it with my own hands without avoiding suspicion, and I ended up doing it for so long a day, I suspect that you are deliberately taking advantage of male patients here. What a shame. ”

If you want to swear, who has the most poisonous mouth?

Definitely this kind of middle-aged and older women.

Literate and educated are not among them.

Zhuge Liang in ancient times scolded Wang Lang to death in front of the two armies. Whoever dares to quarrel with middle-aged and elderly women is guaranteed to scold you to the point of doubting your life.

Now, Hu Shuiling began to doubt life.

"You, you ......"

She was so angry that tears were about to fall out.

"Don't point at me, I'm old enough for your mother. Dare to abuse patients, right? I'll call the patient's son now, but he is an official, so you can wait to be laid off!" ”

The female nanny not only has a poisonous mouth, but also has powerful tricks.

When Hu Shuiling heard that the patient's son was an official, he was also a little panicked.

A very small thing, because I was in a bad mood, my emotions were not controlled, and now I am arguing.

It's going in a direction she didn't dare to think of.

If the matter is big, even if she doesn't lose her job, it is a high probability that she will be punished.

"Auntie, this little nurse is ignorant and can't speak, don't be like him. The patient's son spends money on you to take care of the patient, and he also wants you to take care of the person. If it really makes a big fuss, it is actually not good for the patient. ”

Zhou Can can't let things develop anymore, otherwise, nurse Hu Shuiling is not the only one who will be scolded.

He and Jiang Xiaohua will be involved.

Director Xie is worried that he won't have a chance to suppress him.

This matter is really big, Director Xie is afraid that he will laugh.

There is a saying that when you see a good thing, you will take it.

Punished this arrogant female nurse appropriately, almost.

"I'll do it!"

Zhou Can took the initiative to take the urinary catheter in the female nurse's hand, and in her surprised and ashamed eyes, she easily introduced the urinary catheter successfully.

Up to the third level of implantation, if you can't guide a urinary catheter, wouldn't you practice?

[Insert XP +1.]

[Congratulations on your placement upgrade to level 4, current experience value: 1/10000.] It can complete complex medium and difficult placements. 】

Zhou Can's implantation has been practicing after work.

It was already at the critical point of upgrading, and this time the urinary catheter earned 1 experience point, which unexpectedly helped him successfully advance.

It was a bonus.

Implantation has many opportunities in neurosurgery. For example, for aneurysms, it is necessary to insert spring plates into the vascular segment of the lesion, relying on the implantation technique.

Level 4, that's the main level!

It is not easy to upgrade to the fourth level of advanced medical skills.

It also means that the foundation of his endoscopic surgery is a little stronger.

"Look, it's still a doctor who has the ability, and it's all right in one go. You better learn more, don't talk about it, and let the patient suffer with it. ”

The mouth of a female nanny can really poison people.

Hu Shuiling didn't dare to quarrel with her again this time.

It's really a thing for a thing.

This female nurse dragged like a twenty-five or eighty-thousand-thousand-dollar in front of Zhou Can, and when she met this kind of female nanny with sharp teeth, who dared to scold and do anything, she could only admit defeat in the end.

She was a bit wronged this time, and she had nowhere to vent, so she probably had to hide in the bathroom and cry bitterly.

Zhou Can did not sympathize with this female nurse.

At least this conflict could have been avoided.

"Jiang Xiaohua, come here to help!"

Zhou Can greeted Jiang Xiaohua.

The two asked the nanny to carry the patient onto the flat bed and pushed him to the operating room.

The total number of surgeries in a year should be around 3,000.

It has only two dedicated operating rooms, No. 3 and No. 5. The rest, shared with cardiothoracic surgery.

Don't look at Shenwai, there are only two operating rooms, but all of them are 100-level tropospheric operating rooms.

And all of them have endoscopic capabilities.

It is also a symbol of the strength of a department.

The lights in operating room 3 are green at the moment.

"Oops!"

Zhou Can's heart sank slightly, this patient was delayed for a while because of fecal incontinence.

I hope the main knife inside didn't wait too long.

Slightly apprehensively, the patient was sent into the operating room, and the nurse in the recovery room gave them a sympathetic look.

"Why did you send it? Dr. Ou has been waiting for a long time. ”

She gave the two of them a look of self-pity.

Zhou Can hurriedly went into the changing room to change into the surgical protective suit.

Jiang Xiaohua also knew that the situation was not good, and she also had a worried expression.

The two of them pushed the patient into the operating room inside.

There were two nurses and four doctors inside. Includes an anesthesiologist and two resident-level assistants.

The chief surgeon was a middle-aged man in his fifties.

Wearing a hood, a mask, and sterile gloves, all have been changed.

His eyes were cold, his brows were furrowed, and his appearance was a little scary.

The atmosphere in the operating room is also very bad.

The nurses, the doctors, none of them spoke, all with serious expressions.

It's more like the atmosphere doesn't dare to come out, for fear of being scolded by the main knife.

"It's been 28 minutes overtime, so many of us are just waiting for you two to bring the patient over. Don't you know the way? Or fell asleep halfway through? ”

The chief surgeon, Dr. Ou, was directly angry.

It's better to scold it.

I'm afraid that if the main knife doesn't scold, it will be even worse.

"Doctor Ou, I'm sorry, before the patient was sent for surgery, he had fecal incontinence, so he was delayed a little time."

Zhou Can could only explain stubbornly.

Jiang Xiaohua was stuffy, looking like she couldn't fight back and scolded honestly.

Everyone has their own way of survival.

Jiang Xiaohua is by no means an imaginary workplace novice.

In the case of someone attracting firepower, pretending to be pitiful and reducing the sense of presence is also a good way to protect yourself.

After being scolded and scolded, the two still carried the patient onto the operating table.

Two nurses, two resident doctors didn't take a hand.

The whole process was just indifferent to watch.

Zhou Can swore that neurosurgery was the most indifferent department he had ever encountered.

The doctors and nurses here are naturally superior, and they are full of arrogance in their bones.

I don't treat a new doctor as a person.

It seems that the two months of training outside the gods are not easy!

It is no wonder that during the training of orthopedic and emergency departments, it is often said that neurosurgeons are not easy to deal with.

"Listen, this time it's your first offense, and you can not be punished. Next time, regardless of the reason, the patient must be taken outside the operating room ten minutes early. ”

After listening to Zhou Can's explanation, Dr. Ou's face softened slightly.

I didn't curse anymore.

Surgery begins.

The anesthesiologist examined the patient, met the indications for anesthesia, and began to put on a breathing mask and various vital monitoring probes.

He actually chose the prone position for the patient.

"The anesthesia is successful, the patient's vital signs are stable, the respiratory exchange is weak, and the operation can be performed."

If the patient is found to have some minor problems, the anesthesiologist will alert the surgeon and nurse so that they can pay extra attention during the operation.

Dr. Au began to operate on the patient.

The two resident doctors are fully assisted.

Zhou Can and Jiang Xiaohua are already good if they can get a chance to watch from the audience.

Get hands-on exercise, don't even think about it.

"The hematoma is located here, so the center of the knife position is chosen in this position. Incision from the dorsal midline. ”

The scalpel is like a silk cut, cutting through the patient's cortex layer by layer.

Dr. Ou's incision level is still quite good.

It should have an excellent level of attendance.

The training of a surgeon is indeed very difficult.

It will take at least ten years to be able to have a little skill.

It's hard to achieve anything in two or three decades.

Dr. Ou graduated from graduate school at the age of 27. In the past, he was able to start sewing skin in the operating room at the age of 28. If you are 50 years old now, you will have 22 years of experience.

After 22 years of practice, I have the excellent anatomical ability of the main director, and if I want to be promoted to the level of deputy director, how long will it take?

You know, surgical capabilities are more than just dissection.

"Remember, the length of the surgical incision should be such that the 3 lamina can be exposed. If it is too long, it will cause great harm to the patient, and if it is too short, the operation will be inconvenient. ”

As he operated, he explained to the two resident doctors.

Generally speaking, doctors in the operating room are like this. The attending physician is a resident doctor, and the deputy director or chief physician is the attending physician.

These two residents are the assistants that Dr. Ou has trained.

The level of stopping bleeding made Zhou Can secretly happy.

With a little luck, you might be able to get a chance to show your skills.

"Then separate the paravertebral muscles, be sure to pay attention to the proportions of the knife, and don't get important blood vessels and nerves."

Some young doctors don't know the depths and think that they have successfully anastomosed a few blood vessels on the tail of a white rat, and they feel that it is nothing if the blood vessels are cut.

They could never have imagined the horror of slicing through the arteries.

The consequences are also devastating.

The older the doctor, the more cautious and timid he is when performing surgery.

On the contrary, novice doctors are not afraid of heaven and earth.

"Use a retractor to open both sides, and the surgical field of view will come out."

Dr. Ou frowned slightly after his assistant fully opened up the surgical vision. Because Ichisuke's ability to stop bleeding is poor, a lot of blood has been produced, and it has accumulated at the bottom of the wound.

"Suck the blood clean. Here, the two sources of bleeding here should be stopped quickly. ”

He personally instructed Ichisuke to stop the bleeding.

After a lot of effort, the electrocoagulation was finally successful.

Next, the most critical surgical steps begin.

"The incision of the lamina should be done with caution, and generally speaking, the purpose of removing the hematoma is achieved by incising about two or so."

He cut off two lamina in quick succession and examined them closely.

Probably felt that it was not enough, and cut another piece.

"That's it! Next, the hematoma is sucked with a suction device until the dura is exposed. ”

When Ichisuke clears the hematoma, the operation is really not good.

It took a lot of effort, but it was finally basically cleaned.

At this point, the dura under the hematoma can already be seen.

Bleeding is usually dura.

"When you do this kind of surgery in the future, you must remember one principle. If the bleeding time is more than 10 days, and the patient's body has absorbed the hematoma on its own, then there is no need for surgery. As doctors, we must not only understand the anxieties of patients and their families, but also insist on performing only useful surgeries. Knowing that the operation is ineffective, but still letting the patient do the operation, making this kind of ambiguous money, will only make people shameful. ”

"Also, any surgery is an unavoidable choice. If it can be cured without surgery, then resolutely do not operate. Able to do minor surgery to solve, resolutely do not do major surgery. As long as it is a surgery, it will cause a certain degree of damage to the patient's body. ”

Dr. Ou solemnly admonished several junior doctors.

After Zhou Can listened, his opinion of this doctor Ou changed a lot.

This person's temper is not very good, but his medical ethics are very good, and his heart is right.

He is a respectable doctor.

Dr. Xu once told Zhou Can that the purpose of surgery is not just to remove the patient's pain.

It must also be taken into account that the benefits of surgery far outweigh the harm to the patient.

This kind of surgery is worthy of further evaluation of surgical safety and various surgical indicators. and prognosis.

Imagine that the patient only has occasional stomach pain, and the patient's stomach is cut out.

The pain was relieved, but the harm to the patient far outweighed the benefits of the surgery.

"Once the hematoma has been removed, it is time to look for active bleeding spots."

An active bleeding point was quickly found, but it was not large.

After electrocoagulation to stop the bleeding, exploration continues.

"Doctor Ou, there seems to be a ball of blood clotted here, and it can't be cleaned up."

After careful examination, Dr. Ou explained.

"You novices must be aware that this is not some blood clot after blood clotting. Rather, it is a malformed mass of blood vessels. In the case of this, it is excised directly. ”

After he asked the two assistants to take a closer look, Zhou Can and Jiang Xiaohua stretched their necks to see more.

Dr. Ou did not give the two men any care.

Direct surgery to remove the malformed blood vessels.

As soon as it was removed, blood spurted out.

It seems that it is to cut the arterial blood vessels. The amount of bleeding is not particularly large, and the blood vessels should be relatively small.

The severed mass of malformed blood vessels was pinched out and thrown on a plate.

Zhou Can stepped forward to take a closer look.

If you want to learn something in the operating room, you must be bold and thick-skinned.

In the minds of senior doctors, regular training, internships, graduate students, and advanced students are like grass on the roadside. They won't take the initiative to teach you anything at all.

During surgery, it is generally difficult to observe the patient's wound in front of the wound.

When the chief surgeon performs surgery, it is also impossible to take care of inconsequential junior doctors.

All they think about is how to do the surgery in the shortest possible time.

So, after the diseased tissue is cut out, it is thrown on a plate and put on it to see if no one will say anything.

As long as it does not affect the main surgery.

Dr. Ou unhurriedly asked Ichisuke to stop the bleeding of the patient.

"Can't stop!"

Ichisuke looked a little panicked, and a little scared.

Dural bleeding is much more frightening than epidermal bleeding.

"Give me the electrocoagulation knife!"

Dr. Ou is still very calm.

It's just that he soon discovers that it's not that simple, and the electrocoagulation hemostasis seems to have failed.

"Hell, what's going on?"

Dr. Ou's brow furrowed.

Even though he has seen a lot of things and experienced many winds and waves, at this moment, there is also a trace of panic in the depths of his eyes.

The fear of the unknown is the most frightening.

Because what I have learned in my life will not work if I use it. There is no way to find the cause of the bleeding.

"It should be a subdural hemorrhage."

Zhou Can glanced at it twice and couldn't help but say.

"You know the ball, stay and don't make a mess here!"

Ichisuke glared at Zhou Can angrily.

"I'm not adding to the chaos, I'm just giving my opinion. It is possible that Dr. Ou injured the blood vessels under the dura mater during surgery to remove the malformed vascular mass. It is also possible to have two forks in one tube. ”

Blood vessels, like tree roots, are bifurcated.

Just cut to the intersection of the bifurcations, it is normal for the electrocoagulation to stop the bleeding.

Zhou Can can also have such a deep understanding after the hemostasis technique was promoted to the middle level of the main treatment.

After listening to this, Dr. Ou's eyes lit up slightly, and he began to carefully look for whether there were any bleeding spots under the spinal dura.

It's just that the bleeding here is incessant, which has caused him a lot of disturbance.

"Give me the hemostats."

Zhou Can looked at the instrument nurse.

"What do you want to do? This is a major place for surgery, and you don't want to look at the place if you want to. "After Ichisuke scolded Zhou Can for the first time, it didn't work.

Zhou Can continued to express his opinions.

This made him feel that his majesty had been provoked.

is even more unwelcome to Zhou Can.

For the sake of face, I didn't say anything.

Who knew that this regular trainee didn't know the height of the sky, and even asked the nurse for hemostats. This is clearly trying to get started!

Isn't this a nose kick in the face?

"I'm not reckless, I just want to help Doctor Ou." Zhou Can responded lightly.

(End of chapter)