If you have to summarize the usefulness of the quick knife method, it is like the internal strength in martial arts.

If you practice it well, you can use 'internal strength' to urge those surgical skills that require the use of knives, and you can double or even ten times improve the original medical strength. For example, the dissection surgery performed in the operating room today was only at the inferior level of the attending department, but the tumor residue that Director Wen could not isolate was successfully separated.

And with only one knife.

Zhou Can's current prop for practicing fast knives is still carrots.

However, with the huge improvement in his knife skills, there is no longer a need to cut the carrot into four pieces.

Just split it in the middle and cut it in half.

The small scalpel is like a living knife in his hand, or cross-cutting, or picking, or obliquely cutting, or side-cutting, all of which can be flexibly and accurately cut in place. Cut out the carrot slices, uniform size, consistent thickness.

I have to say that his knife skills are no worse than those of chefs in star hotels.

There are no shortcuts to the practice of quick knife techniques.

Relying on his knife by cutting turnips, steadily improving.

Used radishes should be counted in tons, not in bags.

……

The days went by day by day.

He followed Director Wen in the Department of Neurosurgery for surgery, consultation, and ward rounds. With his rare talent for double surgery, excellent pathological diagnosis ability and unique diagnostic thinking, as well as a serious and rigorous work attitude, he soon became Director Wen's most relied on assistant.

Now, as long as Director Wen performs surgery or consults difficult cases, the first thing he does must be to look up and see if Zhou Can is here.

It is a bit unbelievable that a chief physician should rely on a regular training doctor to such an extent.

If you have to delve into the reasons, there are just two words, interests.

Director Wen's recent surgeries have been significantly increasing.

In some ultra-difficult surgeries, if the patient's body tolerance is very weak, if the traditional surgery is done, the consultation opinion given is definitely not recommended surgery.

Now with Zhou Can's help, there is often one more consultation opinion given, and it is not recommended to have traditional surgery, but endoscopic surgery can be tried.

If Zhou Can said that this is a key part of the endoscopic operation, he is very sure.

Director Wen will write "Endoscopic surgery is recommended" in the consultation opinion column. ”

Many of Zhou Can's advanced medical skills have been upgraded to the attending level, and only anastomosis is still at the resident level.

Previously, it was only a first-level surgery, and there was little need for anastomosis.

The lowest surgeries performed by Director Wen are tertiary surgeries, and many of the surgeries involve complex blood vessels and nerves. The demand for anastomosis has increased dramatically.

Resident-level anastomosis, anastomosis of general vascular nerves is okay.

But when it comes to endoscopy, it pales in comparison.

In particular, some anastomosis loops are extremely complex, and there are many important nerves, blood vessels, vertebrae, skull, and brain tissue interference around them, and the difficulty of anastomosis is multiplied.

At present, Zhou Can's six advanced medical skills, separation, insertion, grasping, and debridement, have all been upgraded to level 4 and have reached the level of indication.

Only anastomosis and transmission of two advanced medical skills are still at the level of the third level.

Because I practice a lot after work, the experience points are already very close to level four.

As long as you practice for another week or so, you should be able to move up to the main level.

This is still because the transmission technique is used very little for the time being, and he is not in a hurry to upgrade.

What really worries him is the anastomosis, the current experience point, level 3 116.8/1000. If you want to reach level 4, you still have almost 900 experience points left.

Anastomosis of a nerve or blood vessel only adds 1 experience point.

Where did he get 900 anastomosis exercises?

As for practicing with mice, it's not cost-effective.

Anastomosis of a blood vessel is calculated as 20 minutes, and the experience gained is 0.2.

Five blood vessels need to be anastomosed in order for him to gain 1 XP.

In other words, it takes at least 100 minutes for him to earn 1 matching XP. In practice, it takes at least two hours to anastomosis five tail blood vessels in white rats.

Because there are many preparations such as anesthesia, cutting blood vessels, and stripping in the early stage, they will take up a lot of time.

Therefore, it is extremely uncost-effective to practice anastomosis on animals.

For two hours, he spent reading medical books or practicing quick knife techniques, and the harvest was much greater.

If you want to earn anastomosis experience quickly, you have to perform surgery on the patient.

Just give a patient a blood vessel anastomosis to earn 1 experience point, which is still very slow!

Zhou Can's brain was quite bright, and he quickly thought of a way.

When performing endoscopic surgery, he found that the first time he used an endoscopic technique, or the first time he performed an endoscopic operation on that organ, he was rewarded with an additional 100 XP points.

So, he ran wild on the road of crazy experience points.

As long as he finds that there is an opportunity for anastomosis in endoscopic surgery, he will do everything possible to get it.

Unless some of the difficulty of matching is particularly high, and the grasp is very small, there is no way but to give up decisively.

It's important to earn experience points and high rewards.

But safety is more important.

Don't look at Director Wen, who is now willing to hand over all kinds of high-risk surgical tasks to him. That's because he built a foundation of trust step by step.

So far, we have maintained zero mistakes and zero accidents.

Zhou Can knows very well that as long as he fails once, the trust he has worked hard to accumulate will immediately disappear.

Therefore, we must not lose the big because of the small.

As long as Director Wen has always trusted him, the opportunity for surgery will continue to be fought for.

It's been like this for more than a month.

Zhou Can's anastomosis was finally upgraded to the fourth level.

At this point, his shortcomings have finally been filled. There are also more surgical tasks that can be challenged.

After the anastomosis was upgraded to level 4, his most real feeling was that the difficult blood vessels, nerves, tendons, and intestinal tubes that could not be anastomosed before were now all competent.

The patency efficiency of the anastomosed blood vessels and intestinal tracts has been greatly improved.

In the past, a blood vessel with an internal diameter of 2 mm would shrink to about 1 mm after anastomosis.

Its patency efficiency has been cut in half.

Before surgery, 100 ml of blood can be passed in one minute. After the surgery, only 50 ml of blood can pass through one minute. The impact is actually quite large.

After his anastomosis was upgraded to grade 4, the inner diameter of the blood vessel was 2 mm, and after anastomosis, the inner diameter was about 1.5 mm.

It has to be said that this is a huge step forward.

In addition, the tightness and tension resistance of the vascular or intestinal anastomosis are at least doubled.

There are many doctors with poor surgical skills who anastomose the intestinal tube to the patient, and the result is a leaky bowel. The consequences can be very serious.

After his anastomosis was upgraded to grade 4, the possibility of leaky gut or blood vessel leakage was almost nil.

In addition to the obvious progress mentioned above, the interference caused by the complex environment caused by the anastomosis of blood vessels or nerves can be eliminated for the most part.

Finally, he performed the anastomosis endoscopically, which made it more skillful and easier.

Zhou Can came to a conclusion that if he wanted to complete various surgeries under endoscopy more flexibly, advanced medical skills needed to reach at least the attending level to barely be enough.

In the past month or so, in addition to following Director Wen for surgery and consultation, Zhou Can has earned a lot of experience in advanced medical skills and pathological diagnosis, and he will also go to the manual reduction room of the Department of Orthopedic Surgery to help when he has time.

Last time, I gave Dr. Fu Zhi'an an an old ginseng to the manual reduction room, and the effect was quite good.

As long as Zhou Can goes, Dr. Fu will be very enthusiastic to give him the opportunity to exercise. will patiently guide him in various orthopedic skills, which is almost like teaching him.

Zhou Can's osteopathy has progressed very quickly.

Now it has reached the middle level of residency, and it is only close to being promoted to the excellent level of residency.

The knowledge, skills, precautions, and operation methods of bone reduction that I have learned are even more numerous.

With the blessing of the experience value system, he has risen unstoppably and rapidly with diligence and hard work.

……

In the office of the director of neurosurgery, Wu Baihe stared at last month's operation summary report and was silent.

Du Leng and several Wu Baihe's apprentices were all present.

These people are deeply valued by Wu Baihe, and they spare no effort to cultivate them.

For all kinds of surgeries, these people will be taken with them.

Needless to say, a few apprentices, many of them are already in charge, or even at the level of deputy director.

"Director Wu, is there something wrong with the summary report?"

"I can't even make a report, and I have to scold them when I go back."

The apprentices spoke one after another.

A strong surgical team, with a voice and a position in the department, is unimaginable.

Wu Baihe was already strong enough in his own right, and no one could shake his position outside the gods.

Now some of the apprentices he brought have become deputy chief physicians, which also makes Wu Baihe's status higher and his voice in the department more important.

"The report statistics shouldn't be wrong, I'm just curious about how Director Wen did so many surgeries last month? Among them, there are many third- and fourth-level surgeries, and endoscopic surgery is used. And the success rate of the surgery is frighteningly high, 100% successful. ”

Wu Baihe looked at the data on the report, and even he couldn't believe it.

"Won't it?"

Several people came forward to check.

"I remember that Director Wen's talent for endoscopic surgery was very ordinary, and he usually tried his best to formulate traditional surgical plans for patients. Now that I have suddenly done a lot of endoscopic surgery, I think there are only two possibilities. Either he himself has made a major breakthrough, or one of his doctors has a great talent for endoscopic surgery. ”

"Advanced surgical talent, you can't just have it. Director Wen had been doing little in endoscopic surgery before, and his performance was mediocre. A sudden major breakthrough in this area is unlikely. I prefer the latter. Which of his doctors has a very high surgical talent. Now the culture has come up, so so many endoscopic surgeries can be completed in just one month. ”

"We can also do endoscopic surgery, but the success rate is 100%, which is really scary."

"I know the two attending physicians under Director Wen, and they are both very talented in endoscopy, and I haven't heard of any talents in this area!"

Wu Baihe's apprentices, you say a word, I say a word.

How else to say that three stinkers top one Zhuge Liang! It is much better for multiple people to make suggestions and discuss together than to think about it alone.

"If you look at the ideas of these difficult surgeries, to be honest, even I feel sincerely admired."

Wu Baihe pointed to several of the surgeries and said.

As the head of the department of Shenwai, the performance of the department every month will be summarized to him.

He can see what a doctor has done, whether he has made meritorious service or made omissions or mistakes in diagnosis and treatment.

Of course, if the doctor below concealed it and didn't report it, he would definitely have no way of knowing.

"If the teacher thinks that the performance of Director Wen's group is too outstanding, I can find a way to poach that person into our group."

Du Leng has a way of thinking that is as insidious as he is.

He came up with this idea, more of a sign of allegiance.

I want to gain the deep trust of Wu Baihe.

"Xiao Du, although you gave this idea out of good intentions, I still want to criticize you. As doctors, we must not be so narrow-minded. Especially in the same department, that is, a family, we must unite and do not vicious competition. Nothing that undermines unity must be done. Do you understand? ”

Wu Baihe looked at Du Leng very seriously.

"Understood!"

Du Leng promised happily, God knows what he thought in his heart.

It's normal to stay abroad for a long time, to be deeply influenced by Western ideas, and to become selfish.

The idea of the world of capital is that personal interests come first, we give priority, and we do not allow others to surpass me.

"Director Wen's group had outstanding performance last month, which is a good thing. It shows that our gods are growing and becoming stronger. I'll have to ask him another day what genius is so gifted in endoscopic surgery. There are too few such talents, and they must be cultivated well. ”

Wu Baihe also has people who have done endoscopic surgery well.

Including himself, his talent for endoscopic surgery is also passable.

However, there is no one who is particularly talented in endoscopic surgery.

It can only be said that it is above the level, and it is passable.

Finding that a talent with extremely outstanding talent in endoscopic surgery suddenly appeared in the surgical room, Wu Baihe's heart was full of surprise, and he had extremely high expectations.

After the performance of the Department of Surgery last month was reported according to the regulations, it quickly attracted the attention of Director Xie.

After reading it, Director Xie had a smile on his face.

"Director Wu, Shenwai may have done so many endoscopic surgeries last month, and the success rate of the surgery is particularly high, and the patient satisfaction rate after discharge is also extremely high. It seems that you have done a good job in terms of quality and technology. ”

Director Xie highly affirmed Shenwai's performance last month.

"To tell you the truth, it's not my fault that we have been able to make such great progress outside the gods. A number of difficult endoscopic surgeries were completed by Director Wen's team. ”

Wu Baihe is not greedy for merit.

Whoever is credited will be theirs.

"Oh, Lao Wen's endoscopic surgery?" Director Xie may not even be able to name some of the general surgeons. However, for the chief physician and deputy chief physician of the Department of Surgery, they all know the roots.

"Lao Wen's endoscopic surgery has not been very good before, why did it suddenly become so powerful?"

"I haven't had time to ask him about it. However, according to my and my doctors, it should be Director Wen's talent who has excellent talent in endoscopic surgery. ”

Wu Baihe is a straightforward person, and he doesn't hide it, he said everything in 1510.

Strictly speaking, Director Xie is his immediate boss.

However, among the chief physicians, everyone is a figure with a head, a face, an achievement and strength, and no one will compare with each other.

There is mutual respect for each other.

Then people will consciously support and respect people who are higher than themselves in administrative positions.

This is also the rule of survival in the workplace.

"I see, I'll just say! But this is a great thing, and we are short of talents in this area. Internal medicine, pediatrics, obstetrics and gynecology, and oncology departments attached to the second department are vigorously promoting endoscopic surgery and minimally invasive surgery, which is a major trend. Our surgery department should also cultivate more talents in this area, so that we can be invincible in the competition. ”

Director Xie said earnestly.

As the director of a large department, he must take a long-term view and play a good game of chess for the entire department.

Otherwise, the entire department will rapidly decline in the face of fierce competition.

Don't look at the various departments of Tuya Surgery, the situation is very good now. However, endoscopic surgery has really developed, and surgery has not kept up with the pace of the times, and patients will use their feet to choose the treatment method and department that is more beneficial to them.

"In other words, this talent under Director Wen is really good, and he can complete so many difficult endoscopic surgeries. I have to ask in person, and in the future, when other departments of surgery encounter difficult surgeries, I can also ask them to come over for joint consultations and joint surgeries. ”

Director Xie is an anxious person.

After feeling that this matter was promising, he couldn't hold it back, and immediately went to Shenwai to find Director Wen to understand the situation.

I'm also ready to meet that super genius, give encouragement, and build a bit of emotional foundation.

At this moment, Director Wen has just taken Zhou Can and others to complete a fourth-grade intracranial tumor dissection.

It was done endoscopic surgery.

Very successful.

He was also in a very good mood. This day is especially promising.

(End of chapter)