Still waiting for Ye Tingting to coordinate the bed with the attending physician Ai Li, a pretty figure rushed from a distance.

She didn't take off the dark green surgical gown she was wearing.

The person who quickly ran in front of him was none other than Zhou Can's former best surgical partner, Qiao Yu.

"Hehe, it's really you're back! I thought Dr. Lin was a liar! ”

Qiao Yu looked at him with a bright smile.

Seeing her coming in such a hurry, Zhou Can smiled secretly in his heart, this is because he is worried that he will be too late and leave by himself!

"I sent a patient over for observation." Zhou Can explained.

She glanced at the two family members behind Zhou Can and the patient who was being supported, and nodded.

Indicates that I know.

"How's it going, how are you doing?"

Zhou Can met with her, obviously had a lot to say, but he didn't know where to start.

The two are friends of the opposite sex.

Zhou Can is now a person who has a girlfriend, and many words are not suitable for her.

"The surgical assistance ability has improved a lot, and when you come back from regular training, I should be able to cooperate with you more tacitly, and I can do more professionally in many aspects."

Qiao Yu said expectantly.

There was an agreement between the two that after Zhou Can's training, he would continue to partner with her for surgery.

She has always put this matter first and has worked hard to continuously improve her professional level.

"However, I found that in order to become a qualified surgical nurse, it is not enough to pass instruments and consumables. I've been learning about critical care lately, and if I have learned it well, I can be very helpful in case of an accident during surgery or a critically ill patient who needs urgent rescue. ”

She thought about it and put serving Zhou Can at the core.

This made Zhou Can really very moved.

"You've got an idea! Among the nurses I am familiar with, you should be the most motivated, and I am sure that you will definitely become a very good nurse in the future. It may even be as powerful as the experts in the doctors. ”

Zhou Can praised her with a smile.

"Haha! I don't dare to look up to the experts, but recently I have studied nursing and found that nursing abroad is far more advanced than in China, and I may try to study abroad if I have the opportunity in the future. When you come back from your studies, there will be more places that can help you. ”

She is not only self-motivated, but also very thoughtful, and able to put it into action.

This is a very valuable place.

Many people, who only have ideas, encounter a little setback and difficulty when they really put it into action, and they quickly die down.

"Hehe, I'm looking forward to that day! I believe that it will bring good news to many patients at that time. ”

After Zhou Can heard this, he really looked forward to it.

I don't know why, but I always feel that if she can say it, she will definitely be able to do it.

At present, the level of nursing in China is still quite backward.

If she goes abroad for further study, with her diligence and intelligence, as well as her self-motivation, she will definitely learn a lot of real skills.

"It's just this idea, and it's still far from being realized! If nothing else, it is difficult to even enter the intensive care department. ”

Qiao Yu said early on that he wanted to enter the Department of Critical Care Medicine as a nurse for a period of time.

If you just learn about critical care on your own, you definitely can't.

Only by entering the department can you grow rapidly.

"Have you taken the nurse's professional certificate?" Zhou Can asked.

It just so happened that he had been training in the intensive care medicine department for three months, and he was familiar with the director and deputy director of the department.

They also value Zhou Can very much.

As long as the hard indicators are reached, Zhou Can can help her say hello.

"Now that the vocational certificate has been obtained, isn't it still three months of surgical training and three months of clinical training? Medical and surgical training in the emergency department is not useful at all. You have to go to the real department of surgery and internal medicine to learn the real thing. I can't even think of the neurosurgery and cardiothoracic surgery. Even if you want to be transferred to the general training for three months, you have to wait in line. ”

"I've been signing up for more than two months, and I haven't heard any news at all, so I'm really anxious."

She should be worried that the time will drag on for a long time, and when Zhou Can's three-year training period expires, she will come back.

And she has not completed her advanced training in intensive care medicine, so she can't be a surgical nurse for Zhou Can in time. Zhou Can used other surgical nurses, and she was worried that she would never have a chance again, so she was very anxious.

"Neurosurgery and cardiothoracic surgery, yes? I'll help you ask. Your medical and surgical training is to prepare you for intensive care medicine, and it is certainly not good to go to general surgery. ”

The main areas of patient care in the Department of Critical Care Medicine are respiratory, nervous, and blood circulation systems.

These advanced nursing experiences and knowledge can only be learned through cardiothoracic surgery and neurosurgery.

This is something that Chan himself deeply understands.

"Neurosurgery and cardiothoracic surgery are particularly high-level and powerful departments, you ...... Still don't ask. She didn't want Zhou Can to touch her nose.

"It's okay, I'm thick-skinned, and if I'm rejected, I'll think of another way."

Zhou Can can speak in both departments.

It shouldn't be difficult to get a nurse from our hospital to go in for training.

At least he was very happy to give it a try for Qiao Yu to show his old face.

"Xiao Zhou!"

A slightly old call sounded.

In the emergency department, there are only a few people who dare to call Zhou Can Xiao Zhou.

Even the attending physician like Dr. Fu politely called him Dr. Zhou.

"Teacher!"

Zhou Can looked up, and sure enough, it was Dr. Xu.

After not seeing him for more than a year, Dr. Xu seems to be getting older again.

He almost single-handedly manages the entire emergency department's operating room affairs, and the pressure is certainly not small.

Whether it is a man or a woman, it is especially easy to age when there is a lot of pressure.

"I'm going to eat first, remember to contact me often on WeChat! Bye! ”

Qiao Yu wisely left space for the master and apprentice.

"Is this sending a patient over for treatment?"

Dr. Xu glanced at the patient not far behind Zhou Can.

"One patient in the digestive surgery clinic who was bleeding from esophageal and gastric varices and their rupture caused by alcohol consumption was not particularly serious. Director Jia suggested that they be hospitalized, but there were no beds in the digestive surgery department, so I was taken to the emergency department to see if I could let them stay in the observation room for one night. Give the treatment first, and then figure it out. ”

Zhou Can explained the cause and effect in detail.

"It's easy to do, just give me the patient's information! You must study hard in the surgical rotation training, you must not be complacent, and you must humbly ask the senior doctor for advice, you know? ”

Dr. Xu is like a parent telling a child.

Listening to Zhou Can's ears, it was very cordial.

"The patient's information was taken away by Ye Tingting, and she went to find Dr. Elle."

Zhou Canzheng was saying that Ye Tingting had returned.

With a smile on his face.

"That's it. Dr. Ai asked me to arrange the patient to the observation area first, and then come over and give the patient medication later. After Ye Tingting finished speaking, she looked at her family again. You go to the window and hang up the emergency department Dr. Elle's emergency number, otherwise you won't be able to admit and prescribe medicine. ”

This is why Zhou Can's face is big, and the emergency department will be happy to accept this patient number.

Otherwise, you must follow the process.

"It's done, you should hurry back to the digestive surgery department! There is a lot of overlap between digestive surgery and general surgery, and you can learn from Director Jia, which is very good. Be sure to take advantage of your chances. If you learn it well, the training time can be shortened to one month. ”

Dr. Xu urged Zhou Can to leave quickly.

Because he is a person from the past, he knows that every minute and every second of discipline training is very precious.

When the training is completed, it will be difficult to study in other departments.

You can only apply for the opportunity to study in other departments.

And with Zhou Can's talent, he will at least be the leader of a surgical team in the future, which is equivalent to the core figure.

Once the surgical team is formally formed, it is not just a matter of walking.

Be accountable to the entire team.

The core is gone, and the rest will not be able to complete the critical part of the difficult operation. It's pretty damn.

Therefore, it is the right way to learn as many skills as possible while taking advantage of the regular training.

"Teacher, then I'll go first! Good bye! ”

Zhou Can waved goodbye to Dr. Xu and Ye Tingting.

When he came out of the emergency department, he was still quite emotional, his mother's home is his mother's home, and he felt very good when he came back.

I hope that the first medical comprehensive exam that will come soon can be successfully passed.

Only when you get a medical certificate can you have a future.

……

When he returned to the Department of Digestive Surgery, Director Jia had already finished his consultation.

Let Zhou Can go to eat first, then rest for a while, enter the operating room at one o'clock in the afternoon, and follow Director Jia to do the operation together.

By the time Zhou Can finished lunch, it was close to one o'clock in the afternoon.

I didn't have time to rest, went to the toilet, and went straight to the operating room.

The Department of Digestive Surgery shares several operating rooms with the Department of General Surgery.

Zhou Can came in time, and the operation had not yet begun. I opened the door of the operating room and walked in.

If you want to enter the operating room after the operation starts, you can only ring the doorbell and ask the medical staff inside to help you open the door.

The indicator light on the door will usually turn red with the words 'Under surgery, do not disturb'.

After Zhou Can entered, he found that Senior Sister Qiu had arrived.

There are also a few doctors and nurses I don't know.

These doctors must all be doctors in the group.

Director Jia didn't see them when he sat in the clinic, which means that these people have either been out of the teacher, or they only belong to the general training objects.

Qiu Hong follows Jia Lao every day for consultation, which belongs to the key training objects.

"This is Director Jia's newly admitted student, Zhou Can, who is currently in rotation to our digestive surgery department for a three-month regular training." Qiu Hong saw Zhou Can come in, and immediately smiled and introduced him.

"Hello everyone!"

Zhou Can didn't dare to scream, after all, he didn't know him, and he didn't know the identity and rank of these people.

If you catch a person, you call a teacher, that's.

It may be normal for interns to do this.

The regular training doctors who are already about to take the double certificate exam, and calling other people's teachers will be particularly cheap.

Some graduate students and PhDs will follow their supervisors to perform surgeries. Their status and rank are at the same level as Zhou Can.

The actual combat experience may not be as good as Zhou Can.

"Hello!"

Several doctors were lukewarm towards him.

Some replied, some nodded, and it was a response.

A new trainee, no matter how good he is, in their minds, it is just like that. It's normal for them to have a cold attitude towards Zhou Can.

Not to mention them, even Qiu Hong's attitude towards Zhou Can was relatively cold at first.

Later, he was impressed by Zhou Can's skills, so he took the initiative to change his name to call him Senior Brother Zhou.

The patient is already lying on the operating table, and the anesthesiologist is busy.

Zhou Can looked up and was immediately happy.

"Doctor Guan, it's you!"

He was already well acquainted with many anesthesiologists. Doctor Guan and Doctor Yu have a close relationship with Zhou Can.

"Where we don't meet in life, Dr. Zhou and I are really fateful. Just in time, help! ”

The official doctor was not polite with him at all.

Just call him over and help.

The other doctors, including the three nurses, all looked at Zhou Can in amazement.

Anesthesiologists are usually cold.

Especially for anesthesiologists of the level of Dr. Guan, they generally only say a few words to the surgeon when necessary during the operation. As for the other medical staff, in their eyes, they are like air.

The status of anesthesiologists is low, and that's only relative.

For example, they are all attending levels, they are the attending physicians of the weighted departments, and the anesthesiology department is a sub-discipline, so the cards are worse.

Standing together, it must be that the attending physicians of the weighted departments have a higher status.

This doesn't mean that anesthesiologists aren't important.

At the level of a doctor, he is already an important technician for the hospital.

"What's wrong with this patient?"

Zhou Can saw that the patient's eyes were still open, and the vital monitoring probes had not been installed yet.

If the patient does not have general anesthesia, special attention should be paid to speech.

Otherwise, it will cause conflicts between doctors and patients, or cause some misunderstandings, which will not be good.

"Adhesive intestinal obstruction, which requires partial intestinal resection."

Dr. Guan replied.

Before surgery, the anesthesiologist needs to conduct a comprehensive evaluation of the patient's condition and the surgical plan provided by the surgeon.

So they are very aware of the patient's condition.

"I'm going to cut my intestines! This is a fourth-degree major surgery! ”

When Zhou Can heard that it was a major operation, he immediately became energetic.

First-level surgery, he was tired of doing it in the emergency department.

The difficulty of the second-level operation is a little higher, but with his current ability, it is somewhat unacceptable.

He is now aiming for a third- or fourth-degree major surgery.

Presiding over the whole operation, that is not to even think about it.

As long as he can get the important part of the operation, he is satisfied.

"Is it laparotomy or laparoscopy?"

Zhou Can asked.

In the case of laparoscopic surgery, he has a higher chance of being involved in the important part.

"Traditional open stomach! Director Jia doesn't seem to do endoscopic surgery. ”

There is something in the words of the official doctor.

It is almost to tell Zhou Can that Director Jia's talent in endoscopic surgery is relatively poor, so he does more traditional surgery.

Endoscopic surgery is more difficult to perform than traditional surgery.

Because it is performed by manipulating the arm bar.

In a sense, robotic surgery is to make up for this shortcoming.

When the doctor performs the operation, it is easy to have hand tremors, the operation is not in place, and the cutting and suturing are not accurate. With the robot, these problems can be well avoided by remotely controlling the robotic arm of the robot.

In addition, the robot has a wider viewing angle, and it can also magnify the surgical site more than ten times to see more clearly.

Then it can rotate flexibly, so now many large hospitals are starting to introduce robots.

Zhou Can helped with intubation, ventilator, etc.

While observing the patient's condition.

Patients with intestinal obstruction often have homeostatic imbalance due to vomiting, gastrointestinal decompression, and inability to eat. This needs to be corrected before surgery and the timing of the surgery should be grasped.

Patients with chronic intestinal obstruction are likely to be malnourished.

The patient had a yellow face and thin muscles, and he had a fight with refugees in Africa.

Indicates that chronic intestinal obstruction is likely.

"How are his livers and kidneys functioning?"

Zhou Can asked.

"Hey, I haven't seen you for a while, and your medical level has improved a lot. Rest assured, his liver and kidney function have been tested before the operation, and some treatments have been done to ensure that he can tolerate this operation. ”

Doctor Guan's eyes lit up when he heard his question.

Zhou Can just casually asked the patient about the surgical plan, and he could deduce that the patient had chronic intestinal obstruction.

And being able to know that liver and kidney function should be considered before surgery shows that Zhou Can's medical level has been greatly improved compared with before.

This kind of tremendous progress is only felt by the official doctors.

Patients with chronic intestinal obstruction must have their liver and kidney function monitored and treated before surgery due to water, electrolyte, acid-base disorders, and malnutrition. Prevent surgery from aggravating damage to these organs.

It's hard for a non-seasoned doctor to think so deeply.

(End of chapter)