The patient was a 40-year-old female patient with a lump of unknown nature on the outside of her left elbow. According to her own account, the mass continues to grow, causing some inconvenience to her daily life.

She was afraid that it was a malignant tumor, and she was terrified. Rushed to the hospital to remove the mass.

I was worried that the small hospital would not be clean, and even that there would be problems after the operation, so I chose the most famous Tuya Hospital in the province for treatment.

After Deputy Director Liu gave her diagnosis, she recommended surgical excision, and then sent the pathology for examination.

Zhou Can had many subcutaneous tumors cut out in the emergency department before.

This kind of surgery is not even needed by an anesthesiologist, and can be done directly under brachial plexus anesthesia.

Zhou Can only asked for an instrument nurse.

Everything is ready to go.

After conducting a preliminary examination of the patient's mass, he skillfully took the local anesthetic prepared by the instrument nurse and quickly administered local anesthesia to the patient.

It's still the old rule, with a total of three bets.

You can earn three injection experience points, and there is no reason to earn only 1 point.

Liu Lao watched from the side, with a puzzled expression on his face. Obviously, this kid's injection is very powerful, why do you have to inject so many times?

Although he had doubts in his heart, as long as the operation went well, Liu Lao would not say anything.

The vast majority of chief physicians are able to tolerate some minor flaws of their doctors.

As long as the surgery is safe as a whole and the quality is assured, they will remain silent.

"Doctor, can you get an older doctor to do this for me? I'm scared! ”

Female patients at this age are usually not as shy as young girls.

When it comes to issues of interest, they dare to speak out.

"Don't worry, the doctor who operated on you looks young, has extraordinary skills, and has already done many such surgeries on you." Deputy Director Liu was on the side to help Zhou Can speak.

It is very necessary to put gold on the face of young doctors.

It can reassure patients and get them to cooperate with the surgery.

After Zhou Can anesthetized the patient, the next operation almost scared Liu Lao into a heart attack.

Whether it's cutting open, isolating, or removing the entire tumor, it's incredibly fast.

Three times five divided by two pulled the tumor down.

Hemostasis, debridement, and then preparation for suturing.

A series of fast movements, I couldn't see Liu Lao's brain come back to his senses.

He didn't make a mistake, and he cut it quickly and well.

The incision is smooth, the isolation of the tumor is even more wonderful, and the hemostasis is also in place. The amount of bleeding is pitiful.

Who knew that at this time, Zhou Can stopped.

His brow furrowed slightly.

"The surgery was very good, Dr. Zhou was able to suture the wound!"

Liu Lao reminded beside him.

He also thought that Zhou Can wanted to ask himself to check it out and confirm that there was no problem before suturing the surgical wound.

"When I operated on her, I noticed that there seemed to be a small cyst on the inside. Does this need to be removed together? ”

Zhou Can not only reported to Liu Lao, but also asked for the opinions of patients.

"Where? Let me see! ”

Liu Lao approached and touched the area designated by Zhou Can.

"It's kind of like a little nodule, not very large." He really touched it. Maybe it's because the tumor is too small and it grows on the inside, so I didn't find it during the examination.

"You're a regular hospital, and you've had a check-up before surgery. Now tell me that there is a small tumor, do you want to temporarily increase the price? ”

The female patient's face was a little unsightly.

In recent years, there have been too many negative news about all kinds of dark revelations about the hospital.

Halfway through the operation on the operating table, the temporary price increase has been reported in the news.

"The size of this tumor is very small, since you have any concerns, let's ignore it for now. After surgery, you can just pay attention. If you find that it has enlarged, you can come to the hospital for treatment. ”

Deputy Director Liu has worked with a wide variety of patients.

As soon as he heard what the patient said, he immediately dismissed the idea of adding surgery on a temporary basis.

Zhou Can won't say anything more.

The wound is sutured directly to the patient.

"Remember not to eat spicy food, and not to do strenuous exercises with this hand so as not to crack the wound. Also, avoid touching the wound with water......"

Zhou Can explained some precautions to the patient.

Some female patients are particularly clean.

I take a bath every day, and I especially like to take a bath or shower.

The wound can easily get wet.

This increases the difficulty of wound healing and the risk of wound infection and suppuration.

The female patient didn't even say thank you when she left.

Obviously, I am very disgusted by the temporary increase in the price during the operation.

In the case of anesthetic, when Zhou Can and Liu Lao pressed the small lump on the inside of her elbow, she herself did not feel anything.

Before coming to the hospital, she didn't notice any tumors growing inside her elbow.

So, she thinks the doctor wants to cheat money.

After this patient is sent off, the next one enters.

Zhou Can still divided five by two, and easily completed the operation for the patient.

Liu Lao was stunned for a moment.

He now finally understands why the emergency department is suddenly adding nearly 2,000 surgeries a month.

According to Zhou Can's terrifying speed and the number of emergency visits, it is never a problem for Zhou Can alone to complete 1,000 surgeries a month.

"This kid is really a lucky star sent by God! With his surgical speed and surgical ability, the surgical patients treated by this team are fully capable of digesting. It can even increase the amount of surgical access. ”

Liu Lao was secretly happy in his heart.

After seeing Zhou Can's terrifying surgical speed, he realized that this kid had been hidden before.

Zhou Can has been in Puwai for more than a month.

I have done a lot of surgeries with Liu Lao, because they are all major surgeries, the risk is extremely high, and he is a novice and has no experience. Therefore, stability is the main thing during the operation.

Never pursued speed.

This time, he was allowed to complete the first and second level surgeries independently, and he seemed to be back to the time when he was crazy about surgery in the emergency department.

I couldn't help but enter the berserk mode.

The speed of surgery is several times faster than before.

Zhou Can's surgery is actually faster and of better quality than when he was in the emergency department.

Because whether it is his quick knife technique or other medical skills, he has improved much, much better than a year ago.

Three hours later, Zhou Can alone digested six first- and second-level surgeries.

Instrument nurses are also well-informed.

After seeing Zhou Can's terrifying speed, she was also shocked.

She has worked as a surgical nurse for many general surgery doctors, but she has never seen anyone operate as fast as Zhou Can.

"Anything else?"

Zhou Can did six first- and second-level surgeries in one go, and he was still a little unsatisfied.

Liu Lao couldn't help but smile bitterly.

"Today's first- and second-level surgeries were almost all swept away by you. Good boy, sure enough, I didn't brag. The apprentice brought out by Lao Xu not only did not weaken his reputation, but also was better than the blue. ”

Deputy Director Liu was full of praise for Zhou Can's surgical skills.

Although he is an associate chief physician with decades of surgical experience, he can't catch up with Zhou Can when it comes to the speed of surgery.

This kid is awesome.

"Zhou Can, it's a good thing to do surgery quickly, but you must pay attention to safety first. You can't ignore safety for the sake of speed. ”

Deputy Director Liu still has a little worry.

Back then, Dr. Xu was so powerful, and because of the pursuit of the ultimate speed, something happened in the end.

Surgery is performed on a living patient, so it is necessary to pursue zero accidents.

"Rest assured, I'll take care of it. Even the female patient with a tumor on the inside of her elbow is still a little worrying. If her tumor had only grown slightly, it could have pressed on the radial nerve. When the time comes, there will be obvious problems with her left hand being straightened. ”

Zhou Can has done a lot of this kind of first- and second-level surgery, and he can be called well-informed.

For many lesions, it can be accurately predicted in advance.

This ability is actually one of the advanced abilities of famous doctors.

"Did Dr. Zhou really complete all six surgeries? My second-level surgery, to get to this point, has taken me more than three hours. ”

He Hansheng also finished the operation at this time and walked in.

He was a little unlucky today, the second-level operation he did was full of twists and turns, and he was able to complete it smoothly, and he was already burning high incense.

"Uh-huh! If I hadn't seen it with my own eyes, even I wouldn't have believed that Zhou Can's surgery speed would be so terrifying. Usually, when this kid participates in tertiary major surgery, the speed is fast, and there is a bit of a spectrum. Doing a first-class and second-level surgery today is simply scary. ”

The sadness on Liu Lao's face didn't know when it had disappeared.

Instead, a sunny and good mood.

A faint smile resurfaced on his face.

Zhou Can stood up at a critical moment to show his surgical ability to turn the tide, which was really a ray of light in the darkness, which rekindled his hope.

"Dr. Zhou, that's good! Do you know? You just need to keep up the speed of this horrific operation to save our team. After the staff of our team has been streamlined, we have traveled lightly, and the volume and quality of surgery have not been reduced, which will give us a great advantage. ”

He Hansheng's face was also full of excitement, and the previous depression and gloom were swept away.

With Zhou Can's terrifying surgical ability, all the decline was not only gone, but also turned into an advantage.

A team of 10 people completes 200 surgeries a month. Compared to a group of four people doing one hundred and fifty surgeries, there is no advantage at all.

And it's not about having surgery, the more doctors, the better.

When there are many people, there may be good and bad, and the technology will be good and bad.

At that time, the total number of surgeries is considerable, and the per capita number of surgeries is not good-looking, which is more likely to lead to a serious decline in the quality of surgeries.

"I'm a resident doctor who has been a drag on my team. If Dr. Chow has one-tenth of his ability, he can contribute to the team. ”

As a resident doctor, Wan San has been helping He Hansheng just now.

An assistant is required for secondary surgery.

Liu Lao also served as Zhou Can's assistant just now.

After all, a person only has two hands, and it is difficult to complete some complex points of surgical parts alone.

There is also a hook or something, and you also need an assistant to help you with it.

"Xiao Wan, you don't have to be presumptuous. Everyone has a use. If the number of surgeries in our group does not decrease, and the management on the ward side, you will have more snacks. ”

Liu Lao comforted Wan Sanyan.

A medical team is equivalent to a complete machine, and its operation is inseparable from small screws.

Wan San's skills are not particularly outstanding, but he is by no means the bottom among the residents.

It's just because Zhou Can is too demonic, so it will be bleak in comparison.

"Okay, I've been staying in the hospital every day for the past month, and I've been managing the inpatients in my group well. If you can't do the work of charging into battle, then I will take care of the logistics for you. ”

Wan San brand found his own value, and he was very happy.

Seriously, under extremely unfavorable circumstances, it is already very good that Wan Sanyan did not defect to other groups like the other three doctors.

At least in terms of character, it is guaranteed.

Not the kind of person who forgets his righteousness.

Now that Zhou Can has solved the biggest problem in the group, everyone is full of hope and fighting spirit.

The morale of this group was instantly restored to full value.

……

Five days have passed, and Zhou Can is like being beaten with chicken blood, and his surgical ability is getting stronger and stronger.

If it weren't for Qiao Yu's training outside the gods, he would have wanted to call her over to help.

Thinking that she would only stay in the Department of General Surgery for less than a month, it would be impossible for her to follow Zhou Can as soon as she left. The matter had to be stopped.

According to Zhou Can's regular training plan, general surgery was his last stop in surgery.

Because the general outside contains the liver and gallbladder, gastrointestinal, pancreas, breast, urinary and so on.

One of the most difficult things to learn is the stomach.

Because this is the digestive system of the human body, there are various rare diseases that make people extremely headaches.

Even though Zhou Can has been in the digestive surgery department for three months, he still doesn't dare to say how good he is.

The digestive system of the human body, as well as the various diseases caused by the digestive system, not to mention the erudition.

At most, I know a little bit about it.

Originally, according to Zhou Can's idea, he should be trained for at least three months in general surgery.

Because in general surgery, you can see a variety of common diseases, as well as some unheard of incurable diseases.

Director Yang Qing and several of his doctors sat in the office to discuss surgical cases, formulate surgical plans for some key patients, or consult together to find out the cause.

In some difficult cases, even if his entire team worked together to diagnose them, they could not clearly diagnose the cause.

This phenomenon is not just his group, but the entire Tuya Hospital, and even all the major hospitals in the world.

In many diseases, doctors are unable to find out the cause and pathological mechanism.

Some can be controlled with drugs, while others can only be treated symptomatically, with correction of vital signs.

"It's really regrettable that there are two cases today that the cause of the disease has not been diagnosed."

The discussion was almost over, and Director Yang Qing made a concluding speech.

"Director Yang doesn't have to worry, the causes of these two patients are extremely complex, and we can't diagnose them, let alone other teams. These two difficult patients have been treated in many major hospitals, and the cause of the disease has not been clarified. ”

A chubby deputy chief physician said.

"That being said, but if this kind of difficult patient can be diagnosed and successfully cured, it can add a lot of points to our group. It can be an excellent case in this field. The pancreas and the breast are two promising fields of medicine. I don't want to miss out and be won by another group. ”

Director Yang Qing is still a little worried.

Fear of capsizing in the gutter.

In the construction of a new subdepartment, when the hospital selects the areas of expertise of each group, in addition to looking at the number of cured cases in this field, there is also an extremely important reference index.

That is the diagnosis and cure of difficult cases.

How did the famous doctor come about?

It is a case that cannot be treated by others, and if you can treat it, you will be able to take the opportunity to make a name for yourself.

No matter how powerful a doctor is, even if he has cured 5,000 ordinary cases, he can't become a famous doctor.

If he can cure ten difficult cases, those are all patients that other big hospitals, other experts, and famous doctors can't treat, and the celebrity effect will be far greater than that of the doctor who cured 5,000 ordinary cases.

If the hospital wants to set up a signboard, it will also consider the doctor who has cured ten difficult cases.

Why do you pay so much attention to the number of publications and impact factors of SCI papers when evaluating deputy high and senior professional titles?

It is because you can write high-quality SCI papers that you can create a sensation in that medical field. Whether it is a patient or a colleague in the medical field, they all recognize this and believe this.

"By the way, how is Deputy Director Liu's group doing? After three doctors, I believe that the amount of surgery they do must be greatly reduced, right? ”

Yang Qing was able to bring out such an excellent group and always maintain the best comprehensive strength, relying not only on his outstanding medical skills, but also on his high wisdom and management ability.

Valuing the enemy tactically and despising the enemy strategically is a routine that many masters like to play.

Deputy Director Liu is just a deputy chief physician, but his surgical ability is quite strong, and his diagnosis and treatment experience is also extremely rich. Even richer than Yang Qing.

After all, Yang Qing is several years younger than Liu Lao.

"It doesn't seem to have decreased!"

One of the attending physicians replied cautiously.

(End of chapter)