"The schedule has been drawn up, you can check it out, and if you have any objections, raise them in person. If I don't have any opinions, I'll just report it. ”

Liu Lao used to be the biggest official who led a group and served as the team leader.

Now he is in charge of a department, which is really uncomfortable.

"This arrangement is obviously unfair!"

A young female resident muttered.

Her voice was not loud, but Zhou Can could hear it clearly.

Most of the above doctors' schedules were worked out by Zhou Can with great effort. There is only one purpose, to ensure the efficient operation of the department.

"What do you think is unfair?"

Zhou Can didn't know her name, only that this female resident doctor belonged to Director Mo's group.

"It's very unfair that all the chores I have arranged for me are to write cases, manage beds, and surgeries, but all the work I arrange for yourself is to do surgeries, outpatient clinics, and follow the chief physician to sit in the clinic, which is very unfair. Tired work, chores will be done for us, you will do those technical jobs yourself, you can grow quickly, we are so tired, but it is difficult to learn useful new knowledge. ”

The female resident doctor is quite young, and she shows two tiger teeth when she speaks.

Coupled with her heroic posture and good looks, it is difficult for people to have a bad feeling for her.

On the contrary, I think this girl has a straightforward and cute personality.

"Do you think I'm taking away most of the surgery that belongs to you, and that's too much?"

Zhou Can didn't rush to explain, but asked her with a smile.

"What do you say?"

The female resident doctor raised her eyebrows and looked at Zhou Can without showing weakness.

"Wu Ziyu, don't talk nonsense! Dr. Zhou is young and promising, how can you compare to him! "Director Mokodo is worried that his resident doctors will anger Zhou Can, and there will definitely be no good fruit to eat at that time.

Because they're all new to the department.

Liu Lao's original team members are the core.

Don't look at Zhou Can as just a trainee, but his status in this team is extremely high.

In addition, the big leaders of Vice President Ye and Vice President North are very fond of Zhou Can, which can be shaken by her, an ordinary resident?

"I estimate that there are not a few people who have the same idea as Dr. Wu Ziyu. I think I've taken over all the high-end jobs for myself, and I'll arrange all kinds of chores and basic jobs for you. Dr. Wu, thank you for speaking out. ”

Zhou Can was not angry at all, but thanked her.

This confuses everyone.

Could it be that this kid is a hypocrite, putting on a show in front of the 'masses'?

"Let me explain to you the reasons for this arrangement. Although the hospital gave each subdepartment a seven-day adaptation period, everyone was allowed to deal with the patients in their hands within seven days. But I want our department to win at the starting line. The best thing to do is to shorten this adaptation period. Strive to deal with the accumulated patients in the shortest possible time, travel lightly, and let more people devote themselves to the diagnosis and treatment of patients in the nail and breast specialist as soon as possible. ”

After listening to Zhou Can's explanation, the other doctors nodded one after another, and their eyes no longer showed dissatisfaction when they looked at Zhou Can.

On the contrary, there is a little more trust.

"I won't hide it from you, my surgery is relatively fast, and I will soon leave the nail and breast surgery department to go to the internal medicine department to participate in regular training. So I wanted to do my last bit for this department, and I would bring in all the surgical patients I could handle and let me operate on them. This way, you will have more time and energy to meet the new nail breast patients. ”

Zhou Can did this, not only did he not 'fill his pocket', but he had good intentions.

Dr. Wu Ziyu, who questioned him, felt a hot feeling on his face.

"If what you say is true, I will apologize to you then!" She was a little embarrassed.

"Why did Dr. Zhou help us?" Again questions were raised.

People are selfish and will think about their own interests first.

It was hard for them to believe that Zhou Can was so great and selfless.

"Because we are all from the same department now, we are a family, and we are our own people. That's all. Zhou Can's words instantly made the doubter ashamed,

The other new doctors were all moved.

At the same time, I also feel extremely ambiguous.

My own people, three words instantly connected the hearts of more than 20 people.

The cohesion of this new department has risen in a flash.

The human heart is the most complicated.

A man can die for a confidant, and a woman can be a woman for a person who pleases herself.

They now have a big step up in their affiliation to this new department.

"Dr. Zhou Can said it so well! You used to belong to different groups or teams, and now you're part of nail and breast surgery, and that's a family. Everyone is part of this department. Thinking in one place and twisting in one place, I believe that nail and breast surgery will definitely be able to make achievements in the shortest possible time. Strive to one day make nail and breast surgery a new signboard for Tuya. ”

Liu Lao admired Zhou Can in his heart.

When the resident doctor named Wu Ziyu questioned Zhou Can in public just now, Liu Lao felt a trace of displeasure in his heart, and he was even more worried.

The department has just been formed, and the people's hearts are unstable.

She made such a fuss, didn't she become a troublemaker?

Liu Lao secretly scolded this girl in his heart for being ignorant.

Fortunately, Zhou Can's adaptability is super strong, not only did he not quarrel with Wu Ziyu, but he thanked her very graciously.

Then after some explanation, a sentence of his own people made the hearts of the people of this new department more stable.

A true master can take advantage of the situation in adversity and turn disadvantages into advantages.

Zhou Can already has this kind of ability to deal with things.

"This kid is really my lucky star. Nail and breast surgery has his help, be happy! ”

Liu Lao also likes Zhou Can even more.

The schedule and the list of department personnel were successfully reported. The hospital will change the files of these people, and the time of the outpatient number and the department to which it belongs also need to be changed in the hospital's registration system.

……

In the operating room, a male patient in his sixties lies quietly on the operating table.

Liu Lao, Director Mo, Wu Ziyu, Zhou Can and others will jointly operate on this patient.

A large tumor can be seen in the patient's neck near the left clavicle. It is larger than a sea bowl in diameter, and it looks extremely scary.

The patient discovered a thyroid mass more than 20 years ago and did not go to the hospital because he had no other symptoms. Later, I had symptoms of hyperthyroidism, so I went to the local health center to get some medicine and take it.

The drug the patient is taking methimazole, commonly known as methimazole.

Recently, the thyroid mass has continued to grow in size and has begun to compress the trachea, making it difficult for the patient to breathe. Symptoms are especially noticeable when lying on your side.

The family was worried that the huge thyroid tumor would threaten the patient's life, so they sent him to Tuya Hospital for surgery.

The patient was treated by Director Mo, and after queuing for several days, he finally got a bed.

Prepare for inpatient surgical treatment.

Zhou Can took over the patient's surgical task. Director Mo was a little worried, and Wu Ziyu, a female resident doctor, wanted to see if Zhou Can's surgery was really fast.

So, Director Mo took her to participate in the operation.

Director Mo himself also wanted to see Zhou Can's surgical ability.

People want to open their eyes and satisfy their curiosity.

Zhou Can is helping the anesthesiologist to administer preoperative anesthesia to the patient. I saw that he quickly prepared the patient for preoperative anesthesia with a very professional technique.

This includes intubation, ventilators, and some preparations to prevent accidents during surgery at any time.

His anesthesia has been growing since it was acquired.

However, there is one thing that makes him very depressed, only this kind of general anesthesia or spinal anesthesia can increase experience points. Normal local anesthesia does not increase experience points.

At first, I thought the system might be convulsive.

Later, when his anesthesia was upgraded to the second level, that is, the level of regular training, he realized that this anesthesia was not another anesthesia.

The anesthesia he obtained included anesthesia on the patient, life support, life monitoring, and even the establishment of cardiopulmonary bypass. It is a very advanced medical skill.

If you take a local anesthetic, the system may think that you can do it by yourself, and there is no technical content.

That's why I don't add experience points to him.

His current experience in anesthesia is 98/100, which is excellent for trainees. Add 2 more XP to the Residency level.

It's still quite difficult to rise.

"Can I do the anesthesia?" Zhou Can asked the anesthesiologist.

"Okay! Don't do it too quickly, this patient is too old, I'm afraid he won't be able to bear it. ”

The anesthesiologist is none other than an old acquaintance, Dr. Guan.

He didn't work with Zhou Can once or twice.

So the level of trust is high.

Even for high-risk operations such as anesthesia administration, he also gave Zhou Can the authority to operate.

In addition to his willingness to delegate power, Dr. Yu is also willing to delegate power.

At least more than half of Zhou Can's 98 anesthesia experience points were earned from these two doctors.

There are two common methods of general anesthesia.

Let the anesthetic drug be inhaled through the respiratory tract and injected into the body intravenously, and the central nervous system will be temporarily suppressed, and the patient will have manifestations such as loss of consciousness and relaxation of skeletal muscles.

Local anesthesia is generally injected intramuscularly.

It can also be seen from this that the risk of general anesthesia is much higher than that of local anesthesia.

Nowadays, general anesthesia surgery mostly uses respiratory intubation and inhalation administration. It is safer than intravenous administration and can be stopped immediately if the patient has problems during anesthesia.

It is also easier to wake up from anesthesia.

This patient was given an inhaled medication.

Zhou Can very carefully adjusted the dosage of anesthetic, accompanied by mechanical breathing to let the patient inhale into the body.

After successful inhalation of general anesthesia, the patient will have respiratory arrest, so it is necessary to connect the endotracheal tube to the anesthesia machine for mechanical ventilation.

Overall, this operation still carries a fairly high level of risk.

It can only be said that it is relatively safe.

The patient slowly loses consciousness as if he is asleep.

Zhou Can did not respond to calling the patient's name, nor did he respond to patting the patient's shoulder.

He observed the patient's vital signs, and the overall situation was stable.

[Anesthesia experience +1.] 】

He was only 1 point shy of anesthesia experience to be promoted to residency level. You should be able to complete the upgrade today.

Because he took over most of the surgical patients in the backlog of other doctors in the department.

Most of them are secondary or higher surgeries.

In fact, first-level surgery rarely requires hospitalization. Most of them are outpatient and on-the-go.

Especially in a big hospital like Tuya, the anesthetic position is super tight, and as long as the patient is assessed to have no major problems after surgery, the patient is basically not hospitalized.

"The anesthesia was successfully implemented, the patient's signs were stable, and the operation was possible!"

"Well, come over and take the knife!"

Liu Lao had a serious face.

For major surgery, the pressure on senior doctors is actually very high.

They maintain a serious expression, which is also an invisible deterrent to junior doctors. It's almost like the audience is reminding the junior doctors, be careful, don't give me any moths.

Zhou Can walked to the main knife position on the operating table and stood still, and the nurse put on sterile gloves for him.

Director Mo took Wu Ziyu to watch from the side.

At present, Zhou Can's intubation, skilled operation of various instruments, and anesthesia shown in anesthesia surgery are all very good.

The two couldn't help but look forward to Zhou Can's surgical ability.

Especially Wu Ziyu, she was somewhat shocked to see that Zhou Can was able to do the work of an anesthesiologist and directly establish a general anesthesia channel for patients.

Although surgeons are required to rotate to the Department of Anesthesiology for at least one month, many have only learned the basics of anesthesia.

It is just a more detailed understanding of the entire anesthesia process.

As for how to deal with emergencies during anesthesia, which anesthesia methods are suitable for various major surgeries, what preparations should be made before surgery, and what contraindications are there. Many doctors know very little.

After all, there is a specialization in the art industry!

Surgeons are good at holding scalpels, anesthesiologists need to study both internally and externally, and both internal medicine and surgery need to have a solid foundation.

An excellent anesthesiologist needs to continuously accumulate various surgical anesthesia experience and rescue experience to improve the patient's life support ability in the entire perioperative period.

It must be said here that anesthesiologists are not only responsible for the safety of patients during surgery.

A good anesthesiologist will assess the patient's safety throughout the perioperative period.

It includes preoperative, intraoperative, and postoperative after hospitalization, until the patient is safely discharged.

It can also be seen from this that anesthesiologists are never suddenly dispatched when they are involved in larger surgeries. Instead, they are involved when the surgical plan is discussed before the operation.

After Zhou Can stood still in the main surgical position, he began to replay the patient's examination data in his mind.

The results of MRI examination showed that the left lobe of the patient's thyroid gland occupied a huge mass with a size of 81*110*115mm, partially entering the thoracic cage, and the trachea and mediastinum were compressed to the right, resulting in local stenosis.

The patient also had a CT of the neck with contrast, and the tumor was about the same size as MRI, but slightly larger. The tumor boundary is clear, the density of noncontrast is uneven, and the central hypodense area is located.

Judging from the results of these examinations, although the tumor is large, it is more likely to be benign.

The patient is older and has thyroid dysfunction before surgery. Preoperative chest x-ray showed that the patient had emphysema in both lungs. The risks of operating on such patients are extremely high.

Zhou Can also played with the spirit of twelve points, and carefully cut from the knife edge.

With just one knife, Director Mo and Wu Ziyu's eyes immediately widened, and a shocked expression appeared on their faces.

They have thought that Zhou Can's surgical ability is much more powerful than that of ordinary trainees.

But I didn't expect Zhou Can's incision level to be so high.

And the cutting speed is fast and precise.

Next, Zhou Can let these two people thoroughly see what is called the style of the fast knife heir.

I saw that he first made an incision, exposing the tumor in the surgical field, then quickly separated, and finally excised.

Watching Zhou Can's three times and dividing five by two, he easily cut off this huge tumor with a diameter of more than 10cm. During the operation, it was found that there were multiple cystic solid nodules with a diameter of more than 1.5cm in the right thyroid gland, and Zhou Can was given to sweep them together.

The hemostasis and ligation during the operation made the two of them even more breathtaking.

Until the end of the operation, the two still looked stupidly.

I couldn't come back to my senses for a long time.

"Surgery can do that! Oh my God, it's incredible. ”

Wu Ziyu's beautiful eyes revealed extreme shock and indescribable admiration.

Watching Zhou Can operate on patients seemed to open a new window for her.

In the past, when I saw other senior doctors for surgery, they were all cautious, steady and steady, cautious and cautious. Now that I watched Zhou Can have surgery, it was like playing.

It's so fast that my eyes can't keep up.

But it can still be so good. When separated, whether it is the surrounding important blood vessels or nerves, it can be perfectly avoided. It won't hurt you even the slightest.

The early ligation of blood vessels, or electrocoagulation to stop bleeding, every action became very handsome in her eyes.

The amount of bleeding throughout the procedure is very minimal.

This is inseparable from Zhou Can's superb hemostatic technique.

The wound was cut very flat, and the sutures made her mistakenly think that this was a chief physician with extremely rich surgical experience and a very high level of suturing there.

And Zhou Can's suture surgery, she saw it for the first time.

After the wound is sutured, it is very comfortable to look at.

It is foreseeable that the healing time of the patient's wound will be greatly reduced, and the scar of the wound will be very small.

She now understands why the number of surgeries performed by Mr. Liu's team last month was as high as nearly 900, and the success rate of the surgeries was not only not lowered, but as high as 98.4%, with an average score of 4.8 points for the quality of the surgeries.

With Zhou Can's level, it is not surprising that he can achieve such a high success rate and quality score of surgery.

If the success rate of the surgery is more than 90%, it can be considered excellent.

More than 95%, that's extremely good.

After 95%, every percentage point increase is as difficult as the sky.

Zhou Cansheng has increased by 3.4 percentage points on the basis of this extremely excellent foundation, which is almost the ceiling of the surgical world.

"After watching Dr. Chow's surgery today, I realized that I used to be nothing more than a frog sitting at the bottom of a well. There are people outside the world, and Dr. Zhou's surgical ability is exquisite, and the speed that people can't even think of is beyond my life. Yesterday I publicly questioned Dr. Zhou's unfair arrangement of doctors' work assignments, and now I solemnly apologize to you. I'm sorry! ”

She bowed to Zhou Can.

In his words, he was full of shame, but his eyes were full of admiration for Zhou Can.

Dr. Wu was serious. As long as the misunderstanding can be clarified, there is no need to apologize solemnly. Everyone is a doctor in the same department, and we should trust each other and help each other. ”

Zhou Can couldn't help her.

Because she's a lesbian.

It's good to be able to convince her.

(End of chapter)