"Thank you! Thank you for making me feel the warmth of my new department! "Doctor Wu Ziyu thanked Zhou Can again and again, with sincere words and sincere eyes." I would also like to thank Dr. Chow for letting me understand how far I can from good doctors. In the future, I will guard against arrogance and rashness, follow Dr. Zhou's example, and improve my surgical skills and medical level in a down-to-earth manner. ”

Today, Zhou Can taught her a good lesson.

Her misunderstanding of Zhou Can was cleared up, and at the same time, her eyes were greatly opened.

The matter was resolved satisfactorily.

"Not to mention Dr. Wu, even when I saw Dr. Zhou's surgical strength, I was extremely shocked. I never thought that a doctor who had been trained for less than two years could have such strong surgical strength. Some of the separation and excision in this operation require at least deputy director-level surgical ability to complete. It's amazing! ”

Director Mo was also full of praise for Zhou Can's surgical strength.

"Maybe I'm more courageous, and the teachers take good care of me, and they all teach me, so I'm making faster progress! In fact, my surgical strength is far from reaching the level of deputy director, and I am at the level of the attending officer. ”

Zhou Can is telling the truth.

Before practicing the quick knife method, his surgical strength was real.

Later, the fast knife method was promoted to the entry level, and the fast knife method was used to control the separation, incision, and debridement medical techniques, which was equivalent to using internal strength to urge martial arts. Shengsheng has raised the level of separation and incision medicine to a great level.

Obviously, he only has the level of the main director, but he can give full play to the strength of the deputy director level.

That's what makes the quick knife so fascinating.

Whether the 'Steady Knife' and 'Precise Knife Technique' also have this ability, Zhou Can is not very clear.

Anyway, he had fallen in love with the magic of the quick knife technique.

Every time I have surgery, I feel a hearty sense of pleasure.

"Outstanding strength, but can be humble and humble at all times. The future of the young man is limitless! Director Mo was very emotional. is also very optimistic about Zhou Can's future. "I was relieved that the surgery was successful. To tell you the truth, let alone me, the other chief physicians have not confirmed Dr. Zhou's surgical ability, and we are somewhat uneasy about handing over those patients to you for surgery. ”

After hearing this, Zhou Can smiled bitterly.

The chief physicians are all old and steady, and they are both virtuous and moral.

Zhou Can's petty pearson took the surgical patients they treated, although it was out of good intentions, but the chief physicians were more worried that Zhou Can's surgical strength was not enough.

In order to be responsible for their patients, although they did not oppose it openly, they appointed Director Mo to enter the operating room to inspect Zhou Can's surgical strength.

Now that it is determined that Zhou Can's surgical strength is stronger than imagined, Director Mo can also explain it to others well.

"Director Mo, I have to accompany Zhou Can for surgery in the past two days, and the outpatients of the thyroid gland have to pay more attention to you. In case of incurable diseases, doctors from the entire department can be consulted together. ”

Liu Lao admonished.

"Rest assured, nail and breast surgery is your department and our department, and everyone will work hard to do their work. I will never do anything like smashing my job. ”

Director Mo waved at Liu Lao and prepared to leave with Wu Ziyu.

"Director Mo, Director Liu, can you let me stay in the operation to help with the operation? My surgical strength is far inferior to Dr. Zhou's, but I can help pull the hook, sew the skin, stop the bleeding and so on. ”

Wu Ziyu saw that Zhou Can's surgical strength was so strong, and she was somewhat stimulated, and she was not willing to lag too far behind.

Zhou Can's surgery schedule for the past two days was full, both large and small.

She will definitely learn a lot of surgical skills and experience.

This will be of great benefit to her surgical skills.

"I have no opinion, it depends on whether Director Liu can agree!"

Director Mo did his best to take care of his doctors.

"What kind of work has the department arranged for you in the past two days?" Liu Lao was not in a hurry to agree.

The department has just been built, and there are a lot of things.

Manpower is also particularly tight.

Even if you are just a resident, the amount of work assigned is very large.

If she is left in the operating room, there will inevitably be some work that belongs to her that needs to be divided among others.

"I was given the task of managing the ward, writing medical records, and prescribing medical orders. Rest assured, I won't delay my work. I would shift with other colleagues and work overtime at night. ”

She said hurriedly.

"Okay, don't spend more than eight hours in the operating room. Young people, it's good to work and study hard, but you should also pay attention to rest. You need to get at least six hours of sleep a day. ”

Liu Lao couldn't bear to refuse her inquisitive eyes.

In the end, I chose to say yes.

She was used as an assistant to Zhou Can.

Originally, the more difficult work of pulling the hook and stopping the bleeding was all done by Liu Lao. There was no way, there was a shortage of manpower, and the deputy director had to play the role of a helper.

While serving as a first assistant, Liu Lao was nominally the chief surgeon, guiding Zhou Can's operation.

When encountering the part of the operation that Zhou Can is not capable of now, he needs to do it himself.

Now that there is an assistant at the level of a resident, Liu Lao can also be much easier.

After all, like the thyroid tumor removal surgery just now, two trainees and three interns are absolutely incapable of helping any of them.

"Has Dr. Wu been involved in tertiary surgery?"

"I have participated many times, and I usually play the role of three assistants. The most that has been done is hemostasis and skin closure. "She's honest enough.

The vast majority of residents take at least their third year to slowly gain hands-on opportunities for some of the more risky surgeries.

Just like Zhou Can was in the emergency department back then, at the beginning, even if he drained an abscess from a patient, he could be excited for a long time.

Surgeons grow little by little and get through slowly.

"Well, the next operation is thrombohemorrhoidal removal, you can try it as a help to Dr. Zhou!"

Liu Lao decided to try her depth first.

Later, she will be given the opportunity to exercise for surgery.

The patient was quickly brought in.

It was a female patient in her thirties, walking like a girl who had just broken a melon, limping, with a painful expression on her face from time to time.

Hemorrhoids are soft venous masses formed by bruising, dilation, and flexion of the hemorrhoidal venous plexus under the skin of the rectum and anal canal.

If thrombotic hemorrhoids are not treated in time, they will cause great pain to the patient. Difficulty sitting and lying down, difficult and painful to defecate.

The female patient has become like this when she walks, indicating that the condition has progressed to a very serious level.

"Please lie down on the operating table!"

Wu Ziyu took the initiative to arrange for the female patient to lie down on her side.

After all, most of the operating rooms are filled with male doctors, and female patients will feel embarrassed.

Wu Ziyu is also a woman, so it is easier to gain the trust of patients and relieve the embarrassment of patients.

The actual surgeon of this operation is still Zhou Can.

A minor surgery that does not require a specialized anesthesiologist.

Local anesthesia can be administered directly to the patient by the surgeon.

"Old Liu, wouldn't it be better for her to use sacral anesthesia in this situation?"

Zhou Can's experience in first- and second-level general surgery is quite rich.

In addition, he learned a lot of anesthesia knowledge and skills from Dr. Yu, and it was easy to cope with the local anesthesia of this kind of second-level minor surgery.

With a little understanding of the patient's condition, the most suitable anesthesia plan can be accurately given.

Hemorrhoid surgery can generally be performed with local anesthesia, sacral anesthesia, or lumbar anesthesia if necessary.

"Sacral anesthesia is very suitable, let's get started!"

Liu Lao cast an approving look.

Being able to flexibly use the most appropriate anesthesia method shows that Zhou Can's anesthesia level has made great progress.

Zhou Can took the anesthetic prepared by the instrument nurse and began to administer sacral anesthesia to the female patient.

This type of anesthesia is more difficult than intramuscular local anesthesia.

It involves injecting a local anesthetic into the sacral lumen through the sacral hiatus to block the sacral nerve. It is a type of epidural anesthesia and is mostly suitable for rectal, anal and perineal surgery.

"Dr. Zhou's injection technique is so strong!"

Wu Ziyu watched Zhou Can's operation from the side, and couldn't help but be amazed.

If it were her, let alone an easy success, even if she was given ten chances, it would be good to succeed once.

She had only seen this type of anesthesia two or three times.

Because she used to follow Director Mo, the surgeries she did were basically thyroid surgeries.

Zhou Can performed sacral anesthesia on the patient just now, and it seemed to be easy and easy. This also shows the strength of Zhou Can.

She secretly made a comparison, even if Director Mo operated it himself, it was difficult for Zhou Can to be so easy.

"It's nothing, you can do it easily when you practice a lot in the future."

Zhou Canhun smiled absently.

"Can you teach me a little bit? I've seen other doctors do it two or three times, but none of them are as good as yours. I've always wanted to learn, but I haven't. ”

Wu Ziyu saw that he was more easy-going, so she took the opportunity to ask him for advice.

Usually ask her to ask the deputy director and chief physician for advice directly during the operation, but she doesn't dare at all.

"The most difficult step in performing sacral anesthesia is to perform sacral puncture. The patient can be placed in a lateral or prone position, depending on the patient's condition, to adopt a different lying position to reduce the pain of the patient as much as possible. In the lateral decubitus position, the patient's back is arched backward and the knees are brought closer to the abdomen, like a curled shrimp. In the prone position, the patient has a small pillow on the hip, the legs are slightly apart, the toes are tilted inward, and the heels are externally rotated to relax the hip muscles. ”

Zhou Can was very competent to teach her the anesthesia knowledge and skills he had mastered.

"Touch the tip of the coccyx before the puncture, which is where it is." He pointed to the tip of the patient's tailbone. "About 3 to 4 cm headwise along the midline, you can feel a V-shaped or U-shaped depression. It is flanked on either side by a sacral horn with a large bony prominence, and this depression is called the sacral hiatus. Find this hole for puncture, and it's basically done. ”

In Zhou Can's opinion, it was a very simple anesthesia operation, and when he explained, he realized that it was so hard to be a teacher.

I actually told her a lot.

Recalling that the senior doctors who taught him tirelessly explained the surgical operation skills, precautions and specific steps for him, he couldn't help but feel a deep sense of gratitude.

If you don't be a teacher, you don't know the hard work of a teacher.

If you don't become a parent, it's hard to understand the difficulties of your parents.

"I've basically learned how to look for sacral hiatus, can you tell me about the specific puncture? I'm a little stupid, don't bother me. She was a little embarrassed.

Seeing her inquisitive eyes, how similar it was to Zhou Can when he consulted a senior doctor.

"You're smart. All doctors learn the same way you do. I learned this anesthesia operation after learning from the teacher for a long time. ”

Zhou Can told her a white lie.

When Dr. Xu taught him this procedure, he learned it only once.

"Start by making a dermid mound in the center of the sacral hiatus, and the needle is threaded vertically through the skin and the sacrococcygeal ligament that covers the sacral hiatus. When the ligament is penetrated, there is a feeling of frustration where the resistance suddenly disappears, and the needle is inserted at a 30-degree angle to the skin to enter the sacral lumen. ”

Zhou Can gestured again.

However, no further puncture was performed on the patient.

Otherwise, it's time for the patient to curse.

"Thank you for teaching me so patiently."

She took notes carefully, and she must be ready to go back and study it well.

After the anesthesia is successful, the operation officially begins.

The female patient is not lethargic or not, she is awake.

She originally thought that such a young doctor would be a little uneasy about operating on herself. But after listening to Zhou Can's teaching to Wu Ziyu, she changed her opinion.

If you can take an apprentice, your medical skills will definitely not be bad.

It's also a master.

She waited for Zhou Can to operate on her with confidence.

"Has Dr. Wu ever had this kind of surgery?"

"No! This is just the first time I've seen it! ”

She shook her head sheepishly.

"Look carefully at every step of my surgery. A radial incision is made at the site of the blood clot first. ”

Zhou Can explained while operating on the patient.

"When the skin is cut, purple-red blood clots can be seen. Well, that's it. ”

Zhou Can pointed out to her.

"Use your thumb and forefinger to push out all the clots from the base of the clot toward the incision. It is necessary to pay attention, not too strong, not too gentle, otherwise the blood clot will not be squeezed out or squeezed clean, and the good treatment effect will not be achieved. The wound can be filled with petroleum jelly gauze or a small cotton ball dipped in hemostatic powder and benzocaine powder. ”

Zhou Can did the surgery very quickly.

As soon as the words were finished, the operation was basically completed.

"Remember, don't suture the wound and let it heal gradually."

There are many wounds that cannot be sutured.

Hemorrhoidal wounds are one of them.

Some novice surgeons have made jokes. There are also those doctors who have learned half-heartedly to open clinics, because of the lack of guidance and checks from senior doctors, and even a certain degree of medical malpractice.

The operation was quite easy, and it was done here.

Liu Lao stood next to him and didn't say a word.

Just watching Zhou Can teach Wu Ziyu to do the operation, Liu Lao's eyes showed a smile of relief.

When a doctor's skills are improved to a certain level, especially when they are older, they will especially want to pass on their medical skills and teach them to more people.

Watching Zhou Can teach Wu Ziyu, this is the performance that has been passed down from generation to generation.

Therefore, Liu Lao will feel particularly pleased.

After the female patient was pushed out, a new surgical patient was soon pushed in.

Zhou Can continues to act as the absolute main force, performing surgeries for patients quickly and efficiently. Wu Ziyu played the role of a helper in some minor surgeries. In the case of high-risk and difficult secondary surgery, you can only be a second assistant.

Liu Lao will personally help Zhou Can.

When Zhou Can did the fourth operation of the day, his hemostasis was finally promoted to level five as he wished.

[Hemostasis, level 5, current experience value 1/100000, deputy director junior level.] 】

This is his fourth fifth-level surgery.

At this rate, the expiration of the three-year training period may really be able to raise most of the medical skills to the level of deputy director.

That's Bull B.

Virtually all tertiary surgeries can be performed independently, and even the core surgical parts of the fourth-level surgeries can be challenged.

(End of chapter)