Chapter 219: How difficult it is for medical students, asking for help from outside the gods
In the operating room, Zhou Can was doing crazy operations one after another.
The sense of crisis that inexplicably appeared during the lipoma removal operation came strangely, and it was just as mysterious when it disappeared. I don't know when it disappeared automatically.
Zhou Can didn't bother with it anymore and concentrated on the new operation.
……
Busy until the end of work, Zhou Can completed a total of 17 surgeries today. At his rate, the first and second level surgeries can be done close to 30 units a day.
But today's lipoma removal operation was a tertiary operation that took nearly three hours.
There was also the previous surgery for the thyroid tumor patient, which was also a tertiary operation.
As a result, he only had seventeen surgeries in total.
Two tertiary surgeries and fifteen first- and second-level surgeries, this amount is actually quite amazing.
Wu Ziyu followed up with a busy day, and the harvest must have been very big.
At five o'clock in the evening, although she was reluctant to leave, because there was still work to be done to manage the bed, she had to hurry to the ward to take over the shift.
Residents are already equivalent to regular employees, and if they are in a less idle department, they may be responsible for less work.
In a department with a tight staff, the workload is considerable.
She is willing to work in the operating room for eight hours and also manage the ward on the night shift, which shows that she is working very hard to improve her surgical strength.
Tuya Hospital, there are still a lot of hard-working doctors.
Most doctors and nurses are very hard-working.
After Zhou Can got out of the operation, he went to the ward to check on the patient who had lipoma resection surgery.
At present, the patient has woken up.
He looked a little pale, his spirit was not very good, and he felt that the patient's spirit was a little tired.
"Who is this patient's bedside doctor?"
"It's me, it's me! Hello Dr. Chow, my name is Bu Shiren, and I am temporarily in charge of managing the patients in this ward. If there is anything, you can always ask me to do it. ”
The doctor is a young doctor of twenty-seven or eighteen, a real resident.
is three or four years older than Zhou Can.
The rank is slightly higher than Zhou Can's regular trainee.
Resident students, generally after obtaining the double certificate, as long as they register as a physician in our hospital, they are residents.
It's just that the qualifications are relatively shallow, and most of them have received regular training for two years and can get the medical certificate. There are also more sad ones, if you don't pass the medical certificate, then you can only apply for the exam next time.
Unlicensed trainees will be very embarrassed after three years of work.
Because the examination for the medical certificate is a national unified examination, the registration time is fixed. Practical skills are tested separately from theory, which leads to a long examination cycle.
It is almost impossible for trainees who fail to pass the first medical certificate examination to obtain the medical certificate at the end of the three-year training period.
After the expiration of the training period, the question of what to do is what to do.
Even if the hospital is willing to keep you to continue to work in the hospital and let you continue to apply for the medical certificate, the salary of the trainees is pitifully low, and the consumption level in the provincial capital city is very high. As a result, it will lead to working for four or five years, and you will have to open your mouth to ask your family for money.
It is not easy for a family to support a medical undergraduate. If it is for a master's degree, the investment will be more.
The vast majority of families are ordinary families, and it is not easy to provide for you to finish college, or even graduate school.
After working for a few years, I still have to ask my parents for money, even if my parents are willing to give it, it is not good to say.
I will also feel very ashamed.
At the same time, I saw that other students who had passed the exam had already started a normal career promotion path. One by one, they began to become full-fledged residents, their salaries increased a lot, and they could also participate in the department's performance dividends, surgical commissions, and so on. There is also a year-end bonus.
If you want to say that you are not jealous, you are not red-eyed, who will believe it?
Then there will be more serious problems, at this time they are at least twenty-seven or eighteen years old, and it is time to find a partner.
Girls are better, if a male medical student has no money and no career, which girl is willing to marry you?
At this time, the pressure will be like a mountain pressing on you.
There are more tragic things than the above.
If you haven't passed the medical certificate for the first time, the training hospital won't let you sign up for a licensed doctor. At this time, I can only go to a hospital outside and spend money to register for the licensed physician exam.
Therefore, the road from a medical student to a doctor is really extremely difficult.
It is precisely because of the difficulty that many medical students are forced to change careers. Either in an administrative position or in other medical-related jobs.
It may not be smooth sailing after passing the exam.
There are so many variables.
For example, there is no talent in diagnosis and surgery, and the academics are not outstanding, and even if they are not eliminated by the hospital for a few years, they have no future. Either continue to mix, find a way to participate in the project, spend money to buy two papers, and work hard yourself, and then talk about the promotion of the main treatment first.
The pass rate of residents is still quite high.
Even if you don't pass the first time, you can take the test again next time. There is always a time to pass.
After being promoted to attending physician, he honestly stayed in the department.
As long as there are no major mistakes, it is still no problem to mix peacefully until retirement.
The above are the most miserable types.
As for mixing well, that's really promising.
Being promoted to chief physician in his forties is by no means the end, but a new starting point in life.
At this level, I will definitely enter the college to participate in teaching positions. From assistant, associate professor, professor all the way up. There are thirteen levels of teaching positions in colleges and universities, and if you are promoted to a first-class professor, you will basically go down in history.
In addition to the academic aspect, there are also clinical, scientific research and other aspects can be developed.
The route is too wide.
If you can be rated as an excellent young man in the field of scientific research, or even an outstanding young man, he is in his forties at this time, and he is in the prime of life. It is definitely a good thing that countless medical workers dream of.
……
Bu Shiren's working years are much longer than Zhou Can's, and he is already a senior resident. Under normal circumstances, he is higher than Zhou Can in rank.
However, there are too many factors that can determine the status of a doctor in a hospital.
Bu Shiren's attitude towards Zhou Can is as respectful as that of the chief doctor.
Hidden status is something that cannot be seen or touched, but it is real.
Unlike those relationship protectors, Zhou Can is completely based on strength. Therefore, most of these residents in the department also respect him from the bottom of their hearts.
"Just now I checked the patient's body temperature, blood pressure and other records, and Dr. Bu did a very meticulous job."
Zhou Can highly praised his work.
All basic signs are recorded every 15 minutes, and are usually only treated when critically ill patients are on medication. It shows that Dr. Bu is very concerned about this matter.
"That's what I'm supposed to do."
Dr. Bu received Zhou Can's affirmation and praise, and it was clear that he was very happy.
Because Zhou Can's status in the department is extremely special, as long as he helps him say a few good words in front of Liu Lao, his development opportunity will come.
"In recent days, it has been important to keep a close eye on the changes in this patient's signs. If there is any abnormality or uncomfortable symptoms, you can find me or Director Liu in time. ”
Zhou Can said to Doctor Bu.
"Understood!"
Dr. Bu understood.
The patients assigned by the surgeon are the ones with a high degree of risk.
If the doctor in charge of the bed does not monitor it properly, it is very easy to have an accident.
There are some words that are inconvenient to say in front of the patient, and the doctor in charge of the bed can only understand them on his own.
"The patient's current blood pressure, breathing, heart rate, body temperature and other data are relatively normal. But it is still not to be taken lightly, and it is not necessary to measure the basic signs every 15 minutes. Let's check it every two hours instead. ”
After seeing the patient's condition, Zhou Can made adjustments.
It's already 7:26 p.m., and it's night shift in just over four hours. When there is only one doctor on duty, it will definitely not be busy.
The patient's physical signs are stable, and there are family members accompanying him, so if there is a real abnormality, it can be detected in time.
……
Returning to the apartment where he stayed from the hospital, Zhou Can was tired from the day and especially wanted to go to bed.
However, he still insisted on practicing the quick knife technique for two hours, and then practiced the transfer technique for another hour.
At present, only anesthesia and delivery are still level 3 among the seven advanced medical skills, and the others have been upgraded to level 4.
After reaching level 4, you can basically only rely on the practice of the patient to increase your experience points.
The transfer technique is only a little more than thirty points away from being promoted to level four.
After an hour of practice, the experience value of the transfer technique has risen to 997.5/1000. Zhou Can has obsessive-compulsive disorder for upgrading.
Every time he saw that his experience points were not far from being promoted, he would find a way to get it to the next level.
It's only 2.5 experience points away from being able to reach level 4, so you have to make up the 2.5 experience points.
Zhou Can gritted his teeth and continued to practice.
At this moment, it is a bit like the old days when I was an intern, in order to be able to get the qualification to stay in the hospital, I practiced stitching and knotting a piece of pigskin.
"In less than two years, I didn't expect a medical experience point system to directly reinvent me and completely change my fate."
Zhou Can couldn't help but feel a little emotional.
Now he is no longer the intern who has no hole cards. Instead, through their own efforts, coupled with the help of the experience point system, they were able to transform.
The strength in all aspects has been improved by leaps and bounds.
There were so many hole cards that he couldn't even count them himself.
There are already four surgical skills at the deputy director level alone.
Quick knife method and first aid are special medical skills that ordinary doctors do not have.
Medical license, orthopedic medicine, and multiple advanced medical skills......
Compared with that time, Zhou Can couldn't believe that he could really be so good.
[Transmission XP +0.1, +0.1......]
It feels like Zhou Botong in martial arts is playing left and right at this moment.
[Congratulations on your promotion to level 4 with 1/10000 of your current experience.] Surgical instruments such as vascular stents, metal rings, occlusal nails, and bone nails can be flexibly and accurately delivered during surgery. It can also complete the transmission and docking of human tissues, such as blood vessels, kidneys, and neurons, without damage. The right and left hands are swapped or pulled in the opposite direction during the operation, which can be completed efficiently and quickly. 】
This technique is rarely used in traditional surgery.
It is usually used in endoscopic surgery.
It goes without saying what it does.
At the critical moment, it can't be done without it.
Compared with the third stage, the transmission accuracy has been greatly improved, and there is also an additional non-damaging tissue transmission.
This is very important.
When using instruments to clamp and pull various organs and tissues, it is very easy to damage them. The Transmission Technique was upgraded to Level 4, and this problem was finally solved smoothly.
"Finally, another medical skill has been promoted to the fourth level. It's a good feeling to keep upgrading your medical skills. ”
Zhou Can knew very well that every day the improvement of his medical skills meant that his strength became stronger.
The nine-story platform starts from the soil, and the wood of the hug is born at the end of the millennium.
The growth of a famous doctor cannot be achieved overnight. Instead, it is necessary to be like Zhou Can, who gradually improves one medical skill and one medical skill, constantly makes up for his shortcomings, and becomes better at what he is good at, so that he can finally become a generation of famous doctors.
After the transfer technique was upgraded, Zhou Can could take a bath and sleep peacefully this time.
After taking a shower, he sat on the bed, opened his laptop, and first recorded the experience and points of today's surgery.
Then start learning the basics of medicine.
Director Xueyan has made a long-term study plan for him with a lot of effort, and he will implement it to the end. Learning is a process of persistence and accumulation.
Just because you have passed the medical certificate doesn't mean you don't need to study.
If you really want to make great progress, you must make up for the lack of medical knowledge.
The time for undergraduates to study in school is actually very limited, because they have to go to the hospital for internship in the fifth year, and the learning during this period is basically intermittent.
It only took four years to study.
This is also the reason why many better tertiary hospitals give priority to recruiting master's and doctoral students when recruiting doctors.
Graduate students are more knowledgeable in medicine, especially in their chosen field of specialization, which has been deeply cultivated to a certain extent, and with a little training, it is possible to become a backbone doctor on their own.
Under normal circumstances, it takes a longer period for a hospital to train an undergraduate student to become the backbone doctor of the department.
If you encounter undergraduates who are slacking off in learning, not only will the training period be longer, but it will also be difficult to become successful.
The end result is a reduction in the overall level of care in the hospital.
Zhou Can is now working together in all fields, and there is a trend of a hundred flowers blooming. The most important academic aspect must not lag too far behind, and we must catch up.
Last time, in order to take the medical certificate, he made up a lot of medical knowledge, and he obviously felt the real benefits.
In many aspects such as pathological diagnosis, doctor's prescription medication, ward management, surgery, etc., they have enjoyed the great progress brought by the improvement of medical knowledge.
I read until twelve o'clock, and then Zhou Can turned off the lights and went to sleep.
Jin Mingxi on the other bed had already snored.
The gap between the two is also widening little by little.
When he first passed the training exam, Zhou Can was actually inferior to Jin Mingxi in terms of surgical practice. Treatment experience, surgical experience, and basic medical knowledge are all much worse than Jin Mingxi.
Now, Kim Myung-hee is far inferior to him.
So, diligence is very useful. can allow Zhou Can to quickly surpass one opponent after another.
In a daze, his cell phone rang.
Zhou Can pressed it off casually, turned over, and continued to sleep.
The bell rings again.
This time he sobered up a little and realized that someone had called.
"Hello, is it Dr. Zhou Can?"
A young, gentle woman's voice came. There was a hint of urgency in his tone.
"It's me!"
Zhou Can woke up most of the time from drowsiness, and it was not the first time he received an emergency call from the hospital in the middle of the night.
When a patient is in danger, it is difficult for the doctor on duty to have the ability to deal with it. At this time, most of them will call the relevant doctors to rush to the hospital to participate in the rescue and consultation.
Zhou Can is still just a regular trainee, and he has not been called many times.
The chief physician and deputy chief physician of the hospital, as well as the interns, should belong to this group of severe victims.
The interns were called over to get them to do the chores in the rescue.
Sending patients for examinations, getting test results, taking medicines, and some basic tasks during the operation have to be undertaken by interns.
"Doctor Zhou, I'm very sorry to disturb your rest at this time. I'm a neurosurgeon, and I just sent a patient from the emergency department who was in a severe coma and had a cerebral hemorrhage, and needed urgent resuscitation. Director Wu invites you to come over and participate in the consultation and rescue. ”
She briefly explained the reason for the incident.
"Okay, I'll rush to the hospital right away!"
Zhou Can hung up the phone, rushed out of the apartment building while getting dressed, and rushed to the hospital.
Don't worry about people thinking he's nervous when they see it, this happens many times a day in this apartment building.
As long as doctors receive emergency calls from hospitals, they are basically in this state.
Rush all the way to save people.
Zhou Can secretly wondered in his heart, why did the neurosurgeon suddenly think of inviting him to ask a trainee to participate in the rescue?
He had been cultivating outside the gods for a few months, and he knew the strength of the gods very well.
In addition to the peak scalpel Wu Baihe, there are many elite doctors in the field of neurosurgery. There are many directors and deputy chief physicians alone.
Such a powerful department specially asked him to rush to support him, which made Zhou Can inevitably have some self-aggrandizing thoughts.
He pondered the patient's condition.
It's certainly not a simple cerebral hemorrhage.
(End of chapter)