"You know all about it! Looks like you pay a lot of attention to me! ”

Qiao Yu smiled happily.

"When I was studying in surgery, didn't you say hello to me? The directors of several departments are very face-saving and take special care of me. Later, I felt that the skills I learned were far from enough, and I was worried that I would not be a nurse for a long time, and I would be unfamiliar with my skills, and I would be disgusted by you when the time came. So I simply begged the director of cardiothoracic surgery and neurosurgery to let me go to them after work to work overtime for free and study more in the operating room. ”

Where there is a will, there is a competition.

Qiao Yu put in much effort behind her in order to be an instrument nurse for Zhou Can, only she knows.

It is also her hard work and hard work that makes Zhou Can more optimistic about her and value her.

"Comrade Qiao Yu, thank you for your efforts to be my right-hand man during the operation. The first surgical patient is expected to be coming in soon, and I look forward to your performance. ”

Zhou Can highly affirmed her efforts.

"Okay!"

After she finished speaking, she probably felt that the conversation was too serious, and covered her mouth and laughed out loud.

After three years, Qiao Yu has obviously become more beautiful and has a more outstanding temperament. And he speaks and does things very competently, and his eyes are still as clear as water as they were three years ago.

In the past three years, the two have only seen each other a handful of times.

However, I often chat on WeChat, and occasionally call to chat. Usually Qiao Yu took the initiative to call him.

"Xiao Zhou, get ready, there will be a urethral dilation surgery for you to preside over soon!"

Dr. Xu changed into a surgical gown and walked in.

"I don't have any problems, it's just that I need a doctor to help with this surgery." Zhou Can was surprised that Dr. Xu was notoriously stern and cautious.

As soon as I came up today, I directly arranged a urethral dilation surgery for him, which is not like Xu Yidao's style!

"I'll be the medical assistant! This is a difficult second-level operation, and it's your first battle back to the emergency department after three years of training, so don't mess it up for me. Director Lou and the others are watching! ”

Xu Yidao is really still Xu Yidao, and with him staring at Zhou Can in person, naturally there is no need to worry about any accidents.

Although Zhou Can has made a certain reputation in major departments, Director Lou and others in the emergency department have not seen it with their own eyes, so they are still a little worried after all.

Yesterday, Zhou Can put forward a lot of conditions, and Director Lou agreed to them one by one.

If he can't show the corresponding strength today, even if Director Lou doesn't say anything, Zhou Can himself will feel embarrassed.

"Teacher, this kind of secondary surgery that requires general anesthesia is generally elective surgery! It takes a while to prepare for the preoperative interview, anesthesia assessment and interview, so this patient should not have just been received, right? ”

Zhou Can asked cautiously.

Early in the morning, even if the patient had been admitted last night, it should not have been possible to arrange the operation so quickly.

"Do you know and ask? I received it yesterday, and I left it for you to do. ”

Dr. Xu glared at him.

Then hand the patient's information to Zhou Can.

The patient was quickly brought in.

This is a male patient in his twenties who has suffered from urethral strictures caused by trauma, and his current symptoms are extreme difficulty urinating, and even some complications. Don't look at it as just a small problem of urination, but it makes this patient's life extremely painful.

"Doctor, please be careful. Ever since I got hurt, my girlfriend has been clamoring to break up with me, and now every row of pee feels like torture. I'm living too miserable. ”

The main person to whom the patient confides is Dr. Koh.

"We will definitely do our best to treat you, now please lie down on the operating table."

After Dr. Koh guided the patient to lie down on the operating table, the anesthesiologist began to administer general anesthesia.

For urethral dilation, local anesthesia is generally used in adults.

The doctor will generally conduct a comprehensive assessment of the patient's condition and choose the optimal anesthetic method. General anesthesia is a bit riskier and has the advantage of being able to monitor the patient's vital signs at any time during the procedure. The patient is under general anesthesia, and the doctor does not have to worry about the patient's uncooperation or movement.

In fact, there is only one disadvantage, which will increase the cost of surgery.

Nowadays, anesthesia technology is very mature. Although every year anesthesia accidents occur and even cause death to patients.

However, the risk of general anaesthesia remains extremely low.

There is also the fact that local anesthesia is safer and general anesthesia is more dangerous, which is nonsense. Even with brachial plexus anesthesia, accidents that lead to deaths have occurred in major hospitals.

And it happened more than once.

There has never been a claim that anesthesia is safer. There are risks associated with any surgery.

As long as it is risk, there is unpredictability.

Zhou Can took advantage of the patient's anesthesia to continue to check the patient's information and examination report.

After the anesthesia was successfully implemented, the anesthesiologist said to Qiao Yu, "Nurse, help him insert a urinary catheter!" Drain the urine first. ”

"Okay!"

Qiao Yu agreed very simply.

Nurses may encounter almost all the dirty work of cleaning the feces and urine on the patient's body, cleaning the purulent and infected skin, wounds, changing dressings, and inserting urinary catheters.

This requires nurses to have a strong psychological quality.

"I'll do it!"

Zhou Can took over the special small urinary catheter to avoid some embarrassment from Qiao Yu.

As long as he is present, the nurse and the female doctor will give as much care as possible.

Qiao Yu is his confidante, and he naturally takes more care of her.

Inserting a urinary catheter is a trivial matter for Zhou Can.

It's just that this patient's situation is quite special, and when the urinary catheter is inserted, Zhou Can obviously encountered obstacles.

Fortunately, he took the initiative to help Qiao Yu with this, otherwise, she would probably be even more embarrassed.

The level of nurse catheter insertion, even if it is an elderly chief nurse, is the main level if she dies. A novice like Qiao Yu, who has only worked for about three years, can reach the inferior level of a resident doctor, which is not bad.

Zhou Can took a lot of effort and finally succeeded in inserting the tiny urinary catheter into the bladder.

[Urethral catheter placement is successful, and the experience value of implantation is +1.] Complete a difficult urinary catheter placement and award +100 XP. 】

It was a bit of a surprise that I was rewarded with an additional 100 XP.

Is this a good intention?

[Congratulations on your successful promotion to level 5 in the implantation surgery, with a current experience value of 1/100000, and a junior level of deputy chief physician.] It can complete the difficult in-tube and cavity insertion, the deep insertion of special medical devices, and the implantation of some organs......]

This medical technique may seem like a chicken rib, but it is of great significance in clinical practice.

It can be said that in many surgeries, the tasks that need to be completed for implantation are basically the finishing touches.

For example, the placement of vascular stents and rings, many doctors begin to tremble and tremble before they start surgery. Why, because some malformed hemangiomas are really difficult to treat.

Not to mention arterial dissection.

If you are a little careless, a human life will be in your hands, so I ask you if you are afraid?

Zhou Can's previous four-level implantation, when the main level, if he wanted to complete the deep implantation of some special medical devices, he could only try to challenge, the success rate was not high, and it took a long time.

Now it's different, after being promoted to the fifth level, even if he hasn't tried yet, he already has some confidence.

Also, the insertion of organs sounds ridiculous.

In fact, in some major surgical processes, it is often used to return an organ to the chamber where it was originally located, or to a certain tissue. However, the risk is very high and the difficulty is extremely high, and there are extremely strict requirements for the technical requirements and experience of the practitioner.

Many organs and tissues are easy to take out and difficult to put back.

Zhou Can now officially has this ability.

"The patient's vital signs are normal and can be operated on!"

The anesthesiologist didn't say much.

just glanced at Zhou Can in a little surprise, under normal circumstances, the chief surgeon doesn't care too much about the nurses in the operating room because of his high status.

He could see Zhou Can's care for Qiao Yu.

"Let's get started!"

Dr. Xu spoke.

didn't give Zhou Can any hints, he deliberately used this operation to test Zhou Can's surgical ability.

Even the knife position was not drawn in advance.

Everything has to be operated by Zhou Can himself.

"Qiao Yu, are all the urethral spies ready?"

Zhou Can looked at Qiao Yu.

She looked at Zhou Can's eyes, which seemed extremely intimate.

"Well, it's all set!"

It seems that before the surgery, she knew what surgery to do.

"The patient's urine is quite large!"

Zhou Can found that the tiny special urinary catheter sucked the urine in the bladder for so long, and it was still pumping it out.

It can also understand why the patient is worse off than dead.

It is extremely difficult to urinate, and it is very painful to urinate, and the bladder is full of urine, but it is difficult to pass it. You can imagine how sour this feeling is.

In his current situation, there is a high probability that he will have physiological problems, and it is normal for him to not be able to complete his married life with his girlfriend.

This is probably the main reason why his girlfriend is breaking up.

No woman wants to be widowed for the rest of her life at a young age.

It is very unrealistic to use only the word love to bind a woman's happiness for a lifetime.

"Okay, the urine is basically clear! Teacher, is it okay to remove the tube and start the operation? ”

Chow Can consulted Dr. Koh.

"Today's surgery is a test for you, so you only need to ask for my opinion if you are struggling. Other times, it's up to you to decide everything. Remember, try to solve it yourself if you can. Every time you ask me, this will lower your surgical score and will affect your future surgeries. ”

Dr. Koh reminded him.

This operation is deliberately used to assess Zhou Can's surgical ability and level, if Zhou Can performs well, this kind of difficult surgery in the future is likely to open up supply to him.

If the performance is not good, considering the safety of the operation, then Zhou Can can can only be degraded for surgery.

It is also possible to offer only primary and secondary surgeries.

At present, Dr. Xu is still guilty of the crime, because of the medical accident back then, he is still working with invisible 'shackles'. Fourth-level surgery, Dr. Xu is not allowed to enter.

Therefore, the emergency department can only perform tertiary surgeries at most.

As soon as he came up, he gave Zhou Can an operation that was infinitely close to the third level, which shows how high hopes are placed on Zhou Can.

"Understood!"

Zhou Can no longer asked for instructions, and directly withdrew the special urinary catheter for the patient.

Then the spy was taken, and because the patient was in a supine position, he stood on the left side of the patient.

In fact, you can also stand on the right side to do this examination, it all depends on the personal habits of the surgeon.

If the patient is in the lithotomy position, the surgeon usually needs to stand in the middle of the patient's legs.

Lithotomy sites are rare.

Zhou Can held a certain organ of the patient with one hand, and the spy slowly entered the external urethral opening. This is only the first step, the next step is to send the spies into the urethra.

This procedure is quite difficult, and if the surgeon is not skilled or inexperienced, it is very easy to injure the patient's urethra.

During the operation, the probe should be kept parallel to the patient's abdominal wall, and the probe should continue to be probed inward, and after passing through the overhanging urethra, the tip of the probe should be slid into the bulb urethra.

After the tip of the probe enters the bulb urethra, the surgeon releases the left hand to tension one of the patient's organs.

Then gently push the probe in the direction of the posterior urethra, pushing and pushing the probe from a parallel position to a vertical position with the abdominal wall, so that its tip crosses the membranous urethra and enters the prostatic urethra.

It can be seen that a layer of fine sweat is secreting from Zhou Can's forehead.

He was careful throughout the operation.

Because this operation is an assessment of his personal surgical ability by the emergency department, it is related to the building and development of his surgical team.

Only the first and second level surgeries are performed, which is highly replaceable, and the development potential is limited after all.

Only by doing third- and fourth-level surgery can you be qualified to have a voice in the hospital.

Zhou Can knows this very well.

After the tip of the probe passes through the membranous urethra, the probe is pushed forward and pressed down from a perpendicular position to the abdominal wall to make it parallel as it advances.

"It worked!"

Zhou Can happily said to himself.

When in a perfectly parallel position, this means that the anterior part of the probe has entered the bladder, thus completing the entire urethral dilation.

The whole process may seem simple, but in fact it is difficult, and there are huge risks involved in every step.

However, one thing can be assured, even if this operation is wrong, it is impossible to kill the patient.

At most, it will make the patient's condition worse, and it will even be difficult to become a real man in the second half of his life.

When the emergency department operated on Zhou Can, it was also carefully considered to ensure that in case of an accident, no one would be killed.

After the spy entered the bladder, Zhou Can operated the spy to twist left and right in the urethra and bladder.

Then carefully withdraw the spies and repeat the previous steps with a larger one.

Dr. Xu stood by and watched, a satisfied expression on his face.

Qiao Yu is a girl after all, and her eyes look at it more often.

After more than forty minutes, Zhou Can put down the spy and looked at Dr. Xu.

"Teacher, the operation has been completed, please check it out."

"Well, the whole procedure was remarkable. Your first surgery is a test. However, this surgery is only a second-class operation, and the focus is on testing your operating skills. The next surgery will be a true tertiary surgery, and you're ready. ”

Dr. Xu's evaluation of Zhou Can did not stop.

Today, he wanted to see how far this beloved disciple had grown after three years of studying outside.

In particular, Zhou Can's steady knife method and fast knife method are the things that Dr. Xu looks forward to and values the most.

Zhou Can breathed a sigh of relief, and his face was much more relaxed.

"I'll go to the toilet first!"

He was under a lot of pressure when he was doing this surgery on a patient. The spirit is also in a state of tension all the time.

Now that he was relaxed, he thought that the next surgery would be even more challenging.

Go to the toilet first and keep your body at peak for the next tertiary surgery.

Presiding over tertiary surgery, that is not even the attending physician qualified.

A deputy chief physician is required.

Give him a tertiary operation, which must have been approved by Director Lou.

Level 5 Insertion,I don't have the right to change the chapter name.,Please understand the readers.

(End of chapter)