"Dr. Chow, is this the patient's appendix? How can you tell if it needs to be removed? ”

The Squire continued with his 10,000 whys.

I really wonder if this kid has seen too much of the Haier brothers, or has developed this habit of asking questions.

It's not a bad thing to like to ask questions.

But if you ignore the occasion, regardless of the actual situation, and ask whatever comes to mind, it is a lack of heart.

Zhou Can suppressed the irritability in his heart, after all, he was undergoing surgery, and if he was disturbed, if he cut off a certain organ or tissue of the patient, it was not a joke.

With Dr. Xu's severity. He would be disqualified from surgery immediately.

In a major operation like this, if nothing happens, once something happens, the person who bears the blame is definitely not Zhou Can, but Dr. Xu.

Third-level surgery, he is not qualified to enter the operation at all now, and if something happens, he can't carry this pot.

Calling an intern over is to help him as a medical assistant.

And not to cause trouble.

Too kind, too talkative, obviously won't work.

Zhou Can decided to give Luo Shishen a reminder. It didn't scold people directly, he had a cold face, pretended not to hear, and didn't answer.

Instead, focus on the patient's appendix.

Seeing that he was silent, Luo Shishen didn't ask any more questions, but his face was obviously a little embarrassed.

Suddenly, the atmosphere became a little awkward.

"Dr. Zhou is operating on the operation, and we try not to disturb him. If you have any questions, you can wait until after the surgery. Qiao Yu was afraid that he wouldn't be able to get off the stage, so he helped play the round and let him have a step down.

"You're right! Thank you! ”

Luo Shishen smiled gratefully at Qiao Yu.

In the following operation, Luo Shishen did not ramble again. After the operation, he began to ask questions again.

"Who is Dr. Luo's mentor?"

Zhou Can asked lightly.

"Our instructor is Dr. Xu, but he is very busy and doesn't have much time to take care of us."

There was a bit of a whining in Luo Shishen's words.

Most newcomers to the workplace are prone to making these low-level mistakes. Complaining about some shortcomings of the superior in front of other colleagues, or complaining about the dissatisfaction in your heart.

As everyone knows, as soon as he finished complaining, it is likely that before he got off work, his original words reached the ears of his superiors.

"In fact, it is not only Dr. Xu who is very busy, but also every medical staff in our emergency department has a lot of workload. If you ask questions in the future, I suggest a categorization and summary. After the operation, you can write down the questions you don't understand in a notebook, and then see which ones can be answered by looking up the information. If you really can't find the answer, it is better to find a suitable opportunity to ask a senior doctor for the church. ”

Zhou Can gave him suggestions for corrections.

Take the four questions he just asked, almost all of them can be answered by looking up information on your own.

In Zhou Can's eyes, these are all stupid questions.

In addition to making Zhou Can feel that this young man doesn't like to think and is a little bored, he won't have any good feelings.

I don't think he's studious.

will only think that he is too lazy to think, too lazy to look up information. Think of senior doctors as an encyclopedia.

"Okay, I'll try to do what you told me after work!"

Squire Luo nodded in agreement.

If you can be admitted to the doctor's school, your IQ will definitely be fine. Almost all medical students are high-IQ creatures, except for those who buy through the back door.

Many of those related households simply buy a seat and then try their best to mix up their academic qualifications.

Even if the family has money, it is not easy to mix up a medical student's undergraduate degree. The medical major is at least a second-class undergraduate major. Many clinical majors are a class of undergraduate majors, and the difficulty of admission and graduation is not comparable to that of the three universities.

Although Zhou Can said it tactfully enough, I believe that Luo Shishen will definitely be able to understand the hidden meaning.

After the appendicitis surgery is over, the next patient is brought in for surgery.

Today, Zhou Can's surgical ability has reached a very high level, and his partner Qiao Yu is also not what it used to be. She works as an instrument nurse and is absolutely excellent.

Not only is he diligent and flexible, but his professional standards are also first-class.

The preparation is very well done, and she can know in advance what instruments or drugs Zhou Can may use next, or what she needs to do with the patient.

The two of them didn't even need words during the operation, and they were able to complete the entire operation in tacit understanding.

The kind that doesn't go wrong.

It was a real pleasure to have surgery with her.

After staring at the patient's bloody wound for a long time, he must feel uncomfortable, and his eyes are easy to blur. At this time, looking up at her beauty, she was in a happy mood and her eye fatigue was relieved.

Not to mention the silent tacit understanding during the procedure, it can save a lot of waiting time and keep the whole operation exceptionally smooth.

Imagine, Zhou Can needed an ordinary scalpel, and the instrument nurse handed him the electrocoagulation knife.

When the doctor operates, the eye cannot leave the line of sight of the wound, and the nurse hands the required instrument to the doctor.

If you want an ordinary scalpel, but you will receive an electrocoagulation knife to stop bleeding, you can imagine how bad the doctor's mood will be.

There will also be a brief pause in the surgery.

Even, the surgeon's train of thought may be interrupted.

This will seriously prolong the operation time and even cause accidents.

"Call the next patient in!"

Zhou Can commanded.

"Okay!"

Qiao Yu was about to leave to pick up the patient.

"Qiao Yu, you can be an instrument nurse in the future, your hands are required to be sterile, running around in the operating room will increase your workload, and it is easy to cause potential contamination of surgical instruments."

In addition to the first and second level minor surgeries, Zhou Can is now going to have some tertiary major surgeries.

The requirements are much higher.

The operating room conditions in the emergency department are not good, and if you don't pay attention to it, it is very easy for patients to get infected during surgery. This greatly increases the risk of postoperative infection.

"Luo Shishen, from now on, you will be responsible for the escort of patients after completing the operation, as well as the access of new surgical patients."

Zhou Can's arrangement is also out of consideration for the safety and efficiency of the operation.

"Hmm...... Let's go! ”

Luo Shishen agreed a little reluctantly, obviously reluctant in his heart.

Many doctors, especially novice doctors who are new to working or interning in hospitals, will always have an inexplicable sense of superiority in their bones. I feel that my status is higher than that of nurses, and some unskilled dirty, tiring work, and miscellaneous work should be done by nurses.

He may think that it is the job of a nurse to pick up and drop off patients, but now arranging for him, a doctor, to do these jobs is somewhat 'overkill' and feels that the price is cheap.

So reluctantly, it's normal.

Seeing that he agreed, Zhou Can didn't say anything.

In fact, since he returned to the emergency department to prepare for the formation of the surgical team, he has gradually been required to have both the requirements of a subject leader and a surgical team manager.

In other words, it is necessary not only to play a core leading role in medical skills, but also to be a good 'leader' in team management.

It's also a new identity he has to adapt to.

The patient was a traumatized patient with a smashed head and the smell of alcohol.

Most of the time they were in a fight and someone hit their heads with a wine bottle.

"Have you been injured?"

Zhou Can checked the patient's injuries while asking about the basic situation.

"I made it myself. My girlfriend wouldn't break up with me, so I got angry and picked up the leftover half bottle of red wine and threw it on my head. ”

The age of the injured man was twenty-five or sixteen years old.

How much does it have to be to hate his girlfriend to commit such an extreme self-harming act?

"You may need to shave your hair so that the wound can be cleaned and stitched up."

After Zhou Can looked at it, he found that there was a long wound that was still bleeding, and it definitely needed stitches.

"Shave!"

The injured person was very conscious, and after taking films, no potential risks such as skull fracture or intracranial hemorrhage were found. The skull should be the hardest bone in the body, and it's nothing to resist a wine bottle.

Of course, it is also possible that this guy has the skill to smash the bottle, which did not cause a fracture of the skull.

"Doctor Luo, don't be stunned, shave his hair! Be careful and try not to touch the wound. ”

Hair shaving is usually done by junior doctors.

Having the chief surgeon shave the patient's hair is a bit of a shock.

"Oh, okay!"

Luo Shishen basically pushes and moves, like driving a classic car.

He said that he has been interning for almost half a year, which departments have he been interning in the past six months? Didn't you learn what an intern should do?

If you have to do everything with the senior doctor, the senior doctor will be able to take care of the interns under him all day long.

Some powerful and high-status chief physicians and deputy chief physicians have more than a dozen interns under their command, so they basically don't have to work.

When Luo Shishen finished shaving the patient's hair, Zhou Can saw that he was a little slow to work, so he simply cleaned up the broken hair by himself, and then began to preliminarily clean the wound and disinfect the wound for the first time.

This is followed by debridement, which is mainly to prevent glass shards, broken hair, and other impurities from hiding in the wound.

If it is not cleaned up, the wound can easily become infected and suppurative after it is sutured.

Anyone who has studied the body's three major circulatory systems knows that the risk of suppuration in the hair is much higher than in the limbs.

Especially this deeper head wound.

The debridement was completed, and Zhou Can successfully earned 1 experience point for debridement.

[Debridement, level 4, current experience value 9998/10000.] Excellent level of attending physicians. 】

With only two more debridements, he can be successfully promoted to the level of deputy chief physician in debridement.

At the beginning, I thought that after the three-year training, all surgical skills could be promoted to the deputy director level. In the end, the ideal is very full, and the reality is cruel.

Because he had studied in internal medicine for nearly a year and a half, there were very few opportunities for surgical exercises, which eventually led to several of his surgical skills not being promoted to level 5 as he wished.

Next is the stitching.

"Dr. Zhou, can you let me suture the wound?"

Luo Shishen pleaded.

"The risk of the wound on the head is high, you learn first, and the next time you have a chance to suture the wound with a low risk, I will let you get started."

Zhou Can refused his request.

It can be seen from the fact that he is still a rookie from the shaving of his hair just now, and it is estimated that the level of stitching will not be too ideal. Wound suturing of the head and face requires a high level of skill from the doctor.

It seems that it is simple to sew a few stitches, but there are many particulars on the selection of stitch positions, the size of the stitches, the knotting, the control of tension, the depth of stitching, etc.

Stitching the head by a novice doctor doesn't mean that something is going to happen, but there is a fairly high potential risk.

Zhou Can can't afford this responsibility.

Nor will it be easy to risk the safety of the patient.

"Okay!"

The squire agreed, not to cry like a baby, but to show that he was not happy.

It's just that in this case, Zhou Can will definitely not answer him.

Zigu and Qiao Yu cooperated to quickly stop the bleeding and suture the wound for the patient.

"Dr. Luo should bandage him!"

Zhou Can sent a job to Luo Shishen to comfort him a little.

"Okay!"

When Sentry Luo agreed, he pursed his lips, and seemed to be a little disdainful of this job.

Zhou Can saw all his performance.

No one is perfect, and they all come from this kind of workplace rookie. As long as he can cooperate with his work, love to complain, and have rich inner drama, Zhou Can can tolerate it.

Tolerance itself is also one of the abilities that a leader needs to exercise.

When the water is clear, there are no fish.

Just look at the ancient Qing officials to understand. They all live miserably, basically they are all lonely, occasionally walking shit luck to make one or two friends, and they are almost all lonely soldiers who are excluded by most officials.

When something happened to the corrupt officials, they stood up and pleaded for mercy and helped a lot of people who said good things.

On the contrary, it was the Qing officials who made some big omissions, and they were put on the line, and even directly beheaded in the end.

Why do corrupt officials have so many friends? It's really not because they're rich, it's because they have a strong sense of tolerance. As long as his subordinates can do things, occasionally make small mistakes, or have some shortcomings, they can be tolerant.

Open one eye, close one eye and it's gone.

On the contrary, in addition to being strict with themselves, those clean officials are also extremely demanding of others. If you make a slight mistake, you will immediately go online and be severely punished.

It is conceivable that when these clean officials made mistakes and were punished by their superiors, why everyone remained surprisingly silent.

You've cleaned up too many times, and everyone hates it.

I don't say it, but I keep it in my heart.

Now watching you being beheaded by a raid, I don't know how happy it is. Who would risk the crime of being a colleague or conspiracy to come out and help say good things!

Therefore, although Luo Shishen has many shortcomings, Zhou Can is not unable to tolerate this person.

At least you can observe it for a while, and if you use it properly, you will definitely spend some effort to cultivate.

If it is really unruly, then it can only be left to fend for itself.

After the patient was bandaged, Zhou Can looked up at the wall clock, and it was only three minutes before twelve o'clock.

"Dr. Luo, after sending this patient out, another patient will come in."

Zhou Can has a doctor's benevolence, and he is worried that patients will not be treated for a long time outside, so he is very desperate at work to save one more person.

The reason why doctors are great is that they burn themselves and save others.

"It's all at the point, and I'm going to have an operation!" Sentry Luo muttered quietly.

Zhou Can pretended not to hear.

If you get along for a longer time, this young man will naturally know the rules.

(End of chapter)