My Medical Skills Give Me Experiences

My medical skills can add experience points Chapter 382 Kindness must be sharp and tolerant

"Doctor Zhou, is this the patient's appendix? How to tell if it needs to be removed?"

Luo Shigen continued with his ten thousand whys.

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

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

But if you don't care about the occasion, regardless of the actual situation, and ask whatever comes to your mind, then you are lacking in thoughtfulness.

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 would be no joke.

With the sternness of Doctor Xu. His qualifications for surgery will be suspended immediately.

Such a major operation, if nothing happens, it will be fine. If something happens, the person who is responsible for it is definitely not Zhou Can, but Dr. Xu.

He doesn't even have the qualifications for a third-level surgery. If something happens, he won't be able to bear the blame.

Calling an intern here is to serve as his medical assistant and help him.

rather than troublesome.

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

Zhou Can decided to give Luo Shishen a little reminder. He didn't curse directly, but he kept a cold face, pretending he didn't hear, and didn't answer.

Instead, concentrate on checking the patient's appendix.

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

Suddenly, the atmosphere became a little awkward.

"Doctor Zhou is undergoing surgery, so let's try not to disturb him. If you have any questions, you can ask them after the surgery is over!" Qiao Yu was afraid that he would not be able to get off the stage, so she helped smooth things over and let him have a step down.

"You're right! Thanks!"

Luo Shishen smiled gratefully at Qiao Yu.

During the following surgery, Luo Shishen did not talk any longer. After waiting until the operation was over, he began to ask various questions.

"Who is Doctor Luo's teacher?"

Zhou Can asked calmly.

"Our teacher is Dr. Xu, but he is very busy and doesn't have much time for us."

Luo Shishen's words had a bit of complaint in them.

Most newcomers in the workplace are prone to make these low-level mistakes. Complain about some shortcomings of the superior in front of other colleagues, or complain about the dissatisfaction in the heart.

As everyone knows, just after complaining, probably before he got off work, his original words reached the ears of his superiors.

"In fact, it's not just Dr. Xu who is very busy. Every medical staff in our emergency department has a heavy workload. I suggest you to classify and summarize your questions later. You can write down the questions you don't understand in the notebook after the operation , and then see which ones can be found by searching the information. If you really can’t find the answer, it’s better to find a suitable opportunity to ask the superior doctor for advice.”

Zhou Can suggested corrections to him.

Take the four questions he raised just now, almost all of which can be answered by searching for information by yourself.

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

Apart from making Zhou Can feel that this young man doesn't like to think and is a little bored, he won't gain any favorability points.

I don't even think that he is studious.

I only think that he is too lazy to think and look up information. Use the superior doctor as an encyclopedia.

"Okay, I will try to follow the method you pointed out after I get off work!"

Luo Shishen nodded in agreement.

If you can be admitted to the medical school, your IQ must be no problem. Almost all medical students are highly intelligent creatures, except those who buy in through the back door.

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

Even if the family is rich, it is not easy to get a medical student with an undergraduate degree. Medicine is at least a second-class undergraduate major. Many clinical majors are first-class undergraduate majors, and the difficulty of admission and graduation are not comparable among the three universities.

Although Zhou Can's words were euphemistic enough, I believe Luo Shishen would be able to understand the underlying meaning.

After the appendicitis operation, the next patient continued to receive the operation.

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 worked as an instrument nurse and was absolutely excellent.

Not only is he diligent in his work, but also has a flexible mind, and his professional standards are also top-notch.

The preparations are well done, and she can know in advance what equipment or medicine Zhou Can may use next, or what treatment needs to be done to the patient.

During the operation, the two did not even need to speak, and they were able to complete the whole operation in a tacit understanding.

The kind that can't go wrong.

It was a real pleasure to work with her.

Staring at the patient's **** wound for a long time, I must feel uncomfortable and my eyes are easily blurred. At this time, looking up at her beauty, I feel happy and the fatigue of my eyes is relieved.

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

Just imagine, Zhou Can needed an ordinary scalpel, and the equipment nurse handed him the electric coagulation knife.

When a doctor performs an operation, his eyes cannot leave the sight of the wound, and he usually stretches out his hand without looking back, and the equipment nurse hands over the necessary equipment to the doctor.

Asked for an ordinary scalpel, but received an electric coagulation knife for hemostasis. It is conceivable how bad the doctor's mood will be.

There will also be brief pauses in surgery.

Even the train of thought of the chief surgeon may be interrupted.

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

"Call the next surgery patient in!"

Zhou Can ordered.

"OK!"

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

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

The surgeries that Zhou Can is going to do now include minor primary and secondary surgeries, as well as some major tertiary surgeries.

The requirements are much higher.

The operating room conditions in the emergency department are not good. If you don't pay attention, it is very easy to cause infection in patients during the operation. This greatly increases the risk of postoperative infection.

"Luo Shishen, from now on, you will be in charge of escorting patients after surgery and connecting patients with new surgeries."

Zhou Can's arrangement was also based on the safety and efficiency of the operation.

"Well... let's do it!"

Luo Shishen agreed with some reluctance, obviously unwilling in his heart.

Many doctors, especially novice doctors who are new to hospitals or practice, always have an inexplicable sense of superiority in their bones. I feel that my status is higher than that of nurses, and some dirty, tiring, and chores without technical content should be done by nurses.

He may think that it is the job of nurses to pick up and drop off patients, and now he is a doctor who is assigned to do these tasks, which is somewhat "overqualified", and he feels that the price is low.

So reluctance is also normal.

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

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

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

This is also a new identity he has to adapt to.

The patient who came in was a trauma patient, his head was smashed, and he could still smell of wine.

Mostly it was a fight and someone hit the head with a wine bottle.

"May I ask if you were injured by someone?"

While checking the patient's injury, Zhou Can asked about the basic situation.

"I did it myself. My girlfriend refused to break up with me. When I got angry, I picked up the leftover half bottle of red wine and smashed it on the head."

The injured man was only in his mid-twenties.

How much do you have to hate his girlfriend to commit such an extremely self-harming behavior?

"It may be necessary to shave the hair to facilitate wound cleaning and stitches."

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 man was conscious, and after taking a film, no potential risks such as skull fracture and intracranial hemorrhage were found. The skull should be the hardest bone in the body, and there is nothing wrong with resisting a wine bottle.

Of course, it is also possible that this buddy was skilled in smashing the bottle, so that he did not cause a skull fracture.

"Doctor Luo, don't stand still, shave his hair! Be careful, try not to touch the wound."

Hair shaving is usually done by junior doctors.

Asking the chief surgeon to shave the patient's hair is somewhat shocking.

"Oh well!"

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

He said that he has been an intern for almost half a year. It really makes people wonder which departments he has been intern for the past six months? Haven't you learned what an intern doctor should do?

If everything needs to be urged by the superior doctor, the superior doctor will take care of the interns under him all day long.

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

After Luo Shishen finished shaving the patient's hair, Zhou Can saw that he was working slowly, so he simply cleaned up the broken hair by himself, and then began to clean the wound and disinfect the area around the wound for the first time.

Next, debridement begins, mainly to prevent glass shards, broken hair, and other impurities from hiding in the wound.

If the wound is not cleaned, it is easy to become infected and suppurate after the wound is sutured.

Anyone who has studied the three major circulatory systems of the human body knows that the risk of hair infection and suppuration is much higher than that of the limbs.

Especially this kind of deep head wound.

After the debridement was completed, Zhou Can successfully earned 1 point of debridement experience.

Debridement, level 4, current experience value 9998/10000. Excellent level of attending physician. 】

As long as there are two more debridements, his debridement skills can be successfully promoted to the level of the deputy chief physician.

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

Because he studied internal medicine for nearly a year and a half, there were very few opportunities for surgical training, which eventually led to several of his surgical skills failing to be promoted to the fifth level as he wished.

Next is the stitching.

"Doctor Zhou, can I suture the wound?"

Luo Shishen asked.

"The risk of wounds on the head is high. You should learn first. Next time you have a chance to suture a wound with a low risk, I will let you do it."

Zhou Can rejected his request.

From the fact that he shaved his hair just now, it can be seen that he is still a rookie, and it is estimated that the level of stitching is not ideal. The wound suturing of the head and face has high technical requirements for doctors.

It seems simple to sew a few stitches, but there are many things to pay attention to in the selection of needle positions, the size of the sutures, the knotting, the control of tension, the depth of sutures, etc.

Novice doctors suture the head does not mean that something will happen, but there are quite high potential risks.

Zhou Can can't afford this responsibility.

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

"All right!"

Luo Shishen agreed with pursed lips, not crying like a baby, but showing that he was unhappy.

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

Zi Gu and Qiao Yu cooperated to quickly stop the patient's bleeding and suture the wound.

"Doctor Luo bandage him up!"

Zhou Can sent Luo Shishen a job to comfort him.

"OK!"

When Luo Shishen agreed, he curled his lips, as if he had some disdain for the job.

Zhou Can could see everything about his performance.

No one is perfect, they all come from this kind of rookie in the workplace. As long as he can cooperate with work, loves to complain, and has a lot of 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 will be no fish.

Just look at the ancient upright officials. All of them are living miserably, basically they are all alone, and occasionally they can make a friend or two through **** luck, and they are almost all lonely soldiers who are excluded by most officials.

When something happened to the corrupt officials, they stood up and interceded, and helped a lot of people who said good things~www.wuxiaspot.com~ On the contrary, the honest officials made some big omissions, and they were put on the line, and they were even directly questioned and killed.

Why do corrupt officials have so many friends? It's really not because they are rich, but because they have a strong tolerance. As long as the subordinates are able to handle affairs, and occasionally make small mistakes, or have some shortcomings, they can be treated with tolerance.

Open one eye, close one eye and it will pass.

On the contrary, in addition to being strict with themselves, those upright officials also have extremely high demands on others. If you make a slight mistake, you will be put on the line immediately and severely punished.

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

You have dealt with others too many times, and everyone hates it.

Don't say it on your lips, but remember it in your heart.

Seeing you being ransacked and beheaded now, you may be so happy. Who would come forward to help speak good words under the charge of party members and accomplices!

Therefore, even though Luo Shigeng had many shortcomings, Zhou Can did not tolerate him.

At least you can observe it for a while, and if you use it well, you will definitely spend some time cultivating it.

If it is really unbearable, 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 twelve o'clock in only three minutes.

"Doctor Luo, after sending this patient out, bring in another patient."

Zhou Can has a benevolent heart as a doctor, and he is worried that patients will not be treated for a long time outside, so he works very hard at work, saving one more person is one.

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

"It's all over, let's do another operation!" Luo Shishen muttered softly.

Zhou Can pretended not to hear.

After getting along for a longer time, this young man will naturally know the rules.