My Medical Skills Give Me Experiences
Chapter 61: Tuya 3 famous knives
Fortunately, Zhou Can is quite up to date. So far, he hasn't made a fool of Dr. Xu.
With the continuous accumulation of various surgical experience, he is also doing better and better.
On the other hand, on Jin Mingxi's side, although relying on more than ten years of rich experience in diagnosis and treatment, he rarely consulted Dr. Xu. But it basically belongs to relying on its laurels, and its progress is far less than that of Zhou Can.
In addition, Zhou Can's surgery is much faster than Jin Mingxi's, which is also a big advantage.
He performed three operations, and Jin Mingxi performed at most two operations.
And as Zhou Can's skills became more and more proficient, the gap between the two continued to widen.
The more surgeries you do, the more knowledge you will gain, and the accumulation of experience will only get better and better.
Jin Mingxi also seemed to feel this gap.
He tried his best to catch up, but after all, he was more than ten years older than Zhou Can, and his physical and mental strength could not keep up. Tired and sweating profusely, but to no avail.
…
Working until four o'clock in the afternoon, Zhou Can had already performed 18 operations.
What I gained the most was the experience points of the two medical skills of suturing and ligation.
Even if calculated on the basis of an average of 5 stitches per operation, 18 operations can add 90 points of suturing experience and 80 points of ligation experience.
You earn less experience points for ligatures, because some sutures do not require one stitch at a time.
Such as continuous stitching.
Just tie the knot twice at the beginning of the needle and tie it again at the end.
Therefore, the experience value of stitching is more than that of ligation.
He also earned a lot of debridement experience points, a full 11 points.
According to this progress, it only takes eight or nine days to upgrade the debridement to the resident level.
Debridement is widely used in surgery.
Good debridement can not only greatly reduce the chance of wound infection and suppuration, but also greatly reduce the difficulty of suturing. Can make the stitching more perfect.
Wounds heal faster and better, reducing the possibility of scarring.
Not to mention the importance of debridement in rescue work.
Whether the vascular debridement is done well or not is directly related to the success rate of rescue.
In addition, debridement can also be used to clean up necrotic tissue and infected purulent lesions.
Seemingly a simple debridement technique, it ranks among the advanced medical techniques for its own reasons.
It is as important as fit, fit, and separation.
In addition to the above gains, he also has a 'small' gain.
One patient received four injections of anesthesia, and 18 patients received 72 injections.
A total of 72 injection experience points have been harvested.
His injection experience value would have been 48/100 for level two. After adding 72 points, it was directly promoted to the third level, and the current experience value is 20/1000.
Although this medical skill does not seem to be of much use in surgical operations, it is based on the idea that more skills do not overwhelm one's body.
It is a good thing to have more medical skills.
At least now let him give the child an injection, establish an intravenous access and so on, so he doesn't have to worry about being beaten anymore.
Totally capable of doing it right the first time.
His current injection level should be at the same level as that of a nurse.
This is much better than the average nurse.
"Xiao Zhou, how do you feel?"
Dr. Xu took off his gloves and looked at him.
"It feels very good. The harvest in one day is greater than the harvest in one month during my internship."
Thanks to Dr. Xu's greeting with the attending doctor, more than a dozen patients who should have undergone surgery in the specialist clinic were admitted.
Of the 18 surgeries performed, only four were debridement and suture surgeries on knife wounds and bruises.
There are other types of surgery.
Even performed a thrombosed external hemorrhoid surgery.
You know, hemorrhoid surgery is generally secondary or tertiary surgery. Not to mention Zhou Can, even his teacher, Dr. Xu, is not qualified to preside over a tertiary operation.
But there are exceptions to everything.
Thrombosed external hemorrhoid surgery is a first-level surgery.
This is also an important reason why Zhou Can can get it.
Through this operation, he learned a lot of valuable experience in hemorrhoid management. For example, how to make a radial incision, how to identify thrombus, how to deal with thrombus, and so on.
There are six or seven such operations that have never been experienced before.
This is why he always asks Dr. Xu for advice.
Today's harvest is really great.
"Hehe, it looks like the effect is not bad! We can continue tomorrow." Dr. Xu smiled gratifiedly.
He looked at Jin Mingxi.
"Doctor Jin, how about you?"
"There must be gains, but it can't be compared with Zhou Can. For the same debridement and suture operation, his operation time is almost half that of mine. The quality of the key is also very high. I really convinced him."
Jin Mingxi was helpless.
Ability is something that is different for everyone.
Zhou Can's surgical ability improved too fast. In the regular training exam, he might be a little weaker than Jin Mingxi. Now it has begun to catch up with the latecomers and achieve a go-ahead.
"You don't have to compare yourself with anyone, as long as you surpass yourself, that's good."
Dr. Xu is actually quite suitable to be a teacher.
Basically, every junior doctor has taught students in accordance with their aptitude.
For example, Dr. Lin with mediocre talent, he only asked him to gradually improve his basic surgical ability. For example, the lazy and irresponsible Dr. Lu, he pulls by his side as an assistant, trying to urge Dr. Lu to work hard.
For Zhou Can, a once-in-a-thousand-year good seedling, he is delegating power step by step.
Do your best to meet the exercise opportunities that should be given.
Zhou Can will never be allowed to do the part of the operation with uncontrollable risks.
It deserves the words "lenient and strict".
It will neither let the apprentice get into trouble, nor hinder the apprentice's growth.
Dr. Xu looked at Zhou Can again, showing a trace of kindness and remembrance of the past.
The eyes are quite complex.
"Xiao Zhou, fast surgery is a good thing and a bad thing, do you understand?"
Zhou Can shook his head puzzled.
"I only know that every second counts in rescuing patients. The faster the operation is completed, the less physical damage to the patient. When rescuing a critically ill patient, even a second faster may save a life."
Such as bleeding patients.
The sooner the cause of bleeding is found, the sooner surgery is performed, the better.
If it is delayed for a long time, the patient may not be able to get off the operating table.
"The pursuit of speed is not wrong in itself. It's just that once you pursue speed, your mentality will easily become anxious. Especially when you are capable of performing four-level major surgery in the future, many key parts of surgery have strict requirements~www.wuxiaspot.com~Must Complete it in two or three minutes, or even a few seconds. At this time, the brain must be too fast. A small mistake can make you regret for life."
A thoughtful light flashed in Zhou Can's eyes.
Without personal experience, I am afraid it is difficult to express these profound insights.
"Teacher, is it because you were called 'Xu Yidao' because you used to be a fast swordsman?" Zhou Can asked this question after careful consideration.
Because he was too curious about Dr. Xu's past.
"Although this matter has been dusty for several years, it is not a secret. I used to be a famous knife in the general surgery department, and Director Wu Baihe, Director of Shenwai, and Director Hu Kan, Director of Cardiothoracic Surgery, were known as the three famous swords of Tuya. Wu Baihe The operation is famous for its fineness, and it can reach 0.1mm level for all kinds of extremely difficult cuts.”
Doctor Xu's tone was full of fond memories of the past.
That was the highlight moment of his life.
Wu Baihe's surgical ability is even more shocking.
The cutting in surgery can be accurate to the level of 0.1 mm. What is the concept?
Chief surgeon, when cutting a stack of papers, he can cut as many sheets as he wants. This is enough to make countless surgeons worship and look up to them.
A sheet of paper is about one millimeter thick.
0.1 mm, only one-tenth of the thickness of a piece of paper.
Wu Baihe's accuracy at the surgical director level has increased by ten times.
No wonder he was able to make half of the neurosurgery department of Tuya Hospital.
This kind of surgical ability is enough to make many chief surgeons look up to them all their lives.
Because this is a height that they can hardly reach no matter how they practice.
I have to say that in addition to hard work, talent and opportunities are also very important.
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