Chapter 100 Qiao Yu was bullied and her broken bones were reconnected
Opening the door for Su Qianqian in the middle of the night did not cause any ripples in Zhou Can's life.
Legend has it that after the hero rescued the beauty, the beauty did not marry him.
He is still an ordinary resident doctor in the emergency department.
In addition to working hard to improve various medical skills every day, I read books and study.
Compared with those rich second-generations who only know how to spend their days in debauchery or think about how to make quick money, he is simply an outlier.
He liked money, but he loved medicine even more.
Almost all of my attention was devoted to studying medicine.
The improvement in level is also obvious.
During the regular training exam, Jin Mingxi, who was stronger than him in surgery, was already far behind him. Zhou Can's basic skills in quick surgery had already begun to show some signs of improvement, and he was making progress towards some success.
Jin Mingxi still pinches a thin strand of hair with one hand every day, then slightly raises his arms and sits still like an old monk in meditation.
This kind of static exercise is the most torturous.
The pace of progress is also unusually slow.
It takes at least one or two years of practice to get a glimpse of the basics. It takes three to five years of practice to achieve some success.
However, Jin Mingxi himself likes this way of practice very much.
Every day after work, I just sit there and don't move.
I practice for several hours at a time.
The whole person seems to be possessed by a demon.
It seems that Dr. Xu is right, he is suitable for the "steady" path.
In addition to practicing the basic skills of surgical style, Zhou Can was ahead of Jin Mingxi. In the operating room, he also came from behind and surpassed Jin Mingxi by a large margin.
Currently, Jin Mingxi is still receiving punishment for the incident, which resulted in the termination of his qualification to perform independent surgery.
I can only serve as Dr. Xu's assistant every day.
Apart from tasks such as retrieving retractors and suturing skin, Dr. Xu would not give him any surgical tasks that were even slightly risky.
No one knows exactly how long this punishment will last.
It is conceivable that if we just keep pulling the hooks and stitching the skin, how much can the surgical skills be improved?
At most, it will help you gain some knowledge.
Let's look at Zhou Can, who can get two or three second-level surgeries every day, and several to more than ten first-level surgeries.
With such a large number of surgeries, the number is no less than that of ordinary attending physicians.
Zhou Can's surgical skills have improved so much that it can be described as making rapid progress.
With the help of the medical experience value system, the speed of progress is even more terrifying.
As one gained strength while the other lost strength, it was no surprise that Jin Mingxi was left far behind by him and overtaken in all aspects.
Not to mention Jin Mingxi, even the two senior residents, Dr. Lu and Dr. Lin, were not spared.
Also surpassed by Zhou Can.
Perhaps only Dr. Cui, whose ability is close to that of a chief physician, can compete with Zhou Can.
…
Today is Friday and a week is almost over.
Time flies.
Zhou Can follows Dr. Xu. If Dr. Xu doesn't take a vacation, he can't take a vacation.
When it comes to vacation, hospital interns and trainees have no human rights at all. As long as the instructor doesn't take vacation, the interns and trainees are not allowed to take vacation.
Doctor Xu often only rested for one day a month, or even no rest at all. Zhou Can and Jin Mingxi had no choice but to go to work with him.
This is partly related to the shortage of staff in the emergency department's operating room.
There are only two attending physicians in the operating room.
If someone is on vacation, the other attending physician may need to work two consecutive shifts.
In addition, Dr. Xu was on the early morning shift, which was also the busiest shift in the emergency operating room.
Dr. Fu is simply unable to handle many sudden emergency surgeries.
In order to ensure the normal operation of the emergency operating room, Dr. Xu can only minimize his vacation time.
Zhou Can walked quickly into the emergency department as usual.
"Good morning, Dr. Zhou!"
"morning!"
"Doctor Zhou looks particularly handsome today!"
"Haha, I have to praise your beauty!"
Along the way , doctors and nurses would occasionally take the initiative to greet Zhou Can enthusiastically.
Now almost all the doctors and nurses in the department know that Zhou Can performs exceptionally well in the operating room.
If you don't curry favor with Zhou Can while he is still a resident intern, you will never be able to curry favor with him in the future.
Ye Tingting walked over with her slender waist twirling.
"Morning, Sister Ye!"
Zhou Can took the initiative to greet her with a smile.
It can be felt that Zhou Can's attitude towards her is obviously much more enthusiastic than that towards other nurses.
The reason behind this is simple.
Zhou Can was originally close to her. In addition, after his accident last time, other nurses avoided him, but Ye Tingting did not avoid him.
Therefore, it was normal for Zhou Can to repay her.
This is a basic principle of human emotion. If you treat me well, I will treat you well.
"Let me tell you something." Ye Tingting said in a low voice.
"you say!"
Zhou Can didn't know what was going on, why was it so mysterious.
Ye Tingting looked around and saw no one nearby. Then she whispered, "Qiao Yu was bullied yesterday!"
"Who did it?"
Zhou Can's anger burst out instantly.
Qiao Yu is such a kind person, those who bully her are really good-for-nothings.
"She wanted the head nurse to transfer her to an early shift every week. This request was not excessive at all. But Tian Tian and Pan Xinyao insisted on opposing it. In the end, the head nurse had no choice but not to agree to Qiao Yu's request for a shift change. I'm telling you this not to make trouble for you. I just guess that Qiao Yu wants to transfer to an early shift, most likely to be your surgical nurse."
"Yesterday I saw her leaving the nursing office with red eyes. You have to comfort her."
If Ye Tingting didn't have a good relationship with Zhou Can, she wouldn't have told him about this.
"Okay, thank you for telling me such an important thing."
Zhou Can had been unhappy with Tian Tian for a long time.
Now that he knew that Tian Tian and another nurse named Pan Xinyao had bullied Qiao Yu, he was filled with anger.
Not everyone can have a good teacher like Dr. Xu to protect and support them.
Not everyone is as lucky as him to have access to a medical experience system.
Qiao Yu is indeed excellent.
But she is just a trainee nurse now and has no way to compete with the two senior nurses.
To be more realistic, if Zhou Can had not met Dr. Xu, and if he had not been appreciated by Director Lou, Dean Zhu and others, no matter how outstanding he was, any of the worst resident doctors would have been able to eat him up.
The hospital's hierarchy is even stricter than that of ordinary companies and enterprises.
Zhou Can did not call or message Qiao Yu.
It is inappropriate to send her messages or call her at this time.
She is a strong-willed girl. Being bullied is very damaging to her face and self-esteem.
The best thing to do is to pretend you don't know about it.
Give her enough face.
But don’t think that Zhou Can will just let it go.
He will find a way to help her solve this problem as soon as possible.
Like doctors, nurses need nothing more than to achieve academic or medical success in order to improve their status.
Zhou Can’s idea was simple, to help her improve her status.
By then, she will be able to get back at the scene herself.
This is a hundred times better than calling her to comfort her now.
Zhou Can walked into the operating room, and Dr. Xu, Dr. Lu, and Jin Mingxi were all there.
Speaking of Dr. Lu, there have been quite a lot of changes in him recently.
Regardless of the quality of the surgeries he performed, at least his attitude was quite positive. He worked at full capacity every day, performing one surgery after another. The number of times he was late was also decreasing.
It is hard to see any trace of laziness in him anymore.
"Okay, everyone is here. As usual, Xiao Zhou and Doctor Lu will perform the operation independently. Jin Mingxi will be my assistant. Call two more instrument nurses in."
Dr. Xu made arrangements quickly.
The one who suffers the most is Jin Mingxi. Now he can only watch Zhou Can and Dr. Lu perform surgery alone with envy every day.
Soon, two instrument nurses came in.
Li Shishi and Tian Tian.
"Good morning, Doctor ! You look so special today! Hehehe!"
Tian Tian smiled happily and walked straight to his side.
"Shishi, Doctor Zhou and I are old partners, don't compete with me!"
This scheming bitch still feels good about herself.
Little did she know that Zhou Can already hated her to the extreme.
But now I have to bear with her, and when the time is right, Zhou Can will correct the chaos as soon as possible.
At this time, Zhou Can showed great concentration.
"Let's start the operation!"
Zhou Can had a blank expression on his face, imitating Dr. Xu's cool attitude.
Soon, patients who needed surgery were sent to the operating room. Zhou Canlao's first surgery was to replant a severed finger.
Tuya Hospital is famous and the city has a population of over eight million.
There are endless surgeries to be performed in the emergency room 24 hours a day.
This is the first time for Zhou Can to perform finger replantation alone.
I have participated in most of the surgical tasks of severed finger replantation under the guidance of my teacher, and there has been no failure record so far.
Dr. Xu assigned this patient directly to him this time, probably because he wanted to train his ability to reconnect broken bones.
This is also the only part of the operation that Zhou Can has not actually performed.
"How long has it been since your finger was broken?"
"About an hour! Doctor, can I still reattach this finger?"
The patient was in so much pain that cold sweat broke out on his forehead.
The amputated finger had already been treated by the doctor and nurse in the emergency department. No other treatment was done except refrigeration.
This can slow down the death of severed limbs.
Generally speaking, the shorter the time for replantation of severed limbs, the better.
Theoretically, it is difficult to get a job if it exceeds six to eight hours. If the storage environment is bad, this time will be shorter.
"Don't worry too much. We will do our best to replant your severed finger. Whether it can be replanted depends on many factors, including whether the entire operation goes smoothly, whether the blood supply is smooth, postoperative care, etc. We often perform replantation of severed fingers here, and the survival rate is very high. If you actively cooperate with the treatment, the effect will definitely be better."
After working in the operating room for more than a month, Zhou Can also learned a doctor's basic survival skill: "bluffing."
This is one of the essential skills for dealing with patients.
"Don't worry, I will actively cooperate."
The patient was tricked into going in and actively cooperated with the operation like a good baby.
Tian Tian next to her was still chatting with Li Shishi and Doctor Lu not far away.
"Anesthetic!"
Zhou Can had to remind her.
Then she began mixing the local anesthetic.
Generally speaking, ropivacaine is the preferred local anesthetic. The single dose should not exceed 3mg/kg. Even for a 500-pound fat man, the maximum dose should not exceed 200mg.
When used, it needs to be diluted with saline.
These tasks are prepared by the instrument nurse.
If it is a major operation, it will be prepared by the patrol nurse and checked by the instrument nurse.
However, major surgeries usually require spinal or general anesthesia, and local anesthetics are rarely used.
At this moment, Zhou Can is preparing to perform brachial plexus block anesthesia on this patient.
Generally speaking, the results are pretty good.
Anesthesia can last for more than four hours.
With such a long time and his surgical speed, it is more than enough to reconnect a severed finger.
Tian Tian finally prepared the anesthetic and handed it to Zhou Can.
After successfully anesthetizing the patient's left hand, he was able to begin the next step.
Debridement.
This medical skill is currently at the lower level of residency.
It's a bit slow to rise, but there's nothing I can do.
A patient can bring him one or two debridement experience points at most. And not every patient needs debridement.
The patient's severed finger was probably caused by a sharp weapon, and the fracture was neat.
This is beneficial for surgery.
It is worth mentioning that the debridement of a severed finger is not as casual as one might imagine. Regular large hospitals like theirs often choose to perform debridement under a microscope to prevent the removal of blood vessels .
Debridement does not just involve debridement of the remaining cross-section of the severed finger, but also includes the broken part.
The most difficult part is bone debridement.
Even for this kind of wound with a relatively neat incision, about 0.5 cm of the broken bone needs to be cleared to ensure successful bone setting.
The wound has been cleaned up, and now it’s time to test him.
Bone setting.
Based on the patient's condition, Zhou Can decided to use a stainless steel needle to connect the medullary cavity of the severed finger.
Doctor Xu came over and stood by to supervise and guide.
This is because they are afraid that Zhou Can will mess up.
"The steel needle for connecting the broken finger bones!"
Zhou Can was a little crazy.
Tian Tian is as dumb as a pig. Apart from the routine surgical instruments and consumables, she is like a piece of wood in everything else.
Need reminders to prepare on the spot.
This also seriously affected the progress of the operation.
In the operating room, perhaps only Dr. Xu had the right to scold her.
Zhou Can had no right to scold her.
In terms of seniority, she is older than Zhou Can.
"What size needle should I use?"
Tian Tian asked.
"1mm."
Zhou Can really wanted to call her a pig. She still had to ask such a question.
If Qiao Yu was to be his instrument nurse, she would have been prepared long ago.
I really don’t know what Tian Tian is focusing on?
If you are not interested in surgery, you don't have to be a preparatory instrument nurse.
By the time she had prepared the needle, Zhou Can had already lost his patience. Even Doctor Xu next to him couldn't bear to watch.
"Tian Tian, you must prepare in advance next time, otherwise it will greatly delay the operation."
In front of the patient, this was already enough to save her face.
"Okay, okay! The main reason is that this patient was the first one to enter the operating room, so the preparation was not sufficient." She agreed verbally and promised to make the same mistake again next time.
Zhou Can took the steel needle and began to carefully fix the bone marrow cavities at both ends of the severed finger.
He has seen Dr. Xu perform this operation many times, and Dr. Xu has taught him all the key points, techniques and precautions.
Normally, orthopedic surgical skills like this can only be learned during the orthopedic surgery rotation training.
Therefore, having a good and amazing teacher can indeed increase the efficiency of regular training learning several times.
He operated carefully, step by step, and finally succeeded in fixing the severed finger and the finger stump.
I checked and confirmed it was correct.
[Congratulations on obtaining the fractured bone joint technique. It can be used to connect broken bones.]
[Bone fracture fusion, current experience value, level 1/10. Internship failing level.]
He felt depressed. Why was it so low?
Fortunately, the patient's severed finger was successfully reattached.
