Not long after, a new surgical patient was pushed into the operating room.
This time, Zhou Can is the only trainee left, so there is no need to test him again.
Doctor He took the initiative to display the patient's examination report on the screen.
"The patient had an arm fracture surgery at the beginning of last year, which was fixed with two steel nails. Judging from the patient's recovery, the fracture healed well, and now surgery is needed to remove the steel nails."
Doctor Shan took the initiative to introduce the patient's condition.
Generally speaking, surgeries in the operating room are scheduled in advance.
The surgeon, assistant, and nurse all know what surgeries will be performed at what time today.
Removing bone fixation devices is not particularly difficult.
But the risks are huge.
Improper operation or premature removal may cause the patient to suffer re-fracture or infection.
The patient was brought in quickly.
The steel nail in the right elbow joint needs to be removed.
Dr. Shan was very cautious when performing the operation.
Even though there had been numerous checks, she still conducted a series of examinations and inquiries on the patient. After evaluation, she felt that the nails could be removed, and only then began the operation.
Zhou Can naturally took the anesthetic needle prepared by the nurse and injected four shots into the patient's right armpit.
The puncture site for brachial plexus anesthesia is not fixed.
The actual selection is made based on surgical needs.
Sometimes the area above or below the clavicle and in the shoulder groove is also where anesthetics are injected.
The purpose is only one, to block the conduction of nerves in the arm.
In fact, the principle of painkillers is very similar to that of anesthetics, and it also blocks nerve conduction.
Many people cannot stand the pain, but are unwilling to use painkillers. They believe the fake science on the Internet and think that painkillers will cause harm to the body and have sequelae.
It will make people dull and stupid.
In fact, these are all nonsense.
As long as you control the dosage, it will hardly cause the so-called "negative effects" on the body.
In ancient times, Guan Yu scraped his bones to treat poison without using anesthesia, and he was able to chat and laugh while undergoing the surgery by Hua Tuo, while playing chess with others. Maybe there really was such a tough guy, but it is more likely that the anesthesia of that era was not mature enough.
He didn't dare take it.
There is really no need for modern people to follow Guan Erye’s example and suffer that kind of pain.
Some pains can really make people faint.
Zhou Can's injection skills are at the attending physician level. The local anesthesia he uses takes effect faster and has better results.
"Doctor Shan! The anesthesia is successful, and the operation can be performed."
"Um!"
She nodded slightly.
The nurse professionally performed secondary disinfection of the surgical site.
The wound sites and nail positions have been marked on the patient's arm.
Doctor Shan skillfully and lightly cut a wound, and Zhou Can cooperated tacitly to stop the bleeding. This part was actually just a layer of skin, and the bone was directly exposed.
The metal nails can also be seen.
She appeared to be very cautious throughout the entire process of taking it out.
Zhou Can stood by and helped, and learned a lot.
There are two steel nails in total.
Remove this one first, and after checking and confirming that the bone has healed firmly and there is no risk in removing it, remove the other one.
Sometimes, doctors will remove bone fixation devices in multiple times for safety reasons.
"I'll leave the stitching to you!"
After successfully removing the two nails, Dr. Shan was also very tired.
Thanks to Zhou Can's help, everything went so smoothly.
"no problem."
Zhou Can agreed happily.
He never missed any opportunity to earn medical experience points.
It only took him a few minutes to clean and suture such a small wound .
I performed so many level one surgeries in the emergency department, and it wasn't in vain.
When it comes to surgical speed, I'm afraid few people can be faster than him.
"Wow, Dr. Zhou's suturing skills are really good! Fast and good!"
She couldn't help but praise.
"Actually, my dissection skills are pretty good. Can you give me a chance to practice them someday?"
Zhou Can is already very humble.
Because he has many medical skills that have reached level three or above.
"When there's a suitable opportunity, I'll give it to you!"
She didn't say enough.
After all, according to the safety rules of the operating room, interns are generally required to perform off-line operations, which means operations that may pose a safety risk to patients, and interns can only watch.
I can only learn by standing on the side.
Regular trainees can perform some work such as puncture and skin suturing.
To operate on patients, one has to at least become a senior resident before one can get the very few opportunities to practice.
The fact that Dr. Shan was a little relieved was a sign of his great trust in Zhou Cantian.
After the patient who had the nail removed was sent out, a nurse standing behind the second door asked, "Doctor Shan, there is a child with a dislocated arm here. Can you jump the queue and help him?"
Various human relationships exist in any hospital.
For example, if the nurse helps the child cut in line, it is either because the nurse is an acquaintance or the child has certain background connections.
"The arm is dislocated, you should send him to the manual reduction room!"
Doctor Shan did not refuse openly.
Most dislocations can be repositioned manually, except in very severe cases that require surgery.
This is also a required skill for orthopedic surgeons.
"They're off work, and no one will be here until 2pm. The child's grandfather works at the Health Bureau, and he brought the child here himself. Look..."
Although the nurse did not say it explicitly, the meaning of her words was basically clear.
This child is the grandson of the relevant leader of the competent department.
For Tuya Hospital, the level of the director and others is not low. When ordinary leaders from the Health and Health Bureau come, they can't even reach the level of being received by the director in person.
But for a low-level nurse, even if she is just an ordinary clerk in the Health Bureau, she is still a leader.
In fact, if one can survive to become a grandfather, at least he can become a section-level cadre.
"Since he is the grandson of our superior, we should take care of him. The superior is so busy at work, how can we let him wait until after 2 o'clock in the afternoon! It just so happens that I am not particularly busy here, so you can bring the child in!"
Dr. Shan immediately changed his tone.
Zhou Can couldn't help but be amazed. He felt that he had gained a lot of knowledge today.
No matter how proud a doctor is, he or she is basically the same when facing his or her leader.
At most, the degree of licking is different.
The child was quickly taken into the operating room, and his grandfather followed him through the first door outside.
This is an old man with white hair, but still in good spirits.
"Excuse me, who is Dr. Shan?"
"It's me! Hello!"
Doctor Shan lowered his posture.
"My name is Qiu Jianye. I work at the West District Health and Family Planning Bureau. When you go there for business in the future, you're welcome to come to my office for tea!" Before the old man came in, he must have found out from the nurse which doctor had the highest status in the operating room.
The old man did not report his position, nor did he even say which department he worked in.
Others couldn't hear it, but Zhou Can felt that this person was very weak.
At least he won’t be a big leader.
At best, he was a deputy section-level cadre. Or even lower. And the department he worked in should not have much real power.
"Okay, thank you! I will treat your grandson now. You can sit on the chair outside the operating room and rest for a while."
She spoke very tactfully.
You are clearly asking the person to leave, but you cannot just say, "Please leave."
Instead, he asked the other person to sit on a chair outside the operating room and rest in a caring tone.
In this way, people will not only not feel disgusted, but will also think that the doctor is very enthusiastic.
After the old man left the operating room, Dr. Shan took the X-rays of the child and examined them.
"It's not bad. It's just a dislocated shoulder. After it's reset, I just need to put it in a bandage around my neck for three or four weeks."
She made a diagnosis after looking at the film.
"Little boy, how old are you?"
"Six years old!"
When the child opened his mouth, the hole where his front tooth had fallen out was revealed.
Look at his teeth, they are all black and he has severe tooth decay.
I must eat a lot of sweets on a regular basis.
Eating too much sweets can easily cause osteoporosis and weak physical constitution.
This can make children more susceptible to fractures and dislocations.
"This arm hurts, doesn't it?"
"Ah! It hurts!"
He bit his lip and his eyes were filled with tears.
"It will be a little painful when I put it back in place. But after the pain is over, your disease will be cured and it won't hurt anymore. You are a brave little man! Can you bear it?"
Doctor Shan was trying to persuade the little boy.
"able!"
Children are the most innocent.
If you praise him for being brave, he will really show you how brave he is.
"Doctor Zhou, please hold the child from behind and support his shoulders."
"OK!"
Zhou Can hugged the little boy from behind and held his right shoulder.
The little boy's body was thinner and lighter than expected.
Parents today are too indulgent towards their children, feeding them with all kinds of junk food.
In fact, it harms the child.
Dr. Shan held the child's arm with one hand and his arm with the other, and first helped him relax his muscles.
Then rotate slowly.
"Little boy, have you read?"
"Kindergarten senior class!"
"Wow, you are a student of the older boy. No wonder you are so brave! What does your grandfather do?"
“The teacher often praises me for being great! My grandfather... uh, I think he works in AIDS prevention... Ouch... Woo, it hurts!” The little boy had just answered halfway when he saw Doctor Shan find the right position and push and press hard upwards.
It's a skillful move.
Zhou Can heard a muffled "click" sound.
He knew that the shoulder joint was successfully reduced.
The moment of reduction brought severe pain, which made the "brave" little boy cry.
Tears streamed down his face.
If I'm not mistaken, his grandfather works in the AIDS prevention and control department of the Health Bureau.
No wonder the attending physician, Dr. Dan, had to cut in line and even go into the operating room in person to say hello.
If it were a leader with real power, it could be done with just one phone call.
[Congratulations on receiving osteopathic surgery, which can correctly reset displaced fracture ends and treat soft tissue injuries, restore dislocated joints to their original positions, and restore movement function. ]
Zhou Can was just assisting, but he didn't expect to learn a medical skill.
However, in the process of helping, he did learn how to perform the entire shoulder joint reduction operation.
At least he had a clear and complete idea in his mind about how to proceed.
After learning bone setting techniques, you are quite popular in orthopedics.
Even if you don't know anything else, you can live a life of luxury just by sitting in the manual reduction room.
"Bring me a bandage!"
After Dr. Shan successfully repositioned the child's dislocated shoulder joint, he used a bandage to suspend him around his neck.
After a shoulder dislocation is healed, you should not lift heavy objects, swing violently, etc. for a short period of time.
Otherwise, it will dislocate again.
Those traveling acrobats could be seen lowering their arms and shaking them a few times, and their arms would be dislocated.
In fact, it is because frequent dislocations cause the shoulder joint to become a habitual dislocation.
Many people start practicing since childhood in order to achieve the desired performance effects.
Because dislocating an arm is very painful, a child of a few years old would definitely not take the initiative to practice. Instead, the head of the circus, the acrobatic master, forcibly dislocated the child's arm. The purpose was to win the sympathy of the audience and get more money.
This is actually a very cruel act.
It should be resisted.
Just like when you see a child with disabled limbs begging for money on the street, it is most likely that the human traffickers are taking advantage of the kindness and sympathy of the public and deliberately breaking the limbs of the abducted children, making them disabled people begging for money.
We should also resist and not be deceived by those unscrupulous human traffickers.
"Okay, remember you can't take this hand off for a month!"
Doctor Shan touched the little boy's head.
“Woo woo…Okay!”
He was still sobbing.
Maybe she felt a little embarrassed, so she forced herself to hold back her tears.
This little boy is so cute.
This made everyone smile.
Doctor Shan did not personally send him out and explain the precautions to the child's grandfather. Instead, she asked the nurse to do all this. This is enough to show that after she found out the identity of the child's grandfather, she only did this as a favor.
The other party's identity was not worthy of her being too humble.
One is that the other party is old and has no room for advancement. The other is that the department where the other party works can hardly provide any help to her.
Everyone is very realistic about things that are of no benefit.
Besides, Tuya’s attending physician’s status is not as low as imagined.
Attending physicians with bright futures like her have a higher status.
Not long after, Dr. Tang and others came back after dinner.
It was Zhou Can and his friends' turn to eat.
Doctors in the operating room actually have a very hard life.
Normally, I can only go to the toilet during meal times.
Zhou Can worked in the orthopedic operating room for a whole morning and gained a lot.
Not only did he initially gain Dr. Shan's trust, but he also learned a new medical skill.
Doctor Shan took the three of them to the cafeteria for lunch.
Outside the operating room, Dr. Shan didn't seem to be arrogant.
"Doctor Zhou looks quite young. Did you apply for Tuya's regular training right after your internship?"
She asked with some curiosity.
Doctor He and the nurse named Wang Xiaohong were listening nearby.
"I studied at Tuya Medical University and did my internship at Tuya Hospital. After graduation, I took the Tuya resident training recruitment exam and luckily I got in."
Zhou Can recalls the experience of taking the regular training exam and still finds it difficult.
If there was no experience point system, the eight people in their dormitory would have been wiped out.
It is really difficult to pass the examination to become a general practitioner in Tuya.
"I passed the exam and became the top scorer in the regular training program. Is this also called luck?"
Doctor He's cheek twitched.
"hehe!"
Wang Xiaohong chuckled.
She seemed to be quite introverted. She worked in the operating room for a whole morning, and apart from necessary work communication, she hardly said a word.
However, she has very strong professional skills and is meticulous and conscientious in her work.
Much better than all the surgical nurses in the emergency department.
Whether it is the older head nurse Liu Xia, Tang Ling, or Qiao Yu, there is a gap between them and her.
The main reason for Qiao Yu’s short working experience is that if he had two or three years of work experience, he should be able to surpass Wang Xiaohong.
From this point we can also see that a strong department not only has excellent doctors, but also high-level nurses.
"You passed the regular training exam at our hospital after your internship. So you have only worked in the emergency department for three months at most? How did you practice hemostasis, suturing, and puncture? You are amazing."
After hearing Zhou Can's experience, Dr. Shan was shocked.
"I like this line of work, so I practice more. Then during the three months of regular training in the emergency department, I met a good teacher who gave me plenty of opportunities to practice. My level improved."
Zhou Can naturally wouldn't tell anyone about the experience value system.
I should really be grateful to Dr. Xu for helping me improve my skills so quickly.
A large number of surgical practice opportunities made Zhou Can successful.
"I have also been in the emergency department for regular training. The operating room in the emergency department is very shabby and the number of surgeries is not that high. It is really amazing that you can achieve such great growth in three months."
Doctor Shan is a very proud man, and at this moment he admires Zhou Can from the bottom of his heart.
She probably doesn't know that thanks to the two capable people, Zhou Can and Jin Mingxi, the number of surgeries in the emergency department has increased by more than a thousand per month.
Such a large quantity made even Director Xie jealous.
Several people soon arrived at the restaurant on the second floor.
There were a few people walking out after dinner, and the two sides met face to face.
"Hey, Doctor Du had dinner quite late today too!"
Dr. Shan greeted the leading young doctor with a smile.
Zhou Can lowered his head slightly, it was really a narrow road that enemies met.
I didn’t expect to meet Du Leng here.
Seeing Du Leng surrounded by many doctors and nurses, it seems that he is doing quite well in surgery.
Come to think of it, he is a PhD who returned from overseas.
Even if he is not a postdoctoral fellow, it is already an extremely dazzling resume.
Doctor Shan is a very promising attending physician in the Department of Orthopedics. When they met, he actually took the initiative to greet her with a smile. This shows how high Du Leng's status in the Department of Surgery is.
"The cardiothoracic surgery department had a very difficult and important consultation operation today, and I was dragged to participate. It took a long time to discuss with several chief and deputy chief physicians before formulating the surgical plan, so I arrived a little late."
Du Leng's words were full of boasting.
Which trainee is qualified to participate in such a major consultation? Even if they participate, they are only in the capacity of a student.
However, Du Lengliang participated in the discussion as a consultation member.
This is really awesome.
Zhou Can curled his lips, and couldn't help but think of Du Leng's theoretical discussion in the emergency department.
The medical theory is indeed at a very high level, but in the end it was slapped in the face due to the lack of practical experience.
This subtle expression of his happened to be seen by Du Leng.
In fact, as soon as the two groups met, Du Leng had already discovered Zhou Can following behind Doctor Shan.
He had just boasted a few words in front of Dr. Shan and the others, and after hearing it, everyone looked at him with admiration. Only Zhou Can, the bastard, showed a barely perceptible hint of ridicule.
Du Leng naturally knew what Zhou Can was laughing at.
Thinking of the consultation in the emergency room, he became a little crazy.
That was the shame of his life.