Although Du Leng was very angry in his heart, he still had a smile on his face.
After all, he is a PhD student studying abroad. It is impossible for him to quarrel with Zhou Can over such an unfounded thing.
"Did Doctor Shan bring in a new student?"
Du Leng's gaze seemed to fall on Zhou Can's face inadvertently.
Doctor Shan turned to look at Zhou Can and introduced him with a smile.
"He is a resident who has just rotated to the Department of Orthopedics. I don't know whether I can teach him or not!" Zhou Can is so outstanding that it is possible that the director will teach him personally.
She is just a newly promoted attending physician, and there is potential for her to guide ordinary interns.
Zhou Can is such a monster, it may not be her turn.
"Oh, so that's how it is! I know this Doctor Zhou. He happened to be in the same training recruitment as me. I really admire him. He saved a patient with acute myocardial infarction despite being late for the exam. The hospital gave him 10 extra points for medical ethics, so he successfully got the first place in this year's training exam."
Du Leng said he admired her, but there was no expression of admiration on his face.
This person's intention is very sinister.
In fact, it was just to tell Dr. Shan that Zhou Can got the first place in the regular training examination because of moral points, not his real ability.
"No matter what, it's not easy for him, an undergraduate, to get first place in the overall score."
Du Leng really had evil intentions.
After going around in circles for so long, it's just a disguised way of belittling Zhou Can.
After talking about the extra points for medical ethics, Zhou Can’s low educational level was also highlighted.
"Alas, the growth potential of undergraduates these days is generally a bit low! What a pity..." Du Leng shook his head and sighed, looking like a cat crying over the rat as if he felt sorry for Zhou Can.
"Doctor Shan, I have something else to do. I'm leaving now."
Du Leng's move had only one purpose, which was to find ways to lower Zhou Can's impression in Dr. Shan's mind.
A trainee with no potential and no ability will have little sense of existence in front of the teaching teacher.
The treatment they receive is very different from that of the elite trainees.
Du Leng smiled at Zhou Can as he passed by him.
"Doctor Zhou, don't worry too much. Even if you don't learn any skills in other departments' regular training, it won't affect your future work. You will eventually return to the emergency department anyway, where the requirements for doctors are very low."
Zhou Can had no expression on his face, he just hummed through his nose.
This was already enough face for Du Leng.
In his eyes, even if he is a returnee with a PhD, so what? If he has real skills, he can still be a rival.
If you only know how to play tricks and have little ability, you are not even qualified to be his opponent.
He would rather deal with foul-mouthed, vulgar people.
I don't want to waste my time with such a sanctimonious hypocrite.
Du Lengliang thought his evil plan had succeeded, and walked away with a sinister smile on his face.
All I can say is that he underestimated Zhou Can's abilities.
Although Zhou Can had been in the Department of Orthopedics for less than two days, he had already made a difference. With his real ability, he won the initial recognition of Dr. Shan and Director Shen.
The chance of being benched is already very small.
…
After the meal, the four of them quickly returned to the operating room to continue their work.
Du Leng's words had no effect on Zhou Can.
Doctor Shan still asked Zhou Can to be his assistant.
In the following operations, Zhou Can performed very well. The other trainees saw that this was not going to work. If they didn't fight for one or two more opportunities to perform, they would be eliminated.
So they all strived for some opportunities to perform in the operation.
The most Dr. Dan could do was to delegate authority and let them stop the bleeding or sew the skin.
As a result, after several rounds, Dr. Shan no longer gave them any chances.
The reason was that the other five trainees were too inferior to Zhou Can. She had an assistant at the attending physician level unused, but instead had some trainee-level rookies messing around. Unless she was mentally ill, she would have to.
Around 5 p.m., Dr. Shan pointed to the examination report on the screen and said to several interns, "This is a patient with femoral head necrosis. Now we can clearly see that the blood supply has been lost. It will dry up and collapse quickly like a dead tree."
Zhou Can listened very carefully.
He considered his knowledge of orthopedic surgery to be very superficial.
Three months of regular training in orthopedic surgery should be able to help him fill this gap.
Let him be familiar with the treatment, pathology and pathogenesis of most orthopedic diseases.
He hopes that after completing the remaining 33 months of his regular training, he can return to the emergency department and be able to help the department grow rapidly.
This was also the promise he made to Director Lou and Dr. Xu.
"Femoral head necrosis, how to treat it, does anyone know?"
Dr. Shan asked questions to the six interns.
"Replace the entire hip!"
"Bone necrosis, the only solution is probably replacement, there is no other way!"
After listening to the answers of the trainees, she shook her head slightly.
"I have seen a method in a medical book and I know the general principle, but I don't know the specific operation."
Zhou Can replied.
"Oh, what method do you think it is?"
Dr. Shan also wanted to see if Zhou Can's knowledge was profound enough.
"Artificial hip replacement is the last resort. There is also a cheaper way to save the patient, called bone grafting. There are two types of bone grafting. First, a bone flap with a vascular pedicle is implanted into the necrotic femoral head. This bone grafting method is difficult to operate. Second, if the bone necrosis is not particularly severe, you can drill a hole and fill it with broken bones. This can reduce the intra-bone pressure and induce blood supply to the necrotic femoral area."
Zhou Can discovered that reading more books in daily life has many benefits and can be used at critical moments.
Reading is beneficial, which is the golden advice left by the ancients.
"Well, that's a very good answer. The surgery we are going to perform on this patient today is to use a vascularized bone flap for transplantation in an effort to save the patient's necrotic femoral head."
When Dr. Shan announced the surgical plan, his face was filled with pride.
Just from the name, you can tell that this operation requires extremely high technical content.
As a newly promoted attending physician, she deserves pride and honor for being able to complete such a difficult operation.
The patient was quickly taken to the operating room.
The anesthesiologist also rushed over.
Anesthesiologists are used very frequently in orthopedic surgery.
There's no way, many of the surgeries it performs are major surgeries.
Both spinal anesthesia and general anesthesia must be performed by professional anesthesiologists.
This level of surgery carries a very high risk.
The patient was not particularly old, only about 35 or 36 years old. She was a petite female patient.
Her lower body was covered with a blanket.
In the eyes of doctors, patients are equal, male or female. For example, this patient couldn't even keep her panties during the operation, and she must have felt a little embarrassed.
But compared with relieving pain, such details seem less important.
After the anesthesiologist skillfully examined the patient, he directly performed general anesthesia on her.
Perhaps it was out of consideration for the patient's feelings that she was given general anesthesia.
Normally, she could undergo lumbar puncture and epidural anesthesia for this operation.
"The anesthesia was successfully administered, the patient's vital signs are stable, and surgery can be performed."
Routine report from the anesthesiologist.
Dr. Shan performed many surgeries and always seemed relaxed.
At this moment, her expression was quite solemn.
"This operation consists of two major steps. The first is to confirm the degree of necrosis of the femoral head in the affected area. If the necrosis is mild, you can directly drill holes and graft the bone. However, for patients like this, the femoral head necrosis is already very serious, and it is difficult to rely solely on bone grafting to reduce intrabone pressure. This requires helping it establish a new blood supply."
She taught and operated at the same time .
This opportunity to observe a relatively difficult surgery was not only attractive to the six trainees, but also to the two resident doctors, Tang and He, who watched and learned carefully.
Because Zhou Can served as an assistant, he had the advantage of being close to the water and getting the moon first, which gave him a great advantage in studying.
You can understand each surgical step more clearly.
“First, confirm the size of the femoral head that needs to be implanted in the recipient area. Then free one or two groups of blood vessels.”
She picked up the scalpel and cut directly through the patient's epidermis and fat layer.
Zhou Can hurriedly stopped the bleeding.
After revealing the somewhat collapsed femoral head, Dr. Tang stepped forward to help with the hook retraction to expose a more adequate surgical field of view.
The most difficult part of this step is to free up the two groups of blood vessels.
She operated it carefully.
The process of freeing the first artery went relatively smoothly.
Zhou Can, who was helping to pull the hook, found that her free movement technique was relatively weak. She was only at the level of a resident doctor, not at the level of an attending physician.
After all, separation is an advanced medical skill that is difficult to practice and improves slowly.
It is already very good that she has reached her current level.
Perhaps many attending physicians’ separation skills are not as good as hers.
When she tried to free the second vein, the situation was too complicated and the femur collapsed, which greatly increased the difficulty of freeing the vein.
Time passes by every second.
Sweat continued to pour out of her forehead, and the nurse on duty kept wiping her sweat.
It can be seen that although Dr. Shan was wearing a hood, the few strands of hair exposed on her forehead and other parts were all wet with sweat.
"No, it's too difficult to free this blood vessel. I'm afraid we'll have to ask Director Shen to come and do the operation himself."
After trying many times, she made slow progress.
The free blood vessels were also handled very carelessly, and the blood vessel walls were almost broken a few times.
"Please help me contact Director Shen!"
This is what I said to the nurses on duty.
She temporarily stopped the surgery.
The call was connected quickly.
"Teacher, I've encountered a difficult problem. This patient's femoral head necrosis is more serious than expected. It is too difficult to free the blood vessels in the affected area. I am not good enough to do it. I may need you to come and do the operation yourself."
This is why it is important to have a strong and honest person.
At critical moments, asking your own teacher for help is the lowest cost and most reliable.
If you ask other senior doctors for help, they may help you clean up the mess due to hospital rules.
A scolding is inevitable.
There is also the possibility of being demoted and having access to similar surgeries restricted in the future.
Just like Zhou Can’s teacher is Dr. Xu.
Leave him your direct phone number and tell him that even if it's three o'clock in the morning and something happens, you can call him over to help clean up the mess.
Why don’t you try calling another director in the middle of the night?
"Okay then, I'll wait for you!"
She ended the call somewhat helplessly.
Zhou Can could hear it quite clearly from the side. It seemed that Director Shen was currently performing an important operation and couldn't spare any time for him.
This is a bit difficult to handle.
Director Shen couldn't get there in time, and the patient was naked with a cut on his body.
The operation encountered difficulties, and the surgeon, Dr. Dan, was unable to solve the problem due to his limited skills, so the patient could only wait.
Time passes by every second.
Director Shen didn't know when he would be able to arrive, and Director Shan's face was full of worry.
She really didn't expect the operation to be so difficult.
Now she is in a difficult situation and is very worried.
"Doctor Shan, can you let me try?"
Zhou Can bravely made the request.
He knew very well that Dr. Shan would not even give him the chance to cut open the epidermis.
How could he be allowed to do such an important job as freeing blood vessels?
Doctor Shan stared at Zhou Can with sharp eyes.
"What did you say?"
"Can I free this blood vessel? I've freed intestines in the emergency department."
Zhou Can quickly brought out his own successful experience.
"What surgery requires mobilization of the intestines?"
She asked, staring into Zhou Can's eyes.
"Appendectomy!"
She has never had this operation done, but she knows the general steps.
It is indeed necessary to separate the omentum from the intestine.
The difficulty is not low.
"Are you sure?"
"I can't say I'm 100% sure, but I think it's more than 90%!"
Doctor Shan was struggling with whether he should let this volunteer intern give it a try.
After all, Zhou Can has always performed exceptionally well.
Finally, she decided to take a risk and let Zhou Can try.
This has certain risks, but it is still within the acceptable range.
If Zhou Chan performs poorly, she can just stop it immediately.
"Go ahead and try! But be careful. If you are not sure, stop immediately. If you dare to act recklessly, I will cancel your qualification for regular training."
This statement is more of a scare tactic.
She should not be able to cancel Zhou Can's regular training qualification.
At most, a certain punishment will be given.
After all, Zhou Can didn't do anything against the law or unforgivable.
"Doctor Shan, are you really determined to let him try? He is only a resident intern after all!"
Dr. Tang tried hard to dissuade him.
Because of the accident, he will be implicated to some extent.
"There is no better way at the moment. A person's eyes will not lie. His eyes reveal strong confidence. Let him try!"
Doctor Shan explained.
Zhou Can stood in Doctor Shan's position, took the scalpel from the instrument nurse, and began to free the vein.
An expert can tell whether something is good or not with just one look.
When everyone saw Zhou Can's calm demeanor, they realized that he might really have this ability.
One knife!
The blood vessel was fine and a small section of it was successfully freed.
Doctor Shan's heart, which had risen to his throat, suddenly fell to the ground.
When Zhou Can made the second cut, her heart was in suspense again. She was also extremely nervous, staring at the knife in Zhou Can's hand.
If there was anything wrong, she would stop immediately.
"Uh... Is this really a free blood vessel? Why does it feel like peeling sugarcane?"
She found that Zhou Can's sword moves were always quick and decisive.
She is not as cautious and treading on thin ice as me.
Her heart felt like it was on a roller coaster, rising and falling with Zhou Can's scalpel.
She couldn't help but be nervous.
Because if something goes wrong, she is responsible.
Zhou Can's movements became faster and faster. The vein that was difficult to free was like a toy in his hands. It only took about five minutes to successfully free it.
You know, it wasn't that difficult for Doctor Dan to free the first artery, but it still took him nearly half an hour.
The gap between the two sides is too big.
She is the chief surgeon and attending physician!
Moreover, the separation skills of free blood vessels are very challenging for the surgeon.
"Doctor Shan, this blood vessel has been separated!"
Zhou Can was ready to give up his position and hand the scalpel back to the nurse.
"Well done! We're not done yet, Dr. Zhou, please continue." Dr. Shan said to him with a smile.
Only then did everyone recover from their extreme shock.
Looking at Zhou Can was like looking at a monster.
"Oh my goodness, I've been in the operating room for four years, and I've never seen such an amazing intern. I say, Doctor Zhou, tell us the truth, is he a resident or not?"
Dr. Tang is also considered a senior resident.
Watching Zhou Can separate that difficult vein at this moment is so shocking.
Even if Director Shen were to perform the surgery himself, the level of the operation would probably be about this.
The speed may not be as fast as Zhou Can.
"Our batch of regular training is over! How can we compete with such a monster?"
This person expressed the common thoughts of all trainees.
“We’re not competing with a resident, we’re competing with an attending physician.”
Another trainee said depressed and helplessly.
"It's not as exaggerated as you say! I just happen to be better at wandering." Zhou Can explained with a humble smile.
"Doctor Zhou is good at a lot of things, including puncture, hemostasis, suturing, freeing... This is just one day of contact with you. Who knows how many more specialties you will show in the future? Comrades, I admit defeat. It's not that I'm a coward, but that my opponent is too strong."
The intern who was quite good at watching movies said with a dejected look on his face.
"Alright, alright, if you want to praise Dr. Zhou, wait until the surgery is over. No one is allowed to chat anymore, so as not to affect Dr. Zhou's surgery."
Doctor Shan forced everyone to keep quiet.
Otherwise, these people praised Zhou Can for half an hour without taking a break. Should we still do the operation?
Free blood vessels are extremely risky.
If it affects Zhou Can and causes an accident, she will be responsible for it.
Zhou Can then continued to free the blood vessels.
One, two...
When the last strand was about to be freed, Director Shen rushed over to rescue his apprentice, Doctor Shan.
When I first entered the operating room and took a closer look, I was almost scared to death.
Why did a strange young male doctor take over the surgery?
"Shan Dan, what's going on?"
"Teacher, you are here!" Dr. Shan greeted the teacher when he saw him coming. "Dr. Zhou Can's separation skills are very high. I didn't know when you would be able to complete the operation, so I asked him to give it a try. As you can see, he did a great job."
Doctor Shan explained.
Director Shen stared at Zhou Can's scalpel, and his shock was no less than that of everyone else.
"I didn't finish the operation. I only did the most important part, and then asked my assistant to take over. I thought I would come over to help you free the blood vessel first. Unexpectedly, I got a pleasant surprise. Doctor Zhou Can is indeed worthy of his reputation. No wonder even Director Xie of our general surgery department has mentioned him many times."
When talking about the word "mention", the pronunciation is a bit heavy.
I feel that Director Xie is not praising Zhou Can, but is annoyed that Zhou Can is too capable in the emergency room and performs too many surgeries.
Then I might consult other chief physicians in the surgical department to discuss countermeasures.
Of course, such discussions must be conducted behind closed doors.
No external dissemination will be allowed.
"Is he so famous that even Director Xie knows him?"
Doctor Shan asked in surprise.
"He performs more than a thousand surgeries a month in the emergency department alone, and last month it was over 1,200. Do you think he is famous?"
When Director Shen looked at Zhou Can, his eyes were full of the look of someone looking at a monster.
In the past, he thought that Director Xie’s investigation results were exaggerated. How could a trainee who had just completed three months of training be that strong?
At this moment, seeing is believing.
He believed it completely.