Chapter 125 The dust has settled, the failed replantation of the severed finger
"He, can he perform so many operations every month by himself?" Doctor Shan was a little unsure about what to say.
With two assistants and two nurses, she was very good at performing 500 surgeries a month . In fact, she usually performed around 400 surgeries a month.
Others were also shocked by the number.
Now they finally understood why Zhou Can was so powerful.
Because the surgical practice opportunities they get in one month are more than what many residents get in a year.
As for these trainees, many of them had never touched a scalpel. They had only had the chance to suture skin two or three times. They dared not even think about conducting an operation independently.
Compared with Zhou Can's actual combat experience, they could only look up to Zhou Can like reptiles on the ground looking up at the stars in the sky.
"From what I understand, that should be the case."
Director Shen looked at Zhou Can.
I hope he can confirm it himself.
Zhou Can's past was exposed by Director Shen, and he laughed shyly, "It's not as exaggerated as everyone thinks! It's just some simple first-level surgeries."
In fact, if Director Xie had not suppressed him, he might have vomited during the second-level surgery.
"You actually made more than 1,200 units a month! You're amazing!"
Dr. Shan couldn't help but give him a thumbs up.
This quantity is really amazing.
"Doctor Shan, now that your problem has been solved, I will go back to operating room number two. That sternal osteotomy is too dangerous. I feel a little uneasy if I don't keep an eye on it."
Director Shen came and left in a hurry.
Before leaving, he looked at Zhou Can deeply, his eyes full of love.
Love is what many leaders have in common.
Director Shen is one of the most famous chief physicians in the Department of Orthopedics. When he met a gifted young doctor, he liked him from the bottom of his heart.
I can't help but feel a sense of admiration for talented people.
Although he didn't say anything when he left, it could be seen from his eyes that he would most likely personally train Zhou Can in the future.
…
After Director Shen leaves, the operation has to continue.
It can be felt that Dr. Shan's trust in Zhou Can has clearly reached a new level.
All other work except free blood vessels is left to him.
Zhou Can also participated in some important subsequent surgical steps.
Zhou Can even had a blood vessel sutured.
However, Zhou Can's anastomosis technique is weaker than Dr. Shan's.
This is an advanced medical skill.
She also did not reach the level of attending physician.
Currently he is at the excellent level of a resident doctor.
Zhou Can felt a little ashamed that he had only reached the lower level of a resident doctor.
This was mainly because in first-level surgery, there was almost no anastomosis of blood vessels and nerves. This advanced medical skill eventually stagnated.
He himself is not in a hurry.
As long as he obtains his medical practitioner certificate, he will be able to participate in secondary surgery.
By the time they finished the femoral bone grafting surgery, it was already past seven in the evening.
That's how it is in the operating room, the working hours are quite flexible.
You must complete the day's surgical tasks before you can leave work.
"Thank you for your hard work today. The six of you have performed very well. I will give you fair scores based on your actual performance. Now you can go home."
Doctor Shan's words sounded very pleasing to the ear, but the interns knew in their hearts that Zhou Can was the only one who could be promoted stably.
As for the others, we will have to see how the other two groups of trainees perform.
The next day, Zhou Can was still in the inpatient department with Dr. He.
Unlike when he was an intern, now he needs to learn to handle many things independently. Dr. He is also very concerned about this potential stock. As long as he knows something, he will teach it to Zhou Can without reservation.
When it comes to unreserved teaching, we must do some popular science.
Almost all senior doctors are willing to teach their junior doctors general medical knowledge, surgical skills, methods and technical points for solving various common diseases without reservation.
However, almost all doctors only pass on some unique skills and core technologies for treating various difficult and complicated diseases to their "disciples" or "personal disciples".
At present, all hospitals, big and small, in the country are almost the same.
For many young doctors, starting from the day of internship, all they have to do is to please a deputy director or director-level physician whose major area matches theirs.
Although the success rate will not be very high, once you are noticed by a doctor of this level, even if you cannot become his disciple, just being accepted as a disciple will be enough to make your future bright.
At least you can get good instruction in the chief physician's area of expertise.
How much a person can understand and learn depends on his or her fate.
Some interns and residents have little ambition and are timid. When they work in large hospitals, the people they try to please are basically the residents who are one level higher than themselves.
Unless such a person is extremely talented, he or she will most likely become an ordinary doctor.
It is difficult to achieve great success in one's lifetime.
Zhou Can realized this very early on. Therefore, when he was doing internship, he always adopted an attitude of neither offending nor flattering the chief resident doctor.
Later, when he was performing a level-three operation in the operating room with Deputy Director Liu, once he saw an opportunity to gain Deputy Director Liu's appreciation, he would jump out without hesitation.
He doesn't care even if it means offending the resident doctor.
This is his growth strategy.
There is a saying that goes, "A general with a sword does not kill flies. If you want to become a big tree, do not compete with grass."
Sometimes, vision and pattern also determine the upper limit of a person's growth.
Just imagine, you have to compete with several residents every day, and the one you are trying to curry favor with is the resident who is one level higher than you.
How great can it be?
Zhou Can worked in the bed area until about six in the afternoon, when he should have been off work.
Dr. He walked over with a smile and took over his work.
"Go to the doctor's office! Doctor Yang will make new work assignments for you. You will be assigned to work in the operating room in the future. If you have any questions about hospitalization or some patients who need special care, you can always come to me."
Dr. He was so friendly to him that he probably knew that Zhou Can was able to work in the operating room.
With an uneasy heart, Zhou Can walked quickly into the doctor's office.
Before the results were announced, no matter how strong he was, he was still a little unconfident.
All eighteen trainees gathered in the office.
Many people looked nervous.
Dr. Yang was still in charge, with the young Dr. He assisting.
Zhou Can worked with Dr. He in the operating room for a day. He found that Dr. He's surgical ability was very weak, while Dr. Tang was much stronger.
It is not difficult to see from this point.
People with poor surgical skills are often assigned to perform various chores.
"You're all here! Over the past three days, all eighteen of you have been working hard to excel, and you've all performed well."
Dr. Yang first said a cliché.
Then I started to talk about the key points.
"Unfortunately, there are limited places for regular training in the operating room, so we can't let all of you work in the operating room. After preliminary screening by the attending physicians in the operating room and final discussion by several chief physicians, it has been decided that the following six people will enter the operating room for daily regular training. The other twelve people will have the opportunity to enter the operating room for regular training during the operation."
This is routine practice in most departments.
Resources are limited, so we can only focus on training a small group and provide extensive training to a large group.
"Zhou Can, Lu Bubi, Cheng Daile..."
Zhou Can actually ranked first.
It seems that the senior doctors are very optimistic about him.
But think about it.
As long as people are a little fair, it is undisputed that this monster ranks first.
Five names have been read out, but Jin Mingxi's name still has not appeared.
When Zhou Can turned his head, he found Jin Mingxi clutching the corner of his clothes tightly, with a last hope on his face, staring at the list in Dr. Yang's hand.
If he makes the wrong choice, Jin Mingxi will lose the initiative and fall behind others step by step.
Regular training in orthopedic surgery is extremely important.
It determines whether the foundation for future surgery is solid.
If you fail to learn enough surgical knowledge and skills during the three months of orthopedic surgery training, it is impossible to make up for it by reading books or watching teaching videos.
This will inevitably affect the subsequent rotation competition among departments.
One step behind, every step behind.
Moreover, after becoming a resident doctor, the gap will be further widened, which is very disadvantageous for future promotion to attending physician.
This is also the reason why Jin Mingxi was so nervous.
He is already quite old, having started regular training at the age of 35 with only a bachelor's degree. If he delays for another two years, he will probably end up living there until the attending physician retires.
Ultimately, his great dream of returning to the county people's hospital in his hometown after graduating from school and improving the hospital's overall medical level will certainly be greatly reduced.
"Don't worry. If you fail, I'll find a way to help you later."
Zhou Can patted his hands and comforted him softly.
"Um!"
Jin Mingxi nodded gratefully.
"The last name is Jin Mingxi."
Doctor Yang deliberately whetted everyone's appetite and left enough suspense before announcing the sixth person's name.
"yeah!"
Jin Mingxi clenched his fists tightly, extremely excited.
To him, the few seconds of agony just now seemed like a century.
The twelve trainees who failed to be selected all showed expressions of extreme disappointment.
They are in low spirits and must be feeling very uncomfortable.
But competition is so cruel.
The capable are promoted to the top, the mediocre are demoted to the bottom.
"Don't be discouraged if you are not selected. The road to medicine is long. As long as we keep studying hard and constantly improve our diagnosis and treatment skills, we will always achieve something. To be honest, I was one of the interns who failed to be selected. However, with my perseverance and persistence, I was successfully promoted to the chief physician of orthopedic surgery. I encourage you all."
Seeing that many people were in extremely low spirits, Dr. Yang heartily revealed his own dark history in order to motivate them.
After listening to this, some trainees whose self-confidence had been severely hit raised their heads again.
There was a gleam of determination in his eyes.
Doctor Yang is a pretty nice person.
"The six people who have successfully advanced will report directly to the operating room tomorrow. Zhou Can, Lu Bubi, and Cheng Daile will report directly to Dr. Shan tomorrow. Wang Bin, Fan Wen, and Jin Mingxi will report directly to me."
Direct arrangements were made for the six people.
I feel like Dr. Yang's surgical skills are probably weaker than Dr. Shan's.
Zhou Can was wondering, do the three people assigned to Dr. Shan mean they are better?
Now that the dust has settled, he has successfully entered the orthopedic surgery room, and his heart is at ease. In the next three months, he will study hard and learn as many orthopedic surgical skills as possible, as well as surgical methods for treating various orthopedic diseases.
…
The next day, Zhou Can rushed to the orthopedic surgery department early to report to Dr. Shan.
The operating room working hours here are different from those of the emergency room.
The emergency department is open 24 hours a day.
In a specialist operating room, except for overtime work for various special major surgeries, the normal working hours are to enter the operating room around 7:30 in the morning and leave work after 5:30 in the afternoon.
The end of get off work time can occasionally be advanced if all surgeries are completed.
However, even if everything is fine in the operating room, doctors and nurses are still worried that they will be counted as leaving early in the attendance system. They usually stay in the office to write down medical records, surgical records, thoughts, or check medical orders.
Stay up until the appointed time before leaving get off work.
In fact, leaving get off work late is the norm.
"Morning, Doctor Shan!"
As soon as Zhou Can arrived at the orthopedic surgery corridor, he saw Dr. Shan.
She had already changed into her white coat and was reading some examination reports in her hands.
"morning!"
She looked up at Zhou Can, then continued to look down at the examination report.
Zhou Can quickly changed into his work clothes and followed her.
Among the three trainee students, he was unexpectedly the first to arrive.
"After everyone has arrived, prepare for the ward rounds. This case is very valuable for learning, you can take a look at it."
She handed Zhou Can a medical record with a medical examination report.
Since I came early, it seems I can still get some special care.
After Zhou Can took it, he studied it seriously.
Not long after, Dr. He, Dr. Tang, and two other interns arrived.
"Let's start the ward rounds!"
She led a few people to the bed area.
"Doctor He, do you know which beds are used for surgical patients in our group?"
"It's already been counted! Beds 46 to 145, plus wards 5 and 6."
With so many beds, they definitely cannot be occupied by just one doctor.
The group she was talking about was most likely the entire bone trauma surgery team led by Director Shen.
The chief physician usually only makes rounds once a week.
This requires the attending physicians to be more diligent and take good care of the surgical patients in this group.
They checked each bed one by one.
Zhou Can followed behind, just watching silently and listening to their conversation.
By now, he had to gradually learn how to conduct rounds independently.
Dr. Dan asks different questions to patients with different conditions, and then makes treatment arrangements based on the reports from the attending physicians and interns, as well as the patients' responses.
There is a lot of knowledge involved here.
He greedily absorbed the knowledge and experience.
Following the senior doctors for ward rounds now is completely different from the ward rounds during my previous internship.
Interns cannot write medical instructions, let alone prescriptions.
Dr. Shan can flexibly make adjustments based on the conditions of each patient.
For example, if someone complains of unbearable pain after surgery, she will prescribe painkillers for the patient.
"Doctor Shan, can you please take a look at my husband's hand? It's been almost 24 hours since the surgery, but he still has no feeling in his four fingers."
The male patient on the bed is about fifty years old.
All four fingers on the right hand were cut off and replantation surgery was performed.
At this moment, the four fingers still look pale.
There is obviously a problem with blood supply.
Zhou Can was secretly wondering, all four fingers had blood supply problems. It should not be that the doctor did not do a good job of anastomosis, but that there was something wrong with other aspects .
Coincidentally, he had the honor of performing two finger replantation surgeries.
Could have done more stations.
Later, Director Xie instructed a team leader of the quality control department to suppress him, and in front of Vice President Ye, restricted him from performing any more surgeries above level one.
Since then, Zhou Can has never performed finger replantation again.
He stared at the patient's four fingers. Could it be that these four severed fingers missed the golden replantation time of less than 6 hours?
