Chapter 194: My mother's home is my mother's home. Dr. Zhou has made great progress.
While Ye Tingting was still waiting to coordinate the bed with the attending physician Ai Li, a pretty figure came running over from a distance.
She didn't even take off the dark green surgical gown she was wearing.
The person who quickly ran to him was none other than Zhou Can’s former best surgical partner—Qiao Yu.
"Haha, it's really you who's back! I thought Dr. Lin was lying!"
Qiao Yu looked at him with a bright smile on her face.
Seeing her rushing here in such a hurry, Zhou Can laughed in his heart, thinking that she was worried that she would be too late and leave by herself!
"I sent a patient here for observation and treatment." Zhou Can explained.
She glanced at the two family members and the patient being supported behind Zhou Can and nodded.
Indicates that I understand.
"How are you doing lately?"
Zhou Can met her and obviously had a lot to say, but he didn't know where to start.
The two are friends of the opposite sex.
Zhou Can already has a girlfriend, so many things are not suitable to be said to her.
"My surgical assistance skills have improved a lot. When you come back from regular training, I should be able to cooperate with you more tacitly and be more professional in many aspects."
Qiao Yu said expectantly.
The two had an agreement that after Zhou Can completed his regular training, he would continue to work with her in performing surgeries.
She has always put this matter first and worked hard for it, constantly improving her professional level.
"But I found that to become a qualified surgical nurse, it is far from enough to just pass instruments and consumables. I have been learning critical care nursing knowledge recently. If I learn it well, I can help you a lot in case of accidents during surgery or if I encounter critically ill patients who need urgent rescue."
She always put serving Zhou Can at the core of her mind.
This really touched Zhou Can.
"You have quite a lot of ideas! Among all the nurses I know, you are probably the most motivated one. I believe you will become an outstanding nurse in the future. You may even be as good as the experts among doctors."
Zhou Can praised her with a smile.
"Haha! I don't dare to be on par with the experts, but I have recently learned nursing knowledge and found that nursing abroad is far more advanced than that in China. If I have the opportunity in the future, I may try to study abroad. When I return after completing my studies, I will be able to help you more."
She is not only ambitious and has a lot of ideas, but she is also able to put them into action.
This is a very valuable place.
Many people only have ideas, but when it comes to putting them into action, they quickly give up when they encounter a little setback or difficulty.
"Haha, I am looking forward to that day! I believe that it will bring good news to many patients by then."
After hearing this, Zhou Can was actually looking forward to it.
I don’t know why, but I always feel that if she can say it, she can definitely do it.
At present, the level of nursing in China is still quite backward.
If she goes abroad for further studies, with her diligence, intelligence and ambition, she will definitely learn a lot of real skills.
"It's just an idea. It's still a long way to go to realize it! Not to mention anything else, even wanting to study in the critical care department is difficult."
Qiao Yu had said a long time ago that she wanted to work as a nurse in the critical care department for a while.
If you just learn critical care nursing knowledge by yourself, it will definitely not work.
Only by engaging in professional practice can one grow rapidly.
"Have you taken the nursing professional certificate exam?" Zhou Can asked.
It just so happened that he had been doing his three-month resident training in the Department of Critical Care Medicine and had become familiar with the director and deputy director of the department.
They also value Zhou Can very much.
As long as the hard targets are met, Zhou Can just needs to say hello for her.
"I've already passed the professional certification exam, but don't I still need three months of surgical training and three months of internal medicine training? Internal and external medicine training in the emergency department is useless. You have to enter a real surgery or internal medicine department with more authority to learn the real stuff. I don't even dare to think about neurosurgery or cardiothoracic surgery. Even if I want to be transferred to general surgery for three months of training, I still have to wait in line."
"I've signed up for more than two months, but there's still no news. I'm really anxious."
She must be worried that if time drags on, Zhou Can will return after completing his three-year training period.
As she had not yet completed her advanced training in critical care medicine, she could not serve as Zhou Can's surgical nurse in time. Zhou Can used another surgical nurse, and she was worried that she would never have another chance, so she was very anxious.
"Neurosurgery and cardiothoracic surgery, right? Let me ask for you. Your internal and external surgery training is to prepare for critical care medicine. It would not be a good idea to enter general surgery."
The main areas of patient care in the critical care department are the respiratory, nervous, and blood circulation systems.
These advanced nursing experiences and knowledge can only be learned by entering cardiothoracic surgery or neurosurgery.
Chan himself has a deep understanding of this.
"Neurosurgery and cardiothoracic surgery are both very high-end and prestigious departments. You... better not ask." She didn't want Zhou Can to be disappointed.
"It's okay. I'm thick-skinned. If I'm rejected, I'll just think of other ways."
Zhou Can has a say in both departments.
It shouldn't be difficult to get a nurse from our hospital to come in for training.
At least he was very willing to give it a try for Qiao Yu's sake.
"Xiao Zhou!"
A slightly old voice called out.
In the emergency department, there are only a few people who dare to call Zhou Can "Xiao Zhou".
Even the attending physician like Dr. Fu politely called him Dr. Zhou.
"teacher!"
Zhou Can looked up and saw that it was indeed Doctor Xu.
I haven't seen Dr. Xu for more than a year, and he seems to have aged a little.
He manages the operating room affairs of the entire emergency department almost single-handedly, and the pressure must be great.
Whether men or women, they are particularly prone to aging when under great stress.
"I'm going to eat first. Remember to keep in touch on WeChat! Bye!"
Qiao Yu tactfully left the space for the master and disciple.
“Are you sending a patient here for treatment?”
Dr. Xu glanced at the patient not far behind Zhou Can.
"A patient in the Digestive Surgery Clinic had esophageal varices and ruptured bleeding caused by drinking, but the condition was not particularly serious. Director Jia suggested that they be hospitalized for treatment, but there were no beds in the Digestive Surgery Department, so he asked me to take them to the emergency department to see if they could stay in the observation room for one night. I will treat them first, and then find a solution."
Zhou Can explained the cause and effect in detail.
"That's easy. Just give me the patient's information! You must study hard during your rotation training in surgery. You must not be proud and complacent. You must humbly ask for advice from senior doctors. Do you understand?"
Dr. Xu kept talking like a parent instructing his child.
But to Zhou Can's ears, it felt very familiar.
"The patient's information was taken away by Ye Tingting, and she went to see Dr. Ai Li."
As Zhou Can was speaking, Ye Tingting had already returned.
With a smile on face.
"Done. Doctor Ai asked me to put the patient in the observation area first, and I'll come over to give him medication in a little while." Ye Tingting said, and then looked at the family members. "Go to the window and get an emergency number for Doctor Ai Li from the emergency department, otherwise we won't be able to admit him or prescribe medicine."
It was only because Zhou Can had great connections that the emergency department was willing to accept this patient.
Otherwise, you must follow the procedure.
"It's all settled. You should hurry back to the Department of Digestive Surgery! There is a lot of overlap between Digestive Surgery and General Surgery. It's great that you are learning from Director Jia. You must seize the opportunity. If you learn well, the training time for general surgery can be shortened to one month."
Dr. Xu urged Zhou Can to leave quickly.
Because he is an experienced person, he knows that every minute and every second of the regular training is very precious.
Once the regular training is completed, it will be difficult to go to other departments to study.
You can only apply for the opportunity to study in other departments.
And with Zhou Can's talent, he will at least be the leader of a surgical team in the future, which is equivalent to a core figure.
Once the surgical team is officially formed, it cannot just leave as it pleases.
Be responsible for all members of the team.
If the core person leaves, the remaining people will not be able to complete the key part of the difficult operation. This is very fatal.
Therefore, the right thing to do is to learn as many skills as possible during the regular training.
"Teacher, I'm leaving now! Goodbye!"
Zhou Can waved goodbye to Dr. Xu and Ye Tingting.
After coming out of the emergency department, he was still quite emotional. His mother's home is his mother's home, and it feels particularly good to be back.
I just hope that I can pass the first comprehensive medical examination which is coming soon.
Only after obtaining a medical license can you have a future.
…
When I returned to the Department of Digestive Surgery, Director Jia had already finished his consultation.
Let Zhou Can eat first, then rest for a while, and go into the operating room at 1 pm to perform surgery with Director Jia.
By the time Zhou Can finished lunch, it was almost one o'clock in the afternoon.
There was no time to rest. He went to the toilet and went straight to the operating room.
Digestive surgery shares several operating rooms with general surgery.
Zhou Can arrived just in time, the operation hadn't started yet. He opened the door of the operating room and walked in.
If the operation has started, if you want to enter the operating room, you can only press the doorbell and ask the medical staff inside to help open the door.
The indicator light on the door will usually turn on red, saying something like 'Operation in progress, do not disturb'.
After Zhou Can went in, he found that Senior Sister Qiu had already arrived.
There were also a few doctors and nurses I didn’t recognize.
These doctors must be doctors in the group.
Director Jia did not see them when he was seeing patients, which means that these people have either already completed their training or are just general training targets.
Qiuhong follows Mr. Jia to see patients every day. She is a key training target.
"This is Director Jia's new student, Zhou Can. He is currently rotating to our gastrointestinal surgery department for a three-month regular training." When Qiu Hong saw Zhou Can come in, she immediately introduced him with a smile.
"Hello everyone!"
Zhou Can didn't dare to shout randomly. After all, he didn't know them, and he had no idea of their identities and ranks.
It’s nonsense to call anyone you catch a teacher.
Maybe it’s normal for interns to do this.
I'm about to take the dual-certificate residency exam for doctors, and it would be very cheap to call others teachers casually.
Some postgraduates and doctoral students would perform surgery together with their supervisors. Their status and rank were at the same level as Zhou Can.
His practical experience may not be as good as Zhou Can's.
"Hello!"
Several doctors were lukewarm about him.
Some answered, some nodded as a response.
He was just a new trainee. No matter how outstanding he was, he was just that in their eyes. It was normal for them to be cold towards Zhou Can.
Not to mention them, even Qiu Hong's attitude towards Zhou Can was rather cold at first.
Later, he was impressed by Zhou Can's skills and took the initiative to change his way of addressing him and called him "Junior Brother Zhou".
The patient is already lying on the operating table and the anesthesiologist is busy.
Zhou Can looked up and was immediately happy.
"Doctor Guan, it's you !"
He was already very familiar with many anesthesiologists. Doctor Guan and Doctor Feng both had close relationships with Zhou Can.
"It's not uncommon to meet someone in life. Dr. Zhou and I are destined to meet. You came at the right time. Please help me!"
Dr. Guan was not at all polite with him.
Just ask him to come over and help.
The other doctors, including three nurses, looked at Zhou Can in surprise.
Anesthesiologists are usually aloof.
Especially for anesthesiologists of Dr. Guan's level, they usually only talk to the surgeon when necessary during the operation. As for other medical staff, they are like air in their eyes.
The status of anesthesiologists is low, but that is only relative.
For example, they are both at the attending physician level, but the other person is the attending physician of an important department, and anesthesiology is a sub-discipline, so its reputation is not as good on the surface.
Standing together, the attending physicians of the important departments definitely have a higher status.
This does not mean that anesthesiologists are unimportant.
At the level of official doctor, one is already an important technical personnel for the hospital.
"What's wrong with this patient?"
Zhou Can saw that the patient's eyes were still open and the vital monitoring probe had not yet been installed.
When the patient is not under general anesthesia, special care should be taken when speaking.
Otherwise, it would cause conflicts between doctors and patients, or lead to misunderstandings, which would not be good.
"Adhesive intestinal obstruction requires partial intestinal resection."
Doctor Guan replied.
Before the operation, the anesthesiologist needs to conduct a comprehensive assessment of the patient's condition and the surgical plan provided by the surgeon.
So they are very clear about the patient's condition.
"It's time to remove the intestine! This is a level 4 major surgery!"
When Zhou Can heard that it was a major operation, he immediately became excited.
He was tired of performing level one surgeries in the emergency department.
The difficulty of the second-level surgery is a little higher, but with his current ability, he is somewhat dismissive of it.
He is now targeting level three and four major surgeries.
Don't even think about presiding over the entire operation.
As long as he could get the important part of the operation, he would be satisfied.
"Is it a laparotomy or laparoscopy?"
Zhou Can asked.
If it is a laparoscopic surgery, his chances of being involved in the vital parts are higher.
"Traditional laparotomy! Director Jia doesn't seem to do endoscopic surgery very often."
Doctor Guan's words have hidden meanings.
Basically, it was telling Zhou Can that Director Jia was not very talented in endoscopic surgery, so he performed more traditional surgeries.
Endoscopic surgery is more difficult than traditional surgery.
Because it performs the surgery by manipulating an arm.
In a sense, robotic surgery is designed to make up for this shortcoming.
When doctors perform surgery, they are prone to hand tremors, inadequate operation, inaccurate cutting and suturing, etc. With robots, these problems can be avoided by remotely controlling the robot's mechanical arm.
Plus, the robot has a wider field of view and can magnify the surgical area more than ten times, allowing for a clearer view.
Then it can move flexibly, so many large hospitals are now starting to introduce robots.
Zhou Can helped with intubation and ventilator treatment.
While observing the patient's condition.
Patients with intestinal obstruction often have homeostasis imbalance due to vomiting, gastrointestinal decompression, and inability to eat. This needs to be corrected before surgery to grasp the timing of surgery.
Patients with chronic intestinal obstruction are likely to be malnourished.
The patient was pale and thin, just like the refugees in Africa.
This indicates that it is likely to be chronic intestinal obstruction.
"How are his liver and kidney functions?"
Zhou Can asked.
"Hey, I haven't seen you for a while. Your medical skills have improved a lot. Don't worry, we have tested his liver and kidney functions before the operation, and have also done some treatments to ensure that he can tolerate the operation."
When Dr. Guan heard his question, his eyes lit up.
Zhou Can just casually asked about the patient's surgical plan and was able to infer that the patient was suffering from chronic intestinal obstruction.
And the fact that he knew to consider liver and kidney function before surgery shows that Zhou Can's medical level has greatly improved compared to before.
Only Dr. Guan could feel this huge improvement most clearly.
Patients with chronic intestinal obstruction must monitor and treat their liver and kidney functions before surgery due to water, electrolyte and acid-base disorders and malnutrition to prevent surgery from aggravating damage to these organs.
If you are not an experienced doctor, it is difficult to think so deeply.
