Chapter 2 Double Experience

Interns are the most humble people in the hospital, even lower than cleaners.

I do the most tiring work and get scolded countless times a day. The instructor scolds me, the doctors in the department scold me, the nurses scold me, and sometimes I get scolded by the patients and their families. The most important thing is that I don’t get paid.

We endure humiliation and bear heavy burdens in order to get through it as soon as possible.

When you become a resident doctor, your remuneration will be greatly improved. You won't have to suffer so much.

…

That night, Zhou Can slept very soundly and felt more relaxed than ever .

In his dream, he was successful and became a great surgeon. He could perform extremely difficult surgeries that famous doctors could not handle with a wave of his hand. Tuya Hospital was proud of him, and the medical community respected him as a modern surgical expert.

When I woke up, I realized it was just a dream.

He is still that little intern.

Just wait, sooner or later your dream will come true.

I glanced at the clock on the wall. It was 7:10.

Because I slept very late, I woke up more than an hour later than usual.

In the dormitory, roommates who got up early were already reading books or practicing basic skills such as picking up beans with toothpicks and sewing.

The internship was coming to an end, and he could feel the tension and anxiety in the air.

Everyone is working hard to make themselves stronger.

I heard that Tuya’s regular training recruitment is open to both interns in our hospital and social medical personnel, and the competition is fierce beyond imagination.

Thousands of people take the regular training examination, and it would be good if twenty of them can stay in the end.

The elimination rate is as high as over 98%, which is scary to think about.

It is no exaggeration to say that one general's success is the result of the sacrifice of millions of soldiers.

In fact, people are always competing throughout their lives.

When students are promoted from primary school to junior high school, only a small number of the best students can enter key middle schools. Then when students are promoted from junior high school to senior high school, a large number of students will be eliminated. When students take the college entrance examination, a large number of students will be eliminated again. When students take the postgraduate entrance examination, another large number of students will be eliminated.

Those who stay until the end will stand at the top of the pyramid.

After Zhou Can graduated from university, he failed the postgraduate entrance examination.

This time, he didn't want to fail again. He had to kill them.

Morning is the golden time for reading, when the mind is clear and the memory is strong. After washing up, he saw that he still had some time, so he quickly took out the medical book to read.

The rise of every famous doctor is the result of accumulation over time.

This book is a collection of 1,000 cases of surgical pathology diagnosis compiled by Professor Huang Houzhong and several famous surgeons. It contains a large number of real cases.

"The patient is a 34-year-old female living in a rural area. She found her neck thickened 7 years ago but never received any treatment. In the past two years, her neck has thickened significantly and she has difficulty breathing, but she has no symptoms of hoarseness or difficulty swallowing. She touched the front of her neck and felt multiple nodules. The largest nodule was as big as a chicken egg and the smallest was about the size of a peach pit. She went to a clinic and took 'iodine sugar pills' for treatment, but the swelling in the front of her neck did not reduce significantly..."

Zhou Can read the cases in the book carefully.

Based on the patient's symptoms, medical history and examination results, he began to infer the cause and pathology of the disease.

After some deduction, he believed that this was a typical scapular gland tumor.

After completing the reasoning, I read the famous teacher's diagnosis at the end, and as expected, it turned out to be a scapular gland tumor.

Finally, after the female patient underwent surgery, the tumor removed was found to be benign.

It's a blessing in disguise.

Because of thyroid tumors, the chance of malignancy is very high.

Zhou Can just finished reading this case.

[Pathological diagnosis experience value +0.1. ]

I didn't expect that reading books could also increase experience points. This is really a pleasant surprise.

It seems that we don’t have to worry about lagging behind in pathological diagnosis in the future.

Its importance is in no way inferior to that of surgical skills.

Pathological diagnosis tests a doctor's application of medical knowledge, as well as the accumulation of diagnosis and treatment experience, analytical ability, judgment ability and other comprehensive levels.

Having tasted the benefits, I was about to read another case when my roommate called out, "Zhou Can, let's go, you'll be scolded if you're late."

He closed the book and went to the hospital to work with several roommates.

The department where he is currently interning is general surgery. Writing medical records, providing various types of care to patients, changing dressings, measuring blood pressure, writing medical records, and following surgeries are his basic daily routine.

Don't think that having surgery means you have the opportunity to practice surgery.

I would stand on the operating table with my instructor for several hours, sometimes even more than ten hours for one operation. The only jobs I could get were hook pulling and skin cleaning.

Don't even think about closing the cavity or sewing the skin.

The teacher who leads them is of a very high level, at the deputy director level, and has more than a dozen interns under him.

When the operation was performed, the lineup was even more luxurious.

The chief physician is only qualified to be an assistant.

When there was an opportunity to suture skin or seal a cavity, the residents rushed to do it like hungry wolves.

There is no chance for interns to get a chance.

The day passed by uneventfully.

Zhou Can wished he could grow wings so he could fly back to the dormitory and practice medical skills.

The day after tomorrow will be the regular training recruitment, time is very tight and he must seize every minute.

Pigskin for suture practice is hard to buy in the market. It has certain requirements for thickness and refrigeration. He usually buys it in the hospital's science and education building.

While selecting pig skin, he suddenly had an idea: should he buy a white mouse to practice anatomy and hemostasis?

Stopping bleeding has always been his weak point, and he can't let it hold him back.

After some selection, he bought a medium-sized pig skin for 40 yuan. The price of white mice was more expensive, and the inferior mice cost 60 yuan each. He bought the best one, which cost 200 yuan.

With such a high price, ordinary interns really can’t afford it.

Zhou Can's family is well-off, and he is willing to spend money to improve his medical skills.

Bring the pig skin and white mouse back to the dormitory.

"Hey, Brother Can is both pig skin and white rat. It seems that he is going to practice until two or three o'clock today!"

"Aren't we going to recruit for regular training right away? It's better to sharpen your sword before the battle. You are all working hard, and I can't let the 211 dormitory fall behind!"

Zhou Can responded with a smile.

"I heard that this year's regular training recruitment is open to the whole country, and the number of applicants has exceeded 4,000. In previous years, there were only about 2,000 applicants. This year, the difficulty of staying has at least doubled. We are so miserable!"

"Gu Jie, where did you hear this news? Is it true?"

The roommates suddenly became nervous.

"It's absolutely true. And the number is still increasing. I think this year is going to be a tough year!"

Gu Jie's parents work in the health system and are well-informed.

After hearing the news, Zhou Can felt very heavy.

However, the fact that so many people are rushing to join Tuya also shows that every position here is very attractive.

Good stuff, everyone wants it.

It all depends on your ability.

Zhou Can began to practice against the clock.

First, make a cut in the pig skin.

[Cut experience +0.1. ]

Cool!

Only 0.2 points left to level up.

Keep going and continue dissecting this piece of pig skin.

Finally, pleasant congratulations were heard.

[ Congratulations on reaching level 2 in incision! Current experience value 0/100. Dissection ability training is at the lower level.]

The incision has reached the standard training level, which is great.

His understanding and manipulation of anatomy have now reached a new level. When cutting, his hands do not tremble, and he can easily handle vertical and oblique cuts. He has even made great progress in free cuts, which he was afraid to touch before.

Try a secondary incision on pig skin.

When he looked at the pig skin, he was surprised to find that he could see the patterns on it.

This is a capability that was not available before.

Holding the scalpel and cutting, the feeling is very different from before. Now I can vaguely feel the subtle differences between cutting the epidermis, dermis, and muscle layers.

I heard that a good surgeon could take a knife and cut as many layers as he wanted from a stack of paper. At that level, he had already practiced cutting to perfection.

As soon as their knife touches the blood vessel wall, they can sense it immediately.

This can greatly avoid the tragedy of cutting important blood vessels or nerves during surgery.

Zhou Can’s current anatomical skills are better than most interns.

If you can be promoted to level three, reaching the level of a resident doctor, you will probably have the ability to crush outstanding interns. The chances of standing out from the crowd will be much higher.

After the incision upgrade, he began to practice suturing and knotting diligently.

In less than an hour, he had completed 150 stitches.

This efficiency is much faster than yesterday, it has increased several times.

And the sewing effect is much better than the internship level.

Looking at the rapidly growing experience points, Zhou Can was full of motivation.

Try your best and upgrade the two medical skills of suturing and ligation to level three tonight.

Another hour passed and the entire pig skin was sewn.

A total of more than 340 stitches were used.

I should have bought a bigger piece of pig skin to take home.

I looked up at the clock on the wall and it was not yet 9 o'clock.

He used to have to sew 300 stitches and stay up until at least 1 a.m. Now it’s been shortened to four hours. After all the hard work, he is so happy that he wants to cry.

After getting up and stretching himself, he found that his roommates were also "fighting hard".

The most awesome one should be Gu Jie.

He was practicing tail vascular anastomosis on a rat.

This is a difficult and delicate job .

This must be done with the aid of a microscope.

"Gu Jie's suture skills may have reached or approached the level of a resident doctor."

Zhou Can guessed secretly.

Sitting back at his practice table, he looked at the white mouse.

"I'm sorry, buddy!"

There are two common methods of anesthetizing mice. One is cotton ball anesthesia. Put it into a beaker, put a cotton ball soaked in ether, and keep turning it. After a few minutes, the mouse will be anesthetized and can be slaughtered at will.

Zhou Can used intraperitoneal injection anesthesia.

The advantages are rapid onset of action and long-lasting anesthesia.

After a moment, the white rat was motionless, as if it was dead.

It was fixed on its back on a surgical wax tray and the dissection began.

After choosing the right position for the cut, hold the scalpel and carefully cut open its belly.

Compared to cutting the pig skin, he was obviously a little nervous.

When practicing on a living animal, one can't help but worry about cutting its intestines and internal organs.

As soon as the knife was cut, blood immediately gushed out.

These will increase the operator's tension.

Fortunately, the incision has been upgraded to level two.

Gave him great help.

A four-centimeter-long wound appeared, but the intestines were not cut. The incision was relatively neat.