Chapter 209: Surgery Maniac, Deputy Director-level Injection Technique
He understood that Director Yang Qing definitely didn't want to hear this bad news.
"Didn't three doctors leave Lao Liu's group? The number of surgeries hasn't decreased. Can his group handle it?"
Yang Qing was shocked.
Every additional surgical patient means more doctors, nurses and beds.
Although only a portion of surgical patients require hospitalization, many only require surgery on an outpatient basis and can leave immediately after treatment.
At most, you can hang some water or something.
However, regardless of whether the patient is hospitalized or not, a formal physician is required to perform the entire operation from the consultation to the surgery. This workload is not small.
Especially when performing surgery on a patient, it is normal to take more than half an hour, even if it is just a minor level one surgery.
In fact, it is common for a minor operation to take two or three hours.
Some rookies, with their extraordinary talents, are even able to turn a minor operation into a major one. Some seemingly safe first-level operations ultimately put the patient in critical condition due to operational errors.
"I'm not very clear about this, but I know that the number of surgeries in their group has increased instead of decreased. In the past, there were six full-time doctors, and the average number of surgeries per day was about eight or nine. Now the number of surgeries per day seems to be... seems to be more than before."
The attending physician's words were evasive when he responded.
"How much more? Doctor Wang Xiaoping doesn't usually talk like this!"
Yang Qing was obviously a little dissatisfied.
Hearing that the number of surgeries performed by Dr. Liu's group had increased instead of decreased, he felt a little bad.
Changes are often unexpected.
Some abnormal phenomena are more likely to become the biggest variables.
"Uh... Director Liu's team completed a total of 14 operations the day before yesterday, and a total of 21 operations yesterday." Doctor Wang could only report the accurate data.
The doctors in the office couldn't help but exclaim in surprise after hearing this.
Immediately afterwards, a heated discussion broke out.
"How is it possible that there are seven more surgeries a day, but no more doctors?"
"Performing surgery is not like moving bricks. Even if you want to work overtime to do two more surgeries, you need to have the energy, mental and physical strength to keep up."
"This survey result must be wrong, I bet!"
No one believed this result.
There are only three full-time doctors in Dr. Liu's group, and the others who are in training or internship don't count. The three of them have to manage the ward, see patients, and do other things. Even if they don't eat, drink, or sleep for a day, they probably can't perform so many operations.
"Are you sure you're not mistaken? Performing twenty-one surgeries in one day is a terrifying number."
Like other doctors, Yang Qing also doubted the authenticity of this result.
The hospital that performs the most surgeries in China is a hospital in Zhengzhou.
Tuya's annual surgical volume is only about one-third of others.
"I didn't quite believe it at the time, but after multiple comparisons and verifications, I was able to confirm that the number was not wrong."
Dr. Wang also specifically verified that the number of surgeries could not be wrong.
Upon learning that the number was correct, the doctors under Yang Qing once again started a heated discussion.
When something is abnormal, there must be something wrong.
They all speculated on the reasons.
"Humph, it's nothing for three full-time doctors to complete twenty-one operations a day! On average, each person only performs seven operations." Du Leng was really ignorant.
Even though his opponent was so powerful, he still didn't care.
He had no idea how complicated and difficult the operation was.
It is not entirely his fault that he has this irrational misconception.
It’s like a person who is born into a wealthy family and eats meat and fish every day. Suddenly one day he hears that others can also eat meat every meal, and he thinks this is normal.
Since Du Leng entered the surgical field, he has been warmly welcomed by the chief physicians no matter which department he is in for training or formal work.
He participated in some simple parts of the operation and naturally felt that performing surgery was not as difficult as he had imagined.
"Doctor Du, you don't know that not all of the 21 surgeries are simple level 1 surgeries. They may include level 2 surgeries or even level 3 surgeries. If it is a level 3 surgery, it requires at least one deputy chief physician and one regular physician as an assistant to complete it. Level 2 surgery also requires two regular physicians to work together."
Dr. Wang really didn't know what Du Leng was thinking.
If it weren't for the other person's special status, he probably wouldn't bother to explain.
"If you want to take the average, you need at least two people in a team. Twenty-one surgeries, they only have three regular doctors, which means a two-person surgical team needs to complete at least ten surgeries per day. No one in our group can achieve this amount."
For many level 3 and 4 surgeries, the limit is to be able to perform two a day.
"Personally, I think that the total number of surgeries that two regular doctors can perform in one day is about six, which is the limit. There can only be one level three surgery at most. If there are two, the limit is two level three surgeries per day."
This is the actual algorithm.
As for Du Leng's algorithm, it is completely unrealistic and taken for granted.
"Doctor Song, you were originally in Deputy Director Liu's group, so you should know the situation in Director Liu's group better than anyone else. Can you analyze why the number of surgeries completed by Director Liu's group has increased instead of decreased?"
Yang Qing raised his eyes and looked at Song Ze who was sitting at the last seat.
At this moment, the newly hired attending physician seemed to be of some use.
We can find out the details of Director Liu's team through Song Ze.
"Did Director Liu recruit any new and amazing doctors these days?"
Song Ze asked Dr. Wang.
"Who would join their group? If you want to join, then join an excellent group like ours."
Doctor Wang's words were full of contempt for the group that Mr. Liu was in.
Not only him, almost all doctors were pessimistic about Liu's group.
"If no new doctors are recruited, there is only one possibility. Zhou Can, the resident doctor in Director Liu's group, is the biggest variable. Although he is only in the resident training stage, his surgical skills are no different from those of the attending physician. Director Liu has two capable generals under him, He Hansheng and Zhou Can."
Song Ze revealed a shocking secret.
Zhou Can's surgical skills are not inferior to those of the attending physician, but not many people know about it.
"You mean, the problem lies with Zhou Can? I've heard of this man's name. It's said that every time he enters a new department for regular training, he can cause a stir. But it's impossible for him to help Director Liu's team complete so many operations by himself, right?"
Yang Qing didn't think Zhou Can could have that much power.
When Du Leng heard Zhou Can being praised by the doctors, he felt very uncomfortable and his face became a little stiff.
The two of them, like old enemies, inevitably began a head-on confrontation.
"The specific reason will become clear if I find a way to investigate it today."
Doctor Wang’s ability is not in his medical skills, but in his first-rate means of gathering information.
He believed that he could definitely find out why Elder Liu's team could perform so many operations? Who did it?
"No need to wait that long. I can call and ask right now. Even though I've left Director Liu's group, if there's anything, I can still easily find out through my acquaintances!"
Song Ze strives to demonstrate his own value.
Yang Qing gave him an approving look.
Without hesitation, he took out his cell phone and made a call.
After some questioning, Song Ze reported the information he had obtained to Yang Qing.
"I heard that Zhou Can performed a lot of surgeries."
This kind of thing can't be concealed.
As long as you have acquaintances in Mr. Liu's group, it would be easy to find out.
"He, a trainee, completed so many surgeries? Is the quality guaranteed?"
Du Leng couldn't help but question.
This is a typical case of saying the grapes are sour because you can't eat them.
I heard that Zhou Can had made great achievements in Director Liu's group, but after this super talent joined Yang Qing's group, his performance was somewhat disappointing.
This is actually very disadvantageous to Du Leng.
Although Yang Qing and other doctors didn't say it, they were comparing each other in their hearts. After a while, Du Leng would be disliked and despised.
At least you'll hear some gossip about him behind his back.
"It's hard to say the quality of the surgery. He is just a resident doctor, and his surgical skills are not very good. A quick surgery will inevitably lead to sloppiness. The quality of the surgery is naturally worrying."
Song Ze gave his own analysis.
Perhaps worried about being slapped in the face in the future, he added, "However, Zhou Can's daily surgical performance is quite excellent, whether it is dissection or suturing, all aspects of surgical skills are very strong."
This is a rather euphemistic way of putting it.
Zhou Can’s surgical skills are more than just strong.
It's simply super powerful.
"If we only look at quantity but ignore quality, then there is no need to worry. We should just keep an eye on it secretly."
After listening to Song Ze's analysis, Yang Qing also agreed with it.
According to common sense, resident doctors don't have much surgical experience. Even if Zhou Can is particularly good, his experience is still limited.
He performs more than a dozen operations a day. It would be strange if the quality can be guaranteed.
"Doctor Song did a good job today. You have been in our team for a few days now, and you should be familiar with the team environment. Come on, follow Deputy Director Yang and perform surgery together!"
Yang Qing's leadership ability is quite excellent.
Song Ze showed his loyalty to the group, and he was not ambiguous and immediately gave some appropriate benefits.
"Thank you Director Yang! Thank you Director Yang!"
Song Ze was overjoyed and quickly expressed his gratitude.
The two directors have the same surname but different characters, and their ranks differ by half a level.
Song Ze was a very tactful person, and he naturally removed the word "deputy" from the title of Deputy Director Yang.
Yang Qing can call him Deputy Director Yang, but he can't.
In the workplace, when addressing deputy leaders, some rookies or straight men in the workplace happily call them deputy directors or deputy section chiefs. The leaders don't say anything on the surface, but they feel like something is stuck in their throats and are very unhappy.
One can imagine the final fate of this ignorant rookie in the workplace.
Sitting on the bench is the least of the problems.
If you meet a narrow-minded leader, you will be given a lot of trouble.
After Song Ze joined Yang Qing's team, he was not well received and had a low status. Now that he was asked to follow Deputy Chief Physician Yang to perform surgery, he, the attending physician, finally did not have to do odd jobs like a newcomer.
So he was particularly happy.
For people, a small progress in the workplace is enough to be exciting and thrilling.
Because climbing up is too difficult.
The competition is fierce.
It feels great when your leader gives you a hand and you can immediately move up a lot.
"Okay, we can't just keep our eyes on other groups. We need to work hard on our own things first."
After Director Yang Qing finished speaking, he stood up first.
"Let's get to work!"
The stable operation of a team requires the connection of all aspects. It also requires everyone to work together to do their own work well.
…
Zhou Can was frantically completing one operation after another in the operating room, constantly setting new historical records.
From six units a day at the beginning to sixteen units a day yesterday, Deputy Director Liu and others were very happy.
Several trainees and interns regard Zhou Can as a role model.
The speed of such a terrifying operation is breathtaking.
Zhou Can's experience points in various medical skills began to increase rapidly.
It’s different than it was before in the emergency department.
At that time, he was suppressed by Director Xie of the General Surgery Department, who restricted his access to surgery and only allowed him to perform level one surgery.
Now we not only perform level one surgeries, but also level two and even level three surgeries.
However, the risks of level 3 surgery are extremely high, and even if Deputy Director Liu has confidence in him, he dare not delegate authority. He usually guides and watches Zhou Can perform the surgery. When encountering a very difficult part of the surgery, Elder Liu personally performs it.
Zhou Can's surgical skills are now mostly at the attending physician level, which is completely sufficient to handle level one and level two operations.
When challenging some level 3 surgeries, it still seems a bit strenuous.
Some of the difficult surgeries are not even within our capabilities to complete.
Even though he had a medical skill experience system to help him quickly upgrade his medical skills, the upgrade speed dropped significantly after he reached the chief physician level. There was no other way, it took 10,000 experience points to upgrade from level 4 to level 5.
Under normal circumstances, one needs to complete that medical skill 10,000 times to advance.
When Zhou Can participates in a level 3 major surgery, he usually has the opportunity to earn a generous reward of 100 experience points.
The highest amount he earned from a single operation was 300 points of experience in three medical skills.
However, this kind of good thing is not available in every operation. This reward can only be obtained when it is the first time to challenge that organ or tissue area.
Therefore, it is quite difficult to upgrade a medical skill to level five.
He now gets a lot of surgery opportunities every day. A little bit of sand makes a tower, and a little bit of water makes a river. After a day of surgery, he can earn a considerable amount of experience points in various medical skills.
At this rate, his medical skills of hemostasis and injection are approaching the fifth level.
Incision, separation, anastomosis, debridement, suturing and ligation are also growing rapidly.
Seeing the rapid improvement of so many medical skills, he was really happy.
I am more motivated now.
In addition to the rapid increase in surgical skills experience, surgical experience is also becoming more and more abundant.
In particular, some experience in level 3 surgery was of great help to him.
How to say it.
When he has completed a certain number of level 3 surgeries, he can learn level 1 and level 2 surgeries even if he has never done them before. This is the importance of broadening your horizons.
Because level tertiary surgery is riskier and more difficult, it has very high requirements in terms of surgical skills, methods, precautions, prognosis, etc.
Completing a simple operation with high standards will naturally make it easier.
The days passed one by one.
Zhou Can's average daily number of surgeries increased from sixteen to about twenty-four.
After reaching this number, it basically stops rising.
No matter how fast the operation is, there is still a limit.
There is a big difference in the time it takes to perform a level one surgery versus a level two surgery.
He could complete a simple first-level surgery in just over ten minutes, and a second-level surgery would take at least half an hour to complete, not to mention a third-level surgery.
If there was a level 3 surgery that day that required him to do the majority of the surgical work, the total number of surgeries that day would need to be reduced by at least five or six.
Speaking of this, Mr. Liu was really nice to him.
Never neglect the training of Zhou Can in pursuit of surgical volume.
Many times, Dr. Liu would take the initiative to ask Zhou Can to perform fewer level one and level two operations, and instead patiently and meticulously guide him to perform level three operations.
Because with Zhou Can's current ability, he can fully participate in the third-level surgery and gain greater benefits.
In the blink of an eye, a month has passed.
Zhou Can's injection skills lived up to expectations and were successfully promoted to level five, becoming the third deputy director-level medical skill.
Now, he has a deeper understanding of injections.
The operating level has also clearly reached a new level.
When giving an injection to a patient, he can clearly feel what tissue the needle is entering.
For example, when giving an intramuscular injection, he can easily feel whether the needle has pierced the blood vessel.
The tightness of the muscles can also be clearly known.
When some doctors or nurses give injections to patients, it is difficult to push the syringe forward, or a large swelling appears on the patient's local surface. This is actually a manifestation of poor injection skills.
The needle was stuck right in the tightest part of the muscle, so it would be strange if I could push it.
If the plunger of the syringe is pushed forcefully, the liquid medicine will be squeezed into the muscle tissue, causing considerable damage to the muscles. This will cause the patient to feel pain for several days after receiving the injection.
It would be even worse if a needle pierced the bone or ligament.
The pain felt by the patient will be extremely severe.
After the injection, my hands became sore and swollen and painful, which lasted for two or three days.
Zhou Can's injection skills have now been promoted to the deputy director level, and he has the ability to perfectly avoid the above-mentioned bad operations. Not only can he ensure that the liquid medicine is smoothly injected into the desired tissue, but the damage to the patient's body tissue is almost negligible.
At the same time, it can ensure that the medicine spreads rapidly in the way he wants so that it can be quickly absorbed by the body.
Injection is not only used for injections, but also for various punctures on patients.
