Chapter 219 How difficult it is for medical students, help from neurosurgeons
In the operating room, Zhou Can was frantically performing one operation after another.
The sense of crisis that suddenly appeared during the lipoma removal surgery was strange, and it disappeared just as strangely. I don’t know when it disappeared automatically.
Zhou Can ignored it and concentrated on the new operation.
…
Zhou Can was busy until the end of the day. He completed a total of 17 surgeries today. At his speed, he could perform nearly 30 level 1 and 2 surgeries a day.
But today's lipoma removal surgery was a level 3 surgery, which took nearly three hours.
There was also the surgery on the patient with thyroid tumor, which was also a level 3 surgery.
As a result, he only performed seventeen operations in total.
Two level 3 surgeries and fifteen level 1 and 2 surgeries, this number is actually quite astonishing.
Wu Ziyu was busy for the whole day and must have gained a lot.
It was around five in the evening. Although she was reluctant to leave, she had to rush to the ward to hand over the shift because she still had work to do.
Resident doctors are equivalent to full-time employees. If they are in a less busy department, their workload may be less.
In a department with a shortage of staff, the workload is quite heavy.
She was willing to work eight hours in the operating room and then take the night shift to manage the ward, which shows that she worked very hard to improve her surgical skills.
There are quite a lot of hardworking and motivated doctors in Tuya Hospital.
Most doctors and nurses work very hard.
After the operation, Zhou Can went to the ward to check on the patient who had undergone the lipoma removal surgery.
At present, the patient has regained consciousness.
He looked pale and not in good spirits, and seemed a little tired.
“Who is the attending physician for this patient?”
"It's me, it's me! Hello, Doctor Zhou. My name is Bu Shiren, and I'm temporarily in charge of the patients in this ward. If you have any questions, you can always tell me to do it."
The attending physician is a young doctor in his twenties, a real resident.
He is three or four years older than Zhou Can.
His rank is slightly higher than that of Zhou Can, a trainee.
For resident accompanying students, generally after passing the double certification exams, as long as they register as a doctor in the hospital, they will be called resident doctors.
It's just that the qualifications are relatively shallow. Most people receive regular training for about two years before they can get a medical license. There are also some people who are more miserable. They fail the medical license exam and can only apply again next time.
It will be very embarrassing for trainees without certificates after working for three years.
Because the medical license exam is a national unified exam, the registration period is fixed. Skill practice and theory are tested separately, which leads to a very long exam cycle.
It is almost impossible for a trainee who fails to pass the medical license examination the first time to obtain a medical license at the end of the three-year training period.
After the regular training period is over, what to do next is a problem.
Even if the hospital is willing to keep you working in the hospital and let you continue to apply for a medical license, the salary of regular trainees is pitifully low, and the cost of living in provincial capitals is very high. As a result, you will have to ask your family for money after working for four or five years.
It is not easy for a family to support a medical undergraduate student. If it is a postgraduate student, the investment will be even greater.
The vast majority of families are ordinary families, and they work hard to support you to complete college or even graduate school.
After working for a few years, I still have to ask my parents for money. Even if they are willing to give it, it would be hard to say.
I would also feel extremely ashamed.
At the same time, I saw that other students who passed the exam had already started their normal career advancement. One by one, they began to become formal residents, their salaries increased a lot, and they could also participate in the department's performance dividends, surgical commissions, etc. There were also year-end bonuses.
Who would believe me if I say I'm not jealous or envious?
Then you will face more serious problems. At this time, you are at least 27 or 28 years old and it is time to find a partner.
It’s better if it’s a girl, but if you’re a male medical student with no money and no career, which girl would be willing to marry you?
The pressure at this time will be like a mountain pressing on you.
There are even more tragic things than what I mentioned above.
If you fail the medical license exam the first time, the training hospital will not allow you to register as a practicing physician. At this time, you can only go to another hospital and pay to register for the practicing physician exam.
Therefore, the road from a medical student to becoming a doctor is really extremely difficult.
Because of the difficulty, many medical students are forced to change their careers, either to work in administrative positions or other jobs related to medicine.
Even if you pass the exam, everything may not be smooth sailing.
There are too many variables.
For example, if you have no talent for diagnosis and surgery, and you are not outstanding in academics, even if you are not eliminated by the hospital after a few years, you will have no future. Either you continue to muddle along, find a way to participate in research projects, spend money to buy two papers, and work hard to get promoted to chief physician first.
The pass rate for residents to be promoted to attending physicians is quite high.
Even if you fail once, you can always take the test again next time. You will pass it someday.
After being promoted to attending physician, I stayed in the department honestly.
As long as nothing major goes wrong, you should have no problem getting through retirement safely.
The above are the types that are doing the worst.
As for those who are doing well, they really have a bright future.
Becoming a chief physician in your forties is by no means the end, but a new starting point in life.
At this level, you will definitely be admitted to a college to take up a teaching position. You will be promoted from assistant, associate professor, and professor. There are thirteen levels of teaching positions in colleges and universities, and being promoted to first-level professor will basically make you famous in history.
In addition to academic aspects, there is also room for development in clinical, scientific research and other aspects.
The route is too broad.
If you can be selected as an excellent young scientist or even a brilliant young scientist in the field of scientific research, you are in your forties, in the prime of your life. This is definitely a good thing that countless medical workers dream of.
…
Bu Shiren has been working for much longer than Zhou Can and is already a senior resident physician. Normally, he is higher in rank than Zhou Can.
However, there are too many factors that determine a doctor's status in a hospital.
Bu Shiren treated Zhou Can with the same respect as the chief physician.
Hidden status is something that cannot be seen or touched, but it really exists.
Unlike those nurses with connections, Zhou Can rose to the top completely based on his ability. Therefore, most of the residents in the department respected him from the bottom of their hearts.
"I just checked the patient's temperature, blood pressure and other records. Dr. Bu did a very detailed and thorough job."
Zhou Can highly praised his work.
Each basic sign is recorded every fifteen minutes, which is usually only enjoyed by critically ill patients who are receiving medication. This shows that Dr. Bu is very concerned about this matter.
“These are what I should do.”
Dr. Bu was obviously very happy to receive Zhou Can's recognition and praise.
Because Zhou Can's position in the department is extremely special, as long as you say a few good words for him in front of Mr. Liu, his development opportunities will come.
"We should continue to pay close attention to changes in this patient's physical signs in the next few days. If there are any abnormalities or discomfort, please contact me or Director Liu in time."
Zhou Can instructed Dr. Bu.
"clear!"
Doctor Bu understood what he meant.
The patients specifically assigned by the surgeon are those with extremely high risk.
If the doctor in charge of the patient fails to provide adequate supervision, accidents can easily happen.
There are some things that are difficult to say in front of the patient, and the attending physician can only understand them on his own.
"The patient's current blood pressure, respiration, heart rate, body temperature and other data are relatively normal. But we still can't let our guard down. It's not necessary to measure basic vital signs every fifteen minutes. Let's change it to every two hours."
After examining the patient's condition, Zhou Can made adjustments.
It is already 7:26 in the evening, and the night shift will start in four hours. There will be only one doctor on duty, and he will definitely be overwhelmed.
The patient's vital signs are stable and he has family members accompanying him, so any abnormalities can be discovered in time.
…
After returning to his apartment from the hospital, Zhou Can was tired after a long day and really wanted to go to bed.
However, he still insisted on practicing the quick knife technique for two hours, and then practiced the passing technique for another hour.
At present, among the seven advanced medical skills, only anesthesia and delivery are still at level three, while the others have been upgraded to level four.
After reaching level four, you can basically only rely on practical training on patients to increase your experience points.
The transmission skill is only more than thirty points away from being promoted to level four.
After practicing for an hour, the experience value of the transmission technique has risen to 997.5/1000. Zhou Can has an obsessive-compulsive disorder when it comes to leveling up.
Every time he saw that his experience points were close to promotion, he would find ways to advance it to the next level.
I am only 2.5 experience points away from reaching level 4, and I must get these 2.5 experience points no matter what.
Zhou Can gritted his teeth and continued practicing.
At this moment, it was a bit like the old days when I was an intern and practiced suturing and knotting on a piece of pig skin in order to get the qualification to stay in the hospital as a regular companion.
"In less than two years, I never expected that a medical experience system would allow me to be reborn and completely change my destiny."
Zhou Can couldn't help but feel a lot of emotion.
Now, he is no longer the intern with no trump card. Instead, he has transformed through his own efforts and the help of the experience value system.
The strength in all aspects has been improved by leaps and bounds.
There are so many hidden cards that he can't even count them all.
There are four surgical skills at the deputy director level alone.
Swift knife skills and emergency response are special medical skills that ordinary doctors do not have.
Medical license, orthopedic skills, and many advanced medical skills...
Compared with that time, Zhou Can couldn't believe that he could be that good.
[Teleportation experience points +0.1, +0.1...]
I feel like Zhou Botong in the martial arts novel is playing the game of fighting with both hands.
[Congratulations on your transfer skill being promoted to level 4, with a current experience value of 1/10000. You can use instruments to flexibly and accurately transfer surgical equipment such as vascular stents, metal rings, bite nails, bone nails, etc. during surgery. You can also complete the transfer and docking of human tissues such as blood vessels, kidneys, and neurons without damage. During the operation, you can swap your left and right hands or pull in opposite directions, and it can be completed efficiently and quickly. ]
This medical skill is rarely used in traditional surgery.
It is usually used in endoscopic surgery.
Its role is self-evident.
At the critical moment, you can't do without it.
Compared with level three, the delivery accuracy has been greatly improved, and there is also an additional non-destructive tissue delivery.
This is very important.
When using instruments to clamp and pull various organs and tissues, it is very easy to damage them. After the transfer technique was upgraded to level 4, this problem was finally solved smoothly.
"Finally, another medical skill has been promoted to level four. It feels great to continuously upgrade medical skills."
Zhou Can knew very well that the improvement in his medical skills every day meant that he became stronger.
A nine-story tower is built from piled earth, and a tree that can be embraced by two people grows from a tiny seed.
It is impossible to become a famous doctor overnight. Instead, one needs to gradually improve one's medical skills one by one, like Zhou Can, constantly make up for one's shortcomings, and become even better at one's areas of expertise, in order to eventually become a famous doctor.
After upgrading his teleportation skills, Zhou Can can now take a bath and sleep peacefully.
After taking a shower, he sat on the bed, opened his laptop, and first recorded the experience and key points of today's surgery.
Then start learning the basics of medicine.
Director Xueyan spent a lot of effort to develop a long-term learning plan for him, and he wanted to carry it out to the end. Learning is a process of persistence and accumulation.
Passing the medical license exam does not mean you don’t have to study anymore.
If we really want to make great progress, we must make up for the lack of medical knowledge.
The time that undergraduate students spend studying on campus is actually very limited, because they have to go to the hospital for internship in the fifth year, and the study during this period is basically intermittent.
It only took four years to study seriously.
This is also the reason why many better tertiary hospitals give priority to recruiting masters and doctoral students when recruiting doctors.
Graduate students have more profound medical knowledge, especially in their chosen professional fields, where they have already carried out a certain degree of in-depth research. With a little training, they may become independent backbone doctors.
Under normal circumstances, it takes a longer period of time for a hospital to train an undergraduate student to become a backbone doctor in a department.
If you encounter an undergraduate student who is lazy in studying, not only will the training period be longer, but it will also be difficult for him to become a successful person.
The end result is to lower the overall medical level of the hospital.
Zhou Can is now making efforts in all fields, showing a trend of letting a hundred flowers . In the most important academic field, we must not fall behind too much and must strive to catch up.
Last time, in order to take the medical license exam, he studied a lot of medical knowledge, and he clearly felt the tangible benefits.
In many aspects such as pathological diagnosis, medical prescriptions and medication, ward management, and surgery, we have benefited from the tremendous progress brought about by the improvement of medical knowledge.
Zhou Can read until twelve o'clock, then turned off the lights and went to bed.
Jin Mingxi on the other bed had already started snoring.
The gap between the two is also widening little by little.
When Zhou Can first passed the regular training exam, he was actually not as good as Jin Mingxi in terms of surgical practice. His treatment experience, surgical experience, and basic medical knowledge were all much worse than Jin Mingxi's.
Now, Jin Mingxi is far inferior to him.
Therefore, diligence is very useful. It allows Zhou Can to quickly surpass one opponent after another.
While he was half asleep, his cell phone rang.
Zhou Can pressed it off, turned over and continued to sleep.
The phone ring rang again.
This time he was more awake and realized that someone was calling.
"Hello, is this Doctor Zhou Can?"
A young and gentle female voice came over, with a hint of urgency in her tone.
"It's me!"
Zhou Can was half awake from his nap, and it was not .
When a patient is in critical condition, the doctor on duty is unlikely to be able to handle it. At this time, most doctors will call the relevant doctors to rush to the hospital to participate in rescue and consultation.
Zhou Can is still just a trainee and is not called very often.
The hospital's chief physicians, deputy chief physicians, and interns should be considered the most severe victims of this group.
The purpose of calling the interns was to have them do the miscellaneous work during the rescue.
Sending patients for examination, picking up test results, getting medicines, and some basic work during the operation are all done by the interns.
"Doctor Zhou, I'm sorry to disturb you at this time. I'm in the neurosurgery department. A patient was just sent in from the emergency room. He is in a severe coma and has a cerebral hemorrhage. He needs emergency treatment. Director Wu, please come over to participate in the consultation and rescue."
She briefly explained the cause of the incident.
"Okay, I'll rush to the hospital right away!"
Zhou Can hung up the phone, put on his clothes, rushed out of the apartment building and ran to the hospital.
There is no need to worry that others will think he is crazy, as this situation happens many times a day in this apartment building.
Whenever doctors receive an emergency call from the hospital, they are basically in this state.
Run all the way to save people.
Zhou Can secretly wondered in his heart, why did the neurosurgery department suddenly think of asking him, a resident trainee, to participate in the rescue?
He had received regular training in the neurosurgery department for several months and was very familiar with the department's strength.
In addition to Wu Baihe, the top surgeon, the Department of Neurosurgery also has many elite doctors in the field of neurosurgery. There are many chief and deputy chief physicians.
Such a powerful department specifically asked him, a trainee, to rush to support it, which made Zhou Can inevitably have some self-inflated ideas.
He was thinking about the patient's condition.
It's definitely not a simple cerebral hemorrhage.
