Chapter 49: Bluffing is also a compulsory course for doctors
"Doctor Xu, your arrangement is unreasonable! Xiao Zhou is just a resident intern, he is not qualified to perform surgery alone. Why don't you let him be your assistant, and I will do the same as Xiao Jin and handle the first-level surgical patients alone."
Zhou Can does not have a medical qualification certificate, but Jin Mingxi does.
This is Zhou Can's weak spot.
When Dr. Lu heard that he would be Dr. Xu's assistant, his face immediately turned bitter.
He even found a legitimate reason to switch with Zhou Can.
Zhou Can was cursing in his heart.
This Doctor Lu is a piece of shit. Seeing so many injured people waiting for surgery outside, he has no sympathy at all. He is not in a hurry to treat the injured, but only thinks about how to be lazy and take it easy.
It is a misfortune for patients that a person with poor moral character becomes a doctor .
"Who said he was practicing medicine alone? Am I not here to guide him in the operation? Stop talking nonsense and get ready to work. Tang Ling, have the most seriously injured patient brought in."
Dr. Xu's words completely blocked Dr. Lu's view.
So, never fight with your boss, you can't beat him.
Soon, two nurses who were temporarily transferred came in to assist Zhou Can and Jin Mingxi respectively.
Then the small operating room became bustling with activity.
Three injured people can be sent in at a time and several doctors can perform surgery at the same time.
Zhou Can also worked at full capacity, assessing the injuries, cleaning the wounds, stopping bleeding, and suturing the wounds.
The injuries were mainly abrasions.
A more tragic case is when the head or arms are hit and bleed.
The injured who can be sent to the operating room have already been given relevant examinations by the doctors in charge.
However, considering the large number of injured people, medical resources are extremely tight.
For some superficial injuries, the patient may just need a physical examination and then be sent to the operating room for further treatment.
This requires the surgeon to carefully check to avoid mistakes.
"Next one!"
After Zhou Can treated the first injured person, he asked the nurse to send him out and then bring in the next injured person.
The injured patient just now had his palm side sutured.
According to the injured person's own description, the stage collapsed and he was fortunately far away.
But it was still hit by a very long billboard.
At that time, he instinctively raised his hands to cover his head and face.
A 2.5 cm long wound was smashed on the palm side, deep enough to reveal the bone.
Zhou Can injected him with anesthetic, cleaned the wound, stopped bleeding, and sutured him, earning a total of 4 injection experience points, 1 debridement experience point, 5 hemostasis experience points, 4 suturing experience points, and 4 ligation experience points.
Overall, the harvest was quite good.
In particular, the experience gained from wound debridement surprised him.
When I opened the attribute list, I found that a debridement procedure had been added at some point.
[Debridement, advanced medical skills, current experience value: Level 1 8/10. Excellent internship level.]
This medical technique can be used to clean soft tissue injuries, clean irregular wounds, clean eroded or contaminated wounds, etc.
What he didn't expect was that debridement was actually an advanced medical skill.
The current level is still relatively backward and has only reached the excellent internship level.
Judging from its current experience value of 8/10, it should be a medical skill that already existed before.
It's just that Zhou Can didn't notice it.
Soon, a new injured person was brought to Zhou Can.
Came in a wheelchair.
Zhou Can was shocked when he saw this scene.
I am only a mediocre expert at the moment and cannot handle injuries that are too complicated.
Especially for patients who may have fractures.
He first squatted down and carefully examined the patient's knee. Blood had already stained a large area of his pants red.
The injured person's face was full of pain.
"Have you had an X-ray?"
"I checked it out, and the doctor said there was no fracture, and I just needed to go to the operating room and leave."
Zhou Can took the X-ray film handed to him by the patient and looked at it carefully.
The bones are intact and there are indeed no fractures.
In other words, the external injuries look scary.
With his ability, it is no problem for him to deal with superficial injuries.
"I'm afraid I'll have to cut off your trousers."
Zhou Can said to the injured.
"Go ahead and cut it, just give me the surgery quickly."
The injured person's face was distorted with pain.
After obtaining the injured person's consent, Zhou Can no longer hesitated and cut off his trouser legs.
The wound was clearly displayed in front of him.
It is an irregular circular wound.
"Did you fall?"
"Don't mention it. The stage suddenly collapsed and I was so scared that I ran away. I ended up tripping over something and fell hard to the ground. My right knee hit the ground first and hit the gravel. I started bleeding right there."
When the injured person talked about the situation at that time, he still looked gloomy.
"Doctor, my leg won't be disabled, will it?"
"From the current situation, it should not cause disability."
It's just a skin injury and the possibility of disability is relatively low.
However, Zhou Can did not dare to say anything too absolute.
I learned this speaking skill from the residents during my internship.
He took the anesthetic prepared by the nurse and injected it around the wound of the injured person.
[Injection experience +1.]
[Injection experience +1.]
[Congratulations on your injection skills reaching level 2. Your current experience value is 0/100. You are a lower-level doctor in training.]
Finally reached level two.
He had a much deeper understanding of injections. Before the upgrade, he took it for granted that it was just an injection and anyone could do it.
After reaching level two, he realized that the seemingly simple injection actually involves a lot of knowledge.
For example, drugs that require intramuscular injection must avoid areas rich in blood vessels and nerves, especially large blood vessels and important nerves.
To be precise, any injection should try to avoid large blood vessels and nerves.
If a needle punctures an aorta, it is not saving a life, but killing a person.
There is also a science to choosing the part.
The preferred site for intramuscular injection is the area with thickened muscles, such as arms, buttocks, etc.
The location of intramuscular injection also varies depending on the characteristics of the drug.
The arms are closer to the heart and brain, so the drug effects are absorbed faster.
The blood supply to the buttocks is relatively poor, and the drug absorption is much slower. In addition, the buttocks muscle group is stronger, the fat layer is thicker, and its tolerance is stronger.
In addition to theoretical understanding, he also made great progress in operation.
With his current level, he can perform more difficult intravenous injections in a more standardized manner. When injecting intramuscularly, mistakes such as injecting into the epidermis, piercing the bone, or puncturing a large blood vessel are basically unlikely to occur.
The patient was only given two injections.
According to Zhou Can's habit of working hard to earn medical experience points, at least four injections are needed .
After choosing the needle position, another injection is given.
The hand is very steady and the depth of the plunge is just right.
Push slowly.
The anesthetic in the syringe diffuses steadily into the muscle layer.
"Hey, doctor, you gave me three injections, and this one is the best!" the injured person praised him.
I just hope he can continue to maintain this high level.
Because compared with the previous two injections, this injection feels much more comfortable.
"You don't understand this, right? For the first two injections I had to make sure the anesthetic took effect as quickly as possible, so I injected a little harder." Zhou Can would naturally not admit that he was not good at giving injections.
The injured person doesn't understand these things, so just fooling him with a few words can maintain a harmonious doctor-patient relationship.
Communication between doctors and patients is a profound science.
It is a compulsory course for every medical staff.
Getting the patient to cooperate with the doctor's treatment is also an important part of the operation.
He then gave the injured person the fourth injection, still at the level of a newly upgraded resident doctor.
The technology is very good.
This time, the injured person not only believed what he said, but also praised him repeatedly.
"Doctor, you look quite young, but I didn't expect you to be so skilled! You gave me an anesthetic injection with just the right amount of force and control of intensity. Wow, your skills are really good! You are much better than those nurses."
Zhou Can felt ashamed when he heard this.
The nurse next to her had a frown on her face.
Next, Zhou Can cleaned the wound, stopped the bleeding, and sutured the injured person step by step.
Because the wound was rather special, he boldly performed skin flap suture.
It is also a challenge to one’s own abilities.
Compared with linear suture, this flap suture is more difficult to sew. It is often used in cosmetic surgery and can minimize the appearance of scars.
"Okay, push it out! The wound can't come into contact with water. The wound is right at the knee, so it's best not to move too violently when bending. Too much tension will cause the wound to reopen. Remember to come and change the dressing on time."
After he gave some instructions, the injured person was pushed out.
After sending the injured away, the nurse winked at Zhou Can and said, "Doctor Zhou, why don't I remember that the anesthetic needs two heavy injections and two light injections?"
