Chapter 5 Achievements
"Look at the rashes on the patients. They appeared some time after the operation. When I cleaned the patients' skin in the ward, I could confirm that they did not have these rashes."
The doctors' faces turned grim.
Especially the chief surgeon and his assistant.
They are the first and second persons responsible.
"What nonsense are you talking about? Do you mean we caused these rashes?" the resident shouted angrily.
This is no joke.
The patient suddenly went into shock on the operating table, and Zhou Can still said this, which is tantamount to putting the blame for the accident on the surgeon and others.
This kid is naive and ignorant. He doesn't even know what he can say and what he can't say.
"Director, I think the patient is suffering from an allergic reaction."
Zhou Can ignored the chief resident and continued.
"allergy?"
Director Liu's eyes lit up instantly.
Yes, why didn’t I think about it in this way? It was just because the patient suddenly went into shock, and my mind was in a panic at that time.
"Have you ever had a skin test of anesthesia drugs?"
Director Liu turned and asked the anesthesiologist.
"Yes, it was done, and everything was normal. And I asked the family and the patient before the operation, and there was no history of allergy to anesthetics." The anesthesiologist didn't dare to take the blame.
"I think the patient is most likely allergic to rubber."
Zhou Can continued.
"Why do you say that?"
Director Liu discovered that this intern was no ordinary person and took Zhou Can's opinions very seriously.
"When I was collecting blood from the patient, I tied a rubber tube around his arm and he showed a very resistant expression. I didn't think much about it at the time, but now that he's suddenly in shock and showing all sorts of symptoms, I boldly speculate that he's allergic to rubber."
Zhou Can calmly stated his conclusion.
[Pathological diagnosis experience value +1. ]
The sudden increase in experience points, and an increase of a full 1 point of experience points, is simply a pie in the sky.
He was so happy.
Now that he had gained experience points, he was even more certain that his diagnosis was correct.
It turns out that using medical skills on patients can increase experience points by ten times that of reading. No wonder all doctors say that if you want to grow quickly, going on the operating table is the only way.
He now finally understood why those usually arrogant residents would fight like hungry wolves for a chance to sew skin or seal a cavity.
The purpose is to grow quickly.
"The patient was given anti-shock treatment immediately. Everyone replaced all rubber items. The circulating nurse immediately called the family to ask if the patient had a history of rubber allergy."
Director Liu acted promptly and made a series of arrangements.
When rescuing a patient, you must not hesitate. If you delay the golden time for rescue, you will be powerless to save the patient.
After rescue, the patient's vital signs gradually returned to normal.
"It's okay, it's okay!"
The anesthesiologist was as happy as a child.
During the operation, the patient's life is protected by the anesthesiologist.
Every doctor hopes that the patient leaves the operating room safely.
Everyone breathed a sigh of relief and smiles appeared on their faces.
At this time, more good news came.
"Director Liu, I just asked the family. The patient is indeed allergic to rubber." The circulating nurse in the audience came back after making a phone call.
"Good! The cause of the shock has been confirmed . I can perform the surgery with confidence this time."
Director Liu is quite old and he was really scared just now.
I almost lost my reputation in my later years.
After the crisis was resolved, he immediately thought of the biggest contributor.
Looking at Zhou Can standing in the distance, his eyes were more amiable than ever before.
"Xiao Zhou, right?"
"Student Zhou Can."
Zhou Can was speechless. After nearly a year of internship, his teaching teacher didn’t even remember his name.
But this is normal.
The teaching teachers are usually of a high rank, and they rarely supervise interns themselves. Usually, they are supervised by their attending physicians and residents.
The person who takes care of Zhou Can the most is the chief resident, Dr. Fang.
"You performed very well. You remained calm in the face of danger and have a solid foundation in medicine. You were able to apply what you learned at the critical moment and connect some details about the patient and make a comprehensive argument. This is particularly valuable."
Director Liu used a series of commendatory words including "very good", "remaining calm in the face of danger", and "commendable".
It can be seen how much he admired Zhou Can's performance just now.
"Come, stand over here. You will stand here during my surgery. Young people should be trained more."
The seat Director Liu was referring to was the main inpatient station.
This position is often called the 'four-assist position'.
It is extremely difficult to get this position during Director Liu's surgery.
Even the residents can only take turns standing in that position.
Now, Elder Liu has personally spoken and designated that position for Zhou Can, which has made all the residents and interns envious.
"Thank you Director Liu for your cultivation!"
Zhou Can was flattered to suddenly enjoy such good treatment.
After one year of internship and following his teaching teacher into the operating room countless times, this was the first time he stood in such an important position.
The resident chief was squeezed out of the fourth assistant position and was very disappointed.
Taking advantage of Mr. Liu's good mood, he forced a smile and said, "Director Liu, although I have been studying with you for several years, I am only 28 years old, and I am also a young person in your words! You must not ignore me just because of my seniority."
The crying child gets the milk.
The chief resident said this because he was worried that Zhou Can would always occupy the fourth assistant position and that others would have no chance.
"Haha, you're such a smooth talker, kid. Don't worry, everyone has a chance." Director Liu scolded with a smile.
"I feel relieved when you say that. I want to be your student for life." The resident is always good at playing the emotional card.
Just a few words made Old Liu laugh so hard that his eyebrows were bent.
If you leave a good impression on your leader, it will be easier to get opportunities for training in the future.
"Okay, let's continue the operation! Xiao Zhou, help with the hook, and watch me how I free the diseased tissue, especially the parts near the large blood vessels and important nerves. Skills and experience are extremely important."
Elder Liu continued to operate on the patient.
And directly let Zhou Can participate in the operation. Although it was just a hook job, it was a level 3 general surgery.
One of the attending physicians was busy doing the hook-pulling work.
It was a great honor for him, an intern, to be among the group of people who made the pinky promise.
The chief resident's clever words ultimately failed to shake Zhou Can's position in Director Liu's heart. In today's operation, he was destined to stand behind Zhou Can.
At this moment, Old Liu has already started.
Carefully, the huge lymph node tumor was separated from the surrounding tissues one by one.
The scalpel seemed alive in his hands.
Which knife should cut which part, the force, angle, length of the cut, etc., are all perfect.
The cooperation of the assistant was also very good.
When the diseased tissue is peeled off, new bleeding points will continue to be generated.
The assistant would immediately hold the electrocoagulation knife and point it at the person.
The bleeding stopped instantly.
The two of them work together very well.
The job of the second assistant is to assist the main surgeon in the operation, such as holding up the tumor, or pulling aside the tissue that may hinder the operation, so that the best surgical field is exposed to the main surgeon, etc.
Zhou Can discovered that participating in an operation up close and observing from a distance were two completely different things.
Although it was Mr. Liu who was in charge, Zhou Can felt nervous as if he were there.
Every time he saw Old Liu's sword rising and falling, his heart would rise and fall accordingly.
When he cut the patient, his heart was in suspense and he was extremely nervous. He couldn't help but worry, what if the knife cut the patient's artery? What if it cut a nerve?
Only when Old Liu raised his knife and found the patient was safe would he breathe a sigh of relief and feel at ease.
…
The operation went smoothly, and all the lymph nodes and tumors that needed to be removed were successfully removed one by one.
Zhou Can felt that he had gained a lot.
We have a deeper understanding of the separation and resection of tumors and lymph nodes.
For example, when separating a tumor from an artery, how can we reduce the risk and avoid damaging the blood vessels? Another example is the complicated surgical environment around the tumor, how can we unravel the problems step by step and remove the obstacles.
He was also greatly inspired by Ichizu's flexible use of various hemostasis methods.
Which blood vessels need to be ligated and which need to be stopped with hemostatic forceps?
What to do if the bleeding point is next to the nerve, etc.
These are things that are difficult to learn from books.
Must learn through actual combat.
The operating table is like a battlefield, ever-changing. Different situations require different treatments.
This requires doctors to accumulate knowledge continuously and apply it flexibly.
"Okay! It's all cut out. Remember to send it for pathological examination. Based on my personal experience, the possibility of malignancy is very small." Old Liu said after looking at the tumors and nodules cut out from the plate.
"He Hansheng, Song Ze, I'll leave it to you to stop the bleeding from the surgical wound."
These words were obviously said to the first and second assistants.
During the operation, these two people are like the surgeon's left and right arms.
Both of them have strong medical skills and undertook many important tasks during the operation.
"You've worked hard. Take a rest first. You can check on us if there's anything we haven't done well." The assistant was very humble.
The second assistant should be a practical person.
He doesn't talk much and just works silently.
Assist when needed, charge when needed.
Zhou Can and the third assistant were still working hard to pull the hook, watching the first and second assistants perform tasks such as vascular anastomosis and fluid extraction.
These jobs are all very technical.
The general attending physician may not be able to do the job.
If the hemostasis of the surgical wound is not done well, it is easy to cause hematoma, effusion, etc. after suturing, which will seriously affect the patient's recovery.
"Master Liu, the bleeding on the wound has stopped. Please check it again."
Director Liu did not dare to be careless and checked it carefully.
Especially some hidden places, they will even open them up for a closer look.
This rigorous style is very worthy of learning for young doctors.
"It's done quite well. It's time to sew the leather."
After Director Liu finished the inspection, he nodded with satisfaction.
The first, second and third assistants would look down upon work like sewing leather.
At this time, Zhou Can, who had been taking the hook, felt that the opportunity had come.
His suturing and ligation skills have now reached an excellent level. He doesn't dare to do vascular anastomosis and organ suture, but skin suture should be no problem.
Zhou Can was not the only one eyeing the opportunity to suture the skin. The residents and interns behind him were all eagerly waiting for it.
Opportunities are fleeting.
It’s difficult to speak again if someone else speaks first.
Zhou Can mustered up his courage and said, "Director, can you give me the opportunity to sew the skin?"
