Chapter 57 The Fifth Advanced Medical Skill
"I finally understand why all the interns at Tuya seem to be so talented! No pain, no gain. You can see how hard the interns at Tuya work! No wonder I worked hard for six years before I finally got the qualification to be a regular trainee at Tuya. Because my opponents are not only the doctors with rich experience in diagnosis and treatment, but also a group of extremely evil interns!"
After seeing Zhou Can's operating table, Jin Mingxi gained a deeper understanding of Tuya Hospital.
Even interns can be so strong.
The abilities of those attending physicians and chief physicians are absolutely terrifyingly strong.
In such an environment full of strong people, it is more conducive to his growth.
As long as he can survive, he will definitely be able to quickly improve his medical skills in all aspects.
After a brief exchange of pleasantries, the two went about their own business.
Jin Mingxi continued to write the surgical summary, while Zhou Can simply recorded some key issues in the operation, such as mistakes during vascular anastomosis and some areas that could be improved during the operation.
Then I briefly recorded .
Now I just mastered the method.
There is still a long way to go to truly master this suturing technique.
Even if he wanted to practice, he had to wait until his suturing skills were improved to the level of a specialist.
After writing the necessary surgical summary, he took out the soybeans he had bought home, arranged the mold, and began to practice the implantation procedure.
This bionic mold is specially designed for doctors to practice implantation.
Along the way to the insertion point, anti-human obstacles were set up one after another.
Moreover, there are nearly forty insertion points on this mold, and their insertion difficulty is divided into several levels.
The two most difficult insertion points made Zhou Can tremble with fear even though he had level three insertion skills.
I estimate that at least level 4 implantation is required to attempt this challenge.
He took the long-armed forceps used in surgery.
The reason why the implant is difficult is that it is often operated by long arms. Sometimes it is even only pulled by a guide wire, and the difficulty of the operation can be imagined.
Practice the insertion , usually starting with forceps or a toothpick.
In the hospital cafeteria, you can often see doctors eating with two toothpicks.
What they practiced was the basic skills of surgery.
Zhou Can's implantation skills have now reached the level of a resident doctor, so he no longer needs to practice with a toothpick or tweezers.
Instead, challenge the more difficult long-arm pliers.
If you practice this well, you can lay a good foundation for future minimally invasive surgery.
Many tools used in minimally invasive surgery, such as bone rongeurs, rotary cutters, needle holders, and curettes, are long-arm operated.
He used the long-arm tongs to pick up the beans from the basin.
These are dried soybeans.
The texture is hard and the skin is slippery.
The difficulty of clamping is quite high.
After trying more than ten times, I finally succeeded in picking out one.
The main reason is that the arm of the long-arm tongs is nearly 30 cm, which is particularly difficult to operate. In addition, the beans are smooth, which leads to multiple failures in clamping.
If he uses a toothpick or short tweezers, Zhou Can is sure he can successfully clamp it in one go.
[Congratulations on obtaining the Grasping Skill! This is a high-level medical skill that allows you to use surgical instruments such as forceps and tweezers to grip and grab objects or human tissues.]
Zhou Can looked at this new medical skill and felt excited.
I have acquired another advanced medical skill, this is the fifth one.
[Grasping technique, level 3, current experience value 0/1000. Lower level of resident doctor.]
Not bad, it’s as high as level three as soon as it appears.
This medical skill has a wide range of applications. Almost all high-end surgeries require it.
It is an essential skill for high-end surgery.
Hold the soybean firmly and slowly place it into the first practice point in the bionic mold.
It hit the mark in one go!
【Experience gained: 0.001.】
When Zhou Can saw such a small amount of experience points, he frowned.
Now he has figured out the workings of the experience value system.
If the practice is too simple, it will use this beggar-like minimal experience value to correct Zhou Can's "laziness".
The first five insertion points on the bionic mold are indeed very easy.
Suitable for novice practice such as interns.
He was already at the level of a resident doctor, and practicing implants that were only difficult for interns was simply a competition for the worst. No wonder the system gave him very little experience points as a punishment.
He clamped again.
It was better than the first time, and it only took eight times to successfully pick up a soybean.
[Gripping Skill Experience +0.1.] This time, I chose to place it directly at a medium-difficulty placement point.
After a lot of effort, I finally succeeded in placing it into the target slot.
[Implantation experience +0.1.]
He couldn't help but sigh. It was really not easy to earn these 0.1 implantation experience points.
All things are difficult at the beginning.
I hope that after practicing more, my efficiency will be improved!
Each insertion point on this bionic mold is actually set to simulate the real structure of the human body. For example, the seventh insertion point is the only way for gastroscopy exploration. The fourteenth insertion point is a structure similar to the left branch of the coronary artery.
You will almost always encounter this problem when performing surgery on patients in the future.
The actual surgery is definitely more difficult than practicing with a mold.
Therefore, you must practice hard now so that you can perform it easily when you are on the operating table in the future.
He practiced clamping and insertion over and over again.
Practice makes perfect.
Gradually, his movements became more and more smooth, and his efficiency also quietly improved.
The failure rate of grasping soybeans with long-arm forceps has dropped from about 8 times to about 6 times. The success rate of insertion is almost 80%.
After practicing for nearly two hours, his grasping experience points increased by 7.8 and his insertion experience points increased by 6 points.
Compared with the experience points gained from real surgery, it is quite slow.
However, for medical skills like this that are difficult to practice at the current stage, improving them through daily practice is also a good choice.
Checking the time, he stopped both the grasping and insertion exercises.
There are ten white mice next to it.
200 yuan each, and I spent a total of 2,000 yuan. I can’t waste it.
These white mice are mainly used to practice three medical skills: hemostasis, incision and separation.
As for suturing and ligation, there are plenty of opportunities to practice in the operating room every day, so there is no need to spend five times more time on white mice.
After he anesthetized ten white mice collectively, he picked one out at random.
Place it face up on the candlestick, fix its limbs, and then start practicing the three medical skills.
Dissection!
[Cut experience +0.2. ]
After a surgical incision was successfully made, blood immediately gushed out from multiple parts of the wound.
The electrocoagulation knife was immediately pointed over.
[Bleeding Stopping Experience Points +0.2+0.2+0.2……]
The speed of earning experience points for stopping bleeding is ranked first, and no other medical skill dares to claim second place.
After cutting a surgical window in its abdomen, use a hook to pull the wound to both sides to expose the abdominal surgical field. Then aim at the pile of intestines and start practicing separation skills.
Under his control, the scalpel flexibly separated the cecum and the colon bit by bit.
[Separation experience value +0.2.]
His hand slipped, he lost control of the force, and accidentally cut the intestine.
The contents of the intestines were ejected.
He was so scared that he hurriedly got the ligation done.
However, the filth ejected from the intestines still contaminated the abdominal cavity of the white rat.
Fortunately, this was just a white mouse. If it was used to perform appendectomy on a patient, it would be unimaginable. This is definitely a serious medical accident.
The abdominal cavity is contaminated by fecal fluid accumulated in the intestines, and the consequences are extremely serious.
Because the contents of the intestinal cavity are highly irritating, they can cause dehydration, fever, and even toxic shock, which may lead to death. In addition, peritonitis and various complications can be life-threatening.
After he tied off the intestinal ends, he was finally able to control the situation.
[Ligation experience +0.2.]
I thought that since this piece of intestine had already been cut and tied, it would be better to just cut off the end that was connected to the rectum for excretion.
The knife fell with a sudden movement.
The white mouse's intestines were successfully cut off.
This makes it easy to move most of the intestines out of the abdominal cavity for surgery.
[Cut experience +0.2. ]
Zhou Can was a little confused.
Can I also get 0.2 cutting experience points in this way?
Why does it feel like a bug in the experience value system has been discovered?
