Chapter 7 Status Improvement
"Well, the sewing is not bad. It's really good to be able to perform so well on your first stage."
Director Liu first gave positive comments on his suture work.
Then he changed the subject, "But there are still some areas that need improvement. For example, the spacing between the stitches can be shorter, and after the knot is tied, the skin layers will fit more tightly. Now, looking at the surface with the naked eye, it fits tightly, but there are actually tiny gaps in the dermis. This will be detrimental to wound healing."
Only someone like Mr. Liu, who has extremely rich surgical experience, can see the existence of tiny gaps under the skin at a glance.
"Also, when choosing the needle position, you can get it closer to the incision edge. As Confucius said, if it is far away, people will complain; if it is close, people will be disrespectful. If the needle position is too far from the incision edge, the suture will be too long and the force will be loose. If the needle position is too close to the incision edge, the suture will be short and the pulling force will be strong, but it will easily cause the skin to tear. This degree can only be determined by you."
Director Liu seldom explains these basic suturing points.
I also saw that Zhou Can was a good talent and worth cultivating.
Then he explained it in detail.
"By the way, the selection of needle positions for suturing is not the same for everyone. The skin of some parts is more resilient, so it can be closer to the incision edge. The skin of some parts is fragile, so the distance from the incision edge should be appropriately increased to ensure that it does not crack."
Sewing leather may seem simple, but I didn’t expect it to involve so many advanced techniques.
"The students have memorized it all and will definitely learn from it in practice in the future."
Zhou Can nodded very sincerely.
Which parts of the skin are tender and which parts of the skin are tough must be slowly explored through surgical practice.
Moreover, skin strength varies with age and gender.
Children's skin is definitely more tender than that of the elderly. Women's skin is more tender than that of men.
The differences can only be understood and accumulated by yourself.
Seeing that he had a very humble attitude towards learning, Mr. Liu liked this student even more.
"You have great potential. You can give it your all in this Tuya training recruitment. If you can stay, I can apply to the hospital and I will take you under my wing."
When the other interns heard what Mr. Liu said, their eyes turned red with jealousy.
This is a great opportunity.
You know, Mr. Liu is at the deputy director level. If he wasn't so lacking in academics, he would have been the director long ago.
Among the deputy chief physicians of general surgery, Mr. Liu's ability is definitely among the best.
There were countless doctors in training and residency who wanted to seek guidance from Master Liu. Even many attending physicians were vying to become Master Liu's students.
Now Mr. Liu actually extended an olive branch to Zhou Can, an intern. How could one not be envious?
"Doctor Zhou, you are so lucky to have met a noble person!" the resident said sourly.
Although he was jealous, the way he addressed Zhou Can had quietly changed.
From Xiao Zhou he became Dr. Zhou.
There is a little respect.
"Thank you Director Liu for your appreciation!"
Zhou Can was not stupid. When he received such a good thing, he immediately expressed his gratitude.
Old Liu smiled and nodded slightly.
He looked at the anesthesiologist.
"What are the patient's symptoms?"
"The patient is waking up and his vital signs are stable. His blood oxygen level is slightly off, but it's within the normal range."
"Well, I'll leave this to you." Elder Liu looked at the assistant again. "Doctor He, please keep a close eye on the patient for the 12 hours after the operation. If there are any abnormalities, please call ."
This major surgery is extremely dangerous.
The twelve hours after surgery are called the high-risk period.
During the entire perioperative period, its risk factor is second only to the surgical stage.
"Okay. You can go to the symposium without any worries!"
If their group is likened to a small sect, the position of the assistant is equivalent to that of the eldest senior brother.
When the master is away, the eldest brother assumes the master's responsibilities.
Not long after, the patient regained consciousness and behaved normally after the operation.
After observation that no problems were found, the doctor prescribed and sent the patient back to the ward for recuperation.
…
When he returned to the office, the interns, with whom he usually had little interaction, became enthusiastic about him.
The cold and serious residents also became much more polite towards him.
His status in the department has clearly risen.
It feels great to win everyone's respect with your real ability.
It also strengthened his determination to continue improving his medical skills.
After writing the medical record and finishing the work at hand, Zhou Can began to think about how to upgrade one or two medical skills as much as possible before tomorrow.
At present, both suturing and ligation medical skills have been upgraded to the inpatient level, so there is no need to worry.
I could only practice the art of stopping bleeding after work, when I bought mice or rabbits and returned to the dormitory . Now I was just an intern, and I wanted to run to the operating table to fight for the opportunity to stop bleeding for patients. That was wishful thinking.
Anatomy can also only be practiced at home.
Originally, Zhou Can didn't expect to upgrade his anatomy skills to level three before the regular training recruitment.
Because he had so many medical skills to improve and time was limited, he could only give priority to improving the more important skills such as suturing, ligation, and pathological diagnosis.
Now, he suddenly has huge ambitions.
As long as we plan well and use all resources and time rationally, we may be able to upgrade all four basic surgical skills and pathological diagnosis to level three before the regular training recruitment.
If you can really upgrade all five medical skills to level three, you will have a solid chance of being hired as a regular doctor.
By then, it will be other people who will worry about not being selected.
Pathological diagnosis is the most difficult medical skill to improve.
But it ranks first among all medical skills, and no other medical skill can shake its position.
Zhou Can was able to gain the appreciation of Director Liu today and rise from an unknown intern to a key training target, and a large part of the credit goes to his pathological diagnosis skills.
This shows how useful it is.
Now let's prepare to raise it up.
He checked the experience value of pathological diagnosis, level 2, 90.6/100. Excellent level of regular training.
Only 9.4 experience points are needed to reach level three.
If you level up by reading cases, you can only gain 0.1 experience points after reading each case. He needs to read 94 cases, which will probably take at least several days.
In the operating room, he gained 1 experience point for each successful diagnosis he made on a patient.
After tasting huge benefits, he began to think in this direction.
Where is the easiest place to get a diagnosis? Definitely in the outpatient clinic.
Checked the duty roster.
I found out that Dr. He, an assistant, would be seeing patients at the outpatient clinic in the afternoon.
Zhou Can's mind immediately became active.
Taking advantage of the relationship with Director Liu, he could shamelessly ask Doctor He for help, and perhaps Doctor He would agree to give him an opportunity to accompany the patient in the clinic for training.
At this moment, Dr. He is carefully checking the written case.
Zhou Can stood up and walked over.
"Doctor He, would you like to add some water to your cup?"
He Hansheng is not only the attending physician, but also the one with the highest seniority among all the attending physicians in the department.
Many people speculate that he is likely to be promoted to deputy chief physician next year.
He usually treats these junior doctors kindly.
Doctor He looked up and glanced at Zhou Can.
"You are being so attentive, you must have something to ask of me. Tell me, what is it?"
Zhou Can's little trick was discovered and he couldn't help but laugh.
"Haha, I didn't expect that Dr. He is not only an expert in surgery, but also in psychology. My little tricks can't escape your scrutiny at all."
Zhou Can first flattered him.
No matter how many holes there are, flattery will never wear out.
Everyone likes to hear nice words.
Especially in front of leaders, occasionally saying a few nice words can greatly enhance your favorability in the leader's mind .
The next things to do will be much easier.
"Tomorrow we will be recruiting for regular training. I lack practical experience in pathological diagnosis. I just checked the duty roster and found that you will be seeing patients in the outpatient clinic this afternoon. Can you bring me along to help you and gain some practical experience by your side?"
Zhou Can said what he wanted with a shy face.
"Well... okay, you can follow me to the outpatient clinic this afternoon."
After a slight hesitation, Dr. He readily agreed.
"Thank you! If you are accepted for the regular training, I will treat you to a good meal."
Zhou Can was so happy that he kept thanking him.
With a try, a bicycle can be turned into a motorcycle.
When it’s time to fight for something, you have to fight for it shamelessly.
Look, isn’t the opportunity to practice as a medical assistant now available?
He calculated that 9.4 experience points, if each patient he diagnosed could gain 1 experience point, he only needed to diagnose 10 patients to upgrade his pathology diagnosis skills to level three.
"Doctor Fang, assign Xiao Zhou's work to other people in the afternoon. He will come with me to see patients." Doctor He greeted the chief resident, Doctor Fang.
Dr. Fang is in charge of most of the work arrangements for general surgery interns.
"OK!"
Dr. He spoke up himself, and Dr. Fang had no choice but to agree.
He took out a work schedule and started to force tasks on other interns.
"Xiao Gao, you will take care of the patients in beds 21 to 26 this afternoon. Xiao Wu, the follow-up of the surgeries for the patients in beds 29 and 31 is now in your hands..."
Zhou Can's afternoon work was completely assigned to him by the inpatient department.
Even though the interns who were given extra tasks were unwilling, no one dared to challenge the authority of the chief resident.
I could only agree silently.
Competition in society is everywhere, and the fittest will survive.
The strong rise and the weak fall, this is the law of nature.
Dr. He was willing to give Zhou Can a chance to be trained because he felt that Zhou Can had great potential and was worth training.
As for other interns being squeezed out, this is the result of fair competition.
Everyone has opportunities, and if you can seize them, you can climb higher.
There is a chance to become stronger and stronger.
