Chapter 87: Good times come after bad times, cutting and separation, double advancement

By the time Zhou Can changed his clothes and came out, Dr. Xu had already left.
Zhou Can walked out of the operating room, thinking about buying ten more mice to practice his surgical skills at home.
Strive to raise the incision to the mid-level level of residents.
In fact, his experience value of separation has reached level 3, 520.2/1000. He is only 80 points away from reaching the intermediate level.
The importance of this medical skill is even higher than that of incision.
It is needed to remove various diseased tissues and tumors.
Jin Mingxi caught up from behind.
"Dr. Zhou, we've known each other for so long but I've never treated you to a meal. How about I treat you tonight?"
Zhou Can turned his head and looked at him.
"Why did you suddenly want to treat me to a meal? Are you worried that I won't be able to stay for two days and leave?"
Living together with Jin Mingxi, there is no barrier when it comes to joking around.
"Haha, your train of thought is really unique. I saw that you returned safely, so I wanted to celebrate for you, but you... I'm really speechless! You haven't lost your virginity yet, right?"
Jin Mingxi stroked his forehead and laughed.
"I guess I'm not the only one with a peculiar way of thinking. What does this have to do with whether I've ever lost my virginity?"
Zhou Can racked his brains but couldn't figure out the connection between the two.
"If you haven't lost your virginity, then you are still a virgin. Of course, children can say whatever they want!"
After Jin Mingxi said this, Zhou Can suddenly realized.
I couldn't help but laugh along, "Haha, what era is this? Why are you still believing in feudal superstition? Don't worry, this matter is over for me. I won't stay for two days and then leave!"
He found that Jin Mingxi seemed to be a very quiet person, but he relaxed when chatting and was quite humorous.
Zhou Can glanced at the time on his phone and said, "It's still a little early. I'll buy a few mice and practice the surgery in the apartment. How about going to eat around six?"
"Can you not work so hard? We, the interns who were admitted to the hospital at the same time, are under a lot of pressure!"
Jin Mingxi thought he was pretty good, but compared to the monster Zhou Can, he could only watch helplessly as he was left behind by him.
"I have to work hard! You all either have rich work experience or high education, but I don't have anything. If I don't work hard, I will be eliminated."
This is really not an exaggeration at all.
Tuya's regular training recruitment is getting stricter every year. Especially this year, due to many factors, it is too competitive.
Many high-end talents with more than ten years of work experience and even master's degrees failed to make it into the top 20.
There were three or four graduate medical doctors who were eliminated.
Zhou Can's bachelor's degree is the lowest.
Almost no work experience.
If you want to carve out a niche among so many powerful people, even the medical experience system will be useless if you don’t work hard enough.
"Doctor Zhou, Doctor Zhou, there are patients and their family members who are looking for you. They have been waiting for almost two hours." A nurse ran over and told Zhou Can, pointing to the rest area.
Zhou Can turned his head and saw a middle-aged couple sitting on the chairs for patients to rest.
He didn't know the middle-aged woman who was dressed very elegantly.
But he recognized the man in hospital gown at first sight.
This was the patient with acute myocardial infarction whom I met in the last regular training examination.
He felt particularly relieved to see the patient recover.
He immediately walked over quickly.
The middle-aged man also recognized him and immediately stood up with the help of the middle-aged woman, looking at Zhou Can with a grateful smile on his face.
"Do you remember me, Dr. Zhou?"
"Remember! You are the patient with acute myocardial infarction! How is your health now?"
Zhou Can asked with concern.
"I had the surgery and because of the timely treatment, the attending doctor said that my recovery was quite good. I was discharged from the hospital today and will go home to rest."
Patients who undergo myocardial infarction surgery are generally in good condition and are discharged from the hospital three to five days later, indicating that large-scale myocardial necrosis has not occurred.
Severe cases usually require hospitalization for about two weeks.
If conduction cannot be restored after surgery, a pacemaker needs to be implanted, which will require longer hospital stay.
"It's very ideal that you can be discharged from the hospital so soon. Be sure to follow the doctor's advice and get more rest after you go home." After hearing this, Zhou Can felt happy for the patient.
"I was able to survive and recover so well, all thanks to your help! As soon as I was discharged from the hospital, my wife and I came over to thank you in person."
After the middle-aged man finished speaking, his wife smiled and nodded to Zhou Can.
"The surgeon told me that if he had been sent there three minutes later, he would have died. Even if he could have been saved, the prognosis would have been very poor. My husband Cui is not familiar with the hospital's treatment procedures, and he is a strong-willed person. If you hadn't helped him to the emergency department for quick treatment, he would have stupidly stood in line in the outpatient hall, and the consequences would have been disastrous."
The middle-aged woman spoke slowly and calmly, with an elegant and graceful temperament.
The smile on her face makes people feel like a spring breeze.
"Dr. Zhou, on behalf of Lao Cui and our entire family, thank you!"
She held her collar with one hand and bowed to Zhou Can on behalf of her husband.
"I just did what a doctor should do. You don't have to be polite! Speaking of thanks, I have to thank you for reporting the situation to the hospital leaders in a timely manner and helping me clarify the matter of being late! If you hadn't helped me clarify it in time, I would have lost the opportunity to be recruited for regular training this year."
Zhou Can was also grateful for their kindness and gratitude.
Kindness given to the right person is called kindness.
Giving it to the wrong person is called harm.
"Speaking of this, I was completely unaware of it at first. Before the operation, Lao Cui told the nurse to tell me about it and let me find the hospital leaders to clarify it in time."
She explained.
"At that time, I was thinking that I couldn't delay the young man's future!" Mr. Cui looked at Zhou Can. "You were late for the exam because of saving me, so you weren't affected too much, right?"
"At first, the examiner blocked me from entering the examination room. Later, the medical department came forward to clarify the situation for me, and the examiner let me in. The hospital also gave me an extra 10 points for medical ethics."
Zhou Can was filled with emotion when talking about what happened that day.
Good people are rewarded in the end.
"That's a perfect score. As an intern, you dare to save a stranger by taking the huge risk of being late for the exam. This kind of golden character should be highly praised."
Mr. Cui was also very happy to hear that the results were good.
"Oh, by the way! Doctor Zhou, can you tell us your personal phone number? It's fate that we met, and you're my savior. I'm a few years older than you, so I hope we can visit each other more often in the future."
Mr. and Mrs. Cui are obviously well-educated and well-mannered people.
Zhou Can was very happy to make friends with such people.
I happily told the other party my phone number and they saved each other's phone numbers.
"If you don't mind me causing you trouble, you can add me on WeChat so it will be more convenient to chat in the future." Mr. Cui said with a smile.
Phone chatting is more direct, while WeChat chatting has a certain buffer space.
Phone calls are usually for urgent matters, work needs, business dealings, etc. It should be more serious and formal.
WeChat chats seem more casual.
"Sure!"
Zhou Can agreed readily.
People are willing to take the initiative to make friends with him, which shows that they respect him.
Adding each other on WeChat and saving each other's phone numbers means that the relationship has taken a big step closer.
"I should have invited Dr. Zhou to a simple meal. My body has not fully recovered yet, and I can't drink alcohol. There are many things I have to avoid, which would make it less fun. I will invite you another day when I am fully recovered."
Mr. Cui asked him for his phone number, probably just to treat him to a meal in the future.
"Okay, I won't waste your time. My family runs a foreign trade company. Now I'm sick and my son is abroad. Everything depends on my wife alone."
If you run a foreign trade company well, you can make a lot of money.
And they make money from foreigners.
"It turns out my sister-in-law is so capable! No wonder she looks like a strong woman!"
Zhou Can praised with a smile.
When you give someone a rose, the fragrance lingers on your hands.
In fact, praising others more appropriately has many benefits and makes it easier to gain other people's favor.
"Haha, are you praising me or insulting me? Strong woman has a double meaning now."
She covered her mouth and chuckled.
"Of course it's a compliment! Sister-in-law is such a gentle, considerate and capable woman, I'm afraid no derogatory words dare to be used on you."
Sometimes you have to improvise when chatting.
Otherwise, the atmosphere will become dull in no time, or even capsize.
"Haha, Doctor Zhou is not only kind-hearted and kind-hearted, but also very good at praising people! Let's go now, bye!"
She smiled happily, waved, and helped Mr. Cui leave.

On the way back to the apartment carrying the eight little white mice, Zhou Can was in a particularly good mood.
The haze has dissipated and good times have come.
After experiencing this storm, his life became more brilliant.
Considering that Jin Mingxi was going to treat him to a meal, which would definitely take some time, he deliberately bought two fewer white mice.
Inside the apartment, Zhou Can greedily earned a steady stream of medical experience points from the mice.
Jin Mingxi was still practicing tying knots persistently.
Pieces of white tofu were ruined by him.
Even among surgeons, each person's surgical focus may be different.
If Zhou Can did not have the experience value system, he might be like Jin Mingxi, who not only mastered the four most basic medical skills, but also chose one or two surgical areas as his specialization.
Don’t look down on knot tying. If you practice well, you can become a famous surgeon.
Around 6:40, when Zhou Can finished the third white mouse, Jin Mingxi invited him to a small restaurant for a meal. During the meal, the two drank seven or eight bottles of beer.
The last time I saw Jin Mingxi, he was drunk after coming back from a class reunion, and I thought he couldn’t drink much.
Hey, I didn’t expect that I really underestimated people.
After drinking five bottles of beer, Jin Mingxi was still as calm as ever.
Zhou Can found out after asking.
At the last class reunion, he blocked a lot of drinks for a female classmate named Ye Zi, which made three male classmates unhappy, so they joined forces to make trouble for him. They suggested drinking white and red wine to show their respect.
The so-called white and red is a mixed wine.
In the end, Jin Mingxi fought one against three and was almost fucked to the point of gastric bleeding.
He knocked all three of them down, and he was drunk after being sent back to the apartment by Ye Zi.
From this point of view, Jin Mingxi also has a passionate side under his gentle appearance.
Through this dinner and drink, Zhou Can and he became closer.
After returning to the dormitory, Zhou Can once again devoted himself to practicing medical skills.
Around 8:20 in the evening, he received a message.
Click to view.
Sent from Yang Chan.
"Just had surgery, I hope everything is fine!"
I thought she was very cold and wouldn't reply to my message.
But even if he replied to the message, the content still revealed a hint of aloofness.
"Thank you for everything you have done for me! (Rose)"
Zhou Can knew in her heart that she had put in a lot of effort in this matter.
Director Zhang Bihua was willing to stand up and speak for Zhou Can only out of respect for her.
In terms of voice, two Director Lous may not be able to compare with one Zhang Bihua.
As for why the director of the obstetrics and gynecology department would value Yang Chan, an intern with only a bachelor's degree, so much, no one knows the reason.
The only way to know is to ask the person involved.
"You're welcome!"
She replied with three words.
That really means being frugal with words.
Based on Zhou Can's understanding of her, the conversation should end here.
He once again devoted himself to the tireless practice of medicine.
By the time all eight mice were consumed, his incision and separation skills had all risen to the mid-level of resident doctors. Ligation experience value level three 894/1000.
It is already far ahead of suture.
As long as he buys ten more mice tomorrow night and practices at home, the ligation technique will definitely be upgraded to level four and will become his second main medical skill.
This speed of progress is really scary.
You know, he has only been in regular training for a few days.
My incision skills have finally reached the mid-level level of residency. If I have a chance tomorrow, I should be able to ask Dr. Xu for a first-level dissection opportunity to show off my skills.
However, such opportunities are rare in the emergency department.
General surgery has the most opportunities to practice incisions, such as cutting lipomas, cutting hemorrhoids, and so on.

The next day at work, Zhou Can deeply felt the fickleness of the world.
Only a few people, such as Ye Tingting and Dr. Luo, still greeted him enthusiastically. Many of the other colleagues in the emergency department kept their distance from him.
That kind of estrangement cannot be seen or touched, but can be truly felt.
This is the real adult world.
He was not affected at all. They were just colleagues in the same department. It was impossible to ask everyone to revolve around him and lick him unconditionally.
A few days ago, when he became popular in the emergency department, everyone saw his amazing development potential and naturally wanted to build a good relationship with him.
In the future, I will be able to talk to you when I need your help.
Many doctors and nurses have been in this system for a long time, and they know very well which people are likely to rise step by step and need their admiration, and which people are just trying to make a living and live an ordinary life.
Zhou Can was suspended from his post by the Medical Department without any warning this time. In addition, Dr. Lu was a gossiper who made up stories and spread any rumors he heard.
In the end, many colleagues thought that Zhou Can had offended a senior leader in the hospital and committed a serious crime.
It's normal for everyone to avoid him.
However, these people would never have imagined that Vice President Bai, who had put extreme pressure on Zhou Can, now owed Zhou Can a favor.
The relationship with Zhou Can is not very close.
At least not bad.
It's even more nonsense to say that the two of them are enemies.
Vice President Bai will not only suppress him again, but will also provide some help and care to the best of his ability.
If these people knew the truth, they would probably come and lick him again.
But Zhou Can had long seen through this kind of flattery and had become indifferent to it. He didn't need it.
Now, growing silently and becoming stronger quickly is more in line with his wishes.
Entering the operating room, we saw that Dr. Lin and Dr. Xu were on duty today.
"Morning, Doctor Lin!"
"morning!"
Doctor Lin nodded, his attitude lukewarm.
A little better than those who avoid Zhou Can and deliberately distance themselves from him.
Zhou Can naturally wouldn't flatter Dr. Xu too much, he just needed to hug Dr. Xu's thigh.
Doctor Lin and Doctor Lu will most likely still be residents when they are 40. If they are lucky, they will be transferred to the Second Affiliated Hospital. If they are unlucky, they will probably have to switch to a prefecture-level hospital.
"Xiao Zhou, are you going to perform the operation alone today or will you be my assistant?"
Dr. Xu asked.
Zhou Can is probably the first trainee who can enjoy such treatment.
Other interns would be secretly happy if they could get one or two opportunities to sew skin or do other training from senior doctors.
"Let's do the surgery alone!"
What Zhou Can needs to do now is to upgrade all four basic medical skills to the attending physician level as soon as possible.
Then, by working as an assistant to Dr. Xu, you will be able to participate in the important parts of secondary surgery.
"Call two more instrument nurses to help and start the operation!"
Dr. Xu’s position in the emergency department’s operating room is second only to Director Lou.
In fact, Director Lou seldom goes to the operating room to preside over work.
So, Dr. Xu is basically the boss here.
Dr. Fu absolutely does not have the authority to assign two instrument nurses to the operating room to help for the entire day.
For Dr. Xu, it was just a matter of words.
That's the difference.
From this point we can see that even if everyone is the attending physician of a department, their status is high or low.
Soon, two instrument nurses came in.
One is Tian Tian, ​​and the other is Zhou Can’s favorite partner Qiao Yu.
Tian Tian exchanged glances with Zhou Can, then looked away and walked quickly towards Jin Mingxi.
At work, she seems to be dull and inflexible, but as a person, she is very thoughtful and calculating, whether dealing with colleagues or family members.
Now he walked quickly towards Jin Mingxi, simply because he was worried about getting into unnecessary trouble by being Zhou Can's assistant.
This was exactly what Zhou Can wanted.
Jin Mingxi's face turned bitter. He had worked with Tian Tian yesterday but had a hard time expressing his feelings.
I deeply understand what it means to have a teammate who is like a pig.
I finally understood why Zhou Canyi's number of completed surgeries dropped by several when he worked with Tian Tian, ​​but when he worked with Qiao Yu, it was like divine help.
There are real differences between people.
Although they are both instrument nurses, their work abilities are very different.
"Congratulations, Doctor Zhou!"
Qiao Yu said with a faint smile.
"Thanks!"
Zhou Can was grateful from the bottom of his heart.
When she came closer, Zhou Can whispered, "Aren't you afraid of getting into trouble by being my assistant?"
Qiao Yu rolled her eyes cutely.
"Please don't say such hurtful things. In order to be your assistant, I begged the head nurse for a long time yesterday before she agreed to let me work the early shift today!"
The morning shift is also called the day shift.
If it is an inpatient department, only the morning shift nurses are the real people in charge. They are fixed and work the early shift every day.
Evening and night shift nurses take turns on duty.
They are called duty nurses, and they are actually quite different from day shift nurses. Their status is not as high as day shift nurses, and their work is not as professional.
Because the emergency department is a special department, most nurses' positions are mobile.
Everyone wants to work the day shift, and Qiao Yu, a newcomer, has almost no competitiveness.
It was not easy for her to ask the head nurse to help her switch to the day shift.
I guess he must have said a lot of nice things and begged for a long time.
"Don't be angry, it's just a joke. I'll buy you ten cups of milk tea as an apology, okay?"
Zhou Can quickly apologized to her.
"That's more like it!"
She turned her anger into laughter.
Tian Tian, ​​who was not far away, was hiding from Zhou Can and keeping a distance from him.
Now when she heard that Zhou Can wanted to treat Qiao Yu to ten rounds of milk tea, she immediately became excited.
"Dr. Zhou is such a generous person, you can't just invite Qiao Yu!"
Most women love to take advantage of others.
Tian Tian also wanted to drink Zhou Can's ten cups of milk tea.
"Doctor Zhou only makes so little a month, and he just treated all the nurses in our emergency department's nurse station to milk tea. Stop blackmailing him! I was just joking with him, and I didn't really ask him to treat me."
Qiao Yu quickly spoke up for Zhou Can.
She was worried that Zhou Can would lose face, so she agreed to Tian Tian's request.
"No, no, no. A man's word is his bond. If I say I'll treat you, I'll treat you. As for Tian Tian and the others, it will be the same when I have money in the future." Zhou Can is not a stupid man with a lot of money.
Last time I promised to treat all the nurses to milk tea, that was to build a good relationship with them and become familiar with them.
Tian Tian is too cunning. If you really treat him as a sucker, you have chosen the wrong person.
He still delusionally dreams of enjoying the same treatment as Qiao Yu. It is simply wishful thinking.
Zhou Can spoke beautifully, but he was thinking in his heart, is she worthy of it?
"Okay, okay! Then I hope Dr. Zhou will become a rich man soon!"
Seeing that she couldn't get any benefits, Tian Tian had to give up.
Qiao Yu enjoyed a different kind of special treatment, and felt as happy as if she were drinking honey.
The smile on his face grew even brighter.
"What flavor do you like to drink?"
Zhou Can asked her.
"Really? Then treat me to a cup of jasmine-scented milk tea."
She thought for a moment and said.
Sometimes, people are just weird.
People like Tian Tian who are desperate to take advantage of others can't get it, while people like Qiao Yu who are not greedy can get it more easily.
"no problem!"
How could Zhou Can just treat us to one drink?
I will definitely buy her ten drinks.
As we were talking, patients who needed surgery were taken into the operating room one after another.
Another busy day begins.
Zhou Can has Qiao Yu as his 'golden partner'. The surgery is as if assisted by God, quick and efficient, which is really cool.
Look at Jin Mingxi again, his expression of despair cannot be hidden even by the mask.
He must be quite devastated inside.
Zhou Can had already performed three operations, and he had only finished one.
The gap is really too big.
"Qiao Yu, keep an eye on Dr. Xu for me. Call me if you find a simpler resection surgery."
Zhou Can's incision skills had finally reached the mid-level level of a resident doctor, and he really wanted to find an opportunity to practice.
If I have to describe it, it's the itch to show off.
He had dissected so many mice that he had lost count, but he had never tried it on a patient.
In fact, as long as you have reached the lower level of residency, you can participate in some simple resections.
For example, removing foreign bodies from subcutaneous tissue, cutting some simple external hemorrhoids, etc.
One patient after another was taken into the operating room and was pushed out after the operation was completed.
The opportunity Zhou Can was waiting for never came.
Near the end of the shift, a middle-aged woman with a face swollen like a bull terrier was wheeled into the operating room.
At this moment, Zhou Can no longer had surgery in his hands.
Jin Mingxi's operation is coming to an end.
Because Dr. Fu would be here soon to take over, and Dr. Fu was unwilling to get too close to him for fear of being implicated, Zhou Can did not want to make the situation awkward, so he did not call in any new surgical patients.
The same goes for leaving get off work early and going home to practice medical skills on mice.
"Hey, the surgery opportunity you wanted is here!"
Qiao Yu whispered to him.
Zhou Can looked at the woman with a huge bump on her face and couldn't help but feel encouraged.
It feels like the swelling on this woman's face is something like a lipoma.
"How did she do this? Has she done all the tests?"
Dr. Xu asked.
"All the examinations were done. This is the relevant examination results. She had acne on her face, and it became like this after she used a acne needle to prick it. Doctor Luo examined it and said there was an abscess inside."
The nurse briefly described the situation.
Picking at pimples carries its own risks.
Because acne usually appears on the face.
The blood circulation in the face is very rich, and crisscrossing blood vessels shuttle through the facial muscles.
The superficial veins connect to the deep veins and directly enter the intracranial cavernous sinus.
The scariest thing is that there are no valves in the facial veins to prevent blood from flowing back.
When muscles contract, blood can flow back into the brain and heart, and then affect organs throughout the body.
I believe many people have heard of the dangerous triangle of the face.
For example, the upper lip under the nose is particularly prone to rashes, blisters, acne, etc. If someone squeezes them hard at this time, pus may flow back into the blood and invade the heart along the veins.
The consequences will be very serious.
Doctors have repeatedly advised that rashes and blisters in the dangerous triangle area should not be squeezed, but there are always some people who do not take it seriously.
Zhou Can has seen a real case where a 19-year-old boy was admitted to the ICU because he squeezed a pimple on his upper lip. Ultimately, he could not be rescued and died.
Relying on luck can really kill people.
The opportunity for open surgery that Zhou Can had been waiting for finally came.
I was very excited.
But he had dealt with Dr. Lin before. Dr. Lin would definitely grab this kind of surgery.
If Dr. Fu was on duty, Zhou Can would definitely have no chance.
Now that our own teacher is on duty, there is a lot we can do.
As long as Dr. Xu is sure that he really has the surgical ability, he will definitely give him the opportunity to practice.
As for Dr. Lin, he can probably only watch from the sidelines.
After all, there are differences between close and distant relatives.
"Teacher, she should undergo a superficial tumor resection!"
Zhou Can stepped forward with a shy face to look at the test results.
Then take the initiative to express your opinion on the surgery.
Dr. Xu took care of him for several days and got to know him to some extent.
This kid is not usually this enthusiastic.
He glanced at Zhou Can and said, "Tell me about your surgical plan."
"According to the examination images, there must be an abscess inside, and it is quite large. First, make a small incision here and suck out the tumor. Then enlarge the wound, peel off the tumor inside, and finally remove the tumor. Next, clean the wound and sew it up."
Zhou Can has seen many similar surgical videos online.
During my internship, I saw Dr. Fang, the resident chief physician, perform a similar operation in the general surgery department.
But he was still an intern at that time and couldn't even get a chance to be a first assistant.
I can only stand in the audience and watch and learn.
Dr. Xu stared deeply into Zhou Can's eyes, as if he understood Zhou Can's eager look.
He said indifferently, "You can do the incision and drain the pus! But you have to draw the surgical line first."
This is still not reassuring.
It would be a disaster if the blood vessels or important facial nerves were cut off, causing the patient to suffer from facial paralysis.
"Okay!"
Zhou Can really wanted to hug Dr. Xu and give him a kiss.
The teacher was so nice to him.
He had never performed an incision on a patient.
Now, the opportunity has finally come.
Even if it was just a small cut of less than 2 cm, it was an important step for him.
The patient is guided to lie on the operating table.
Seeing such a young doctor perform surgery on her, she must have felt reluctant, which was already revealed in her eyes.
However, due to various concerns, she remained silent in the end.
Tuya is such a big hospital with such a high reputation. Even if he is just a young doctor, his medical skills must not be too bad.
It's much better than a small local hospital.
"This is the surgical site for draining pus! This is the surgical site for enlarging the incision and removing the internal tumor after the pus is drained."
Zhou Can drew the knife positions.
After Dr. Xu looked at it, he showed appreciation.
The incision avoided important blood vessels and nerves, and was relatively cautious and conservative.
This attitude of putting safety first makes Dr. Xu very satisfied.
"The knife positions are well drawn, let's get started!"
Zhou Can was not in a hurry to start.
"Can we let Qiao Yu be my instrument nurse? I have been working with her for a long time and we have a high level of tacit understanding. The operation will also go more smoothly." Zhou Can asked Dr. Xu.
This opportunity is very valuable to Zhou Can, and it is equally valuable to Qiao Yu, a nurse in training.
She was just a supplement to the operating room nurse.
If Dr. Xu hadn't recently boldly delegated authority to Zhou Can and Jin Mingxi, allowing them to perform surgeries individually, Qiao Yu would have had a hard time entering the operating room more than a few times a month.
Even if they are transferred to the operating room, they often serve as patrol nurses.
Experienced instrument nurses would definitely look down upon the delivery of instruments for this kind of minor surgery.
But Qiao Yu really needs it.
A strange light flashed in her beautiful eyes and an expression of surprise passed across her face.
It seemed that she didn't expect Zhou Can to help her improve.
"Can!"
Dr. Xu nodded in agreement.
Tang Ling naturally acted according to the surgeon's expression.
Seeing that Dr. Xu agreed, she immediately stepped aside and said with a smile, "Qiao Yu, stand here! If you are not familiar with anything, you can always ask me!"
Tang Ling is an honest and kind person, and she works diligently and conscientiously.
These are her strengths.
"Thanks!"
Qiao Yu smiled at her gratefully and nodded.
This was the first time I stood on the operating table as the surgeon’s assistant.
A good instrument nurse is no less effective than an assistant.
After disinfecting the patient's surgical area, she first drew the prepared local anesthetic into the syringe, then expelled the air and handed it to Zhou Can.
His injection skills had already reached level three and were quietly moving towards the mid-level level of residency.
Because the area requiring surgery was large, Zhou Can chose to inject anesthetics from six different points.
"Can you still feel the pain?"
He waited for a moment, thinking that the anesthetic had taken effect, and began to conduct a small test.
“It doesn’t hurt!”
The patient's speech has become somewhat slurred.
This is caused by extensive anesthesia on the face.
A sharp scimitar was handed to Zhou Can.
Her cooperation is always so tacit.
The two began to cooperate in performing surgery on the patient.
Zhou Can took the knife, his eyes were fierce, his expression was focused, and his movements were steady.
The knife in his hand cuts straight across the drawn knife line.
A little blood came out, but more of it was smelly pus.
Zhou Can quickly took the aspirator and sucked it out.
He ignored the slight bleeding from the surgical wound.
In this kind of purulent area, a little bleeding is actually beneficial.
It can drain out any toxins and pus that may be hidden in the blood.
After the pus was sucked out, the swelling on the patient's face did not decrease much.
This indicates that the tumor inside is quite large.
"This tumor is quite large! Doctor Xu, can you let me remove it?"
Dr. Lin really took action.
No one will be polite when it comes to interests.
He first emphasized that the tumor was very large, implying that Zhou Can, a newcomer, would definitely not be able to perform the task of removing it.
Then it was natural for him to ask Dr. Xu to let him perform the operation.
Compared with Dr. Lu, Dr. Lin speaks more politely and takes Zhou Can's feelings into consideration.
I won’t directly say anything offensive to suppress Zhou Can.
The two sides can barely be considered to be competing fairly.
Of course, interpreted from another perspective, Dr. Lin is definitely bullying the weak.
He has been a resident doctor for four years and is considered an old hand.
Zhou Can is just a new trainee.
The status and work experience of both parties are not equal.
But it is so cruel for a newcomer to stand out, just like a wolf trying to steal meat from a lion's mouth.
"You take a look first!"
Doctor Xu gave him a cold look, and Doctor Lin was so scared that he didn't dare to snatch it anymore.
I guess after this incident, Dr. Lin has more or less faced the reality.
"Xiao Zhou, continue!"
There are many things that are inconvenient to say in front of the patient.
We can only give some vague hints.
"OK!"
Zhou Can was overjoyed. It seemed that the incision just now had been initially approved by Dr. Xu.
Qiao Yu has already handed over the scalpel.
Taking the knife, he carefully enlarged the wound to about 4.5cm, then looked up at Dr. Lin.
"Please help me with the pinky promise, Dr. Lin!"
"OK!"
Doctor Lin readily agreed and took a flat hook to enlarge the wound.
The situation inside was revealed to everyone.
The suppuration was not serious, just a slight superficial suppuration. What really caused the patient's face to swell was a tumor with a conservative estimate of more than 3cm in diameter.
It doesn't look like a sebaceous cyst.
The whole body is light yellow, a bit like chicken fat.
The specific nature may need to be determined through pathological examination after removal.
"Picking at the pimples may have been the trigger. The tumor may have already been there. It got irritated and then infected, and that's when it grew rapidly."
After examining the patient, Doctor Xu's expression became slightly serious.
Whenever he encounters a slightly more complicated illness, he basically has this expression.
"Xiao Zhou, tell me about your surgical plan."
He must keep an eye on Zhou Can.
Only when he is sure that the surgical plan is reliable and safe will he agree to let Zhou Can continue the operation.
"First, we perform a simple debridement, then find the blood vessels at the root of the tumor, clamp them with hemostatic forceps, and then peel the tumor away from the surrounding tissues little by little. Finally, we perform a resection."
"Well, let me help you clamp the blood vessel."
The wound was not big to begin with, and it was a bit crowded with three people operating it.
I guess Dr. Xu was worried, so he clamped Zhou Can's blood vessels himself, so he could stop or give instructions at any time.
Zhou Can's hemostasis skills were at the attending physician level, which provided great help in finding blood vessels.
After debridement, we followed the tumor and quickly found the blood vessels at the root.
Generally speaking, all tumors are able to continue to grow and have blood vessels to supply them.
This tumor just happened to grow on the face, otherwise it would be a small tumor at best. Compared with those huge liver tumors that are more than 20cm in diameter, it is nothing.
If a benign tumor growing on the liver is less than 5 cm in diameter and is benign, doctors will usually tell patients that it does not need to be treated.
Just check it regularly.
"Teacher, please help me clamp this blood vessel."
Zhou Can directly exposed the blood vessel.
"Wow! You were able to accurately find the blood vessels at the base of the tumor so quickly. Amazing!"
Doctor Lin next to him couldn't help but praise.
At least he doesn't have the ability to do so.
“Thank you so much!”
Zhou Can smiled modestly.
When it comes to hemostasis, even Dr. Fu is not as good as him. Dr. Lin's hemostasis skills are at best average for a resident doctor, far worse than Zhou Can.
"You are indeed quite capable." Doctor Xu also nodded in praise.
After he clamped the root blood vessel with hemostatic forceps, he did not forget to instruct several junior doctors.
"If there are blood vessels that need to be preserved, be careful not to clamp them too hard to avoid damaging the blood vessel tissue."
Many newcomers tend to make this mistake.
When clamping the blood vessel, I clamped it very hard because I was nervous and worried that the bleeding would not be stopped.
There is naturally no problem with the blood vessel part that needs to be removed.
If the blood vessel that needs to be preserved is clamped like this, it can easily be damaged.
Doctor Lin waited quietly.
Finding the blood vessels at the root of the tumor is only the first step.
The complexity and difficulty of this operation far exceeds that of a level one operation.
In fact, it is already a level 2 surgery.
He didn't believe that Zhou Can, a newcomer, would be able to handle the subsequent tumor separation.
Even he, a senior resident, was not completely sure.
At most, I just dare to try it.
This is also the reason why he tried his best to fight for the opportunity of this operation.
In the past, Dr. Xu might not have allowed Zhou Can to participate in this higher-risk operation.
Maybe what happened yesterday stimulated him.
If it weren't for the fact that several department heads spoke up for Zhou Can, it's very likely that Zhou Can would still be suspended. Or even worse.
Doctor Xu's position is low and his influence is not great. He can only watch helplessly and cannot do anything.
Therefore, he accelerated the training of Zhou Can.
He wanted Zhou Can to become stronger faster and improve his status and power.
Zhou Can was seen holding the scalpel and began to carefully separate the tumor from the surrounding tissue.
Each cut was accurate and steady, and every one was in place.
When separating from the surrounding tissue, his movements were swift and efficient. When separating from the blood vessels, he pushed forward slowly, with the force, angle, and progress all being just right.
"Good boy, you are really good! This separation technique is at least at the level of a resident doctor. And it is above the average level of a resident doctor."
Doctor Xu was happier than anyone else as he watched Zhou Can wield the knife with ease and control of the technique just right.
This kid is really amazing.
Originally, I just saw that Zhou Can's incision skills were good, so I wanted to see how good Zhou Can's separation talent was.
He was ready to call a halt and take over the mess at any time.
As a result, Zhou Can didn't even give him a chance to call a stop, and gave him a huge surprise.
Fortunately, this disciple with such extraordinary talent was rescued.
He felt that everything he did was worth it, risking his life to stand up for Zhou Can.
Doctor Lin, who had been waiting for an opportunity nearby, was stunned.
I feel so cold in my heart.
Zhou Can's separation skills are so good that he is more than capable of separating and removing this tumor. Dr. Lin will not have any more chances.
Jin Mingxi had already finished the operation at this moment and was standing by, craning his neck to watch.
His expression is even funnier.
It was a look of complete horror.
As a doctor who has been working for more than ten years, he believes that he has extensive surgical experience and good surgical skills.
However, the ability to separate that Zhou Can displayed made him feel deeply frustrated.
This new guy is such a monster.
This is an advanced medical separation technique, which is much more difficult than cutting.
How did Zhou Can practice?
Jin Mingxi lives with Zhou Can every day. Apart from seeing Zhou Can often dissecting a large number of mice, he has never seen him do any other exercises!
At this time, it was time for the shift change.
Dr. Fu, Dr. Lu and nurse Liu Xia came to take over.
As soon as I entered the operating room, I saw several doctors gathered around the operating table performing surgery on a patient.
When I looked more closely, I saw that Dr. Xu was actually helping someone.
"Damn, how come he is standing in the main operating position? The attending doctors and senior residents are all helping him. This kid is treated so specially!"
Dr. Lu's cheeks twitched with jealousy.
His eyes were fixed on Zhou Can who was concentrating on the operation.
He had never enjoyed such treatment before.
Then he made another discovery.
Qiao Yu, whom Zhou Can has been pursuing for a long time, is actually working as an instrument nurse for Zhou Can. The two of them act very close.
Dr. Lu felt like there were ten thousand ants gnawing at his heart, making him feel extremely uncomfortable.
How great it would be if he was the one standing in the operating position!
Of course, he could only imagine such things.
Qiao Yu had also served as his instrument nurse several times, but each time she was just a formality. She had never been as intimate with him as she was with Zhou Can.
This made Dr. Lu feel even more uncomfortable.
My heart aches.
Dr. Fu was very curious. It was already time for the shift change, so what operation had not been completed?
Walking forward, he first greeted Dr. Xu with a smile, "It's rare for Dr. Xu to work overtime to perform surgery!"
"A superficial subcutaneous tumor removal operation."
After Dr. Xu made an introduction, he once again focused his eyes on Zhou Can's actions.
He didn't dare to be careless.
We must keep a close eye on it.
Dr. Fu didn't take it seriously at first, but when he looked at what Zhou Can was doing, his eyes suddenly widened as if by magic.
This, this is too scary!
A resident doctor was actually separating a facial tumor. The key point was that the action was not only steady and smooth, but also the peeling effect was surprisingly good. It was really shocking to see such a skill appear in a resident doctor who had just completed the resident training for a few days.
Zhou Can has basically separated the entire tumor from the surrounding tissue.
The most critical section of the blood vessel is being separated.
It can be said that every cut is like dancing on the tip of a knife, and if you are not careful you will cut a blood vessel.
But nothing happens to him, and every blow of his sword is very precise. Isn't that infuriating?
Dr. Lu was also curious when he saw Dr. Fu's exaggerated expression after watching Zhou Can's surgery.
Come closer to take a peek.
"This, this... Is this kid a monster? He's so good at the separation technique!" Doctor Lu's expression was not much better than Doctor Fu's, and was even a little more exaggerated.
Not only did his eyes widen, but his mouth also opened into an O shape.
Although Dr. Lu was lazy, he still had a keen eye. He could tell at a glance that Zhou Can's separation technique was far better than his.
You can imagine the shock in my heart.

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