Chapter 91 Compare three stores and find the best one
"Are you planning to choose quick surgery as your surgical approach?" Dr. Xu turned his head and stared at him.
I asked Zhou Can once last time, but he hadn’t thought about it yet.
This time, the proactive inquiry into the method of practicing the sharp knife technique gave Dr. Xu hope again.
He was so eager for Zhou Can to become his successor to the art of quick swordsmanship.
"Well... I haven't thought about it yet! But that doesn't stop me from understanding the advantages and disadvantages of your sharp knife and Director Hu's 'steadiest scalpel' first." Zhou Can said with an embarrassed smile.
"You are comparing prices from different shops, kid! Well, let me tell you what surgical styles there are and what their advantages and disadvantages are."
Doctor Xu couldn't help but shake his head and laugh.
"The three most common surgical styles are steady, precise and fast. Director Hu's surgical style is characterized by stability, which can handle almost all surgeries and ensure that the surgical process is extremely smooth, as steady as an old dog. However, because he is too cautious, the surgical speed is destined not to be fast. He can take into account 'precision' to a certain extent, but it is impossible to be precise to the extreme."
The most important feature of "stable" is safety, which ensures the smooth completion of the operation.
However, since it cannot be fast and cannot achieve extreme precision, it is destined to be unable to perform some operations that require a short completion time, or extremely delicate excision and separation, etc.
This is also an important reason why Director Hu Kan is not as famous as Wu Baihe.
He is unable to perform many advanced surgeries.
Either give up or ask someone else to do the surgery.
If you just participate in the operation, it is like a supporting role in a movie. Naturally, you are not as famous as the main character.
People often only remember the protagonist.
Of course, supporting roles also have the opportunity to stand out and even surpass the protagonist, but they are extremely rare after all.
The medical profession has a strict hierarchy and rules. It is almost impossible for a "supporting actor" who only participates in the operation to be more famous than the main surgeon.
I guess this is also the unspeakable pain in Director Hu Kan's heart.
When he chooses stability as his style, he is destined to remain stable. He cannot be as brilliant and well-known as Wu Baihe and Dr. Xu.
"Let me talk about my 'fast' style. There is a saying in the martial arts world that the only way to defeat martial arts is to be fast. Surgery is basically the same. When your speed reaches the extreme, it seems that you have given up stability, but in the process of being fast, you can achieve stability. For example, if you cut quickly with a knife, the most you will do is cut off the side or cut too far, but you don't have to worry about problems such as hand shaking and lag."
It’s true.
According to kinetic energy and potential energy in physics, when the speed reaches the extreme, the cutting path must be a straight line. It cannot be a wavy line.
The operation time is greatly shortened, so it is no longer necessary to maintain high mental concentration for more than ten hours.
It may be done in half an hour, or one or two hours.
Each surgical style has its own advantages and disadvantages.
Just like people, no one is perfect.
"The disadvantage of speed is that you can't fully control it, and it's easy for your hands to be faster than your brain. In addition, as long as you have concerns in your mind, you can't be extremely fast. This requires more practice to be able to control it freely. But even if you can control it freely, it's still not safe. Then in the past few years, I have calmed down and thought about the reasons for countless accidents. I think as long as you have a calm mind, you can restrain the anxiety and restlessness caused by the pursuit of extreme speed. It's like bolting double bumpers to speed, and the probability of accidents should be controlled to zero."
When Dr. Xu said this, his face and eyes showed an almost crazy confidence.
Hands are faster than brains, cutting the wrong organ or cutting too much, this kind of thing happens all the time in the operating room. Dr. Xu is an absolute expert in this area and has the most say.
“I believe the teacher’s philosophy is correct.”
Others didn't believe him, but Zhou Can believed it firmly.
It is not blind worship, but a comprehensive judgment made from some clues, words and deeds shown by Dr. Xu.
"Thanks!"
Doctor Xu looked at Zhou Can deeply. When their eyes met, Doctor Xu actually felt like he had found a soulmate.
Perhaps it was because his status was greatly reduced after the accident, and he might even be unable to recover in his entire life, so any of his thoughts were seen as the words of a loser by outsiders.
Not recognized, not valued.
So when someone suddenly expressed their genuine agreement with his point of view, Dr. Xu was so excited that he said thank you to his apprentice.
This was the first time the teacher was so polite to him.
This made Zhou Can feel a little uncomfortable.
Because being too polite is a sign of unfamiliarity.
Instead, he liked Teacher Xu who was very strict with him.
"Let's talk about the third surgical style, precision. Wu Baihe from the neurosurgery department has almost reached the pinnacle in this field."
Zhou Can noticed that the teacher used the word "close to".
This shows that Wu Baihe has not reached the pinnacle in the field of precision, but has only achieved a high level of attainment.
"Jing can be understood as precise and meticulous. During surgery, even if he is operating near the brain stem, removing a tumor on the coronary artery, or anastomosing nerves and special blood vessels, he can do whatever he wants. He dares to do dangerous surgeries that other doctors dare not do, and this is his advantage. Over the years, Wu Baihe has successfully completed at least more than a hundred extremely difficult surgeries."
“Although there is a certain failure rate, he has indeed completed many extremely difficult surgeries that the chief physician considers taboo.”
Precise surgical skills should be the best among the three styles of steady, fast and precise.
Especially when it comes to building a reputation, it is simply an invaluable weapon.
For example, there is a tumor next to the brain stem. No one dares to treat it.
Other hospitals gave the patients a death sentence and recommended conservative treatment.
Wu Baihe used his precise surgical skills to remove the tumor, and the patient survived and recovered.
Tuya Hospital can publicize to its heart's content that Wu Baihe, chief physician of the hospital's neurosurgery department, led the department's elite surgical team and successfully cured a high-risk patient with a tumor in a life-forbidden zone through surgery.
The life forbidden zone is the center of human life, and is recognized by the medical community as an untouchable area. Having a tumor here is almost equivalent to a death sentence...
With such publicity, how can ordinary people resist it?
I naturally think that the medical skills of Tuya Neurosurgery are the best in the world. If I have any diseases in the future, I will go there for treatment, because there are the most authoritative doctors there.
This is the famous doctor effect.
Wu Baihe alone can attract countless patients who come to seek medical treatment.
Even doctors from other hospitals, when they encounter patients who need surgery near the brainstem and cannot handle it themselves, will tell the patients to go to Tuya Neurosurgery Hospital for treatment if the patients and their family members are sensible enough.
"Let's talk about the shortcomings of precision. I personally believe that as human beings, we have emotions and desires, and we have obsessions. This means that people who choose the precision surgery style will never reach perfection in their lifetime. What's more, humans may not even be able to control their own arms to an extremely precise level, let alone hold a scalpel or other instruments to operate."
The human body structure is extremely complex, and it is considered very good if the body can execute 95% of the motor commands issued by the cerebellum.
In fact, if the action instruction is unfamiliar, the body's execution rate may be only about 60%.
To give the simplest example, when we watch others riding a bicycle, they sit on the seat, press the pedals hard with both feet, and hold the bridle with both hands to control the direction.
When we sit on it, the cerebellum gives instructions and we follow them.
As a result, he lost two teeth and got up from the ground with a bruised face and nose.
Damn it, everyone else rides like this! Why do I fall down when I ride?
This is just one example of the body's inability to fully execute the cerebellum's instructions.
Because the brain only collects other people's riding postures through vision, and then after analysis, it conveys the command to the cerebellum. Finally, the cerebellum issues a movement command.
It ignores the sense of balance.
It was not until we fell countless times that we finally mastered the sense of balance in riding a bicycle and were able to control it easily.
The same principle applies when using a scalpel or other instrument to perform surgery.
It will be affected by various factors such as mood, thoughts, sense of balance, sense of strength, etc., resulting in the inability to achieve the precision that the brain wants.
After listening to the three most common surgical styles, Zhou Can couldn't help but fall into deep thought.
Each surgery has pros and cons.
He couldn't decide which one was better.
"Teacher, can I choose two of these surgical styles at the same time?"
Zhou Can asked.
"There shouldn't be any way. At least countless predecessors have tried, and no one has succeeded. When you first start practicing, the conflict between the three styles isn't particularly obvious. The higher your level, the greater the conflict. In the end, water and fire can't mix, so you can only abandon the other styles and keep one style."
Dr. Xu is an experienced person, and he has his reasons for saying no.
You can't have your cake and eat it too.
"Of course, you are just laying the foundation now. You can practice the basic skills of all three styles. Although the three cannot be integrated, they all have their own shadows. For example, my fast knife style requires both precision and stability. You can also practice Director Hu's hair pinching and arm raising exercises. They are all very beneficial."
Dr. Xu was not in a hurry to let Zhou Can choose a style.
Instead, let him practice the basic skills of all three styles.
"What about the basic skills of the quick sword? How do you practice it?"
Zhou Can asked for advice humbly.
It seems that after work, in addition to practicing surgery on mice, there will be a lot more things to do.
These advanced surgical practice methods can only be learned in large hospitals like Tuya.
Jin Mingxi's ears stood straight up.
He refused to let go of every word Dr. Xu said.
He was able to gain this learning opportunity thanks to Zhou Can.
Normally, Dr. Xu would most likely not teach it to other people.
"There are multiple steps to practice the basic skills of the fast knife. At the beginning, you can practice cutting radishes. There are only two requirements: the faster the better, and the thickness of each slice of radish must be consistent. This is equivalent to practicing the basic skills of both fast and precise styles at the same time."
It turns out that in addition to being used to practice sewing and carving, radishes also have this use.
Zhou Can felt that it was a bit like learning to cook, and he would start by practicing knife skills.
"When you practice cutting radishes, it's best to practice with both hands. There are many surgeries that are more suitable for the left hand. Also, the left hand is more flexible than the right hand."
Dr. Xu made another request.
Zhou Can knew something about the left hand being more flexible than the right hand.
Only those who study medicine know this secret.
Many people believe that the right hand is not only stronger than the left hand, but also more flexible. This is actually a misconception.
The right hand is stronger because we humans have more opportunities to exercise it by lifting heavy objects. The right hand is more flexible than the left hand because it is used more in daily life.
For example, we write with our right hand, hold chopsticks with our right hand, and play ball with our right hand... The more we use our right hand, the more dependent our body becomes on it.
Eventually, a vicious cycle is formed.
The right hand is primary and the left hand is auxiliary.
But in medicine, this is not the case.
The left hand actually corresponds to the right side of the brain, and the right hand corresponds to the left side of the brain.
There are clear functional differences between the two halves of the brain.
The left brain determines a person's logical thinking, which is the rational side, while the right brain tends to be artistic thinking, which is the emotional side.
The two hemispheres of the brain have a cooperative relationship.
The left brain is responsible for language and logical thinking, while the right brain does tasks that are difficult to translate into words, replacing language thinking with imagery.
Scientific research has found that the right brain encompasses the important instincts and autonomic nervous system functions necessary for human life, as well as all the information obtained by humans, such as morality, ethical concepts, and the laws of the universe.
The left brain stores the information a person acquires throughout his life.
The right brain is more creative, while the left brain is equivalent to a strictly programmed computer that processes various instructions and information in a relatively mechanical manner.
Therefore, the left hand controlled by the right brain is more flexible than the right hand controlled by the left brain.
It’s just that ordinary people like us rarely exercise it.
"After get off work today, I'll go to the market and buy some radishes to practice with my knife skills."
Zhou Can couldn't wait to practice using the quick knife.
This basic surgical ability with a strong style cannot be helped by the experience value system.
It can only be acquired through repeated practice.
"I'm going too! Let's go together after get off work!"
Jin Mingxi followed up.
He now seemed to have set his sights on Zhou Can, wanting to progress with him.
"Jin Mingxi, I have observed your surgical skills during this period and made a comprehensive assessment of your talent and character. I think it is okay for you to practice the basic skills of the quick knife now, but you are not suitable for the quick knife style."
Doctor Xu's words were like a bucket of cold water poured on Jin Mingxi's head.
"Why? Can't Zhou Can also practice the fast sword?"
Jin Mingxi is now far behind Zhou Can and is under pressure.
It was a big blow to him when he heard Dr. Xu say that he was not suitable for the quick knife style.
"First, you don't have Xiao Zhou's calmness. Second, you are mature and steady, and you were very cautious and steady during the operation. So I suggest you choose stability or precision."
There are no two identical leaves in the world, and the same goes for people.
Everyone is unique, with differences in temperament, way of thinking, personality, physical preferences, etc.
As for the difference in appearance, that is secondary.
"Mingxi, I think what the teacher said makes sense. What suits you is the best."
Zhou Can was also there to persuade him.
After working with Jin Mingxi for such a long time, the two of them became closer and closer, and they could be considered to have a certain friendship.
Zhou Can's way of addressing him also quietly changed.
The call was made more intimately.
"Okay then! I'll listen to you." Jin Mingxi was 35 years old and had a lot of social experience. He could see that Zhou Can and Dr. Xu really cared about him.
"Doctor Xu, which style do you think is more suitable for me, precision or stability?"
When it comes to his future and main direction, Jin Mingxi is also afraid of taking a detour.
He is old and can't afford to delay.
When people reach middle age, the most precious things besides family, love and friendship are probably time and energy.
"I can't say which style is more suitable for you. You can practice cutting radishes with Zhou Can first. When you have a certain level of skill, I will observe you and give you a more objective evaluation. Maybe by then, you can make the right choice yourself."
Doctor Xu thought about it and said seriously.
"Okay! Thank you!"
Jin Mingxi was not panicked this time.
The three returned to the emergency department, and Dr. Xu asked Zhou Can and Jin Mingxi to go to the operating room first. He went to greet the attending doctors and asked them to accept some difficult level 1 and 2 surgical patients when they admitted them for surgery.
Director Xie from the Department of Surgery came to challenge Director Lou at the morning meeting today, but was defeated by Director Lou in just a few words.
Dr. Xu will definitely seize this favorable opportunity and provide more surgical training opportunities for his beloved disciple.
He saw Zhou Can's progress.
Suturing, ligating, cutting, hemostasis, and separation were all at primary physician, better than those senior residents in specialized fields.
It is very necessary to appropriately increase the difficulty of the operation.
Just talking about this matter, Dr. Xu also felt that it was a bit evil.
Because Zhou Can's progress is so terrifying.
In the end, he attributed it to Zhou Can's excellent understanding, his careful guidance, and the fact that he performed 20 to 30 surgeries every day. These multiple factors contributed to Zhou Can's terrifying progress.
…
In the operating room, Zhou Can changed into surgical protective clothing and waited for the auxiliary instrument nurse to come in.
He was a little nervous.
What I fear most is Tian Tian’s appearance.
But there were only a few nurses on standby duty in the emergency department, and he had no choice.
The ideal situation is that Tian Tian and Qiao Yu appear together.
Because Qiao Yu would always take the initiative to choose to work with Zhou Can. In this way, no one could snatch it from him.
The instrument nurse for Dr. Xu was Liu Xia, who had already been making preparations in the operating room early.
At this time, a pretty figure walked into the operating room.
Zhou Can's eyes lit up and a happy smile appeared on his face. What a stroke of luck, it was finally Qiao Yu's turn to work the early shift today.
He hadn't performed surgery with Qiao Yu for at least a week.
She either works the night shift or the evening shift.
After get off work yesterday, Zhou Can sent her a message via WeChat.
"Qiao Yu, do you have any problem with me? I haven't seen you as my instrument nurse for a long time."
She first responded with an expression that looked aggrieved and about to cry.
Then she told Zhou Can that the nurses' shifts were not decided by her. Many nurses wanted to work the early morning shift, but she had little experience and was just a newcomer, so she couldn't compete with them.
I didn’t expect that she would come today just after I sent the message yesterday.
For Zhou Can, it was really a pleasant surprise.
Now his four basic medical skills have all been upgraded to the attending physician level. As long as he accumulates some difficult first and second level surgical experiences, his status in the operating room will rise.
If he could gain Dr. Xu's trust and perform more than 15 or even more level 1 and 2 operations every day, he could then apply to Director Lou for a more regular surgical nurse in due course.
As long as he can really create revenue for the emergency department, Director Lou should agree.
When the time comes, when choosing a regular operating nurse, he will definitely try his best to choose Qiao Yu.
Judging from Dr. Xu's attitude, as long as it is beneficial to Zhou Can's surgical development, Dr. Xu will strongly support it.
Therefore, the possibility of this being accomplished is quite high.
However, you can't eat hot tofu in a hurry. What we need to do now is to perform a large number of difficult level 1 surgeries and try to do some low-level level 2 surgeries. We should proceed step by step and strive to be able to handle level 1 and level 2 surgeries independently as soon as possible.
With his learning ability and medical skills, it can be accomplished in three to four months at most.
Winning Qiao Yu as a permanent surgical nurse was only his first step. He had bigger plans.
Strive to achieve some brilliant results.
Let Director Lou understand that he did not choose the wrong person.
