My medical skills add experience

Chapter 194 My natal family is my natal family, Dr. Zhou has made great progress
While waiting here for Ye Tingting to coordinate the bed with the attending physician Ai Li, a pretty figure galloped towards her from a distance.

She didn't even take off the dark green surgical gown she was wearing.

The person who rushed to him quickly was none other than Zhou Can's best surgery partner--Qiao Yu.

"Hehe, it's really you who came back! I thought Dr. Lin was lying!"

Qiao Yu looked at him with a bright smile on his face.

Seeing her rushing here in such a hurry, Zhou Can secretly smiled in his heart, because he was worried that he was late and would leave by himself!
"I sent a patient over for observation and treatment." Zhou Can explained.

She glanced at the two family members behind Zhou Can and the patient being supported, and nodded.

Said to know.

"How are you, how are you doing?"

When Zhou Can met her, he obviously had a lot to say, but he didn't know where to start.

The two are friends of the opposite sex.

Zhou Can has a girlfriend now, and there are many things that are not suitable for her to say.

"The surgical assistance ability has been improved a lot. After you come back from regular training, I should be able to cooperate with you more tacitly, and I can do more professionally in many aspects."

Qiao Yu said expectantly.

There was an agreement between the two that Zhou Can would continue to partner with her in surgery after the training was over.

She has always put this matter first, and has worked silently for it to continuously improve her professional level.

"However, I found that in order to become a qualified surgical nurse, in addition to delivering equipment and consumables, this is not enough. I have been learning about intensive care recently. After I have learned it, in case of an accident during the operation, or in urgent need I can be of great help to rescue critically ill patients."

She was thinking about it and put serving Zhou Can at the core.

Zhou Can was really moved by this.

"You're quite thoughtful! Among the nurses I'm familiar with, you should be the most motivated one. I believe you will become a particularly good nurse in the future. You may even be as powerful as an expert among doctors. "

Zhou Can smiled and praised her.

"Haha! I don't dare to look up to the experts, but I recently studied nursing knowledge and found that foreign nursing is far more advanced than domestic ones. If I have the opportunity in the future, I may try my best to go abroad for further studies. When I return from my studies, I can help you. There will be more."

Not only is she motivated, she has great ideas, but she is able to put them into action.

This is a very valuable place.

Many people only have ideas, but when it comes time to put them into action, they encounter a little setbacks and difficulties, and soon die down.

"Hehe, I am looking forward to that day! I believe that it will definitely bring good news to many patients."

After Zhou Can heard this, he was really looking forward to it.

I don't know why, but I always feel that if she can say it, she can do it.

At present, the level of nursing in China is still quite backward.

If she goes abroad for further study, with her diligence, intelligence, and self-motivation, she will definitely learn a lot of real skills.

"It's just that I have this idea, and it's still far from realizing it! Not to mention anything else, even if you want to study in the intensive care medicine department, there are many difficulties."

Qiao Yu said a long time ago that she wanted to work as a nurse in the Department of Critical Care Medicine for a period of time.

If you just learn critical care knowledge by yourself, it will definitely not work.

Only by entering into practice can we grow rapidly.

"Have you taken the Nurse Professional Certificate?" Zhou Can asked.

It just so happened that he had been in intensive care medicine for three months and got to know the director and deputy director of the department well.

They also value Zhou Can very much.

As long as the hard target is reached, Zhou Can can say hello for her.

"I have already obtained the vocational certificate. Don't I need three months of surgical training and three months of internal medicine training? The internal and surgical training in the emergency department is not useful at all. I have to enter the real surgery and internal medicine with more weight. The real thing can only be learned in the department. I can’t even think about the neurosurgery and cardiothoracic surgery in surgery. Even if I want to be transferred to general surgery for three months, I have to wait in line.”

"I have signed up for more than two months, and there is no news at all. I am really anxious."

She should be worried that the time will be too long, and Zhou Can will return after his three-year training period expires.

And she hadn't finished her intensive care medicine training yet, so she couldn't be a surgical nurse for Zhou Can in time.Zhou Can used another surgical nurse. She was worried that she would never have another chance, so she was very anxious.

"Is it neurosurgery and cardiothoracic surgery? Let me ask for you. Your training in internal medicine and surgery is to prepare for entering the department of intensive care medicine. It is definitely not good to enter the department of general surgery."

The main areas involved in patient care in the Department of Critical Care Medicine are the respiratory, nervous, and blood circulation systems.

These advanced nursing experience and knowledge can only be learned in cardiothoracic surgery and neurosurgery.

Chan himself has a deep understanding of this point.

"Surgical surgery and cardiothoracic surgery are both very high-ranking and important departments. You...don't ask." She didn't want Zhou Can to feel ashamed.

"It's okay. I'm thick-skinned. If I get rejected, I'll just think of another way."

Zhou Can can speak well in both departments.

It shouldn't be difficult to get a nurse from this hospital to go in for training.

At least he was very happy to give Qiao Yu a try.

"Xiao Zhou!"

A slightly old calling sounded.

In the emergency department, there are only a few people who dare to call Zhou Can Xiao Zhou.

Even an attending physician like Dr. Fu politely called him Dr. Zhou.

"teacher!"

Zhou Can looked up, and it really was Dr. Xu.

I haven't seen him for more than a year, and Dr. Xu seems to be getting older again.

He managed the operating room affairs of the entire emergency department almost by himself, and the pressure must have been heavy.

Whether it's a man or a woman, it's particularly easy to age when you're under a lot of stress.

"I'm going to eat first, remember to keep in touch on WeChat! Goodbye!"

Qiao Yu wisely left space for the master and apprentice.

"Is this sending patients here for treatment?"

Dr. Xu glanced at the patient not far behind Zhou Can.

"A patient received by the digestive surgery outpatient department had esophageal and gastric varices and their rupture and bleeding caused by drinking alcohol. The situation was not particularly serious. Director Jia suggested that they be hospitalized for treatment, but there was no bed in the digestive surgery department, so he sent me to the emergency department. Let’s see if we can let them stay in the observation room for one night first. Treat them first, and then think of a way.”

Zhou Can explained the cause and effect in detail.

"It's easy to handle, just give me the patient's information! You must study hard in the surgical rotation training, and you must not be complacent. You must humbly ask the superior doctor for advice, you know?"

Dr. Xu babbled like a parent exhorting a child.

To Zhou Can's ears, it felt very cordial.

"The patient's information was taken away by Ye Tingting, and she went to find Dr. Ai Li."

While Zhou Can was talking, Ye Tingting had already returned.

With a smile on his face.

"It's done. Dr. Ai asked me to arrange the patient to the observation area first, and come over to treat the patient with medicine in a while." After Ye Tingting finished speaking, she looked at her family members again. "Go to the window and hang up the emergency number of Dr. Ai Li in the emergency department, otherwise there is no way to receive treatment and prescribe medicine."

This is Zhou Can's face, so the emergency department will readily accept this patient number.

Otherwise, it must be done according to the process.

"The matter has been settled, so go back to the digestive surgery department! Gastroenterology surgery and general surgery have a lot of overlap. It is very good that you study with Director Jia. You must take advantage of the opportunity. After you learn it, the regular training of general surgery The time can be shortened to one month."

Doctor Xu urged Zhou Can to leave quickly.

Because he is a person who has experienced it, he knows that every minute and every second of regular training is very precious.

It will be difficult to study in other departments after the training is completed.

You can only apply for opportunities to study in other departments.

And with Zhou Can's talent, he will at least be the team leader of a surgical team in the future, equivalent to a core figure.

Once the surgical team is formally formed, it doesn't mean that they can just leave.

Be accountable to members of the entire team.

With the core person gone, the remaining people will not be able to complete the key part of the difficult operation.That's pretty damning.

Therefore, it is the right way to learn as many skills as possible while taking advantage of the regular training.

"Teacher, I'll go now! Goodbye!"

Zhou Can waved goodbye to Dr. Xu and Ye Tingting.

When he came out of the emergency department, he was quite emotional. His natal family is his natal family, and he felt very good when he came back.

I just hope that the upcoming first exam of medical comprehensive examination can be passed smoothly.

Only after obtaining a medical license can there be a future.

……

When I returned to the Department of Digestive Surgery, Director Jia had already finished his consultation.

Let Zhou Can go to eat first, then rest for a while, enter the operating room at [-]:[-] pm, and perform the operation with Director Jia.

By the time Zhou Can finished his lunch, it was almost one o'clock in the afternoon.

Before I had time to rest, I went to the bathroom and headed straight to the operating room.

Digestive surgery and general surgery share several operating rooms.

Zhou Can came just in time, and the surgery hadn't started yet.He directly opened the door of the operating room and walked in.

If the operation starts, if you want to enter the operating room, you can only ring the doorbell and ask the medical staff inside to help open the door.

The light on the door will usually be red and say 'Operation in progress, do not disturb' or something.

After Zhou Can went in, he found that Senior Sister Qiu had already arrived.

There were also a few doctors and nurses I didn't know.

These doctors must all be doctors in the group.

Director Jia didn't see them during the consultation, which means that these people have either already graduated from teachers, or they are only general training objects.

Qiu Hong follows Mr. Jia every day for consultations, and this kind is the key training object.

"This is Director Jia's new student, Zhou Can, who is currently transferring to our digestive surgery department for a three-month regular training." Seeing Zhou Can come in, Qiu Hong immediately introduced him with a smile.

"Hello everyone!"

Zhou Can didn't dare to scream, after all, he didn't know each other, let alone their identities and ranks.

Calling a teacher after catching someone is nonsense.

It might be normal for an intern to do this.

It's almost time to get a doctor with dual certificates, calling other people's teachers will be very cheap.

Some postgraduate and doctoral students will perform surgery with their tutors.Their status and rank are at the same level as Zhou Can's.

The actual combat experience may not be as good as Zhou Can.

"Hello there!"

Several doctors treated him lukewarm.

Some answered, and some nodded, which was regarded as a response.

It's just a new student named Gui Peisheng, no matter how good he is, that's what they think of him.It's normal for them to be indifferent to Zhou Can.

Not to mention them, even Qiu Hong's attitude towards Zhou Can was relatively cold at the beginning.

Later, he was impressed by Zhou Can's ability, so he took the initiative to call him Junior Brother Zhou.

The patient is already lying on the operating table, and the anesthetist is busy.

Zhou Can looked up and was immediately happy.

"Doctor officer, it's you!"

He is well acquainted with many anesthesiologists.Doctor Guan and Doctor Feng are all closely related to Zhou Can.

"Where do we not meet in life, Dr. Zhou and I are really destined. Come at the right time, please help!"

Doctor Guan was not polite to him at all.

Call him directly to help.

The other doctors, including the three nurses, looked at Zhou Can in astonishment.

Anesthesiologists are usually aloof.

Especially anesthesiologists at the level of official doctors usually only talk to the chief surgeon when necessary during the operation.As for other medical staff, in their eyes, they are like air.

The low status of anesthesiologists is only relative.

For example, if they are all at the attending level, they are the attending physicians of the important department, and the anesthesiology department is a sub-discipline, so the cards are worse.

Standing together, it must be that the status of the attending physician in the weight department is higher.

This does not mean that anesthesiologists are unimportant.

At the level of an official doctor, it is already an important technical staff for the hospital.

"What's wrong with this patient?"

Zhou Can saw that the patient's eyes were still open, and the life monitoring probe hadn't been installed yet.

When the patient is not under general anesthesia, special attention should be paid to speaking.

Otherwise, it would be bad if it caused conflicts between doctors and patients, or caused some misunderstandings.

"Adhesive intestinal obstruction requires partial bowel resection."

The official doctor replied.

Before the operation, the anesthesiologist needs to conduct a comprehensive assessment of the patient's condition and the surgical plan provided by the surgeon.

So they are very clear about the patient's condition.

"I need to cut the intestines! This is a fourth-level major surgery!"

When Zhou Can heard that it was a major operation, he immediately became excited.

He was tired of doing first-level surgery in the emergency department.

Level [-] surgery is a little more difficult, but with his current ability, he somewhat despises it.

He is now targeting three or four major surgeries.

Presiding over the entire operation, that is not even thinking about it.

As long as he can get the important part of the operation, he will be satisfied.

"A laparotomy or a laparoscopy?"

Zhou Can asked.

If it's a laparoscopic procedure, the chances of him being involved in a significant part are higher.

"Traditional laparotomy! Director Jia doesn't seem to do endoscopic surgery."

The official doctor has something to say.

It's basically telling Zhou Can that Director Jia's talent in endoscopic surgery is relatively poor, so he does more traditional surgery.

Endoscopic surgery is more difficult than traditional surgery.

Because it operates by manipulating the arm.

In a sense, robotic surgery is to make up for this defect.

When doctors perform surgery, they are prone to hand tremors, improper operation, inaccurate cutting and suturing, etc.With the robot, these problems can be well avoided by remotely controlling the robotic arm of the robot.

In addition, the robot has a wider viewing angle and can magnify the surgical site more than ten times to see more clearly.

Then it can rotate flexibly, so many large hospitals are now introducing robots.

Zhou Can helped intubate and put on a ventilator.

While observing the patient's condition.

Patients with intestinal obstruction often have homeostasis imbalance due to vomiting, gastrointestinal decompression, and inability to eat.This needs to be corrected before the operation, and the timing of the operation should be grasped.

Patients with chronic intestinal obstruction are likely to be malnourished.

The patient was sallow and emaciated, and he competed with refugees in Africa.

Description is likely to be chronic intestinal obstruction.

"How is his liver and kidney function?"

Zhou Can asked.

"Hey, I haven't seen you for a while, your medical level has improved a lot. Don't worry, his liver and kidney functions have been tested before the operation, and some treatments have been done to ensure that he can tolerate this time." Operation."

Doctor Guan's eyes lit up when he heard his question.

Zhou Can just casually asked the patient about the operation plan, and he could deduce that the patient was suffering from chronic intestinal obstruction.

And being able to know that the liver and kidney functions should be considered before the operation shows that Zhou Can's medical level has been greatly improved compared with before.

This kind of huge progress can only be felt by the official doctor most clearly.

For patients with chronic intestinal obstruction, due to water, electrolyte, acid-base disorders and malnutrition, the liver and kidney functions must be monitored and treated before surgery.Prevent surgery from aggravating damage to these organs.

If you are not an experienced doctor, it is difficult to think so deeply.

(End of this chapter)