My medical skills add experience

Chapter 461 Looking forward to a good result, level six debridement

After the ward round, he looked up and saw two women sitting in the rest area of ​​the emergency room.

Su Qianqian was wearing sunglasses and a large coat, and sat there quietly waiting for him.

"Qianqian, Wei Fang!"

Zhou Can walked over quickly.Wei Fang stood up and walked to the distance, leaving space for Zhou Can and Su Qianqian.

"Knowing that you have to work overtime tonight, I specially made a meal and sent it over. Three dishes and one soup, try it!"

Now they live very close to the hospital, and Su Qianqian takes care of Zhou Can almost meticulously.

It has become her norm to prepare meals and send them to the hospital.

No matter how busy she is at work sometimes, she will find a way to let Zhou Can eat nutritious and delicious meals.She thinks the food in the hospital canteen is unhygienic, and the nutrition is far inferior to her carefully prepared recipes.

Zhou Can also really likes to eat the meals she cooks.

"I'm going to wash my hands!"

He ran to wash his hands, and then opened the food box to eat a big piece.

"Eat slowly! No one will grab it from you!"

Su Qianqian watched him gobble it up from the side, always nagging.

When colleagues saw this evening, they always envied Zhou Can for having such a considerate and gentle girlfriend.

The two did let colleagues see the beauty of love.

"It would be great if you had a separate office. I can deliver the meal directly to your office."

Su Qianqian felt that people were constantly looking at him curiously or strangely, and she felt a little uncomfortable.It may be related to her being a public figure.

And eating in the emergency hall, the sanitation itself is a bit worrying.

Patients who come here for treatment come with all kinds of ailments, including various infectious diseases.

"In our emergency department, only Director Lou has this treatment. Even Director Han and Director Niu Lan don't have separate offices, so I don't even think about it now."

Zhou Can has never paid much attention to these enjoyment things.

"By the way, have you taken your medicine on time today?"

Zhou Can finally helped her collect all the medicines needed for the prescription last time, and then decocted them for her to drink.

In another half a month, I can finish a course of treatment.

This medicine is not taken every day, but once every seven days.

"I'm so touched! You are so busy every day, but you can remember on time every time when I should take the medicine. Don't worry, I have decocted it at home."

Su Qianqian's kidney disease has always been the top priority of the two of them.

"Wait until the end of this month, you should be able to see the effect. I hope God will stop torturing you. You are beautiful and kind, so how can you bear it!"

Zhou Can especially hoped that she would recover soon.

She was very calm on the surface, but in fact she was very nervous, even a little anxious.Zhou Can still remembered finding all the main medicines and decocting them for her. She couldn't sleep for several nights.

This is not a side effect after taking the medicine, but that she is too eager to cure her kidney disease, worrying about gain and loss, having too much worry, excitement and expectation.

"Hehe, am I as good as you say?"

After being praised by Zhou Can, she smiled until her eyes narrowed.

"Of course there is! In my mind, you are one of the most important people in the world, and also the most beautiful and cleanest girl. Clean mind, clean soul, clean heart, and clean body."

Zhou Can continued to praise her solemnly.

"Oh, okay, okay, let's eat your meal! I heard that I have a pregnancy reaction!"

She was constantly praised, and she was a little overwhelmed.

"That's just right, when you are well, we will make two babies!"

Zhou Can just made a random joke, but it made her blush.

"You're going to die! Say those things here!"

She glared at him viciously, so ashamed that she didn't dare to look up at him.

In fact, the two of them would experience fighting and joking on weekdays, and their relationship has always been very stable.The conflict never lasted more than a day.Often it was either Su Qianqian coaxing him or Zhou Can coaxing her.

After eating, Zhou Can stood up.

"Okay, go back quickly! I guess I won't be home until eleven or twelve o'clock in the evening. Be careful on the way!"

He gave Su Qianqian a hug.

"Bye-Bye!"

After Su Qianqian separated from him, she waved her hand and left with Wei Fang carrying the insulation box.

……

Cardiothoracic surgery, Zhou Can, who just finished dinner, rushed to the cardiothoracic surgery operating room.

The patient is already lying on the operating table and anesthetized.

Before the operation, Director Xueyan had confirmed the time with him.It was just right when he arrived.

"Zhou Can, this is the patient's information, you can read it again!"

Regarding the patient's condition, Zhou Can was invited to the Cardiothoracic Surgery Joint Consultation yesterday, and the surgical plan was discussed.The man was a troublesome form of chest wall tuberculosis, which had developed abscesses and sinuses in the chest cavity.

The operation is complex and quite difficult.

During the consultation and discussion, Director Xueyan, Director Le and others unanimously asked Zhou Can to be the surgeon.

This kind of difficult extracardiac surgery requires resection of lesions such as sinus tracts and abscesses. Improper operation can easily lead to chest infection, or the lesions cannot be cleaned cleanly, resulting in relapse and further deterioration of the condition.

As for other surgical risks, it has to be calculated separately.

For example, in the process of thoracotomy, a large blood vessel is accidentally injured, causing massive bleeding.Or an important nerve is injured, resulting in sudden cardiac arrest and abnormality.Another example is that after the chest cavity is opened, the patient has a special constitution, cannot adapt to the environment of the open chest cavity, and the heart stops beating, etc.

There are too many risk factors.

This is why all thoracotomy operations are grade [-] major operations.

No matter where you want to operate the knife, as long as the chest is opened, it will cause great harm to the patient.

Then there was an accident during the operation, and emergency rescue was needed, and every second counted.

Not to mention the resident doctor and attending doctor level, even the general deputy chief physician will be in a hurry and panic.

Sometimes, when a patient suffers sudden cardiac arrest, the time left for the doctor to rescue may be as short as two or three minutes.In this case, if the chief surgeon does not have excellent psychological quality, rich surgical experience, and strong professional knowledge, the serious consequences of rescue failure and the death of the patient on the operating table will occur in all likelihood.

Even such an excellent chief physician as Director Xueyan has made such mistakes, let alone an ordinary deputy chief physician.

It takes at least ten years to train a surgeon in cardiothoracic surgery. It is really not nonsense.

Many low-key cardiothoracic surgeons, even after working for more than ten years, still feel that they are newbies.If you want to meet the conditions of being the chief surgeon, you basically have to work for seventeen or eighteen years, or even more than 20 years.

The training period for brain surgery doctors is similar.

It took only a few years for Zhou Can to achieve the surgical ability of others in 20 years, which should be unprecedented in Tuya Hospital.

"I've read the information, and there's nothing wrong with it. Routine disinfection, laying towels, let's get started!"

Now that it's been negotiated, he will be the chief surgeon, and he doesn't refuse at all.

There is no such thing as stage fright. After washing your hands, let the nurse help you put on the surgical gown and disposable sterile rubber gloves.He stood directly on the main knife position on the operating table.

Because everyone is already familiar with his abilities, and has also seen Zhou Can's heroic demeanor like a coach turning the tide in various major operations.

Therefore, everyone thought it was normal for him to be the chief surgeon.

Many people even felt very at ease seeing Zhou Can in charge of the operation in person.

Because Zhou Can has always been very stable in surgery, even if there are some emergencies, he can respond quickly, and finally turn the crisis into safety.

"Sister Yan, I'm going to make a skin incision along the ribs with the abscess as the center, is it okay?"

"It's very good! You can do the surgery directly, there is no need to ask me for instructions."

Director Xueyan looked helpless.

In terms of surgical ability, Zhou Can has far surpassed her in many aspects.As for the flexible use of surgical skills and various surgical experiences, Zhou Can is also much better than her.

At the beginning, she and Zhou Canke studied cardiothoracic surgery with Director Hu Kan, and even her study time was much longer.

However, she is not as good as Zhou Can in terms of flexible use of surgical techniques and comprehension of various surgical points.

"Isn't cardiothoracic surgery in a critical period? I was worried about accidents, so I discussed it with Sister Yan."

Zhou Can began to concentrate on the operation while answering.

He quickly made a fusiform incision along the center of the abscess,
"No, there's too much pus inside, it needs to be pumped out first to reduce the tension! Give me an empty needle!"

He handed the scalpel to the instrument nurse, and then asked the needle to puncture the abscess directly through the hollow needle.

Director Le is helping him.

Help to draw out the pus.

"Hey, this is really a steamed stuffed bun with meat not on the folds! It doesn't look like there's much pus from the outside, but I didn't expect so much pus to come out."

Director Le said in surprise.

"Fortunately, Zhou Can discovered the problem in advance, otherwise the pus would flow out when the muscle layer was cut, and it would definitely contaminate the incision."

Director Xueyan also felt thrilled.

The incision becomes contaminated with pus, which increases the risk of infection.

In cardiothoracic surgery, it is a taboo.

"Director Le, have you drawn enough?"

Zhou Can kept staring at the patient's lesion, pressed it lightly with his hand, and felt that it should be almost done.

"Wait a minute, there's too much pus. Pump it out to reduce the chance of incision contamination."

After a lot of hard work, Director Le managed to pump out the pus.

"Okay, we can continue."

Zhou Can signaled Director Le to remove the needle for pumping out the pus, and then said to the equipment nurse, "Vascular forceps!"

The equipment nurse can be regarded as an experienced surgical nurse, and has done many cardiothoracic surgeries.

Hearing that Zhou Can wanted a hemostat, she froze, "Do you want a blood vessel clamp?"

This means confirming with the chief surgeon.

Because according to her understanding, what should be needed now is a scalpel to continue to cut the skin and muscle layer of the lesion.

"That's right!"

Zhou Can confirmed.

The itinerant nurse pointed to the instrument nurse, "Doctor Zhou is going to bluntly separate the muscle layer and enter the abscess cavity!"

"Ah... so that's the case! I thought I heard it wrong. I didn't see a broken blood vessel, so why did I suddenly need a vascular clamp." The instrument nurse's eyes were full of smiles, and she learned new knowledge.

The intern nurses and doctors watching in the audience were all studying silently, and some were taking notes in a hurry.

Some also weighed their feet, wanting to see how Zhou Can operated.

Many nurses, even interns and regular trainees, may now have the opportunity to enter the operating room to watch the operation process.In the future, I may never have the opportunity to enter the operating room again.

Now that they can gain more knowledge, it will definitely help them in the future when they work.

While the equipment nurse admired the rich knowledge of the itinerant nurse, she also admired Zhou Can as the chief surgeon.Zhou Can's age was about the same as hers, maybe even a year or two younger than her, but he was already able to stand on the operating table and perform the surgery.

He is calm and personable.

The gap between people is really huge.

Zhou Can didn't have time to pay attention to the nurse's thoughts, took the vascular forceps from her, and began to bluntly separate the muscle layer of the lesion.

[Separation experience +1, bonus separation experience +100. 】

This unique way of separation brought Zhou Can an unexpected little surprise.

A full reward of 100 experience points is a very good harvest.

Since he had two medical skills and was promoted to the sixth level, he saw that those two medical skills needed 100 million experience points to be promoted to the next level.Looking at the [-] experience point upgrade requirements for these fifth-level medical skills, it no longer feels so difficult.

Especially in various complicated surgical procedures, you can often get 10 or 100 surgical experience rewards, making it easier to upgrade.

The most he got so far was 10000 experience point rewards.

After all, this kind of good luck is only a minority, and it is rare.

Not to mention the huge experience rewards of up to [-], but it is very difficult to come across a thousand experience rewards.

He manipulated the hemostat, carefully tore open the muscle layer about one centimeter, and entered the abscess cavity.

"Attractor!"

The device nurse didn't hesitate this time, and quickly took away the hemostat and replaced it with the suction device for him.

Originally, the pus suction work at this time could also be handed over to Director Le, but Zhou Can was greedy for debridement experience points, so he did it himself.

Absorb the pus in the abscess cavity, and as expected, 101 points of experience in debridement arrived.

During the operation, he felt that the experience value of debridement should be one of the easiest to earn experience points.

[Your debridement technique has been promoted to level six! 】

Unexpectedly, at this critical moment, the debridement technique was promoted to the sixth level first.

It became his third director-level medical skill.

He happily felt the benefits of the sixth-level debridement.My heart is as happy as drinking honey.

Compared with the fifth-level debridement, he obviously felt that after the debridement was promoted to the sixth level, he already had an indescribable feeling.For example, for the removal of the abscess and sinus tract at present, he knows how to cut the knife at a glance, and the depth and width of the cut can be naturally reflected in the brain.

He can clearly visualize the blood vessels, nerves, and various tissues around the wound.

It feels like the whole brain suddenly has an extra function - a scanner.

It can directly scan the lesion and surrounding tissues like a highly accurate MRI machine.

He can even infer the direction and depth of the sinus path more accurately.

It may be because he has just been promoted to the sixth level and is still at the primary level of chief physician, so he can't judge whether there are twists and turns in the sinus tract.

It is estimated that we will have to wait until the debridement technique is further improved before we can have that ability.

Even so, it was pretty good for him.

"The promotion of debridement is at the right time! It will allow me to complete this operation better."

At this moment, the pus in the abscess cavity has been sucked out.

He replaced the scalpel and cut the muscular layer and wall of the abscess cavity flexibly along the direction of the incision.

In this process, the six-level debridement brought him great benefits.

If the knife is sharp, there is no need to worry about cutting crookedly or cutting less.

It can be as precise as an instrument.

(End of this chapter)