My medical skills are a billion points

Wang Panpan immediately clenched his fist.

"Well, Teacher Xiao, I will definitely study hard."

"For patients with tracheostomy in the future, you can follow other teachers to learn and do it.

Practice this operation a few times, and you will become proficient. "

Xiao Chu paused for a moment, pointed to the incision and said: "The incision should be about [-] centimeters. It should not be too short or too long.

If the incision is too long, the wound will not heal well after extubation, and it will be prone to infection.

If the incision is too short, for example, less than one centimeter, firstly, it is not easy for you to insert the endotracheal tube, and secondly, it is easy to cause subcutaneous air accumulation, which has happened before. "

"And when you put the guide wire, don't reverse the direction.

If the guide wire is placed toward the head, when you put the tracheal tube in, the guide wire will not be pulled out.So be sure to figure out the direction, these are the details of the operation. "

"Also, when dilating the subcutaneous tissue with dilating forceps, you only need to dilate twice to enlarge the incision, and don't dilate repeatedly. As long as the tracheal tube can be put into the trachea, everything is OK."

I saw Wang Panpan listening to the lecture in detail and taking notes.

Xiao Chu then asked: "If you have anything else you want to ask, you can ask whatever you want."

It can be said that Xiao Chu has spared no effort in teaching them, no matter whether it is an intern or a doctor in training, teaching them everything.

He also came from student days.

For the students, there are two endings for the teachers to teach attentively or perfunctorily.

Wang Panpan brushed a few strokes, and quickly wrote down Xiao Chu's words in his notebook.

Then he asked: "Mr. Xiao, after a tracheotomy like this, do we need to sew him up after extubation?"

Xiao Chu waved his hand.

"No stitches needed!"

"Not stitched?"

Wang Panpan opened his eyes wide in surprise, as if he had seen something incredible.

A cut of nearly two centimeters was cut in the neck, and there was no need to suture it? !

how can that be!

Chapter 298 The Human Society

Looking at Wang Panpan's suspicious eyes, Xiao Chu smiled and said, "This kind of simple percutaneous tracheotomy generally does not cut more than one and a half centimeters. After extubation, there is no need for sutures."

Wang Panpan was surprised and said: "Mr. Xiao, after extubation, there is a finger-thick hole in the neck that is not sutured. Does the patient not leak air?"

Xiao Chu said: "After extubation, we only need to use a wide adhesive tape to cover the incision. But within three days, let the patient talk less, and cover the incision when coughing. Generally, three days are enough. It grows well, so there is no need for stitches."

Seeing Wang Panpan's reaction, Xiao Chu smiled and said: "Just by telling you now, you don't have any impression. When the patient is cured and extubated, you can see it with your own eyes."

Then Xiao Chu turned his head and said to Wang Wei who was next to him: "Wang Wei, in the future, if there are any serious patients who need tracheostomy, you can let Wang Panpan learn more, and when necessary, you can guide her to do tracheostomy in person."

Wang Wei nodded.

"Okay, Director Xiao."

A look of gratitude appeared on Wang Panpan's face.

"Mr. Xiao, thank you."

Xiao Chu waved his hand.

"You don't have to be polite to our teachers, as long as you study hard, the teachers in our department will teach you with your heart.

No matter whether you are talented or not, as long as you put your heart into it, you can learn real skills.

If, like some trainee doctors, he is superficial and just coping with the dispatch tasks of his unit, then he will not learn any real skills. "

Wang Panpan bit his lip, thought for a while, and finally seemed to have made up his mind.

He said to Xiao Chu: "Mr. Xiao, I am also a doctor in the emergency department of our hospital. I was originally sent to study in our emergency department for half a year.

Then I went to general surgery to study for another half a year, but I thought about it, following you in our emergency department and other teachers, I think I learned a lot.

And since you know so many surgeries, I don’t think it’s necessary for me to go to general surgery to study. Can you prevent me from transferring after half a year? "

Because doctors from county-level hospitals, if they come to the Provincial People's Hospital for advanced studies, they need a lot of conditions.

Generally, a college degree or above is required, and a professional qualification certificate is also required.

Then on the official website, apply for a series of proof certificates.

And when registering on the official website, general trainee doctors can choose two departments to study.

Just like when Wang Panpan came to study, he signed up for two departments.

One is emergency department and the other is general surgery.

And according to the requirements of the medical office, as long as she reported to any department, she had to go when the time came.

Otherwise, you may not be able to get a certificate of completion after the end of the study.

However, since Wang Panpan came to the emergency department for a period of time, he found that he could learn a lot in the emergency department.

Moreover, Xiao Chu's medical skills are so powerful, she feels that she only needs to be in the emergency department, and there is no need to go to the general surgery department.

Besides, all the teachers in the emergency department are also very skilled in general surgery.

While Wang Panpan stays in the emergency department, he can not only learn more clinical experience, but also the surgical skills of general surgery.

Sometimes she can even see the surgical methods of other departments.

This is simply not possible in other departments.

So Wang Panpan made up his mind not to transfer to another department, and to stay in the emergency department for one year of study.

But since she applied for two departments when she signed up, if she wanted to stay in the emergency department for a full year, she had to get the consent of the director of the medical department.

Because of this, she wanted to ask Xiao Chu not to let her transfer to another department with the mood of giving it a try.

But whether to transfer to another department depends on the opinion of the medical office.

Logically speaking, Xiao Chu couldn't control this aspect.

Wang Panpan only asked Xiao Chu with the mood of giving it a try.

But looking at Wang Panpan's expectant eyes, Xiao Chu said seriously: "The medical office is also very strict in the management of trainee doctors.

As long as you register for two departments on the website, you must rotate the two departments.

Are you sure you want to stay in our emergency department for a full year without going to other departments?Once you make a decision, you can't regret it. "

Rules are made by people.

In fact, if the doctors in the local hospitals who come to the provincial hospital for advanced training have no acquaintances, they must transfer to another department when the time comes.

But as long as you have a good relationship with the director of the department, or know Xu Jiafu, the director of the medical department, you still want to go wherever you want.

After all, today's society is a humane society.

Clay Bodhisattvas also have three-point thin noodles.

This time, Wang Panpan nodded heavily without any hesitation.

"Ms. Xiao, I have decided that we will not go to other departments in our emergency department.

It would be great if I would not be allowed to transfer subjects. I hope to study with you. I think I can learn more by following you. "

Now that Wang Panpan has made up his mind, and seeing that she is so studious and motivated, Xiao Chu also decides to help her.

In fact, Wang Panpan's decision was correct.

As long as she stays in the emergency department, she can learn more.

You can also see more surgical styles.

This is not the case in other departments.

After all, the emergency department is Xiao Chu's world.

Looking at Wang Panpan who was waiting for the next message, Xiao Chu took out his mobile phone and called Xu Jiafu, the director of the medical department.

As soon as the phone was connected, Xu Jiafu's cheerful laughter came from the receiver.

"Director Xiao, why are you calling me when you have time?"

The current Xu Jiafu is quite discerning.

He knew that Xiao Chu was the principal's favorite now, so he couldn't afford to offend him.

Rather than offending people, it is better to build a good relationship.

"It's Director Xu. There is a trainee doctor named Wang Panpan in our department. She came to our hospital for further study and signed up for two departments.

One is our department and the other is general surgery.

But now she has decided to stay in our emergency department for a whole year and will not be transferred to the general surgery department anymore.

Do you think it's time to prevent her from transferring to another department and stay in our department? "

"Ha ha!"

Another burst of laughter came from the receiver.

"What do I think is the matter, Director Xiao, such a trivial matter. You don't even need to call yourself."

"Well, let her come to the medical office tomorrow and change her study plan."

"Okay, then thank Director Xu."

"Why are we brothers being polite?"

After hanging up the phone, Xiao Chu saw the excitement on Wang Panpan's face.

Obviously, she could hear Xu Jiafu's agreement from her own words.

"Did you hear just now that the medical department agreed that you don't need to transfer to another department?"

"Yes, Teacher Xiao"

Wang Panpan nodded sharply.

"Mr. Xiao, thank you very much. I will study harder in the future."

Wang Panpan's joy was beyond words when his wish came true.

Chapter 299 Rescue the Electric Shock Patient

Looking at Wang Panpan's joyful mood, Xiao Chu felt the same way.

After all, when he was an intern, he also had departments he liked and departments he hated.

For example, during his internship, his favorite department was surgery.

The most annoying departments are emergency department and gynecology department.

If he had to choose which department was more annoying to him, Xiao Chu would choose Gynecology.

After all, he is a big man, and he was easily discriminated against when he went to practice in gynecology.

Moreover, when those female patients saw that there were male interns present, they were simply not allowed to observe and study on the spot.

Some even swear at each other.

Even with a teacher to explain it is useless.

Of course, it is only natural for a medical student to practice in gynecology.

He is used to seeing so many gynecological diseases in the gynecology department, and as a boy, he is already numb, so Xiao Chu feels that surgery is the happiest.

And during the internship, there are more departments to rotate.

It takes almost a month to rotate a department.

It's not that they can go wherever they want.

At that time, Xiao Chu was thinking that it would be great if he was not allowed to practice in the emergency department and gynecology department.

It would be better to keep him in the surgery.