Chapter 195: Not gentle at all, shocking everyone(1/3)
Chapter 195 Not polite at all, shocking everyone with his skills
Author: Jiangbian Yuweng
Chapter 195 Not polite at all, shocking everyone with his skills
Zhou Can has made such great progress. On the one hand, he has learned a lot from Dr. Feng. On the other hand, he has supplemented a lot of basic medical knowledge these days and has achieved initial results.
Of course, it also has a lot to do with his accumulation over time.
Learn a little bit every day through ward rounds, patient management, surgical participation, etc., and as time goes by, you will make great progress.
"Doctor, do you want to put a nasogastric tube in him?"
"Of course I have to let it go! You are better at this than me. I leave it all to you!"
The official doctor felt very relieved about him.
When performing partial intestinal resection, a nasogastric tube should be placed for gastrointestinal decompression, which will facilitate exposure during surgery.
It can also prevent accidents such as suffocation due to vomiting during anesthesia.
Zhou Can can consider all aspects very carefully, and he has many skills and knowledge that only professional anesthesiologists know.
The official doctor couldn't help but marveled.
He didn't know yet that Dr. Feng had started teaching Zhou Can anesthesiology.
Among the several doctors standing on the sidelines watching, two of them were more advanced, they already discovered that Zhou Can was not simple.
If there is no real thing in the stomach, it is definitely impossible to provide some accurate preoperative suggestions.
When all the instruments were connected to the patient and ready to be administered general anesthesia, Director Jia finally rushed to the operating room.
"Hey, why did Zhou Can participate in the anesthesia mission?"
Director Jia asked in surprise.
"Junior Brother Zhou knows the anesthesiologist, so he stepped forward to help. He seems to know a lot about anesthesiology, and I really admire him." Qiu Hong replied with a smile.
"Although anesthesiology is only a subdiscipline, it involves many aspects of life knowledge and comprehensive application. You can also participate more when you see anesthesiologists operating in the future."
Director Jia said to several doctors.
These words are almost equivalent to praising and affirming Zhou Can's behavior.
"Get ready for surgery! We have two tough battles to fight today, so we must seize the time."
After all, Director Jia is old, so he will definitely only be able to participate in the core part of the operation. He will no longer be able to complete a major operation that often takes four to five hours alone like a young man.
Partial bowel resection, even if only the rectum is removed, usually takes about four hours.
This is because the operation went smoothly and the surgeon was very skilled, so it could be completed within four hours.
If an accident occurs during the operation or difficulties are encountered during the operation, the operation time will only be longer.
This patient needed to have part of his colon removed.
The surgery will be more difficult.
Coupled with the severe adhesion of the diseased intestines, separation is enough to cause brain pain.
No wonder Director Jia calls it a tough battle.
"Doctor Guan, is the patient's condition okay?"
"Not bad! You can start the operation!"
Anesthesiologists will have four rating criteria for the patient's physical condition.
Very good, not bad, poor, very bad.
Generally, when the condition reaches a worse level, surgery will be chosen carefully.
If after anesthesia is administered, the patient's condition is felt to be very poor, the anesthesiologist has the right to terminate the operation directly.
This kind of thing happens relatively rarely, but it does happen.
For example, before the patient was pushed to the operating room, all physical signs were good. However, after general anesthesia was implemented, the vital signs dropped sharply. At this time, the anesthesiologist would immediately stop the anesthesia, and then make a decision to continue the operation or abort it after observation.
For the safety of the operation, it will most likely be suspended.
This is also a regular large hospital, and there are very few anesthesia accidents.
The important reason why medical beauty institutions are frequently in trouble.
Anesthesiologists in medical aesthetic institutions are just technicians themselves and lack the highly professional ability to predict patients' vital signs.
There is no way to detect danger in advance.
Moreover, ten out of ten medical aesthetic institutions are private hospitals, pursuing profits.
A 'plastic surgeon' who has only been trained for half a month dares to give patients breast augmentation and nose augmentation, double eyelid surgery, face slimming and liposuction, etc. It would be strange if nothing goes wrong.
"The surgical markings have been drawn, who will perform the laparotomy?"
Director Jia looked at his deputy chief physician and attending physician. As for the resident doctors, it was difficult for them to have the opportunity to perform surgical operations.
"I'll do it! Is that okay?"
Zhou Can was the first to do it.
The other doctors were stunned. This guy was like a hungry wolf, and he was not polite at all when he took work.
It's just that he doesn't see what kind of job this is?
Did you think it was skin suturing? This is abdominal surgery.
The risk is extremely high.
Even ordinary attending doctors dare not say they are completely sure.
He's just trying to grab a trainee here, it's totally mindless.
"A job like laparotomy, which requires very high technical requirements, cannot be done by a graduate student. It's better for me to do it!"
The deputy chief physician is young, only in his early forties.
He is a very young deputy chief physician.
When he speaks, he is slow and leisurely, and has the demeanor of a big brother.
"Director Jia said that as long as you are confident, you can speak at any time and perform surgical tasks at any time."
Zhou Can did not argue with this person directly, but looked at Director Jia.
"Zhou Can, this is no joke. Are you sure you want to take action? The ugly words are ahead. When you do practical tasks under me, as long as there is a surgical error, your surgical privileges will be suspended for at least three months. If it is serious, you will be handed over directly.
Let the medical department deal with it. Therefore, you must act within your ability, and must not use what I said as a shield to wantonly seize the opportunity for surgery."
Director Jia speaks very straightforwardly.
He did not regret what he said.
Just to prevent his doctors from acting blindly, the punishment conditions prescribed are also extremely severe.
"Reverence for life is my first creed. Don't worry, I will never dare to play tricks on you." Zhou Can's words were sonorous, powerful and resounding.
It also shows strong self-confidence.
You must not be timid about rushing for surgery.
Otherwise, the superior doctor will not entrust you with the dangerous surgical task at all.
As long as you are sure, go ahead boldly.
However, for the vast majority of trainees and residents, getting the chance to sew a skin and close a cavity once is enough to keep them entertained for several days.
In actual operation, it is possible for a novice to close the abdominal cavity and sew for an hour or two.
Generally, the surgeon leaves early after completing the key parts of the operation, leaving a senior surgeon to watch over the surgery.
Then the newcomer can take the opportunity to fight for the opportunity to sew the skin.
It doesn't matter if you sew slower.
In order to prevent the senior attending physician who was watching the scene from waiting impatiently.
In addition, with him watching from the side, you will also feel nervous while sewing.
You can let him go first, or ask him to sit next to you and rest.
Wait until the sewing is completed and then ask him to check.
As long as you speak nicely, try to gain the trust of superior doctors, and work hard to build a good relationship with them. Most of the attending doctors who stay will let you suture to your heart's content.
Very cooperative and leave temporarily, or leave the operating room directly.
Because they are very busy, and they are also newcomers.
Naturally, I understand the sadness and difficulty involved.
"Come on! I told you to stop, you must stop immediately. Also, during the operation, don't be too hasty." Director Jia couldn't scare Zhou Can even with his words.
I had no choice but to bite the bullet and agree.
To be continued...