My Medical Skills Give Me Experiences Chapter 139

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It must be said here that some people can't figure out the difference between the head nurse and the chief nurse. The head nurse is equivalent to an administrative position, and the chief nurse is a professional rating.

Larger departments often have more than two head nurses.

They are responsible for the arrangement of nursing tasks in the department.

In fact, the head nurse is often served by the chief nurse.

Zhou Can didn't want to have a deadlock with the nurse when he first arrived in the new department. But people stepped on their heads to **** and piss, and they still wanted to be a grandson, and they were submissive. In the next two months, he was going to be more angry.

There has been a saying in Chinese military strategists since ancient times, one punch will save you a hundred punches.

It is still necessary to show your temper appropriately so that people will think that you are not a soft guy who is easy to bully.

It is said that when picking persimmons, you have to start with soft ones.

Zhou Can took this female nurse, and the worst result was that she couldn't be lazy when she was on the night shift.

So, he is not afraid at all.

And based on his understanding of human nature, as long as he performs very well in the following days, he will be appreciated by a senior doctor at the deputy director level. There is a high probability that the nurse in charge will bow to him and take the initiative to repair the relationship.

At this moment, the nurse in charge stared at him with green eyes.

She obviously didn't expect this young new doctor to be so stubborn.

"I will truthfully reflect your work attitude to Dr. Cheng Gang and Dr. Liu Yongquan."

After finishing speaking, she angrily took the plate and sterilized the patient.

This also means that her first confrontation with Zhou Can ended with her confessing.

By the time Zhou Can arrived at the hospital bed, she had almost finished disinfecting the patient.

Jiang Xiaohua covered her mouth and nose, and stood there watching from a distance.

I don't know that he is so sensitive to feces and urine, why did he choose the profession of a doctor?

A doctor is a life-saving profession.

Dealing with blood, feces, and pus is indispensable.

In some patients, the wound is suppurated and infected, and the stench is more pungent than feces.

Also, the moment the patient's abdominal cavity is opened, the smell doesn't work even with a mask on.

If he can't even accept such a small scene, it's better to change careers as soon as possible.

The nurse in charge named Hu Shuiling has a bad temper, cold and arrogant, but she can work quickly.

The patient has been disinfected skillfully.

She picked up the catheter and turned to look at Zhou Can who was standing at the end of the bed.

If her attitude had been better before, Zhou Can would have rushed to do this job long ago.

After all, you can get 1 point of experience value.

Now, let her do it.

Hu Shuiling is at least thirty years old, and should be a married woman.

Far less shy about the male body than those little nurses.

Besides, nurses who have been working for several years, catheterize a catheter, not hundreds of times a year, at least one or two hundred times.

However, the male doctors in most departments are very gentlemanly.

When catheterizing a male patient, consider the embarrassment of a female nurse. So most of them will do it smoothly.

Hu Shuiling also knew that he had offended Zhou Can to death, and looked at Jiang Xiaohua in the distance.

Unfortunately, Jiang Xiaohua didn't respond at all.

He stared in another direction, as if he didn't notice the nurse's help-seeking eyes at all.

She gritted her teeth and decided not to ask for help.

"Shouldn't we just have a urinary catheter? My old lady still doesn't believe it. Without the help of a doctor, I can still have fun."

With a dark face and frowned eyebrows, she began to catheterize the patient.

"Aww..."

The patient screamed.

If it weren't for being paralyzed on the bed, it would definitely collapse.

Sometimes, doctors choose to catheterize the patient after general anesthesia.

Because the process does cause pain to the patient.

Especially when encountering some unskilled operations, or the patient's body structure is different from ordinary people.

For example, when men reach middle-aged and old age, the prostate gland is generally enlarged, which may cause distortion and displacement of the urinary tract due to extrusion.

"Please be patient, it will be fine soon."

Hu Shuiling continued to operate while comforting the patient.

It's just that I have guided it many times, but it has not been able to operate successfully.

The patient's screams became more and more severe.

The female nanny I hired couldn't stand it anymore.

"Comrade nurse, are you new here? Can't you hear the patient's screams?"

This middle-aged aunt's mouth is very powerful.

Few people can resist the power of poisonous tongue.

Hu Shuiling was already angry with Zhou Can, but now that she was being bullied by a nanny, her expression became even uglier.

"I can hear the patient's screams, but catheterization is a technical job, it's not as simple as your nannies, cooking a meal and cleaning the body."

When did the old nurse suffer?

They have never been afraid of doctors, family members, and patients.

At first, the female nanny was just too blind to notice, but she was scorned by Hu Shuiling insinuatingly as a reminder.

She quit immediately.

Sometimes, doctor-patient disputes are detonated by discord.

"Obviously the operation is unprofessional, and the pipe has not been fixed for a long time, and you don't like to listen to it? Have you never seen a man's body or what's the matter? The little girl is from every family, and she doesn't know how to be ashamed. You can't, you can call The doctor can do it for you! You have to do it yourself without avoiding suspicion, but after doing it for a long time, I suspect that you are deliberately taking advantage of the male patient here. Shameless."

When it comes to swearing, whose mouth is the most poisonous?

Definitely this kind of middle-aged and elderly women.

Literate and educated are not listed here.

Zhuge Liang in ancient times scolded Wang Lang to death in front of the two armies. Anyone who dares to quarrel with middle-aged and elderly women will scold you to doubt your life.

Now, Hu Shuiling began to doubt life.

"you you…"

She was so angry that tears were about to fall out.

"Don't point at me. I'm old enough to be your mother. Dare to abuse the patient? I'll call the patient's son right now. He's an official. You just wait to be laid off!"

The female nanny not only has a poisonous mouth, but also has powerful tricks.

When Hu Shuiling heard that the patient's son was an official, he felt a little flustered.

A small matter, because I was in a bad mood and I couldn't control my emotions, now I'm arguing.

It was going in a direction she didn't even dare to think about.

If things get serious, even if she doesn't lose her job, there is a high probability that she will be punished.

"Auntie, this little nurse is not sensible and can't speak. Don't be as knowledgeable as him. The patient's son pays you to take care of the patient, and he also hopes that you will take good care of him. It really makes things worse, which is actually not good for the patient. .”

Zhou Can can no longer let the matter develop, otherwise, the nurse Hu Shuiling will not be the only one being scolded.

Both he and Jiang Xiaohua will be involved.

Director Xie was worried that he would not have a chance to suppress him.

This matter is really big, Director Xie is afraid that he will laugh out loud.

There is a saying that you can accept it when you see it.

Properly punished the arrogant female nurse, almost got it.

"Let me do it!"

Zhou Can took the initiative to take the urinary catheter from the female nurse's hand, and under her surprised and ashamed eyes, successfully inserted the catheter easily.

Up to the third level of implantation, if you can't guide a urinary catheter well, isn't it practiced?

【Insert experience value +1.】

[Congratulations on your upgrade to the fourth level of implantation, current experience value: 1/10000. Complicated medium and high difficulty placements can be completed. 】

Zhou Can's implantation has been practicing after get off work.

He had already reached the critical point of upgrading, but this time the catheter earned 1 experience point, which accidentally helped him advance to the next level.

It was a pleasant surprise.

There are many opportunities for implantation in neurosurgery. For example, for aneurysm, it is necessary to insert the spring film into the diseased blood vessel segment, relying on the insertion technology.

Level four, that is the attending level!

It is not easy to advance to the fourth level of advanced medical skills.

It also means that his foundation of endoscopic surgery has become stronger.

"Look, it's still the other doctor's ability to fix it in one go. You'd better learn more, don't say anything about it, and let the patient suffer along with it."

The nanny's mouth can really poison people to death.

Hu Shuiling didn't dare to quarrel with her this time.

It's really one thing and one thing.

This female nurse was dragged like a twenty-five-eight thousand yuan in front of Zhou Can. When she met this kind of sharp-tongued female nanny who dared to scold and do anything, she had to admit defeat in the end.

The grievance she suffered this time was a bit big, and she had nowhere to vent, so she probably could only hide in the bathroom and cry bitterly.

Zhou Can did not sympathize with the female nurse.

At least this conflict could have been avoided.

"Jiang Xiaohua, come and help!"

Zhou Can greets Jiang Xiaohua.

The two asked the nanny to lift the patient onto the flat bed, and pushed him to the operating room.

The total number of operations performed by Shenwai should be around 3,000 a year.

It has only two dedicated operating rooms, namely No. 3 and No. 5. The rest, shared with cardiothoracic surgery.

Although there are only two operating rooms in Shenwai, they are all level 100 operating rooms.

And all have endoscopic capabilities.

This is also a symbol of the strength of a department.

The light in operating room 3 is green at the moment.

"Oops!"

Zhou Can's heart sank slightly. The delivery of this patient was delayed for a while because of **** incontinence.

I hope the chief knife inside didn't have to wait too long.

A little nervously sent the patient into the operating room, the nurse in the recovery room gave them a sympathetic look.

"Why did you bring it here? Doctor Ou has been waiting for a long time."

She gave the two of them a self-seeking look.

Zhou Can hurried into the changing room to change into the surgical protective clothing.

Jiang Xiaohua also knew that the situation was not good, and she also had a worried expression.

The two pushed the patient into the operating room inside.

There were two nurses and four doctors inside. Including an anesthesiologist and two resident assistants.

The leading surgeon is a middle-aged man in his fifties.

Wearing a hood, mask, and sterile gloves have all been changed.

His eyes were cold, his brows were tightly wrinkled, and he looked a little scary.

The atmosphere in the operating room is also very bad.

Nurses, doctors, no one spoke, all of them had serious expressions.

It's more like he doesn't dare to breathe out, for fear of being scolded by the chief knife.

"28 minutes overtime, so many of us just waited dryly for the two of you to bring the patient over. Do you not know the way? Or fell asleep on the way?"

Doctor Ou, the chief surgeon, immediately lost his temper.

It's better to scold.

I'm afraid that if the chief knife doesn't scold people, it will be even worse.

"Doctor Ou, I'm sorry, the patient suffered from **** incontinence before he was sent for surgery, so there was a delay."

Zhou Can could only bite the bullet and explain.

Jiang Xiaohua was sullen, with an honest look of being unable to fight back when beaten or cursed.

Everyone has their own way of survival.

Jiang Xiaohua is by no means the workplace rookie she imagined.

When someone attracts firepower, acting pitiful and reducing the sense of existence is also a good way to protect yourself.

Scolded and scolded, the two still carried the patient onto the operating table.

Neither the two nurses nor the two residents helped.

He just watched indifferently the whole time.

Zhou Can can swear that neurosurgery is the most indifferent department he has ever encountered.

The doctors and nurses here are naturally superior, with an arrogance deep in their bones.

Do not treat new doctors as human beings.

It seems that the two months of regular training outside the gods, life is probably not easy!

No wonder I often hear people say that neurosurgery doctors are difficult to deal with during training in the orthopedic and emergency departments.

"Listen well, this time it's your first offense, you don't need to be punished. No matter what the reason is next time, you must send the patient outside the operating room ten minutes earlier."

After hearing Zhou Can's explanation, Dr. Ou's face softened a little.

He didn't scold anyone anymore.

The operation begins.

The anesthesiologist checked the patient and found that it met the indications for anesthesia. He began to put on the patient a breathing mask and various life monitoring probes.

He chose the prone position for the patient.

"The anesthesia is successful, the patient's vital signs are stable, and the respiratory exchange is weak, and the operation can be performed."

If the patient has some minor problems, the anesthesiologist will remind the surgeon and nurse to pay extra attention during the operation.

Dr. Ou began to operate on the patient.

The two residents are fully assisted.

For Zhou Can and Jiang Xiaohua, if they can get a chance to watch from the audience, it is already good.

Get started with a workout without even thinking about it.

"The location of the hematoma is here, so the center of the knife position is selected at this location. The incision is made from the midline of the back."

The scalpel is like scratching silk, cutting the patient's skin layer by layer.

Dr. Ou's incision level is quite good.

Should have an excellent level of attending.

It is really not easy to train a surgeon.

It will take at least ten years to gain some skill.

It is difficult to achieve something in twenty or thirty years.

Even if Dr. Ou has a postgraduate degree, he finished it at the age of 27. In the past, the integration of the standard and the large was implemented, and he could start to enter the operating room for skin stitches at the age of 28. If you are 50 years old now, you have already worked for 22 years.

It took 22 years of training before I had an excellent level of anatomical ability. How long would it take to be promoted to the level of deputy director?

You know, surgical ability is more than just anatomy.

"Remember, the length of the surgical incision should be able to expose the three lamina. If it is too long, it will cause great harm to the patient; if it is too short, it will be inconvenient for the operation."

While operating, he explained to two residents.

Generally speaking, doctors in the operating room are like this. The attending doctor is accompanied by the resident doctor, and the deputy director or chief physician is assigned the attending doctor.

These two residents are assistants trained by Dr. Ou.

Zhou Can was secretly delighted to see the level of hemostasis.

If you're lucky, you might be able to win a chance to show off your skills.

"Then separate the paraspinal muscles. Be careful not to touch important blood vessels and nerves."

Some young doctors don't know the depth, and think that they have successfully anastomosed a few blood vessels on the tail of a white mouse, but they think it's okay if the blood vessels are cut.

They never imagined the horror of cutting the aorta.

The consequences are also extremely serious.

The older the doctor, the more cautious and timid he is when performing surgery.

On the contrary, novice doctors are not afraid of anything.

"Use a retractor to open the two sides, and the surgical field of view comes out."

Doctor Ou frowned slightly after the assistant fully opened the surgical field of view. Because Kazusuke's ability to stop bleeding was poor, a lot of blood was produced, which accumulated in the bottom layer of the wound.

"Suck up the blood. Here, stop the two sources of bleeding quickly."

He personally guided Yizhu to stop the bleeding.

After a lot of effort, the electrocoagulation was finally successful in stopping the bleeding.

Then start the most critical surgical steps.

"Incision of the lamina should be performed with caution. Generally speaking, two or so incisions are sufficient to remove the hematoma."

He cut off two lamina one after another and examined them carefully.

Maybe it was not enough, so I cut another piece.

"Okay! Next, **** the hematoma with a suction device until the dura mater is exposed."

When the first assistant cleared the hematoma, the operation was really not good.

It took a lot of effort, and finally it was basically sucked clean.

At this time, the dura mater under the hematoma can already be seen.

Bleeding is usually from the dura mater.

"In the future, when you do this kind of operation, you must remember one principle. If the bleeding time exceeds ten days and the patient's body has absorbed the hematoma, there is no need for surgery. As doctors, we must understand the patient and his family If you are so anxious, you must insist on only doing useful operations. Knowing that the operation will not work, but still let the patient undergo the operation, earning such ignorant money, it will only be shameful."

"Also, any surgery is an unavoidable choice. If it can be cured without surgery, then it will not be operated. If it can be solved by minor surgery, it will not be major surgery. As long as it is surgery, it will cause harm to the patient's body. A certain amount of damage."

Doctor Ou seriously warned several junior doctors.

After Zhou Can heard this, his opinion of Dr. Ou changed a lot.

This person has a bad temper, but he has good medical ethics and a righteous mind.

A respectable doctor.

Dr. Xu once told Zhou Can that the purpose of surgery is not just to relieve the pain of the patient.

It must also be considered that the benefits of surgery far outweigh the harm to the patient.

This kind of surgery is worthy of further evaluation of surgical safety and various surgical indicators. and prognosis.

Just imagine, the patient only had occasional stomach pains, and the patient's stomach was cut off directly.

The pain is indeed relieved, but the harm to the patient far outweighs the benefit of the operation.

"Once the hematoma is removed, the active bleeding site can be searched for."

An active bleeding point was quickly found, but not large.

After electrocoagulation to stop the bleeding, continue to explore.

"Doctor Ou, there seems to be a lump of blood that has coagulated here, and it can't be cleaned up."

Doctor Ou explained after careful examination.

"You novices must pay attention, this is not a blood clot after blood coagulation. It's a malformed blood vessel group. If you encounter this kind, cut it off directly."

After he asked two assistants to take a closer look, Zhou Can and Jiang Xiaohua stretched their necks to learn more.

Dr. Ou did not give them any care.

Direct surgery to remove the group of malformed blood vessels.

As soon as it was cut off, blood spurted out.

It appears to have severed the arterial vessel. The amount of bleeding is not particularly large, and the blood vessels should be relatively small.

The severed malformed blood vessel was clamped out and thrown on a plate.

Zhou Can stepped forward to observe carefully.

If you want to learn something in the operating room, you must be bold and thick-skinned.

In the minds of superior doctors, regular training, internships, postgraduates, and advanced students are like grass on the side of the road. They don't offer to teach you anything at all.

During the operation, it is generally difficult to have such an opportunity to get close to the patient's wound for observation.

It is also impossible to take care of insignificant subordinate doctors when the chief surgeon performs the operation.

What they think is how to complete the operation in the shortest possible time.

So, after the diseased tissue is cut off, throw it on a plate, and go up to see what no one will say.

As long as it doesn't affect the main surgeon.

Doctor Ou calmly asked Yizhu to stop the patient's bleeding.

"Can't stop!"

Kazsuke looked a little flustered and a little scared.

Dural hemorrhage is more than scarier than epidermal hemorrhage.

"Give me the electric coagulation knife!"

Doctor Ou is still very calm.

It's just that he soon discovered that it was not that simple, and the electrocoagulation seemed to have failed.

"What the **** is going on here?"

Doctor Ou frowned into knots.

Even though he is well-informed ~www.mtlnovel.com~ and has experienced many storms, at this moment, a trace of panic welled up in the depths of his eyes.

The fear of the unknown is the most frightening.

Because what I have learned in my life is useless. There is no way to find the reason why the bleeding cannot be stopped.

"It should be bleeding under the dura mater."

Zhou Can glanced at it twice, and couldn't help but say.

"You know a ball, just stay and go, don't make trouble here!"

Kazusuke glared at Zhou Can angrily.

"I'm not adding to the confusion, I'm just giving my own opinion. It's possible that Dr. Ou injured the blood vessels under the dura mater during surgery to remove the abnormal blood vessel group. It's also possible that one tube has two splits."

Blood vessels, like tree roots, also have forks.

Just cut to the intersection of the bifurcation, it is normal that the electrocoagulation cannot stop the bleeding.

Zhou Can only had such a deep understanding after he was promoted to the intermediate level of hemostasis.

After hearing this, Dr. Ou's eyes lightened slightly, and he began to carefully look for bleeding points under the crest dura mater.

It's just that the bleeding here continued, which caused great disturbance to him.

"Give me the hemostat."

Zhou Can looked at the equipment nurse.

"What do you want to do? This is an important place for surgery, and you, a regular student, don't even look at the place if you want to." After Yizhu scolded Zhou Can for the first time, it didn't work.

Zhou Can continued to express his opinion.

This made him feel that his majesty had been challenged.

Zhou Can is even more disliked.

Out of face, he didn't say anything.

Unexpectedly, this Gui Peisheng, ignorant of the heights of heaven and earth, even asked the nurse for a hemostat. This obviously wants to get started!

Isn't this pushing your nose to your face?

"I'm not showing off, I just want to help a group of doctors Ou." Zhou Can responded lightly.

Chapter end