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My Medical Skills Give Me Experiences Chapter 482
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My Medical Skills Give Me Experiences Chapter 482

Chapter 482 The linkage of director-level medical skills, Dr. Pu's request

Surgery is mainly divided into three parts, anatomy, repair, and transplantation.

Anatomy is easy to understand, including dissecting the cortex, muscle layer and even organs, and then removing or cleaning up the lesion. The most important part of anatomy is incision.

The second is separation and debridement derived from incision.

Anatomy is pure destruction of the intact human body. To heal the patient, the damaged tissues and organs must be repaired.

For example, if a blood vessel is cut, the bleeding must be stopped!

Nerves, blood vessels, and tendons are broken, and they must be anastomosed!

Therefore, the two main categories of surgery are anatomy and repair.

As for transplantation, it depends on actual needs.

Take a piece of skin from the thigh and transplant it to the face and neck, which is also called transplantation. Cutting off the head and transplanting it to a complete body is also called transplantation. The difficulty level of the two is very different.

To practice any kind of medical technique, you must first learn and practice from the basics and simple ones.

Zhou Can's incision technique has successfully reached the sixth level, which can be regarded as a major breakthrough in the field of surgery.

It means that he already has the foundation of the third and fourth level of difficult surgery.

In the past, the anatomical part of some three- and four-level highly difficult operations required the use of quick and steady knife techniques to barely complete. Nowadays, various dissections and resections are performed, and the surgical ability in this area has been improved to a higher level, and can be done better.

The most important thing about major surgery is safety.

The incision has reached the primary level of the director, which is equivalent to improving the safety of surgery by at least one step.

He tried to remove a lymph node cancer lesion, and the feeling was completely different from the five-level incision. What tissue is cut, the depth, and whether the edge of the lymph node has been cut can be clearly sensed.

Even some tiny tubules, nerve endings, can have a more subtle sensation when cut.

If you want to achieve the level of clear perception when even small blood vessels and nerve endings are removed, you may need to upgrade the incision to the intermediate level of the chief physician, or even the advanced level.

Rice must be eaten bite by bite.

Zhou Can is very satisfied to be able to reach the current level of surgery.

To be more arrogant, in the entire Tuya Hospital, there may not be more than forty surgeons who can perform incisions at the junior level of chief physicians.

The level of a certain surgical skill has nothing to do with the professional title level.

For example, Director Liu of the General Surgery Department.

Because of his poor academic level, he is still stuck with the title of deputy chief physician at the age of nearly 60. However, his actual surgical ability may not be worse than that of the chief physician, and may even be better than many chief physicians.

Of course, he has now successfully rated Zhenggao, which can be regarded as fulfilling his wish.

Zhou Can is now a junior resident doctor, but his incision skills have reached the junior level of chief physician.

There are still, and possibly many, examples of unequal professional titles and medical skills.

It is not uncommon for some academic and scientific chief physicians to have less surgical ability than an ordinary surgical resident physician.

"The six-level incision technique is really cool!"

After Zhou Can experienced the director-level dissection ability, he accelerated the progress of the operation.

At this moment, his incision and separation experience points are still increasing rapidly.

Work harder and strive to raise the separation technique to level six as soon as possible.

There are many application scenarios of dissection in difficult operations. It is also an advanced medical technique that all surgeons have a headache.

Some medical skills are easy to learn but difficult to master.

Such as suture, ligation, debridement.

Separation is difficult to learn and even more difficult to master.

Even if it is as powerful as Director Hu Kan, accidents occurred because of the separation of the adhesion between key diseased tissues and large blood vessels. Since then, my body has not been as good as before.

It can be seen that if you want to become a real top surgical master, you must upgrade the separation technique.

Otherwise, there will be a major shortcoming, and it will stumble at a critical moment.

Others find it difficult, but Zhou Can is not afraid.

Anyway, as long as he keeps earning experience points for the separation technique, he can forcefully push this medical skill to level six.

After nearly three and a half hours, the operation was finally over.

In this operation, Zhou Can gained a lot.

In addition to the promotion of incision to level six, the separation technique is also very close to level six. There is still more than 1,700 experience points short. If he is lucky, maybe two or three major surgeries can help him get promoted successfully.

Anyway, these days, I have to go to the cardiothoracic surgery department almost every day to help with major operations.

Unlike before standing by the side for Director Xueyan and Director Le, his current operation mode basically requires him to be the chief surgeon, with Director Xueyan or Director Le as his assistant.

It is equivalent to standing by and 'guiding' him to perform the operation.

Risks at the level of laws and regulations must be avoided.

Those who don't need him to be the chief surgeon, but who need him to sweep the formation and cover the bottom line, he only needs to stay in the same operating room.

The largest operating room in cardiothoracic surgery, there are three operating rooms, which can perform three operations at the same time.

Taking advantage of this convenience, it is often like just now, Director Xueyan leads people to perform surgery in the nearby operating room. Zhou Can and Deputy Director He were performing surgery in the nearby operating room.

In case Director Xueyan needs support, Zhou Can can rush over to help immediately.

The benefits of doing so are very great, and it can greatly improve the digestibility of difficult operations.

In the past, a large number of people worked overtime overnight, and maybe only two major surgeries could be completed. Now it can be doubled.

This is extremely beneficial for the expansion of cardiothoracic surgery.

Zhou Can's harvest tonight is also very big. After his incision was upgraded to level six, when removing tumors or other tissues that may have cancerous changes, he found that there seemed to be a slight linkage between debridement and incision.

This linkage is amazing.

When resecting the lesion, he could use the debridement technique to faintly sense whether there is any residual diseased tissue around the resected tissue.

For example, when he removed a lymph node, he sensed a lesion in a larger blood vessel next to it.

Since it was the first time he had this wonderful feeling, he was a little puzzled at the time.

With the attitude of being responsible for the patient, he carefully observed the blood vessel with the help of the magnifying glass on his eyes. Then a small, inconspicuous spot was discovered. Later, after repeated identification, and based on surgical experience, it was compared with previously cut cancerous blood vessels.

In the end, it was determined that this section of the blood vessel was likely to have undergone early canceration.

After cutting it off, immediately contact the pathology department for testing.

It didn't take long for news to come back that the blood vessel was really cancerous.

At that time, Zhou Can was very excited.

Because if his incision hadn't been promoted to level six, it happened to be linked with the debridement, and he sensed that there was a problem with that blood vessel. Even with the most advanced inspection equipment in the world, it is difficult to find this early cancerous blood vessel.

Don't underestimate such a cancerous blood vessel, as long as the operation does not remove it, the patient will relapse again in a short time.

You know, cancer is like bad weeds.

Even if there is only a piece of rhizome or even a leaf, it can germinate again, and then a large piece will grow quickly.

Therefore, the ability that Zhou Can possesses now is of great significance.

It can ensure that the cancerous tissue of the lesion is removed to the greatest extent during cancer surgery.

Why do many malignant tumor patients go to the hospital for examination and find that the cancer cells have metastasized in the middle and late stages. The doctor will tell the patient that the opportunity for surgery has been lost.

It is because according to the doctor's surgical experience, it is meaningless to perform surgery after metastasis.

Cut off the big tumors, and the small ones will grow back soon.

In addition to making the patient suffer more and draining the money of the patient's family, it does not prolong the life of the patient.

Instead of knowing that the cure is not good, and the patient's family will be out of money, it is better to let the patient go home to eat and drink, and spend the last time of life with the company of his family.

This is actually a kindness of the doctor.

It's just that the family members and patients sometimes couldn't understand, so they scolded the doctor severely, and before leaving, they even scolded fiercely, “You quack doctor, you can't even perform such an operation. Let's find a smart doctor who can do it.”

When encountering this kind of situation, doctors often suffer silently.

It was already eleven forty-two when I came out of the operating room. The operation time was much earlier than expected.

This is because Zhou Can's incision has been upgraded, and the operation speed has been accelerated a lot.

"I hope the cancerous tissue in this patient's body has been removed." Zhou Can could only pray silently.

Such patients must undergo radiotherapy after surgery to consolidate the surgical results.

Radiotherapy and chemotherapy are still the two conventional means of treating cancer.

Chemotherapy, in particular, is basically demonized.

Many people think that chemotherapy is fatal, that chemotherapy is useless, and that it will ruin the body. This argument is now deeply ingrained in the hearts of many ordinary people. As soon as you hear the doctor say you need chemotherapy, you immediately shake your head like a rattle.

It can only be said that everything has two sides.

There are pros and cons.

Chemotherapy, of course, is the use of chemical agents to kill cancer cells and prevent recurrence.

It is a double-edged sword. While killing cancer cells, all chemotherapy drugs are cytotoxic, directly destroying cell structure, causing the most damage to proliferating cells, and damaging important organs of the body such as liver, kidney, heart, and lung. All have certain toxicity. If the function of these organs is damaged too much, the patient will suffer from organ failure and even die.

In addition, chemotherapy can suppress the immune system, which is also a terrible side effect.

Patients who have just completed chemotherapy should be especially careful of various infections.

Even a common cold can take life.

Although chemotherapy has so many harms, it is also recognized that it kills cancer cells.

At least it is a treatment that can guarantee to kill cancer cells without directly killing people.

In addition, because cancer cells are extremely tenacious, chemotherapy cannot destroy them all at once.

Only part of it can be eliminated.

As a result, patients need to undergo multiple courses of chemotherapy in order to achieve a satisfactory therapeutic effect.

It is conceivable that patients who are weaker can hardly survive two or three more chemotherapy treatments.

This is one of the big reasons why chemotherapy has become notorious.

Killing 800 enemies and losing 1,000 to yourself is not everyone can afford it.

Fortunately, today's advanced drugs are on the market one after another, or have entered the research and development stage. Such as targeted drugs, immune cancer drugs. Drugs that create super T-cell fighters fall into this category.

Human immune cells can be divided into two types, T and B. T cells are equivalent to scouts, and B cells are equivalent to missile soldiers.

As long as T cells can find the enemy, B cells have a thousand ways to kill the enemy.

But when encountering cunning enemies, such as AIDS virus and cancer cells, T cells cannot recognize their identities. At this time, B cells become blind and deaf, unable to attack at all.

In developed countries in the West, it is indeed a good idea to treat cancer by using drugs to build super T cells and improve their detection capabilities.

Speaking of it, this idea still comes from the theory of traditional Chinese medicine in our country.

Many developed countries are paying more and more attention to Chinese medicine, and learning Chinese medicine is precisely because they have tasted the sweetness of it.

For example, Little Devil, there are almost all kinds of traditional Chinese medicine decoctions available now.

The price is even more expensive than imagined.

The key is that the therapeutic effects of these decoctions are gradually recognized by the public.

Otherwise, it would not be possible to develop to the scale it is today.

There is absolutely no one willing to do something that is not profitable.

In contrast, in our country, Chinese medicine is declining more and more, and there are fewer and fewer qualified Chinese medicine practitioners. It's actually embarrassing and heartbreaking to watch.

It can only be said that there is still a long way to go, and the revival of Chinese medicine still has a long way to go.

The main reason is that young medical students must believe in Chinese medicine, be willing to spend time learning Chinese medicine, and give them opportunities to practice.

It's just too difficult to have these market conditions.

Even if someone has studied Chinese medicine and has a certain level, but after the common people get sick, there are not many people who are willing to try Chinese medicine treatment. Without the market, there will be no motivation, which will form an endless loop.

If a group of powerful Chinese medicine practitioners can grow up in the future and use their reputation and real therapeutic effects to vigorously promote Chinese medicine, then it is possible to change this unfavorable situation.

Therefore, the revival of TCM has a long way to go.

At present, the mainstream consciousness of domestic doctors is basically that when they encounter patients who have no money, or difficult patients, or people who say they are sick when they are not sick, UU reading www.uukanshu.com doctors will persuade these people Go see a Chinese medicine doctor.

This is not to belittle traditional Chinese medicine. This kind of ideology is indeed the mainstream of doctors at present.

There are very few Chinese medicine practitioners like Mr. Chen Guoli.

"Doctor Zhou, I watched you perform the mediastinal lymph node removal operation today. It was really shocking. You are younger than me, but you have such superb surgical skills. I especially admire you."

Doctor Pu chased him up from behind.

On weekdays, Zhou Can had relatively little contact with this person.

The other party was a newly recruited doctor in the cardiothoracic surgery department, and the two didn't even know each other very well.

However, Director Tingle and others gave Dr. Pu a good evaluation.

Dr. Pu was able to enter the operating room this time because of his status as a bed doctor, so he had a chance with the operation.

"Dr. Pu, my level is about the same as yours. It means that I have more opportunities to practice and become more proficient."

Zhou Can replied modestly.

"You are always so humble. Regardless of medical skills, medical ethics, and human beings, they are all worth learning from me. Can I...can I have a few words with you alone?"

Dr. Pu took the initiative to catch up with him, and approached him to talk, which seemed to have some purpose.

"Well, no problem, if you have anything, please tell me!"

Zhou Can turned and looked at him.

"Uh... that, can we talk about it in another place? I'm afraid you won't agree to what I said, and then I will lose my job. It's really not easy to enter Tuya's cardiothoracic surgery this time."

Doctor Pu had a hesitant expression.

"Yes! You lead the way ahead!"

Zhou Can didn't know what this person wanted to say? Previous Chapter Contents Bookmarks Next Chapter

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Chapter 528
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Chapter 494
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Chapter 486
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Chapter 484
Chapter 483
Chapter 482
Chapter 481
Chapter 456
Chapter 455
Chapter 454
Chapter 453
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Chapter 451
Chapter 450
Chapter 449
Chapter 448
Chapter 447
Chapter 446
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Chapter 440
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Chapter 414
Chapter 413
Chapter 412
Chapter 411
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Chapter 408
Chapter 407
Chapter 406
Chapter 405
Chapter 404
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Chapter 400
Chapter 399
Chapter 398
Chapter 397
Chapter 396
Chapter 395
Chapter 394
Chapter 393
Chapter 392
Chapter 391
Chapter 390
Chapter 389
Chapter 388
Chapter 387
Chapter 386
Chapter 385
Chapter 384
Chapter 383
Chapter 382
Chapter 381
Chapter 380
Chapter 379
Chapter 378
Chapter 377
Chapter 376
Chapter 375
Chapter 374
Chapter 372
Chapter 371
Chapter 370
Chapter 369
Chapter 368
Chapter 367
Chapter 366
Chapter 365
Chapter 364
Chapter 363
Chapter 362
Chapter 361
Chapter 360
Chapter 359
Chapter 355
Chapter 354
Chapter 353
Chapter 352
Chapter 351
Chapter 350
Chapter 349
Chapter 348
Chapter 347
Chapter 346
Chapter 345
Chapter 344
Chapter 343
Chapter 342
Chapter 341
Chapter 340
Chapter 338
Chapter 337
Chapter 336
Chapter 335
Chapter 334
Chapter 333
Chapter 332
Chapter 331
Chapter 330
Chapter 328
Chapter 327
Chapter 324
Chapter 323
Chapter 320
Chapter 315
Chapter 312
Chapter 311
Chapter 310
Chapter 309
Chapter 308
Chapter 307
Chapter 306
Chapter 305
Chapter 304
Chapter 303
Chapter 302
Chapter 301
Chapter 300
Chapter 299
Chapter 298
Chapter 297
Chapter 296
Chapter 295
Chapter 294
Chapter 293
Chapter 292
Chapter 291
Chapter 290
Chapter 289
Chapter 288
Chapter 287
Chapter 286
Chapter 285
Chapter 284
Chapter 283
Chapter 282
Chapter 281
Chapter 280
Chapter 279
Chapter 278
Chapter 276
Chapter 275
Chapter 274
Chapter 272
Chapter 270
Chapter 268
Chapter 264
Chapter 263
Chapter 262
Chapter 260
Chapter 258
Chapter 256
Chapter 254
Chapter 252
Chapter 250
Chapter 248
Chapter 247
Chapter 246
Chapter 245
Chapter 244
Chapter 242
Chapter 240
Chapter 239
Chapter 238
Chapter 236
Chapter 234
Chapter 232
Chapter 231
Chapter 230
Chapter 229
Chapter 228
Chapter 226
Chapter 224
Chapter 223
Chapter 222
Chapter 221
Chapter 220
Chapter 219
Chapter 217
Chapter 216
Chapter 215
Chapter 214
Chapter 213
Chapter 212
Chapter 211
Chapter 210
Chapter 206
Chapter 205
Chapter 204
Chapter 203
Chapter 202
Chapter 201
Chapter 200
Chapter 199
Chapter 198
Chapter 197
Chapter 196
Chapter 195
Chapter 194
Chapter 193
Chapter 192
Chapter 191
Chapter 190
Chapter 189
Chapter 188
Chapter 187
Chapter 186
Chapter 185
Chapter 184
Chapter 183
Chapter 182
Chapter 181
Chapter 180
Chapter 179
Chapter 178
Chapter 177
Chapter 176
Chapter 175
Chapter 174
Chapter 173
Chapter 172
Chapter 171
Chapter 170
Chapter 169
Chapter 168
Chapter 167
Chapter 166
Chapter 165
Chapter 164
Chapter 163
Chapter 162
Chapter 161
Chapter 160
Chapter 159
Chapter 158
Chapter 157
Chapter 156
Chapter 155
Chapter 154
Chapter 153
Chapter 152
Chapter 151
Chapter 150
Chapter 149
Chapter 148
Chapter 147
Chapter 146
Chapter 145
Chapter 144
Chapter 143
Chapter 142
Chapter 141
Chapter 140
Chapter 139
Chapter 138
Chapter 137
Chapter 136
Chapter 135
Chapter 134
Chapter 133
Chapter 132
Chapter 131
Chapter 130
Chapter 129
Chapter 128
Chapter 127
Chapter 126
Chapter 125
Chapter 124
Chapter 123
Chapter 122
Chapter 121
Chapter 120
Chapter 119
Chapter 118
Chapter 117
Chapter 116
Chapter 115
Chapter 114
Chapter 113
Chapter 112
Chapter 111
Chapter 110
Chapter 109
Chapter 108
Chapter 107
Chapter 106
Chapter 105
Chapter 104
Chapter 103
Chapter 102
Chapter 101
Chapter 100
Chapter 99
Chapter 98
Chapter 97
Chapter 96
Chapter 95
Chapter 94
Chapter 93
Chapter 92
Chapter 91
Chapter 90
Chapter 89
Chapter 88
Chapter 87
Chapter 86
Chapter 85
Chapter 84
Chapter 83
Chapter 82
Chapter 81
Chapter 80
Chapter 79
Chapter 78
Chapter 77
Chapter 76
Chapter 75
Chapter 74
Chapter 73
Chapter 72
Chapter 71
Chapter 70
Chapter 69
Chapter 68
Chapter 67
Chapter 66
Chapter 65
Chapter 64
Chapter 63
Chapter 62
Chapter 61
Chapter 60
Chapter 59
Chapter 58
Chapter 57
Chapter 56
Chapter 55
Chapter 54
Chapter 53
Chapter 52
Chapter 51
Chapter 50
Chapter 49
Chapter 48
Chapter 47
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Chapter 44
Chapter 43
Chapter 42
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Chapter 40
Chapter 39
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Chapter 37
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Chapter 35
Chapter 34
Chapter 33
Chapter 32
Chapter 31
Chapter 30
Chapter 29
Chapter 28
Chapter 27
Chapter 26
Chapter 25
Chapter 24
Chapter 23
Chapter 22
Chapter 21
Chapter 20 – Receiving Two High
Chapter 19
Chapter 18
Chapter 17
Chapter 16
Chapter 15
Chapter 14
Chapter 13
Chapter 12
Chapter 11
Chapter 10
Chapter 9
Chapter 8
Chapter 7
Chapter 6
Chapter 5
Chapter 4
Chapter 3
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