My Medical Skills Give Me Experiences Chapter 91

"Are you going to choose the fast knife as the development path of surgery?" Dr. Xu turned his head and stared at him.

The last time I asked Zhou Can, Zhou Can hadn't considered it yet.

This time, he took the initiative to ask about the method of practicing Kuai Dao, which reminded Dr. Xu of this matter again.

He was so eager for Zhou Can to be his passer-by.

"Hmm... I haven't figured it out yet! But it doesn't prevent me from understanding the advantages and disadvantages of your quick knife and Director Hu's 'most stable scalpel'." Zhou Can said with a smile.

"You guys are shopping around! Alright, I just want to tell you about the surgical styles and their advantages and disadvantages."

Doctor Xu couldn't help shaking his head and scolding with a smile.

"The three most common surgical styles are steady, precise, and fast. Director Hu's surgery is characterized by stability, which can handle almost most surgeries, ensuring that the surgical process is extremely smooth, as stable as an old dog. But because he is too stable, he is doomed The speed of the operation cannot be fast. It can take into account the 'fineness' to a certain extent, but it cannot be so precise that it is so subtle."

The biggest feature of Wenwen is that it is safe and guaranteed, and the smooth completion of the operation is guaranteed.

However, because it cannot be fast, nor can it achieve the ultimate precision, it is doomed that some operations that require a short time to complete, or extremely detailed resections, separations, etc., cannot be performed by it.

This is also an important reason why director Hu Kan's reputation is not as good as Wu Baihe's.

He can't perform many sophisticated surgeries.

Either give up, or ask someone else to do it.

Just participating in the operation is equivalent to a supporting role in a movie actor. The fame is naturally not as great as the protagonist.

People often only remember the protagonist.

Of course, the supporting roles also have the opportunity to stand out, even surpassing the leading role, but that is a very small number after all.

The profession of doctors has a strict hierarchy and rules. Just as a 'supporting role' participating in the operation, it is almost impossible to surpass the chief surgeon in fame.

It is estimated that this is also the unspeakable pain in Director Hu Kan's heart.

When he chose stability as his style, he was doomed to be stable all the time, and he couldn't shine like Wu Baihe and Dr. Xu, and everyone knew it.

"Let's talk about my 'fast' style again. There is a saying in the martial arts world, which is called martial arts in the world, only speed can't break it. The operation is basically like this. When your speed is extremely fast, it seems that you have given up stability, but In this fast process, you can have a stable effect. For example, if you cut quickly with a knife, at most, the cut will be sideways or overcut, but there is almost no need to consider problems such as hand shaking and stuttering."

That's true.

According to the kinetic energy and potential energy of physics, when the speed reaches the extreme, the cutting route must be a straight line. It cannot be a wavy line.

The operation time is greatly shortened, and it no longer takes more than ten hours to maintain a high degree of mental concentration.

Maybe half an hour, an hour or two and it's over.

Each surgical style has its own advantages and disadvantages.

Just like people, no one is perfect.

"The disadvantage of being fast is that you can't fully control it, and it's easy for your hands to be faster than your brain. In addition, as long as you have concerns in your heart, you can't be extremely fast. This requires more practice to be able to do it freely. But even if you do It is still not safe to retract and release freely. Then I have pondered over the reasons for countless accidents in the past few years. I think that as long as I have a calm mind, I can restrain the anxiety and restlessness caused by the pursuit of the ultimate speed. It is equivalent to giving Fasten the double bumper, and the probability of an accident should be controlled to zero."

When Dr. Xu said these words, his face and eyes showed an almost crazy self-confidence.

The hands are faster than the brain, and the wrong organ is cut, or too many organs are cut. This kind of thing happens from time to time in the operating room. Dr. Xu is an absolute expert in this area and has the most say.

"I believe the teacher's philosophy is correct."

Others didn't believe him, but Zhou Can was convinced.

It's not blind worship, but a comprehensive judgment made from Dr. Xu's clues, words and deeds.

"Thanks!"

Dr. Xu took a deep look at Zhou Can, and the two looked at each other. Dr. Xu felt like he had found a soulmate.

Maybe it's because after the accident, his status dropped drastically, and he couldn't even stand up for the rest of his life, so any thoughts he thought were the words of a loser in the eyes of outsiders.

Not recognized, not valued.

So that when someone suddenly recognized his point of view from the heart, Dr. Xu was so excited to say thank you to his apprentice.

It was the first time that the teacher was so polite to him.

This made Zhou Can a little uncomfortable.

Because being too polite is a sign of rustiness.

On the contrary, he likes the teacher Xu who is very strict with him.

"Let's talk about the third surgical style, fine. Wu Baihe of neurosurgery has already reached the peak level in this field."

Zhou Can noticed that the teacher used the word close.

This shows that Wu Baihe has not reached the pinnacle in the field of precision, but has only achieved very high attainments.

"Fineness can be understood as precision and fineness. During surgery, even if it is moving a knife next to the brainstem, even if it is stripping tumors on the coronary arteries, or anastomosing nerves, special blood vessels, etc., it can do what the heart thinks. He dares to perform dangerous operations that other doctors dare not perform, and this is his advantage. In recent years, Wu Baihe has successfully completed at least one hundred extremely difficult operations."

"Although there is a certain failure rate, he has indeed completed many extremely difficult operations that the chief doctor regards as taboo."

Precise surgical ability should be the best among the three styles of steady, fast and precise.

Especially gaining fame is simply a supreme weapon.

For example, a tumor grows next to the brainstem. No one dares to rule.

Other hospitals have sentenced patients to death and suggested conservative treatment.

With his precise surgical ability, Wu Baihe cut off the tumor. The patient survived and recovered.

Tuya Hospital can publicize to the dead that Wu Baihe, the chief neurosurgery physician of the hospital, led the elite surgical team of the department, and successfully cured a high-risk patient with tumor in the restricted area of ​​life through surgery.

The restricted area of ​​life is the center of human life, and it is recognized by the medical profession as an untouchable area. There is a tumor here, which is almost equivalent to a death sentence...

Such a propaganda, ordinary people who eat melons can't stop it.

It is natural to think that Tuya's neurosurgery skills are the best in the world. If you have a disease in this area in the future, it is right to seek medical treatment there. Because there are the most authoritative doctors there.

This is the famous doctor effect.

Wu Baihe alone can attract countless medical seekers.

Even doctors in other hospitals can't handle patients who need surgery next to the brain stem. If the patient and his family were sensible enough, they would tell the patient that he could go to Tuya God for medical treatment.

"Let's talk about the shortcomings of precision. I personally think that people will have emotions and desires, and they will have obsessions. This means that people who follow the precise surgery style will not be able to achieve the ultimate in their entire lives. What's more, human beings can't even achieve their own. The arms may not be able to be controlled to the point of extreme precision, let alone hold a scalpel or other instruments to operate."

The structure of the human body is extremely complex, and it is considered very good if the body can execute 95% of the movement instructions issued by the cerebellum.

In fact, if it is an unfamiliar action command, the body's execution rate may only be about 60%.

To use the simplest analogy, when we watch others ride a bicycle, we just sit on the seat, step on the pedals with both feet, and hold the bridle with both hands to control the direction.

"The First Clan"

When we sit on it, the cerebellum tells us to do it.

As a result, two teeth fell off, and he got up from the ground with a bruised nose and a swollen face.

Mom sells batches, others obviously ride like this! Why do I fall when I ride it?

This is just one example of the body not fully executing the instructions of the cerebellum.

Because the brain only collects the posture of others riding a bicycle through vision, then analyzes it, and then conveys the command to the cerebellum. Ultimately, the cerebellum sends out the motor commands.

It ignores balance.

It wasn't until we finally mastered the balance of riding a bicycle after falling countless times that we could easily control it.

The same is true for performing surgery with a scalpel or other instruments.

It will be affected by various factors such as mood, thoughts, sense of balance, sense of force, etc., resulting in the inability to achieve the precision that the brain wants to achieve.

After listening to the three most common surgical styles, Zhou Can couldn't help but fell into deep thought.

Every surgery has pros and cons.

It was difficult for him to decide which one was better.

"Teacher, can I choose two of these surgical styles at the same time?"

Zhou Can asked.

"There should be no way, at least countless seniors have tried, and none of them succeeded. At the beginning of the practice, the conflict between the three styles was not particularly obvious. The higher the level, the more serious the conflict. In the end, the fire and water are incompatible, so I can only give up Other styles, keep one style."

Dr. Xu is someone who has experienced it, so he said no, of course he has his reasons.

You can't have both abalone and bear's paw.

"Of course, you are just laying the foundation now. You can practice the basic skills of the three styles. Although the three cannot be combined, they have mutual shadows. For example, my quick knife style requires both precision and stability. You can also practice Director Hu's hair pinching and arm raising exercises. They are all very beneficial."

Dr. Xu was not in a hurry to let Zhou Can choose which style.

Instead, let him practice the basic skills of the three styles.

"What about the basic skills of Kuai Dao? How do you practice it?"

Zhou Can humbly asked for advice.

It seems that after work, in addition to doing surgery exercises on mice, there are many more things to do.

These advanced surgical practice methods can only be learned in a big hospital like Tuya.

Jin Mingxi's ears were erect.

He refused to let go of every word Dr. Xu said.

This kind of learning opportunity, he is still in the honor of Zhou Can.

Normally, Dr. Xu probably wouldn't teach it to others.

"There are multiple practice steps for the basic skills of the fast knife. At the beginning, you can practice cutting radishes. There are only two requirements, the faster the better, and you must ensure that the thickness of each slice of radish is the same. This is equivalent to practicing fast and radish at the same time. Master the basic skills of the two styles."

It turns out that radish has this purpose besides practicing sewing and carving.

Zhou Can felt a bit like learning to cook no matter what he heard, so he started practicing from knife skills first.

"When you practice cutting radishes, it's best to practice with both hands. There are many surgeries that are more suitable for left-handed operations. Also, the flexibility of the left hand is higher than that of the right hand."

Dr. Xu made another request.

About the left hand is more flexible than the right hand, Zhou Can knows a little bit.

Only those who study medicine know this secret.

Many people think that the right hand is not only stronger than the left hand, but also more flexible, which is actually a misconception.

The strength of the right hand is strong because in our human living habits, there are more opportunities to exercise the right hand to carry heavy objects. The right hand is more flexible than the left hand, also because the right hand is used more than the left hand in life.

For example, we use our right hand to write, use our right hand to hold a tachymeter, and use our right hand to play ball... The more the right hand is used, the more the body depends on it.

Eventually a vicious circle is formed.

The right hand is dominant, and the left hand is secondary.

But in medicine, this is not the case.

The left hand corresponds to the right brain, and the right hand corresponds to the left brain.

There are distinct functional differences between the two halves of the brain.

The left brain determines the logical thinking of people, that is, the rational side. The right brain tends to be artistic thinking, the emotional side.

The two hemispheres of the brain have a cooperative relationship.

The left brain is responsible for language and logical thinking, while the right brain does some work that is difficult to convert into words, replacing language thinking with representations.

After scientific research, it has been found that the right brain controls the important instincts and autonomic nervous system functions necessary for human life, as well as all the information obtained by human beings such as morality, ethical concepts, and laws of the universe.

The left brain stores the information acquired throughout a person's life,

The right brain is more creative, while the left brain is equivalent to a computer with rigorous procedures, which can process various instruction information mechanically.

Therefore, the left hand controlled by the right brain is more flexible than the right hand controlled by the left brain.

It's just that we ordinary people seldom exercise it.

"After get off work today, I will go to the vegetable market to buy radishes to practice my sharp knife."

Zhou Can couldn't wait to practice the sharp knife.

This kind of basic surgical ability with a strong style is not something that the experience point system can help him with.

It can only be acquired through repeated practice.

"I'll go too! Let's go together after get off work!"

Jin Mingxi followed suit.

He seems to be targeting Zhou Can now. I want to make progress with Zhou Can.

"Jin Mingxi, during this period of time, I have watched your surgical ability and made a comprehensive assessment of your talent and character. I think it is okay for you to practice the basic skills of Kuai Dao now, but it is not suitable for Kuai Dao's style."

Dr. Xu's words were like pouring cold water on Jin Mingxi's head.

"Why? Can't Zhou Can also practice quick knife?"

Now that Jin Mingxi has been opened up by Zhou Can, there is a huge gap, and he is already under pressure.

Hearing Dr. Xu say that he is not suitable for the quick knife style really hit him hard.

"First of all, you don't have the calmness of Xiao Zhou. Secondly, you are mature and prudent, and you appear to be very cautious and steady during the operation. So I suggest that you can choose to be steady or refined."

There are no two identical leaves in the world, and so are people.

Everyone is unique, and there will be differences in all aspects such as heart nature, way of thinking, personality, body preferences, etc.

As for the difference in appearance, that's secondary.

"Mingxi, I think what the teacher said is very reasonable, the one that suits you is the best."

Zhou Can was also at the side persuading him.

After working with Jin Mingxi for so long, the relationship between the two is getting closer and closer, and they have a certain friendship.

Zhou Can's name for him also quietly changed.

Called more intimately.

"Okay then! I'll listen to you." Jin Mingxi is thirty-five years old and has a lot of social experience. It is natural to see that Zhou Can and Dr. Xu are sincerely looking after him.

"Doctor Xu, which style do you think is more suitable for me?"

It is about the future and the direction of the main attack, and Jin Mingxi is also afraid of detours.

He was too old to bear the delay.

When people reach middle age, besides family, love, and friendship, the most precious things are probably time and energy.

"Which style is more suitable for you, I can't comment. You can practice cutting radishes with Zhou Can first. When you have a certain foundation, I will observe and observe, and then I will give you a more pertinent evaluation. Maybe there Then, you can make the right choice yourself.”

Dr. Xu thought about it and said seriously.

"Okay! Thank you!"

Jin Mingxi didn't panic this time.

The three returned to the emergency department, and Dr. Xu asked Zhou Can and Jin Mingxi to go to the operating room first. Instead, he ran to say hello to the attending doctors, and asked them to accept some difficult first-level and second-level surgery patients when they admitted patients for surgery.

Director Xie from the surgery department asked the teacher about the crime at the morning meeting today, but was defeated by Director Lou with a few words.

Dr. Xu must seize this favorable opportunity and give his lover more opportunities for surgical exercises.

He could see Zhou Can's progress.

Suturing, ligation, incision, hemostasis, separation, all of them have preliminarily reached the level of attending. Even more powerful than those senior resident doctors in specialties.

It is very necessary to appropriately increase the difficulty of surgery.

Just talking about this matter, Dr. Xu also felt a little evil.

Because Zhou Can's progress speed is really terrifying.

In the end, he attributed it to Zhou Can's excellent comprehension, coupled with his careful guidance, and as many as 20 to 30 surgeries per day. A variety of conditions made Zhou Can's progress speed a bit scary.

In the operating room, Zhou Can changed into the surgical protective clothing and waited for the auxiliary equipment nurse to come in.

He is a little nervous.

What I fear most is Tian Tian's appearance.

But there are only a few nurses preparing equipment in the emergency department, and he has no choice at all.

The ideal is for Tian Tian and Qiao Yu to appear together.

Because Qiao Yu will take the initiative to choose to cooperate with Zhou Can every time. In this way, no one can rob him.

Liu Xia is the instrument nurse for Dr. Xu, and she has already made preparations in the operating room early.

At this time, a pretty figure walked into the operating room.

Zhou Can's eyes lit up, and a happy smile appeared on his face. It's a stroke of luck, it's finally Qiao Yu's turn for the morning shift today.

He hadn't had surgery with Qiao Yu for at least a week. UU reading www.uukanshu. com

She's either on the night shift or the night shift.

After get off work yesterday, Zhou Can also sent her a message via WeChat.

"Qiao Yu, do you have any complaints about me? It's been a long time since I saw you as an equipment nurse for me."

She first responded with an expression of aggrieved and about to cry.

Then tell Zhou Can that the nurse's schedule is not decided by her. Many sisters want to work in the morning shift. She has low qualifications and is just a newcomer, so she can't compete with others.

I didn't expect that she would come today from the message just sent yesterday.

For Zhou Can, he was really overjoyed.

Now his four basic medical skills have all been upgraded to the attending level. As long as he accumulates some difficult first-level and second-level surgery experience, his status in the operating room will rise.

If he can gain the trust of Dr. Xu and perform more than 15 first- and second-level operations alone every day, or even more, he can apply to Director Lou for a relatively regular surgical nurse in due course.

As long as he can really generate income for the emergency department, Director Lou should agree.

At that time, when choosing a nurse for fixed surgery, he will definitely try his best to choose Qiao Yu.

Judging by Dr. Xu's attitude, as long as it is beneficial to the development of Zhou Can's operation, Dr. Xu will strongly support it.

Therefore, the possibility of this being done is quite high.

However, I can't eat hot tofu in a hurry. What I have to do now is to do a lot of first-level and difficult operations, and try to do some low-level second-level operations. Steady and steady, strive to be able to independently cope with primary and secondary operations as soon as possible.

With his learning ability and medical skills, he can achieve it in three or four months at most.

Winning over Qiao Yu as a fixed surgery nurse was only his first step. He also has bigger development plans.

Try to make some dazzling achievements.

Let Director Lou understand that he did not pick the wrong person.

Chapter end