My medical skills add experience

Chapter 321 A good start and a good end, some subtle changes
It is likely that Dean Zhu personally explained that she is so respectful to Zhou Can.

A hospital is a small society, and most people are very clever and have good eyesight.Being able to be personally supervised by the dean, the informant naturally dare not treat Zhou Can as an ordinary doctor.

Zhou Can took the materials to the outpatient office of the hospital, and found Yan Lele without a hitch.

The data entry of visiting doctors is stricter than imagined.

While processing, his cell phone rang again.

Looking down, I found that it was Director Zhang from Xinxiang Women's and Children's Hospital.

Presumably it was to correct the deformed hands of the little boy.

"Hello, Director Zhang!"

"Doctor Zhou, I wonder if you have time at 11 o'clock this morning? I am going to perform corrective surgery on that child in the morning."

"Okay, I'll come right over!"

Zhou Can was very happy when he heard that the operation was finally arranged.

That child, and the family behind it, have always been in his heart.

A good beginning, he wants to have a good end.

After completing the procedures for opening the clinic number, Zhou Can hurried to Xinxiang Maternity and Children's Hospital.The distance is quite far, and it takes more than 50 minutes by taxi.It was nearly eleven o'clock when he arrived.

All the way quickly rushed into the office of pediatric orthopedic surgery.

"Doctor Zhou is here!"

In the office, Director Zhang, the five-year-old boy, and his family members were all there.Seeing Zhou Can appear, the little boy's father immediately stood up and greeted Zhou Can with a smile.

The little boy was still extremely autistic, with his head bowed and his hands hidden in his sleeves.

"Director Zhang, how are you getting ready?" Zhou Can nodded to the family members, then turned to look at Director Zhang.

"I have already talked with the family members just now. He said that he believed in Dr. Zhou, so that we can rest assured about the operation. The other preparations have been done, and we are just waiting for your arrival."

Hearing Director Zhang's words, Zhou Can was a little moved.

The trust of his family members made him more determined to make this operation a success.

……

In the operating room, Director Zhang and his surgical team are ready to take their positions.General anesthesia is not usually used for this kind of surgery, but brachial plexus anesthesia is more common.

"Come, let me come!"

Zhou Can took the initiative to perform brachial plexus anesthesia for the patient.

"In order to save the operation time, can we separate and operate on the patient's two hands at the same time?" The main thing to do today is to loosen the subcutaneous band and free skin grafting.

"If you have no problem, it is better to have surgery at the same time." Director Zhang has not seen Zhou Can's surgical ability with his own eyes, so he is somewhat worried.

"I'm perfectly fine. If there's something I'm not up to, I won't be pushy."

Zhou Can also anesthetized the boy's other arm.

After a while, the anesthetic took effect and the boy no longer felt pain in his hands.

"Little friend, we will correct your hands so that you can be like other children. Don't move around!"

Zhou Can knelt down to comfort the little boy, and then put a cloth on the little boy's eyes.

The purpose of this is to prevent children from seeing the blood and blood during the operation and feel scared.

Some people may think that general anesthesia can be given to the child to prevent the child from moving around during the operation.

Because children are not like adults, they are naive and ignorant, and they don't think about the consequences of tampering.

In fact, what kind of anesthesia is adopted is not something that doctors can decide at will.

General anesthesia is the highest level of anesthesia, and the requirements are extremely strict.

Anesthesiologists need to make a preoperative evaluation before deciding whether to use general anesthesia.Even spinal anesthesia for lower body anesthesia has extremely strict evaluation standards.

Local anesthesia can be used, but doctors will never use general anesthesia lightly.

Not only to help patients save costs, but also to minimize risks.

Also, local anesthesia also has risks.

There are many cases of death caused by brachial plexus anesthesia in the hospital, almost every year.

Needless to say, hemp.

Some patients could never wake up after anesthesia, became a vegetative state, or died of systemic organ failure for unknown reasons.As for cardiac arrest and respiratory arrest during general anesthesia, that happens from time to time.

Any surgery has risks.

Before the operation, the doctor asked the family members to sign the consent form for the operation. It was really not too timid and cautious.

It's because doctors have seen surgical accidents, and they know the risks.

"let's start!"

Zhou Can and Director Zhang performed surgery on the patient at the same time.

It is not uncommon for two doctors to operate at the same time.Sometimes even three or four doctors operate on patients at the same time.For example, if this patient needs skin grafting, it must be a piece of free skin from his own body and planted on his hand.

One doctor takes the skin, and one doctor is in charge of the hand surgery, which saves a lot of time.

They are different again this time.

The two are each responsible for the correction of one hand.

I saw Zhou Can quickly loosen the subcutaneous band for the patient's left hand.The patient's hands are slightly shaped like chicken feet, partly due to the deformity of the skin fascia layer.

There is a shortage of skin, which needs to be solved with a flap after transplantation.

If the subcutaneous fascia band is abnormal, it needs to be improved by surgical release.In addition, the skin of the hand is quite special. The skin on the palm and the back of the hand are two concepts, and the palm belongs to thick skin.

For example, under normal circumstances, skin grafting first considers taking skin from the thigh.

Because the skin in this area is wide, and leaving scars will not cause too much trouble to the patient's future life.

But this operation is not acceptable, what needs to be taken is a full-thickness skin graft.

Zhou Can's operation is not only fast, but also has very little blood loss, and the quality of the operation is excellent.

The surgical incision was smooth enough to make Director Zhang, the chief physician, feel inferior.

Originally, Director Zhang was still worried about whether Zhou Can could complete the initial surgery for skin and fascia deformity.

Seeing Zhou Can pick up the scalpel and operate it like a tiger, he was so scared that his heart almost jumped out.Until it was discovered that Zhou Can had completed a number of surgical operations in a very short period of time, whether it was freeing the cortex, loosening the thong, or stopping the bleeding, all of them were wonderful.

What kind of regular Peisheng is this!
He is clearly a proper surgeon.

Director Zhang has begun to doubt life in his heart.He didn't dare to look any further, otherwise Zhou Can would have finished the operation later, and he would still be freeing his cortex, and there would be no place to put this old face.

……

The degree of deformity and deformity of the patient's two hands are not the same.

The specific plan of the operation was discussed in detail between the two before the operation.Therefore, there are no methodological obstacles when operating at this moment.At most, it is a question of whether the technology can meet the standards.

The left hand that Zhou Can is in charge of needs to be completed in three to four times.

Today I mainly deal with the problem of the inability to abduct the thumb and the serious flexion of the palm.

At the stage of metacarpal osteotomy, he humbly consulted Director Zhang, and finally successfully completed the improvement of the metacarpal joint.The next step is skin grafting to complete the improvement of the skin shortage on the palm.

Nearly an hour and a half later, Zhou Can has successfully completed the first stage of surgery on his left hand.

The sutured left hand now seems to have undergone earth-shaking changes.

The palm can already maintain a better flat posture, and the thumb is no longer tightly buckled on the palm.The problem of the narrow mouth of the tiger has also been cured.

The patient's fingers still had some degree of deformity.

This needs to be corrected at the next surgery.

Then the patient's thumb cannot be put in place in one operation, and a second operation is required to restore most of its activities.

Overall, he is very satisfied with the results of the operation at this moment.

I look forward to the patient's metacarpal bone growing well before undergoing the next operation.

This time will not be too long, it is estimated that it will be about two months at most.It will depend on how well the child recovers.

The operation on the left hand in charge of by Zhou Can has been completed, but the operation on the right hand in charge of Director Zhang is only half done.

Not everyone has Zhou Can's operation speed.

He went to help.

Later, Director Zhang discovered that Zhou Can was highly skilled in hemostasis, suturing, and freeing the cortex.

He simply changed his role and became Zhou Can's assistant.

After more than 40 minutes, the operation was successfully concluded.

Zhou Can looked at the patient's hands after surgery and smiled with satisfaction.His bone fracture surgery directly increased more than 200 experience points.

The system rewarded him twice with 100 points of experience in osteosynthesis.

The first time was the osteotomy and reattachment of the metacarpal bone of the left hand.The second time was right hand bone and joint correction.

These are all highly difficult orthopedic surgeries, Director Zhang is on the side to guide, and he will perform the surgeries.The gains are huge.

"Not bad! Really good! Looking at his hands, I am very happy in my heart. It is exactly the effect I want to achieve. It is even better than the first operation I expected."

Director Zhang looked at the patient's hands and smiled with satisfaction.

Zhou Can is also full of a sense of accomplishment.

It's like looking at a work of art done by a novice.

"I have to go back to Tuya to work in the afternoon, so I'll leave first!"

Zhou Can said to Director Zhang.

"It's already past the time for lunch. I've already ordered the meal, and I'll leave after eating! Otherwise, the extra lunch box will be wasted."

Director Zhang has been operating here with Zhou Can, and he didn't see him call to order a meal.

It appears that this was pre-booked before surgery.

Really caring.

The patient needs to be hospitalized for treatment. With this appearance, it is definitely not safe to let him go home to recuperate.

Outside the operating room, the child's father was waiting anxiously.

Seeing that the child was brought out, he immediately went up to ask about the situation, and before he could open his mouth, he was already staring at the child's hands.

"It's flat, the palm is already flat. The thumb is no longer clasping the palm. Great!"

He was so excited that he muttered to himself, great joy filled his entire face, and then spread to his whole body little by little.

His rough hands were tightly clenched into fists, his face was already glowing red, and his body was trembling uncontrollably.

"Thank you doctor! Thank you doctor!"

He thanked Zhou Can, Director Zhang and others repeatedly.

"Your son's first-stage surgery was successfully completed, not only because of our doctors, but also because of the nurses!"

Zhou Can smiled and defended the nurse.

"Hehe, I'm just a rough person, don't be used to beautiful nurses. Thank you, thank you every doctor and nurse, you are the angels of my family, you saved my family..." As he spoke, a man's voice Become choked up, unable to speak.

I have only experienced the painful experience of the separation of my wife and children. I have seen my son who is over five years old and still unable to go to school like a normal child. The child is autistic, introverted, and extremely inferior.

It's definitely not a good feeling to be a father.

Presumably his heart has been dark in the past few years, especially the few years after his wife ran away from home.Not a ray of light in sight.

Now the doctors and nurses have corrected part of his son's hands through hard work, allowing him to see the dawn of hope.Life is no longer dark, and he has regained the courage and confidence in life.

As long as people have hope, they will not despair, and life has a purpose.

In a small conference room, Zhou Can, Director Zhang, and several doctors and nurses who were operating together were sitting in it eating boxed lunches.

It is the most common box lunch, but they eat it very deliciously.

Zhou Can himself performed extremely well in the operation, not inferior to the chief surgeon at all.Whether it's a nurse or a doctor, they all have admiration for him in their hearts.When the family members thanked, Zhou Can said a fair word for the nurses.

Let this group who have been working hard in silence but rarely get the honor and praise they deserve feel valued and respected for the first time.This also made them have a little more affection and respect for Zhou Can.

During the meal, Director Zhang talked with him more about surgery.

The nurses were cheerful and took the initiative to chat with him about other topics.

For example, ask him, "Dr. Zhou is so young and promising, so he must have a very high status in Tuya Hospital, right?"

Before Zhou Can could answer, a nurse rushed to answer, "The status must be high! They Tuya gave Dr. Zhou a seat for the expert consultation activity this time? Only experts are qualified."

Zhou Can had no airs, chatting with these young and lively nurses one after another.

The atmosphere is harmonious and enjoyable.

He also became acquainted with these doctors and nurses in the orthopedic surgery department.

"Okay, I'm done eating! Thank you, Director Zhang, for your expense, and thank you for your cooperation. I have to go back to work at Tuya Hospital! Goodbye!"

Zhou Can waved to them.

"Director Zhang, remember to notify me of the child's next operation!"

"I will definitely invite you to come over to host, you are the absolute main force! By the way, can I pay you your medical expenses when the time comes?"

Director Zhang didn't shy away from it, and directly talked about it in front of everyone.

Ask someone to come over to help with the operation. It would be better if it is a doctor from this hospital.

Doctors in other hospitals usually give red envelopes directly.

"What do you want for a doctor's visit? Can you guide me to complete those difficult osteotomies, osteosynthesis, and bone and joint correction operations? Money can't buy these at all. I just came here for an operation, as a volunteer, and to learn skills. .”

Zhou Can smiled and waved his hands.

"I have to give, I have to give. If you didn't come to help, today's operation would not be completed in six or seven hours. Besides, you helped solve the major problems in the operation plan. We are called Learn from each other. Your suture technique and the technique of free skin flaps have made my eyes and ears the same, and I have also learned a lot from it."

Director Zhang has grown sympathetic with him here.

"Haha, you are the most modest chief physician I have ever met. Let's go!"

Zhou Can didn't bother with this topic any more.

If someone insists on giving it, then accept it.

Sometimes, being too polite will make the relationship between each other strange and estranged.

Interests are always the best bond between adults.

Friendship definitely exists.

It's just that the world of adults must be based on interests.Even if Zhou Can and Li Luo are such strong buddies, in the face of major interests, friendship will definitely not take up all the weight.

……

Zhou Can returned to the Department of Gastroenterology of Tuya Hospital. As soon as he entered the department, Director Shang called him over to help.

Several difficult and serious cases were newly admitted to the ward.

Director Shang seemed to leave it to him on purpose.

There is such a senior doctor, there is nothing to say, roll up your sleeves and do it.

Zhou Can gnawed hard bones and was never afraid.

If you really want to improve your medical skills, in addition to the usual accumulation, it is also necessary to diagnose such difficult cases.

After returning from the expert visit this time, Zhou Can found that his status in the Department of Gastroenterology had risen significantly.

He couldn't say exactly.

Anyway, the attitude of other colleagues towards him, as well as his weight in the department, have obviously become different from before.

Doctor Chi had looked at him several times, and his attitude towards him had always been quite friendly.

Now there is a trace of inexplicable and unclear respect.

Saying respect may be a bit too much.

Respect might be more appropriate.

There is also Director Zheng Hongtao, who dares to compete with Director Shang.Since that misunderstanding was resolved, Zheng Hongtao was still polite to Zhou Can.But this is also based on interests, because Director Zheng's group encounters difficult cases and sometimes cannot solve them, so they need to ask Zhou Can for help.

To put it bluntly, it is because of the need for interests that he is polite to Zhou Can.

Even so, when he saw Zhou Can, he was showing off his qualifications as a veteran, and he yelled at each other very naturally.

Regardless of age or seniority, Director Zheng called Zhou Can Xiao Zhou, and there was nothing wrong with that.

Zhou Can also accepted it frankly.

After returning this time, Director Zheng never called Xiao Zhou again.Every time he smiled and called him Doctor Zhou very politely, which made Zhou Can feel a little uncomfortable.

In addition, when Zhou Can manages patients, if he needs to give medicines to the patients, as long as he tells him, the nurse station will give him priority immediately.

All the subtle changes in the details made him clearly realize that his status had indeed risen.

(End of this chapter)