MTL - My Medical Skills Give Me Experiences-Chapter 445 Tenosynovial cyst, recruit a lieutenant

【My medical skills can add experience points】【】

The female patient didn't know what Zhou Can wanted to do. Out of trust in the doctor, she cooperated and remained silent.

However, there was still a hint of pain on her face from time to time.

After pressing for more than ten seconds, Zhou Can suddenly increased his strength.

"Ah yo!"

The female patient screamed in pain.

Zhou Can also let go of her hand in a timely manner.

"Look at the bag in your hand again!"

Hearing this, she raised her arms and looked down.

"Ah... where's the bag?"

There was an expression of extreme surprise on her face, her eyes widened, and she looked at her arm in disbelief.

"This is too amazing!" Luo Shishen also stared at the scene in front of him with wide eyes.

"Could it be that this is a ganglion cyst? It is a benign tumor that tends to occur on the back of the wrist and the popliteal fossa. It can be treated with surgery."

Yang Zhi's knowledge is obviously far superior to that of Luo Shigeng.

The origin of the disease was revealed in one mouthful.

"Doctor, do I still need an operation?" The female patient was surprised and rubbed the spot where the bag was in disbelief.

"Your ganglion cyst should belong to the very friendly category. Judging from my personal experience in diagnosis and treatment, surgery should not be needed. Prescribe some medicine and take it at home, just wipe it on."

Zhou Can said to her.

"Really? That's great! I'm terrified of having an operation. I was thinking about it when I came in just now. If I leave a few ugly surgical scars on the back of my hand, I won't be able to wear short sleeves and skirts in summer."

She seemed overjoyed to hear that no surgery was required.

"When I was queuing outside just now, I heard other patients say that there is a young doctor surnamed Zhou in the emergency department who has very good medical skills. Hearing is believing, seeing is believing. Now I completely believe it. Don't ask me We all know that Doctor Zhou must be you."

The female patient's flattery made Zhou Can feel very comfortable.

"The sea of ​​medicine is boundless and never-ending. I am far from being a medical expert. At best, I have seen a lot of diseases. Your disease is usually a benign lesion caused by soft tissue injury. It is characterized as a benign tumor that grows near joints, tendons, and ligaments. Therefore, although it is pressed down for you now, if you do not pay attention to maintenance, it may grow back.”

Zhou Can explained the precautions to the patient while prescribing her medicine.

Then, amidst the gratitude of the female patient, Ma Xiaolan asked Ma Xiaolan to send her out.

The female patient bluntly said that it was worth waiting for such a long time. It is estimated that she will spontaneously promote the emergency department of Tuya Hospital for a long time.

Especially when she has relatives and friends who need surgery, she will definitely recommend Dr. Zhou from the Emergency Department of Tuya Hospital as soon as possible.

[The novel app that has been running stably for many years, comparable to the old version of the book chasing artifact, the source-changing app used by old bookworms, huanyuanapp]

Ma Xiaolan soon brought in a second patient, a male patient in his thirties who needed to have the sequestrum of the facial bone removed.

According to the left mandibular lateral radiograph taken by the patient, it can be found that the lesion is limited to a certain range, with clear boundaries, and there are a large number of sequestrums of different sizes in the bad bone area.

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【My medical skills can add experience points】【】

This operation needs to carefully avoid the blood vessels and nerves around the lesion, and resect the bad bone and the tissue of the entire lesion-involved part.

The technical difficulty is relatively high and the risk is relatively high, so this is a relatively difficult secondary operation.

This level of surgery is already extremely challenging for the average senior surgical resident. Without experienced surgical experience, it is difficult to complete easily. Generally, it is the attending level who dares to preside over this kind of operation alone.

Zhou Can even has the ability to preside over the third-level ultra-difficult surgery alone. In his eyes, this level of surgery is completely a piece of cake.

"Doctor Yang, if you were asked to perform the operation, where would you choose to have the incision?"

His assessment of Dr. Yang has started again.

Speaking of which, this style of painting is really weird. A low-level resident doctor actually evaluates surgeons at the attending level.

The one who was assessed was naturally happy to accept the assessment.

"This kind of operation is not part of the surgical project of my department, so I am not very professional. But for the safety and convenience of the operation, I will choose to make an incision from the mouth."

Yang Zhi failed the assessment of the first case.

This time, he tried his best.

"Heroes see the same thing! I am also planning to make a small transverse incision in the vestibular groove in the patient's mouth, which is the position."

Zhou Can was obviously satisfied with his answer this time.

"Luo Shishen, remember, when encountering this type of operation, if the patient has symptoms of systemic failure, he must first correct the symptoms of systemic failure, and cut and drain the lesion. Do not operate rashly, otherwise it will easily lead to serious injuries. postoperative complications, leading to rapid progression of systemic failure, resulting in unpredictable consequences."

He patiently taught Luo Shigen the relevant surgical knowledge.

Luo Shishen took out a small notebook and took notes quickly.

A bad pen is worse than a good memory.

Medical students should take more notes and not be lazy. Because there is too much knowledge to learn, if you don’t take notes, even if you remember it at the time, it is very easy to forget it later.

Surgery began soon.

"When the mandibular bad bone has a large area, a conventional submandibular incision should be made instead of being dogmatic, and an intraoral incision should still be made. Especially some female patients love beauty and will actively ask to leave no scars as much as possible, but they cannot agree. We give The first principle of surgery for patients is safety, and only after safety is ensured can we consider aesthetics.”

While operating, Zhou Can taught related surgical contraindications and knowledge.

These are also accumulated little by little by him, constantly comprehended in practice, coupled with the teacher's teaching, and reading more books by himself, so that he has the current strength.

When he mentioned the word sequestrum, he deliberately replaced it with bad bone, which is also a common wording rule in the operating room.

Try not to say words like death, cancer, or finished.

Not only is it unlucky, but if the patient hears it, it can easily cause the patient to panic.

After the mucoperiosteum was cut, the mucoperiosteum flap was opened to expose the sequestrum.

This surgical approach is only suitable for small sequestrum.

If the lesion is very large, it is necessary to expose the sequestrum through a conventional incision.

After exposing the sequestrum, loosen the sequestrum along its edge.

Soon, under Zhou Can's skillful technique, the sequestrum was successfully removed.

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【My medical skills can add experience points】【】

Don't think that the operation is complete at this step, it is still far away.

"After the bad bone is removed, the granulation tissue at the edge and the small bad bone around it should be scraped thoroughly. The lesion must be cleaned up as much as possible to avoid secondary surgery."

Zhou Can's operation was very fast.

After scratching, he took the iodoform gauze drainage strip that Qiao Yu had prepared and filled it into the bone cavity.

"Doctor Yang, can you do the stitching?"

It is definitely more difficult to do intraoral sutures than facial sutures. Suture requirements will also be higher.

Zhou Can is also a bold person with high skills, and directly handed over the rest of the suturing task to Yang Zhi.

According to his thinking, Yang Zhi has been working in the operating room for six years, and if he doesn't have this kind of suturing ability, it means that he is just dawdling.

Because suturing is not only practiced on the patient, but also can be practiced with pigskin and cloth at home.

It might be a little cruel to say so.

Some novice doctors in the advanced critical period, in order to test their suture level, will deliberately make incisions on some experimental animals, such as mice and rabbits, and then suture them.

Although it was done under anesthesia, if the insurance organization knew about this, they would have to complain.

Real knowledge comes from practice.

It is permissible to do some medical experiments on animals.

Including experiments on primates and monkeys, which are also supported by law. As long as the purchase channel is legal.

In addition, after some doctors stitched up mice or rabbits, the wounds healed quite quickly. Then I began to practice on patients with full confidence, but the results were not satisfactory.

That's because humans don't heal as well as these experimental critters.

Some patients have underlying diseases or poor physical conditions, such as old age, poor blood supply, slow metabolism, and limited nutritional supplements, which can easily cause slow healing of the wound after suturing.

Therefore, it is really not easy for human medical technology to develop to this day.

It is definitely not what some people imagined, and it can be achieved by using some animals as experiments. Instead, based on countless clinical accumulations and gradual improvements, the current relatively mature medical system has emerged.

After Yang Zhi took over the patient, he started suturing.

Zhou Can was not in a hurry to call the next patient in, but stood by and watched Yang Zhi operate.

After Yang Zhi finished suturing, Zhou Can nodded in satisfaction.

He gave the patient a doctor's order and asked Ma Xiaolan to send it out.

"Dr. Yang's basic surgery skills are quite solid!"

Zhou Can praised.

Tight sutures should be done in the mouth, and the operation in the mouth itself is somewhat limited, so the requirements for sutures will naturally be higher.

As a result, Yang Zhi did very well.

"You're flattering me! It's just that I have nothing to do at ordinary times, and I have practiced the basic skills of surgery."

The implication is that he is not only excellent in suturing, but also in other basic surgical skills.

At this moment, Doctor Xu came in.

"Teacher, this is Yang Zhi, the anorectal surgery surgeon I mentioned to you. I just asked him to suture the patient's mouth. He is very good." Zhou Can's surgery team must expand new members in advance. Discussed with Dr. Xu.

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【My medical skills can add experience points】【】

Dr. Xu's eyes were very oppressive. When he stared at Yang Zhi and looked at him, Yang Zhi felt hairy all over his body.

But he always hopes to join Zhou Can's surgery team.

Especially after watching Zhou Can treat two patients in a row, I deeply admire Zhou Can's strong surgical ability, and I yearn for it.

He firmly believes that following such an outstanding young doctor, the outcome will not be bad.

"You want to come to the emergency department, does Director Mi agree?"

Doctor Xu stared at Yang Zhi and asked.

"I didn't dare to tell Director Mi about this matter directly, but I just said it twice politely that I was going to leave the anorectal surgery department. Director Mi advised me to persevere twice, but to be honest, I see no hope there. .Although there are fewer doctors in the department and the competition is much smaller, it is not the working state I want. My family conditions do not allow me to struggle on the line of food and clothing. I want to pass continuous accumulation, and one day I will be rated as a deputy high school, and then Have a steady income."

Yang Zhi was frank and frank, telling the actual situation outright.

After listening to Dr. Xu, he asked again, "Do you work to make more money?"

"Being able to have a high income is part of my pursuit, but not all. I hope to improve my medical skills, and I also firmly believe that my strength has improved. If I work hard, my income will not be much worse."

His thoughts should be the thoughts of most doctors.

To say that work is not about making money is nonsense.

We are all human beings, with wives, children, and parents to support. Is it possible to not make money, just rely on hobbies?

This is unrealistic.

"The young man is very honest, not bad! Xiao Zhou, let's continue the operation!"

Doctor Xu's questioning of Yang Zhi came to an end.

During the first conversation, Dr. Xu should be satisfied with Yang Zhi's performance.

He also breathed a sigh of relief.

Dr. Xu is Zhou Can's teacher. If Dr. Xu disagrees with him joining, the matter will probably be a waste of time.

The third patient was quickly brought into the operating room. Zhou Can did not dare to let Yang Zhi do the surgery with the knife. But suturing, hemostasis, pulling hooks and other operations, he was asked to help.

…

I have been busy until after eleven o'clock in the evening, and all the patients have successfully completed the operation.

Zhou Can already had a certain understanding of Yang Zhi's surgical ability, as well as his personality and work attitude.

Overall it's pretty good.

The surgical ability is definitely above the standard, and the working attitude is practical, meticulous and responsible.

It is also very worry-free to communicate.

To put it bluntly, this person didn't play tricks during the conversation, and said what he had to say.

Like the doctor Lu who was sent to prison by Zhou Can, sometimes there may be three scheming hidden in one sentence. Communicating with such people is actually a very laborious thing.

Another point is that Yang Zhi has a strong desire to learn and has a good attitude towards learning.

When he encountered something he didn't understand, he would write it down in a notebook that he carried with him. You can see that many pages have been written in this notebook. It shows that he has always had this study habit.

"Doctor Zhou, Doctor Xu, then I'll go back first. If you need manpower and you think I'm still competent, you can call me."

Yang Zhi said goodbye to the two.

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【My medical skills can add experience points】【】

"I've already ordered a supper, don't worry, go after eating! At least bring one to eat on the way."

Zhou Can said with a smile.

Yang Zhi passed the assessment here. The specifics need to be discussed with Dr. Xu, because it involves transferring people from other departments, and some things are very complicated.

It's true that Director Mi is an honest person, but this kind of person also likes to admit death.

If you poach his corner, it is easy to cause disputes.

If you want to do things beautifully, you must pay attention to the methods and methods of doing things.

"You eat, my wife and children are still waiting for me at home, goodbye!" Yang Zhi was embarrassed to eat with them, and it was his first time dealing with them.

"Bring a portion to eat on the way! When I ordered supper, I included you in ~www.novelbuddy.com~ and the extra was wasted if we couldn't finish it."

Zhou Can quickly picked up a copy and handed it to him.

"You're welcome, Doctor Yang! Our team, Doctor Zhou has always been so generous, and we have always been happy." Ma Xiaolan also interjected to help relieve Yang Zhi's embarrassment.

"Okay! Thanks then!"

Yang Zhi accepted it.

"What's the phone number? I'll write it down so I can contact you conveniently."

Zhou Can took the initiative to ask him for his phone number, which immediately made Yang Zhi look happy.

He is not stupid, only if he has a good impression of him and is willing to recruit him into the surgery team, will he ask him to leave his mobile phone number.

Report the number to Zhou Can immediately.

For this kind of thing, we can only wait for Zhou Can to take the initiative to contact him.

If you don't contact him, this matter will be gone.

After Yang Zhi left, Zhou Can talked with Dr. Xu while eating supper.

"Teacher, what do you think of Dr. Yang? I am quite satisfied with him. Luo Shishen will soon finish his internship and go to participate in the regular training. My team also needs a new helper."

Zhou Can first expressed his opinion to give Dr. Xu a reference.

Regarding the matter of recruiting, although Dr. Xu is required to help make up the mind, it must be based on Zhou Can's opinion.

Dr. Xu is to help him check.

"You can try recruiting in. The old man Mi, who is outside the general public, has to ask Director Lou to say hello, so as not to cause misunderstandings. I will find a chance to talk to Director Lou tomorrow, and I will tell you the result when I have the result."

Doctor Xu is also very optimistic about Yang Zhi.

In the past two months, Zhou Can has actually been looking for medical assistants, but he has never found a suitable one.