My Medical Skills Give Me Experiences

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"Doctor Zhou, Doctor Zhang, pay attention to my reset technique!"

After Dr. Fu touched the patient's temporomandibular joint, his face was slightly dignified.

If the operation is not too difficult, he will definitely let Zhou Can do it.

Now I find that the situation is not very good, and the patient is not very good at talking.

He can only do it himself.

"Come on, sit with your back against the wall and your head against the wall."

Doctor Fu guides the patient to sit down.

"Yes, that's it! Keep this posture and don't move."

After the patient sat down, Dr. Fu asked the nurse to fetch two pieces of clean gauze. Then wrap the thumb and insert it into the patient's mouth.

"Attention, when repositioning, the thumb clasps the patient's posterior masseter muscle. This is the position."

After Zhou Can and Dr. Zhang saw it clearly, he put his four fingers on the lower edge of the mandible.

"Hold it with your fingers, and then slowly press down on the lower jaw. Remember, press down and back. While operating, you should also lift the patient's chin up, just like holding a bowl of soup."

This metaphor is really vivid.

Zhou Can concentrates on studying.

Carefully comprehend the key points of the operation and the intention of each action.

"Have you seen my operation clearly?"

"See clearly!"

Zhou Can and Dr. Zhang nodded at the same time.

"Very good! You relax, relax again! Yes, that's it!"

Seeing that the time was ripe, Dr. Fu gently pushed back. There was a slight bone-cracking sound.

Immediately afterwards, Dr. Fu quickly pulled his finger out of the patient's mouth.

"It's that simple! After helping the patient reset the joint, you must quickly withdraw your hand to prevent being bitten."

When the patient's temporomandibular joint is dislocated, he cannot bite.

After the reset, the patient is prone to bite the doctor's hand by virtue of inertia and instinct under the pain.

Zhou Can understood it.

The patient tried to open and close his mouth, and a very happy smile appeared on his face.

"Haha, it's really good, it's good! Haha... uh uh uh..."

The patient just laughed a few times, and his jaw dislocated again.

This scene stunned several doctors and nurses.

"Dislocation will cause the joint to loosen. You can't laugh or open your mouth wide after the manipulation is reset. Just after you reset it, it fell off again. What can I do?"

Doctor Fu was very speechless.

I have never seen a patient who can do it like this.

"Doctor, we usually buy a mobile phone, a TV, etc., and if there is a problem, we can enjoy the three-guarantee policy. My brother has just finished treatment and has not yet left the treatment room. You have to be responsible!"

The patient's younger brother is about forty years old. Instead of looking for problems from his elder brother, he directly moved out of the three-guarantee policy for home appliances.

It was obvious that he wanted the doctor to treat him again for free.

In fact, there are not many such cunning family members.

As long as money is involved, they can be sloppy and will never be polite to doctors.

"It stands to reason that he has been successfully reset just now. You should register and pay again for another treatment. I think it is not easy for you two, so the treatment fee will not be charged extra, and the consumable fee will be paid. No Question?"

Dr. Foo gives the utmost care to his patients within the scope of his ability.

"That's no problem, thank you doctor."

After hearing this, the patient's younger brother smiled with satisfaction.

Thank you again and again.

Tell him to take another film and pay the treatment fee again, it will definitely turn the world upside down.

"Doctor Fu, can I do the operation this time?"

Zhou Can watched and studied the whole process just now, thinking that he had already comprehended the key points.

Right now is an excellent opportunity to practice mobile phones, he wants to strike while the iron is hot and combine learning with practice.

"OK!"

Doctor Fu readily agreed.

The family members were a little reluctant and said, "Is this young doctor okay? Don't break my brother."

"Don't worry, he is the best young doctor in our department, no problem at all."

Doctor Fu put gold on Zhou Can's face.

The family didn't say anything more.

Zhou Can imitated the example. After the patient sat down, he reset the patient according to Dr. Fu's operation.

I saw him hold the patient's jaw and gently push it under the extremely distrustful eyes of the patient and his family.

The sound of bone cracking sounded again.

The temporomandibular joint was successfully repositioned again.

"Works very well!"

Doctor Fu praised him greatly. Zhou Can's learning ability and hands-on ability are indeed the strongest he has ever seen.

After the patient was cured, he dared not laugh again.

Learn your lesson and be careful.

Doctor Fu immobilized the patient's jaw with gauze, explained some precautions, and prescribed medicine. The patient was sent away.

In the following days, although Dr. Fu didn't say anything, he obviously relied more on Zhou Can.

Zhou Can got soft hands for various bone-setting and reset training opportunities every day.

The level of bone setting reduction is getting better and better.

Fulfilling days always pass very quickly.

In the blink of an eye, Zhou Can's regular training in orthopedic surgery was over. His bone-setting skills are now approaching the average level of a resident doctor.

The orthopedic surgery department gave him excellent training evaluation.

He was also the only one among the eighteen Gui Peisheng who received this evaluation.

After get off work, Zhou Can went to the pharmacy to buy an old ginseng.

He definitely can't afford that kind of one hundred thousand, four hundred thousand.

I chose the 3,000 gear.

After buying it, wait at the exit of the staff parking lot of the hospital.

Not long after, Dr. Fu came out driving a white Honda.

Zhou Can hurriedly waved his hand to stop him.

"Does Doctor Zhou want to give me a ride?" Doctor Fu asked with a smile.

Zhou Can opened the co-pilot's door and sat in directly.

"Isn't this the end of the orthopedic surgery training? I'm going to the neurosurgery training tomorrow, and I'm afraid it will be difficult to see you again in the future."

After completing the training in orthopedic surgery, his next stop is neurosurgery.

This was not arranged by himself, but by the hospital.

"Haha, you have been with me for half a month, did you get emotional?" Dr. Fu drove the car slowly out of the hospital.

It is unimaginable to block the entrance of the parking lot.

None of the hospital staff dared to do such a frenzied thing.

"I'm not afraid that you are disgusting. I really have such a trace of affection. It's just the two of us, and I don't beat around the bush. When I was first transferred to the orthopedic surgery clinic, I was like an abandoned baby. You didn't avoid suspicion and asked me to learn bone-setting techniques from you. The kindness is very heavy. It is said that adding flowers is easy, but giving charcoal in the snow is difficult. I see that you have a lot of gray hair on your temples, and you must have worked very **** weekdays. This old ginseng is my little care, and I hope you don’t dislike it.”

Zhou Can took advantage of the opportunity and put the old ginseng in the glove box next to the main driver.

"Oh, why are you giving such a valuable thing? Take it back quickly. I'll accept your wish."

Doctor Fu repeatedly refused.

"It's not worth a lot of money. I heard that old ginseng can replenish lean energy. I have no other intentions. I just hope that a good doctor like you will always be young. It can benefit more patients and bring out more new doctors."

Zhou Can put a lot of thought into giving gifts.

For more than half a month, Dr. Fu has taught him almost everything.

Even if he opened a clinic, the bone-setting techniques he had learned would be enough for him to use for a lifetime.

Sending him an old ginseng should be a good way to express his gratitude.

"I live in the dormitory of the hospital. It's just right to get off in front of me. Please stop."

The gift Zhou Can should give and the words that should be said have been finished.

Get out of the car immediately.

"If you have time in the future, if you want to practice bone-setting reduction techniques, you can come to the manipulation reduction room to find me at any time."

Dr. Fu stepped on the brake slowly on the side of the road.

The old ginseng sent by Zhou Can has achieved very good results.

At least, Dr. Fu knew that he was a sensible person.

"That's what you said. Only half a month of regular training in the manipulation reset room is definitely not enough to learn. If I have time, I will really go to the manipulation reset room to learn from you."

Zhou Can was overjoyed, and hit the snake with the stick.

It seems that the seniors are right, what is knowledge and courtesy? It is not enough to just know how to read, you have to know how to give gifts to get the appreciation of your superiors. Like a duck to water.

At least this old ginseng was sent right.

"Haha, no problem. You are such a good helper, and I welcome you at any time. As long as you come, I will give you everything I have." Dr. Fu stopped the car, and Zhou Can opened the door to get out of the car.

"On the day you were transferred to the orthopedic surgery clinic, Director Shen actually greeted me, Dr. Chi, and Dr. Shan, asking us to take more care of you, so as not to waste a talent."

Dr. Fu revealed another thing that made Zhou Can feel very heart-warming.

Hospitals are not all about intrigue and competition for interests.

There are still many doctors with a conscience.

"Another day, I will thank Director Shen well. Thank you for telling me about this."

Zhou Can waved his hand.

"Drive slowly and be safe! Goodbye!"

After closing the car door and watching Dr. Fu's car drive away, Zhou Can smiled and turned to leave.

There are many doctors who have basically lost contact with the superior doctors in the department after the training is completed.

On the one hand, I have low self-esteem, and I dare not communicate with the superior doctor. On the other hand, most of the senior doctors are aloof, and it is impossible to be kind to every Gui Peisheng.

Zhou Can is both outstanding and humble. It is not surprising that he is loved by many superior doctors.

Those who really engage in medical research are rarely as calculating as Director Xie.

Because in Tuya Hospital, doctors with a little ability will not have low income.

When they meet some good seedlings, they like them from the bottom of their hearts.

Zhou Can has currently trained two departments.

Needless to say, the emergency department has been appreciated by Director Lou and Dr. Xie. This time I went to Orthopedic Surgery for regular training, and got the love and care of Director Shen, Dr. Fu, Dr. Shan, Dr. Chi and others, and established friendship.

His network in the hospital is quietly expanding little by little.

This will definitely be of great benefit to his future development.

…

The next day, Zhou Can and Jin Mingxi reported to the neurosurgery department together.

"Old Jin, our fate is really not shallow! We took the training exam together, entered the emergency department together, and the rotating departments are so similar."

Zhou Can laughed and joked.

"Hehe, it is indeed fate. The time for this orthopedic surgery training is too short. It would be great if I had the opportunity to learn more deeply from doctors in the field of joints."

Jin Mingxi complained.

"Guipui wants to master all fields, so you dare to think. We are very lucky to be able to enter the operating room. I want to learn surgical knowledge and advanced theories about bones and joints, and I want to become a resident doctor. After that, you can directly apply for advanced training in orthopedic surgery!"

Zhou Can gave him a trick.

From the current point of view, Jin Mingxi should have planned the development direction.

"Hey, have you decided on an area of ​​specialization?"

Zhou Can asked him.

"Well! I thought about it last night." Jin Mingxi nodded. "When I first joined Tuya, I still thought that I could learn a certain level of medical skills in every subject, and strive to be a general practitioner. During the three months in Tuya Guipei, I opened my eyes and understood I have learned a lot. A person’s life is limited in energy and talent, not to mention proficiency in all subjects, but it takes a whole life to do well in a subdivided field.”

The fact that Jin Mingxi has such a high awareness shows that in the past six months, both knowledge and medical knowledge have improved a lot.

"You're right if you think so! Tell me, which field are you planning to focus on?"

Zhou Can asked with a smile.

"Surgery!" He answered in four words.

"I have a good talent in surgery. However, my education is not high, and it is almost impossible to enter internal medicine with regular training, and the conditions are limited. Focusing on surgery is the only way out."

He should have summed it up deeply.

Reality forced him to make the most rational choice.

"I think it's a good choice for you to choose surgery. At least after work every day, I can't sit still and practice the basic skills of stabilizing the knife. You can persist every day, which shows that you are good at this aspect. I'm interested. However, surgery is also subdivided into many disciplines. From what you said, I still haven't given up on the idea of ​​becoming a general practitioner!"

Zhou Can has a medical experience point system, so he can't say that he is sure to be a general practitioner.

Jin Mingxi may have to bow to reality again in the future and narrow his main field of attack.

"Anyway, I gave up on internal medicine. As for which sub-fields surgery should specialize in, I will talk about it later. I can only take one step and see one step."

While the two were talking, they had arrived at Tuya Neurosurgery.

This time, I found the doctor's office without much trouble.

The old process, fill in the form first.

Guan Guipei's doctor is Liu Yongquan, a middle-aged doctor in his early forties. He is tall and thin, with a lot of fine hair on his face and hands, which is slightly yellow. Like a human being whose evolution has not been successful, it still has the characteristics of an ape.

"Fill it out carefully. There are a total of 20 regular trainees this time. You will be divided into two groups, and you will take turns to complete the standardized training in the inpatient department and the operating room."

Generally speaking, Gui Peisheng, who has not obtained a medical license, rarely arranges outpatient clinics.

Theoretically, after graduating from medical undergraduates, it basically takes a year and a half to obtain a doctor's license. This is still the case of being able to pass the exam successfully once.

Shenwai is recognized as a top department and belongs to the ceiling of surgery.

Surgery is known for its high precision.

Its operation volume is not as large as that of orthopedics, but its revenue generating ability is not weaker than that of orthopedics.

The cost of treating an aneurysm at will is hundreds of thousands.

During Zhou Can's internship, he encountered an unlucky patient with four aneurysms and a total cost of more than 540,000 yuan.

Diseases treated in the Neurosurgery Department are broadly classified into the following bone types.

Brain injury, such as skull fracture, brain contusion, cerebral hematoma, etc.

Many people think that craniotomy is a matter of orthopedic surgery, but in fact, it is too despised orthopedic surgery.

Orthopedic surgery mainly deals with bone trauma, joints, and ligaments. If you ask orthopedic surgery to open the chest and craniotomy, it is equivalent to asking elementary school students to complete the problems of college students.

It's so hard to be human.

The second category is vascular disease. Aneurysms, arteriovenous malformations, etc.

The third category, functional diseases, trigeminal neuralgia, glossopharyngeal neuralgia, epilepsy, convulsions, etc.

It is not difficult to see from this that the top departments are actually closely connected.

Orthopedic surgery involves spine, cervical spine and other parts accompanied by nerves, and neurosurgeons are required to perform joint operations.

When dealing with some vascular diseases, it is also possible to ask surgeons from other departments to help.

When treating functional diseases, if you are not sure, you have to ask doctors in neurology and urology for help.

Therefore, the field of medicine has never had a truly independent discipline.

There are intricate connections between disciplines.

"I've filled it out, right? Next, I will randomly assign work tasks to you. Twenty people, each in a group of two, are responsible for dozens of beds. The total number of beds in our neurosurgery department is 125, including four intensive care rooms. room with 20 beds. For the time being, you only need to be responsible for 105 ordinary beds.”

The number of neurosurgery patients is relatively small.

But the hospitalization period is longer.

In general surgery, many patients can be discharged after only two or three days of hospitalization. Neurosurgery, I was very lucky to live for ten days and a half months.

"For the beds you are in charge of, if the patient has not been operated on, then you have to follow up. Then when the patient is operating, you can follow the patient into the operating room to gain the opportunity to observe and learn. As for whether you can get the opportunity to get started, it depends on whether the surgeon is willing or not. Decentralization to you~www.wuxiax.com~ There are obvious differences in the planning and training mechanisms of different departments.

Shenwai's requirements for Gui Peisheng are one-stop follow-up.

From admission to discharge, follow up and be responsible for the entire hospitalization period.

This is actually pretty good.

It is easier to assign responsibility to people, and the management will be more refined.

"A special reminder, inpatients in neurosurgery, even if they live in ordinary beds, must not be taken lightly. Danger may occur at any time. If something happens, the bed doctor, receiving doctor, and department director will all be unlucky, but Gui Peisheng, who is in charge of that bed, can't escape. The punishment practice of our department is to disqualify the regular training at the lightest."

Dr. Liu Yongquan was very serious when he spoke.

What he said made every Gui Peisheng feel great pressure.

Cancellation of qualifications for regular training basically means the termination of one's career.

That is, they have zero chance of trial and error.

"Zhou Can and Jiang Xiaohua are in the first group, in charge of beds 21-31. Jin Mingxi and Chen Hao are in the second group, in charge of beds 32-42..."

The number of general hospital beds is 105.

The first five groups are responsible for 11 beds each.

The workload is slightly heavier than the group behind.

It doesn't matter to Zhou Can, an extra bed is actually a good thing in his opinion.

It means one more chance to exercise in the operating room.

He has already raised many advanced medical skills to above the level of a resident doctor, and he has a very high talent in nerve anastomosis. If Director Xie stopped suppressing him, maybe during the two months of regular training outside the gods, he would be able to get a lot of opportunities to get started.

In short, he is quite confident.