Chapter 101: Almost killed, here comes the opportunity to add insult to injury

Author: Jiangbian Yuweng

Chapter 101: Almost killed, here comes the opportunity to add insult to injury

The fact that the level of his first orthopedic surgery is so low may be related to his lack of any foundation in orthopedic surgery.

Dissection and anastomosis are level three as soon as they are obtained. That is because they are advanced medical skills derived from the basic surgical skills of incision, suturing, and ligation.

He does not have any surgical foundation for osteosynthesis.

He was able to successfully set bones in the first time. One reason is that he is very talented, and the other is that he is connected with all the methods in the world. His four basic surgical skills are already at the attending level, allowing him to understand by analogy.

When setting bones, he is definitely much stronger than a real novice.

"Orthopedics is an unavoidable hurdle in surgical skills, and there are many application scenarios. Now that I have acquired this medical skill, it would be good to find opportunities to improve it little by little."

Zhou Can is a person who always likes to prepare for a rainy day.

Instead of asking for help when performing surgeries in the future, it is better to find ways to learn more medical skills.

The field of surgery is very finely divided, and there are few general doctors.

Complex surgeries often require joint operations from multiple disciplines.

For example, if the ribs are completely broken and there is a risk of puncturing the heart or other important organs, thoracotomy and fixation surgery may be required.

At this time, cardiothoracic surgeons and orthopedic surgeons often work together.

Every time Zhou Can adds a new medical skill, he will have fewer opportunities to ask for help when performing surgeries in the future.

Moreover, various medical skills are inextricably linked and complement each other. Learning a few more medical skills will also be of great benefit to improving his comprehensive medical skills.

…

"Teacher, do you think the joint of the phalanges is okay?"

"Well, the connection is very good, hurry up and complete the subsequent surgery part!"

Doctor Xu nodded with satisfaction.

It's very good to be able to pick it up so well for the first time.

In replantation surgery of a severed finger, reattaching the patient's finger bone is only the first step of the operation.

The next steps of tendon suturing, blood vessel anastomosis, and nerve anastomosis are all difficult. If any step is not done well, the replantation operation of the severed finger may fail.

Fortunately, Zhou Can is fully capable of doing them well.

Tendon suturing mainly tests the two medical skills of suturing and ligation, as well as related knowledge of tendon repair.

A resident doctor with an intermediate level can be fully qualified for this job.

Zhou Can's two medical skills are all at the attending level, and they are enough to sew severed tendons very well.

Nearly forty minutes later, the tendons and blood vessels were all anastomotic.

After the blood test, in less than thirty seconds, a trace of redness appeared on the tip of the severed finger.

Perfect.

Doctor Xu was very relieved when he saw this.

He smiled and went back to work.

Zhou Can continued to complete the subsequent nerve anastomosis and skin suturing for the patient.

After more than an hour of hard work, the replantation of the severed finger was finally successfully completed.

He also earned more surgical experience points.

I also gained a skill in orthopedics.

This steady improvement feels great.

The growth of a famous doctor is just like this, step by step, accumulated through countless surgeries and rescues, diagnosis experience, and continuous learning.

The operations continued one after another.

Tian Tian still chatted with Dr. Lu and Li Shishi from time to time.

She wanted to chat with Zhou Can, but unfortunately Zhou Can was serious about his work and didn't pay much attention to her at all.

After being bored a few times, she changed the target of the chat.

Around three o'clock in the afternoon, a surgical patient came in who needed sutures for trauma. He had a broken jaw and a laceration. He was very young, only nine and a half years old. He was a boy.

There are still wet tears on his face.

Children of this age are in the naughty stage when they go to the house to lift roof tiles and go to the ground to play in the mud.

It is common to fall down and get injured while playing and playing.

Considering that the person being sutured is a face and a child, the requirements for suturing are relatively high.

Dr. Xu handed the patient over to Zhou Can.

Dr. Lu's suturing was too sloppy, and if it left an ugly scar on the child's chin, it might affect the child's life.

Zhou Can learned the seamless suturing method from Dr. Xu very early on.

In the past, I couldn't try it because my suture skills were low.

Since his suturing level was upgraded to the attending level, he began to look for opportunities to try the seamless suturing method.

After practice and many consultations with Dr. Xu, he has been able to do quite well.

After Zhou Can accepted the operation, he first checked the child's examination report.

No bones were injured, just skin trauma.

not bad.

The amount of bleeding was not large, indicating that no larger arteries were injured.

This surgery can only be regarded as a very minor debridement surgery.

Tian Tian and Li Shishi were chatting happily.

I don’t know why she is so happy today?

She said she would be able to take the intermediate nurse exam this year and she had great hopes.

Generally speaking, the promotion of nurses is different from that of doctors. After graduation, you can work for one year to take the junior nurse exam. After getting the junior nurse certificate, you can work for four years to take the intermediate nurse exam.

She said that she can take the intermediate nurse exam next year, which means she has been working for at least five years.

No wonder Qiao Yu was bullied to death by her.

"Local anesthetic!"

Zhou Can had to remind her.

"OK!"

Tian Tian agreed with a smile, quickly mixed the anesthetic, and handed it to Zhou Can, who was carefully examining the child's wounds.

Because there was a lot of blood at the wound, some of which was clotted, it was impossible to see the specific condition of the wound.

The best suture plan can only be formulated after the wound is anesthetized and the wound is cleaned and disinfected.

Zhou Can casually took the prepared anesthetic and injected it around the child's chin wound.

With his attending-level injection techniques, he is probably better at administering local anesthesia than most attending doctors.

Not long after the injection, the child's wound bleeding suddenly increased.

The child complained of headache, chest discomfort, and shortness of breath.

This frightened Zhou Can.

Jin Mingxi had an accident last time and is still being punished.

"Teacher, this child showed many abnormalities after local anesthesia. Could it be an allergy to the anesthetic?"

Zhou Can encountered this situation for the first time and was a little panicked.

Quickly seek help from Dr. Xu over there.

"What is the dose of medication?"

"About 20mg!"

Zhou Can injected the child with a superficial anesthetic, reducing the dosage to at least half.

"What anesthetic was used?"

Doctor Xu looked at Tian Tian.

At this moment, Tian Tian acted very calmly. When something goes wrong, nurses usually don't have to take much responsibility. Doctors are always there to stand in the way.

Unless the nurse's negligence or mistake is found to be the cause, the nurse is primarily responsible.

The biggest risk for instrument nurses is that when cooperating with major surgeries, they fail to take inventory of consumables, resulting in gauze, blood vessel clips and other things left in the patient's body.
To be continued...