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Chapter 216 Becoming a teacher, the fourth and fifth-level medical skill(2/2)

She made a comparison secretly. Even if Director Mo handled it personally, it would be difficult to be as relaxed as Zhou Can.

"This is nothing. You can do it easily if you practice a lot in the future."

Zhou Can smiled indifferently.

"Can you teach me a little bit? I have seen other doctors have also handled it two or three times, but they are not as good as you. I have always wanted to learn it, but I haven't learned it."

Seeing that he was easy-going, Wu Ziyu took the opportunity to ask him for advice.

Usually she asked her to ask her deputy director and chief physician for advice during the operation, but she didn't dare to do so at all.

"The most difficult step in implementing sacral canal anesthesia is to perform sacral canal puncture. The patient can take a lateral or prone position. The specific position depends on the patient's condition to take different lying positions to reduce the pain as much as possible. When lying on the side, the patient's waist and back bend back, and the knees are close to the abdomen, just like a curled shrimp. When lying on the prone position, the patient's hips are placed with a small pillow, the legs are slightly separated, the toes are inwardly tilted, and the heels are rotated externally to relax the buttocks."

Zhou Can teach her the anesthesia knowledge and skills she has mastered very competently.

"Before puncture, it is the point." He pointed to the patient's coccyx tip. "And about 3 to 4 cm along the midline toward the head, you can find a V-shaped or U-shaped depression. There is a sacral angle with a large bone bulge on both sides of it, which is the sacral fissure hole. Find this fissure hole for puncture, and it will basically be done."

In Zhou Can's opinion, it was very simple anesthesia operation. When he explained it, he realized that being a teacher was so hard.

He actually told her a lot.

When he recalled the doctors who taught him, he was so tired of explaining the surgical operation techniques and precautions and specific steps to him, he couldn't help but feel deeply grateful.

If you don’t be a teacher, you won’t know the hard work of the teacher.

If you are not a parent, it is difficult to understand the difficulty of parents.

"I have basically learned to find the sacral fissure. Can you talk about specific punctures? I'm a little stupid, don't bother me." She said embarrassedly.

Seeing her eager eyes, it was very similar to Zhou Can when she asked her superior doctor.

"You are very smart. All doctors learn practical operations, which are similar to you. I learned this anesthesia operation with the teacher for a long time before I learned it."

Zhou Can told her a kind lie.

When Dr. Xu taught him this operation, he learned it in just one time.

"First make a pichu in the center of the sacral fissure, and the needle passes vertically through the skin and the sacral and coccyx ligament covering the sacral fissure. When penetrating the ligament, there is a sense of fainting of resistance suddenly disappear. At this time, the needle is inserted at a 30-degree angle to the skin to enter the sacral lumen."

Zhou Can gestured again.

However, the patient was not punctured again.

Otherwise, the patient should scold people.

"Thank you for teaching me so patiently."

She took notes seriously and was definitely preparing to go back and study it carefully.

After the anaesthesia was successful, the operation officially began.

The female patient is not sleepy or something, and is awake.

She originally felt that such a young doctor had an operation on her, and she was a little worried. But after listening to Zhou Can teach Wu Ziyu, she changed this view.

If you can take an apprentice, your medical skills will definitely not be bad.

He is also a master.

She was waiting for Zhou Can to take her surgery with confidence.

"Have Dr. Wu done this kind of surgery?"

"No! This is only the first time I've seen it!"

She shook her head shyly.

"Look at each of my surgical steps carefully. First make a radial incision at the thrombus."

Zhou Can explained while operating the patient.

"After cutting the skin, you can see purple-red blood clots. Well, that's all."

Zhou Can showed her.

"Use your thumb and index finger to squeeze out all the clots from the bottom of the blood clot to the incision. Pay attention to the strength, not too strong or too gentle, otherwise the clots cannot be squeezed out or not squeezed cleanly, and the curative effect will not be achieved. Fill the wound with Vaseline gauze, or fill it with a small cotton ball dipped in hemostatic powder and benzocaine powder."

Zhou Can performs surgery very quickly.

As soon as I finished speaking, I had basically completed the operation.

"Remember, don't stitch the wound, just let it heal gradually."

There are many wounds that cannot be stitched.

Hemorrhoid wounds are one of them.

Some novice surgeons have made jokes. Some doctors who have learned a lot have opened clinics because they lack guidance and inspection by superior doctors, and even have some medical accidents.

This operation is quite easy, and it is completed if it is done here.

Old Liu stood beside him without saying a word.

Just as Zhou Can teach Wu Ziyu for the operation, Old Liu showed a hint of relief in his eyes.

After the doctor's skills have been improved to a certain level, especially when he is a little older, he will especially hope to pass on medical skills and teach them to more people.

Looking at Zhou Can teaching Wu Ziyu, this is a manifestation passed down from generation to generation.

So Mr. Liu would feel particularly relieved.

After the female patient was launched, a new surgeries soon came forward.

Zhou Can continues to act as the absolute main force, performing surgery on patients quickly and efficiently. Wu Ziyu plays the role of a helper for him in some minor operations. When encountering a second-level operation with high risks and high difficulty, he can only be a second-level assistant.

Old Liu will take action to personally serve as a helper for Zhou Can.

When Zhou Can achieved the fourth surgery today, his hemostatic surgery finally got promoted to level 5 as he wished.

[Hemostatic surgery, level 5, current experience value 1/100000, deputy director's junior level.]

This is his fourth and fifth-level surgery.

If the three-year standard training period is over, it may really be able to upgrade most medical skills to the deputy director level.

That's awesome.

Basically all tertiary surgery can be independently competent, and you can even begin to challenge the core surgical part of the tertiary surgery.
Chapter completed!
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