Chapter 512 Level 6 pathological diagnosis, becoming an ‘expert’

Author: Jiangbian Yuweng

Chapter 512 Level 6 pathological diagnosis, becoming an ‘expert’

Observation for half an hour is a common practice when facing some uncertainties during surgery.

Especially the observation of blood supply, which involves the oxygen and nutrient supply of organs and related tissues, cannot be seen immediately.

For example, if the limbs are bitten by poisonous snakes or spiders, the correct approach is to tie the wound proximal to the heart to prevent the blood flow. The purpose is to prevent the venom from entering the heart, nerve center and other key parts along the blood circulation.

Many people don’t know that if the limbs have been tied for more than half an hour, they need to be loosened and then tied again.

Because limb ischemia lasts for more than half an hour, irreversible necrosis can easily occur.

Similarly, when observing blood circulation in some organs and tissues that are not easy to detect, continuous observation should be maintained for more than half an hour to ensure safety.

In addition, like this patient, observing the urine output, color, etc. can also play a certain auxiliary diagnosis role.

Qiao Yu, Pu Dingdong and others watched with their own eyes as Zhou Can took the leading role and completed a four-level major surgery that had never been attempted before. In addition to being excited, they were filled with pride and admiration.

The stronger Zhou Can gets, the more honor they gain.

For them, it is even more of an incentive. The boss is already so strong, so naturally they cannot fall behind too much. This will spur them to work hard to improve.

Thirty minutes passed quickly.

Director Feng's expression was always serious. Sometimes he looked at the urine produced, sometimes at the monitoring equipment, sometimes at the patient's pupils and inside the abdominal cavity.

As the most powerful anesthesiologist in Tuya Hospital, his level is also extremely high.

Whether it is rescuing critically ill patients or judging the patient's physical condition, he has extremely rich experience.

"The cavity can be closed! The patient's blood supply is in good condition and the organs are running stably. Experiments have proved that Xiao Zhou's idea is completely feasible. In the future, it can even be used as a reference in other surgical fields."

After careful inspection, Director Feng was satisfied with the result.

"Zhou Can, it's up to you to turn off the tone! Our turn-off speed is too slow."

Although Director Xueyan is not the chief surgeon in name, her status is there.

Apart from his name, Director Bu is not responsible for any command during the operation.

"no problem!"

Zhou Can worked hard to complete the first innovative surgery, so he naturally wanted a good result.

By having him personally close the conversation, the risk can be further reduced.

Failure to close the cavity properly can lead to infection, long-term wound healing and other problems, which are all troublesome.

In addition, since it is the first innovative operation, judging from the intentions of Director Xueyan and others, as long as the operation is successful, this case will probably be used for publicity. The technique of suturing the wound is not good enough, not precise, and it is easy to form ugly scars.

Twenty-five minutes later, Zhou Can perfectly sutured the patient's wound.

[Complete innovative surgery, pathological diagnosis +10,000.]

Seeing the huge pathological diagnosis reward that he suddenly received, Zhou Can was a little confused.

Just can't believe it.

It feels like being hit by a pie falling from the sky.

Innovating an operation and successfully implementing it can actually add so much experience value in pathological diagnosis.

What a surprise.

However, when I thought about it more carefully, the design of this surgery required comprehensive diagnosis of the human body's blood circulation, organ operation, aortic dissection repair, etc., and flexibly used it, and then innovated.

Then it is necessary to ensure that the operation is successfully performed and that the patient's postoperative treatment effect is as he imagined, so that these 10,000 experience points can be obtained.

It's really not too much.

[Congratulations on your pathological diagnosis and medical skills being promoted to level 6. Your current experience value is 1/1000000, which is the junior level of a chief physician. You can diagnose difficult cases in the general department, and you are good at diagnosing cases in pediatrics, cardiothoracic surgery, general surgery, and acute and severe cases. 】

His pathological diagnosis was directly promoted to level six.

I have been thinking about it for many years, but I didn't expect that when I was only in my twenties, and less than thirty years old, my pathological diagnosis level was actually promoted to the level of chief physician.

You know, this gold content is much higher than the gold content that is rated as high.

This is a real level of medical skill.

Some chief physicians with senior professional titles may have slightly better diagnostic abilities than attending physicians. There are not a few such academic chief physicians.

In other words, the theoretical level of this type of chief physician is very high.

For example, a chief physician in the Department of Urology may be extremely proficient in medical knowledge in the field of urology, or even in a certain subfield. He may also have published high-level papers in related fields.

However, this doctor may be engaged in relatively little diagnosis and treatment work, and his practical experience accumulation is somewhat unsatisfactory.

Diagnosis and treatment of some difficult cases are even more difficult.

Pathological diagnosis is also the most important medical skill among all clinical medical skills, even more important than surgery.

Even if he is performing an operation on a patient, the doctor must first know what disease the patient has? What is the cause? How to perform the operation to achieve satisfactory treatment results.

If the pathological diagnosis level is poor, no matter how strong the surgical ability is, you can only be a "thug".

You will cut wherever others tell you to cut.

After Zhou Can's pathological diagnosis was promoted to level six, he also discovered something important.

It seems that the system has directly assigned him to different subjects.

The medical fields that he specializes in are currently four medical disciplines.

Cardiothoracic surgery is relatively specific, while general surgery, pediatrics, and acute and critical care are more general.

Their coverage is very broad.

Just one pediatrician is enough to give birth to general medicine.

General surgery is even called the origin department of surgery. All top surgical departments have evolved from general surgery.

The earliest surgeons could only perform some simple limb treatments and treat ordinary wounds on the body surface.

As for thoracotomy and craniotomy, you will understand it if you look at how Hua Tuo died in ancient times.

Cao Cao: "You told me that you want to cut my head open? I will cut off your head first and use it as a ball. Someone, push this traitor who intends to kill the king out and kill him."

Even in Western countries, the earliest surgery was created because of war.

And at that time, even ordinary amputation surgery had a frighteningly high mortality rate.

Not to mention the surgical method for treating mental illness later invented by a liar in a certain Western country. He directly knocked a nail into the head and destroyed the brain. Many patients became fools as a result.

However, in that backward era, this liar's surgical method was promoted everywhere for a long time.

Zhou Can's pathological diagnosis, although the system has designated the medical field in which he is good at, is actually not much different from that of a general practitioner.

At most, they are not very good at obstetrics and gynecology, neurology, orthopedics, orthopedic surgery and other specialized fields.

After all, his time as a doctor was a bit short. During his one-year internship, he basically didn’t have many opportunities to practice mobile phones. All he did was do odd jobs. He was relatively lucky. He had a very fulfilling three-year training and learned a lot.

A lot, which can be counted as official working years.

It has only been more than two years since I became a full-time employee.

I have made every effort to achieve my current achievements with just over five years of formal work experience, which is already incredible.

“It’s better to be good at one subject than to be good at everything. First, we should further develop these fields that we are good at. After the postgraduate entrance examination results come out, if we can be admitted, we can also study deeply in the field of orthopedics. As for other medical fields, we can only put them aside for the time being.

put."

Zhou Can made further plans for his future.

As his medical skills became more and more advanced, he found that mastery was more important than learning.

Even if other medical fields are at a failing level, as long as one can reach the expert level, the patient can be truly treated well during diagnosis and treatment.

However, if you are really proficient in only one niche field, you will definitely need to ask for help frequently during diagnosis and treatment.

It's more comfortable for him to have a wider range of interests now.

"Director Bu, Director Xue, is it okay for this patient to be moved directly to the intensive care unit for a few days after he wakes up from anesthesia? Although the operation went smoothly, there are too many uncertainties. I think the patient's family conditions are very good, so I don't care.

Spend a little more money."

Zhou Can discussed the patient's postoperative care level with the two chief physicians based on the patient's actual condition.

This patient does not need to be admitted to the intensive care unit of the Department of Critical Care Medicine, but only needs to be admitted to the intensive care unit of the cardiothoracic surgery department.

The intensive care units in these important departments are also called small ICUs, and the level of care is not bad.

The rescue capability may be a little weaker than that of the critical care medicine department.

After all, they are more professional, have more complete hardware, and have a stronger talent team.

"I have no objection."

Director Bu looked at Director Xueyan.

"agree."
To be continued...