Chapter 382 Kindness Must Have an Edge and Be Tolerant
"Doctor Zhou, is this the patient's appendix? How can we tell whether it needs to be removed?"
Luo Shishen continued with his ten thousand whys.
I really wonder if this guy has seen too many Haier Brothers, or has developed the habit of asking questions.
Asking questions is not a bad thing.
However, if you ask whatever you think of without considering the occasion or the actual situation, then you are being naive.
Zhou Can suppressed his annoyance. After all, he was in the middle of an operation. If he was disturbed and accidentally damaged an organ or tissue of the patient, it would be no joke.
Given Dr. Xu's strictness, his surgical qualifications would be revoked immediately.
For a major operation like this, if nothing goes wrong, it’s fine. But if something goes wrong, the person who will be blamed will definitely not Zhou Can, but Dr. Xu.
He doesn't have the qualifications to perform level three surgery now, so if something goes wrong, he won't be able to take the blame.
He called an intern to serve as his medical assistant and help him.
Rather than causing trouble.
Being too kind and too easy to talk to obviously doesn't work.
Zhou Can decided to give Luo Shishen a reminder. He didn't curse him directly. He had a cold face, pretended not to hear, and didn't answer.
Instead, he focused on checking the patient's appendix.
Seeing that he didn't say anything, Mr. Luo didn't ask any more questions, but his face was obviously embarrassed.
Suddenly, the atmosphere became a little awkward.
"Doctor Zhou is in the middle of surgery, so let's try not to disturb him. If you have any questions, you can wait until after the surgery is over!" Qiao Yu was afraid that he would be embarrassed, so she helped to smooth things over and gave him a way out.
"You're right! Thank you!"
Luo Shishen smiled gratefully at Qiao Yu.
During the rest of the operation, Luo Shishen did not say anything more. He waited until the operation was over before he started asking questions again.
"Who is Dr. Luo's instructor?"
Zhou Can asked calmly.
"Our instructor is Dr. Xu, but he is very busy and doesn't have much time to take care of us."
There was a hint of complaint in Luo Shishen's words.
Most new employees in the workplace tend to make these low-level mistakes, such as complaining about their superiors' shortcomings in front of other colleagues, or grumbling about their dissatisfaction.
Little did he know that just after he finished complaining, and before he even left work, his exact words had already reached the ears of his superiors.
"In fact, it's not just Dr. Xu who is busy. Every medical staff in our emergency department has a heavy workload. When you ask questions in the future, I suggest you categorize and summarize them. After the operation, you can write down the questions you don't understand in a notebook, and then see which ones you can find the answers to by looking up information. If you really can't find the answer, it would be better to find a suitable opportunity to ask a senior doctor for help."
Zhou Can gave him some suggestions for correction.
Take the four questions he just raised, almost all of them can be answered by searching for information on your own.
In Zhou Can's eyes, these are all stupid questions.
Apart from making Zhou Can feel that this young man is not thoughtful and a bit boring, it doesn't add any favorable impression to him.
I would never think that this is a sign of his love of learning.
I would just think that he is too lazy to think, too lazy to look up information, and is using his superior doctor as an encyclopedia.
"Okay, I'll try your instructions after I get off work!"
Mr. Luo nodded in agreement.
If you can get into medicine, your IQ must be fine. Almost all medical students are high-IQ biology students, except for those who bought in through the back door.
Many of those people with connections simply buy a seat and then find ways to get a degree.
Even if your family is rich, it is not easy to get a bachelor's degree in medicine. Medicine is at least a second-class undergraduate major. Many clinical majors are first-class undergraduate majors, and the difficulty of admission and graduation is not comparable to that of third-class colleges.
Although Zhou Can's words were tactful enough, I believe Luo Shishen would be able to understand the underlying meaning.
After the appendectomy surgery was completed, the next patient was taken in for surgery.
Today, Zhou Can's surgical skills have reached an extremely high level, and his partner Qiao Yu is also a very good person. She is an instrument nurse and is absolutely excellent.
Not only is he hardworking and smart, but his professional level is also first-class.
The preparation work was done very well. She knew in advance what equipment or medicine Zhou Can might use next, or what treatment needed to be done on the patient.
The two of them didn't even need to speak during the operation, and they were able to complete the entire operation in perfect harmony.
The kind that won't go wrong.
It was a real pleasure to perform surgery with her.
Staring at the patient's bloody wound for a long time will definitely make you feel uncomfortable and your eyes will be blurry. At this time, looking up at this beautiful woman, you will feel happy and your eyestrain will be relieved.
Not to mention the silent tacit understanding during the operation, which can save a lot of waiting time and keep the entire operation extremely smooth.
Imagine that Zhou Can needs an ordinary scalpel, and the instrument nurse hands him an electrocoagulation knife.
When a doctor is performing surgery, he cannot take his eyes off the wound. He usually reaches out his hand without looking back, and the instrument nurse hands the necessary instruments to the doctor.
The doctor asked for an ordinary scalpel, but what he received was an electrocoagulation knife for stopping bleeding. You can imagine how bad his mood was.
The operation will also come to a brief pause.
Even the surgeon's train of thought may be interrupted.
This will seriously prolong the operation time and even cause accidents.
"Call the next surgical patient in!"
Zhou Can ordered.
"OK!"
Qiao Yu was about to set off to bring the patient in.
"Qiao Yu, you should just focus on being an instrument nurse from now on. Your hands must be sterile. Running around in the operating room will add a lot of workload to you and may also cause potential contamination of surgical instruments."
In addition to minor level one and level two surgeries, Zhou Can now performs some major level three surgeries.
The requirements are much higher.
The operating room conditions in the emergency department are not very good. If you don't pay attention, it is very easy for the patient to get infected during the operation. This will greatly increase the risk of postoperative infection.
"Luo Shishen, from now on, you will be responsible for escorting patients after surgery and receiving new surgical patients."
Zhou Can made this arrangement out of consideration for the safety and efficiency of the operation .
"Well... okay!"
Luo Shishen agreed reluctantly, and it was obvious that he was not very willing to do so.
Many doctors, especially those who have just entered the hospital for work or internship, always have an inexplicable sense of superiority in their bones. They think that their status is higher than that of nurses, and some dirty, tiring and miscellaneous work that does not require technical skills should be done by nurses.
He may feel that picking up and dropping off patients is the job of nurses, and now arranging him, a doctor, to do these tasks is somewhat of a waste of talent and he feels it is a loss of value.
So it is normal to be reluctant.
Seeing that he agreed, Zhou Can didn't say much.
In fact, ever since he returned to the emergency department to prepare to form a surgical team, he has gradually been required to meet the dual requirements of being both a discipline leader and a surgical team manager.
In other words, one must not only play a core leading role in medical skills, but also be a good "leader" in team management.
This is also a new identity he must adapt to.
The patient who was admitted was a trauma patient. His head was smashed and he could smell of alcohol.
Most likely he was hit on the head with a wine bottle during a fight.
"Excuse me, have you been beaten by someone?"
Zhou Can checked the patient's injuries and asked about his basic condition.
"I did it myself. My girlfriend refused to break up with me, and I got angry and smashed a half-empty bottle of red wine on my head."
The injured person was about twenty-five or twenty-six years old.
How much does he have to hate his girlfriend to commit such an extreme act of self-harm?
"You may need to shave your hair to make it easier to clean the wound and suture it."
After Zhou Can took a look, he found that there was a long wound that was still bleeding and definitely needed stitches.
"Shave it!"
The victim was conscious and the X-ray showed no potential risks such as skull fracture and intracranial hemorrhage. The skull is probably the hardest bone in the body, and it was fine even after carrying a bottle of wine.
Of course, it’s also possible that this guy had some skill in smashing the bottle, which is why he didn’t suffer a skull fracture.
"Doctor Luo, don't just stand there, shave his hair! Be careful, try not to touch the wound."
Jobs like shaving hair are usually done by junior doctors.
It is a bit shocking to let the surgeon shave the patient's hair.
"Oh well!"
Luo Shishen basically just pushed and moved it like driving a vintage car.
He said he had been doing internship for almost half a year, which really made me wonder which department he had been doing internship in during this period. Didn't he learn what an intern doctor should do?
If senior doctors have to urge us to do everything, they will just have to supervise their interns all day long.
Some chief physicians and deputy chief physicians who are strong and have high status are in charge of more than a dozen interns and basically don't have to work.
After Luo Shishen finished shaving the patient's hair, Zhou Can saw that he was a little slow at work, so he simply cleaned up the loose hair himself, then began to clean the wound preliminarily and carried out the first disinfection around the wound.
Next, we begin to clean the wound, mainly to prevent glass fragments, broken hair, and other impurities from being hidden in the wound.
If the wound is not cleaned properly, it will easily become infected and fester after being sutured.
Anyone who has studied the three major circulatory systems of the human body knows that the risk of hair infection and suppuration is much higher than that of limbs.
Especially deep head wounds like this one.
The debridement was completed, and Zhou Can successfully earned 1 debridement experience point.
[Debridement, Level 4, current experience value 9998/10000. Excellent level of attending physician.]
As long as he performs two more debridements, his debridement skills can be successfully promoted to the level of associate chief physician.
At first, I thought that after three years of training, all surgical skills would be promoted to deputy director level. In the end, ideals are full of hope, but reality is cruel.
Because he had studied internal medicine for nearly a year and a half, he had very few opportunities to practice surgery, which ultimately resulted in several of his surgical skills not being promoted to level five as he had wished.
The next step is suturing.
"Doctor Zhou, can I sew up the wound?"
Mr. Luo requested.
"The risk of a head wound is relatively high. You should learn first. Next time there is an opportunity to suture a wound with lower risk, I will let you do it."
Zhou Can rejected his request.
From the fact that he just shaved his hair, it was clear that he was still a rookie, and his suturing skills were probably not very good. Suturing wounds on the head and face requires very high skills from the doctor.
It may seem like a simple matter of sewing a few stitches, but the selection of needle positions, the size of the sutures, knotting, control of tension, depth of sutures, etc., all have many requirements.
It doesn't mean something will go wrong if a novice doctor sutures a head, but there is a fairly high potential risk.
Zhou Can cannot bear this responsibility.
Nor will we easily take risks with the safety of patients.
"All right!"
Mr. Luo agreed with a pursed mouth, not as if he was about to cry like a baby, but to show that he was unhappy.
But in this situation, Zhou Can would definitely not answer him.
Zi Gu and Qiao Yu worked together to quickly stop the patient's bleeding and suture the wound.
"Doctor Luo, please bandage him!"
Zhou Can assigned a job to Luo Shishen as a bit of comfort.
"OK!"
When Luo Shishen agreed, he curled his lips, as if he was a little disdainful of this job.
Zhou Can saw everything about his performance.
No one is perfect, and everyone has been a rookie in the workplace. As long as he can cooperate with the work, likes to complain, and has a rich inner drama, Zhou Can can tolerate it.
Tolerance is also one of the abilities that a leader needs to cultivate.
When the water is too clear, there will be no fish.
Just look at the honest officials in ancient times. They all lived a miserable life, and were basically alone. Occasionally, they were lucky enough to make one or two friends, but they were almost always isolated and excluded by most officials.
When corrupt officials get into trouble, a lot of people stand up to plead for them and speak well of them.
On the contrary, if honest officials made even the smallest mistake, they would be severely punished and even executed.
Why do corrupt officials have so many friends? It's not because they are rich, but because they are very tolerant. As long as their subordinates can do their job, they will be tolerant of occasional mistakes or shortcomings.
Just turn a blind eye and it will be over.
On the contrary, those honest officials not only strictly discipline themselves, but also have extremely high expectations for others. If they make the slightest mistake, they will immediately make it a big deal and punish them severely.
It is understandable why when these honest officials made mistakes and were punished by their superiors, everyone remained surprisingly silent.
You have punished others too many times and everyone hates you.
Although I don't say it out loud, I keep it in my heart.
Now, watching you being raided and executed, who knows how happy you must be. Who would risk being accused of being an accomplice or a conspiracy to help speak well of you?
Therefore, even though Luo Shishen had many shortcomings, Zhou Can did not tolerate him.
At least you can observe it for a while. If it suits your needs, you will definitely spend some time to cultivate it.
If it is really beyond repair, then we can only let it fend for itself.
After the patient was bandaged, Zhou Can looked up at the clock. It was only three minutes until twelve o'clock.
"Doctor Luo, send this patient out and bring in another one."
Zhou Can has a compassionate heart as a doctor. He is worried that patients will not receive treatment for a long time outside, so he works very hard. Saving one more life is a saving grace.
The reason why doctors are great is that they burn themselves to save others.
"It's already late, and we still have to perform an operation!" Luo Shishen muttered to himself.
Zhou Can pretended not to hear.
After spending more time together, this young man will naturally know the rules.
