Chapter 512: Level 6 Pathology Diagnosis, Becoming an 'Expert'
Observation for half an hour is a common practice when facing some uncertainties during surgery.
Especially the observation of blood circulation, which involves the oxygen and nutrient supply to organs and related tissues, cannot be seen immediately.
For example, if the limbs are bitten by poisonous snakes or spiders, the correct way to deal with it is to tie the wound close to the heart to block the blood flow. The purpose is to prevent the venom from entering the heart, nerve center and other key parts through the blood circulation.
Many people don’t know that if the limbs are tied tightly for more than half an hour, they should 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 easily detected, continuous observation should be maintained for more than half an hour to ensure safety.
In addition, for patients like the one in front of you, observing the amount and color of urine can also play a certain auxiliary diagnostic role.
Qiao Yu, Pu Dingdong and others watched Zhou Can take the lead and complete a major level 4 operation that no one had ever attempted before. In addition to being excited, they were more proud and in awe.
The stronger Zhou Can became, the more proud they became.
For them, it is more of an encouragement. The boss is already so strong, so they naturally cannot fall too far behind. This will spur them to work hard and make progress.
Thirty minutes passed quickly.
Director Feng's expression was always serious. He sometimes looked at the urine, sometimes at the monitoring equipment, and sometimes at the patient's pupils and the inside of the abdominal cavity.
As the strongest anesthesiologist in Tuya Hospital, his level is also extremely high.
He has extremely rich experience in both rescuing critically ill patients and judging the patients' physical condition.
"The cavity can be closed now! The patient's blood circulation is good and all organs are functioning stably. The experiment proves that Xiao Zhou's idea is completely feasible and can be applied to other surgical fields in the future."
After careful review, Director Feng was satisfied with the result.
"Zhou Can, you should be the one to close the cavity! Our speed is too slow."
Although Director Xueyan is not the nominal chief surgeon, her status is there.
Director Bu, apart from being a figurehead, was not responsible for any command work during the operation.
"no problem!"
This was the first innovative surgery that Zhou Can had completed with great effort, so naturally he wanted a good result.
By having him close the cavity himself, the risk can be further reduced.
Failure to close the cavity properly can cause infection, and the wound may take a long time to heal, which is a problem.
In addition, since this is the first innovative surgery, according to Director Xueyan and others, as long as the surgery is successful, this case will most likely be used for publicity. If the wound suturing technique is not good and not precise, it is easy to form an ugly scar.
Twenty-five minutes later, Zhou Can sutured the patient's wound perfectly.
【Complete innovative surgery, pathological diagnosis +10,000. 】
Zhou Can was a little confused when he saw the huge reward for pathology diagnosis that he suddenly received.
I can't believe it.
It feels like being hit by a pie falling from the sky.
An innovative operation, and its successful implementation, can actually increase so much experience points in pathology diagnosis.
What a surprise.
However, if you think about it carefully, the design of this operation requires a comprehensive diagnosis of the human body's blood circulation, organ function, aortic dissection repair, etc., and its flexible application and innovation.
Then he needs to ensure that the operation is successfully carried out and the patient's postoperative treatment effect is as he expected, only then can he get the 10,000 experience points.
It’s not really too much.
[Congratulations on your advancement to level 6 in pathological diagnosis skills. Your current experience value is 1/1000000, which is the junior level of chief physician. You can diagnose difficult cases in general medicine, and are good at diagnosing cases in pediatrics, cardiothoracic surgery, general surgery, and acute and critical care.]
His pathological diagnosis was directly promoted to level six.
I had been thinking about it for many years, and I didn't expect that when I was only in my twenties or less than thirty years old, my pathological diagnosis skills had been promoted to the level of chief physician.
You should know that the value of this is much higher than that of being rated as a senior professor.
This is real level of medical skills.
Some chief physicians who have been awarded the title of senior professional may only be slightly better than attending physicians in terms of diagnostic ability. There are quite 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 urology department may be extremely proficient in medical knowledge in the urology field, or even in a specific sub-field, and may have published high-level papers in related fields.
However, this doctor may not be engaged in much diagnosis and treatment work on a regular basis, and his accumulation of practical experience is somewhat unsatisfactory.
The diagnosis and treatment of some difficult cases is even more difficult.
Pathological diagnosis is also the most important clinical medical skill, and its importance is even higher than that of surgery.
Even when performing surgery on a patient, the doctor must first know what disease the patient has, what the cause is, and how to perform the surgery in order to achieve a satisfactory treatment effect.
If the pathological diagnosis level is poor, no matter how strong the surgical skills are, you can only be a "thug".
You cut wherever others tell you to cut.
After Zhou Can's pathological diagnosis was promoted to level six, he also discovered something important.
The system seems to have directly assigned him a subject.
The medical fields that I am good at are currently four medical disciplines.
Cardiothoracic surgery is relatively specific, while general surgery, pediatrics, and emergency and critical care areas are more general.
Their coverage is very wide.
Pediatrics alone is enough to give rise to general practice.
General surgery is even known as the origin department of surgery. All high-end and top-notch surgical departments have evolved from general surgery.
The earliest surgeons could only perform some simple limb treatments and common wounds on the body surface.
As for opening the chest and skull, you can understand the situation by looking at how Hua Tuo died in ancient times.
Cao Cao: "You told me you want to cut open my head? I'll chop your head off first and kick it like a ball. Come, take this traitor who intends to kill the king out and execute him."
Even in Western countries, the earliest surgery was created because of war.
Moreover, at that time, even the mortality rate of ordinary amputation surgery was frighteningly high.
Not to mention the surgical method of treating mental illness invented by a swindler in a certain Western country, which directly hammered nails into the head to destroy the brain. Many patients became fools because of this.
However, in that backward era, this fraudulent surgical method was promoted everywhere for a long time.
Although the system has assigned Zhou Can’s pathological diagnosis a medical field in which he is good at, in reality, there is not much difference between him and a general practitioner.
At most, they are not very good at obstetrics and gynecology, or they are not very good at other specialized fields such as neurology, orthopedics, and orthopedic surgery.
His medical practice time was still a little short after all. He didn't have many opportunities to work during his one-year internship, and he just did odd jobs. He was relatively lucky. His three years of regular training were very fulfilling, and he learned a lot, which can be counted as formal working years.
It has only been more than two years since I became a full-time employee.
All in all, with only more than five years of formal work experience, it is already incredible that I have achieved what I have today.
"It is better to master one than to be proficient in a hundred fields. I will first further develop the fields I am good at. When the postgraduate entrance examination results come out, if I am admitted, I can then further develop the field of orthopedics. As for other medical fields, I will have to put them aside for the time being."
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 one's knowledge in other medical fields is at a failing level, as long as one has reached expert level in one field, one can actually cure the patient during diagnosis and treatment.
However, if you are really only proficient in one niche area, you will definitely need to ask for help from others frequently during diagnosis and treatment.
It’s more comfortable for him to have a wider range of interests now.
"Director Bu, Director Xue, can this patient be taken directly to the ICU for a few days after waking up from anesthesia? Although the operation went smoothly, there are too many uncertainties. I see that the patient's family conditions are very good, and they don't mind spending a little more money."
Based on the patient's actual situation, Zhou Can discussed the patient's postoperative care level with the two chief physicians.
This patient does not need to be admitted to the intensive care unit of the critical care medicine department, but only to the intensive care unit of the cardiothoracic surgery department.
The intensive care units of these important departments, also known as small ICUs, have a good level of care.
The rescue capability may be slightly weaker than that of the critical care medicine department.
After all, they are more professional, have more complete hardware, and a stronger talent team.
"That's fine with me."
Director Bu looked at Director Xueyan.
"agree."
Director Xue also nodded in agreement.
Senior doctors usually agree to this kind of thing.
…
Five days passed in the blink of an eye. After the operation, the patient Chen Zhongzhi recovered very well.
Zhou Can performed almost all the major operations, and the patient was still very young, and was receiving top-level care in the intensive care unit. It was normal for him to recover well.
After five days, his surgical wound has healed.
However, it takes at least three months for such deep surgical wounds to heal completely. Normally, patients can be discharged from the hospital in half a month.
As long as you don't do anything stupid by scratching the surgical wound or doing some strenuous exercise right after the stitches are removed, there is basically no big problem.
That day, after work, Zhou Can rushed to the cardiothoracic surgery department to help as usual.
There was no way. Since the last live broadcast, the cardiothoracic surgery department was almost overwhelmed. Even the number of patients in the emergency department increased significantly, many of whom were suffering from chest pain and chest tightness.
The famous doctor effect can indeed bring huge benefits to hospitals.
Zhou Can became famous overnight. Although he was only a junior resident physician, many family members and patients called him an expert when they saw him.
This made him feel quite embarrassed.
The hospital's top leaders have all been beaming with joy recently. Even Vice President Bai, who has always been awe-inspiring, is said to have a smile on his face.
For them, being able to see the hospital's business grow rapidly and its strength continue to grow is a real political achievement.
In the eyes of Director Zhu, Tuya Hospital is like his own child.
No one doesn't want their children to be successful.
"Doctor Zhou is here! He's here quite early today!"
Young and beautiful nurses all like to say hello to Zhou Can and chat with him.
Even though I know he has a girlfriend, I still enjoy doing it.
Just like men, even if they are married, still like to interact with young and beautiful girls. It's just instinct.
If you really see a beautiful girl with a stern face and a serious look, nine out of ten men like that are hypocritical.
Another one is probably gay.
Women are similar, older ladies all like young and handsome men.
Of course, there are moral and legal red lines, and this kind of liking will be restrained within a certain range.
"I came to see you earlier!" Zhou Can responded with a smile. He rarely put on airs in front of other medical staff. Unless he met someone who was persistent and had a thicker skin than a city wall, then he had no choice but to keep a cold face.
"I heard that the cardiothoracic surgery department received eight critical and difficult cases today. Is that true?"
"Of course it's true! Many patients and their families come to see you! Just now, a family member said she wanted to thank you in person. I told her that you might not come until after 7pm."
The nurses stopped their work and looked for opportunities to talk to Zhou Can.
Even if I don't want to have a relationship with him, just getting to know him better will make it easier for me to ask Zhou Can for help in the future.
For example, if someone in their family unfortunately falls ill and happens to have a disease in the field of cardiothoracic surgery, they can ask Zhou Can for special care and help with the surgery.
Especially for some patients whose surgeries are difficult, ordinary doctors may not be able to cure them.
With Zhou Can performing the surgery personally, it can save time and effort and greatly reduce the risks of the surgery.
Maybe you can save a lot of money.
"If family members or patients send me gifts to thank me, please help me refuse. Tell them that it is our duty as medical staff to treat patients and that they should not be polite. Of course, if someone causes trouble for me, please help them say good things and try to prevent them from complaining about me or causing trouble for me. Tomorrow I will treat everyone in your nurses' station to milk tea."
Zhou Can is willful because he has money.
Never hesitate to spend a little money to build good relationships with these colleagues.
By establishing a good relationship with the nurses, they can help Zhou Can avoid a lot of unnecessary trouble.
"Haha, Dr. Zhou is so humorous!"
"Then we are serious about it. We will tell the sisters later."
The three nurses were very happy when they heard Zhou Can invite them to milk tea.
"A gentleman's word is as good as his words. Give me the list after you have compiled it. I will ask the milk tea shop to deliver it to me when the time comes."
After Zhou Can finished speaking, he waved his hand.
"I'll go to the ward to see a few key patients first. We'll talk next time."
"goodbye!"
They waved back.
Zhou Can came to the inpatient ward and began to make rounds on some key patients. The main purpose was to understand their current physical condition and to deal with any problems in a timely manner. If it was a difficult case and the cause had not yet been found, more useful information could be obtained through hospitalization observation.
Now I am an 'expert', but it is different.
Many patients and their families would greet him actively and warmly when they saw him and were very respectful to him.
