My Medical Skills Give Me Experiences - Chapter 40
Chapter 40: The Third High-Level Medical Skill
Translator: Atlas Studios Editor: Atlas Studios
The emergency department of Tu Ya Hospital was always so busy. It was not even eight o’clock, but the corridor was already filled with patients seeking treatment.
Many patients who were supposed to be registered as specialized outpatients squeezed into the emergency department so that their illnesses could be looked at earlier or if their specialized appointments were completed that day.
This also intensified the shortage of manpower in the emergency department.
“Doctor Zhou, quickly go to the operating theater to help. There’s a car accident patient who needs urgent surgery.”
When Ye Tingting saw Zhou Can, she immediately called him to support the operating theater.
Her title should not be too low. She was definitely not a junior nurse and seemed to have a good impression of Zhou Can. She had taken good care of him in the operating theater yesterday.
Jin Mingxi, who had entered the emergency department with Zhou Can, did not receive such treatment.
“Alright, I’ll be right there!”
Zhou Can immediately perked up when he heard that there was a surgery available.
After changing into the surgical gown, he went into the operating room to take a look.
Doctor Xu, an unfamiliar resident doctor, an anesthetist, and the perioperative nurse, Tang Ling, were preparing the patient.
“Morning, Dr. Xu! Morning, everyone!”
Zhou Can took the initiative to greet the four of them.
The patient’s legs and thighs were badly mangled. His bloody pants had already been cut off.
The perioperative nurse was disinfecting the parts of the patient that were about to be operated on, perhaps because there were not enough people.
There was no difference between men and women in the eyes of the doctor.
However, the nurse was clearly a little embarrassed when she disinfected the patient’s privates.
“Let me do it!”
Zhou Can took the initiative to snatch the pliers from her hand and used the disinfectant cotton to disinfect the patient.
“Thank you!”
Tang Ling gave him a grateful smile.
“You’re welcome!”
Zhou Can had done this many times when he was an intern. He was now very familiar with it.
It was quickly completed.
“Give the patient the ureter.”
Dr. Xu instructed.
This was usually a nurse’s job. Tang Ling held the ureter and looked at Zhou Can for help.
“In the future, just leave things like this to me when I’m around.”
Zhou Can didn’t need her request at all. He took the initiative to take the ureter and skillfully inserted it into the patient’s catheter.
There were many purposes for inserting a ureter for a serious patient.
For example, obtaining urine samples for testing, monitoring the patient’s urination in real time after the surgery, and so on.
[Congratulations on obtaining the implantation technique. Current EXP: Level Three 1/1000. You can place blood vessel stents, bone nails, springs, and other special equipment or medicine into the corresponding tissue parts of the patient.]
Zhou Can was stunned before he was overjoyed.
The implantation technique was a high-level medical technique.
It was extremely difficult in practice.
However, it was widely used in all kinds of difficult precision surgeries, such as cardiac stent insertion, vascular balloon insertion, and so on.
It was directly at Level Three, equivalent to an inferior resident doctor. This made Zhou Can very satisfied.
If he mastered this medical skill, he would definitely shock everyone when he returned to the surgical field in the future.
He was pleasantly surprised to receive the implantation technique after inserting a ureter.
It seemed that he could snatch these inconspicuous chores in the future.
It would be simply too awesome if he could obtain one EXP by inserting a ureter.
It was as satisfying as picking up hundred-dollar bills on the streets.
Currently, he already has three high-level medical skills. If he could upgrade them to the Attending Physician level, he would have the ability to take on some difficult surgeries.
“This patient’s legs are severely fractured. Our Emergency Department can only deal with the injuries and ensure the patient’s safety. We’ll do our best to preserve his legs and transfer them to the surgical department.”
Dr. Xu set the tone for this surgery.
The Emergency Department did not have the conditions to perform all the surgeries on such patients.
Its job was to save critical patients and do its best to save lives.
“Doctor Lin’s suture and ligation skills are much higher than Xiao Zhou’s. Doctor Lin will be my first assistant. Xiao Zhou will be in charge of assisting and moonlighting as a patrol nurse.”
After Doctor Xu arranged the division of labor, the few of them took their positions.
“Ouyang, are the patient’s vital signs alright?”
“Operable.”
Before the surgery, he had to hear the anesthetist’s opinion.
The patient’s blood pressure was clearly low while his heart rate was too high. This meant that he had lost too much blood.
There was a femoral artery on the thigh that could cause rapid blood loss and death.
From the current situation, the femoral artery was very likely to have ruptured.
Many people may not know how high the risk of a femoral artery rupture was. I believe everyone believes that it would be very easy for you to die if you get a cut on the neck.
Actually, you would not die immediately if the trachea on the neck was cut. However, blood would immediately spurt out when the carotid artery was cut.
The femoral artery, like the carotid artery, was straight to the coronary artery.
This kind of heavy bleeding was very terrifying.
It was second only to having his heart pierced by a sharp weapon.
On the other hand, cutting wrists to commit suicide, which was common in television dramas was not a surefire way to die. In some environments with strong blood clotting function or low temperatures, the bleeding might automatically stop.
Doctor Xu carefully debrided the patient’s leg where it had been crushed.
Blood flowed out like spring water.
“Hemostasis Clamp!”
Zhou Can had already clamped the bleeding blood vessel with Hemostasis clamps before Dr. Xu could finish his sentence.
The Intermediate-Tier Hemostasis Technique was not given to him for nothing.
The first assistant, Doctor Lin, looked at Zhou Can in surprise.
“I heard that the emergency department recruited two generals. I didn’t believe it before but I believe it now after seeing Doctor Zhou’s hemostasis level.”
One would be able to identify an expert as soon as he launched an attack.
Zhou Can’s hemostasis technique immediately won Doctor Lin’s respect.
Surgery was not like writing a thesis. Many attending physicians would spend money to buy a thesis or even a research topic in order to strive for a Deputy Director Level. Or they would use various methods to reduce the difficulty of them attaining it.
In the end, his practical standard left much for imagination while he held an empty title with very weak standards.
The surgery could not be faked.
It was fine as long as he could perform. Otherwise, he would immediately be exposed.
“I don’t dare to be a general. Please take care of me in the future, Doctor Lin.”
Zhou Can tried his best to lower his stance.
As a newbie, the lower-key he was, the better.
As long as he quietly earned EXP, it wouldn’t be long before he could leave Doctor Lin, Jin Mingxi, and the other opponents far behind.
“Since the bleeding point here has been found, Doctor Lin, clean the wound over there. Xiao Zhou, maintain the hemostasis posture. I’ll do the blood vessel anastomosis.”
This was a femoral anastomosis. Even though it was not too difficult, it tested the doctor’s anastomosis level.
Doctor Xu was worried about leaving it to Doctor Lin.
He chose to do it personally.
Zhou Can’s eyes turned red when he saw this. Unfortunately, his current anastomosis level was only at the level of an inferior resident doctor. If he could be raised to the outstanding level of a resident doctor, he should have the ability to anastomose a good femoral artery.
The muscles and bones in the patient’s other leg were damaged, but the epidermis was still connected.
Doctor Lin carefully cut open the epidermis.
The muscles under his skin had already rotted.
There were hematomas and blood clots everywhere.
There were even bone fragments.
It was too tragic.
The injured person must have been crushed by the back wheels of the truck.
On the other side, there was a hole in the femoral artery.
It was spraying blood.
Zhou Can had no choice but to multitask. He freed his left hand to hold the hemostasis clamp and control the bleeding point.
“Thank you!”
Doctor Lin wouldn’t have been able to operate alone without Zhou Can’s help.
The ruptured femoral artery needed repair.
“Doctor Xu, the femoral artery here is also ruptured. It’s not that bad. Can you let me repair it?”
Zhou Can roughly deduced Doctor Lin’s suturing level when he heard him asking.
It would not exceed the excellence of a resident doctor.
It seemed that there was not much difference between him and Doctor Lin.
Zhou Can’s current suturing level was that of an inferior-level resident doctor. He only needed to stay in the operating theater for about a month to be able to surpass Doctor Lin.
When others improved their medical skills, they could only follow the steps and work slowly.
Most surgical resident doctors would need at least five years to improve their suturing skills from the bottom to the outstanding level.
This was if there were enough surgery to go around.
If one could only get a chance to suture once every three to four days and was not too diligent in practicing in private, he might not even be able to reach an outstanding level in seven to eight years.
Therefore, Zhou Can had a huge advantage in comparison.
“You can try. The gaps between sutures have to be dense, and you have to take full account of arterial pressure.”
Dr. Xu agreed.
On the one hand, he was really too busy.
On the other hand, as long as the risk was not particularly high, he would try his best to delegate his authority to the doctors under him and help them grow quickly.
“Understood.”
Doctor Lin nodded and quickly began to repair the ruptured femoral artery.
Fortunately, there was skin and flesh protection, so the damage to the femoral artery was not particularly serious.
Otherwise, the repair of blood vessels would be very troublesome.
“Doctor Lin’s suture skills should be at the intermediate level of a resident doctor.”
Zhou Can had an idea after seeing Doctor Lin’s blood vessels repair.
It seemed that it would not take long for him to surpass Doctor Lin in terms of suturing skills.
If he took the initiative, he might be able to surpass him in half a month.
“Little Zhou, other than ensuring that the suture gap is fine, you have to pay attention to distinguish if the blood vessels are damaged. In this case, you have to cut them off. If the two blood vessels are far apart after you cut them off, the pull is too strong, you can’t force anastomosis. You can take a large hidden vein or replace it with an artificial blood vessel.”
“Usually, the best consideration is to use the patient’s own blood vessels. Even though the technology of artificial blood vessels is very mature, it’s still a lightning bolt. Especially when operating on young patients, you have to consider that they still have to live for decades. You have to be careful when using any artificial organs or tissues.”
Dr. Xu transferred his precious surgical experience to him as he operated.
“I’ll remember it.”
Zhou Can nodded with an extremely sincere attitude.
Being humble and studious was one of his strengths.
Jin Mingxi and Doctor Lu entered the operating room one after another.
It was time for the handover.
Doctor Lin was on the night shift, while Doctor Xu and Tang Ling received a call from the hospital and rushed over to help.
20 minutes later, Dr. Xu had successfully anastomosis on the broken femoral artery.
Doctor Lin was still busy.
The speed of the surgery would also vary greatly depending on the level.
A good surgeon would have short surgery while ensuring that the quality of the surgery was also especially high.
“Little Zhou, let go of the hemostasis clamp here and try your blood luck.”
Zhou Can let go of the hemostasis clamp gradually instead of letting go rashly.
From this, it could be seen that his hemostasis level was quite good. A person with standard would not only be reflected in exquisite techniques, but also in many details.
For an artery like this, he suddenly let go of the Hemostasis clamp as soon as the anastomosis was successful.
It was equivalent to suddenly opening all the gates when the floodgates were opened.
It would be easy to have adverse consequences.
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