Bab 5: A Great Contribution
Editor: Atlas Studios
"Look at the rashes on the patient. They only appeared some time after the surgery began. I can confirm that there were no such rashes on the patient when I cleaned the patient's skin in the ward."
The doctors' expressions turned a little ugly.
Especially the chief surgeon and first assistant since they were both the first and second-in-charge.
"What nonsense are you talking about? Do you mean we caused these rashes?" The Chief Resident rebuked angrily.
This was no joke.
The patient suddenly went into shock on the operating table, but Zhou Can still said that. It was no different from blaming the chief surgeon and the others for the accident.
This kid was innocent and ignorant. He did not know what he should and should not say.
"Chief, I think the patient is having an allergic reaction." Zhou Can ignored the Chief Resident and continued.
"An allergic reaction?" Chief Physician Liu's eyes lit up.
That's right, why didn't I think of this? He could only blame himself for being in a loss when the patient suddenly went into shock.
"Have you had a skin test for the anesthesia?"
Chief Physician Liu turned around and asked the anesthetist.
"I've done it. Everything is normal. Moreover, I've asked the family and the patient before the surgery. There's no history of allergy to anesthesia." The anesthetist did not dare to take the blame.
"I think the patient is probably allergic to rubber." Zhou Can continued.
"Why do you say that?" Chief Physician Liu realized that this intern was not simple. He already attached great importance to Zhou Can's opinion.
"I tightened the patient's arm with a rubber tube when I was collecting the patient's blood previously. He showed a very resistant expression. At that time, I didn't think too much about it. I boldly speculate that the patient should be allergic to rubber now that the patient has suddenly gone into shock, coupled with the various symptoms revealed."
Zhou Can calmly recounted his judgment.
[Pathology Diagnosis EXP+1.]
The sudden increase in EXP, and an entire 1 point of EXP, was simply a pie from the heavens.
He was overjoyed.
He was even more certain that his diagnosis was correct now that he had obtained the EXP.
It turned out that using medical skills on a patient increased the EXP by 10 times compared to reading. No wonder all the doctors said that the only way to grow quickly was to go to the operating table.
He finally understood why those usually arrogant resident doctors were fighting over a chance to suture the skin and close the perforation like hungry wolves.
It was to grow quickly.
"Conduct an anti-shock treatment immediately for the patient. Everyone, change out all rubber items. Patrol nurse to call the family immediately to ask if the patient has a history of rubber allergies."
Chief Physician Liu made a series of arrangements.
He could not be indecisive when it was time to resuscitate a patient. Even God would not be able to help him if he delayed the golden time of resuscitation.
After resuscitation, the patient's vital signs gradually returned to normal.
"It's okay, it's okay!"
The anesthetist was as happy as a child.
During the surgery, the patient's life was protected by the anesthesiologist.
Every doctor wanted the patient to leave the operating theater safely.
Everyone heaved a sigh of relief and smiled.
At this moment, good news came.
"Chief Physician Liu, I just asked the family. The patient is indeed allergic to rubber." The patrol nurse below the stage came back after making a call.
"Alright! The cause of the shock has been confirmed. I can operate without worry this time."
Chief Physician Liu was old and was really frightened just now.
He almost lost his composure.
After the crisis was resolved, he immediately thought of the greatest contributor.
He looked at Zhou Can, who was standing in the distance. His gaze was unprecedentedly amiable.
"Little Zhou, right?"
"Yes, I am Student Zhou Can."
Zhou Can was speechless. He had been an Intern for nearly a year, but his teacher didn't even remember his name.
However, this was very normal.
Teachers were generally not low-level. They rarely led interns personally. Usually, their Attending Physicians and subordinates were in charge.
The person who controlled Zhou Can the most was Chief Resident— Doctor Fang.
"Your performance was very good. You didn't panic in the face of danger and your medical skills are solid. You can apply what you learned at critical moments and link some details of the patient to make a comprehensive argument. This is especially precious."
Chief Physician Liu used very good, calm, and commendable words in a row.
It was obvious how much he admired Zhou Can's performance just now.
"Come, stand over here. In the future, stand in this position when I perform surgeries. Young people should be nurtured more."
Chief Physician Liu pointed to the place where the Chief Resident stood.
This position was often called the "Fourth Assistant Position".
It was not easy to get this position in Chief Physician Liu's surgery.
Even the resident doctors could only take turns standing in that position.
Now that Elder Liu had personally spoken and assigned the position to Zhou Can, all the resident doctors and Interns were envious.
"Thank you for your teaching, Chief Physician Liu!"
Zhou Can was very flattered to suddenly enjoy such good treatment.
He had followed his teacher into the operating theater countless times after a year of internship. This was the first time he was standing in such an important position.
The Chief Resident was very disappointed to be squeezed out of the fourth assistant position.
Taking advantage of Elder Liu's good mood, he forced a smile and said, "Chief Physician Liu, I'm only 28 years old even though I've studied with you for a few years. I'm also amongst the young that you're talking about! You can't leave me alone just because I've more experience."
The squeaky wheel gets the grease.
The Chief Resident was mainly worried that Zhou Can would always occupy the position of fourth assistant in the future and no one else would have a chance. That was why he said this.
"Haha, you're so glib-tongued. Don't worry, everyone has a chance," Chief Physician Liu scolded jokingly.
"I'm relieved to hear that. I want to be your student for the rest of my life." The Chief Resident was very good at playing the emotional card.
These few words made Elder Liu smile so much that his eyebrows curved.
If he left a good impression on the leader, it would be easier to get training opportunities in the future.
"Alright, let's continue the surgery! Little Zhou, help to tighten the grip on the suture. Watch how I dissociate the lesion tissue, especially the parts close to the large blood vessels and important nerves. Techniques and experience are extremely important."
Elder Liu continued to operate on the patient.
Moreover, he got Zhou Can to directly participate in the surgery. Even though it was just a small job, this was a level-three general surgery.
An Attending Physician was also in such a position so it was already an honor for him, an intern, to be amongst them.
Chief Resident's glib tongue ultimately failed to shake Zhou Can's position in Chief Physician Liu's heart. He was destined to stand behind Zhou Can in today's surgery.
At this moment, Old Liu had already begun.
He carefully separated the huge lymph node from the surrounding tissues.
The scalpel seemed to come alive in his hand.
Which part to cut, the strength, the angle, the length, and so on were all exquisite.
The first assistant's cooperation was also very good.
New bleeding points were constantly generated when lesion tissues were removed.
The first assistant would immediately bring his electrocoagulator over and stop the bleeding instantly.
The two of them cooperated very well.
The second assistant's job was to assist the chief surgeon in the surgery. For example, he could hold the swelling or pull apart the tissue that might hinder the surgery, exposing the best surgical field to the chief surgeon.
Zhou Can realized that participating in the surgery at close range and watching from afar were two completely different things.
It was clearly Elder Liu who was doing it, but Zhou Can felt a sense of nervousness.
His heart would rise and fall along with every movement of Elder Liu's scalpel.
When the blade landed, his heart was in his mouth and his spirit was highly nervous. He could not help but worry. What if this blade cut the patient's artery and blood vessels? Would it cut his nerves?
It was only when Elder Liu raised his blade and the patient was fine that he heaved a sigh of relief. His worried heart also relaxed.
…
The surgery went very smoothly. All the lymph nodes and swelling that needed to be removed were successfully removed.
Zhou Can felt that he had gained a lot.
He gained a deeper understanding of the separation and resection of swellings and lymph nodes.
For example, how to reduce the risk of not injuring the blood vessels when separating the swelling from the artery. Another example was the complicated surgical environment around the swelling, how to separate the layers and remove the obstacles step by step, and so on.
Also, the flexible use of the various hemostasis methods of the first assistants gave him a lot of inspiration.
Which blood vessels needed ligation and which needed clamps?
How to operate on a bleeding area beside the nerve, and so on.
These were all very difficult to learn from books.
He had to learn it in actual combat.
The operating table was like a battlefield. It was ever-changing. Different situations had different methods of handling.
This required doctors to accumulate and use it flexibly.
"Alright! It's all cut cleanly. Remember to take it for a pathological examination. Based on my personal experience, the possibility of it being malignant is very small." Elder Liu looked at the swelling and nodules on the plate and instructed.
"He Hansheng, Song Ze, I'll leave the hemostasis of the surgical wound to you."
These words were clearly directed at the first assistant and second assistant.
In the surgery, these two people were equivalent to the chief surgeon's right-hand men.
Their medical skills were not weak on average, and they took on many important tasks during the surgery.
"You've worked hard. Please rest first, just in case there's something that we cannot handle." The first assistant was very humble.
The second assistant was probably a practical person.
He did not speak much and worked silently.
He assisted when he needed to and charged when he needed to.
Zhou Can and the third assistant continued pulling the hook with all their might as they watched the first assistant and second assistant do blood vessel anastomosis, fluid extraction, and so on.
These jobs were very technical.
Ordinary Attending Physicians might not be able to do it.
If the hemostasis on the surgical wound was not done well, it would easily cause hematoma and fluid accumulation after suturing. This would severely affect the patient's recovery.
"Elder Liu, the hemostasis has been completed. Please check again."
Chief Physician Liu did not dare to be careless and checked it seriously.
He would even open some more discreet spots and take a closer look.
This rigorous style was very worth learning from young doctors.
"It's done quite well. You can stitch the skin now."
Chief Physician Liu nodded in satisfaction.
The first assistant, second assistant, and third assistant were not interested in suturing the skin.
At this moment, Zhou Can felt that his chance had come.
His sutures and ligations had reached Outstanding House Officer level. He did not dare to perform blood vessel anastomosis or organ sutures, but it should not be a problem to suture the skin.
Zhou Can was not the only one eyeing the opportunity to suture the skin. The resident doctors and interns behind him were all looking forward to it.
The opportunity was fleeting.
It would not be good to ask for it if someone else snatched it first.
Zhou Can mustered his courage and said, "Director, can you leave the opportunity to suture the skin to me?"
-- Hadiah diterima