My Medical Skills Give Me Experience Points-Chapter 264 - 139 The wicked have their own tormentors, a chance to show their hand is coming_3
Chapter 264 -139 The wicked have their own tormentors, a chance to show their hand is coming_3
“They don’t treat new doctors as human beings.”
It seems that the two months of structured training in Neurosurgery will not be easy!
No wonder during the structured training in Orthopedics and the Emergency Department, I often heard that the doctors in Neurosurgery are difficult to deal with.
“Listen up, this time considering it’s your first offense, you can be spared from punishment. Next time, no matter the reason, you must deliver the patient to the outside of the operating room ten minutes in advance.”
After hearing Zhou Can’s explanation, Dr. Ou’s expression slightly softened.
He did not scold anyone further.
The surgery began.
The anesthesiologist checked the patient again, meeting the anesthesia indications, then he started to put the breathing mask on the patient and attach various life-monitoring probes.
He chose the prone position for the patient.
“Anesthesia successful, the patient’s vital signs are stable, respiratory exchange is weak, surgery can be performed.”
If the anesthesiologist finds any minor issues, he will alert the lead surgeon and nurses so they can be extra cautious during the operation.
Dr. Ou began the surgery on the patient.
Both resident doctors were assisting with all their might.
For Zhou Can and Jiang Xiaohua, just getting the chance to watch the operation was already quite good.
Don’t even think about hands-on training.
“The hematoma is located here, so choose the center of the incision here. Make the cut from the midline of the back.”
The scalpel sliced through the layers of the patient’s skin as if it were silk.
Dr. Ou’s surgical skills were quite impressive.
He undoubtedly had the level of an excellent attending physician.
Training a surgeon is indeed not easy.
It takes at least ten years to gain some proficiency.
Without twenty to thirty years, it’s difficult to achieve much.
Dr. Ou, even with a postgraduate degree, finished at age 27. Previously, the integrated program allowed him to start performing tasks like suturing in the operating room at age 28. Now at 50, he has 22 years of experience.
After 22 years of practice, he has achieved the level of an excellent attending physician. How long would it take to advance to a vice-chief level?
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Keep in mind, surgical skills involve more than just anatomy.
“Remember, the length of the surgical incision should be enough to expose three vertebral plates. Too long, and it causes significant harm to the patient; too short, and it hampers the operation.”
He operated while explaining to the two resident doctors.
Typically, the operation room functions like this. Attendings train resident doctors, and vice-chiefs or chiefs train the attendings.
These two resident doctors were assistants being trained by Dr. Ou.
The skill level of the first assistant in controlling bleeding pleased Zhou Can secretly.
With a bit of luck, he might get a chance to demonstrate his skills.
“Next, separate the paraspinal muscles, be sure to be cautious with the incision, and avoid damaging major blood vessels and nerves.”
Some young doctors, inexperienced, think that successfully suturing a few rat-tail arteries means it’s no big deal if a blood vessel gets nicked.
They have no idea about the horror of severing a major artery.
The consequences are also very severe.
The older the doctor, the more cautious and fearful they are during surgeries.
In contrast, rookie doctors fear nothing.
“Use the retractor to open both sides, and the surgical field will be visible.”
Once Dr. Ou’s assistant had adequately opened the surgical field, he frowned slightly because the first assistant’s ability to control bleeding was poor, allowing too much blood to accumulate at the bottom of the wound.
“Clean up the blood. Here, quickly control these two bleeding sources.”
He personally guided the first assistant in controlling the bleeding.
After considerable effort, they finally succeeded in cauterizing the blood vessels.
Next, they began the most critical step of the surgery.
“When cutting the vertebral lamina, operate carefully; usually, cutting two vertebrae is enough to clear the hematoma.”
He removed two vertebral laminae and inspected them carefully.
Perhaps feeling it wasn’t sufficient, he cut another one.
“Alright! Next, use the suction device to remove the hematoma until the dura mater is exposed.”
The first assistant’s technique in removing the hematoma was frankly poor.
After a lot of effort, they finally managed to clean it up mostly.
By this time, the dura mater beneath the hematoma was visible.
Bleeding generally comes from the dura mater.
“In the future, when you perform this type of surgery, you must remember one principle. If the bleeding time exceeds ten days, the patient’s body would have already absorbed the hematoma, thus eliminating the need for surgery. As doctors, in addition to understanding the anxiety of the patient and their family, we must insist on only performing useful surgeries. Knowing that the surgery is ineffective yet still allowing the patient to undergo it to make unethical money is contemptible.”
“Also, any surgery is a last resort. If a condition can be cured without surgery, then decisively choose not to operate. If a minor surgery can resolve the issue, decisively avoid major surgery. Every surgery inflicts a certain degree of harm to the patient’s body.”
Dr. Ou sternly admonished the junior doctors.
After hearing this, Zhou Can’s opinion of Dr. Ou greatly changed.
This person may have a bad temper, but his medical ethics are sound and his intentions are righteous.
He is a doctor worthy of respect.
Dr. Xu once told Zhou Can that the purpose of performing surgeries isn’t merely to alleviate the patient’s pain.
It’s also vital to consider whether the benefits of the surgery far outweigh the harm it causes to the patient.
Only such surgeries are worth further evaluating for surgical safety, various surgical indicators, and prognosis.
Imagine, if a patient occasionally has stomach pain, and you just remove the patient’s stomach.
Indeed, the pain is relieved, but_BGR the harm caused to the patient far exceeds the benefits of the surgery.
“After clearing the hematoma, you can look for any active bleeding points.”
He quickly found an active bleeding point, but it wasn’t large.
