My Medical Skills Give Me Experience Points-Chapter 216 - 123 Bone Setting Skill, Enemies on a Narrow Road
Before long, a new surgical patient was wheeled into the operating room.
This time only Zhou Can, a standardized training resident, was left, so there was no need to test him anymore.
Dr. Hee took the initiative to display the patient's examination report on the light screen.
"The patient underwent arm bone fracture surgery at the beginning of last year, and at that time, two steel pins were used to fixate the bone. Looking at the patient's recovery, the fracture has healed well, and now the steel pins need to be surgically removed."
Doctor Shan took the initiative to introduce the patient's condition.
Generally speaking, the surgeries in the operating room are scheduled in advance.
Which surgeries to perform at what time today, the surgeon, assistants, and nurses all know in their minds.
Removal of the internal fixation device is not particularly difficult.
But it carries a great risk.
Improper operation or premature removal may cause the patient to refracture or get an infection, which is also quite possible.
The patient was soon brought in.
The steel pin at the location of the right elbow joint needed to be removed.
Doctor Shan performed the surgery very cautiously.
Even though the procedure had been checked at several levels, she still conducted a series of examinations and inquiries on the patient, and only after assessing that the steel pin could be removed, she began the surgery.
Zhou Can naturally took the anesthetic needle prepared by the nurse and gave the patient four injections in the armpit of the right arm.
The puncture site for brachial plexus anesthesia is not fixed.
The actual location is chosen based on the surgical needs.
Sometimes, above or below the clavicle, or in the deltopectoral groove, are also areas where anesthetic injections are administered.
The goal is one and the same, to block nerve conduction in the arm.
In fact, the principle of painkillers is very similar to that of anesthetics; it also blocks nerve conduction.
Many people can't stand the pain but are reluctant to use painkillers. They believe the 'pseudo-science' on the internet that claims painkillers can harm the body and leave sequelae.
That it can make people become dull and stupid.
In fact, these talks are unfounded.
As long as the dosage is properly managed, there is almost no so-called 'negative effect' on the body.
In ancient times, Guan Yu had his bone scraped to treat poison without using anesthesia, and yet he was able to chat and laugh, playing chess while undergoing Hua Tuo's surgery. Perhaps such tough guys really existed, but more likely, it was because the anesthesia at the time was not well developed.
He didn't dare to use it.
Modern people really do not need to emulate Guan Yu and endure such suffering.
Some pains can truly knock a person out cold.
Zhou Can's Injection Skill is at the Chief Level; his local anesthesia sets in faster and is more effective.
"Doctor Shan! Anesthesia is successful; you can start the surgery now."
"Mm!"
She nodded slightly.
The nurse professionally disinfected the surgical site again.
The incision site and the position of the steel pin had already been marked on the patient's arm.
Doctor Shan made an incision skillfully and delicately, and Zhou Can cooperated tacitly in stopping the bleeding. This part was actually just a layer of skin; the bone was directly exposed.
The metal steel pins were also visible.
Throughout the entire extraction process, she was very careful.
Zhou Can stood by and helped out, and he also learned quite a bit.
There were a total of two steel pins.
First, this one was removed, and after checking and confirming that the bone had healed quite solidly, and that removal would not pose any risk, the other one was removed.
Sometimes, for safety, doctors often choose to remove orthopedic internal fixation devices over multiple sessions.
"The suturing is up to you!"
After successfully removing the two steel pins, Doctor Shan was fairly exhausted.
It was also thanks to Zhou Can's help that the surgery went so smoothly.
"No problem."
Zhou Can agreed cheerfully.
He did not pass up on any opportunities to earn Experience Points in medical skills.
Such a small wound, he completed the debridement and suturing in just a few minutes.
Having performed so many Level 1 surgeries in the Emergency Department was not for nothing.
In terms of surgery speed, there were probably few who could be faster than him.
"Wow, Dr. Zhou's suturing technique is really quite impressive! Quick and good!"
She couldn't help but praise.
"Actually, my dissection technique is also pretty decent, how about giving me a chance to practice?"
Zhou Can was already being very modest.
Because he had already reached Level 3 or above in many medical skills.
"I'll give you a chance when it's appropriate!"
She didn't make a full commitment.
After all, according to the operating room's safety rules, interns are generally required to stand back from procedures, meaning operations that would pose safety risks to patients; interns are only permitted to observe.
They can just stand to the side to learn.
Standardized training residents can handle some injectables, stitching up skin, and other such tasks.
Getting hands-on with surgical procedures on a patient, one must at least endure till the higher years as a Resident Doctor to possibly snatch the very few training opportunities.
Doctor Shan loosening up a bit was already a great act of trust toward Zhou Can.
After the patient with the steel pin extraction was sent out, a nurse stood behind the second door and asked, "Doctor Shan, a child with a dislocated arm has come in. Can we make a slot for him to get some help?"
In any hospital, there are various types of favoritism.
For example, the nurse pushing the child up in the queue could be because they are acquaintances, or the child has some significant background connections.
"Dislocated arm, you should have sent him to the manual reduction room!"
The 𝘮ost uptodat𝑒 novels are pub𝙡ished on freeweɓnovēl.coɱ.
Doctor Shan did not overtly refuse.
Dislocation, unless in the rare cases that require surgery, can mostly be managed with manual reduction.
This is also an essential skill for an orthopedic surgeon.
"That place is closed now, won't be staffed until two in the afternoon. The child's grandfather works at the Health Bureau and personally brought the kid over, what do you think..."
Although the nurse didn't say it explicitly, the meaning was quite clear in her words.
This was the grandson of a leading official in the regulatory department.
For Tuya Hospital, the directors and such aren't at a low level. Ordinary leaders from the Health Bureau, even if they did come, wouldn't even warrant the personal reception of the hospital director.