My Medical Skills Give Me Experience Points

Chapter 1040: Chapter 410: Training Newcomers, Principles of Debridement for Gangrene

There has been no news coming back.

Dr. Xu returned to the operating room after about half an hour and continued the surgery. He didn’t mention anything about the patient with gangrene.

A teacher is indeed calm and composed, whether the matter was settled or not, they should at least give a sign!

Zhou Can was performing surgery inside and didn’t go out to ask more questions.

As it approached the end of work hours, Ma Xiaolan brought in a patient, the man whose leg wound had opened and developed gangrene.

The man’s skin was dark, and one could see the marks left from long-term sun exposure on his forehead and arms.

Logically, this was a robust, middle-aged male patient with strong immunity.

Perhaps after the leg injury, he did not receive good nutritional supplementation, coupled with prolonged illness, his body had noticeably started to thin. This was not a good sign.

It was necessary to clean up his wound while his body was still in comparatively good condition, and suture where needed.

Following that, provide professional medical rehabilitation to help him recover quickly.

Any disease is as terrifying as a fire.

Initially, it might be just a small spark, and if caught in time, could be easily extinguished.

The longer the delay, the more unfavorable it becomes.

If we let the fire grow into a blaze, extinguishing it will be extremely difficult.

Waiting until the house is almost burned down to extinguish the fire, even if the fire is put out, the house will be almost destroyed.

Treating the patient follows the same principle.

We must act before the patient’s body is significantly damaged to prevent the disease from ravaging.

This is the principle of preventive treatment in traditional Chinese medicine.

Right now, this patient is almost at the point of no return.

"I’ve already assessed his condition, spinal anesthesia will suffice. The prognosis may not be very optimistic, but it’s our effort. The family strongly requests limb preservation, willing to try no matter the cost. The patient himself shares this wish."

Dr. Xu came in.

The anesthetist followed closely behind, bringing her ’treasure box.’

No wonder it took so long to bring the patient into the operating room.

After Dr. Xu negotiated with the family, he likely consulted with Director Lou or Deputy Director Han, department leaders like them. Once they agreed, the application was made to the anesthesiology department.

Then the anesthesiology department sent an anesthetist over for assessment, to talk with the family and the patient, and sign the anesthesia consent form.

The series of complicated procedures, being completed this quickly, is already considered good.

Because spinal anesthesia was to be administered, a chief level female anesthetist came in.

This level of anesthesia surgery does not require a deputy director level anesthetist. It doesn’t even need a senior chief level anesthetist.

"Miss, do you need help with the lumbar puncture?"

Zhou Can approached warmly to greet her.

"Sure! It’s a great honor to have Director Feng’s talented student assist me!"

The female anesthetist squeezed out a smile at Zhou Can.

How rare it was, finally encountering a normal anesthetist.

In Zhou Can’s impression, doctors from the anesthesiology department mostly have cold, stern faces, rarely smiling. Only Dr. Guan seemed normal.

However, ever since Dr. Guan almost caused a medical accident, he seemed to have become less cheerful and less inclined to smile.

The anesthesiology department has been short-staffed surely for a reason.

Too much work, heavy workload, high risk, great pressure, the income can only be described as decent.

Why is the anesthetist’s income not as high as imagined? Zhou Can heard about something like this, roughly seven or eight years ago, there was certain reform on the medical staff’s wages and bonuses.

As a result, a nurse from a critical department received bonuses nearly two thousand yuan more than the anesthetists monthly.

The anesthetists felt unbalanced and directly protested collectively.

Later, the hospital leadership had no choice, after discussing in meetings, they established a laughable regulation. A nurse’s bonus could match an anesthetist’s, but could not exceed the anesthesiology department.

This incident was finally resolved.

If this matter was true, it would explain the anesthetist’s income was not as high as imagined. Otherwise, it wouldn’t have caused such an uproar over a two-thousand-yuan difference with the nurse’s monthly bonus.

Nursing can also be very taxing.

The idle loafers are not included. Some lazy nurses wouldn’t even stretch out a hand to connect IV saline, always making the newbie nurses work.

Spinal anesthesia, commonly known as lumbar anesthesia.

After local disinfection, a puncture is made in the patient’s lumbar region, selecting the appropriate intervertebral space, and local anesthetics are injected into the subarachnoid space, causing loss of sensation in the lower body.

It sounds easy, but the operation is actually quite difficult.

Inexperienced anesthetists often fail in this procedure.

Zhou Can’s injection skill was already at level five, reaching the level of a deputy director. Injection skill includes puncture.

Various thoracic puncture, lumbar puncture, abdominal puncture, Zhou Can could perform them all effortlessly.

The most difficult part of this anesthesia surgery was the lumbar puncture operation.

As a result, Zhou Can completed the lumbar puncture with incredible ease, making the female anesthetist admire him greatly.

"Do you feel anything in your lower body?"

After a while, estimating the anesthetic took effect, the female anesthetist tested the patient’s reaction.

"No sensation! It’s very numb!"

"That’s right. This indicates the spinal anesthesia was successfully administered."

The female anesthetist admired Zhou Can’s skill even more. To her, such a difficult puncture operation, in Zhou Can’s hands, seemed like child’s play, how enviable his ease with difficult tasks.