My Medical Skills Give Me Experience Points

Chapter 1168: Chapter 461: Hoping for a Good Outcome, Level 6 Wound Cleaning Skill (2)

This is also why all open chest surgeries are considered Level 4 major surgeries.

No matter where you operate, as long as you open the chest, it will cause significant harm to the patient.

Then during the surgery, if an accident occurs and emergency rescue is needed, it’s a race against time.

Don’t mention resident doctors or chief-level doctors, even some associate chief physicians can become flustered and overwhelmed.

Sometimes, when a patient suddenly experiences cardiac arrest, the time for doctors to rescue could be just two or three minutes. In such situations, if the chief surgeon lacks strong mental resilience, extensive surgical experience, and powerful professional knowledge, there’s a high chance of rescue failure, leading to the severe consequence of the patient dying on the operating table.

Even someone as excellent as Director Xue Yan has made such mistakes, not to mention ordinary associate chief physicians.

It takes at least a decade to train a cardiothoracic surgeon; this is no exaggeration.

Many low-profile cardiothoracic surgeons, even after working for over a decade, still feel like novices. To meet the conditions to become a chief surgeon, they typically work for seventeen or eighteen years, or even over twenty years.

Neurosurgeons have similar training durations.

Zhou Can reached the surgical ability level that others achieve in twenty years, all within just a few years, something unprecedented at Tuya Hospital.

"I’ve reviewed the materials, no issues. Proceed with routine disinfection and draping, let’s start!"

Once agreed to be the chief surgeon, he didn’t hesitate at all.

There’s no stage fright; after scrubbing in, he let the nurse help him put on the surgical gown and disposable sterile rubber gloves. He confidently took the chief surgeon’s position at the operating table.

Everyone already knew his skills and had witnessed Zhou Can’s heroic feats in various major surgeries.

Therefore, when he took the chief surgeon’s position, everyone found it quite normal.

Many felt particularly reassured upon seeing Zhou Can personally perform the surgery.

Because Zhou Can was always stable during surgeries, he could swiftly react even in unanticipated situations, ultimately turning danger into safety.

"Sister Yan, I’m planning to make a skin incision centered on the abscess, along the rib direction, is that okay?"

"That’s great! Just proceed; there’s no need to ask me."

Director Xue Yan showed a look of helplessness.

In terms of surgical skills, Zhou Can had far surpassed her in many areas. As for the flexible application of surgical techniques and various surgical experiences, Zhou Can was much more proficient.

Initially, she and Zhou Can had trained together under Director Hu Kan, learning cardiothoracic surgery procedures, even with her having studied for a more extended period.

However, in terms of flexible surgical technique application and understanding various surgical points, she was no match for Zhou Can.

"Isn’t Cardiothoracic Surgery at a crucial phase? I worry about unexpected incidents, so I discussed with Sister Yan."

Zhou Can replied while concentrating on the surgery.

He quickly made a spindle-shaped incision around the abscess center.

"Wait, there’s too much pus inside; it needs to be aspirated first to relieve tension! Hand me the empty syringe!"

He handed the scalpel to the surgical nurse, then took the empty syringe to puncture the abscess area directly.

Director Le served as his first assistant.

Helping to aspirate the pus.

"Wow, this is like finding meat inside dumplings instead of on the pleats! From the appearance, it didn’t seem to have much pus, yet it extracted so much," Director Le exclaimed.

"Fortunately, Zhou Can identified the issue early; otherwise, when cutting into the muscle layer, the pus exuding would certainly contaminate the incision,"

Director Xue Yan shared the alarming sentiment.

An incision contaminated by pus significantly increases the risk of infection, a major taboo in cardiothoracic surgery.

"Director Le, has it been aspirated enough?"

Zhou Can continuously monitored the diseased area, lightly pressing to feel it was likely sufficient.

"Wait longer; the pus is extremely abundant, aspirating thoroughly reduces incision contamination probability."

After some effort, Director Le aspirated nearly all the pus.

"Alright, you can proceed,"

Zhou Can signaled Director Le to remove the aspiration needle and then said to the surgical nurse without turning back, "Hemostatic forceps."

The surgical nurse, experienced in surgical procedures, had participated in numerous cardiothoracic surgeries.

Upon hearing Zhou Can’s request for hemostatic forceps, she hesitated a moment, "You need the hemostatic forceps, right?"

This was to confirm with the chief surgeon.

Because her understanding suggested the current need might be for a surgical knife, to continue cutting into the skin and muscle layer of the diseased area.

"Correct!"

Zhou Can confirmed.

The circulating nurse provided clarification to the surgical nurse, "Dr. Zhou is preparing for blunt dissection through the muscle layer to enter the pus cavity!"

"Ah... I see now! I thought I heard wrong. Clearly, there was no visible vascular rupture, yet suddenly requesting hemostatic forceps," the surgical nurse chuckled as she learned something new.

Beneath the operating table, intern nurses and doctors silently observed and took notes, some even standing on tiptoe to see Zhou Can’s technique clearly.

For many nurses, interns, and trainees, the opportunity to witness an operation in the theater might be once in a lifetime. This learning experience will undoubtedly benefit their future work.

The surgical nurse admired the circulating nurse’s rich knowledge, but even more, she respected Zhou Can, the chief surgeon. Zhou Can is young, likely only a couple of years older than she is, yet he’s already leading surgeries.

Calm and confident, elegant in demeanor.

The gap between individuals is truly vast.

Zhou Can, focused on the operation, received the hemostatic forceps from the surgical nurse and commenced blunt muscle layer dissection at the disease site.

[Separation Skill Experience Points +1, Bonus Separation Skill Experience Points +100]

This unique separation method brought Zhou Can a pleasant surprise.

A reward of 100 experience points was quite the gain.

Since having two medical skills advance to Level 6, he noted that those skills required a million experience points to advance further. Thus, the 100,000 experience points needed to advance the Level 5 skills seemed less daunting.

Especially during complex operations, he regularly gained 10, or even 100 experience point rewards, making advancements smoother.

The highest single reward he’d received was 10,000 experience points.

Such good fortune is rare and hard to seek.

Rarely encountering a thousand experience point reward, let alone the enormous 10,000 point bonus.

Handling the hemostatic forceps, he cautiously tore back the muscle layer about one centimeter, entering the pus cavity.

"Suction!"

This time, the surgical nurse did not hesitate, quickly swapping the hemostatic forceps for the suction tool.

Rather than delegate this aspiration task to Director Le, Zhou Can was eager for the Wound Cleaning Skill experience points, so he performed the task himself.

After aspirating the pus cavity’s contents, he received the expected 101 Experience Points in Wound Cleaning Skill.

During surgery, the Wound Cleaning Skill seemed one of the easiest experience points to accumulate.

[Your Wound Cleaning Skill has advanced to Level 6!]

Unexpectedly, at this crucial moment, the Wound Cleaning Skill surpassed others to reach Level 6.

It became his third Director Level medical skill.

He delightedly noted the benefits brought by Level 6 Wound Cleaning Skill, feeling as though his heart was filled with joy.

Compared to Level 5, he distinctly felt a wondrous improvement once Wound Cleaning Skill advanced to Level 6. For example, with the current abscess and sinus removal, he instinctively knew the incision’s depth and width immediately appeared in his mind.

Every surrounding blood vessel, nerve, and tissue could be vividly visualized within his mind.

It felt as though his brain suddenly gained a function—like a scanner.

He could directly scan the diseased area and surrounding tissues, akin to a highly precise MRI machine.

Even the sinus’s path and depth were reasonably determined.

Perhaps due to just reaching Level 6, still at the junior Director Level, he couldn’t yet judge the sinus’s internal twists accurately.

Presumably, further skill advancement will allow acquiring such ability.

Nevertheless, it’s quite commendable for him.

"The upgrade of Wound Cleaning Skill came at the perfect time! It enables me to complete this surgery better."

Meanwhile, the pus cavity’s contents were aspirated completely.

He replaced the scalpel and made firm incisions along the muscle layer and cavity walls.

During this process, Level 6 Wound Cleaning Skill rendered considerable benefits.

He was able to incise precisely, without worrying about improper or insufficient cuts.

It operated with the precision of an instrument.