"Absolutely! The suturing is neat, the spacing between the stitches is reasonable, the knots are solid, and the incision layer is tight and firm. This skill level is quite impressive!" Dr. Xu checked and nodded in satisfaction.
"Has the tetanus vaccine been administered?"
"It's already done!"
"Okay, remember to remind the patient to get a rabies vaccine at the disease control center. Come in to change the dressing every day. You can wheel the patient out now."
Dr. Xu issued the medical orders.
Being bitten by a dog, the biggest risk is rabies.
The mortality rate of this disease is one hundred percent.
Vaccination is the only effective protection.
"Dr. Zhou just entered the operating room and can already suture this well, quite excellent!"
Dr. Lu praised him with a smile.
"Too kind, too kind!"
Zhou Can replied cautiously.
From Dr. Lu's sloppy attitude when treating patients, one can tell that his character is mediocre.
The second debridement for the patient probably made Dr. Lu harbor some grudges.
It's better to be cautious.
"You should not be modest! Earning Dr. Xu's praise proves your extraordinary abilities. Being so skilled, you'll have to take on more surgeries in the Emergency Department in the future!"
Dr. Lu continued to praise him with a grin.
However, Zhou Can couldn't help but feel that this guy had a hidden agenda.
Being new, Zhou naturally lowered his stance.
Might as well present himself as a 'novice.'
"No problem, no problem. I am the junior after all, it's only right for me to do more work."
His response was impeccable.
Dr. Lu had nothing else to add.
The atmosphere between them was relatively harmonious.
The surgery room in the Emergency Department is actually quite busy.
The patient who was bitten by a dog had just been wheeled out, and a new patient was being wheeled into the surgery room.
"This patient accidentally injured himself, with a 4cm long wound on his left forehead. Examination showed no intracranial hemorrhage. Dr. Luo Yong checked and said to stitch the wound in the surgery room."
Dr. Xu looked at the X-ray carefully and found no issues.
"Alright, go ahead and attend to that," Dr. Xu told the nurse, then turned to the patient. "Can you walk?"
"Yes."
"Based on the X-rays, there's no major problem, just superficial wounds. We are preparing to clean and suture the wound. According to your description, you hit the edge of the coffee table when you fell, right?"
"Yes. I just mopped the floor and it was too slippery, and I accidentally fell."
"You are quite lucky! A few days ago, we had an old lady who fell and fractured her femur; she needed major surgery. Be very careful on freshly mopped floors in the future."
Dr. Xu is strict with his subordinate doctors, but he speaks kindly and amiably with patients.
This showed Zhou Can a lovable side of him.
"Dr. Zhou, this patient is now in your hands!"
Dr. Xu turned his head and directly handed over the patient to him.
"Alright!"
Zhou Can was extremely happy, another opportunity to earn Experience Points.
It seems that getting along with Dr. Xu, after clearing up the misunderstanding about lying, his trust in Zhou soared.
Plus, showing off his competent surgical skills, this patient with a head injury was directly awarded to him for practice.
He knew that to get more surgical opportunities from Dr. Xu, he must earnestly perform well in every surgery.
"Come, please lie down. I will administer local anesthesia, then clean the wound. If everything looks good, we can directly suture the wound."
Communicating with the patient before surgery is a basic professional etiquette for every doctor.
It helps patients understand the entire procedure, build trust in the doctor, and reduce disputes.
"Please take extra care, Dr. Zhou. Try to minimize any noticeable scars when suturing."
"Will do."
For locations like the face, neck, and arms, apart from considering the healing of the wound, considerations must also be made for aesthetic outcomes after recovery.
Whether an unsightly scar forms depends not only on scar tissue propensity but also closely on the doctor's suturing level.
Zhou Can's suturing level in a county hospital is roughly equivalent to a chief physician.
Suturing a small forehead wound is definitely adequate.
After having the patient lie on their side, he first administered anesthesia.
In the past, he had practiced local anesthesia injections on small animals several times; this was the first time on a human.
The forehead has less muscle, just a thin layer of skin, and underneath is the hard skull.
Injecting anesthesia here is more difficult than other parts.
But this did not pose a problem for Zhou Can.
Slanting the needle and injecting solved it.
[Congratulations, you have acquired the Injection Skill, current experience points, Intern level 1/10. Failed level.]
Zhou Can was a bit stunned.
Does administering an injection count as a medical skill?
Generally, nurses are definitely the best at giving injections.
Administering various medications to patients is usually done by nurses; practiced more, their skill is naturally refined.
"Thank goodness it's just injecting anesthesia in a patient. If it were giving a shot to a child, with these failed level injection skills, I might be beaten up by the family members in minutes."
Internship performance not up to par, slightly better than an average person, indeed needs to be upgraded swiftly.
Originally, two injection sites would have been enough.
Zhou Can coveted the ultra-high Experience Points when injecting into the human body.
He ended up administering the anesthetic at four different sites.
In this way, a total of 4 points of injection Experience Points were easily earned.
He needs to quickly figure out a way to improve this medical technique.
Injection Skill is not just for injections, but can also be used in various scenarios during surgery.
Having numerous skills is an asset.
Regardless of the medical skill, being too poor ultimately is not beneficial.
It easily becomes a flaw of his.
"How does it feel now, do you still experience any pain?"
He asked the patient.
"It feels numb, seems like there's no pain anymore."
The patient was reporting their most genuine feelings.
It appears that the anesthetic has taken effect; it's time to start debridement.
After cleaning the wound with hydrogen peroxide to remove hematoma and potential debris, he carefully examined it and found the condition of the wound to be reasonable.
Direct suturing will do.
It took Zhou Can less than ten minutes to complete the suturing.
A total of five stitches.
He checked everything again; there were no issues.
This was the first surgery Zhou Can led, though it was a minor one, it was still highly significant.
Leading a surgery and participating in a surgery are two completely different concepts.
Leading a surgery exercises an individual's comprehensive abilities.
"Dr. Xu, please check this for me." Zhou Can looked up and noticed Dr. Xu was standing by watching.
"Hmm, well handled."
After again disinfecting the wound for the patient, dressing it with gauze, and sending them out.
The rest would be handled by nurses according to the medical orders.
"I've roughly grasped Zhou Can's surgical capabilities. Jin Mingxi, the next patient, you have a try."
"Sure!"
Jin Mingxi had been eager watching Zhou Can gaining merits one after another.
He happily agreed.
Soon, another patient was brought in.
The patient was diagnosed with a mild inguinal hernia.
Jin Mingxi voluntarily stepped forward to examine the patient.
"The patient's condition is not serious, there is no incarceration. I believe manual reduction is sufficient, no need for surgery. Dr. Xu, what do you think?"
It was evident that Jin Mingxi's diagnostic experience was extremely rich and robust.
"Are you confident in completing the manual reduction?"
Dr. Xu retorted.
"Yes."
He answered decisively.
"Then what are we waiting for, get on with it!"
Dr. Xu fully empowered him.
After having the patient lie down and relax, Jin Mingxi skillfully performed the manual reduction for the patient.
Actually, sometimes the patient can push it back in themselves.
Typically, hernias occur when the intestines protrude through a weak spot in the hernial sac.
Forming a bulging bump in the abdomen or near the base of the thigh.
They vary in size.
Sometimes even invisible to the naked eye.
The patient would experience severe pain.
If the symptoms are mild, manual reduction is sufficient. No surgery needed.
However, this condition is prone to recurrence.
"All done."
As soon as Jin Mingxi spoke, the painful grunts of the patient ceased.
This fully demonstrated his strong capabilities.
"After returning home, rest well. In the short term, you must avoid strenuous coughing, heavy lifting, or vigorous exercise to prevent recurrence. If you feel discomfort, immediately come to the hospital."
He professionally advised the patient on some precautions after treating them.
This patient with inguinal hernia was easily treated and walked out of the operating room by themselves.
"Not bad at all, this time our Emergency Department has recruited two strong performers, truly a blessing."
Dr. Xu rarely showed a slight smile.
The arrival of two strong performers in the Emergency Department is enough to significantly alleviate the acute shortage of staff.
"Dr. Jin, whether in treatment techniques or prescribing orders, you are particularly experienced. Which hospital did you work at before?"
Dr. Xu's address to him has changed.
This is a recognition and even more, a form of respect.