At this moment, one could already see the situation inside.
Waves of foul odor hit the face.
The abscess was even more severe than imagined.
The necrotic tissues were stuck together, resembling minced flesh.
"Expand the wound a little more."
Zhou Can swiftly cauterized the bleeding points and then carefully suctioned the pus from the abscess.
It had to be completely drained or else there was a high risk of contaminating the abdominal cavity.
That would be a major problem.
Without comparison, there wouldn't be any harm.
Compared to Dr. Lu's clumsy assistance, not only was Zhou Can ten times more serious in his attitude, but his hemostasis skills were also streets ahead of Dr. Lu.
"Xiao Zhou, you look for the cecum."
"Alright!"
Zhou Can understood that Dr. Xu was taking special care in training him.
Almost guiding him by the hand.
Following the colonic taenia, he pushed aside the fat hanging on both sides, searching intently. He quickly found the cecum which was a shade whiter than the small intestine. But it wasn't purely white, rather, it was a greyish white.
Having found the cecum, he had also found the appendix.
Because they were connected.
Zhou Can placed a gauze pad at his fingertip, lifted the cecum, and successfully located the appendix along the colonic taenia.
"The adhesion seems to be particularly severe."
Zhou Can looked towards Dr. Xu.
"As long as you're careful, separating them is not difficult."
Dr. Xu appeared especially composed.
He carefully separated the adhesion. The entire process was meticulous, precise, unhurried, subtly exuding a master's flair.
While separating, he continuously taught Zhou Can some techniques and explained the key points.
It took nearly half an hour to completely separate the adhesions.
"Now we can remove the necrotic cecum. Remember, whether you're removing the cecum or the appendix, try to do it outside the peritoneal cavity to prevent contamination. If the conditions don't allow, and you must do it inside the peritoneal cavity, you must pad the surrounding area with gauze well to protect the various layers of the abdominal cavity."
The diseased parts had been separated and could be removed from the abdominal cavity.
The end of the colon was sutured by Dr. Xu personally.
He shared all the essential points, precautions, and different suturing techniques with Zhou Can and Jin Mingxi without reservation. Dr. Lu should have been taught before.
"Return the intestines, and then clean up any accumulated blood or fluid. After checking that there are no errors, you must count the surgical instruments and materials used."
There have been irresponsible doctors who have left surgical instruments or gauze inside the patient's body.
Ultimately causing medical incidents.
These good habits need to be cultivated from the beginning.
"Xiao Zhou, you close the abdomen!"
Dr. Xu did not agree to let him open the abdomen or remove the cecum, which was correct.
Because Zhou Can, whether in terms of experience or surgical skill, was still lacking.
After this learning experience, the next time Zhou Can is tasked with removing the cecum or appendix, his confidence would be much greater.
The growth of every doctor is accumulated over time, gradually maturing.
The Experience Point system could accelerate his growth but could not help him achieve it all in one go.
Dr. Xu also gradually delegated authority to him, nurturing him slowly.
It seems harsh, but in fact, it's a form of care.
If a child who just learned to walk is allowed to run wild, it would be harming him. Because that child won't run far before he falls hard.
Zhou Can finished suturing the patient's abdominal cavity and earned twenty Experience Points.
He sutured a total of ten stitches.
His suturing technique also became more and more skilled.
Suturing on a patient, compared to on pigskin or mice, is completely different.
First of all, the feel is different.
Human skin is more delicate, so suturing appears more tender.
Additionally, practicing with pigskin carries no psychological pressure. When suturing a patient, one naturally feels nervous, and the psychological pressure is immense. The mental focus must be highly concentrated throughout the process.
To be precise, this is his fourth time suturing on a patient.
Compared to the first time, there have been obvious improvements in all aspects.
Although he's not as composed as Dr. Xu, at least he's not as extremely tense as the first time. Just now, when closing the patient's abdominal cavity, he felt relatively calm inside.
This kind of mental enhancement simply cannot be provided by the Experience Points system.
It can only be achieved through surgical practice.
"The suturing is decent; from now on, you can take on tasks like suturing the skin and closing the abdominal cavity. I reckon Dr. Lu and Dr. Jin have long since gotten tired of this kind of work, right?"
Even a fool could see that Dr. Xu was intentionally nurturing Zhou Can.
"It's good for Zhou Can to practice more," Jin Mingxi stated.
"As for suturing skin and closing cavities, they really don't interest me. If only Dr. Xu would let me lead a Level 2 surgery!" Dr. Lu said with a laugh.
"When you correct your carelessness, come back and make that request to me!" Dr. Xu bluntly criticized him.
Dr. Lu just gave an awkward smile and kept silent.
The old lady's surgery was very successful. After waking from anesthesia, she was wheeled out of the operating room by the nurses.
…
In the Emergency Department operating room, patients were continuously brought in, providing a full load of work.
For Zhou Can, it was simply heaven for upgrading his medical skills.
It was a pity that many surgeries couldn't be performed.
Either led by Dr. Xu or they had to convince the patients to transfer to a specialty for surgery.
Busy until midnight, when the shift change occurred and the next doctor arrived, Zhou Can was finally off work.
Walking out of the hospital, Zhou Can felt as if his body was nearly falling apart.
Being a doctor is truly exhausting.
But today's gains were unimaginably huge.
Not only did he achieve his goal of staying in the hospital as a resident, but he also quickly integrated into the big family of the Emergency Department. He had initially gained recognition from Director Lou and Dr. Xu.
As long as he doesn't screw up on his own, his career prospects are definitely bright.
Dr. Xu has already started to focus on his training.
Even Jin Mingxi didn't receive this kind of treatment.
In addition, he earned quite a bit of Experience Points for his suturing, hemostasis, ligation, and injection skills. Cutting Experience earned the least, with just 2 points.
For slightly risky dissections, Dr. Xu, wary of potential issues, mostly performed them himself, not daring to let Zhou Can take over.
At most, during cutting, he would explain in detail every step of the operation and points for attention to Zhou Can.
After all, cultivating a medical talent takes a long time.
It's not something that can be achieved in a day or two.
Zhou Can also made adjustments in his studies based on the current situation.
After work, he could buy more white mice or rabbits to practice dissections at home. Although practicing dissections on small animals earns 5 times less Experience Points than practicing on human bodies.
But there's no risk involved.
And he can practice whenever he wants at home. Even if he only gains twenty or thirty points of Cutting Experience each day, after practicing for two or three months, his cutting skills could be elevated to Chief Level.
He hadn't had time to check his phone all day, so he took it out to look.
There were quite a few unread messages.
His class group from 512 had exploded.
Almost all classmates and teachers had sent congratulatory messages for his and Yang Chan's successful attainment of residency positions.
Yang Chan had already replied in the group.
Nothing more than thanking the teachers for nurturing and thanking classmates for their blessings.
Zhou Can had not yet replied in the group, and some classmates were not pleased.
They started to jest.
Saying things like how he had soared to great heights now and why would he bother with teachers and classmates anymore?
Some went even further, saying that now he was the top scorer in the Tuya Hospital residency exam, he didn't even regard teachers, probably having long forgotten their kindness.
Zhou Can briefly skimmed the class group messages and was left speechless.