Chapter 4 I Want to Be the Main Sword!
Chen Cang's speed was very fast, and the children didn't cry or make trouble after they came in.
An Yanjun was originally worried that Chen Cang's dressing change would be rough, which would make the children's pain worse!
After all, young people are more sloppy. Thinking of this, An Yanjun's dressing changed faster.
But when I came in, I was dumbfounded.
Several children who had been bandaged sat there, honestly and quietly.
An Yanjun couldn't help but ask, "Children, are you scared? Does it hurt?"
Several children shook their heads one after another: "It doesn't hurt!"
An Yanjun smiled and touched the child's head, guessing that their fear of the unknown scared them. After all, he wasn't so quiet when he changed his dressing just now.
At this time, Chen Cang was dealing with a little girl. Her knee was slashed, and fine dust was stuck in it. It was necessary to clean and remove large particles of dust. An Yanjun frowned. This is a bit difficult to handle, and the wound is relatively Seriously, it definitely hurts!
He was about to speak, and Chen Cang had already started debridement.
But with such a casual glance, An Yanjun was stunned.
As soon as the expert makes a move, you will know if there is any!
This Chen Cang's debridement technique is a bit special, isn't it?
Sure enough, when Chen Cang was cleaning the wound, the little girl grinned and burst into tears, but she didn't cry out for a long time.
An Yanjun also found that when Chen Cang handled the wound, he paid great attention to the subtle details!
Be very careful with the cleaning of sensitive parts...and this way, the pain of the patient can be greatly reduced, and even by changing the dressing, the original pain can be alleviated to a certain extent!
This is the test of the doctor's level.
An Yanjun vaguely remembered that an expert from the Mayo Clinic specialized in this research: debridement and dressing change, the most annoying thing is pain, and excellent experts can reduce the pain in the affected area and reduce the patient's inner anxiety, so as to achieve An effect that speeds up healing.
To this end, An Yanjun also tried, but it seems that the effect is average, and he did not effectively relieve the patient's pain. Later, An Yanjun thought that this was only possible at the level of discussion.
However, Chen Cang really seemed to have done it at this time.
In terms of alleviating the pain of patients, Xiao Chen has done an excellent job.
Thinking of this, An Yanjun was suddenly full of curiosity, how did he do it?
This is a very researched thing, and there is time to communicate!
【Ding! An Yanjun favorability +5]
Chen Cang, who was changing dressings, was stunned for a while, then turned around and saw An Yanjun staring at his ass.
Chen Cang was immediately frightened!
After all, it is the deputy director of the emergency department. If I want to force it, should I refuse it?
Thinking of this, Chen Cang couldn't help contracting his gluteus maximus, and even changed the angle.
I secretly made up my mind that I would never go to a bathhouse with Director An in the future. After all, ****, who can say for sure!
...
【Ding! Congratulations, you have completed the daily task and gained +30 experience in debridement and dressing change. RMB+50. 】
An Yanjun came in and glanced at Chen Cang: "It's hard work, let's go to shift together."
【Ding! NPC An Yanjun's mission is completed, and he will get An Yanjun's favorability +5, RMB +20, and experience +30. 】
Chen Cang nodded, looking at An Yanjun's eyes that seemed a little hot, he couldn't help but pull a scalpel away...
Just in case... be prepared!
However, when he thought that this wave of operations in the morning directly brought him 120 yuan in income, Chen Cang felt very happy.
Suddenly Chen Cang thought:
[An Yanjun, a rigorous and serious surgeon, current favorability: 15. 】
Only 15 o'clock favorability?
fine!
Chen Cang's heart finally fell.
...
...
The so-called handover is actually to explain what happened last night to the doctor on duty today. There was nothing major last night, and the handover was relatively smooth.
After An Yanjun finished his shift, he changed his clothes and got off work.
Chen Cang stared at Chen Bingsheng in a daze.
[Chen Bingsheng, an experienced surgeon, current favorability: 60. Details can be viewed! 】
Chen Cangyi is happy, you can view the details.
【Name: Chen Bingsheng】
【Occupation: Doctor】
[Level: lv42: 960/12600 (Deputy Chief Physician)]
【professional skills:
Basic surgical skills:
Debridement and Dressing: Master: 3970/8000
Skin, tendon, etc. wound suture: Advanced: 1679/4000
CPR: Intermediate: 1500/2000
...
Surgical Skills:
Primary surgery:
Appendectomy: Advanced: 277/4000
Incision and Drainage: Advanced: 9211/4000
Hernia Repair: Intermediate: 292/2000
...
Secondary surgery:
Gastroenterostomy, anastomosis: Intermediate: 656/2000
Gastrointestinal Perforation Repair: Advanced: 1999/4000
volvulus reduction: Advanced: 999/4000
Subtotal Gastrectomy: Advanced, 1289/4000
...
Tertiary surgery:
Laparoscopic Intestinal Small Bowel and Colon Surgery: Intermediate: 555/2000
Thyroidectomy: Intermediate: 799/2000
Radical gastrectomy for gastric cancer (proximal gastrectomy, distal gastrectomy, total gastrectomy): Intermediate: 855/2000…]
After reading it, Chen Cang narrowed his eyes, and there was a phrase in his mouth that he dared not say out, for fear of causing Boss Chen's misunderstanding.
But... this property is too luxurious!
At present, I have basic skills, and I don't even have the most basic first-level surgery. Look at Boss Chen, there are a lot of first-, second-, and third-level surgeries. There is a long way to go.
However, Chen Bingsheng is already level 42. According to his strength, it is equivalent to the level of a deputy chief physician. Although it is only the title of an attending physician, his level is very high!
It seems that the system's rating is not based on the evaluation of people's professional titles, but a fair division based on strength.
It's just... Chen Cang has something unknown, does he need to change jobs when he becomes a resident doctor? ? ?
Do I still need a special certificate? !
Generally speaking, the hospital divides the operation into four levels according to the difficulty, size, and whether the operation has been carried out:
Primary surgery: Simple minor surgery.
Secondary surgeries: minor surgeries and simple medium surgeries.
Tertiary surgery: medium surgery and general major surgery.
Fourth-level surgery: difficult, severe major surgery and new surgery.
Different levels of surgery also require different levels of doctors. for example
A junior doctor can be understood as a resident doctor: the scope of surgery is defined within the first class.
Senior physicians include attending physicians: the scope of surgery is defined at the second level, and the third-level surgery can be performed under the guidance of a senior physician with an attending title or above.
Senior attending physician: The scope of surgery is defined in the third-level, and the fourth-level operation can be performed under the guidance of a physician with the title of the professional director or above.
Department Director and Deputy Chief Physician: The scope of surgery is defined at level four.
Therefore, Chen Cang can only perform first-level surgery now. Of course, if the boss of Chen Bingsheng checks, he can also perform second-level surgery.
Chen Bingsheng turned around and watched Chen Cang staring at him for a long time, feeling a little nervous, what's wrong with this kid!
"Xiao Chen! Come here and follow me to the ward round. There will be two surgeries in a while. You will do it with me."
Chen Cang: "Okay!"
But...why are there no quest prompts?
Chen Cang was puzzled.
There are wards in the emergency department. The emergency department of the Second Provincial Hospital has 60 beds. It belongs to the provincial key department and is also the 120 emergency center in AY City. It is usually very busy.
Sixty hospital beds may seem like a lot, but they are actually full every day. There are twelve patients under Chen Bingsheng.
Emergency inpatients do not live for very long, and after the condition is basically stable, they will be transferred to other departments.
The condition is unstable... Either I will be transferred to the hospital, or I will go to the funeral home, and I won't be able to stay in the emergency room for long anyway.
The ward round took about an hour. Usually, Chen Cang was in charge of handling the patient's doctor's orders and writing medical records, and then Chen Bingsheng went to the operation.
But today, after Chen Bingsheng checked the room, he said to Chen Cang: "This morning, there were two operations on the 19th and 21st beds. Both of them had acute appendicitis. Today, they are preparing for the operation. Taiwan, make one!"
When Chen Cang heard this, he suddenly became nervous.
Although he usually sees appendix surgery, and even thinks it is very simple, but it is still a little nervous for him to be the main surgeon.
After all, there is a big difference between a chef and a helper.
Of course, in fact, Chen Cang is more excited!
Can you finally get your hands on it?
The feeling of ** permeates my heart, and it can't be dissipated for a long time. Today is a day worth celebrating. When I go back, I want to share this good news with my girlfriend.
...
As a surgeon, what is the difference between no surgery and salted fish.
At ten in the morning, Chen Cang and Chen Bingsheng came to the operating room.
Chen Bingsheng looked at the somewhat restrained Chen Cang and smiled: "The appendix is just a minor operation, just like you usually do, it was done all at once, why are you nervous? I usually see me doing so much, when I do it, you I still think I'm clumsy, what's wrong? Are you panicking now?"
Chen Cang smiled: "What's the matter, this is not the first time!"
Chen Bingsheng sneered: "The first time? Do I have to seal a red envelope for you to celebrate?"
In the operating room, the patient is already lying down and not yet ready for anesthesia.
When washing his hands, Chen Bingsheng said with a smile, "How about... the first one, you can do it directly, remember the procedure?"
Chen Cang was stunned for a moment, his heart tightened, and he recalled: "Remember!"
Chen Bingsheng smiled: "I will be anesthetized for a while, you will be the chief surgeon, and I will be your assistant!"
Chen Cang nodded vigorously.
The anesthesiologist is an old acquaintance named Liu Jian, a thirty-eight-year-old man. He usually likes to joke and tell jokes. He has a good relationship with Chen Bingsheng.
But the patient is still awake, so naturally we can't say much. It is unnecessary to make the patient feel a little nervous.
Instead, he glanced at Chen Cang encouragingly, gave a thumbs up, and gestured to come on!