Chapter 59
"Peritoneotomy, bad review!"
"Muscle separation, bad review!"
"Appendix search, bad review!"
...
...
Chen Cang sighed, I really didn't want to pick on the thorns!
It's an instinctive reaction.
Does the ghost know how many times he has done each action?
If you ask Chen Cang what he is most familiar with in his life, Chen Cang can say it is the appendix without hesitation.
The appendix monster, like a goblin, was tortured to death by Chen Cang in Novice Village.
At this time, Zhang Zhixin was very satisfied after he made this knife cut. Just now, he played beyond the level, not only in depth and strength, but also at a level, and he can change his name to Zhang Yidao in the future.
Chen Bingsheng also nodded slightly in agreement, the knife just now was very good!
He turned around and said to Chen Cang, "Did you see Lao Zhang's incision just now? His angle and depth, especially his grasp of strength, are very good. You have to practice this thing in the future work, and the strength of the knife will be limited. Just like the accelerator under the feet of an old driver, you need to know enough about how strong it is!"
Chen Cang wanted to scratch his head, but he was sterile and couldn't move his hands, so he could only nod his head.
The operation was carried out slowly, and Zhang Zhixin was very satisfied with the overall performance today!
It seems that without pressure, there is no motivation. This Chen Cang gave a little pressure, and suddenly he felt different. This knife is smooth, not bad!
very satisfied!
For his performance today, Zhang Zhixin gave himself 95 points.
After the suture was completed, the patient was sent away. Zhang Zhixin looked at the thoughtful Chen Cang and asked with a smile, "Xiao Chen, do you have any insights?"
Chen Cang thought that this was half of his own boss, but he still felt that he should be more euphemistic: "It's very powerful. I think if I give a score, it can be like seventy or eighty points."
Chen Cang felt that 70 to 80 points was already a lot of face. After all... he only scored 61 points for the first time.
But……
After listening to Zhang Zhixin, he was immediately happy. I even gave myself a score of 95. You gave me 70 to 80, this kid.
Chen Bingsheng couldn't help laughing: "You are a liar again. I think Lao Zhang's operation just now has a minimum score of 90 points. There is no problem at all."
Chen Bingsheng was not polite, but told the truth that Zhang Zhixin's set of operations just now was really good.
He and Zhang Zhixin looked at each other and couldn't help but smile. They all felt that Chen Cang couldn't see any inner skills because of his limited level.
While washing his hands, Zhang Zhixin joked: "Oh, Xiao Chen, your eyes are quite tricky! Then tell me, where are the 20 or 30 points that were deducted?"
Chen Cang hesitated: "Do you really want to listen?"
Zhang Zhixin suddenly widened his eyes: "Of course."
Chen Cang nodded: "The first point is that when you cut the incision, although the strength is very accurate, the strength in the subcutaneous fat area does not change. You must know that the flexibility of skin and adipose tissue is different, the choice of strength... The second point is that when the muscle is bluntly separated, the technique is too cumbersome. Although blunt separation is about strength, it is also important to grasp the accuracy... And when you have an appendix removed, you can... Finally, when suturing... …”
At the end, Chen Cang sighed: "In the end, it's stitching, don't you think your stitching is very unprofessional?"
As soon as Chen Cang finished speaking, the three of them fell into silence for a while...
The flow of water washed the hands of the three of them, as if there was endless sadness?
Anesthesiologist Liu Jian was about to wash his hands, but he was stunned when he heard these words.
Zhang Zhixin frowned. At first, he really just wanted to make fun of Chen Cang, but... Gradually, when he heard Chen Cang's serious comments, he suddenly couldn't help but think about it... Then... he was dumbfounded!
Because he found that Chen Cang was not aimless at all, every sentence of his was well-organized and well-founded, and even every comment pointed out the inadequacies. In a word, you can directly point out your own shortcomings.
The first is the time of incision. Indeed, as Chen Cang said, the willfulness of any organization is different, and the method of holding the knife can be changed, so that a better incision efficiency can be achieved.
Secondly, when the muscles are bluntly separated, I have been ignoring this dispensable link, but if you think about it carefully, maybe it really makes a difference!
...
Every step, every word Chen Cang said, heard Zhang Zhixin's ears like thunder!
When performing an operation, one operation method and one habit are required for one person. Even after a senior attending physician has been dismissed, it is difficult to improve the level.
Because your habits have changed you, surgical procedures have become "greasy" and surgical habits have increased.
This is the so-called "so-and-so-style excision".
And these habits persist because no one is pointing them out.
The reason why junior doctors require senior doctors to be present during the operation is to avoid accidents and at the same time find some mistakes in time and correct them, which is more beneficial to future development.
As the most basic surgical operation, appendix surgery is experienced by most general surgeons. At this time, their leaders are particularly important.
Zhang Zhixin's constant ideas, constant thinking, combined with so many years of clinical experience, many years of doubts began to be broken!
And Chen Bingsheng was even more nervous. Chen Cang's words just now, to be honest, Chen Bingsheng didn't care at first, but when he finally said it, he listened more and more seriously, and the more he listened, the more fascinated he became!
He and Zhang Zhixin are very familiar with general surgery and often do it, so his understanding and knowledge are also very deep!
Especially when cutting that sentence, you have to pay attention to the degree and angle, and you have to consider a lot of things...
These words are constantly filtered in Chen Bingsheng's mind...screening...thinking...imagining...
Countless thoughts kept impacting his years of surgery memories!
suddenly!
He felt a flash of light in his mind!
Suddenly, a burst of transparency came!
He felt that his understanding of [cutting] had become more profound, which was a breakthrough and improvement of a bottleneck, and he felt that his [cutting] had been raised to a new level.
It's hard to say how it feels!
At this time, Chen Cang suddenly heard the system prompt: [Ding, with your help, Chen Bingsheng's skill [Incision and Drainage] has been upgraded to an advanced level, gaining favorability +10 and skill point +1. 】
Chen Cang was taken aback!
I go!
And such a shitty operation?
Thinking of this, he looked up at Zhang Zhixin, looking at him with a look of love and anticipation, like a hen waiting for a chick to break out of its shell...
You should break through quickly!
This is my suggestion for you...
But, for a long time...for a long time...
Nothing has changed!
Chen Cang sighed helplessly, rotten wood cannot be carved...
Boss Zhang, your talent is limited.
Thinking of this, Chen Cang couldn't help shaking his head.
ps: I would like to thank my friend [Don't think ahead and think about you] for the reward of 10,000 starting coins, and became the first helmsman of this book.
At the same time, I would like to thank every friend for their reward and voting, so that "When a Doctor Opens a Plug-in" entered the new book list, and became the third book signing of Qidian website's new book list (this week). It is the first time to have such a good result, and I am a little excited. .
I also read it on QQ reading. This book seems to be ranked 18th on the free new book list. As a book at the starting point, I am very satisfied with such a result.
Thank you very much everyone, this is all our hard work together!
Thank you, every reader friend!