Chapter 67 61: Tu Ya's Three Famous Swords
Luckily, Zhou Can has been quite impressive thus far and has not made any mistakes on Dr. Xu's watch.
With the continuous accumulation of various surgical experiences, he has been performing increasingly well.
In contrast, Jin Mingxi, despite relying on over a decade of extensive clinical experience, seldom consults Dr. Xu. However, he is essentially resting on his laurels, and his progress is far less than that of Zhou Can.
Moreover, Zhou Can's surgical speed is much faster than Jin Mingxi's, which is a significant advantage.
He can perform three surgeries while Jin Mingxi can only manage two at most.
And as Zhou Can's skills became more proficient, the gap between them continued to widen.
The more surgeries one performs, the more exposure one gains, and the experience continues to accumulate, only becoming more formidable.
Jin Mingxi seemed to feel this disparity too.
He tried his best to catch up, but age-wise, he was over a decade older than Zhou Can, which affected his physical and mental stamina. Despite working up a sweat, he achieved little.
…
By four o'clock in the afternoon, Zhou Can had performed eighteen surgeries.
The experience points he gained were mostly from suturing and ligation techniques.
Even if calculating an average of 5 stitches per surgery, eighteen surgeries would add up to 90 points of suturing experience and about 80 points of ligation experience.
The reason for fewer ligation experience points is that some stitches did not require one ligation per stitch.
For instance, in continuous suturing.
Only two knots are needed at the start, and one final knot at the end.
Therefore, suturing experience points are more than ligation experience points.
He also gained a good amount of Wound Cleaning Skill experience, a total of 11 points.
At this rate, it would only take eight to nine days to elevate his Wound Cleaning Skill to Resident Doctor level.
Wound Cleaning Skill is extensively used in surgery.
Proper Wound Cleaning not only significantly reduces the risk of wound infection and pus formation but also makes suturing much easier and more precise.
Wound healing will also be faster and better, reducing the likelihood of scar proliferation.
In emergency rescue work, the importance of Wound Cleaning goes without saying.
Good vs. poor vascular Wound Cleaning directly affects the success rate of rescues.
Furthermore, Wound Cleaning is also crucial in debridement of necrotic tissue and cleaning of infected purulent lesions.
Although Wound Cleaning seems like a simple procedure, it ranks among the Advanced Medical Skills for a reason.
Its importance is comparable to anastomosis, implant placement, and separation.
Besides the aforementioned gains, he had one 'small' gain.
One patient receives four injections of anesthesia; eighteen patients mean 72 injections.
He had accumulated a total of 72 injection experience points.
His initial injection experience was Level 2, 48/100. After adding 72 points, it directly progressed to Level 3 with 20/1000 points.
Although this skill may not seem very useful in surgical operations, adhering to the principle of 'the more skills, the better',
Mastering another skill is certainly beneficial.
At least now, when it's time to give a child an injection or establish an intravenous access, he no longer has to worry about getting scolded.
He is completely capable of doing it right on the first try.
His current injection skills should be at the nurse practitioner level.
This is much more impressive than an ordinary nurse.
"Xiao Zhou, how do you feel?"
Dr. Xu, removing his gloves, looked at him.
"It feels great; the progress made in one day is more than what I gained in a month during my internship."
Thanks to Dr. Xu speaking with the consulting physicians, they had admitted several cases that should have been operated on in speciality outpatient clinics.
Among the eighteen surgeries performed, only four were Wound Cleaning and suturing surgeries for cuts and bruises.
There were other types of surgeries as well.
He even performed a thrombosed external hemorrhoid surgery.
Typically, hemorrhoid surgeries are classified as Level 2 or Level 3 surgeries. Not only Zhou Can, but even his mentor Dr. Xu isn't qualified to lead a Level 3 surgery.
However, there are exceptions.
Thrombosed external hemorrhoid surgery is classified as a Level 1 surgery.
This is also an important reason why Zhou Can was able to succeed.
Through this surgery, he learned many valuable experiences in dealing with hemorrhoids, such as how to make radial incisions, how to identify thrombosis, and how to manage thrombosis, etc.
He had six or seven such surgeries that he had never experienced before.
This is also why he always sought advice from Dr. Xu.
Today's gains were really huge.
"Hehe, it seems the effect is not bad! We can continue tomorrow." Dr. Xu said with a relieved smile.
His gaze turned to Jin Mingxi.
"Dr. Jin, how about you?"
"There are definitely gains, but I can't compare with Zhou Can, the freak. For the same wound cleaning and suturing surgery, his surgery time is almost half of mine. And the quality is very high; I really admire him."
Jin Mingxi looked helpless.
Ability varies from person to person.
Zhou Can's surgical skills improved too fast. During the standardized training exam, he might have been slightly weaker than Jin Mingxi. Now, he has started to surpass and achieve overtaking.
"You don't need to compare yourself with anyone; surpassing yourself is good enough."
Dr. Xu is actually quite suitable to be a teacher.
He basically practices personalized teaching for every junior doctor.
For example, for Doctor Lin whose talents are average, he only requires him to slowly improve his basic surgical skills. For Dr. Lu, who is lazy and irresponsible, he keeps him by his side as an assistant, trying to urge Dr. Lu to work diligently.
For Zhou Can, a rare talent, he gradually delegates authority.
He tries his best to provide the training opportunities that should be given.
He never lets Zhou Can perform parts of surgeries that are uncontrollable in terms of risk.
He truly embodies the principle of 'strict yet lenient.'
Neither letting the apprentice cause trouble nor hindering the apprentice's growth.
Dr. Xu's gaze once again fell on Zhou Can, filled with a hint of kindness and reminiscence of the past.
His eyes were quite complex.
"Xiao Zhou, being fast in surgery is a good thing, but also a bad thing; do you understand?"
Zhou Can shook his head, puzzled.
"All I know is that saving a patient's life is a race against time. The faster the surgery is completed, the less harm it does to the patient's body. In rescuing critically ill patients, even being one second faster can potentially save a life."
For instance, patients with severe bleeding.
The sooner the cause of bleeding is found and surgery performed, the better.
If delayed, the patient might not make it off the operating table.
"Pursuing speed is not wrong in itself. However, once you pursue speed, your mindset can easily become anxious. Especially when you have the skills to perform Level 4 major surgeries in the future, many critical parts of the surgery have strict requirements and must be completed within two to three minutes, or even a few seconds. At that time, your brain definitely can't keep up with your hands. Just one small mistake could lead to lifelong regret."
A thoughtful glimmer flashed through Zhou Can's eyes.
Without personal experience, it would be hard to express such profound insights.
"Teacher, are you known as 'Xu Yidao' because you were also a swift surgeon?" Zhou Can asked this question only after much deliberation.
He was extremely curious about Dr. Xu's past.
"Although the story has been sealed for years, it's no secret. In my early days, I was a famous surgeon in General Surgery, known along with Director Wu Baihe of Neurosurgery and Director Hu Kan of Cardiothoracic Surgery as the three famous surgeons of Tu Ya Hospital. Wu Baihe was renowned for his meticulous surgeries, capable of making cuts as precise as 0.1 millimeters."
Dr. Xu's tone was full of beautiful memories of the past.
That was also the highlight of his life.
Wu Baihe's surgical skills were truly astonishing.
In surgical cutting, achieving a precision of 0.1 millimeters—what does that mean?
A surgical director can cut as many pages of paper as they want. This is enough to make countless surgeons admire and look up to.
The thickness of a sheet of paper is about one millimeter.
0.1 millimeters is only one-tenth of the thickness of a sheet of paper.
Wu Baihe improved the precision of a surgical director's skills by tenfold at this level.
No wonder he could secure half of the territory for Tu Ya Hospital's Neurosurgery.
Such surgical skills are something many surgical directors will admire for a lifetime.
This is a height hard to reach no matter how much they practice.
It must be said that aside from diligence, talent and opportunity are also extremely important.
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