My Medical Skills Give Me Experience Points-Chapter 55 - 49: Deceiving is Also a Required Course for Doctors

"Dr. Xu, this arrangement isn't reasonable! Xiao Zhou is just a residency trainee; he's not qualified to perform surgery alone. How about having him assist you instead, while Jin Mingxi and I handle Level 1 surgeries independently?"

Zhou Can does not have a medical license, but Jin Mingxi does.

This is a soft spot for Zhou Can.

When Dr. Lu heard that he was to assist Dr. Xu, his face immediately soured.

He even found a perfectly reasonable excuse to try to switch places with Zhou Can.

Zhou Can was cursing inwardly.

Dr. Lu really is worthless. Seeing so many injured people waiting for surgery, he has no compassion, not eager to treat the injured, but only thinking about how to be lazy and take it easy.

A person of poor character becoming a doctor is truly unfortunate for the patients.

"Who said he's practicing alone? Am I not here to guide him through the surgery? Stop talking nonsense and get ready to work. Tang Ling, have someone push in the most severely injured patient from outside."

Dr. Xu's words effectively shut Dr. Lu up.

That's why you should never fight with your superiors; you can't beat them.

Soon, two temporarily assigned nurses came in. They assisted Zhou Can and Jin Mingxi respectively.

Then the small operating room became very lively.

Three patients could be brought in at a time, with several doctors performing surgeries simultaneously.

Zhou Can was fully engaged, assessing injuries, cleaning wounds, stopping bleeding, and suturing.

Most of these injuries were superficial scrapes.

More severe ones involved head or arm injuries with bleeding.

The patients brought into the operating room had already been examined by the attending doctors.

However, considering the large number of injured people and the high pressure on medical resources,

some superficial wounds might only receive a physical examination before being further treated in the operating room.

This required the surgeons to be meticulous to avoid any mistakes.

"Next!"

After handling the first patient, Zhou Can had the nurses take him out and bring in the next one.

The previous patient had a wound on the palm.

According to his own account, he was lucky to have been far from the collapsing stage.

Still, he was hit by a long billboard.

He instinctively raised his hand to protect his head and face.

His palm was struck, resulting in a 2.5-cm long wound deep enough to expose the bone.

Zhou Can gave him an anesthetic injection, cleaned the wound, stopped the bleeding, and sutured it, earning 4 points for Injection Skill, 1 point for Wound Cleaning Skill, 5 points for Blood Stopping Skill, 4 points for Suturing Skill, and 4 points for Ligation Skill.

Overall, it was quite a fruitful gain.

Especially earning points for Wound Cleaning Skill, which was a surprise to him.

When he checked his skill list, he found that he had unexpectedly acquired a new Wound Cleaning Skill.

[Wound Cleaning Skill, Advanced Medical Skill, current experience points: Level 1 8/10. Internship Excellence Level.]

This skill can be applied to cleaning soft tissue damage, irregular wounds, and eroded or contaminated wounds.

Surprisingly, Wound Cleaning Skill turned out to be an Advanced Medical Skill.

His current level was quite basic, only reaching the Internship Excellence Level.

Based on the current 8/10 experience points, it seemed this skill had existed previously.

Zhou Can just hadn't noticed it until now.

Soon, a new patient was brought before Zhou Can.

He came in a wheelchair.

Seeing this situation, Zhou Can was startled.

At his current half-proficient level, he really couldn't handle very complicated injuries.

Especially those potentially involving fractures.

First, he crouched down to carefully check the patient's knee, which had soaked through the trousers with blood.

The patient had a pained expression on his face.

"Have you had an X-ray?"

"Yes, the attending doctor checked and said there's no fracture, just needed treatment in the operating room before I can leave."

Zhou Can carefully examined the X-ray film handed over by the patient.

The bones were intact; indeed, there was no fracture.

It was just the external wound that looked frightening.

With his capabilities, treating external skin injuries was no problem at all.

"I'm afraid we'll have to cut off your trousers," Zhou Can told the patient.

"Go ahead and cut them, just hurry up with the surgery."

The patient was in so much pain that his face was contorted.

After obtaining the consent of the injured, Zhou Can hesitated no more and cut off the trouser leg.

The wound was clearly displayed in front of him.

It was an irregular, round-like wound.

"Did you fall to get this wound?"

"Don't mention it, the stage suddenly collapsed, and I got so scared that I ran immediately. I tripped over something and fell hard on the ground. My right knee hit the ground first, hitting the rubble, and started bleeding right on the spot."

The victim recalled the scene with a look of misfortune.

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"Doctor, will my leg end up disabled?"

"From the current situation, it should not lead to disability."

It's merely an external injury; the possibility of disability is quite low.

However, Zhou Can also dared not speak in absolute terms.

He learned this speaking technique during his internship with the resident doctors.

He took the anesthesia prepared by the nurse and administered it around the wound.

[Injection Experience Points +1.]

[Injection Experience Points +1.]

[Congratulations, your Injection Skill has advanced to Level 2, current Experience Points 0/100. Below standard level for resident doctors.]

Finally advanced to Level 2.

His understanding of injections had deepened a lot. Before leveling up, he naively thought, isn't it just giving an injection? Everyone can do it.

After reaching Level 2, he realized that seemingly simple injections involved a lot of knowledge.

For instance, for intramuscular drugs, one must avoid areas rich in blood vessels and nerves, especially major vessels and crucial nerves.

To be precise, any injection should try to avoid major vessels and nerves.

Piercing a major artery with a needle is not saving a life, but ending one.

The choice of site also has its science.

Intramuscular injections are best given in areas where muscles are thickest, such as the arms, buttocks, etc.

Depending on the characteristics of the drug, the site for intramuscular injections varies.

The arm is closer to the heart and brain, allowing for quicker absorption of the drug effect.

The blood flow in the buttocks is relatively poor, resulting in much slower drug absorption. Moreover, the muscle group in the buttocks is stronger, and the fat layer thicker, which provides greater tolerance.

Besides theoretical understanding, his practical skills had also significantly improved.

With his current skill level, he could perform more challenging intravenous injections more standardly. Errors like injecting into the skin or hitting a bone, or breaking a major blood vessel, would basically not occur.

And yet, he had only given this patient two injections.

According to Zhou Can's habit of actively earning medical experience points, at least four injections were necessary.

Choosing the right site again, he inserted another needle.

His hand was steady, and the depth he reached was appropriate.

Slowly injecting.

The anesthesia in the syringe diffused steadily into the muscle layer.

"Hey, doctor, you've given me three injections, and this one is the best!" praised the injured.

He hoped that the doctor continued to maintain this high standard.

Because compared to the first two, this injection was much more comfortable.

"You might not understand this. I had to ensure that the anesthesia worked quickly for the first two injections, so I injected a bit harsher." Zhou Can naturally would not admit his injection technique was poor.

The injured didn't understand all of this, so duping him a bit could maintain a harmonious doctor-patient relationship.

Communication between doctors and patients is a profound science.

It's also a compulsory course for every medical personnel.

Getting the patient to cooperate with the doctor's treatment is also an important part of surgery.

He then gave the patient the fourth injection, still at the newly upgraded standard for a resident doctor.

The technique was very adequate.

This time, not only did the patient believe his explanation, but he also continuously praised him.

"Doctor, you look quite young, I didn't expect such a high level of skill! Giving me anesthesia injections, you did it so skillfully, tsk tsk, really impressive! Much better than those nurses."

Zhou Can felt quite embarrassed upon hearing this.

The nearby nurses had an expression of discontent.

Following that, Zhou Can methodically cleaned the wound, stopped the bleeding, and sutured it.

Because the wound was quite unique, he boldly opted for flap suturing.

It was also a challenge to his own capabilities.

Compared to straight suturing, this flap suturing is much more difficult. It is often used in cosmetic plastic surgery to minimize scarring to the greatest extent.

"Alright, wheel him out! The wound mustn't contact water, it's right on the knee, so it's best not to move too vigorously when bending. Too much tension might cause the wound to re-open. Remember to come on time for changing the dressing."

After giving these instructions, the patient was wheeled out.

After the patient left, a nurse winked at Zhou Can, "Dr. Zhou, I don't remember it's necessary to give two heavy and two light anesthesia injections?"