Chapter 4: : I want to be the main knife!

Chen Cang was fast, and the children did not cry or cry after they came in.
Luan Yanjun was also worried that when Chen Cang changed her dressing, it would be rough, which would make children's pain worse!
After all, young people are more sloppy. Thinking of this, An Yanjun's dressing speed is accelerating, and he hastened to deal with it, so hurry up.
I was dumbfounded when I came in.
A few children who have been bandaged sit there, honestly and quietly.
Wu Anyan Jun could not help but asked, "Children, are you scared? Does it hurt?"
A few children shook their heads, "No pain!"
Wu Anyan smiled, touched the child's head, guessed that their fear of the unknown scared them, after all, he was not so quiet just after changing the medicine.
At this time, Chen Cang was dealing with a little girl. Her knee was scratched, and fine dust got into it. Need to clean and remove large particles of dust. An Yanjun frowned. This is a bit difficult to handle. Seriously, it definitely hurts!
He is preparing to speak, and Chen Cang has begun debridement.
I just glanced so casually, Chen Bingsheng froze.
As soon as the connoisseur took the shot, he knew it!
This Cang Cang's debridement method is something special?
The result was not the same. When Chen Cang was cleaning the wound, the little girl grinned and shed tears, but did not scream for a long time.
She Anyan also found that when Chen Cang was treating the wound, he paid great attention to the fine details!
十分 Be very careful about cleaning up the sensitive parts ... and in this way, you can greatly reduce the pain of the patient, even by changing the medicine, you can alleviate the original pain to a certain extent!
This is the test of the level of doctors.
An Yanjun vaguely remembers that an expert at the Mayo Clinic specialized in this research: debridement and dressing change, the most annoying is pain, and excellent experts can reduce the patient's inner disturbance by reducing pain in the affected area, thereby A quickening effect.
For this reason, An Yanjun also tried it, but it seemed to be effective, and he did not effectively alleviate the patient's pain. Later, An Yanjun thought that this was only possible at the level of discussion.
However, Chen Cang seemed to have done it at this time.
陈 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 researchable thing, you can have time to communicate!
【Ding! An Yanjun favorability +5]
Chen Cang, who was changing his medicine, suddenly hesitated and turned to see An Yanjun staring at his own ass.
Cang Cang suddenly sincerely fear!
After all, it is the deputy director of the emergency department. Should I be strong, should I refuse?
Thinking of this, Chen Cang couldn't help but contract his gluteus maximus, and even changed his angle.
He secretly made up his mind, and he can never go to a bathhouse with Director An in the future. After all, who is right?
Uh ...
【Ding! Congratulations, you have completed the daily mission and gained +30 experience in debridement and dressing change. RMB +50. 】
Luan Yanjun came in and took a look at Chen Cang: "It's hard, go to work together."
【Ding! NPC An Yanjun's mission is completed, gaining An Yanjun favor +5, RMB +20, experience +30. 】
Cang Cang nodded, watching An Yanjun's eyes seemed a little hot, could not help but pull away a scalpel ...
By the way ... there is also a preparation!
However, thinking of this morning operation directly brought him 120 yuan of income, Chen Cang felt beautiful.
Suddenly Chen Cang thought:
[An Yanjun, a rigorous and serious surgeon, current favorability: 15. 】
How about 15 o'clock?
I'm fine!
Chen Cang finally landed.
Uh ...
Uh ...
The so-called shift is actually to explain what happened last night to the doctor on duty today. There was no major event last night and the shift was smooth.
Zhe Anyan Jun changed his clothes and left the work.
Chen Cang stared at Chen Bingsheng and froze.
[Chen Bingsheng, an experienced surgeon, current favorability: 60. You can view the details! 】
喜 Cang Chen is happy, you can view detailed information.
[Name: Chen Bingsheng]
[Occupation: Doctor]
等级 [Grade: lv42: 960/12600 (Deputy Chief Physician)]
【professional skills:
Basic surgical skills:
Debridement Dressing: Master: 3970/8000
缝合 Suture of skin, tendon and other wounds: Advanced: 1679/4000
Cardiopulmonary resuscitation: Intermediate: 1500/2000
Uh ...
Surgery skills:
First level surgery:
Appendectomy: Advanced: 277/4000
Sacral Incision and Drainage: Advanced: 9211/4000
Diaphragmatic hernia repair: Intermediate: 292/2000
Uh ...
Secondary surgery:
Gastrostomy and anastomosis: Intermediate: 656/2000
Gastrointestinal Perforation Repair: Advanced: 1999/4000
Iliointestinal torsion reduction: Advanced: 999/4000
Major Stomach Resection: Advanced, 1289/4000
Uh ...
Tertiary surgery:
Sacral endoscopy small bowel, colon surgery: Intermediate: 555/2000
Thyroidectomy: Intermediate: 799/2000
根 radical gastric cancer surgery (proximal gastrectomy, distal gastrectomy, total gastrectomy): intermediate: 855/2000 ……
After reading it, Chen Cang opened his eyes wide and narrowed his eyes. There was a word in his mouth that he was afraid to speak out, for fear of causing Misunderstanding of Chen Boss.
But ... this property is too luxurious!
I also have a basic skill at present, not even the most basic first-level surgery. Look at the boss Chen, there are a lot of first-, second- and third-level operations, and there is a long way to go.
However, Chen Bingsheng is all 42. If you divide according to strength, it is equivalent to the level of a deputy chief physician. Although it is only the title of the attending physician, the level is very high!
It seems that the system's rating is not based on the person's title, but rather a fair division according to strength.
It's just ... Cang Cang has one thing unknown, do I need to transfer from the inpatient to the attending doctor? ? ?
Do you still need autocratic credentials? !!
Generally speaking, hospitals divide surgery into four levels according to the ease, size, and availability of the operation:
Primary surgery: simple and small surgery.
Secondary surgery: minor surgery and simple medium-sized surgery.
Tertiary surgery: medium-sized surgery and general major surgery.
Four-level surgery: Difficulty, major surgery and new surgery.
Different levels of surgery also require doctors of different levels. such as
Low-level physicians can be understood as a level of residents: the scope of surgery is defined within a level.
Senior doctors include attending physicians: The scope of surgery is defined as second-level doctors, and third-level surgeries can be performed when they are instructed by doctors with high-ranking doctoral titles or above.
High-level senior physicians: The scope of surgery is defined within three levels, and four-level operations can be performed when instructed by a doctor with a professional director or above.
Director of Department of Geriatrics and Deputy Chief Physician: The scope of surgery is defined as level four. When there are many operations in this specialty, level three surgery can be performed.
Therefore, Chen Cang can only perform first-level surgery now. Of course, if the boss of Chen Bingsheng is in control, he can also perform second-level surgery.
炳 Chen Bingsheng turned and watched Chen Cang staring at him for a long time. There was some hair in his heart. What kind of illness did the boy commit!
"Xiao Chen! Come here and go to the rounds with me, there will be two operations in a while, you go with me."
Chen Cang: "Okay!"
But ... why is there no task reminder?
Chen Cang puzzled.
There is a ward 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 of AY City. It is usually busy.
There seem to be many 60 beds, but in fact they are full every day. There are twelve patients under Chen Bingsheng's hands.
Emergency inpatients don't live long, basically they will be transferred to other departments after their condition is stable.
I was unstable ... I was transferred to the hospital, or I went to the funeral home. I can't wait for an emergency anyway.
The rounds took about an hour. Usually, Chen Cang was responsible for handling the patient's doctor's orders, writing medical records, and then Chen Bingsheng went to the surgery.
Today, after Chen Bingsheng checked his room, he said to Chen Cang: "This morning, there were two operations, 19 and 21 beds. Both were acute appendicitis. Today, we have to prepare for surgery. Taiwan, make one! "
Chen Cang immediately became nervous.
虽然 Although he often looks at appendix surgery and even feels simple, it really makes him a little nervous.
After all, there is a big gap between the chef and the chef.
Of course, UU reading www.uukanshu.com Chen Cang is actually more excited!
Can I finally get started?
I was full of feelings, and I couldn't disperse slowly. Today is a day worth celebrating. When I go back, I will share this good news with my girlfriend.
I just ... there are a lot of girlfriends. Let's share it with Orange Pear. After all, she has a big heart and must know a lot.
Uh ...
As a surgeon, what is the difference between fixed surgery and salted fish?
十 At ten in the morning, Chen Cang and Chen Bingsheng came to the operating room.
Chen Bingsheng looked at the restrained Chen Cang and smiled: "The appendix is ​​just a minor operation, just like you usually do it all at once. What are you nervous about? I usually do so much when you do it. Still think I'm clumsy and stupid? Are you panicking now? "
沧 Cang Cang grinned, "How come, this is not the first time!"
炳 Chen Bingsheng sneered: "First time? Do I have to give you a red envelope to celebrate?"
患者 In the operating room, the patient is lying down and not ready for anesthesia.
When washing his hands, Chen Bingsheng said with a smile: "Well ... the first one you can start directly, remember the process?"
Chen Cang suddenly felt nervous and recalled: "Remember!"
炳 Chen Bingsheng smiled: "After a while, you're anesthetized. I'll be your assistant, your master knife!"
Chen Cang nodded strongly.
The anesthesiologist is an old acquaintance named Liu Jian, a 38-year-old man. He usually likes to make jokes and tell jokes, and has a good relationship with Chen Bingsheng. When he saw the two of them, he immediately understood what happened.
But the patient is still awake. Naturally, I can't say more. It is not necessary to add some tension to the patient.
I glanced at Chen Cang with an encouragement and gave a thumbs up to signal a come!