My Medical Skills Give Me Experience Points-Chapter 148 - 101: Almost Killed, Opportunity to Kick Someone When They’re Down Comes

The low level of his first Orthopedics medical skill is probably due to his lack of any foundation in Thoracic Surgery.

Separation Skill and Anastomosis, he obtained Level 3 right from the start, because these are Advanced Medical Skills derived from the basic surgical skills like cutting, suturing, and ligation.

For bone setting, he had no surgical foundation at all.

The fact that he could successfully set a bone on his first try was partly because he was highly talented, and also because all things in the world share common principles. His four basic surgical skills had all reached the Chief Level, which enabled him to draw analogies from one case to another.

When setting bones, he was definitely much stronger than a real novice.

"Orthopedic surgery is an inevitable obstacle in surgical skills with many applications. Now that I've acquired this skill, it would be nice to take the opportunity to improve it gradually."

Zhou Can has always liked to plan ahead.

Instead of asking for help during surgeries in the future, it's better to find ways to learn more medical skills.

The fields of surgical operations are highly specialized, and there are hardly any all-around doctors.

In the face of complex surgeries, it's often a multi-disciplinary joint operation.

For instance, if the rib is completely fractured and poses a risk of puncturing the heart or other vital organs, it might require open chest fixation surgery.

At that time, it's usually a joint operation between Cardiothoracic Surgery and Orthopedics physicians.

With each new medical skill Zhou Can acquires, there will be fewer times in the future he will need to ask for help during surgeries.

Moreover, all kinds of medical skills are interconnected and complement each other. Learning multiple skills is of great benefit to the improvement of his overall medical proficiency.

...

"Teacher, do you think the phalangeal joint connection is okay?"

"Mhm, it's very well done, hurry up and complete the subsequent part of the surgery!"

Dr. Xu nodded in satisfaction.

To achieve such a good result on the first attempt was already quite exceptional.

In replantation surgery, reattaching the patient's phalange is just the first step of the surgery.

What follows are tendon suturing, vascular anastomosis, nerve anastomosis, each step posing a challenge. Failing at any one step could lead to the failure of finger replantation surgery.

Fortunately, Zhou Can was already fully capable of performing them successfully.

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Tendon suturing mainly tests skills in suturing, ligation, and relevant knowledge in tendon repair.

A Resident Doctor of intermediate level can fully manage this task.

Zhou Can's suturing and ligation skills were both at the Chief Level, more than adequate to suture the severed tendon perfectly.

Almost forty minutes later, the tendons and blood vessels were all completely anastomosed.

During the blood flow test, in less than thirty seconds, the tip of the amputated finger showed a tinge of redness.

Perfect.

Seeing this, Dr. Xu was very reassured.

He smiled and went back to his own work.

Zhou Can continued to perform nerve anastomosis and skin suturing for the patient.

After more than an hour of effort, the finger replantation surgery was successfully completed.

He also earned some extra surgery Experience Points.

And acquired an Orthopedic surgical skill.

The feeling of steady improvement was especially great.

The growth of a prominent physician is just like this, step by step, through countless surgeries and life-saving experiences, and constant learning, piling up.

The surgery continues one after the other.

Tian Tian still chatted with Dr. Lu and nurse practitioner Li Shishi from time to time.

She wanted to chat with Zhou Can, but unfortunately, he was all business and barely paid any attention to her.

After being ignored several times, she shifted her target for conversation.

Around three in the afternoon, a patient came in for suture surgery due to external trauma. He fell and had a gash on his chin, only nine and a half years old, a boy.

Tear stains were still visible on his face.

Kids of this age were prone to mischief like climbing on roofs and playing in the mud.

Frolicking accidents, like falls and injuries, were common occurrences.

Considering the suture was on the face, and it was a child, the suture requirements were relatively high.

Dr. Xu thus entrusted the patient to Zhou Can.

Dr. Lu's suturing was too careless, and leaving an unsightly scar on the child's chin could affect the child's life.

Zhou Can had learned the Scarless Suturing Method from Dr. Xu early on.

Previously, because his suturing level was low, he was unable to try it.

Since his suturing skills were elevated to the Chief Level, he began to look for opportunities to try the Scarless Suturing Method.

After practice, and after consulting with Dr. Xu many times, he was able to perform quite well.

After taking on the surgery, Zhou Can first examined the child's injury report.

No bones were injured; it was just a superficial skin wound.

Not bad.

The amount of bleeding wasn't significant, indicating that no major arteries were involved.

This surgery could be considered a very minor debridement and suturing operation.

Tian Tian and nurse practitioner Li Shishi were chatting merrily.

Who knew why she was so happy today?

She said she could take the intermediate nurse practitioner exam this year and was very hopeful.

Generally, the promotion of nurses is different from that of physicians. After working for a year after graduation, one can take the initial nurse practitioner exam, and after obtaining the initial certificate, one can take the intermediate nurse practitioner exam after four more years of work.

She said she could take the intermediate exam next year, implying she had been working for at least five years.

No wonder Qiao Yu was bullied so mercilessly by her.

"Local anesthetic."

Zhou Can had to remind her.

"Right away!"

Tian Tian replied with a smile, quickly prepared the anesthetic, and then passed it to Zhou Can, who was carefully inspecting the child's wound.

As there was a lot of blood at the site of the wound, some of it clotted, it was impossible to see the exact state of the wound clearly.

They could only wait until after anesthesia to clean and disinfect the wound before determining the best suturing strategy.

Zhou Can casually took the prepared anesthetic and injected it around the child's chin wound.