Chapter 0004: I Want to Be the Lead Surgeon
Gastrointestinal stoma surgery, anastomosis: Intermediate: 656 / 2000
Level 4 Surgery: Complex, critical major surgeries and newly developed surgical procedures
Upon hearing this, Chen Cang became immediately tense
An Yanxiong vaguely remembers that an expert at the Mayo Clinic specialized in this research: debridement and dressing changes. The most bothersome aspect is the pain, and an excellent expert can alleviate the pain at the site, thereby reducing the patient's inner anxiety and achieving a faster healing effect
Of course, in fact, Chen Cang is more excited!
However, it was just a casual glance that left An Yanjun stunned
After watching, Chen Cang stared wide-eyed at the other, his mouth forming the words "What the hell" but hesitating to say them, fearing that it might lead to a misunderstanding with Chen Laoda
Ding! An Yan's favorability + 5
Intestinal volvulus reduction surgery : Advanced : 999 / 4000
An Yanxiong smiled, gently patted the child's head, and speculated that their fear of the unknown had frightened them, after all, he had not seen them this quiet even when he was changing the dressing just now
An Yan Jun glanced at Chen Cang and said, "Thank you for your hard work, let's go hand over the shift together"
The so-called handover is essentially about briefing the on-duty doctor today on the events of last night. There were no significant incidents last night, and the handover went relatively smoothly
Chen Cang's speed is very fast, and the children did not cry or make a fuss after coming in
Professional Skills
Department Head, Associate Chief Physician: The scope of surgery is defined at Level 4. When there are numerous surgeries in this specialty, Level 3 surgeries may be performed.
... ...
Thinking of this, Chen Cang could not help but contract his gluteus maximus, even changing his angle.
... ...
"Xiao Chen! Come here, accompany me to check the wards. In a while, there will be two surgeries, and you will assist me in performing them."
At this moment, Chen Cang was attending to a little girl whose knee had been cut, with fine dust having gotten into the wound. It was necessary to clean it and remove the larger particles of dirt. An Yanjun furrowed his brow; this was somewhat challenging, as the injury was quite serious and would undoubtedly be painful
However, the patient is still conscious, so it is naturally unnecessary to say too much, as it would only add to the patient's anxiety.
However, why is there no task prompt
Chen Cang nodded, noticing that An Yanjun's gaze upon him seemed somewhat fervent, and could not help but create some distance with a scalpel...
Suddenly, Chen Cang's mind stirred
... ...
Several children shook their heads in unison: "It doesn't hurt!"
Chen Cangyi was taken aback, and his heart tightened instantly as he recalled: "I remember!"
An Yan Jun also noticed that Chen Cang paid great attention to the subtle details when treating wounds
The debridement technique employed by Chen Cang is somewhat unique
Incision and drainage procedure: Advanced: 9211 / 4000
... ...
Gastric cancer radical surgery (proximal gastrectomy, distal gastrectomy, total gastrectomy): Intermediate: 855 / 2000
Level 1 Surgery
Upon thinking of this, An Yanjun was suddenly filled with curiosity. How did he accomplish it
Appendectomy: Advanced: 277 / 4000
The emergency department has patient wards, with the emergency department of Provincial Second Hospital having sixty beds. It is a key department of the province and also serves as the 120 emergency rescue center for AY City, and is usually very busy
This is a subject of considerable research; we can discuss it when time permits
When an expert makes a move, the outcome is immediately evident
... ...
Level 3 surgery: medium-sized surgery and general major surgery
Chen Cang was instantly filled with trepidation
Chen Cang was perplexed
After all, the difference between a chef and a kitchen assistant is still quite significant
Is it just ...? ... Chen Cang has one thing unclear, does a resident physician need to transition to an attending physician?
Chen Bingsheng looked at the somewhat reserved Chen Cang and smiled, saying: "Appendectomy is just a minor surgery, just like what you usually see, it will be done in no time. Why are you so nervous? You have seen me perform so many procedures, and you used to complain that I was clumsy while doing them. What’s wrong? Are you flustered now?"
Today, after inspecting the wards, Chen Bingsheng said to Chen Cang: "This morning, there are two surgeries, specifically for patients in bed 19 and bed 21. Both individuals are suffering from acute appendicitis, and preparations for surgery need to be made today. You have observed many surgeries in the past, so today you will observe one and perform one!"
An Yanxiong changed his clothes and left work after handing over his shift
In terms of alleviating patients' pain, Xiao Chen has performed exceptionally well
Ding! Congratulations, you have completed the daily task and earned 30 experience points in wound cleaning and dressing. You have also received 50 yuan.
To this end, An Yanjun also made attempts, but the results seemed to be mediocre, as he did not effectively alleviate the patients' suffering. Later, An Yanjun believed that this was merely a possibility existing at the level of discussion
After all, I am the deputy director of the emergency department. If someone were to come on too strong, should I refuse them?
[Level: Lv42: 960 / 12600 (Associate Chief Physician)]
Only 15 points of favorability?
Can we finally take action now
This is a test of the physician's level of competence
An Yanjun, a meticulous and serious surgeon, currently has a favorability rating of 15
Chen Cangyi is pleased, and detailed information can be viewed
I secretly resolved that I would never go to the same bathhouse as Director An in the future, after all, personal preferences are subjective and unpredictable
Debridement and dressing change: Master: 3970 / 8000
Not bad
Gastric resection: Advanced, 1289 / 4000
Hernia repair surgery: Intermediate: 292 / 2000
Chen Cang's heart has finally landed
Chen Bingsheng let out a cold laugh: "The first time? Should I also give you a red envelope to celebrate?"
Chen Cang: "Alright!"
Currently, I only possess basic skills, and I have not even mastered the most fundamental Level 1 surgery. Just look at Master Chen, who has a plethora of Level 1, Level 2, and Level 3 surgeries under his belt. The road ahead is long and arduous
Surgical skills
Instead, he encouraged Chen Cang with a glance and gave a thumbs up, signaling to keep it up
It appears that the system's rating is not based on individuals' titles, but rather on a fair division according to their capabilities
As expected, while Chen Cang was tending to the wound, the little girl was biting her lip, holding back tears, yet she did not make a sound for a long time
After all, young people tend to be rather hasty. With this in mind, An Yanjun quickened his pace in changing the dressing, hurriedly finished the task, and rushed over.
The ward round took approximately one hour. Usually, it is Chen Cang who is responsible for handling patient orders and writing medical records, after which Chen Bingsheng proceeds to the surgery
While changing the dressing, Chen Cang suddenly froze, turning around to see An Yanjun staring at his backside
Is it still necessary to have an authorization certificate
... ...
Suturing of wounds such as skin and tendons: Advanced: 1679 / 4000
... ...
Chen Cang stared blankly at Chen Bingsheng
Thyroidectomy: Intermediate: 799 / 2000
In general, hospitals categorize surgeries into four levels based on the complexity, size, and whether they have been performed previously
Basic Foreign Language Skills
tertiary surgery
Cardiopulmonary Resuscitation: Intermediate: 1500 / 2000
Several children who have already been bandaged sit there, obediently and quietly
Different levels of surgery require different levels of doctors. For example, a junior physician, which can be understood as a resident physician, is limited to performing surgeries within the scope of Level 1.
Endoscopic surgery of the small intestine and colon: Intermediate: 555 / 2000
Emergency inpatients do not stay for a long time; generally, once their condition stabilizes, they will be transferred to other departments
In the operating room, the patient is already lying down, but anesthesia has not yet been prepared
Level 1 Surgery: Simple minor surgery
Level 2 Surgery: Minor surgeries and simple medium surgeries
An Yanxiong was originally worried that Chen Cang would be rough when changing the dressings, which would cause the children to experience increased pain
Chen Cang nodded vigorously
Chen Bingsheng turned around to see Chen Cang staring at him for quite some time, feeling a bit uneasy in his heart. What is wrong with this kid!
However, Chen Bingsheng has reached level 42, which, according to the classification of abilities, is equivalent to the level of an associate chief physician. Although he currently holds the title of attending physician, his skills are very high
The anesthetist is an old acquaintance named Liu Jian, a thirty-eight-year-old man who usually enjoys joking and telling stories. He has a good relationship with Chen Bingsheng, and upon seeing the two of them in this manner, he immediately understood the situation.
Profession: Doctor
Great care is taken in the cleaning of sensitive areas ... ! ... As a result, this can significantly alleviate the patient's suffering, and even through dressing changes, it can to some extent reduce the existing pain !
Chen Cang chuckled and said: "Where is that the case? This is not the first time!"
Chen Bingsheng, an experienced surgeon, currently has a favorability rating of 60. Detailed information can be viewed!
Therefore, Chen Cang can currently only perform Level 1 surgeries. Of course, if there is the oversight of Chief Chen Bingsheng, he can also perform Level 2 surgeries
Chen Bingsheng smiled and said, "In a moment, once the anesthesia is administered, you will be the lead surgeon, and I will assist you!"
Ding! The task from NPC An Yan Jun has been completed, gaining An Yan Jun's favorability +5, 20 RMB, and experience +30
Senior attending physician: The scope of surgery is defined within level 3; level 4 surgeries may be performed under the guidance of physicians with a professional title of department head or above.
Level 2 surgery
As a surgeon, what is the difference between not performing surgery and being a salted fish
However, thinking about the series of operations in the morning that directly brought him an income of 120 yuan, Chen Cang felt quite pleased.
Senior physicians, including attending physicians: The scope of surgery is defined at Level 2. When guided by physicians with senior attending titles or above, Level 3 surgeries may be performed
He was about to speak, while Chen Cang had already begun the debridement.
Although he often watches appendectomy surgeries and even finds them quite simple, he still feels somewhat nervous when it comes to actually performing the surgery himself
An Yan Jun could not help but ask: "Little friend, are you scared? Does it hurt?"
At 10:00 AM, Chen Cang and Chen Bingsheng arrived at the operating room
Gastrointestinal perforation repair: Advanced: 1999 / 4000
However, I was taken aback once I entered
Sixty hospital beds may seem like a lot, but in reality, they are fully occupied every day. Chen Bingsheng is responsible for twelve patients.
In case ... ... there is also a preparation
However, this attribute is too luxurious
The feeling of exhilaration fills my heart, lingering and refusing to dissipate. Today is a day worth celebrating, and I must share this good news with my girlfriend when I return.
The condition is unstable... Either transfer to another hospital or go to the funeral home, in any case, it cannot stay in the emergency room for long
However, at this moment, Chen Cang seems to have truly accomplished it
Name: Chen Bingsheng
While washing his hands, Chen Bingsheng smiled and said, "How about... you go ahead and take the first step directly, do you remember the process?"