Chapter 367
Chapter 365: Chapter 175: This Residency Training Is Unusual, Autologous Blood Transfusion
[Pathological Diagnosis Experience Points +1.]
Zhou Can gained 1 diagnostic experience point and was further convinced that his judgment was correct.
It was imperative to inform the two senior doctors in a timely manner.
[Congratulations on your Pathological Diagnosis advancing to Level 4, current experience points: 1/10000, Chief Level lower-tier. Capable of diagnosing various complex diseases, with a certain probability of identifying hidden diseases and a smaller chance of identifying complications.]
Zhou Can hadn’t expected his Pathological Diagnosis to level up at this moment.
Originally, his Pathological Diagnosis was only at a Resident Doctor intermediate level. It was only after toiling away for eight months in emergency, orthopedics, and neurology that it was elevated from Resident Doctor lower-tier to the intermediate level.
His advancement to Level 4 was thanks to successfully diagnosing three super difficult cases in the Intensive Care Medicine Department, in addition to several ordinary difficult cases, including latent ones.
Complications refer to the presence of multiple lesions under the same symptoms.
One symptom, multiple diseases, the hardest to diagnose.
Even experienced Resident Doctors can easily miss such cases during diagnosis.
“Pathological Diagnosis has finally reached the Chief Level. Calculating the time, my one-year standardized training period is coming to an end, and soon I will be eligible to take the Medical Practitioner Certificate exam.”
According to the requirements, one year of work experience after graduation is needed to take the Medical Practitioner Certificate exam.
Zhou Can has already been in standardized training for eleven months and estimates he can obtain the Medical Practitioner Certificate while at the Cardiothoracic Surgery Department.
Advancing to Level 4 in Pathological Diagnosis at this time would be of great help to him for the Medical Practitioner Certificate exam.
As for the practical skills test, that would be even less problematic for him.
Three months of standardized training in the Intensive Care Department, coupled with the surgical experience across various departments, would easily see him through the Medical Practitioner Certificate exam.
For many trainees, taking this certificate exam is akin to a formidable barrier.
Many fail the exam, ultimately either being forced to change careers or take administrative positions.
As the saying goes, what’s difficult for some is easy for others.
Zhou Can suppressed the joy of his Pathological Diagnosis reaching Level 4 and looked towards Dr. Zhao.
“Wait a minute!”
Concerning patient safety, Zhou Can had to issue a warning.
“What’s the matter?”
Dr. Zhao had just taken his position to start suturing the wound and was interrupted, obviously displeased.
“You seem to have gone a bit too far with the electrocauterization, I’m worried it might lead to tissue ischemic necrosis.”
Zhou Can put forward his concern with trepidation.
Upon hearing this, Dr. Zhao’s expression darkened in an instant.
From being slightly cool, it had become threateningly stormy.
Even Doctor Duan hadn’t said anything, yet this trainee dared to criticize him. It was outrageous, it was arrogant.
“How exactly did you determine that it will lead to ischemic necrosis? You’re just blurting things out. Novices like you always like to make a fuss over nothing, worrying over ungrounded fears.” Dr. Zhao was quite angry.
He almost pointed at Zhou Can’s nose and scolded him.
Criticizing a senior doctor was extremely risky.
If Zhou Can really had no choice, he wouldn’t have bothered with this matter.
Doctor Duan did not rush to take a stand but instead carefully examined the patient’s wound again.
“Although the electrocauterization technique was somewhat rough, I see no obvious issues. As for damaging a small amount of normal tissue, that’s a normal occurrence. Young man, there’s no need to make such a fuss. The principle of electrocautery hemostasis is to use high temperature to form a scab in the blood vessel, thereby stopping the bleeding. It’s inevitable that during the operation, one might not handle it properly, damaging the surrounding tissue. Our body’s recovery ability is very strong and will heal quickly, rest assured.”
Doctor Duan’s tone was still relatively mild.
He even patiently explained the principle of electrocautery hemostasis to Zhou Can.
He had no idea that this young man’s Hemostasis Skill was even higher than his own.
“But this patient has a lot of tissue damage, if you just stitch it up like this, ischemic necrosis could have serious consequences.”
Zhou Can emphasized his tone.
“Alright, alright, facts speak louder than words. Wait for this patient to be discharged smoothly in a few days, and you’ll understand. Being a doctor, we should both revere life and be bold yet meticulous. If one is timid, they can’t be a good doctor.”
Doctor Duan stopped Zhou Can from dwelling further on the topic.
“Suture it!”
He directly instructed Dr. Zhao to suture the wound.
This incident also demonstrated that each doctor’s level differs, as does their perception.
Zhou Can had clearly pointed out the issue, yet Doctor Duan, like one blind despite having eyes, simply couldn’t see it.
On one hand, he regarded Zhou Can as a trainee without any surgical experience, and considered his advice as an overreaction. On the other hand, in Doctor Duan’s view, this had always been the way things were done. There had been no issues before; there would be none this time.
Dr. Zhao’s suturing level was decent, about the intermediate level of a Resident Doctor.
A little short of the excellent level for a Resident Doctor.
After suturing the wound, Doctor Duan checked it and nodded in satisfaction.
“Mm, nicely done. When the anesthesia wears off, send the patient back to the ward to recover.”
With the surgery completed, they could clear out.
“Xiao Zhou, to prevent you from making a fuss over nothing next time, I’m penalizing you to stay in the operating room and help the nurses clean for the whole day today. It will also let you gain some experience and see how surgeries are done so you won’t embarrass yourself.”
Dr. Zhao, annoyed that Zhou Can picked out his mistake, decided to mete out a small punishment to make him learn a lesson.
Punishing him to stay in the operating room to clean would serve a dual purpose.
Not only would it be a form of disciplinary action, but it would also allow Zhou Can to observe other doctors’ surgeries.