My Medical Skills Give Me Experience Points-Chapter 259 - 137: The Correct Interpretation of Being Learned and Courteous, Neurosurgery_3
Chapter 259 -137: The Correct Interpretation of Being Learned and Courteous, Neurosurgery_3
Jin Mingxi being able to have such a high level of awareness shows that over the past half year, both his knowledge and medical skills have improved significantly.
“You have the right mindset! Tell me, which area are you planning to focus on?”
Zhou Can asked with a smile.
“Surgical operations!” He simply answered with four words.
“I have a decent talent for surgery. Also, my educational background is not high, and it is almost impossible for me to enter Internal Medicine as a resident doctor due to my qualifications. Focusing on surgery is my only way out.”
He must have deeply reflected on this.
Reality forces him to make the most rational decision.
“I think choosing surgery is pretty good for you. At least, I couldn’t just sit there every day after work practicing the basic skills of a ‘steady’ hand as required by surgery. You can keep it up every day, which shows you are genuinely interested in this field. However, surgery is also divided into many specialties, it seems from your words, you still haven’t given up the idea of becoming a general practitioner!”
Zhou Can has the Experience Points system in medical skills, and he still doesn’t dare to claim that he is sure to become a general practitioner.
Jin Mingxi may have to bow down to reality again in the future, narrowing his primary focus.
“Anyway, I’ve given up on Internal Medicine. As for which specialties in surgery to focus on, I’ll think about that later. I can only take one step at a time and see how it goes.”
While they were talking, they had already arrived at Tu Ya’s department of Neurosurgery.
This time, they didn’t have much trouble finding the doctor’s office.
Old procedure, first fill out the forms.
The doctor managing training is named Liu Yongquan, a middle-aged doctor in his early forties. Tall and thin, his face and the backs of his hands have particularly abundant yellowish hair, resembling an under-evolved human still bearing simian traits.
“Make sure you fill it out seriously, this time we have a total of twenty trainees, you will be divided into two groups, rotating between the wards and the operating rooms for standardized training.”
Generally speaking, trainees who haven’t obtained their medical practice license are seldom assigned to outpatient clinics.
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Theoretically, it takes about a year and a half for medical undergraduates to obtain a medical license if they can pass the examination smoothly in one go.
Neurosurgery is recognized as the pinnacle of surgical departments.
Known for its highly advanced and precise operations.
It doesn’t have as many surgeries as Orthopedics, but its revenue capability is no less than that of Orthopedics.
A simple treatment of an aneurysm in Neurosurgery can cost hundreds of thousands.
When Zhou Can was an intern, he encountered an unfortunate patient with four aneurysms that cost over 540,000 in total.
Diseases treated in the Neurosurgery department are roughly categorized into the following:
Cranial injuries, such as skull fractures, cerebral contusions, cerebral hematomas, etc.
Many people think that craniotomy is the job of Orthopedics, but that is overestimating Orthopedics.
Orthopedics mainly deals with bone trauma, joints, ligaments, etc. Asking Orthopedics to perform thoracotomies or craniotomies is like asking an elementary student to solve college-level problems.
Too overwhelming for them.
The second category, vascular diseases. Aneurysms, arteriovenous malformations, etc.
The third category, functional diseases, such as trigeminal neuralgia, glossopharyngeal neuralgia, epilepsy, convulsions, etc.
From this, it is not difficult to see that all top medical specialties are closely connected.
Orthopedics performing surgeries involving the spine and cervical vertebrae, which are associated with nerves, require cooperation with Neurosurgeons.
Neurosurgery might also call on other surgical department doctors when dealing with vascular diseases.
Furthermore, when treating functional disorders, they need to consult Neurology and Urology specialists if they are uncertain.
Thus, there’s truly no completely independent discipline in the field of medicine.
The disciplines are interconnected in complex ways.
“Have you all finished filling out the forms? Next, I will randomly assign work tasks. Twenty people, two per group, responsible for about ten beds each. Our Neurosurgery department has a total of 125 beds, including 20 in four intensive care rooms. You will only be responsible for the 105 regular beds for now.”
Compared to other departments, Neurosurgery doesn’t have many patients.
But the hospitalization period is longer.
In General Surgery, many patients may be discharged after just two or three days. In Neurosurgery, it’s very fortunate to only stay for ten days to half a month.
“If the patients you are responsible for haven’t undergone surgery yet, you must follow up. When patients do undergo surgery, you will have the opportunity to enter the operating room for observational learning. Whether you can actually participate in the surgery depends on whether the chief surgeon is willing to delegate authority to you.”
Different departments have clear differences in their training mechanisms.
Neurosurgery’s requirement for trainees is to follow through from start to finish.
From the patient’s admission to discharge, the entire hospitalization period needs to be followed and managed.
This approach is actually quite good.
It makes it easier to pinpoint responsibilities, and management can also be more meticulous.
“Let me give a special reminder, the inpatients in Neurosurgery, even those in regular beds, should not be taken lightly. Emergencies can occur at any time. If anything happens, the attending doctor, the admitting doctor, and the department director will all be affected, but the trainee responsible for that bed won’t escape either. In our department, the lightest punishment is the cancellation of the training qualification.”
Doctor Liu Yongquan was particularly serious when he spoke.
His words exerted immense pressure on every trainee.
Cancellation of training qualification basically means the end of a career.
In other words, their margin for error is zero.
“Zhou Can and Jiang Xiaohua, the first group, responsible for beds 21-31; Jin Mingxi and Chen Hao, the second group, responsible for beds 32-42…”
The number of regular beds is 105.
The first five groups each are responsible for 11 beds.
Their workload is slightly heavier than the later groups.
Zhou Can didn’t mind; to him, one more bed meant more opportunities to practice in the operating room.
With his multiple Advanced Medical Skills now elevated to a level above Resident Doctor specializations, plus his exceptional talent in neuroanastomosis, if Director Xie stops suppressing him, it’s possible that during these two months of Neurosurgery training, he could gain a significant number of hands-on opportunities.
In any case, he felt quite confident.