When a doctor opened a plug-in

Chapter 4 I want to be the chief sword!

Chen Cang's speed was very fast, and the children did not cry or make trouble after they came in.

An Yanjun originally worried that Chen Cang's dressing change would be rough, which would make the children more painful!

After all, young people are relatively sloppy, thinking of this, An Yanjun speeds up the dressing change, and he is anxious to deal with it, so he hurries over.

But after coming in, I was dumbfounded.

A few children who had been bandaged sat there, honestly and quietly.

An Yanjun couldn't help asking: "My kid, are you scared? Does it hurt?"

Several children shook their heads: "It doesn't hurt!"

An Yanjun smiled and touched the child's head, guessing that their fear of the unknown scared them, after all, he was not so quiet just now when he changed his dressing.

At this time, Chen Cang was dealing with a little girl. Her knee was cut. The fine dust got in. It needed to be cleaned and taken out of large particles. An Yanjun frowned. This is a bit difficult to deal with. The wound is more Seriously, it must hurt!

He was about to speak, and Chen Cang had already started debridement.

But with a casual glance, An Yanjun was stunned.

Experts will know if there is any!

Is this Chen Cang's debridement technique a bit special?

Sure enough, when Chen Cang was cleaning the wound, the little girl was grinning and bursting into tears, but she didn't scream for a long time.

An Yanjun also discovered that Chen Cang paid great attention to the subtle details when he treated the wound!

Be very careful about cleaning up sensitive parts... and in this way, the patient's pain can be greatly reduced, and even through dressing changes, the original pain can be reduced to a certain extent!

This is to test the level of doctors.

An Yanjun vaguely remembered that an expert from the Mayo Clinic specialized in this research: the most annoying thing about debridement and dressing is the pain, and excellent experts can reduce the pain in the affected area and reduce the patient's inner anxiety to achieve An effect that speeds up healing.

For this reason, Yanjun An has also tried, but it seems that the effect is average, and he has not effectively alleviated the pain of patients. Later, Yanjun An believes that this is only possible at the level of discussion.

However, Chen Cang seemed to have really done it at this time.

Xiao Chen has done an excellent job in alleviating the pain of patients.

Thinking of this, An Yanjun was suddenly full of curiosity, how did he do it?

This is a very researchable thing, and I can communicate when I have time!

Ding!An Yanjun Favorability Degree +5]

Chen Cang, who was changing the dressing, was stunned, and turned around to see An Yanjun staring at his ass.

Chen Cang was immediately frightened!

After all, it's the deputy director of the emergency department. Should I refuse to come to a strong one?

Thinking of this, Chen Cang couldn't help but contract his gluteus maximus, and even changed his angle.

I secretly made up my mind, and I will never go to a bathhouse with Director An in the future. After all, ****, who is right!

...

Ding!Congratulations, the daily mission is completed, and the experience of debridement and dressing change is +30.RMB +50 yuan.

An Yanjun came in and took a look at Chen Cang: "Thank you, let's go to work together."

Ding!NPC An Yanjun’s mission is completed, and An Yanjun’s favorability is +5, RMB +20, and experience +30.

Chen Cang nodded, looking at An Yanjun, his eyes seemed to be a bit fiery, and he couldn't help pulling a scalpel away...

In case... also have a preparation!

However, thinking that this morning wave of operations directly brought him 120 yuan in income, Chen Cang felt happy.

Suddenly Chen Cang thought:

[An Yanjun, a serious surgeon, current favorability: 15.

Is it only 15 points?

Ok!

Chen Cang's heart finally landed.

...

...

The so-called shift is actually to explain what happened last night with the doctor on duty today. There was no major event last night, and the shift was relatively smooth.

An Yanjun changed his clothes and got off work after he turned over.

And Chen Cang stared at Chen Bingsheng in a daze.

Chen Bingsheng, an experienced surgeon, current favorability rating: 60.You can view the details!

Chen Cang Yixi, you can view the detailed information.

Name: Chen Bingsheng

[Occupation: Doctor]

[Level: lv42:96012600 (Deputy Chief Physician)]

professional skills:

Basic surgical skills:

Debridement and dressing: Master: 39708000

Suture of skin, tendon and other wounds: Advanced: 16794000

Cardiopulmonary resuscitation: Intermediate: 15002000

...

Surgical skills:

Level 1 surgery:

Appendectomy: Advanced: 2774000

Incision and drainage: Advanced: 92114000

Hernia repair: Intermediate: 2922000

...

Secondary surgery:

Gastrointestinal fistula and anastomosis: Intermediate: 6562000

Gastrointestinal perforation repair: Advanced: 19994000

Reduction of bowel volvulus: Advanced: 9994000

Subtotal gastrectomy: Advanced, 12894000

...

Three-level surgery:

Endoscopic bowel, small bowel and colon surgery: Intermediate: 5552000

Thyroidectomy: Intermediate: 7992000

Radical gastrectomy (proximal gastrectomy, distal gastrectomy, total gastrectomy): Intermediate: 8552000……

After reading it, Chen Cang's eyes widened, and there was a sentence in his mouth that he didn't dare to say while holding the grass, for fear of causing a misunderstanding by Mr. Chen.

But... this property is too luxurious!

I currently have a basic skill. I don't even have the most basic first-level surgery. Look at Chen's boss. There are a lot of first-level, second-level and third-level operations. There is a long way to go.

However, Chen Bingsheng is now at level 42. According to his strength, he is equivalent to the level of a deputy chief physician. Although he is only an attending physician, his level is very high!

It seems that the system's rating is not evaluated according to the person's professional title, but is divided fairly according to strength.

It's just... Chen Cang has something unclear. Does the inpatient need to be transferred to the primary doctor???

Do you still need authoritarian credentials?!

Generally speaking, the hospital divides the operation into four levels according to the difficulty, size, and status of the operation:

Level 1 surgery: simple minor surgery.

Secondary surgery: minor surgery and simple medium surgery.

Three-level surgery: medium surgery and general major surgery.

Four-level surgery: difficult and severe major surgery and new surgery.

And different levels of surgery also require different levels of doctors.such as

Junior doctors can be understood as a level of resident physicians: the scope of surgery is defined within the first level.

Senior physicians include attending physicians: the scope of surgery is defined at the second level, and third-level surgery can be performed when there are senior physicians with the professional title or above.

Senior senior attending physician: The scope of surgery is defined within the third level, and the fourth-level surgery can be performed when there is the guidance of a doctor with the professional title of director or higher.

Department Director and Deputy Chief Physician: The scope of surgery is defined in the fourth level. When there are more operations in this specialty, the third level surgery can be performed.

Therefore, Chen Cang can only perform first-level surgery. Of course, if there is a check by Chen Bingsheng's boss, he can also perform second-level surgery.

Chen Bingsheng turned around and looked at Chen Cang staring at him for a long time. He felt a little hairy in his heart. What's wrong with this kid!

"Xiao Chen! Come here, follow me to the ward round, there will be two operations in a while, you will do it with me."

Chen Cang: "Okay!"

But... why is there no task prompt?

Chen Cang was puzzled.

The emergency department has a ward. 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 very busy.

The sixty hospital beds seem to be many, but in fact they are full every day. Chen Bingsheng has twelve patients under his hands.

Emergency inpatients don’t live for a long time. Basically, they will be transferred to other departments after their condition is stable.

The condition is not stable... or I will be transferred to the hospital, or I will go to the funeral home, anyway, I won’t be in the emergency department for long.

The rounds took about an hour, and Chen Cang was usually responsible for processing the patient's doctor's orders and writing medical records, and then Chen Bingsheng went to the operation.

But today, after Chen Bingsheng finished the room inspection, he said to Chen Cang: "There were two operations this morning, bed 19 and bed 21. Both of them had acute appendicitis. I have to prepare for the operation today, and I have seen a lot of them today. Taiwan, be one!"

When Chen Cang heard this, he suddenly became nervous.

Although he often sees appendix surgery and even thinks it is very simple, it is still a bit nervous to really make him perform the surgery.

After all, there is a big gap between a chef and a helper.

Of course, Chen Cang is actually more excited!

Can you finally do it?

The feeling of ** is permeated in my heart, and it can’t be dissipated. Today is a day worth celebrating. I will share this good news with my girlfriend when I go back.

...

As a surgeon, what is the difference between no operation and salted fish.

At ten in the morning, Chen Cang and Chen Bingsheng came to the operating room.

Chen Bingsheng looked at Chen Cang, who was somewhat cautious, and smiled: "The appendix is ​​just a minor operation, just like yours. It was done all at once. Why are you nervous? I usually see me doing so much. When I do it, you You think I'm clumsy, what's wrong? Are you panicking now?"

Chen Cang smiled: "What's the matter, this is not the first time!"

Chen Bingsheng sneered: "The first time? Do I have to seal a red envelope for you to celebrate?"

In the operating room, the patient is already lying down and is not yet ready for anesthesia.

While washing his hands, Chen Bingsheng smiled and said, "Why don't you... you can get started directly, remember the process?"

Chen Cang was taken aback, his heart tensed, and he recalled: "Remember!"

Chen Bingsheng smiled: "I will be anesthetized for a while, you will be the chief surgeon, and I will be your assistant!"

Chen Cang nodded vigorously.

The anesthesiologist is an old acquaintance, named Liu Jian, a 38-year-old man who usually likes to tease and tell jokes. He has a good relationship with Chen Bingsheng. Seeing the two of them doing this, he immediately understood what was going on.

However, the patient is still awake, so naturally I can't say more. It is not necessary to make the patient feel more nervous.

Instead, he glanced at Chen Cang encouragingly, gave a thumbs up, and signaled to come on!