My Medical Skills Give Me Experience Points-Chapter 487 - 216: Became a Teacher, The Fourth Level 5 Medical Skill_2

Chapter 487: Chapter 216: Became a Teacher, The Fourth Level 5 Medical Skill_2

The vast majority of resident doctors need at least until their third year to gradually gain opportunities to perform some higher-risk surgeries.

Just like Zhou Can back in the Emergency Department, in the beginning, even draining an abscess for a patient could excite him for quite a long time.

Surgeons all grow bit by bit, slowly enduring through.

"Alright, the next surgery is a thrombotic hemorrhoidectomy, and you’ll assist Dr. Zhou to give it a try!"

Director Liu decided to first test her depth.

He would then arrange more surgical training opportunities for her.

The patient was quickly brought in.

A woman in her thirties, walking as if she had just been deflowered, limping, with a face that occasionally showed expressions of pain.

Hemorrhoids are soft venous masses formed by congestion, dilation, and twisting of hemorrhoidal venous plexuses under the rectal mucosa and anal skin.

If thrombotic hemorrhoids are not treated in time, they will cause great pain to the patient. It becomes hard to sit or lie down comfortably, and defecation becomes difficult and painful.

The fact that this female patient was walking in this manner indicated that her condition had progressed to a rather severe stage.

"Please lie down on the operating table!"

Wu Ziyu took the initiative to arrange for the female patient to lie in a lateral position.

After all, as most surgeons in the operating room are male, female patients might feel embarrassed.

Being a woman herself, Wu Ziyu could more easily gain the patient’s trust and alleviate her embarrassment.

Still, Zhou Can was the actual main surgeon for this surgery.

A small operation like this didn’t require a specialized anesthetist.

Direct local anesthesia by the operating surgeon would suffice.

"Director Liu, wouldn’t sacral anesthesia be better for her condition?"

Zhou Can’s experience in Level 2 common surgeries was quite extensive.

Moreover, having learned a lot about anesthetic knowledge and techniques from Doctor Feng, he could easily handle the local anesthesia for such Level 2 minor surgeries.

Just by briefly understanding the patient’s condition, he could precisely offer the most suitable anesthesia plan.

Hemorrhoid surgeries generally could use local anesthesia, sacral anesthesia, and if necessary, lumbar anesthesia could also be an option.

"Sacral anesthesia is very appropriate, let’s start!"

Director Liu gave him an approving look.

Being able to flexibly use the most appropriate anesthesia method showed that Zhou Can’s anesthesia skills had significantly improved.

Zhou Can took the anesthesia prepared by the instrument nurse and started administering sacral anesthesia to the female patient.

This method of anesthesia was more challenging than local muscular injections.

It required injecting the local anesthetic through the sacral foramen into the sacral canal, blocking the sacral nerves. It is a type of epidural anesthesia, mostly used for surgeries of the rectum, anus, and perineum.

"Dr. Zhou’s injection skill is amazing!"

Watching Zhou Can perform, Wu Ziyu couldn’t help but admire him.

If it were her, she couldn’t guarantee a successful procedure even if she had ten opportunities, let alone doing it so effortlessly in one go.

She had only witnessed this method of anesthesia two or three times.

Previously, when she followed Director Mo, most of the surgeries she was involved in were related to thyroid operations.

When Zhou Can just administered sacral anesthesia to the patient, he made it look as easy as picking something up, effortless and smooth. This further demonstrated Zhou Can’s impressive capability.

She secretly compared this to Director Mo, realizing that even he might not perform as effortlessly as Zhou Can did.

"It’s nothing much, if you practice a lot in the future, you can easily perform it too."

Zhou Can casually laughed.

"Can you teach me a bit? I’ve seen other doctors perform it two or three times, but they were not as good as you. I’ve always wanted to learn but couldn’t master it."

Seeing that he was approachable, Wu Ziyu seized the opportunity to ask him for advice.

Usually, she wouldn’t dare ask assistant directors or chief physicians directly in the middle of surgery.

"Performing sacral anesthesia, the most challenging step is the sacral canal puncture. You can have the patient in a lateral or prone position, depending on the patient’s condition to reduce pain as much as possible. In the lateral position, the patient arches the back and brings the knees close to the abdomen, like a curled-up shrimp. In the prone position, place a small pillow under the patient’s hips, legs slightly apart, toes turned inwards, and heels rotated outwards to relax the buttocks muscles."

Zhou Can competently taught her the anesthesia knowledge and techniques he mastered.

"Before the puncture, first touch the tip of the coccyx, right here." He pointed to the tip of the patient’s coccyx. "Then move about 3 to 4 centimeters towards the head along the midline, you can feel a V-shaped or U-shaped depression. On both sides of it, there are pea-sized bony prominences, the sacral horns, this depression is the sacral foramen. Finding this foramen and puncturing through it, you’re basically done."

In Zhou Can’s view, a simple anesthesia procedure, he realized how hard it was to be a teacher when explaining.

He ended up explaining a lot to her.

Recalling those supervising doctors who tirelessly explained surgical techniques, specific steps, and precautions to him, he couldn’t help but feel deeply grateful.

To not teach is to not know the teacher’s hardship.

To not be a parent is to hardly understand the hardships of parents.

"I’ve mostly learned how to locate the sacral foramen, can you talk more about the specific puncture process? I’m a bit slow, please don’t be annoyed by me," she said somewhat sheepishly.

Seeing her eagerness to learn, which was incredibly similar to when Zhou Can sought advice from senior doctors.

"You’re very smart. All doctors learning practical operations start just like you. It also took me a long time to learn this anesthesia technique following my teacher."

Zhou Can told her a kind-hearted lie.

Initially, when Dr. Xu taught him this procedure, he learned it in just one attempt.