My Medical Skills Give Me Experience Points

In these operations, his usual practice of implantation techniques and clamping skills were put to good use.

After successful operations, he was rewarded with a direct 100 experience points.

Because they were all his first attempts, and the difficulty was quite high.

The surgery greatly contributed to his own surgical experience and the enhancement of his endoscopic abilities.

100 experience points as a system reward are often given to Zhou Can for making significant progress in surgeries or diagnoses, or for major achievements.

"Good job, keep it up!"

Deputy Director Liu, standing by, watched Zhou Can steadily advance the surgical process and felt greatly relieved.

Next was the exploration of the bile ducts with a fiberoptic choledochoscope to remove stones from the duct.

Zhou Can manipulated the endoscope upwards to the left and right hepatic ducts, and after finding the stones, removed them with a stone retrieval basket. Then, he explored downwards to the end of the common bile duct and used the same method for stone removal.

During the exploration, he found quite a number of stones inside the bile duct.

"Director Liu, may I directly remove the stones with a laparoscopically-adapted articulated grasping forceps?"

Zhou Can sought Director Liu's opinion.

"Yes!"

Director Liu nodded in agreement.

This stone removal method was very convenient and practical.

After catching most of them, Zhou Can would use the choledochoscope to check for residue and remove the remaining stones.

A few more critical surgical steps followed.

Placement of a T-tube and suturing of the bile duct incision.

This step greatly tested suturing skill, as leakage of bile around the T-tube indicated suturing that was not properly done.

Fortunately, Zhou Can's suturing and ligation skills had all reached the level of a deputy director.

The entire operation process was successful with no major complications.

At this point, the gallbladder could be directly excised.

After removing the gallbladder, the surgical field was irrigated, and then an abdominal drainage tube was placed.

During surgery, inserting the abdominal drainage tube through a puncture in the right anterior axillary line into the abdominal cavity to place it around the T-tube and in the hepatorenal space proved more difficult than expected.

Thankfully, Zhou Can managed to succeed in completing the entire surgery, meeting the high expectations.

"Director Liu, I have a question. During the gallbladder removal, I noticed signs of malignancy in the patient's gallbladder. In this case, do we need to send it for pathological examination?"

Zhou Can asked for Director Liu's opinion on how to proceed.

"There's usually no need to send it for an examination. It can reduce treatment costs, saving money for the patients. It also avoids stressing the patient with potentially bad examination results. Since the gallbladder is already removed, it can't turn cancerous anymore, so there's no need for extra measures. However, during the postoperative ward rounds, inform the patient or the family members that it was a good decision to remove the gallbladder as we noticed a potential for malignancy. The patient and their families will feel more satisfied with the surgery."

Director Liu advised Zhou Can on how to skillfully communicate with the patient and their family.

Communication between the doctor and patient is extremely important.

It permeates the entire perioperative period.

Good communication can greatly increase the patient's trust and favor towards the doctor. Poor communication can lead to potential disputes.

"Of course, if the gallbladder shows obvious signs of a tumor, or even the potential risk of metastasis, then an examination is mandatory. It's also important to be vigilant for any nodules or vascular pathologies in the surrounding lymph nodes."

If there's a serious issue, the lymph nodes will be the first line of defense.

Enlargement or nodularity in the lymph nodes may be detected.

After surgery, the rest is handed over to the staff in the recovery room and ICU.

Hee Hansheng looked up at the clock on the wall, hesitated for a few seconds, and said with a troubled tone, "Director Liu, our team has a total of nine surgeries today, and we've now finished the two largest. There are still seven level 1 and level 2 surgeries remaining. Initially, with Song Ze sharing some of the load, we could have finished by eight or nine o'clock this evening. Now that I'm the only attending physician left... I'm finding it somewhat difficult."

Not everyone has Zhou Can's surgical speed.

In fact, most surgeons operate quite slowly.

Because they worry about accidents if they rush.

After the departure of Song Ze, Hee Hansheng would definitely have to take on all the level 2 surgeries. For level 1 surgeries, Resident Doctor Wan Sanluo could share some of the workload, but only to a limited extent.

No wonder Hee Hansheng was worried.

He might end up working past midnight without being able to finish.

The fact is, doctors are not made of iron.

Every surgery requires complete focus, maintaining physical and mental energy. It's impossible to perform well for the patient in a state of fatigue.

"Your abilities are limited, as is your stamina; indeed, you cannot handle so many surgeries by yourself. It's appropriate to postpone a few to tomorrow evening, try to get through these few days, and in the future, when we receive surgical patients in our outpatient visits, we can refer some to other teams."

After a moment's consideration, Director Liu spoke with a trace of bitterness.

Referring patients to other teams is seen as a sign of incompetence.

Director Liu would not have made such a decision if he had any other viable option.

Hee Hansheng was already an attending physician and an important member of the team. His schedule was packed every day.

He will be running over capacity for the next two or three days, which would greatly affect him.

Asking other teams to help with the additional surgical patients was one of the few good strategies available.

However, doing so would cause great embarrassment for Director Liu. And it would be hard for the doctors in their team to hold their heads high.

It was already shameful enough that they had lost three doctors to other teams.

Now asking others for help with the surgical patients could only invite ridicule for their group.

Their team was defeated on the first day of this competition.

Such was the harsh reality.