My medical skills add experience

Chapter 206 The Influence of Betrayal
When the patient is brought into the operating room, the anesthetist and nurse are ready.

Zhou Can helped the anesthetist to anesthetize the patient.

"This patient is obviously malnourished and needs central venous intubation and parenteral nutrition support?" Zhou Can asked the anesthesiologist for his opinion.

"can!"

Many anesthesiologists now know Zhou Can and get along well.

"In a situation like this, dilation treatment can also be done so that it can take in liquid food through the mouth."

He taught Zhou Can some ways to deal with this situation.

After Zhou Can listened humbly, he began to perform various intubations on the patients.

He works very diligently, which is one of the reasons why he is loved by many anesthesiologists.

When the anesthesia was almost finished, He Hansheng hurried over with two resident doctors.Immediately afterwards, Deputy Director Liu led his interns and two other trained doctors into the operating room.

Deputy Director Liu glanced at the clock on the wall, it was six past nine.

"This is about to undergo surgery, why are there two people who haven't arrived yet?"

There are a total of six official doctors in his team.

With two people missing, it immediately seemed much deserted.

"Song Ze has joined Director Yang Qing's team, and resident physician Hong Zhengbo has joined Director Tang's team to manage the bed. They are too embarrassed to tell you in person, but let me tell you."

When He Hansheng talked about this matter, he seemed cautious. He was very worried that Deputy Director Liu was old, and if it caused blood pressure to rise, heart attack, etc., it would be troublesome.

The two doctors brought out by themselves chose to leave at this critical moment and join other groups, which was a great harm to Mr. Liu.

Their actions are indistinguishable from betrayal.

However, everyone has the right to choose their own future, so their behavior is not illegal except for some immorality.

After hearing this, Mr. Liu didn't have any expression on his face.

After being silent for 30 seconds, he said, "Now is a very good time to join other groups. Each group needs to strive for more operations, and one more person can do a lot of work. If any of you want to leave , We must seize this opportunity. Otherwise, if you want to join a top-ranked group, it will be difficult to achieve it in normal times."

The more powerful the team, the more stringent the requirements for absorbing new team members.

Without two brushes, an extremely high-ranking team like Director Yang Qing would not accept it at all.

"Okay, let's start the operation!"

Deputy Director Liu looked like his mood had been greatly affected.

People also look older.

People under the age of 60 are like elderly people who are eight or ninety years old.

After walking to the operating table and standing still, Deputy Director Liu asked the nurse to help him put on the sterile gloves, and checked the knife position drawn on the patient.
"When you encounter this type of surgery patient, you must check whether the patient has lung infection before the operation. If there is, then the operation cannot be performed." Deputy Director Liu shared his valuable surgical experience with everyone.

These experiences are all exchanged for the lessons of blood.

There are too many accidents happened to senior surgeons.

"In addition to checking whether the lungs are infected, we should also pay attention to the patient's esophagus. Due to food retention in the esophagus, the esophagus is prone to inflammation of varying degrees. Therefore, I asked the doctor to insert the patient's stomach every night three days before the operation. The tube cleans the esophagus once and injects antibiotic solution after cleaning."

Deputy Director Liu continued to share dry goods.

"Three days before the operation, I followed your instructions to clean the patient's esophagus with a gastric tube. I just repeated it before anesthesia."

Zhou Can replied.

Do it again before anesthesia, in order to remove the accumulated secretion overnight and keep the gastric tube indwelling.

In this category of patients, pills or tablets should not be used before surgery.

Otherwise, it is easy to be dangerous.

"Xiao Zhou's work is still very reassuring."

When Deputy Director Liu looked at Zhou Can, he finally had a gratified smile again.

Zhou Can is the most talented of all the doctors under him.

He is very down-to-earth in doing things, diligent and studious, and progresses very fast.

"The incision is usually in the center of the left upper abdomen, or a point next to the left upper abdomen, and cut all the way to the xiphoid process."

Deputy Director Liu held a knife and began to cut open the patient's abdominal cavity.

As soon as the knife was dropped, his body shook.

This scared everyone.

It's not a joke to be operating on a patient.

The knife in the doctor's hand is to save lives after cutting.If it is not cut well, if it is cut sideways, or if it is cut deeply, it will become a murder.

"Director Liu, are you okay?"

Zhou Can and He Hansheng quickly supported him.

The two are almost equal to Deputy Director Liu's right-hand men.

"Maybe I had breakfast too early in the morning, and I seem to be a little hungry now. Han Sheng, you and Xiao Zhou will cooperate to complete this operation, are you sure?"

Deputy Director Liu looked at the two of them eagerly.

This has never happened before.Elder Liu's physical problems are definitely not the reason why he said he had breakfast too early.

It was the departure of Song Ze and another resident, which deeply hurt Liu Lao's heart.

People are old and can't stand stimulation.

Both Zhou Can and He Hansheng were well aware of this, but neither of them would be foolish to tell the truth.

"Don't worry, I have learned cardioplasty many times with you, and with the help of Dr. Zhou, I will definitely be able to do this operation well."

He Hansheng comforted Mr. Liu confidently.

"Director Liu, please sit by the side and rest for a while, and help us check it out, and just give us pointers at critical moments."

Zhou Can also said beside him.

"Okay, okay! I, it seems that I am really old, and I should retire! The only regret is that I was not awarded a senior professional title. This reform of the department was an opportunity for me. There is a problem. Time and fate!"

Deputy Director Liu would never say such frustrating words in front of his doctors before.

Seeing the painstakingly trained doctor betray him at this moment is very similar to the feudal lords fighting for hegemony.After the confidants and generals betrayed, they joined the enemy camp.The enemy is more powerful, but the own side is desolate.

In addition, when you are old, your body will feel uncomfortable after being stimulated.

Therefore, he inevitably gave birth to pessimism.

"Don't be discouraged. The competition in each group has just started, and it's still too early to decide the male and female. The tree, in autumn, sheds its leaves and quietly accumulates strength in winter. When spring comes, it will still be young. You are not alone, there are so many of us People will fight with you."

Seeing that Mr. Liu was hit hard, Zhou Can felt very uncomfortable.

He secretly made up his mind that this time he would accompany Mr. Liu to fight together.

In the emergency department, Zhou Can once created a personal monthly operation volume of more than a thousand.

What is this concept?
The annual operation volume of Tuya Hospital is only over [-].

If he performs more than 1000 operations every month, he can complete [-] operations a year.

This is a very scary number.

Of course, all the operations he performed were first-level surgeries, which were relatively simple.

Many complicated major surgeries of grade [-] or [-] often require one or more medical teams to work together for seven or eight hours, or even more than [-] hours.

The longest operation time for a complicated operation performed by Tuya Hospital is 37 hours.

It is a very big test for doctors and patients.

"Doctor Zhou is right, you and so many of us are fighting with you, you must not give up easily. I still want to take this opportunity to win the title of deputy senior!"

He Hansheng agreed.

This departmental reform is both a crisis and an opportunity.

"It's because my realm is behind! It's not as good as you two younger generations!"

Deputy Director Liu sat down on the chair with a complicated expression.

The operation continued and was completed by his two generals.

Sometimes the chief surgeon or chief physician does not necessarily need to perform the operation himself.The same is true for the doctors who are guarding and guiding the team's surgery.

The chief surgeon is like the chef of a restaurant. He only needs to ensure the safety and quality of the operation, and that is enough.

Otherwise, even if it is like Deputy Chief Physician Liu, he is only the Deputy Chief Physician. In many cases, there are as many as a dozen operations a day.He did it all by himself. I'm afraid he, the chief surgeon, would have died of exhaustion on the operating table before the patient's operation was finished.

"Doctor Zhou, why don't you come to have your laparotomy?"

He Hansheng took the initiative to give Zhou Can some opportunities to practice surgery.

"Thank you, Dr. He, for giving me a chance! I will definitely be careful."

Zhou Can stood at the chief operating position, took the scalpel, and performed laparotomy on the patient with a focused expression.

The whole process was fast and steady, and there was already a trace of demeanor from a chief physician in him.

"Excellent job! Is it safe to free the esophagus?"

"You can try!"

Zhou Can's separation technique is currently at the low level of attending, and there is still more than 400 experience points before he can be promoted to the middle level of attending.

I saw him carefully start to free the esophagus, while the others held their breath and watched nervously.

The trachea is fragile while the esophagus is weak.

Free esophagus is a high-risk operation.

[Separation experience +1. 】

[Congratulations on successfully separating the esophagus for the first time, and you will be rewarded with +100 separation experience points. 】

After Zhou Can successfully freed his esophagus, he was rewarded generously.

This kind of medical skill experience value has increased by more than 100, which is very refreshing.

Only more than 300 short, can be promoted to the middle level of attending.

According to this trend, it may not need to wait until the end of the month to rise above the middle level of indications.

Because the operation volume of general surgery is quite abundant.

With the trial reform of the department this time, the various teams will definitely rush for patients for surgery.

Zhou Can's operation speed is notoriously fast.

Hehe, when the time comes, he will show the other groups the ability to spread the knife quickly.

I heard that Dr. Xu had such a great reputation in surgery that many surgeons could only worship him.There is no desire to fight at all.

Later, if Dr. Xu's knife speed was not too fast and he had a medical accident, the most stable scalpel - Director Hu Kan, or the peak scalpel - Wu Baihe, would not be able to compete with him.

"It's very well done! After freeing the esophagus, the triangular ligament of the liver must be cut. Watch it, that's how it was cut."

He Hansheng did not dare to ask Zhou Can to do this, so he did it himself.

While cutting, teach Zhou Can and other doctors specific details and precautions.

Zhou Can secretly kept the techniques and steps in his heart, and he will be able to try it next time he needs to cut the triangular ligament of the liver.

"Next, the liver is turned side to side and the peritoneal reflexion of the cardia is incised."

This operation was also not done by Zhou Can, but by He Hansheng himself.

The powerful senior attending physician is really strong.

"Pause for a moment, let me explain the next operation steps to you. This is a very difficult and critical step." Deputy Director Liu stood up and began to explain it to several junior doctors in detail.

"Insert the finger into the mediastinum from the esophageal hiatus, then free the esophagus, and pull it down with a gauze around the cardia, pulling the cardia and the lower end of the esophagus to the abdominal cavity..."

Deputy Director Liu didn't do it himself, but every time he explained a step, he would signal He Hansheng to do it.

Zhou Can has never done this kind of surgery, and his qualifications are still relatively low, so he can only study and watch from the sidelines.

Hold hands when necessary.

The whole operation, whether it was longitudinal incision of the anterior wall of the muscular layer of the esophagus and cardia from the outside of the mucosa, or the shape and various sutures at the back, made Zhou Can very knowledgeable.

The complexity of this operation is beyond imagination.

No wonder few doctors are willing to do it now.

Towards the end, Zhou Can did not compete with the two resident doctors when suturing the abdominal wall.

Instead, he took the initiative to step aside.

He is already very familiar with suturing the abdominal cavity, so there is no need to watch the resident doctor close the cavity.There is nothing to learn.

Out of duty, He Hansheng stood by and stared.

Zhou Can took advantage of this gap to quickly take notes on the operation steps and key points.For future review.

After more than 40 minutes, the clumsy resident finally successfully closed the abdominal cavity.

"The operation was a complete success, everyone has worked hard. You can organize the operation notes carefully. It is past lunch time. I have ordered a meal. After everyone has finished eating, you can take a rest, and then the second session will be held at about three o'clock in the afternoon. surgery."

The operation took quite a long time, almost five hours.

Fortunately, the surgery was a success.

This is also a place where everyone feels gratified.

From the beginning of receiving patients, doctors must start to pay attention to various communication with family members, as well as the management of the entire perioperative period and difficult operations.

In the end, the patient recovered and was discharged from the hospital. This was the happiest moment for the doctors.

At around 50:4 in the afternoon, Zhou Can and the intern in charge of the bed sent the patient to the No. [-] operating room.

Endoscopic surgery is usually done in this operating room.

As soon as he turned the corner of the corridor, he saw a large number of doctors walking towards him.All of them are dark green surgical gowns.Some even had their masks hanging on their chins.

Looking at the situation, it should be just after surgery.

The leading doctor is of medium height, wearing glasses, looks about 50 to [-] years old, and has a very calm manner.

This person is Director Yang Qing, who ranks extremely high among the many chief physicians in the general surgery department who can perform operations.

It must be said that not every chief physician of surgery is good at performing surgery.

There are actually very few chief physicians who can do a good job in surgery.

Theoretically speaking, the strength of a surgical team is not just the strength of the chief surgeon alone.

The chief surgeon plays the role of the leader.

Director Yang Qing's surgical team has many experts and talents.

Du Leng is also in the surgical team, and his position is quite high.

A doctoral degree graduated from a prestigious overseas university is really popular.In fact, he can only be regarded as a newcomer to surgery now, and his status is almost the same as that of the attending physician.

Now he has joined the ranks of deputy chief physicians. It seems that he is highly valued in Yang Qing's group.

"Ok?"

Zhou Can's eyes only stayed on Du Leng's face for about a second, and soon fell on a young male doctor walking behind the surgical team.

That person was none other than Song Ze who had just betrayed under Deputy Director Liu.

Compared with Du Leng's food and drink, Song Ze's status is far behind.

It turns out that I can only travel with a few residents.

And he's walking on the tail end of the residency.

I really don't know what's the point of him joining Yang Qing's team?
In the past under Deputy Director Liu, when Zhou Can was not here, he was number three.

Now he has defected to director Yang Qing, but he is not even as good as a resident doctor.

The status is only a little higher than Guipei.

How sad.

When Song Ze saw Zhou Can, he bowed his head a little guilty.

People, if you do something wrong, you will always feel guilty.

Director Yang Qing glanced at the patient Zhou Can was taking, and looked away indifferently.

Not to mention Zhou Can, a regular trainee, even Deputy Director Liu, Yang Qing didn't take him seriously.

People really have this strength and confidence.

The two sides brushed past.

On Zhou Can's side, there was only him, a regular trainee, and an intern, and he seemed alone.

On the other side, there are several chief physicians and deputy chief physicians alone.
Not to mention attending physicians and residents.

It can be said that the soldiers are strong and the horses are strong, and they will have more food and more food.

The strength gap between the two sides is really not that big.

Zhou Can took the patient and the intern, and took the initiative to step aside, letting the other party go first.

Humility is not only a kind of mind, sometimes it is also a kind of calmness and self-confidence.

When Du Leng passed by Zhou Can, a sneer of disdain appeared on his face.It came from the bottom of my heart.

Because the team gap between the two sides is too obvious.

Song Ze's betrayal and joining Yang Qing's team made Du Leng feel as if he had been beaten to death, thinking that he had the chance to win.

(End of this chapter)