My medical skills add experience

Chapter 221 A thousand doctors have a thousand ideas, and I met an old acquaintance
No matter when, strength trumps everything.

Before Zhou Can found the bleeding point, doubts continued.After finding it, all doubts disappeared.It was replaced by wonder, praise, and heartfelt shame.

"Director Wu, the blood supply area of ​​this blood vessel should not be small, I'm afraid it won't work to directly ligate it to stop the bleeding?"

Zhou Can stood on the chief surgeon's seat, wanting to continue rubbing the operation part below.

This difficult operation is a challenge for any chief physician.Not to mention him as a Gui Peisheng.

"Sterilization is possible, but even if the patient is saved, he will have to sit in a wheelchair or lie in bed as a vegetable for the rest of his life." Wu Baihe is usually quite serious.

At this moment, I may also be happy to see Zhou Can successfully find out the bleeding point, so I am humorous with him.

"Then... can I do blood vessel repair? I'm sure it will be repaired."

Zhou Can's sutures and ligations have all reached the level of deputy director, and he is fully capable of repairing a blood vessel.

For someone like him who is extremely talented in endoscopic surgery, there is not much difference between traditional surgery and endoscopic surgery.For example, suture surgery is now at the fifth level, no matter if you do traditional surgery or endoscopic surgery, you can reach the level of the deputy director.

However, some people do not have the talent for endoscopic surgery. If they operate with a long arm, their medical skills will be greatly reduced.

Those people either couldn't find the familiar feel, or became powerless when operating, far below the normal level.

"I can let you try. The ugly words are in the front, and the rescue time has exceeded four hours now, and the patient's condition is not optimistic. If I feel that you are only barely competent, or the repair technology is not good enough, I will stop immediately."

Wu Baihe hesitated a little, and decided to let Zhou Can try it.

People are like this sometimes. If you can refuse because of affection, but if you don't refuse, most of them will choose not to refuse.

If Zhou Can hadn't found the bleeding point in time, nothing would happen to them.

The patient is likely to die immediately.

"Row!"

After Zhou Can got Wu Baihe's approval, he was not polite, and immediately began to quickly repair the blood vessels for the patient.

I saw him manipulating the arm of the endoscope to ligate the ruptured blood vessel precisely and quickly.

After stopping the bleeding, start to quickly remove the accumulated congestion, and then find a way to free up the operating space and start repairing the ruptured blood vessels.

The repair of such malformed blood vessels is much more difficult than that of ordinary blood vessels.

Most of their blood vessel walls have been calcified.

The serious ones are basically extremely severe atherosclerosis.

The blood vessel wall has long lost its original elasticity and toughness.Its internal passages will also increase due to the appearance of plaques, and finally become narrower and narrower.

The operation is underway.

Zhou Can's operation is not to say very good, at least it is above the standard.

Wu Baihe, who was still a little worried at first, gradually relaxed.

It's not the first time I watched Zhou Can perform endoscopic surgery.He has always had a good impression of Zhou Can.

Otherwise, it would be impossible to invite a Gui Peisheng to help this time.

[Stitch experience +1. 】

[The first time you successfully complete the suture of the artery in the right cerebral bulb, the suture experience value +100 will be rewarded. 】

[Ligation experience +1.]

【For the first time, you have successfully completed the suturing and knotting of the arterial wall of the right cerebral bulb, and you will be rewarded with +100 ligation experience points. 】

Zhou Can had long expected that such difficult blood vessel repair would earn extra experience rewards.

It was not what he expected.

After earning the reward, he did not drift away, but continued to concentrate on repairing ruptured blood vessels for patients.

……

After more than an hour, he spent a lot of effort and finally successfully repaired the malformed artery.

Before anastomosis, the two calcified plaques in the wall of the blood vessel were also removed.

He is confident that after the operation, the blood vessels of this patient will be smoother than before.

"Director Wu, I've finished repairing it, please help check it out!"

Zhou Can was quite satisfied looking at the blood vessels he had repaired.

"Well, there seems to be no problem, let's do a blood test!"

After so long, the most worrying thing is the cell necrosis at the end of the blood supply.

Theoretically speaking, stopping the bleeding and restoring the blood supply of the blood vessels within three hours will achieve a satisfactory therapeutic effect.

The longer it takes, the worse it is for patients, and the more uncertain the efficacy will become.

When doctors rescue patients, sometimes they know that the hope is slim, but they still go all out to rescue them.It's not that the doctors are full of food, nor are they stupid, but to create a miracle of life.

When Zhou Can was training in the Department of Critical Care Medicine, he encountered very helpless things.

Doctors are doing their best to save patients, and some results have been achieved.However, the family members worried about the loss of life and wealth, or could not bear the high treatment cost of [-] to [-] a day, and finally strongly urged the doctor to give up the treatment.

In this case, even if the doctor has seen that the patient's condition is improving, as long as the treatment is continued, there will be hope.

But the family members asked to give up, no matter how unwilling and unwilling, the doctor had no choice but to give up the treatment.

Then watch the patient die quickly.

Zhou Can tried to loosen the proximal end of the ligated blood vessel and the ligature at the end of the blood supply.

When repairing a blood vessel, experienced doctors prefer to ligate both ends of the vessel.It can effectively reduce air stagnation in blood vessels and the possibility of thrombosis.

Ligation of the proximal end is mainly to prevent continuous bleeding.Otherwise there is no way to operate.

After the ligatures at both ends were loosened, blood quickly poured into the repaired vessel segment.

"It worked! The blood vessel repair was successful!"

Wu Baihe's operation experience is extremely rich, and he can tell that the blood vessel has been repaired with just one glance.

"Don't move it in a hurry, observe it for a while to see if there is bleeding, thrombosis and so on."

[Hemostasis experience +1.]

[It is the first time that you have successfully completed the repair and cleaning of the malopened arteries in the cerebral hemisphere, and you will be rewarded with +100 experience points for hemostasis.]

One operation earned so many 100 experience point rewards.

But Zhou Can was overjoyed.

However, this is the first time for him to repair the malformed blood vessels in the brain, and he has learned a lot and accumulated a lot of valuable experience.

"Okay, I'll do the rest of the work!"

After Wu Baihe took over, he first conducted a second inspection on the repaired blood vessel, and after confirming that there was nothing wrong with it, he went on to complete the final elimination of the hematoma, and then began to close the cranial cavity in an orderly manner.

The operation lasted more than six hours, and the patient was pushed out of the operating room.

Although the patient has not yet woken up, from the doctor's point of view, the operation was a success.

The patient was sent to the recovery room with stable signs.

"Ah, it's past ten o'clock in the morning. I'm treating guests. Let's go to have breakfast together. It's really hard for everyone today. Fortunately, the operation was a success, and our efforts were not in vain. I hope the patient can wake up, preferably not There were obvious sequelae."

After Wu Baihe finished the operation, he looked up at the clock on the wall, and it was already past ten o'clock.

Generously invite everyone to have breakfast together.

The work of a doctor, sometimes really does not distinguish between day and night.

The whole process of the rescue operation just now was carried out under high tension, and everyone didn't even care about the time of day.

Doctors and nurses came out of the operating room one after another.

I thought it was going to the cafeteria for breakfast, but Wu Baihe had asked his assistant to order breakfast in advance, and it was placed in the small meeting room outside Shenwai.

Everyone has been exhausted for most of the night, and now they can finally sit down and have a rest.

The breakfast is quite rich, including buns, bread, fried dough sticks, angelica eggs, and soy milk.

Doctors pay more attention to health preservation, and often cook angelica eggs themselves, or buy them to eat.

Eat less fried food.

It may be because of the taste of some young medical staff that they ordered some fritters.

The taste of fried food is very attractive, and the health of young people is good, and there are no taboos.

It doesn't care whether you eat it or not, let the taste buds feel comfortable first.

While eating breakfast, everyone chatted about the operation just now, or other topics.

Anyway, just chatting.

The chief physicians are usually very busy, and there are not many opportunities to sit and chat together like this.

The meeting room was full of laughter and laughter, and the atmosphere was very harmonious.

"Doctor Zhou's level of blood vessel repair is good! The blood vessel repair in this operation just now is really difficult. I only heard that your endoscopic surgery is very smooth. I saw it with my own eyes today."

A chief physician of Shenwai who seldom interacted with usually smiled and praised Zhou Can actively.

It's not enough to flatter.

It's just seeing that Zhou Can is so good, so he established a good relationship in advance.

"I'm even more curious about how he found the bleeding point! Dr. Zhou probably didn't suck up the accumulated blood on purpose, right?"

Another deputy chief physician joined in.

Zhou Can was gnawing on meat buns, two bites each, and eating them with soy milk.

These supernatural bigwigs suddenly took the initiative to chat with him, so he had to stop eating.

Because it is very impolite to talk to people vaguely while chewing food.

"That's right! Don't you guys never use the method of observing blood accumulation to find bleeding points when you look for bleeding points?"

Zhou Can faintly realized that each doctor's hemostasis is consistent in basic operations, but there are also many similarities and differences.Everyone will have their own set of experiences and techniques.

To put it bluntly, rats have their way, and snakes have their way.

"Sure enough, it's about the same as I guessed. I never knew how to find the bleeding point by observing the accumulation of blood. If Dr. Zhou is willing, please share your successful experience!"

The deputy chief physician is over 50 years old and still thirsty for knowledge.

"I've never heard of this method. It's the first time I've heard that you can find the bleeding point by observing the accumulation of blood!" Another attending physician participated in the discussion.

Although Wu Baihe and the others didn't speak, but from the fact that they stopped talking and listened to Zhou Can's share of dry goods, they probably didn't master the technique of observing blood accumulation to find the source of bleeding.

Everyone thinks differently and has different ways of doing things.

For example, when rushing from home to work in the hospital, some people choose to walk, some hitchhike, some take a special car, some drive by themselves, and some ride a bicycle... There are too many ways.

But they all ended up making it to the hospital in time for work.

This is what people often say that different routes lead to the same goal.

"Since someone asked, then I will talk about my own method, and please don't laugh at me."

Zhou Can does not hide his secrets, but generously shares the valuable experience he has realized.

"When blood accumulates, there will be a flow direction, and when there is too much blood, it will form wavy fine lines..."

He shared his skills with everyone.

The four nurses didn't know much about surgical skills, so they just looked at Zhou Can with admiration.

Outside of God, many nurses in the operating room know that Zhou Can is very good.Follow Director Wen to do endoscopic surgery, and Zhou Canlai is often the chief surgeon.

There are not a few unmarried little nurses who try to make up his mind.

"It turns out that this method can be used to find the source of bleeding. Today I have gained some knowledge." Wu Baihe was the first to speak after listening.

He was amazed by Zhou Can's 'earth method'.

"Isn't it? I don't even dare to dream of such a method. The thinking of young people is different!"

The chief physician who was the first to ask the question followed suit.

"This young man, Zhou Can, has different surgical thinking and diagnostic thinking. I am not surprised to be able to comprehend this ingenious surgical technique by himself."

Director Wen knows Zhou Can's skills very well.

After hearing Zhou Can's method of finding the bleeding point, he was not surprised.

"I have seen a lot of medical geniuses. It is no exaggeration to say that there are too many medical geniuses in our neurosurgery department. Most of the people present are worthy of the title of medical genius, including myself. Only a genius like Dr. Zhou, But there are very few of them. I am afraid that only Director Wu can be called a genius."

A young deputy chief physician praised with a smile.

Everyone smiled, and they agreed with what the deputy chief physician said.

It makes sense.

There are many geniuses, but very few wizards.

Dr. Xu, Wu Baihe, and Hu Kan can all be called geniuses.

Everyone has their own unique abilities that ordinary people don't have, so they can be called geniuses.

"I don't dare to compare myself with Director Wu in the industry. You are flattering me too much. When I live to be 60 years old, if I can have half of Director Wu's ability, it will be enough to make me laugh for the rest of my life."

Zhou Can didn't dare to wear such a high hat.

Not to mention that he would not expand to the point of putting himself on the same level as Wu Baihe.

Whether it's out of humility or high EQ, he has to give in.

"Doctor Zhou, don't underestimate yourself. With the talent and strength you are showing now, I dare say that you may become the top surgeon in Tuya before you are 40 years old."

Wu Baihe spoke very highly of Zhou Can.

This is not an exaggeration, but through contact with Zhou Can, understanding, and observing Zhou Can's all-round progress in surgical ability and diagnostic ability, he made a relatively conservative prediction.

"Haha, Director Wu's words make people happy. When I heard this, I thought I was not good enough, but now I am."

Zhou Can's words made everyone laugh out loud.

The atmosphere in the conference room is also more harmonious and harmonious.

After eating breakfast, everyone prepared to devote themselves to the day's work.

Zhou Can walked out of the small conference room and also walked towards the elevator.It's past 10:30 now.

Originally, according to his work arrangement, the surgeries for these two days were all fully scheduled.

There are still many operations waiting for him in the general surgery department.

When passing the ward beside the corridor, Zhou Can's eyes lightened slightly.He unexpectedly saw an acquaintance, his old partner Qiao Yu.

I saw Qiao Yu holding a plate in front of a hospital bed, nursing the patient.

The work is not easy.

Standing behind her was an experienced nurse who was gesticulating and ordering her to work.

There's nothing wrong with that in itself.

But when Zhou Can saw it, he felt a little unhappy.

Immediately walked over quickly.

"Can't you insert a urinary catheter? How can you be a nurse? You have to be a nurse? I have taught you several times. Not only do you have to do it well, but you also have to hurry up and make sure it is done quickly."

This old nurse was also an old acquaintance Zhou Can knew.

Hu Shuiling, the nurse in charge.

On Zhou Can's first day of fascination, the nurse in charge was also extremely arrogant towards Zhou Can.

Later, Zhou Can performed double meritorious service in diagnosis in the operating room and ward, and was appreciated by Director Wen, and his status quickly rose.Hu Shuiling's attitude towards him has undergone a 180-degree change.

From a cold face to all kinds of flattery.

I didn't expect Qiao Yu to be assigned to her, and I'm afraid he has suffered a lot these days.

(End of this chapter)