My medical skills add experience

Chapter 227 Terrible stromal tumor, Dr. Xia was convinced
If it is a senior doctor who is more familiar, maybe he can take the opportunity to get the actual opportunity to preside over the operation.

For example, Mr. Liu, the chief physician of digestive surgery, etc., they all know Zhou Can's surgical skills very well.Zhou Can didn't even need to ask, he would take the initiative to ask Zhou Can for help.

After all, Zhou Can performed surgery in the last month of general surgery competition, and he was famously quick and easy.

Not long after, reinforcements from the General Surgery Department arrived.

The people who came turned out to be Director Jia and Qiu Hong.This surprised Zhou Can.

Logically speaking, even if such a patient needs surgery, it would be enough to send at most one attending doctor over.

Directly dispatching a re-employable chief physician, plus an attending physician, is enough to give the gastroenterology department enough face.

I have heard before that digestive surgery and gastroenterology are like one family.

Now it's a letter.

"Hey, Director Jia, why don't you come here in person! Thank you, thank you!"

Seeing the arrival of Director Jia, Xia Ping hurried forward to greet him warmly.

This patient belongs to him, and something happened now, and a doctor from the general surgery department needs to be called in for help.It is natural to say thank you.

"Doctor Qiu is still so beautiful, this time I will thank you!"

Dr. Xia Ping knew all of Director Jia and Qiu Hong, which was really unexpected.

"Doctor Xia, you don't have to be polite. It's right to help each other. Does the patient have intermittent intestinal bleeding?"

Director Jia represents the newly established Department of Gastrointestinal Surgery, and it is estimated that he also wants to show a brand new sub-department.In addition, the two departments are like brothers and depend on each other, so Director Jia was directly sent to help.

"Doctor Zhou, you have worked hard today. Director Jia from the General Surgery Department has brought someone here in person. With Director Jia's operation, it will definitely be handled well. Go and do your work!"

After Xia Ping invited the reinforcements from the general surgery department, he felt relieved.

The next step is laparotomy, and he doesn't think that a Gui Peisheng can help.

In addition, Zhou Can had been leading the rescue just now, which made Xia Ping's face dull.Zhou Can continued to stay here, bringing him an invisible psychological pressure.

That's why I thought about sending Zhou Can away immediately.

"That's fine, I'll go first!"

It doesn't matter to Zhou Can, it's best to get exercise opportunities for this operation, and it doesn't matter if he doesn't.

"Director Jia! Senior Sister Qiu, goodbye!"

Zhou Can and these two are old acquaintances and have very close personal relationships.

At this moment, it is completely like waving goodbye to old friends.

"You... know each other?"

Xia Ping was not stupid either. Seeing Zhou Can waving goodbye to Director Jia and Qiu Hong very acquaintedly, he was secretly startled.

Director Jia is a heavyweight in the general surgery department. Xia Ping, a senior attending physician, wanted to get in touch with him, but he couldn't.

When he discovered that a Gui Peisheng was so close to Director Jia, he was more surprised than envious.

"It's not just acquaintance, he is my junior brother." Qiu Hong replied with a smile.

"Brother? Then what is his relationship with Director Jia?"

Xia Ping knew that Qiu Hong was Director Jia's student. Since Qiu Hong called Zhou Can his junior, could it be that Zhou Can was also Director Jia's student?

"Dr. Zhou and I can be regarded as good friends who have forgotten the years! He is the most talented young doctor I have ever met, and he is excellent in all aspects."

Director Jia actually defined the relationship between the two in this way.

Even Zhou Can didn't think of it.

"Ah...you and him are good, good friends?"

Xia Ping almost dropped his jaw in shock.

A very prestigious chief physician is actually good friends with a young doctor of training.This amount of information is a bit too big.

The status and status gap between the two is too great, why on earth can Zhou Can discuss friendship with a chief physician on the same level?
"Don't get me wrong, Director Jia praised me. In fact, Director Jia and I should be regarded as teachers and friends. During my previous training in digestive surgery, I was greatly loved by Director Jia, who gave me a lot of cultivation and guidance. Whether we are working or chatting, we hit it off very well, so we are good friends who have made friends in Wangnian."

Zhou Can quickly explained that he didn't dare to take advantage of Director Jia.

I dare not have any entrustment.

"Understood! I really envy your year-end friendship." Dr. Xia Ping really envied him from the bottom of his heart. He wanted to build some friendship with Director Jia, but so far he has not succeeded.

"Zhou Can's regular training in the Department of Gastroenterology this time will be assigned to you?"

Director Jia asked Xia Ping.

"Not yet! He just reported to the Department of Gastroenterology today, but he encountered a dangerous situation early in the morning. I'm also to blame for my negligence. I didn't follow Dr. Zhou's advice in time, which almost caused a catastrophe."

Mentioning this matter, Xia Ping still has lingering fears.

Fortunately, after many people's joint rescue, the patient was rescued.

Otherwise, the consequences are unimaginable.

He, the attending physician, is likely to be cool.

"Hehe, you really don't understand Zhou Can's ability. He'd better treat it seriously when he makes a diagnosis suggestion in the future." Director Jia knew what was going on as soon as he heard it.Zhou Can has made too many great achievements in digestive surgery.

The strong diagnostic ability can only be described as incredible.

He is obviously just a regular trainee, but sometimes Zhou Can is even better than the chief physician in diagnosing some difficult and miscellaneous diseases or critical cases.

Xia Ping didn't listen to Zhou Can's diagnosis advice, so it's no wonder he didn't suffer.

"I will definitely treat it seriously in the future! It is also the first time, I don't know his diagnostic level, so I am careless."

Xia Ping grew up so big, it was indeed the first time he saw such a strong Gui Peisheng.

"Actually, Zhou Can is here for this operation, so it can be done well without us."

Director Jia smiled again.

"What do you mean?" Xia Ping looked puzzled.

"Zhou Can's surgical skills are very strong. He can definitely complete this level of surgery with ease. Even if you invite us here and have him here, he will still complete the surgery."

After Director Jia finished speaking, he looked at Zhou Can.

"Boy, don't try to be lazy. You did the location of the bleeding, right? You are the only one who knows where the bleeding point is. You are the one to perform this operation, which is perfect."

Director Jia directly arrested Zhou Can.

He is getting old, and Qiu Hong's surgical ability is only average.

It is the best choice for Zhou Can to complete this operation.

"Well, I'm afraid this operation will require an open abdomen! It's too dangerous for him to do these difficult and risky operations with a regular Peisheng. Maybe it's okay to ask Dr. Zhou to sew up the skin and close the abdominal cavity."

How could Xia Ping believe that Zhou Can had the ability to open his stomach and cut his intestines!

He said these words very euphemistically.

"Hmm, seeing is believing for many things. Where is the patient?"

Director Jia didn't bother to explain to Xia Pingduo that he brought someone here to help with the operation and save the patient's life.

"over there!"

Xia Ping led them to check the patient who had just been rescued with many intubations.

Director Jia checked the patient's condition, including signs and so on.

"This is only an interventional operating room, and there are no surgical conditions. He needs to be transferred to a hybrid operating room with DSA for surgery. Contact the hybrid operating room first, and then transfer there quickly!"

There is only an interventional operating room in internal medicine, and both interventional surgery and endoscopic surgery can be performed.

If you really want to do laparotomy, you will also get a surgical compound operating room.

Director Jia personally contacted the operating room and asked Zhou Can to send the patient there.

Dr. Xia Ping was a little worried, and he didn't care about his busy work, so he followed him into the operating room.

As for Zhou Can, he was simply captured by Director Jia.

"Zhou Can, the old rules, you come to the operation. If you are not competent, then ask me to take over."

Director Jia loves him very much.

Trust is also very high.

As long as there is an opportunity for surgery, try to give it to him to exercise.

In Tuya Hospital, Director Jia was not the only one who treated Zhou Can so favorably.In fact, many older doctors are very happy to pass on their medical skills from generation to generation.

However, in the process of cultivating successors, they will teach students in accordance with their aptitude.

For a young doctor like Zhou Can who is savvy, talented, and has excellent moral character, the superior doctors especially favor him.

"Let him take the lead directly?"

Doctor Xia Ping asked weakly.

"Ok!"

Director Jia snorted as an answer.

After Zhou Can helped the anesthesiologist to administer anesthesia to the patient, he stood at the chief surgeon's position.

Qiuhong has already quickly disinfected the patient's abdominal epidermis.

The knife position was drawn out by Zhou Can himself.

Director Jia checks.

Putting on sterile gloves and receiving the scalpel from the equipment nurse, Zhou Can began to cut the epidermis and subcutaneous tissue of the patient's abdomen layer by layer, that is, the fascia layer, muscle layer, and peritoneal layer, and finally opened the abdominal cavity.

Dr. Xia Ping, who stood watching from the audience, was almost frightened to have a heart attack when he saw his tiger-like and wind-like operation.

God, this is a belly!

Just a few cuts like that, a wound in the abdominal cavity was opened, it looked really scary.

Not to mention young novice surgeons, even chief surgeons with extremely rich surgical experience have never seen such an operation.

After the abdominal cavity was opened, Qiuhong and an intern helped pull the hook.

Originally, the hemostasis work was performed by the first assistant.

Zhou Can performs surgery, unless there is no way to free up his hands.Otherwise, it is up to him to hemostasis the patient during the operation.

Whether it is electrocoagulation to stop bleeding, ligation, or forceps, he is a master.

Even a first assistant at the attending level can't do him so well.

The interventional angiography was performed by him himself, so he had memorized the bleeding site of the patient.

However, in order to prevent the bleeding point from being found, the arterial catheter sheath was deliberately retained when the interventional operation was removed.

The laparotomy to find the lesion went well.

Zhou Can found out the lesion without much effort.

"It turns out that the bleeding point is in the wall of the small intestine. No wonder neither gastroscopy nor colonoscopy can find the bleeding point!" Zhou Can said suddenly after finding the lesion.

"No wonder, no wonder! An angiography of the digestive tract should have been done a long time ago. It's all because I'm too conservative and stick to the rules."

Dr. Xia Ping muttered to himself, reviewing his mistakes in this diagnosis and treatment.

This is how doctors grow up.

Learn from each mistake, accumulate experience, and get stronger and stronger.

This is why patients are more willing to seek medical treatment from older doctors.

Old doctors have more experience and can avoid many pitfalls and thunder points.Patients can also suffer less.

"Because the lesion is located in the small intestine, and the stromal tumor grows under the mucous membrane of the intestinal wall, even a capsule gastroscopy is difficult to use. It is normal to find no bleeding point. The stromal tumor is rich in blood vessels. Angiography examination is the best examination instead. Dr. Zhou is young, although he is only in the training stage, his diagnostic thinking is far better than mine."

Physician Xia Ping was completely convinced at this moment.

I no longer feel uncomfortable being slapped in the face by Zhou Can.

Instead, he began to sincerely repent and reflect on his mistakes.

Zhou Can was only in contact with this patient for the first time. After observing the patient and understanding his condition, he immediately suggested that the patient be given an angiographic examination of the digestive tract.

Dr. Xia Ping really admired this extremely accurate diagnosis ability.

Also envious.

The most difficult thing for a doctor to cultivate is the ability to diagnose.

Many doctors have spent their entire lives improving their diagnostic skills in order to avoid detours and make patients suffer less.

If this patient was handed over to Zhou Canlai for treatment, perhaps the tragedy of shock and needing rescue would not have occurred.

This is good luck, coupled with the development of modern medical technology, the patient was finally rescued.

Otherwise, a human life is just explained.

"His condition looks good, and no metastasis has occurred. After direct resection, it should be cured."

After some inspections, Zhou Can asked Director Jia to check.

Finally, radical surgery to remove the stromal tumor was performed for the patient.

"Send it for a pathological test!"

Director Jia said.

The risk and malignancy of stromal tumors are very high. Many patients have been found to have intestinal stromal tumors. When they want to have surgery, they have already found that they have metastasized to the liver and other parts.

In this case, surgery is not a cure.

Most of them will perform so-called palliative surgery, and at the same time choose the drug imatinib to control the progression of the disease and prolong the patient's survival time as much as possible.

This patient is the luckiest of misfortunes.

After the operation, Director Jia left with Qiu Hong and his interns.

After the patient woke up, Dr. Xia Ping led Zhou Can and pushed the patient back to the ward of Gastroenterology for careful care.

"Dr. Zhou has both super diagnostic ability and excellent surgical ability. No wonder Director Jia and other big bosses in general surgery are willing to be friends with you!"

Dr. Xia Ping's attitude towards Zhou Can has fundamentally changed.

From the arrogance at the beginning, to the awkwardness later on, until now she fully accepted Zhou Can's detached position.

This psychological shift is quite complicated.

In the final analysis, strength is the foundation of everything.

Whether it is Zhou Can's diagnostic ability or surgical ability, he is completely impressed.

"You flatter me!"

Zhou Can responded modestly.

"If Dr. Zhou is assigned to be trained under me, I would like to guide you with all I have learned and give you the greatest authority." After Dr. Xia Ping accepted and recognized Zhou Can's position psychologically, he immediately started fighting. Wishful thinking.

Zhou Can's strength is so strong, if he gets his subordinates to be Gui Peisheng, it will be equivalent to having an extra general.

Even if Zhou Can only spends a month or two in the regular training in the Department of Gastroenterology, it can bring him great benefits.

Not to mention anything else, the patients in the group have the help of Zhou Can, which is much better than those idiot residents under him, Gui Peisheng.

Furthermore, the two had such a teacher-student relationship, and when Zhou Can was promoted in the future, he would be able to talk.

Xia Ping has been in the hospital for so long, and has seen too many geniuses skyrocket, all the way to the deputy director and chief physician, leaving him far behind.

Although his current position is higher than that of Zhou Can, but with Zhou Can's demonstrated ability, he will be able to overtake him in a few years.

After sending the patient back to the ward, the family members took Zhou Can's hand and thanked him repeatedly.

The patient was not only rescued, but also successfully completed the operation and was cured. For the family members, this is definitely great news.

Zhou Can has been busy rushing to rescue patients, and his family members are watching.

In addition, Zhou Can was the first doctor to propose angiographic examination, and his family members have a very high degree of trust in him.

Doctor Zhang, who is in charge of the bed, is now like a mouse, not daring to enter this ward easily.

Afraid of being beaten by family members.

After finishing his work, Zhou Can returned to the doctor's office.

Dr. Chi was sorting out the medical records written by his subordinate doctors. When he saw Zhou Can come back, he greeted with a smile, "Hello, Dr. Zhou, we are really destined. I didn't expect you to go to the gastroenterology department for training so soon."

"Hehe, it's fate to meet you from thousands of miles away! I need two months of regular training in the Department of Gastroenterology, please take care of Dr. Chi!"

Zhou Can walked over with a smile.

It was not once or twice to deal with this Dr. Chi. The first two people should have met in the emergency department.

At that time, Dr. Chi, Niu B coaxed that such a minor illness in the emergency department should be consulted with an internal medicine department, and asked the doctors in the emergency department to read more books.Finally, it was discovered that the patient's disease was very troublesome, and he ran away in disgrace.

This is the first time the two have met.

"It's easy to talk about! This is the entrance form you need to fill out. If you don't know how to fill it out, you can ask me at any time. Director Shang said that he will take you in person. I just went out. You should fill out the form quickly and complete the entrance training. After the formalities, Director Shang will probably be back soon."

Dr. Chi gave him a form.

As soon as they enter the department, the chief physician will take care of them in person. Except for Zhou Can, only a very small number of Gui Peisheng can enjoy this special treatment.

In fact, the hospital is quite willing to spend the money to train such excellent general practitioners.

For example, Gui Peisheng Yang Chan, Gao Jian, and Du Leng, who were in the same class as Zhou Can, all reached their peaks as soon as they entered the department.Directly taught by the chief physician of the department.

A year and a half later, Zhou Can knew a little about Du Leng's situation.

He knew very little about the situation of Yang Chan and Gao Jian.

The main reason is that I'm too busy to take care of my own affairs, so I don't have time to take care of other people's affairs.

(End of this chapter)