My medical skills add experience

Chapter 330 I am so regretful that my intestines are green, the old-fashioned thinking should be changed

After finishing the call with Zhou Can, she immediately began to search for medical staff who had contact with the patient, listed the list, and checked it.

As the director of the department, there is no doubt about his ability to work.

From Director Tang's series of careful investigations, and then arrange personnel to contact the medical staff who had contact with the patients one by one, it is enough to see that her ability is very strong.

Director Yan, who is over 65 years old, has already returned home from get off work and is playing with his grandson.

It is a life that many elderly people yearn for to have grandchildren.

When people get old, they feel lonely and it becomes difficult to communicate with their children.Because there is a generation gap in thinking, the ideas and lifestyles of the elderly and the younger generation are very different.

In addition, the elderly are elders, and it is easy to impose their own lifestyle and thoughts on their children.

If the children are young, maybe it's nothing.

But when the children become adults, if they still do this, it is very easy to arouse conflicts between the two parties.

So almost all old people have a characteristic, they especially like cute and cute grandchildren.When teasing grandchildren, it can arouse their inner childishness and some good childhood memories.

A family full of children and grandchildren is very happy for the elderly.

Director Yan's grandson is only over two years old, cute and cute, and very smart.

Under the teasing of grandma, from time to time, he would let out a cute laugh, and his childish speech also brought great joy to Director Yan.

"Grandma hug!"

"Okay! My little grandson, grandma hugs you!"

Director Yan picked up his grandson, hugged him in his arms, and couldn't help kissing his tender little cheek.

At this moment, her cell phone rang.

"Grandma, answer the phone first! Be good, don't move!"

"I'm not moving!"

The little grandson replied in a childish voice, really just lying in grandma's arms obediently, just tilting his head, looking curiously at the mobile phone grandma was holding.

Director Yan saw that the phone number was from Director Tang Fei, and his expression became more serious.

After connecting, she greeted with a smile, "Director Tang, what's the matter?"

"There's something really wrong. Did you come into contact with a fainted old lady in outpatient room No. 17 during the day?"

"That's right! At that time, the new outpatient doctor Xiao Zhou was consulting patients. The old lady heard that her granddaughter's condition was a little serious. She was stimulated and fainted immediately. Xiao Zhou may have little experience and was a little flustered. I heard After I said that, I rushed over to help. The old lady should be fine, right?"

Director Yan's first reaction was that something happened to the old lady.

Then the family members may find trouble with the hospital.

This kind of thing happens from time to time.

From Director Yan's words, it is not difficult to hear the meaning of belittling and belittling Zhou Cancun.

Inexperienced and a little flustered, this is her impression of Zhou Can.

If Zhou Can heard this, he might laugh his ass off.

What he was worried about at the time was that the family members fainted suddenly in the outpatient room, and he couldn't tell when the time came.As for patients or family members who have an accident, it is a routine operation to call other doctors to help.

"The old lady's granddaughter has been diagnosed with a new type of bunya virus infection! Dr. Zhou suspects that the old lady may have been infected with the virus. Let me inform all medical staff who have been in contact with the old lady to do a good job of prevention and isolation. so as not to infect family members."

Just as Director Tang Fei finished speaking, Director Yan was frightened as if possessed by an evil spirit, and hurriedly pushed the grandson in his arms away roughly.

"Wow wow..."

The little grandson sat on the ground crying in shock.

The daughter-in-law who was reading a book in the room, and the son who was working overtime, didn't know what happened.

They ran out to check.

"Mom, what's the matter? Did Xiaobao fall to the ground?"

"I came into contact with a patient who might be infected with the new type of bunya virus during the day. I held Xiaobao in my arms just now, worried that I would infect him, so I quickly pushed him away..."

When Director Yan thought about kissing his little grandson just now, he really wanted to slap himself twice.

Although the infection of the new bunya virus is mainly blood infection, in many news reports, there are contact transmission through unknown channels.There was a news report that anyone who had been in contact with the deceased's clothing, bedding, or dead body fell ill one after another.

Even if there is only one ten-thousandth chance of infection, Director Yan would never dare to gamble with his little grandson's life.

"Director Yan, Director Yan, are you okay?"

Tang Fei on the other end of the phone heard a burst of noise and noise, as well as the cry of a child. She didn't know what happened.

"I'm fine! I'm fine now, but I'm afraid I've already contracted the disease and passed it on to my family members. Alas...it's all my carelessness. At that time, Dr. Zhou repeatedly reiterated that the old lady might have an infectious disease, but I didn't. What happened. If I get infected and infect my little grandson, I won’t be able to explain to my son and daughter-in-law!”

Director Yan was so regretful that his intestines turned green.

Only at this moment did she know Zhou Can's brilliance and foresight.

The unhappiness of being rebutted by Zhou Can twice has long since disappeared, replaced by regret.

"Don't worry, the main danger of this disease is that it is easy to be treated as a cold. Its disease progresses very rapidly, and it is easy to be dangerous when the best time for treatment is delayed. However, although Dr. Zhou is only a novice doctor, he can be treated as a cold in Tuya. Many surgical departments are well-known, and his diagnostic ability is even more famous. If you encounter a case that he insists is problematic again in the future, you should pay more attention to it."

Although Tang Fei is the director of the Department of Pediatrics, several sub-departments of the Department of Pediatrics are under her supervision.

And she herself is also a chief physician with a high professional title and a serious reputation.

But when she faced Director Yan, the old chief physician, she was still full of respect.

Even if Director Yan did something wrong, she just reminded him tactfully.

"After suffering this loss, I will definitely learn a lesson in the future. That young man looks handsome, but I didn't expect that he is really not weak!" Director Yan suffered a lot this time.

Her view of Zhou Can has also changed greatly.

If you don't have the strength to dare to refute her opinion, you are arrogant and arrogant.Have the strength to refute her diagnosis opinion, this is a normal discussion and exchange.

Zhou Can didn't argue with her at that time. Looking back now, the young man respected her as an old senior and let her go.

Human thinking is so strange.

When you hate someone, you feel that that person is not pleasing to the eye.After approving a person, I suddenly discovered that the other person has so many advantages, which I didn't realize before.

"Director Tang, thank you for your reminder. I have to bathe and disinfect my little grandson quickly, so I won't talk to you for now."

"Okay, bye!"

After the two finished talking, Director Yan began to instruct his son and daughter-in-law to bathe and change the grandson, without mentioning it.

Worried about infecting her family, she locked herself in the room directly.

Needless to say, the next few days for this big family must be full of fear and anxiety.

After Director Yan got the notice, he was terrified.The other medical staff who were present at the time were equally frightened when they heard the news.In addition to being frightened, they also had a new understanding of Zhou Can's ability.

At that time, many people felt that Zhou Can's refutation of Director Yan's diagnosis twice in a row was too arrogant and self-righteous.

Only now do I know that Dr. Zhou's level is so high.

The most frightening thing about the new bunyavirus is that its symptoms are highly similar to those of a cold, and the disease is extremely difficult to diagnose.

It is precisely because of the difficulty of diagnosis that it shows Zhou Can's high level.

At this moment, Zhou Can hastily had dinner, and before he had time to return to the dormitory of the apartment, a call came from Xinxiang Maternity and Children's Hospital.

He is really busy!

"Hello, Chief Tang!"

"Doctor Zhou, are you off work now? It's the endoscopic surgery for lung cancer that I agreed with you yesterday. Is it convenient for you now?"

Section Chief Tang accompanied him carefully and asked.

"Convenient, convenient, I just got off work and arrived at the dormitory. I will rush over right away, and it will take about 10 to [-] minutes." Zhou Can said about this lung cancer endoscope

Very interested in surgery.

Earning the consultation fee is still second, mainly because the operation experience value is too attractive.

There are not many doctors who are good at endoscopic surgery, which is the main reason why Xinxiang Maternity and Children's Hospital shyly asked Zhou Can for help.

……

More than 50 minutes later, Zhou Can appeared at Xinxiang Maternity and Children's Hospital.

As soon as he got off the car in front of the outpatient building, Section Chief Tang couldn't wait to greet him.

"It can be regarded as waiting for you. The operating room is ready. Can you go directly to the operating room now?"

"Row!"

"plz follow me!"

Along the way, Chief Tang led the way.At the same time, I also introduced the situation in the operating room, so that Zhou Can could know it well.

Go into the operating room and change into surgical gowns.

Zhou Can found that the patient was already lying on the operating table, and the anesthesia was successful.

Director Hu Wanjun, several assistant doctors and surgical nurses are already waiting for Zhou Can to come to perform the operation.The anesthesiologist glanced at the various data of the monitoring equipment from time to time.

With so many people waiting for Zhou Can's arrival, Zhou Can was somewhat flattered by such a scene.

"Doctor Zhou is here!"

Director Hu Wanjun kept his posture extremely low, and greeted Zhou Can with a smile.

Asking for help is like swallowing a three-foot sword.

The situation is not as good as others, and we must lower our heads.

This is also the law of social survival.

"Hello Director Hu! Hello everyone!" Zhou Can responded with a smile while greeting the others.

There are nearly ten doctors and nurses, and they can only greet each other like this.

Endoscopic surgery places extremely high demands on anesthesiologists and nurses.On the contrary, the requirements for the first aid and the second aid are not so high.

Because endoscopic surgery is basically performed by one surgeon.

"I'm just waiting for you to take charge! This is the patient's examination report. Doctor Zhou will see if there are any additional examination items that need to be supplemented!"

Director Hu Wanjun handed the inspection report to Zhou Can.

After receiving it, Zhou Can carefully checked each one.Surgical operations are mainly based on watching films taken by patients.Especially the film of the lesion site.The size of the tumor, which areas are involved, whether there is metastasis, and whether the tissue to be removed is adjacent to important organs, blood vessels, and nerves.

These are all information that need to be mastered by the surgeon.

After Zhou Can had seen it, he already had an idea in mind.

In fact, as early as a few days ago, he had seen the film taken by the patient.

"The inspection items are very complete, and Director Hu is very thoughtful. I have already checked it, and there is no problem." After Zhou Can finished speaking, he turned to check the required equipment.

The endoscope of Xinxiang Maternity and Children's Hospital is actually the best among imported models, and other instruments are also very advanced.

The operating room is a [-]-level laminar flow operating room.

I have to say that the hardware facilities of Xinxiang Women's and Children's Hospital are really awesome.

These are all made of real money.

It's a pity that the strength of a hospital is never just good hardware.It also takes the doctor's technical skills to complement each other.

"These instruments in your hospital are really good!"

Zhou Can couldn't help but praised.

"Hehe, if Dr. Zhou likes these instruments, he can also join us. You can use them every day." Section Chief Tang still didn't die.

"It's better for me to stay in Tuya honestly. After all, I'm used to it. Now that everything is ready, let's start the operation! Try to finish the operation before 09:30 in the evening. I'm really sorry that everyone has to work overtime with me. "

Zhou Can did not want to discuss this topic any further.

Section Chief Tang was also very savvy, he just raised his mouth tentatively and didn't say anything more.

"This knife position has been drawn!"

He found that Director Hu's surgery preparations were so thorough that even the knife position had been drawn for him.

Fortunately, no window has been opened on the patient.

"If Dr. Zhou has a better knife position, he can change it by himself. My endoscopic surgery is very good, and the drawing may be wrong."

Director Hu Wanjun said modestly, but actually he was quite confident in his own level.

Unexpectedly, Zhou Can actually took the pen from the nurse.

"The incision chosen by Director Hu is good, but every doctor has his own style. I'm still used to opening the window from the patient's armpit."

When Zhou Can said this, he meant to save some face for Director Hu Wanjun.

Selecting the incision on the posterolateral side is the way of traditional surgery.

The posterolateral incision has the best exposure to the operative field, and is most suitable for patients with lower lobe or pneumonectomy, and patients with estimated intrathoracic adhesions.

There are also many disadvantages of this incision. The muscular layer of the chest wall is cut off more, the trauma is large, the bleeding is much, and it is time-consuming.In addition, due to the side lying position, the lung on the healthy side is compressed below, which is not good for elderly patients with poor respiratory function.

Even choosing an anterolateral incision is much better than this knife position.

Although the anterolateral incision has poorer operative field exposure than the posterolateral incision, it can successfully complete the resection of the upper or middle lobe of the lung, and has the advantages of less damage to chest muscles, less blood loss, and faster chest entry.

Since the supine position has little interference with healthy lungs, it is more beneficial to elderly patients with respiratory insufficiency.

This patient is old, so even if the traditional incision is really necessary, the anterolateral incision is more suitable.

From this point, it can also be seen that Hu Wanjun is lacking in cardiothoracic surgery.

Whether it is judgment ability or surgical thinking, they all belong to the conservative and rigid type.

"Axillary window opening? The surgical field will be very poor, right? Moreover, it is extremely inconvenient for surgical resection, and it is easy to damage the two important organs, the pericardium and the liver."

Director Hu Wanjun looked suspicious.

Really old fashioned thinking.

If Zhou Can doesn't explain, she might think that Zhou Can looks down on her. Explain, it's a waste of time.

I had no choice but to explain patiently, "opening the window from the armpit has the advantages of beautiful appearance, less trauma, and basically no muscle cutting. It is very suitable for local excision of small lesions around it and foreign body removal surgery. This surgery is very suitable for now. "Endoscopic surgery is performed inside the patient's body, and there are actually no requirements for the so-called traditional surgical field and operating space."

Zhou Can just said that it's time for you to change your thinking.

Section Chief Tang next to him saw the situation and was afraid that there would be a quarrel before the operation started.

Stand up and smooth things over.

(End of this chapter)