My medical skills add experience

Chapter 363 This is talent, a single flower is not spring
Modern technology is advanced, with the help of the Internet and self-media platforms, the speed of information dissemination is extremely fast.Competition among hospitals has also become more intense.

A specialized hospital as large as Xinxiang Women's and Children's Hospital was on the verge of bankruptcy in just two years because of a fatal accident of a pregnant woman.

Although Tuya Hospital is a big tree with deep roots, the diagnosis and treatment business of cardiothoracic surgery has been doing well, but in the absence of pillars, the decline often only takes one or two years.

Maybe not even for a few months.

"I will definitely work hard, because the pursuit of higher medical skills is my hobby and my lifelong career. It is just the improvement of the ability of cardiothoracic surgery. As you know, it is difficult to achieve something in less than ten years! I am afraid that I will disappoint the high expectations of you and the chief physicians."

Although Zhou Can has a medical experience point system, his own talent is not bad, and he is still working hard.

But the training period for cardiothoracic surgeons is particularly long.

Many doctors have studied hard and practiced silently for more than 20 years, which is considered a small achievement.

"Xiao Zhou, your growth rate is much faster than that of ordinary doctors. In particular, your surgery progress rate is the fastest I have ever seen in my life. As long as you are willing to study hard, I think there will be four or five years. , you can reach a considerable height. At least you can complete most of the key parts of difficult operations.”

Director Hu Kan valued him very much.

The expectations for him even surpassed Director Xueyan, Director Le and others.

"Today's ventricular plication is a good opportunity to prove that our cardiothoracic surgery department has not declined. Therefore, I hope that everyone will work hard to ensure the success of the operation."

Director Hu Kan glanced at everyone present.

For this department, it is imminent to perform an influential and difficult operation.

"Do you have confidence?"

"Have!"

Everyone's answers seemed weak, obviously lacking in confidence.

"Are you confident? Speak up." Director Hu Kan showed an angry look on his face.

"Have!"

This time, everyone's answer was much louder.

It's just that the surgical strength cannot be improved by shouting loudly.

……

In the operating room, the first operation is the removal of foreign bodies in the lungs.

The age of the patient is 28 years old, he is a strong boy.According to the patient's family members, the child was mentally retarded after birth because he took cold medicine during pregnancy.A person who is almost 30 years old is not even as intelligent as a three-year-old child.

Basically, as long as there is something that can be eaten, when the patient is hungry, he will take it and stuff it into his mouth when he sees it.

At present, it is not clear what the foreign object stuck in the patient's lung is.

I only know that it is an irregular foreign body with a diameter of about 1.2CM.

Family members don't even know how it got into the patient's lungs.

Preliminary suspicion, it is likely that coughing caused the foreign body to enter the trachea, and then enter the lungs along the trachea.The material is likely to be metal.

I have tried bronchoscopy to remove the foreign body, but it failed.

In desperation, the family members had to take the patient to Tuya Hospital for treatment.The surgical plan given by Tuya Hospital is the traditional thoracotomy to remove the foreign body.

Judging from the examination results, the foreign body was stuck in the lungs, which had caused a certain degree of pneumonia.

The patient has a severe cough.

If it is not treated in time, it will definitely cause more serious consequences.

Therefore, the family members are very worried.

"Xiao Zhou, do you have any problems with this surgery?"

"I can try."

Zhou Can has even undergone a lobectomy, and he is fully capable of challenging this lung foreign body removal operation.

What's more, when he practiced his steady knife technique yesterday, he finally got into the door.

Just came in handy today.

You can see how it works in practice.

"You are the chief surgeon! I will guide you by the side,"

Director Hu Kan has the absolute right to speak. When he said that Zhou Can should be the surgeon, naturally no one objected.

Zhou Can put on sterile gloves and stood at the chief surgeon's position.

After receiving the scalpel from the equipment nurse, he casually slashed towards the drawn knife position.

[Experience value of fast knife method +1, experience value of steady knife method +1, experience value of incision technique +1. 】

With one cut, the experience points of the three medical skills have been increased, which feels really cool.

"what!"

Director Hu Kan stood by and watched, and couldn't help but widen his eyes suddenly, staring at Zhou Can in surprise.An expression of extreme surprise bloomed on his face.

Because he found that Zhou Can's sword technique was obviously different from before.

Director Hu Kan has been obsessed with stable knife skills all his life, and he is known as the number one stable knife in cardiothoracic surgery. He is particularly sensitive to knife skills.Zhou Can's sword technique has made a major breakthrough, and he can see it at a glance.

But Director Xueyan, Director Le and others failed to see it.

This is because their level is still shallow and their eyesight is not enough, so they can't see it.

"This knife is very stable! Mature men are hunched over their shoulders, and they walk as if they are carrying a heavy weight, because they have responsibilities on their shoulders. This knife technique is also the same as the principle of being a human being. When the knife is drawn, it seems to be pressed An invisible mountain is both responsibility and stability. This is a trace of the mystery of Wen Dao. My apprentices, whether it is the newly recruited Jin Mingxi or the chief physicians, although the skills of Wen Dao are very profound, But that understanding is missing.”

While director Hu Kan was happy for Zhou Can, he also sighed secretly.

Talent cannot be forced.

And the talented ones are very few after all.

As long as there are one or two chief physicians in cardiothoracic surgery with Zhou Can's talent, it will not make cardiothoracic surgery fall into the embarrassing situation of lack of talents.

Talent is something that cannot be explained clearly, but it really exists.

Take Jin Mingxi and Zhou Can as examples. Jin Mingxi has been practicing since childhood, and has been practicing the basic skills of stabilizing the knife for the past two years, with a solid foundation.But that's all.

Zhou Can's practice of steady sword is still young, but he can realize a trace of the true meaning of steady sword, steady sword is like a mountain, this is his comprehension and talent.

Jin Mingxi and other chief physicians couldn't envy her.

Afterwards, it basically became Zhou Can's solo performance show, with swords like the wind, and the swords were steady, and became more and more stable, with extremely high efficiency.

"Doctor Zhou's surgical ability seems to have improved a lot!"

Director Xueyan seemed to see a clue.

She muttered softly.

"Where did you improve?"

Director Hu Kan's eyes brightened slightly, and he couldn't help looking forward to this apprentice who had been promoted to chief physician.

Xueyan's medical knowledge is one of the best doctors in the department. She is extremely profound and able to apply what she has learned.In the diagnosis of difficult and miscellaneous diseases, she can often provide some important reference suggestions, and even directly give accurate diagnosis results.

The only fly in the ointment is that the surgical ability cannot reach the top level.

At this moment, she could see that Zhou Can's sword technique had improved significantly, and maybe he could also make a breakthrough.

Learn from and learn from observation, this is the way to progress.

"I can't tell you the specifics. I just feel that he is more stable today than before. He is not so dexterous, and his speed has slowed down. He is like a frizzy boy who has learned to be restrained and calm, and has become stable."

She couldn't see that there was an invisible mountain on Zhou Can's knife.

It can only be seen that Zhou Can's sword technique has become much more stable.

"You observe very carefully, keep observing! Xiao Zhou's understanding is really impeccable."

Director Hu Kan nodded slightly.

He asked Director Xueyan to continue to observe and study.

When Ping Jin performed surgery, because director Hu Kan was too skilled, the chief physicians and the attending physicians under him were all looking at the flowers in the fog, unable to see the true meaning of the knife technique.

At this moment, Zhou Can has just realized a trace of the true meaning of stabilizing the knife, and it is also the period when others are most likely to understand it while watching.

If Zhou Can is further familiar with the true meaning of steady sword like a mountain, he will be deeply integrated into his sword technique, and it will be difficult for these chief physicians and attendings to see anything.

……

More than an hour later, the foreign object in the patient's lung was removed.

The surface has been slightly blackened, and it looks like a pendant of an earring or necklace.I don't know how the patient got it, and ate it into the mouth, and then accidentally coughed and entered the bronchi from the trachea, and finally entered the lungs.

"This pendant seems to be made of platinum. It should not be made of stainless steel or silver." Director Le expressed his opinion after carefully examining the foreign object he took out with tweezers.

"Give it back to the family! Alas, it is unfortunate for this family to have such a mentally handicapped son."

Director Hu Kan sighed.

Doctors often encounter all kinds of suffering families. For various reasons, such families are full of misfortune and make people sympathetic.

Under normal circumstances, if you raise your son until he is 28, he can enter the society to work and earn money to repay his parents.

However, this patient is mentally retarded, not only unable to enter the society to work, but also cannot take care of himself at home, and needs constant care from his parents.I believe that the parents of this patient are not only tired, but their financial situation may not be very good.

"Xiao Zhou, that's not bad! It seems that asking for five days' leave does not waste the practice of stabilizing sword skills."

Director Hu Kan didn't bother Zhou Can during the operation just now.

Now that the first operation has been completed, he must say a few words of praise.

"I just got a little insight when I practiced the steady knife method. I tried to apply it in the operation today, and it really has a lot of benefits. The risk of the operation has been significantly reduced."

After Zhou Can tried the actual combat effect of the steady knife technique, he was quite satisfied.

To be precise, he combined the steady knife technique with the quick knife technique.Rather than simply stabilizing the knife.

"Keep humble and continue to practice in this direction. I believe you will make greater progress." Director Hu Kan nodded slightly.

"You watched Xiao Zhou's operation just now, did you gain anything?"

Director Hu glanced at the other doctors.

The crowd was silent.

Xueyan's expression was slightly frowning, and her eyes were fixed. She was obviously thinking hard, thinking over and over again about Zhou Can's knife skills in the operation.

The operating room was cleaned up a bit, and after everyone had a rest, the second patient was pushed into the operating room.

This is a cancer patient who had a lung cancer removal operation a year ago.This time through the examination, it was found that a tumor had grown in the patient's mediastinum.At present, it has caused interference to patients, and some obvious symptoms have appeared.

As for whether this tumor is malignant, it is not too sure yet.

Its boundary is not clear, and there are blood signals, which indicate that the possibility of malignancy is high.

The patient required a mediastinal tumor resection.

This is a third-degree major surgery.

The surgery is still performed by Zhou Can.It was also the chief physicians of the cardiothoracic surgery department who took care of Zhou Can and specially reserved a surgery for him to use for training and learning.

There are no shortcuts to the advancement of surgeons.

The best way is to accumulate practical experience and grow rapidly by performing operations in the operating room.

Mediastinal tumors are divided into superior mediastinum, middle mediastinum and inferior mediastinum.

This tumor is located in the superior mediastinum.

It is likely to be caused by the metastatic spread of lung cancer.Usually, the three most common types of cancer cell spread are lymphatic spread, blood spread, and invasion and spread of adjacent organs.

The spread of blood is not as terrible as imagined, not all the spread of blood will spread to the whole body.

For a cancer cell to enter the blood, it needs to break through multiple barriers in the body.

Even if it enters the blood, it may be excreted through the glomeruli or sweat glands.It is also possible that after being discovered by the body's immune cells, it will be killed and removed.

Even if it passes through the blood circulation, it eventually transfers to other organs. If it wants to take root, it also needs to face the body's multiple immune mechanisms to kill it.

In the end, it escaped, and it was possible for it to take root, replicate crazily, and eventually develop into a malignant tumor.

It must be said that as long as it is a tumor produced by cancer cells, it must be malignant, and it can never be benign.Regardless of whether the border is clear or not, and whether there is a blood flow signal, these conventional means of identifying the nature of the tumor are useless.

Only by biopsy or cutting out the tumor for pathological examination can its nature be clarified.

Some patients, by chance, found that the boundary was clear and the blood signal was not obvious after the examination, so they thought it was all right.In fact, this is a very dangerous approach.

Especially when seeking a doctor, when encountering a young husband, because of lack of actual combat experience and consideration of surgical guidelines, it is easy to hastily persuade the patient to observe and observe again.

As a result, the optimal time for surgery is missed.

The tumor diameter of this patient with mediastinal tumor was 4.6cm. After surgical evaluation, Zhou Can believed that minimally invasive surgery could be performed.

Usually, tumors less than 5 cm in diameter can be removed by minimally invasive surgery.

Of course, this also depends on the doctor's surgical level.

In provincial-level tertiary hospitals like Tuya, there are basically no technical obstacles.But in Zhou Can's hometown, Xinhai City People's Hospital, it's hard to say.

This is why patients like to go to big hospitals for surgery, and even some primary and secondary surgeries like to go to big hospitals.

I would rather wait in line for a long time, and would rather go to a famous big hospital for surgery.

It's not that the patients are hypocritical, but that everyone cherishes their lives very much.Surgery in a small hospital is likely to be treated as a guinea pig for doctors to practice.It's done, everyone's happy.

If you don't do it well, you'll be fine if you die.

If you are afraid of being half dead, then life is really worse than death.

Zhou Can has made great strides all the way, and has always maintained his vigorous and resolute surgical style.In less than four and ten minutes, the tumor was successfully removed.Whether it is separating tumors or stopping bleeding, he is as fast as the wind.

Compared with the slow operation style of doctors in cardiothoracic surgery, he is definitely an anomaly.

If Director Xue and others can often watch Zhou Can perform surgery, maybe they can change their surgical style, allowing them to pursue speed while pursuing stability.

At least, they watched Zhou Can complete two operations in a row, and their desire for speed became much stronger.

From this point of view, Director Hu's downfall is not all bad.

In the past, Director Hu Kan was the god in the hearts of all doctors in the cardiothoracic surgery department, and it was a kind of belief.

Everyone takes him as a role model and learns from him everywhere.

As a result, almost all surgeons in cardiothoracic surgery have developed a habit of not being afraid of slowness, but of being steady when performing operations.

This is actually very detrimental to the development of the entire department.

A flower blooming alone is not spring, but a hundred flowers blooming together makes the garden full of spring.

Only when a hundred flowers bloom, each with its own characteristics, can a department develop vigorously.

Because some surgeons may not be suitable for Director Hu's slow pace of surgery, but should fit and match other styles.

Zhou Can was both fast and stable, which was equivalent to opening a new window for them.

Let them see a different world.

In the future, I will dare to break free from the shackles and make some new attempts.

(End of this chapter)