My medical skills add experience

Chapter 364 The able ones go, are they going to fail?

"It's just before eight o'clock, and two operations have been completed. It seems that we don't have to stay up all night if we work hard!" Director Xueyan looked up at the wall clock on the wall, with a smile on her face.

Because of the mask, it can only be seen from her eyes.

"If we were to perform these two surgeries, it would be considered good if they could be completed before ten o'clock!"

Deputy Chief Physician Lu is in his 50s, with white hair all over his head, and he is an expert in both surgery and academics.It's a pity that this person speaks too frankly, and it is often easy to chat to death.

Doesn't this mean that they are slow in performing operations in disguise?
Everyone was somewhat embarrassed, but Director Hu Kan remained silent.

"Cough... In fact, it's not a bad thing to be slow! Slow work yields meticulous work!"

Deputy Director Lu is Director Xueyan's deputy, and often acts as an assistant to her, equivalent to her partner.She could only try her best to smooth things over for Deputy Director Lu and try to make amends.

"Hehe, Director Xue is right. I am a person who does things quickly, but I am a little sloppy! The safety of surgery is above all else, it is better to slow down and be more secure."

Zhou Can also quickly laughed at himself, so as not to make the atmosphere awkward.

He didn't want to stand against all the doctors in the cardiothoracic surgery department.

"There is only the last operation left. Everyone take a short rest and prepare to work hard to complete it!"

Director Hu Kan ended this topic.

Although Director Hu is usually very gentle, these chief physicians are very concerned about face.Steady knife technique is his life's pursuit and glory. Deputy Director Lu doesn't pay much attention to what he says, and if he publicly criticizes steady knife technique for being too slow, it will definitely make Director Hu Kan unhappy.

This means that Deputy Director Lu is over 50 years old, and his status is not low, so he was not scolded.

If it was a young doctor talking nonsense, nine out of ten he would be scolded.

Everyone should go to the toilet, go to the toilet, and replenish water.

Surgery is a physical job. Whether it is a doctor or a nurse, when performing a long-term operation, they usually drink water or milk during the rest period, and use nutrition express, etc.

If the doctor has prepared a Red Bull drink, it is likely that there is an uphill battle to be fought.

Sometimes, a complex operation lasts more than ten hours, which is definitely a difficult challenge for the doctors and nurses who have been tired all day.But in order to save the patient's life against time, they can only grit their teeth and persist.

Drinking some refreshing drinks has become their helpless choice.

In the early years, many doctors and nurses drank a medicinal drink called brain juice.

This drink can be refreshing, but it has strong side effects.

Keep people's spirits in a state of excitement for a long time, and overdraw the essence of people's life.This will lead to accelerated aging of doctors and nurses.

Zhou Can also went to the toilet, drank some water, and returned to the operating room with high spirits.

Other surgical personnel also returned to the operating room one after another.

The patient was lying on the operating table, and the anesthesiologist was not Dr. Feng, but Dongfang Luoxue, another chief physician of the anesthesiology department.

As her name suggests, she is as cold and beautiful as snow, as if everyone in the world owes her a debt.

Like director Xueyan, she is a talented woman worthy of the name.

Dongfang Luoxue is in her early 40s. She is quite beautiful, with fair and smooth skin. She doesn't look like a 40-year-old woman, but like a 20-year-old girl.

According to Zhou Can's knowledge, she is the only female chief physician in the Department of Anesthesiology.

Also the youngest ever.

It must be mentioned here that most people have the impression that anesthesiologists are male doctors, but in fact there are not a few female anesthesiologists.

The proportion of female anesthesiologists in foreign countries is even much higher than that of male anesthesiologists.

"need my help?"

Zhou Can was not familiar with Dongfang Luoxue, but they both knew each other.

She also knew that Zhou Can was half of Dr. Feng's apprentice.

"it is good!"

He just answered one word coldly.

"I haven't seen Dr. Guan for some time. Is he okay?" Zhou Can was looking for something to chat with her while working swiftly.

It's not that he wants to take down this cold female anesthesiologist, but because of work needs.

Only by maintaining good communication can we ensure that the work is completed more smoothly.

When encountering emergencies, the cooperation can also be more tacit.

If they are all like her, cold as ice, silent, and unable to communicate in time if there is a problem.That's going to be a big deal.

She lowered her head and carefully installed the probe of the life monitoring instrument for the patient, but did not speak.

"Dr. Guan almost had an accident last time. I was a little worried that he would be affected, so I wanted to ask." Zhou Can glanced at her, and this time looked at her as she spoke.

"Work!"

There were only two words in his answer.

This aunt is really not ordinary cold.It's not that Zhou Can has never met female doctors and nurses with cold personalities, but it's rare to see one as cold as her.

She is not cold, but cold.

"I heard that most of the doctors in the anesthesiology department have weird personalities. That's true."

Zhou Can muttered softly.

Of course, this is on purpose.

Just to see her reaction.

As a result, she pretended not to hear it and was not affected in any way.

Zhou Can didn't dare to say other excessive words to stimulate her, but honestly helped her work together and administered anesthesia to the patient.

"The patient's electrocardiogram is slightly abnormal. Do you need to make some special preparations?"

After the patient passed out after inhaling the anesthetic, Zhou Can finally mentioned this matter.

Every anesthesiologist does things differently.

Dr. Feng is the most rigorous of all anesthesiologists that Zhou Can has ever seen. Although the official doctor is also very rigorous, compared with him, his clinical experience is not good enough.

Dongfang Luoxue is very meticulous in her work, but Zhou Can feels that she lacks foresight.

The preoperative preparations are relatively sufficient, but there is obviously a lack of necessary preventive measures for some accidents that may occur during the operation.

"No need!"

She just answered two words coldly.

Now that she has said that, Zhou Can is naturally not good at saying more.

To be honest, his skills in the field of anesthesia are also limited, and he still has a lot to learn.During this operation, when he checked the patient's electrocardiogram, he could find some subtle abnormalities.

However, it is impossible to diagnose these subtle abnormalities and what causes them.

Because this patient has a serious heart disease, there is an abnormality in the electrocardiogram, which is nothing more than normal.

Director Hu Kan didn't say anything, so there should be no need to worry too much.

However, this is a subtle hidden danger after all. The anesthesiologist plays the role of the guardian of the patient's life throughout the perioperative period. Zhou Can feels obliged to remind Dongfang Luoxue.

After reminding her, she said it was fine, Director Hu Kan and the others didn't say anything, Zhou Can naturally wouldn't be troublesome.

"Xueyan, you are the chief surgeon for this operation, and Director Le is the first assistant. Xiao Zhou and Deputy Director Lu are the second assistants at the same time. The rest of you will fully cooperate and assist to ensure the smooth completion of the operation."

Director Hu Kan made the task deployment.

"Please help me complete the operation together, thank you!"

Director Xueyan was in charge of performing this difficult level [-] surgery, and she was a little nervous for a few seconds.Before the operation began, her eyebrows were always tightly frowned, and her eyes were extremely sharp.

"Director Xue, you're welcome!"

"The department needs this operation to maintain its popularity. It is related to the rise and fall of the department. We will definitely go all out!"

Everyone expressed their opinions.

At this juncture, everyone is a grasshopper on a boat, and the entire cardiothoracic surgery department is also united like never before.

"Director Dongfang, can we operate?"

Director Xueyan turned her head to look at Dongfang Luoxue.

"The patient's vital signs are stable and can be operated on!"

She is cold to men, and she has the same attitude towards women.

The operation began. Directly from the midline chest incision, the arterial perfusion tube was inserted through the ascending aorta, the right-angle tube was directly inserted through the superior and inferior vena cava tubes, and the left cardiac decompression tube was inserted through the right superior pulmonary vein.After cardiopulmonary bypass cooling and cardiac arrest, atrial plication was performed.

Almost all four major surgeries are extremely risky.

This kind of surgery that requires stopping the heart is even more terrifying.

When the heart stopped during the operation, several rounds of sweat had already appeared on Director Xueyan's forehead.

The nurse wiped her sweat from time to time.

Chest opening is not only a technical task, but also a physical one.

It is still very difficult for a female doctor to open the chest, even with a male doctor as an assistant.

Director Xue is half nervous and half tired.

Next, Director Xue made an incision parallel to the right atrioventricular groove with a knife.

"Pause for a moment! Everyone carefully observe the patient's right atrium to see if there is any problem?"

Director Hu Kan is teaching on site.

"The patient's right atrium seems to be significantly enlarged." Deputy Director Lu, who has rich experience in surgery, gave the answer after watching it briefly.

"Well, Deputy Director Lu's observation is very good! We encountered this phenomenon during the operation, what should we do? Does anyone know?"

Director Hu Kan is very patient in teaching students and always guides them step by step.

Try to let students learn fully in the process of practice.

Everyone shook their heads. Maybe the two chief physicians knew something and were afraid of being slapped in the face, so they didn't dare to talk nonsense.

"Patients with a significantly enlarged right atrium should undergo partial resection of the right atrium. For this patient, this part of the right atrium needs to be resected."

Director Hu Kan gave guidance.

But the purpose of doing so, he did not explain.

This is intentionally left to everyone to think about.

It was the first time for Zhou Can to participate in such a difficult four-level major heart surgery. He is currently helping pull the hook and doing odd jobs.

Even so, it's still a privilege.

Because even an attending physician like Dr. Long didn't even have the qualifications to pull a hook in this operation.Needless to say, Jin Mingxi could only stand and watch from the audience.

This is also due to Director Hu Kan's key cultivation of him.

Jin Mingxi's talent is not bad, he is also very serious in doing things, and he works hard enough, and his skills in stabilizing swordsmanship are not bad.These are the reasons why Director Hu Kan values ​​him.

According to Director Hu Kan's guidance, Director Xueyan carefully removed part of the right atrium.

The blood vessels here are extremely rich, and even though she was very careful when cutting it, the bleeding from the wound was still quite serious.

Director Le helped to stop the bleeding, flustered.

There was even splashes on the surgical gowns and masks.

"Doctor Zhou, Doctor Zhou, you better do it! My operation speed is far behind yours, and it is easy to make mistakes."

Director Le took the initiative to give up Yisuke's seat.

The first assistant bears heavy responsibilities. If the ability is not enough, or the fit with the chief surgeon is not good enough, it will seriously affect the efficiency of the operation.

"I... have too little qualifications, isn't that good?"

Zhou Can said politely, but actually wanted to take over the role of assistant.

Compared with two aids and three aids, the first aid belongs to the near water and the first to get the moon, and the harvest will be greater.

In the surgical admission rules, it is clearly stated that one must serve as a first-assistant task in a third-level or fourth-level surgery to be counted as a qualification.

"Xiao Zhou, don't be silly, hurry up and help stop the bleeding! Remember, during the operation, those who can do it don't need to be tweaked or polite. Our mission is to ensure the smooth and safe completion of the operation."

Director Hu Kan began to curse.

Then there is nothing to say, Zhou Can resolutely walked to the first assistant's seat and took over Director Le's job.

His hemostasis is currently level five, not inferior to Director Le at all.

In fact, the vast majority of young chief surgeons do not necessarily have all their surgical skills at the level of chief physicians, and perhaps only one or two major surgical skills have reached this level.

Director Le and Director Xueyan are both very young chief physicians.

The chief physician in his 40s can definitely be called young in a provincial tertiary hospital like Tuya.

Even many 48- and 50-year-olds lucky enough to be promoted to chief physicians still feel young.

After Zhou Can took over the first aid, hemostasis became much more efficient.

Not to mention electrocoagulation to stop bleeding, his speed is almost unmatched.The key is to ligate some thicker blood vessels, and he is also very fast.

In just a moment, the heart bleeding was completely stopped.

After the accumulated blood is removed, the next step of surgery can begin.

"Xueyan, first check the tricuspid valve and its subvalvular structure!"

Director Hu Kan gave orders again.

Every step has its profound meaning.

"Teacher, I have identified the tricuspid valve and its subvalvular structure!"

Director Xue reports.

Thanks to Yisuke's excellent perspective, Zhou Can could see clearly.

"Well, let's start performing atrial plication!"

Director Hu Kan nodded slightly, and began to guide her to continue the operation.

……

After more than two hours, the operation was basically completed.

"Teacher, what should I do next?"

Director Xueyan became more nervous the further she got to the back.

Lest something go wrong.

"Let's inject water first to test the opening and closing of the tricuspid valve!"

Director Hu Kan has been in command all the time, and is in control of the entire operation process.

"If a few small holes are found on the anterior valve during the water injection test, it can be sutured with 5-0 polypropylene suture. At this time, the aortic clamp is opened after the gas in the left heart is exhausted, and the tricuspid valve is well opened and closed under the beating of the heart. If there is no regurgitation, the right atrial incision is sutured."

Zhou Can kept all of these advanced surgical knowledge firmly in his heart.

After recovering the heartbeat, it was quite normal at first, but after less than five seconds, the heartbeat suddenly stalled and became far faster than normal.

This ventricular tachycardia has very serious consequences.

Zhou Can's uncle suffered from ventricular tachycardia.

It can cause arrhythmias.

"What's going on here? Could it be that the operation was not successful?"

Everyone was stunned.

Many people are participating in this kind of ventricular folding surgery for the first time.

Clinical experience is pitiful.

"Don't panic, as long as you find out the cause and correct it, you can guarantee the success of this operation."

At this last moment, an abnormality occurred, which made everyone feel a sense of loss.

Director Hu Kan is trying to stabilize the morale of the army.

Judging from his performance, it should be the first time he has encountered such a thing.

(End of this chapter)