My medical skills add experience

Chapter 420 The Dawn of Cardiothoracic Surgery

When it was almost seven o'clock in the afternoon, Director Xueyan arrived in a hurry.

"Something happened during the ward rounds just now, so I came a little late. Director Le will be my first assistant, Zhou Can will be my special assistant, and will replace me as the surgeon when necessary. Your arrangement remains the same."

Director Xueyan resolutely made the deployment of surgical positions.

In the past, she spoke softly and acted softly.This is all being forced into a female man by reality!

It has never been difficult to be a poor person, and you will always be innocent without setbacks.

She was able to make such a big improvement in just two months, from a gentle female director to an iron-blooded female general, she didn't know how much she had suffered.

Only this kind of tempering can make her management ability truly grow.

Zhou Can had never seen any department director laughing and joking.

No matter how gentle they are with others, when they encounter something, they should turn their backs immediately, be ruthless, and show no mercy.

I believe Director Xueyan will become a qualified department director in the near future.

The first surgery began soon.

It can be seen that Director Xueyan has a dignified expression and focused eyes, and she is obviously more stable than before when she cuts the knife.

Zhou Can was at the side to help her, and Director Le acted as a helper.Deputy Director Lu, who is over fifty years old, is only qualified as a second assistant.

Any surgical team will give priority to training young doctors.

At the age of Deputy Director Lu, he is already 54 years old, and he will retire in a few years.On the one hand, as you get older, your learning ability becomes worse, and your physical fitness seriously declines. On the other hand, after you have finally cultivated it, it is not worthwhile when you reach retirement age.

Therefore, excellent young doctors in their 40s and [-]s are generally the most popular existence in the surgical team.

This age group has lost the frizz and frivolity of young people, and has the calmness that middle-aged people should have, and has a certain foundation for tempering medical knowledge and surgical skills.It's easier to grow.

And as long as they are cultivated, they can become an important backbone of the team.

Input is directly proportional to output.

Zhou Can watching from the side is actually a good learning process.Even though he has had lung lobectomies many times, each operation is different.

From the perspective of a bystander, you can discover many problems that you cannot discover during the operation.

The authorities are confused, but the bystanders are clear, this is the most reasonable saying.

The first half of the operation has been going smoothly.

When it came time to ligate the arteries of the dorsal and basal segments of the lower lobe of the lung, Director Xueyan seemed a little hesitant.

Zhou Can didn't say anything immediately, but patiently waited for Director Xueyan to make his own decision.

Only when she lost her mind and needed help, Zhou Can would act.

The growth of every surgeon is inseparable from his own comprehension in practice.

The knowledge in the book, or the skills taught by the teacher, can only become your own knowledge if you understand it.Otherwise, after learning, it will be returned to the teacher soon.

"I'm not sure about the arterial ligation part!"

Xueyan was silent for three to four minutes, then looked up at Zhou Can.

She knew that Zhou Can had already mastered the surgical skills in various situations for this kind of left lower lobectomy.

"Didn't it be nice when you worked on the lower pulmonary vein just now?"

Whether she directed the first assistant to pull the diaphragm downward with a retractor to expose the lower pulmonary ligament, or used an electric knife to cut the ligament from bottom to top along the edge of the lung, she handled it well.

Even in sudden situations where an abnormal blood vessel in the pulmonary ligament was severed, she was still able to calmly stop the bleeding.

Now when it is the turn to deal with the left lower lobe artery of the lung, why do they shrink back?
"I'll direct, you operate, can you?"

Zhou Can asked lightly.

Fortunately, these people in the operating room are basically the trusted staff of Director Hu Kan who knew Zhou Can's skills.Otherwise, if another stranger came to the operating room, he would definitely be shocked.

Zhou Can is so young, a small resident doctor, even uttered wild words, and ordered the chief physician of the cardiothoracic surgery department to perform a fourth-level major operation.

This is too crazy.

"I……"

She still seemed a little unsure.

The failed heart surgery the day before yesterday put her to death, and the psychological shadow brought to her has not been completely dispelled.

It will take time, and more importantly, she needs to be successful in the operation, so that she can dispel the shadow little by little and regain her confidence completely.

"Don't worry, even if there is an emergency, I can help you deal with it together. I believe you will be able to complete it successfully."

Zhou Can encouraged her.

"Okay then! I'll try!"

In front of Zhou Can, Director Xueyan did not have the majesty that a department director should have.

"Not to try, but to go all out."

Zhou Can emphasized in a serious tone.

"it is good!"

She nodded vigorously.

"Cut the mediastinal pleura on the surface of the inferior pulmonary vein to expose the upper edge of the inferior pulmonary vein."

Zhou Can patiently guided her step by step.

In fact, she must know the general operation method, but she may not be able to master it as flexibly as Zhou Can in some of the details or areas that need to be modified.

"Use your index finger to bluntly separate the lower lobe bronchus and the lower pulmonary vein, and free the lower pulmonary vein. Don't act too hastily, and be careful to tear the tissues, which will adversely affect postoperative recovery..."

The two also studied with Director Hu Kan, and Director Xueyan should have received more guidance.

But in practice, Zhou Can is obviously far better than her.

Especially the flexible use of various techniques, as well as the judgment of various possible emergencies during the operation, and the prediction of postoperative recovery, Zhou Can far exceeds her.

Under Zhou Can's guidance, Director Xueyan cooperated closely with the entire surgical team for this left lower lobe resection operation, and it was successfully completed without even asking Zhou Can to do it himself.

"It's done very well. As long as you take care of it carefully when you send it back to the ward, there shouldn't be any major problems."

Zhou Can sincerely praised.

"Dr. Zhou is simply our lucky star. It would be great if you could come to help us often in the future. To put it bluntly, after the death of Director Hu, every time I participate in this kind of difficult fourth-level major operation Uneasy. After having your help, I feel really different and more at ease."

Director Le couldn't help but breathe a sigh of relief when he saw the first operation was successfully completed.

He was really worried about the fate and safety of the department.

"Many people are powerful. Our department really needs Dr. Zhou's help right now."

Deputy Director Lu is not good at words, and this time he opened his mouth very rarely.

He agrees with Director Le, and both hope that Zhou Can can come to help frequently.

Not to mention the doctors and nurses below.

An accident happened the day before yesterday, and they have been walking on eggshells for the past two days, and their lives are quite depressing.

The mood of the chief physicians of the department, especially the mood of the department chief, is basically the barometer of the entire department.

"Look, everyone is inviting you to come and help!"

Director Xueyan smiled for the first time in days.

The success of this operation, which was completely performed by her alone, has greatly helped her restore her confidence.

"Hehe, thank you for being so respectful of me. As long as I have time, I will be there whenever I am called."

Zhou Can readily agreed with a smile.

He had already promised Director Hu Kan that he would do his best to help the Department of Cardiothoracic Surgery so that this department would not decline.Now it's just a favor.

"This operation took three hours. It's ten o'clock now. Will the second operation still be done?"

Director Xueyan asked everyone for their opinions.

"My second assistant is completely fine. If necessary, these young men can take my place." Deputy Director Lu was the first to express his opinion.

He can be regarded as an older generation of medical staff in the department, and he has a deep affection for the department.

Knowing that there is no hope of promotion, her greatest wish is to retire smoothly from the position of deputy director.Then I hope the department can develop well.Cardiothoracic surgery, like his home.

"The operation is all arranged, even if the night lights are on until dawn, I will accompany you." Director Le said even more.

"Me too."

Zhou Can followed suit.

In the operating room, a few of them are the main staff, and the others, including the itinerant nurse and the anesthesiologist, don't actually have much real right to speak.

Looking at the high sudden death rate of anesthesiologists in major hospitals, you can know the status of anesthesiologists.

If people have the right to refuse, who would want to continue to work overtime for surgery when they are extremely tired?
"What about you? Can you still hold on?"

"can!"

"no problem!"

The three surgical nurses agreed one after another.

"I just want it to end sooner. Some of the more time-consuming operations can be done by Dr. Zhou Can, and the speed may be a little faster."

The anesthesiologist is at the director level anyway, so the opinions expressed have some weight.

Zhou Can rubbed his nose, he had done many major surgeries, almost all anesthesiologists already knew him, and knew that he was a fast surgeon.

"Yes. It's okay for the second operation to be performed entirely by Zhou Can."

Director Xueyan also knows that slow speed is a big flaw.

"I can't perform level [-] surgeries at my level! Sister Yan entrusted me with some time-consuming surgeries, and that would be great."

Zhou Can quickly refused.

Many of his surgical skills are only at the level of the deputy director, and he is still a little short of performing four-level surgeries.

However, he has the ability to do some key parts of the operation well.

After all, his quick knife technique has reached the proficient level, and his steady knife technique has also reached the entry level.

Integrating these two knife techniques into surgical techniques that require a knife, such as incision and separation, can fully reach the director level.

……

Near twelve o'clock in the evening, the second operation was successfully completed.

In order to shorten the operation time, many parts were operated by Zhou Can himself.Including the final chest closing, it was all done by Zhou Can.

It was already very late, and if two excellent residents were to do the chest closure, it might take until one or two in the morning.

It's not an exaggeration.

Resident doctors can only be regarded as novice level in the surgical team.

Some junior resident doctors can be happy for a whole month after closing their abdominal cavity.

Because they really don't have these opportunities to practice their hands.

"I have ordered a supper for everyone. Everyone has a portion. Take it home or eat in the dormitory! Thank you for your hard work today." Director Xueyan said to everyone.

Both operations were successfully completed. This is the happiest moment for her in the past two months.

The invisible stone that was pressing on my heart seemed to have become much lighter.

Zhou Can participated in two major operations tonight, and showed her amazing absolute strength, which gave her hope.

In the past, it was true that I had too much self-esteem, so I was ashamed to bother Zhou Can.Plus, she thought she could do it, which only made things worse.

It can be seen that all the medical staff involved in the operation are very happy.

No matter how hard it is, the most fearful thing is not seeing the dawn, not seeing hope.

"Zhou Can, can you go to the ward to help see a postoperative patient?"

After the operation, Director Xueyan continued to ask him to help.

"What's the matter with that patient? Let's go, I'll go with you to have a look. You are my sister, and I must obey your order!"

Zhou Can said with a smile.

"Hehe, thank you for being so kind to me! The patient underwent surgery two days ago, and Deputy Director He led the surgery team to perform the surgery. The patient underwent a lobectomy, and the postoperative drainage volume exceeded the standard..."

She briefly introduced the patient's condition.

After a lobectomy, it is normal to have a small amount of bleeding.A daily drainage volume of less than 500ml is basically within the normal range.

However, if the drainage volume is less than 200ml per day, it is not necessarily a good thing.

Especially on the second day after the operation, there is too little drainage, so don't blindly and confidently think that your operation is well done and there is less bleeding and exudate.You need to be alert to whether it is blocked, or whether there are other abnormal changes.

The risks of lobectomy surgery have always been high.

The reason why many doctors feel that this operation is very safe is because the technology is very mature.

However, if there is a mistake in the operation, or if there are serious postoperative complications, the probability of death of the patient is very high.

"Does Deputy Director He know about this?"

Zhou Can asked.

He had a very bad impression of Deputy Director He. The hospital implemented a first-visit system.Since it was Deputy Director He who performed the operation on the patient, and now there are postoperative abnormalities and obvious complications, Deputy Director He must handle it.

It is absolutely impossible to let him lie at home and sleep. Director Xue and Zhou Can had to get off work so late after the operation, and they had to wipe his buttocks.

It is absolutely inappropriate for Zhou Can to abuse a good person like this.

"He has been notified to come over and deal with it. He is not off work yet. When I was undergoing surgery just now, he sent me a message for help. The patient's condition is very bad. The key is that the reason for the excessive drainage has not been found yet. "

Director Xueyan showed a sly smile.

She must be happy to be able to make Deputy Director He bow her head and ask her for help.

After all, Deputy Director He is rebellious and has always put his old qualifications in front of her.

Just this afternoon, Deputy Director He was invited to participate in the first left lower lobectomy operation, and he found a reason to refuse.

Heaven is good to reincarnate.

Who would have thought that when it was close to seven o'clock in the evening, the patient who was operated by Deputy Director He had a problem.

Now it's Deputy Director He's turn to get angry.

"I'm still worried that you won't be able to make up your mind when you should have the means! Just call him over and deal with it."

Zhou Can and her are as close as siblings, and she has no worries when she says something.

It's all for her own good.

"I just became the director of the department for more than a month, and I really softened my heart. At that time, I naively thought that if I was good to others, others would be good to me. Later, there were a few cases where I was thinking of the deputy director, but I was tricked by him instead. , I could see his face clearly at that time."

Director Xueyan is not stupid, she just used her kindness to the wrong people.

"Compassion does not lead soldiers, righteousness does not engage in business. Sister Yan, I think you must be ruthless when you should be ruthless. If you want to manage such a large department, you don't have any means, and you can't manage it well."

Zhou Can said to her seriously.

"Understood! The inpatient department is ahead, let's stop talking about this."

She was afraid that others would listen to it.

When the two came to the ward, they saw that the patient was about 40 years old, male, with a pale face, and his mental state was very bad.

After Zhou Can looked carefully, his face became serious.

His fairly rich working experience in the intensive care unit made him realize that the patient's condition was very dangerous.

(End of this chapter)