My medical skills add experience

Chapter 424 Cardiothoracic surgery is strong, Lingchi separation method

It is also because of the benefits of having Zhou Can participate in the major surgery. Director Xueyan is now familiar with the taste. As long as after evaluation, she feels that the operation is risky or difficult, she will definitely ask Zhou Can to help her. .

However, when she accepts patients for surgery, she doesn't accept all kinds of patients.

Some patients whose operations are too difficult or too risky are either tactfully persuaded to go and let them harm other hospitals.

Either treat the patient conservatively.

In fact, even when Director Hu Kan was alive, conservative treatment has always existed.

Director Hu Kan acted prudently and never challenged unsure operations easily.In his later years, that risky challenge ended up directly causing him a heart attack.It can be seen that it is a high-risk thing for doctors to treat patients.

Patients and family members need a high degree of trust in doctors before doctors dare to carry out some risky treatments.

Zhou Can came all the way to the Cardiothoracic Surgery Department, and he could feel that the atmosphere here has obviously improved a lot.

The nurse's face was no longer so cold and ugly, and she somewhat smiled.

When walking with a basin or empty hands, the steps are brisk.

In the past, they walked slowly like seven or eighty-year-old ladies.

In addition to the nurses' working attitude becoming more positive and friendly, the mental outlook of the doctors has also changed.It's past seven o'clock now. When he passed the office just now, he saw the cardiologist and thoracic surgeon gather to discuss the patient's condition and discuss the treatment plan.

This is a very good phenomenon.

You know, the former cardiothoracic surgery department was a department in name.But the doctors in the department were divided into at least two camps.

In one camp are doctors who specialize in extra-cardiac care, and in the other camp are doctors who specialize in extra-thoracic care.

What do you ask a doctor who is good at both extracardiac and extrathoracic treatment?
Such people are either forced to choose sides, or they are caught in the middle and remain neutral.

It is also this kind of division that caused the entire department to be divided into at least three camps.There is a serious weakening of the strength of the department.

After the death of Director Hu, Deputy Director He led the chest surgery camp.The out-of-heart camp is headed by Director Le and Director Xueyan.At the same time, some people in the neutral camp supported Director Xueyan, while others supported Deputy Director He.

Director Xueyan failed the operation and the patient died on the operating table. It should be the lowest point of her life.

Even many doctors and nurses who originally supported her quietly turned to support Deputy Director He.

But now, under the strong support of Zhou Can, the 'shit-stirring stick', cardiothoracic surgery has become a rope.There are no more camps.

Doctors and nurses from the three camps of chest surgery, heart surgery, and neutral camps all began to integrate into this big family.

Solidarity and mutual assistance, knowledge sharing, friendly learning, and joint discussion have gradually become common phenomena in cardiothoracic surgery.

This phenomenon is also what Zhou Can is happy to see.

Although the external suppression and siege of Tuya's Cardiothoracic Surgery Department is very strong, and although the department's diagnosis and treatment business is still shrinking, Zhou Can is very optimistic about the future of this department.

As long as the internal unity is unified, then the strength of all aspects will be improved, and the shortcomings will be gradually filled, so there is no need to worry about competitiveness.

In the operating room, besides Director Xueyan and Deputy Director Lu, two familiar faces, Deputy Director He was also there.

This really surprised Zhou Can.

"Doctor Zhou, I'm just waiting for you!"

Deputy Director He spoke first.

"I'm sorry, I'm sorry, there are too many patients in the emergency department today, and I'm a little late for surgery." Zhou Can quickly apologized.

"Now that Dr. Zhou has arrived, let's start!"

When Director Xueyan saw Zhou Can, a happy smile appeared between her brows and eyes.

She also didn't expect that after the death of her mentor, the person who could bring her a sense of security and make her feel reassured during the operation would be this "little brother" Zhou Can.

"Is Director Le not here today?"

After Zhou Can glanced over, he didn't find Director Le's figure.

"He has been too tired for the past two days. The second operation is a heart surgery, and some important parts of the operation will be performed by him. In order to perform that operation in the best condition, he is currently on duty in the duty room. After a while, after the second operation starts, go ask him to carry it out."

Director Xueyan replied.

"Director He, thoracic surgery is your strong point, let you be the chief surgeon!"

Xueyan looked at Deputy Director He.

"No, no, no, I just came here to be your assistant. When you are old, you must recognize your old age. I will retire after working in a few years. In the department, your surgical talent is considered to be the best. You just need to exercise more, In the future, I will definitely be able to do extracardiac and thoracic surgery at the same time like Director Hu."

Cardiothoracic surgery is a comprehensive department.

Talents who can perform both cardiac and thoracic surgeries at the same time are extremely rare.

Director Xueyan is the only one who can reach the director level.Of course, if Zhou Can is a cardiothoracic surgeon, then his talent is even more enchanting than Director Xueyan.

Not only did he perform thoracic surgery smoothly, he performed beautifully in cardiac surgery, but he was also good at interventional and endoscopic surgery.

This is the real top surgical talent.

Looking at the whole of cardiothoracic surgery, there are not many surgeons who can perform thoracic or cardiac surgery well.Not to mention the talented people who can do so many types of surgeries at the same time.

We are all mortals. In fact, there are quite a few cardiothoracic surgeons, even at the deputy director level, who can be proficient in the surgical skills of a subdivided field of thoracic or cardiac surgery, which is considered very good.

For example, some people are good at lung surgery in thoracic surgery, and then lung surgery can be subdivided into multiple subdivisions such as lung lobe and lymph.

A seemingly simple lymph node, in actual cases, is full of strange things.

There are all kinds of situations.

It is not easy to master all kinds of lung lymphatic surgery.

In short, the growth of a surgeon is far more difficult than imagined.It requires talent, opportunity, opportunity, self-effort, and a good teacher.

Deputy Director He gave Director Xueyan the opportunity to practice surgery, and was willing to help her as a doctor, which actually sent a signal.

He really gave up his ambition to compete for the head of the department.

The operation started soon, and it was a liver tumor removal operation.

The liver is called the most silent organ.

Like a man, it silently works for the body, decomposes various enzymes, and helps the body remove various poisons and harmful substances silently.It is very similar to the male head of a family.

When it is sick, it remains silent.

Because there are no pain nerves in the liver.

It has only a small number of pain-sensing nerves distributed on the liver capsule on the surface of the liver.This also caused a very bad phenomenon. After the liver is sick, it is difficult for the body to warn.

Pain signals are often high-level early warnings of the body, and are most easily detected by the human body.

It is a blessing in misfortune that this patient still has the chance of surgery.

Many patients with liver tumors, especially those with malignant tumors, are often diagnosed at an advanced stage.

Liver cancer is only less common.

Its vicious name is actually not inferior to pancreatic cancer, the king of cancer.

Director Xueyan's thoracic surgery is actually quite good, and the standard is already very high.It's just that the mastery and comprehension of the steady knife technique is not particularly deep.So when faced with some difficult anatomical parts, such as separation and resection, she is likely to encounter difficulties.

From her careful surgical attitude, it can be seen that in terms of prudence and prudence, she gradually has the style of Director Hu Kan.

As time passed, the operation quickly reached the most critical part.

The tumor is very close to the large blood vessels, and it is extremely difficult to separate them.

She tried again and again, but failed in the end.

Frustration had begun to show between her brows and eyes.

"No, this separation is too difficult. I almost broke the aorta just now."

Because of nervousness, the roving nurse has wiped her sweat many times.

At this moment, her hands began to tremble slightly.

"Don't use an electric knife, replace it with an ordinary scalpel!"

Zhou Can has been standing beside Luezhen.

Deputy Director He also looked calm, and it could be seen that Deputy Director He should be sure to complete the key part of this operation.

But this kind of thing is also difficult to say, it is easy to see things and difficult to do things, and people's estimates are often prone to mistakes.

Everyone has pride and arrogance, no matter how mature people are.

So it is easy to overestimate your own strength.

Whether Deputy Director He can successfully complete the separation of this position will only be known when he gets his hands on it.

When doctors do internal dissection, electric knife is generally the first choice.

Not only is it easy to operate, labor-saving, but also has a hemostatic effect.Patients also recover faster after surgery.

Of course, if the traditional scalpel is used smoothly, it is also possible.

It's just that people are trying to save trouble and relax, and they can use more convenient electric scalpels. Traditional scalpels have gradually withdrawn from the stage in most surgical procedures.

"Using an ordinary scalpel?"

Xueyan looked at Zhou Can.

"Correct!"

Zhou Can nodded slightly.

"Change the knife, I'll try again!"

Director Xueyan had absolute trust in him, and asked the equipment nurse to replace the traditional scalpel without asking any further questions.

"Do you still remember the steady knife separation method that Director Hu taught you?"

Zhou Can asked her.

"Well, I remember. As long as I have time, I have been practicing and can operate proficiently, but I can't reach a particularly refined state."

Director Xueyan stared at the surgical site again after changing the knife.

He was not in a hurry to get under the knife.

She knew that Zhou Can would definitely give her some guidance by asking her to change the knife at this critical moment.

"You use the ancient torture method, Lingchi method, to separate this part one by one. Remember, you use the knife in your hand as a blunt knife. As long as you can feel the feeling of cutting flesh with a blunt knife, I can guarantee you This separation can be successfully completed. Don’t worry, even if the large blood vessel is really broken, I am sure to stop the bleeding and complete the repair in the shortest possible time.”

Zhou Can is giving her a reassurance. Only in this way can she let her go.

Being too nervous and worrying too much will definitely affect your performance.

"it is good!"

She's ready to go under the knife.

Just looking, still a little nervous.

"Of course, you can't really break the patient's great blood vessels just because I've guaranteed you a ticket. After all, I'm just a half-hearted person, and I also have times when I'm wrong."

Zhou Can's words made her laugh out loud.

"Hey, what you're doing now is a level-four major surgery, can you be more serious!"

Director Xueyan scolded angrily.

"Sorry, I actually saw that you were too nervous, and I wanted to make you smile and relieve your nerves. Now the operation can begin."

Zhou Can responded with a smile.

Others in the operating room knew that the two of them were like siblings, and they had long been accustomed to their intimate communication.

Between men and women, in fact, it doesn't have to be love to get along intimately.

It can also be family affection, or cooperation to achieve the same career goal, or like Zhou Can and Director Xueyan, who have the friendship of senior sister and junior brother, and have the same career goal, and work together for it.

In addition, there is a heart of gratitude for mutual gratitude.

Director Xueyan helped him, and he also helped Director Xueyan a lot.

In the constant communication, the relationship between the two will naturally deepen gradually.Eventually became close friends, siblings.

Director Xueyan began to separate the patient's liver tumor tissue and arterial adhesions according to Zhou Can's instructions.

It can be seen that she is not so nervous anymore.

With one knife and one knife, slowly cutting, she gradually entered the state.

The mastery of the separation skills in the steady knife method is also constantly strengthened.

Actual combat is the only way to quickly improve the level.

Her progress was even visible to the naked eye.

Director Hu Kan chose her as the head of the department. In addition to her character and personality, her surgical talent is also a major reference factor.

After more than 40 minutes, the patient's liver tumor was successfully separated and then cut out.

Director Xueyan's eyes were full of excitement.

She has also become more confident.

Other members of the surgery team are also happy with her progress in surgery.

The stronger the leader, the greater the benefits they can get.

Everyone will benefit accordingly.

More than half an hour later, the first operation was successfully completed, and the patient's excised liver tumor was sent for pathological examination.The patient was observed on the operating table for more than ten minutes, and after the signs were still stable, he was sent to the recovery room for further observation and awakened from anesthesia.

After the first operation was completed, Deputy Director He returned home from get off work, and Director Le was replaced by Director Le to participate in the operation as an assistant.

……

It was already 11:30 in the middle of the night when Zhou Can raised his wrist to look at the watch after the two operations were over.

Day by day, it was really dark.

Entering the hospital in the morning light and returning home in the starlight at night, studying medicine is really hard.

The emergence of every great doctor is through countless tempering and slowly growing up.

As long as he is given enough time to grow, he may become the top surgeon in the country, or even in the world.

What can really save lives has to be surgery.

Although internal medicine can also save lives, compared with surgery, it is much worse after all.

In many scenarios, internal medicine is powerless.

For the most common cerebral hemorrhage, anticoagulant drugs are used in internal medicine to find ways to lower the blood pressure of patients and to ensure that the patient's breathing and heartbeat are maintained normally.But the hope of being able to save the patient is still extremely low.

Even if they are rescued, most of them are vegetative, paralyzed and disabled.

Surgery is much simpler, direct craniotomy, repair blood vessels, and clean up intracranial congestion.The patient recovered well, was hospitalized for a period of time and was discharged, and can lead a normal life.

Therefore, when it comes to life-saving means, surgery must be the first.

When Zhou Can arrived at the hospital the next morning, he saw a patient with extensive burns and rotten wounds as soon as he arrived at the emergency department.

The doctors in the emergency department have already seen it, and they dare not accept it at all.

Contact the specialist department, the director came in person, shook his head and left after seeing it.

(End of this chapter)