My medical skills add experience

Chapter 438 With the style of the coach, the sixth level of medical skills

The operation officially began. The patient was lying on the operating table in a supine position, already in a coma.

Director Xueyan made an incision into the patient's chest from the front center with a knife.

She was originally the chief physician, and after a year of devil-style training, she became even more proficient at performing thoracotomy.It is easy to perfectly avoid large blood vessels and important nerves during incision.

Some emergencies encountered during the chest opening process have also been able to deal with them calmly.

Zhou Can stood by and helped her, and the atmosphere in the operating room was not tense at all.

After the three-level and four-level thoracotomy operations have been performed jointly by everyone, the psychological quality has been greatly improved.

"The patient's left thymus is a little in the way!"

Xueyan said to herself.

"No, this thymus is too annoying, it always blocks my sight of surgery."

She complained again.

The one who pulled the hook was Dr. Long, who was in his 40s and had just been awarded the title of deputy senior professional title not long ago.He did not become complacent because of this, on the contrary, he was more modest and eager to learn, and took the initiative to serve as the third assistant to Director Xueyan as the deputy chief physician.

"If it's really in the way, it's okay to cut it off. It's not a big problem if there is a lack of thymus. If it gets in the way and the operation fails, the patient loses his life. Compared with the huge potential risk, cut it out in exchange for better results." The exposure, I think it's worth it."

Zhou Can gave advice next to him.

Ordinary people really dare not direct the chief surgeon to cut off a certain organ or tissue.

One is that the level is not enough;

"I had performed a similar operation with Director Hu before, and the left thymus was also removed. I didn't see any adverse reactions from the patient afterwards."

Director Le spoke in time to support Zhou Can's suggestion.

"Well, I'll cut it up then."

Director Xueyan did not hesitate any longer, and decisively removed the left thymus.

Not long after it was cut, the anesthetist called out, "No, the patient's vital signs are dropping." She hurriedly checked what went wrong.

It's just that I haven't found the problem after searching for a long time.

"Could it be caused by the removal of the left thymus?"

The anesthetist is not too sure.

Director Xueyan was calm at first, and repeatedly checked the surgical incision and its vicinity to see if important nerves were cut.

The beating of the heart is dominated by ECG signals.

There are quite a lot of important nerves around.

If you accidentally cut off any important nerve, you will be in big trouble.

The monitoring instrument will sound an alarm soon.

This time Director Xueyan and the anesthetist were in a hurry, and Director Xueyan even showed a flustered expression on her face.This is all human instinct, and there is no way to hide it in an emergency.

"It should be caused by cerebral hypoxia!"

After careful study, Zhou Can made a judgment.

While speaking, he tried to bend the lower limbs of the child and switched to knee-chest position.

"Morphine is injected subcutaneously at 0mg/kg!"

In this case, the child may die in a very short period of time, and Zhou Can must quickly give a corresponding rescue plan.

He was not invited to watch a show with his sleeves rolled up.

The child's weight should be known to the itinerant nurse, anesthesiologist, and chief surgeon.Even the interns in charge of the bed can also grasp the key data of patients if they pay attention.

After the subcutaneous injection of morphine, the anesthetist showed a gleam of joy on his face.

"It's getting better, it's getting better!"

It's really not easy to make the usually stern-faced and serious anesthesiologist excited like a little girl.

Many people say that the roving nurse is terribly fierce and curses at every turn.

In fact, there are many times when itinerant nurses have smiling faces.

In most cases, they are only fierce to low-level doctors.For example, interns, regular trainees, and junior residents. These people litter in the operating room, or some operations are not standardized, and the itinerant nurses will scold them.

Normally, they are quite gentle.

"If there is improvement, inject sodium bicarbonate intravenously to correct the acidosis."

At this moment, Zhou Can is more like the deceased director Hu Kan, who became the real backbone of this surgical team at the critical moment.

"How is the child's blood pressure? Has it risen?"

He continued to question the anesthetist.

"Blood pressure is still very low, rising slowly." She replied.

"Miss Tour takes a bottle of phenylephrine and puts it on an intravenous drip."

Zhou Can calmly issued the third rescue order.

Finally, after everyone's concerted efforts, the vital signs of the child gradually stabilized.

Director Xueyan's face turned pale, obviously frightened.

Not to mention her, even the anesthetist was terrified.That is to say, the itinerant nurse was quite calm.

"It was too scary just now. Fortunately, the person was finally rescued. Can this operation continue?"

"Don't worry too much, there should be nothing wrong for the time being. Without the operation, the child will still not be able to survive. Why not go on one way, and maybe pass the customs?" Zhou Can also breathed a sigh of relief.

"Doctor Zhou, you were the calmest just now. I think you are like the Dinghaishenzhen of our surgical team. Just now you commanded the rescue with a calm face, and I faintly felt it... Director Hu Kan can bring us stability."

He dare not take Zhou Can to such a high position.

"If I can have one-tenth of the teacher's, I will burn the high incense, but in the face of the critical situation of the child, I have no choice but to bite the bullet!"

It would be a lie to say that there is no panic.

Zhou Can is also a human being, and he may not have experienced as many dangerous scenes as Director Le and the others.

At a critical moment, someone must stand up and take charge of the overall situation.

"By the way, in the case of the child just now, it is best not to use rehmannia medicine during rescue. Otherwise, it is very likely that the child will be sent away."

Zhou Can reminded everyone.

In the operating room, people generally don't say dead words.

This is quite taboo.

Some ignorant interns, when entering the operating room for the first time, asked the instructor, what if the patient died on the operating table?
At this time, you can see the teacher with a dark face, wishing to slap this poor intern to death.

If something really goes wrong with this operation, I guarantee that this intern will never enter the operating room again.

Also, when people speak in front of patients, they generally use some code words.

For example, if the patient is cancer, generally only Ca will be used instead.If the patient is undergoing a second operation, it will be replaced by a second uterus.

"Zhou Can, can you be the chief surgeon?"

Xueyan looked at him with help-seeking eyes.

"Don't you want to try to challenge the Tetralogy of Fallot? Did you give up so soon?" Zhou Can asked as he walked towards the chief surgeon.

"The danger of this operation is far beyond imagination. I am worried about accidents. If I want to practice, I will find another opportunity next time. There is no need to take risks on this special patient." Xueyan analyzed calmly.

"Okay, leave it to me."

Zhou Can has always been very enthusiastic about this kind of four-level major surgery.

He only followed Director Hu Kan to perform surgery on Tetralogy of Fallot. This time, it was the first time that he performed the surgery alone.

"Sister Yan, after this step, the next step is to free the mediastinal pleura on both sides. Be careful not to damage it."

After Zhou Can started, the speed of the operation was significantly accelerated many times.

"Next, the ascending aorta is inserted into the supply vessel, the superior and inferior vena cava is inserted into the drainage tube, and extracorporeal circulation is established..."

Nearly three hours later, Zhou Can glanced at the masterpiece of surgery with satisfaction.

There were many twists and turns in this operation, but finally, with his efforts, the main part of the operation was successfully completed without any danger.

"Who will close the chest?"

"Or it's up to you! The patient's tolerance is poor, and the thoracotomy takes too long. I am worried that it will be bad for the prognosis. This operation is the first similar operation in our cardiothoracic surgery department after a year. Therefore, I want to be safe."

Director Xueyan can understand her mood.

Not at home, I don't know how expensive Chai Mi is.

After she becomes the director of this department, she needs to be responsible for the future and destiny of the entire department.So things to consider are far beyond ordinary people.

The two resident doctors were eager to try, and they really wanted to take advantage of this opportunity to close their chests.

But after director Xueyan said the word "seek stability", they took the initiative to dispel the idea of ​​getting started.

"Dr. Zhou's operation speed is top-notch, and the chest closure is good and fast. Now it is very late, and I think it is very good to finish work early."

Director Le smiled beside him.

"It makes sense. You young people may be able to resist it. To be honest, I really can't stand it when I am old." Deputy Director Han is in his fifties, and he is comparable to Director He.

Men are born to work hard, whether at home or outside, they are the main force of heavy labor and technical work.

Sometimes when I come home from get off work, no matter how tired I am, I still have to pay my wife rations.

Just two words, life is bitter.

Many women always complain, saying that housework is hard, childbirth is hard, menstruation is hard every month... If they see the hard-working side of men outside, maybe they won't say that.

Zhou Can closed his chest soon.

[Close the chest successfully, reward suture experience +100.Congratulations on your promotion to the sixth level of stitching. 】

When he was doing chest repairs just now, Zhou Can earned a lot of rewards for medical experience points in a row.

I really didn't expect that at this juncture, suture was the first to be promoted to the sixth level, becoming his first director-level medical skill.

Accumulating a total of [-] experience points is really not easy.

He could clearly feel that Dai Ran's understanding and comprehension of stitching had a different experience.It is different from any previous medical promotion.

Even if his medical skills were promoted to the fifth level and reached the level of the deputy director, he only felt as if he could glimpse some deeper medical mysteries.But it felt uncomfortable, like looking at a beautiful woman through frosted glass.

You don't know whether she is pretty or not, you can only vaguely see her graceful and slender figure.

"Is this the sixth-level medical skill?"

Zhou Can is immersed in the brand-new director-level suture medicine.

If it is said that the fifth-level suturing skill gave him the ability to be just right in suturing, then the sixth-level suturing skill gave him the most mysterious.

It was as if he could directly peep into the mysteries of life through a small wound.

For example, at the chest wall wound that has just been sutured, what he sees at a glance is not whether the stitches are neat or not, nor whether the wound layer is tightly fitted, but he can really feel that the life on the operating table has been repaired , is quietly recovering the vitality of life.

As for the speed of the recovery process, he still has no way to clearly feel it.

It may be that his realm has not yet reached that level.

Or maybe only one medical skill has been promoted to level six.

After all, the composition of the whole life is very complex, and the human body is ten thousand times or one hundred thousand times more complex than the most sophisticated and complex computer in the world.

So far, even the United States, the most developed country in the world, has not been able to thoroughly study the mysteries of the human body.

Just a neuron simulation has caused countless scientists, biologists, doctors, and scholars to fail.A lot of research and development funds have been spent, and the artificial intelligence that I want to simulate has not been successful.

This is just to study the brain neurons of the human body. If it is the whole body, it may not be possible to study it thoroughly in another 500 years.

The genes of the human body, the DNA genetic code of the blood... There are too many unsolved mysteries of human beings, waiting for future scientists and doctors to solve.

"The sixth-level medical skills are really wonderful. I don't know if other doctors, like me, can directly see the mystery of life when examining a patient's wound?"

At this moment, Zhou Can is looking forward to the day when other medical skills can also be promoted to the sixth level.

Maybe when the time comes, his peek at the mysteries of life will be clearer and more in-depth.

"Doctor Zhou, Doctor Zhou...it's time to get off work!"

The equipment nurse waved in front of Zhou Can, waking him up from his contemplation.

"Oh, sorry, I was distracted just now! Are the patient's signs still stable?"

Zhou Can asked the anesthesiologist who was packing up the tools.

"The operation went very smoothly, and the child's physical signs are quite good. However, he will definitely need to stay in the intensive care unit for a period of time. It depends on the situation. If it is as short as three to five days, if it is longer... then it is not clear."

The anesthetist is optimistic about the prognosis of the child.

"With you, the life protector, speaking, then I have nothing to worry about. Let's go after supper!"

Zhou Can greeted the anesthesiologist.

"There are still children waiting for me to go home, so it's okay for me to take some back home for the children to eat."

The anesthesiologist must be at least 37 or eight years old.

She is an excellent young and middle-aged anesthesiologist in Tuya.

"I know that some of you take care of the family, so I specially ordered a packaged package. Everyone, including interns, take it home and eat!" Director Xueyan said with a smile.

After the overtime work is over, the generous director will usually give everyone a midnight snack or ask everyone to have dinner together.

Considering the economic affordability, the dinner party will only come once or twice occasionally.

It is impossible to have dinner every day.

Because the money is not paid by the department, but by the director himself.

"Thank you, Director Xue!" The anesthesiologist thanked him with a rare smile.

"How many children do you have?"

Zhou Can helped her pack her tools while chatting with her.

"How many children! We are doctors, and we are so busy all day long. It would be great if the hospital allowed me to take a maternity leave. Of course, if I insist on giving birth, the leader probably has nothing to do. Because the anesthesiology department There's always been a shortage."

When she was working, she had a straight face and was very serious.

After the operation, he talked more or less like a normal person.

"What about you? Are you married?"

The anesthetist may have added another sentence considering that Zhou Can was very young.

(End of this chapter)