My medical skills add experience

Chapter 459 Level [-] Hemostasis, Here Comes the Poacher?

He has a very good relationship with Director Zhang Bihua of the Department of Obstetrics and Gynecology. If there is any problem during the operation, he can ask for help in time.

And he does have some selfishness.

Challenge this kind of surgery that you have never done before, and you will earn surgical experience points faster.

As his suturing skills were promoted to the level of chief physician, he tasted the sweetness and yearned for the sixth level of medical skills even more.It's not enough to just upgrade to the sixth level of suture, and other medical skills have to keep up.

He even wanted to know, did he reach the peak of his medical skills after reaching the sixth level?
If it can be promoted again, what level will it be?
He just got in touch with the operating room and the anesthesiology department, and the B-ultrasound results of the female patient came out first.

You can clearly see the walnut-sized gestational sac, which is located in the middle of the fallopian tube, closer to the cervix.

"It really is an ectopic pregnancy!"

After reading the B-ultrasound results, Zhou Can further confirmed his diagnosis.

Under normal circumstances, the gestational sac should be like a seed, rooted in the uterus.When it's not in the uterus, it's an ectopic pregnancy.

The place where you are at the moment is the fallopian tube, and the space here is very narrow.

As the gestational sac continues to develop and grow, it continues to grow in size, eventually causing the fallopian tube to rupture.During this procedure, patients generally experience abdominal pain.If the bleeding is severe, you will soon see blood in your lower body.

There may even be blackened blood clots when the patient urinates.

Bleeding in ectopic pregnancy is extremely dangerous, and the only way is surgery.

At this time, the anesthesiologist had already rushed over. After talking with Zhou Canlue, she began to quickly assess the risk of anesthesia for the patient.

Zhou Can talked to the family members.

In fact, there is no need to look for it. After the ultrasound results came out, the patient's condition was already very bad.His face was as pale as paper, his eyes became indifferent, his expression was dull, and his body was constantly shaking.

"Doctor, what's wrong with my daughter? Hurry up and save her!"

The tone of the family members was urgent and fierce.

"Please be mentally prepared. Your daughter is an ectopic pregnancy, and now she has a ruptured fallopian tube and massive bleeding. She must undergo emergency surgery to save her life. After the anesthetist's assessment, she will be in the operating room immediately. If she hesitates, her life may be in danger. She is now The situation is very bad…”

Zhou Can just said the word ectopic pregnancy, and the family members were full of disbelief.

"My daughter is still studying, and she has never heard of her having a boyfriend. How could she be pregnant? You must have made a mistake. Call an older doctor to come over and take a look."

The family members questioned that Zhou Can was too young and had a wrong diagnosis.

"This is a B-ultrasound order, and the result is already clear. Also, your daughter talked about a boyfriend more than two months ago, and she never dared to tell you. This is a letter she asked me to forward to you. Her I'm worried that I won't have the chance to talk to you again."

Zhou Can gave the letter to the family members.

As a result, just as the girl's mother took it, her body shook and she collapsed on the ground.

"Ma'am, ma'am, are you all right?"

Zhou Can hurriedly asked about her situation.

If the mother and daughter had accidents at the same time, it would be a big trouble.

Now the girl's mother is still required to sign the surgery.

"Ah... woo woo woo..."

The female family members cried bitterly.

"It's all my fault, it's my fault for killing my daughter! That driver named Shi Demo is a beast, a liar... woo woo..."

By this time, the blood test results had come out.

Girls' hemoglobin is only 65, and under normal circumstances, women generally need to reach more than 110.

According to the calculation of hemoglobin, Zhou Can deduced that the girl was likely to bleed more than 1500 milliliters.This is already very dangerous.

He didn't panic, but quickly brought the consent form for the operation, filled in the girl's information, and asked the family members to sign it.

At this time, the whole family members showed a state of walking dead.

Zhou Can asked her to sign, and she signed.

But it must be pointed out where the signature is, she has no way to read the content of the operation consent form by herself.With the current situation, there is no time for her to carefully study the terms of the operation consent form.

……

Soon, the girl was pushed into the operating room for fluid replacement, blood transfusion, anesthesia, and emergency surgery.

Zhou Can was the chief surgeon, and Dr. Xu was beside him.

The abdominal cavity was cut open layer by layer, and the bleeding point was soon discovered.The originally thin fallopian tubes were directly ruptured.

Arterial blood vessels are also broken along with it.

The uterus is already full of blood, and the amount of bleeding is conservatively estimated to exceed 2000 ml.

If it was a little later, the person would probably be gone immediately.

He carefully and quickly removed the gestational sac, then scraped it clean, repaired the fallopian tubes, and anastomosed the broken arteries...

The whole rescue process was surprisingly smooth, perhaps because Zhou Can's surgical ability is already very strong, so all the tasks during the operation can be done at his fingertips, and there is nothing particularly difficult.

After the operation, he breathed a sigh of relief.

At last he was rescued.

This operation brought him 101 debridement experience points, 11 incision experience points, and 1013 hemostasis experience points...

The biggest gain is the experience value of hemostasis.

This medical skill has already reached the peak of the fifth level, and it will be upgraded soon.

After adding so many experience points, as expected, he was successfully promoted from level [-] to level [-], becoming Zhou Can's second director-level medical skill.

[Hemostasis, level six, current experience value 1/1000000.Chief Physician Junior Level. 】

He carefully felt the difference of director-level hemostasis.

In the past, when his hemostasis technique reached Level [-], he could clearly perceive whether the patient's bleeding had stopped. He could also accurately predict whether the patient had blood in the stool, vomiting blood, etc. Infer where the patient's bleeding point is.

For example, it can be seen at a glance that the female patient is bleeding heavily this time, so she has the credit of the fifth-level hemostasis.

Now that this medical skill has been promoted to the sixth level, there are several most obvious changes.First, in the process of hemostasis for patients, he will automatically present a variety of hemostasis methods in his mind, and then quickly select the most suitable hemostasis method, or use multiple hemostasis methods in combination.

Compared with the previous level five medical skills, this ability should belong to evolution.

When encountering various bleeding situations in the past, he needed to study carefully, think over and over again, and choose a hemostasis method that best suits the patient's situation after repeated weighing.

Now, it seems that there is no need to think too much, and the best hemostasis method can be selected naturally, from ability and skill to a habit.

It's as simple as drinking water and eating, and it doesn't take much effort at all. After a lot of practice, all aspects of skills have been mastered.

They evolved from tricks to instinctive habits.

Second, after the blood vessels have been anastomosed, it was necessary to loosen the hemostat or untie the silk thread that ligated the blood vessels, so that the blood vessels can be tested to know whether the blood vessels are unobstructed and whether there is bleeding or bleeding.

As for the detection of thrombus, we can only rely on angiography, color Doppler ultrasound and other means.

Now, after the blood vessels are anastomosed, he only needs to look at them to roughly deduce whether the blood vessels are well connected and whether the internal space is narrow.Even the risk of thrombosis can be faintly detected.

Third, he now needs to judge the patient's blood health status by observing the patient's blood color, viscosity, turbidity, bleeding speed, etc.

It's definitely not as accurate as the instrument's detection, but he can basically estimate some important indicators.

This is a brand new ability that never existed before.

In addition, he can not only accurately infer the location of the patient's bleeding point, but also know the bleeding condition.

For example, if this female patient is asked to re-diagnose, he should be able to directly know her bleeding speed.Of course, there is a prerequisite for this, and her lower body bleeding must be checked.

For female patients, it is certainly not easy for male doctors to view private parts.

Therefore, even if he encounters it next time, as long as the person is not unconscious, there is a high probability that he can only obtain the bleeding status by asking the female patient.

After Zhou Can felt the great benefits of the sixth-level hemostasis, he was very excited.

It's not just that after the hemostasis is promoted, the hemostatic ability is not the same, and there has been a qualitative improvement on the original basis.Moreover, he also discovered that after the hemostasis technique was promoted to the sixth level, there was a subtle connection with the suture technique.

It was as if there was an invisible thread linking the two medical arts together.

Whether it is diagnosing difficult diseases or performing complex operations, multi-departments and multi-team collaboration are now required.Zhou Can's hemostasis and suture, with a slight connection, is equivalent to two medical skills can cooperate with each other like two professional teams, making each other's professional ability stronger.

When suturing a wound for a patient, you can use the ability of hemostasis to know how to suture is more beneficial to the patient.After the suture is completed, it is even possible to know whether there is slight bleeding inside, the blood supply of the wound, and so on.

Conversely, when hemostasis is given to patients, some benefits can also be obtained with the help of the ability of suturing.

The benefits brought by the mutual cooperation between the two can be regarded as an additional surprise after having the second sixth-level doctor.

Before this, all his medical skills had been upgraded to level five, and he had never had such an ability.

He was thinking, what would happen if one day all medical skills were upgraded to level six?
With the joint cooperation of various medical skills, will he become the god of life?
At least he will become a top doctor in the medical field!

You must know that because of limited energy and time in a person's life, coupled with different talents, almost no one has improved multiple medical skills to level six or above at the same time.Generally speaking, as long as two or three surgical skills are upgraded to level six, one can basically sweep the operating room and become a very good surgeon.

As for medical skills such as pathological diagnosis and pharmacological syndrome differentiation, the difficulty of promotion will only be higher.

To be promoted to the sixth level in any one course is enough to become a famous doctor and expert in a large hospital.

……

After the female patient was sent out of the operating room, Zhou Can did not go out.

Qiao Yu and Ma Xiaolan quickly tidied up the operating room for the next operation.

He was busy until he got off work. Except for leaving the operating room at noon to eat and go to the bathroom, Zhou Can stayed in the operating room all day to treat patients.This is also his basic daily routine.The current level of income generation in the emergency department is not due to strong winds.

It was Zhou Can's "core power" that was full, continued to operate, digested a large number of surgical patients, and continued to create high reputation and win the recognition of patients and family members, which opened up the situation little by little.

After get off work, he walked out of the operating room with a tired face.

After one day of surgery, I was really tired.

"Doctor Zhou, can I spare you a few minutes?"

A middle-aged man seemed to have been sitting outside the operating room waiting for him for a long time.This man looked extraordinary, his eyes were calm and shrewd, and he had a comfortable smile on his face.

"What's the matter with you, just say it!"

Zhou Can secretly guessed that this person might be a family member.

"Here is my business card! Would you like to chat in another place?"

The man didn't say why he came, but took out a business card directly.

After Zhou Can took it, he saw that it said Zhang Mingxing, the deputy director of business of the Third Hospital.

Someone actually took the name.

What surprised Zhou Can even more was the identity of this person.From the Third Hospital, and is the vice president.

He was really flattered to be able to ask a vice president to go out in person and wait for him outside the operating room.

You can almost guess the purpose of this person with your toes.

When Xinxiang Hospital poached him, it was almost the same way.Dean Tian of Xinxiang Hospital had a lot of talks with him, but was finally rejected by Zhou Can.

As he worked in Tuya Hospital longer and longer, he gradually regarded it as his 'home'.

He has familiar people, his unique stage, and his favorite learning and working environment.

In Tuya, he grows almost every day.

The senior management of the hospital also took good care of him.In other words, this is a good talent training mechanism.

It is estimated that not only Zhou Can was cared for, but other outstanding young doctors and nurses were also cared for.They have their own space for development and can enjoy good training.

Including one-to-one teaching, as well as clinical practice learning and practice, as well as scientific research and academic improvement, etc.

The various systems of Tuya Hospital are quite sound and healthy.

As for problems in the security department and the general affairs department, such things happen in any hospital.

With thousands of employees in a hospital, or even more than 1 employees, it is impossible to guarantee that everyone will not eat fireworks.The vast majority of people are ordinary families who need to earn money to support their families and work hard to climb up to prove their worth.

After gaining status and power, if the conditions are right, some people will inevitably have some crooked ideas and secretly earn some extra money.

As long as it is not excessive, this is a common phenomenon in society.

Whether it is the higher authorities or the hospital management, they basically turn a blind eye to this kind of thing.

When the water is clear, there are no fish.

You really strictly follow the rules and regulations, and those who are capable will just run away and change jobs.A bunch of "ordinary employees" with mediocre abilities are left behind, and these people who remain may not be honest.

All the money has been sent to the hand, and it is not an unreasonable thing, there is no reason not to take it.

Besides, if someone really went too far and did something seriously illegal, it would basically be death.

For example, Chief Mi of the security department had a very comfortable life, but he insisted on dying, so he directly put his mind on the clinical department.Moreover, all kinds of unscrupulous demands and retaliations will be ghosts if there is no problem.

Even if he wasn't sent in by Zhou Can last time, someone else would still take care of him.

Many acts of unrighteousness will lead to self-death, it is by no means empty words.

After Zhou Can guessed the purpose of Vice President Zhang Mingxing, he quickly made a decision in his mind.

"If Dean Zhang has something to say, it's the same to say it here directly. Of course, if it's something that you know I won't agree to, it's best if you don't say it."

Zhou Can's words were already a tactful rejection.

I believe that Dean Zhang should be able to hear the implication.

(End of this chapter)