My medical skills add experience

Chapter 501 Hell-level difficulty, how good is the sixth-level injection technique
Director Xueyan and other medical staff who were standing next to her were very anxious.

At this moment, Vice President Ye did not leave the cardiothoracic surgery room, but sat in the office and watched the live broadcast of 'Brother Wang' on his mobile phone.

The number of online viewers has exceeded 8 and is still rising.

The comment area is full of bad-mouthing remarks.

Many people are laughing at the young surgeon at Tuya Hospital, driving high and low.The initial puncture and guide wire insertion were all amazing.Now it is abnormal hip pull.

"With so many online viewers, it would be great if Xiao Zhou can perform this operation successfully!"

Vice President Ye secretly cheered for Zhou Can.

The influence of this live broadcast is beyond imagination.

Vice President Ye is not the only person in the industry who is following the live broadcast. Tuya's President Zhu even quietly entered the live broadcast room and is watching.

Needless to say, Vice President Zhang of the Third Hospital stared at the phone screen without blinking.

Seeing that Zhou Can tried to manipulate the guide wire through the occluded blood vessel but ended in failure, a happy smile appeared on his face.

The results are moving in the direction he expected.

"Even the Japanese experts in our hospital failed, so it's no wonder this kid didn't stumble! But this kid does have some real skills, but it's a pity that he can't be dug out."

Vice President Zhang personally dug out Zhou Can, and he immediately recognized Zhou Can as the one who performed the knife.

In addition to many bigwigs from the Third Hospital who were nervously watching the live broadcast of the surgery, many famous doctors in the field of cardiothoracic surgery got the news and entered the live broadcast room to follow the progress of the surgery.

Everyone wants to see what is so special about Tuya, an old hospital?

Especially the group of cardiologists at Imperial Renhe Hospital, they challenged the failed operation, and now someone is challenging it again, so they naturally have to pay close attention to the progress of the operation.

"No, the forward path will not pass at all."

Zhou Can shook his head again and again.

His injection technique is level five, close to level six.

The implantation technique is also approaching level six.

Both medical skills are at the level of deputy directors.It is completely competent to operate the guide wire through the occluded blood vessel from the front.

After so many failed attempts, it means that this method will not work.

The patient's right coronary artery was a chronic occlusion vessel with severe calcification, and its branches were blocked everywhere. It was impossible to find a path in the forward direction, and it was extremely difficult.In desperation, he could only find another way.

Repeatedly recalling the patient's coronary angiography images in his mind, the forward unblocking was blocked, and the reverse technique became his only choice at present.

A new reverse pathway took shape in his brain.

I saw that he first tried to find a new puncture point. After the puncture was successful, he used a guide wire to reach the occlusion of the right coronary artery through the side branch vessels.Because the collateral vessels are also very calcified.

Spots in the vessel wall make it very difficult for the guide wire to pass through.

In addition, the side branch vessels are very thin and the diameter of the tube is tortuous, and the operation is in trouble again.

The audience in the live broadcast room, some professionals, couldn't help being amazed again when they saw that he chose the reverse path.

This kind of thinking can only be thought of by a very small number of top cardiovascular experts.

It's one thing to think about it, it's another to do it.

Those experts know that the operation difficulty of the reverse path is at least three to five times higher than that of the forward path.

The internal environment of the blood vessels in this patient is harsh, and the operation will only be more difficult.

Zhou Can tried the reverse path many times, but still failed, Director Xueyan standing beside him sighed secretly.It seems that most of today's operation will end in failure.

It would be impossible to take this opportunity to make Tuya's cardiothoracic surgery famous again.

After the death of Director Hu Kan, the experts in cardiothoracic surgery have been trying to revive the glory of cardiothoracic surgery all the time.

Although Tuya's current volume of cardiothoracic surgery is already very good, but in terms of reputation and the medical status of this discipline, it certainly cannot compare with Hu Kan's era.

The most stable scalpel in the past is like a high mountain in the industry, which has attracted the admiration of countless colleagues.

Zhou Can took a deep breath and tried his best to calm down his heart.

Completing the operation with a normal heart is the key to the success of the operation.

If you care too much about success or failure, you will easily form an invisible shackle, which will bind your hands and feet and prevent you from performing supernormally.

Reverse technology has extremely high requirements on the operator. It not only requires rich clinical experience, but also tests the operator's hand feeling.

The surgical guide wire is thinner than a hair, and every point of resistance of the guide wire in the occluded blood vessel can be sensed by hand, and the guide wire needs very high skill of the surgeon to pass through the small side branch blood vessels.

Zhou Can is no stranger to the word feel.

In his surgical technique, the operation of many medical techniques is very dependent on the feedback of touch.

For example, incision, different tissues and depths are cut, and the tactile feedback obtained is different.The subtle differences among them can only be perceived when the technical level reaches the corresponding level.

At this time, the audience discovered that the chief surgeon of the operation had closed his eyes.

"Is he desperate?"

"It must be hopeless."

"It is estimated that the operation will be declared a failure soon!"

"If you don't have diamonds, don't do porcelain work! It's a shame!"

"The car overturned, haha!"

The audience's ridicule and schadenfreude have become more and more unscrupulous.

The Japanese experts from the Third Hospital, and the cardiologists from the Imperial Renhe Hospital all showed relaxed knowing smiles.

This young man's courage is commendable, and his surgical thinking is also quite powerful.

But in the end, it still fails in the face of reality.

Young people, after a few more beatings, they will learn to behave with their tails between their legs.

After Zhou Can closed his eyes, he controlled the guide wire forward with the weak perception of his hands.At this moment, he seemed to be a blind man, bumping into walls everywhere as he moved forward, and couldn't find his way out.

The more this happened, the more he gritted his teeth and would never admit defeat.

At this time, the guide wire seemed to have made a little breakthrough, and it seemed to advance less than 1cm.

[Placement experience +1, bonus experience +100.]

[Injection experience +1, bonus experience +100.]

The two medical skills will be rewarded with a large amount of experience points at the same time.

This is the first time this has happened.

The operation at this moment uses both implantation and puncture.

The essence of puncture is injection.

A smile appeared inadvertently on the corner of Zhou Can's mouth.

Even a little breakthrough is a great encouragement to him.

Slowly, he manipulated the tiny guide wire, 'stumbling' in the dark, constantly looking for the way forward.Time and time again there are new breakthroughs.

His operation is also becoming more and more confident and skillful.

It is better to fall down once than to be taught a hundred times by others.

Technological breakthroughs still have to be comprehended and practiced by oneself.

Finally, he felt that the guide wire seemed to have passed through the small side branch vessels and successfully reached the other end of the main artery of the right coronary artery.

"Wow, that's amazing!"

"Successfully passed through the collateral vessels!"

There was warm applause and cheers in the operating room.

Everyone watched Zhou Can move forward little by little with the guide wire, and instinctively clenched their fists.I wanted to help him, but I couldn't.

I could only stand by and watch helplessly, everyone doing their own work and giving Zhou Can the best assistance possible.

At this moment, they were happier than Zhou Can when they saw a major breakthrough in this operation.

Zhou Can opened his eyes.

Just now, he manipulated the guide wire to break through the barriers and advance all the way, and his experience in implantation and injection has been increasing.

"It's only the last level!"

Taking a deep breath, he decided to strike while the iron was hot, manipulating the guide wire through the occluded segment of the aorta.

"No, the calcification is too serious, the blockage is too serious, and it can't pass at all."

The operation stalled again.

The long guide wire is not as obedient as imagined, and when it is manipulated to move forward in the blood vessel, it is like a toddler.And the puncture force is also very weak.

Zhou Can didn't give up, and kept looking for a gap to break through.

[Puncture experience +1, bonus experience +10.]

[Congratulations on your puncture technique being promoted to level six, current experience on duty/1000000, primary level of Chief Physician.It can complete ultra-difficult puncture and injection. 】

The fewer words, the stronger the strength.

Puncture is originally a simple operation.It's just that with the rapid development of medical technology and interventional surgery, puncture has become more and more complicated.The difficulty has also reached the limit that human beings can challenge.

At this juncture, the puncture technique was successfully promoted to the sixth level. For Zhou Can, it was a timely rain.

After this medical skill was promoted to the level of chief physician, when he looked at this blocked blood vessel, he immediately had a different feeling.He already has the ability to analyze the nature of the tissue he touches through the weak hand feeling fed back through the guide wire.

It seems that there is some linkage with the incision or separation.

Because the hand feeling returned by the guide wire needs to learn from the hand feel feedback of these two medical techniques, analyze and compare, and finally know what kind of tissue the position touched by the guide wire is.

When dissecting a patient's body, it can be clearly perceived whether the scalpel cuts blood vessels, nerves, cortex, muscles, fat, etc.

At this moment, injection has also evolved this ability.

Through the thin guide wire, you can know its specific structure by constantly trying to puncture the previous tissue.

"This is a severely calcified spot with a large area!"

Zhou Can immediately adjusted the guide wire to avoid this big spot.

Maybe he hid a little far away, but when he felt the tactile feedback again, he found that this time it was a slightly smaller calcified spot.

The condition of the arteries in this patient is really bad.

There should be some soft gap between the two spots, maybe this is the only breaking point that will pierce through.

Zhou Can controls the guide wire, and guides the speed to find the breakthrough point between the spots.

This process is not as easy as imagined.

Either move too much and hit another spot, or move too little and miss the edge of this spot.

He continued to accumulate experience, and his whole body fell into a state of extreme focus on surgery.

At this moment, the number of people in the live broadcast room has already exceeded [-].

It has even risen to an exaggerated 28, and the popularity ranking has directly reached the first place.

It can only be described as horror.

Since the patient's own live broadcast, he has never achieved such a good live broadcast result.There was a smile on his face.

More and more experts in cardiology and cardiovascular medicine have been attracted here.

Even senior officials of the health authorities, entrepreneurs, and relatives and subordinates of the rich man also inadvertently saw the live broadcast.After they newly entered the live broadcast room, they learned the whole story through the comments.

Knowing that Japanese cardiologists from Imperial Renhe Hospital and the No. [-] Provincial City Hospital had performed cardiovascular interventional surgery on this patient, and all of them ended in failure, they couldn't help but become more interested in this surgery.

They all want to see how the top cardiovascular surgery is done.

Unbeknownst to Zhou Can, he has become famous overnight and has attracted the attention of countless viewers.

Because some of the audience in the live broadcast room left after watching for a while because of something.

But people's curiosity instinct will definitely drive most of them to pay attention to the results of this operation again the next day, or when they think about it every few days.

Therefore, the influence is far more than the simple 28 people who are online now.

The traffic of Douyin is really scary.

Its number of active users is simply terrifying.

Children as young as two or three years old, as old as eighty-ninety years old, old men, are all likely to become viewers of short videos and live broadcasts.

Every time Vice President Ye saw Zhou Can make a major breakthrough in the operation, he would clenched his fists excitedly and applauded repeatedly.

"That's right, it's this part. It's much softer than the calcified spots, and it can definitely penetrate through."

Relying on the touch of the guide wire, Zhou Can finally found a breakthrough point through unremitting efforts.

The guide wire immediately punctured forward under his control.

brush!
Successful.

[Injection experience +1, bonus experience +1000.]

This breakthrough is indeed very difficult, and it is a major breakthrough in interventional surgery.

It's fair to award one thousand injection experience points.

Don't think that if you pass through successfully, the operation is successful.

not yet.

The guide wire advanced about 2cm and got stuck again.

Through the tactile feedback of the guide wire, he knew that there was another big spot ahead.

If this patient could have undergone interventional surgery earlier, the blood vessels would not be blocked like this.Forcibly procrastinating this surgery to hell-level difficulty.

Zhou Can quickly adjusted the angle and direction of the guide wire, and based on his successful experience, he looked for the gap between the spots again, that is, the soft tissue to break through.

[Injection experience +1, bonus experience +100.]

Breakthrough again.

The experience value rewarded this time has been reduced by ten times.

Still impressive, up to 100 points.

In fact, all his mind was focused on the operation, and he didn't have the energy to pay attention to these at all.

After the guide wire successfully broke through two checkpoints, a head was successfully exposed at the other end of the occluded artery.

Immediately, cheers and applause resounded in the operating room.

In the live broadcast room, there were even a lot of big brothers who started to collect various gifts.Including Carnival, Yulong Boy and so on.

"You look so awesome, even though I don't understand!"

"Support Huaxia Good Doctor!"

"Which one is better in cardiac surgery? It's Tuya Hospital!"

"In the future, when my heart is blocked, I will go to Tuya Hospital to find this young doctor to give me a consultation."

"How do you become an expert? I have witnessed that experts have nothing to do with age!"

"This is the real master!"

"Great God, please accept my little brother's knee!"

It is estimated that this speaker is a colleague.After watching Zhou Can's top-level interventional operation, they were paying homage.

In the comment area of ​​the live broadcast room, the style of painting has changed directly from the various ridicules and abuses not long ago.

That's how public opinion is.

Many people follow suit.On the Internet, because everyone is invisible, there is no need to have too many scruples when speaking.As long as the heart is happy on the line.

When we were young, our words were insincere, and when we grew up, we were insincere.

This law must be abided by in reality, but in the virtual online world, everyone has torn off their disguise and can say whatever they want.

There is no such thing as scolding his mother in his heart, and he keeps saying good things that the other party likes to hear.

"Finally the bracket can be placed!"

An extremely happy smile appeared on Zhou Can's face.

Carefully manipulate the stent into the occluded segment of the vessel, and then expand the stent to open the vessel.

[Placement experience +1, bonus experience +1000. 】

The system is really not stingy, and directly gave a thousand experience points for implantation.

His implantation technique, at this critical moment, directly pushed up to the sixth level.

(End of this chapter)