My medical skills add experience

Chapter 506 Old things, quick knife is king
Once this idea popped up, I couldn't stop it.

Zhou Can continued to improve and deliberate on this brand new surgical plan.

The blood supply problem of the branch vessels is solved, and the treatment of this section of the aorta is easy.Just put in an extra long vascular stent, and the extremely long aortic dissection can be solved.

Because the bypass creates a new blood route, the connection between the branch vessel and the aorta is blocked by the stent, which no longer has any effect.

There are many advantages to doing so.

Surgery is much less invasive than a blood vessel replacement.

At the same time, there is no need to stop the heart, and there is no need to worry about the risk of paraplegia caused by interrupting the blood supply during the process of replacing the aortic vessel.

The only operational difficulty may be building bridges.

It is necessary to anastomose the blood inlets of multiple vascular branches.

This is nothing to Zhou Can, who has sixth-level anastomosis and sixth-level suture skills.Level [-] ligation is barely enough.

Because the anastomosis of these branch vessels is mainly a test of anastomosis, although suture and ligation are also very important, it is enough to have the level of a deputy chief physician.

Such a long vascular stent may have to be custom-made.

Because under normal circumstances, no interventional surgery would place such a long stent.

Zhou Can was very excited after having a complete idea of ​​the operation.

Fortunately, the patient was not sent away. Maybe after the operation, I can talk to the patient.

However, because it is an innovative surgery, there is no mature surgical experience for reference, and the potential risks are also very large.

……

Working in the operating room until 20:[-] in the evening, Zhou Can finished the last emergency operation.

According to the usual work trajectory, when he leaves the operating room, he will go to the inpatient ward for rounds.Then have dinner, head to cardiothoracic surgery late into the night, and go home.

The business volume of cardiothoracic surgery has grown rapidly in the recent period, and we often receive some difficult cases and patients with difficult operations.There are many problems that require the concerted efforts of the chief physicians of the department to tackle the problem.

Zhou Can is the leader of this attacking team.

Regardless of surgical ability or diagnostic ability, he is very good.

Take yesterday's cardiac stent operation, no one in the entire department could complete it.

Zhou Canleng was able to successfully complete the operation by virtue of his perseverance and strength, as well as his talent for interventional surgery.

"Teacher, I met a patient with aortic dissection today, and the dissection tear zone was very long. I thought of a surgical plan that I had never tried before. Can I discuss it with you?"

Zhou Can stopped Dr. Xu who took off his mask and was about to go home from get off work.

Since he returned to the emergency department and officially became a resident physician, Dr. Xu's work has become significantly easier.

A lot of work was undertaken by Zhou Can.

For example, as long as Zhou Can did the ward rounds, Dr. Xu didn't need to worry about it at all.

Those potential risks before and after surgery can be checked out by Zhou Can in time, and should be dealt with.Those who are beyond the scope of ability will bother Dr. Xu and report to him.

As for performing operations in the operating room, Zhou Canding has several attending physicians.

Even higher than the level of the deputy chief physician.

Now even if it is a tertiary operation, as long as Zhou Can has done it several times and the patient has no major underlying diseases, Dr. Xu basically does not enter Zhou Can's operating room.The whole process was hosted by Zhou Can.

These trusts are based on Zhou Can's long-term stability.

Whether it's ward rounds, surgery, or diagnosis, he has never disappointed Dr. Xu.

It is not easy to do this.

It requires a high sense of responsibility, and treats every patient carefully and seriously.

"Let's talk in the living room!"

Dr. Xu called Zhou Can into the waiting room of the operating room.

We usually discuss intraoperative issues here.

In the lounge, Zhou Can first briefly introduced the patient's situation.Then he talked about the surgical plan he had conceived.

Dr. Xu just listened silently.

After he finished speaking, he was silent for seven or eight minutes before Dr. Xu said meaningfully, "You are very similar to me back then. In order to treat patients, we can do our best and die. We can take great risks to Challenging all kinds of surgeries, just to cure patients. It’s just that the world doesn’t seem so fair, and good people don’t necessarily get rewarded. Of course, I say this, not to discourage your enthusiasm for surgery.”

"A few years ago, I was also full of confidence and enthusiasm for the operation in which I had an accident. In order to be able to solve the patient's problem, I checked a lot of information and practiced countless times in private. Later, even during the operation Because the speed of the knife was too fast, the hand was faster than the brain, which cut the patient's nerve. But I still insisted on finishing the operation. It is also because I gritted my teeth and helped the patient remove the lesion, which made the patient With such a long lifespan.”

From Dr. Xu's words, it's not difficult to hear that when he performed half of the operation on the patient, he severed a certain important nerve of the patient during the operation because the knife was too fast.

At that time, he already knew that he had caused a catastrophe.

If it were an ordinary doctor, he might have a mental breakdown at this time and give up the operation.

Especially knowing that the status of the patient is extremely noble, the psychological pressure will only be greater.

Not to mention, even in the period of the Republic of China, some powerful Chinese medicine practitioners were also cautious when treating famous patients.

In case something happens, the patient can turn his face if he says he can.

In front of those powerful figures, doctors are actually on the weak side.

Dr. Xu knew something was wrong, but he still gritted his teeth and finished the operation, and tried his best to help the patient remove the lesion.

This is a doctor's sense of responsibility, and it is even more responsible.

Zhou Can's anastomosis has now been promoted to level six, and he may have the ability to solve Dr. Xu's medical accident back then.

Usually it is not good to ask Dr. Xu face to face.

Now that we talked about this topic, he immediately asked, "Teacher, can you tell me about the patient's condition and the specific part where the wrong cut was made?"

Asking this matter is equivalent to uncovering Dr. Xu's scars.

He was somewhat apprehensive.

Usually, Dr. Xu is an unusually serious person who almost never smiles.

Zhou Can was very worried that he would suddenly turn his back on him and scold Zhou Can.

"Why are you asking this?"

Dr. Xu stared at him, his eyes were a little creepy, but there was no sign of anger.

"I... I'm just curious." Zhou Can wanted to tell the truth and told Dr. Xu that he wanted to help Dr. Xu get rid of the shackles on his body.

Because he is not sure at all now, he dare not make any promises prematurely.

He didn't even dare to say words that could bring hope to Dr. Xu.

The cruelest thing in the world is to give others hope, and then extinguish that hope with your own hands.

Dr. Xu has been carrying the shackles for so many years, and he must be extremely eager to get rid of the shackles on his body one day and become a normal person.

Over the years, he has been trying his best to improve his surgical skills and improve the defects in the surgery.

Isn't the purpose of coming back one day?

People who have successfully climbed to the top, accidentally fell from the top to the bottom.They want to get back to the top more than anyone.

As long as Dr. Xu is given a chance to come back, I believe that he has been "sharpening his knife" for many years, and he will definitely show a stronger surgical ability than before.

"It's better for you not to worry about this matter. As I said, that patient's status is very special. If you want to help me, it is more likely that you will be involved, understand?"

Dr. Xu is an old man, so why can't he see Zhou Can's true intentions?

It's just that he didn't want to implicate his apprentice.

"Teacher, I have been studying and working with you for several years, right? Do you think I usually do things prudently?"

"Well, quite stable. Especially after studying with Lao Hu, I have more or less Lao Hu's style of doing things."

Doctor Xu nodded.

The old Hu he was talking about was naturally the deceased Director Hu Kan of the Department of Cardiothoracic Surgery.

"Don't worry, I won't take risks easily if I'm not sure. I believe that only you know the patient's condition best. Even if you tell me, the benefits outweigh the risks. I can learn from it. Say Maybe I will be capable enough in the future, and I may not be able to think of a solution. If you don’t tell me, I will definitely ask others, but the situation I get may be biased.”

Zhou Can seized the opportunity today, persevered, and determined to ask clearly.

After his strength improved, Zhou Can's confidence in this matter was obviously much stronger.

"Hey! It's all old stuff. Since you want to ask, then I'll tell you! But before you speak, don't try to take any risks."

Dr. Xu sighed with a complicated expression.

He really likes this apprentice from the bottom of his heart.

In addition to his excellent surgical talent, Zhou Can knows how to be grateful and respects teachers, which is also an important reason why Dr. Xu loves him so much.

No one wants to raise a white wolf.

"That patient was found to have multiple tumors in his body back then, and it was a tumor that made surgeons turn pale, and it grew near an important nerve, and the two were almost next to each other. At that time, whether it was nonsense or Wu Baihe, or the retired top surgeons, without exception, did not dare to accept this operation. But because the patient's wife was kneeling in the general surgery office with a young baby in her arms, I felt The orphans and widows are very pitiful, so they decided to take the risk of this operation."

Dr. Xu recalled the past with a reminiscence look in his eyes.

"To borrow a sentence from the Internet, I am obviously not doing well, but I can't see the suffering in this world. I was young and frivolous at that time, and it was the peak moment of my career. , I have been there. In one issue, the picture of me operating on a patient became the cover of a magazine. At that time, the comprehensive surgery of Tuya Hospital was almost the top existence in the industry. At least I thought so at the time. Later Only then did I realize that it was just me watching the sky from a well.”

Everyone has a time when they are young and frivolous.

Dr. Xu was very young more than ten years ago, in his golden age of 40.

At that time, he made many great achievements, even created the world record for the fastest operation time, and was in charge of Tuya's top comprehensive surgery room, with an elite team under him.

One can imagine how high-spirited he is.

No one expected that seeing his house built a tall building, saw his house collapsed.

Overnight, because of a medical accident, Dr. Xu directly fell from the altar and was eclipsed.

Even the general surgery department of Tuya Hospital was directly disbanded.

Back then, the doctors and nurses in this department, especially the doctors and nurses who participated in the operation with Dr. Xu, either changed careers, or, like Dr. Xu, kept their names and lived in some small hospitals or bad departments.

It can be said to be very miserable.

"The patient's malignant tumor was at this location. After medical examination, no obvious signs of nerve infiltration were found. I read the films repeatedly, checked the pathology report, and looked through the materials. I felt that as long as the tumor was cut clean, the patient could be saved. Of course, Because the tumor and the nerve are next to each other, if you want to cut it clean, you must cut off all the tissues on the surface of the nerve. The difficulty of this separation is still the ceiling in the field of surgery. No doctor would dare to challenge such an operation."

More than ten years have passed, and this kind of surgery is still the ceiling of the industry. It can be seen how good Dr. Xu was back then.

Who would have thought that such a great surgeon is now just an attending doctor in the emergency department?

Zhou Can's heart was surging.

It turns out that among Tuya's three famous surgical knives, Dr. Xu is the best one.

"At that time, because of my fast operation speed, especially when I cut some lesions that others dare not cut, I dared to cut, and the knife was as fast as lightning, full of magic. Therefore, some people secretly called me the magic knife Xu Chen. "

When Dr. Xu talked about the scenery back then, there was a gleam of brilliance in his eyes.

"Xiao Zhou, you have to remember that although the fast knife has a major defect that the hand is faster than the brain, it is not easy to control, but its benefits are also very obvious. Not only is the operation speed fast, but sometimes it has the effect of cutting the mess with the fast knife. Whether it is the steady knife method , or precise knife skills, can't solve the lesions, but my quick knife can easily catch them. I have always insisted that you focus on quick knives, not entirely out of selfishness, but because of the incomparable advantages of quick knives. "

Zhou Can deeply believed in this point of view.

And as his surgical ability became stronger and stronger, his understanding of fast and steady knife techniques became more profound.

He has never practiced or studied the precise knife technique, so he doesn't understand it.

As for the steady knife technique, he has reached a relatively high level now, so he has a certain right to speak.

Its biggest advantage is smoothness and stability.

To put it bluntly, it is equivalent to adding multiple insurances to the scalpel.This in itself is a kind of bondage to the scalpel.

The quick knife method is full of magic, but it can solve things better in actual combat.

"Continue to talk about the patient's situation! I cut off his tumor, but unfortunately an important nerve was cut, causing him to be paralyzed and unable to take care of himself. However, this patient's family is extremely superior and has the right to Powerful, the medical treatment he enjoys is far beyond imagination. He receives the best physiotherapy, massage, assisted exercise, and nutritional support every day. So he is in very good condition."

It is conceivable that even if the patient's important nerves are damaged and the body is paralyzed, apart from being unable to take care of himself, he should not suffer much.

Being powerful is cool.

This has been the case since ancient times.

The life enjoyed by the powerful class is beyond the imagination of ordinary people.

Nerve cells are the only non-renewable cells in the body.

After being cut off, it is a disaster for the patient.

No matter how rich or powerful, it is difficult to recover.

Dr. Xu's fate is a lesson for the past. I believe that no doctor would dare to take any risks to treat this patient.

(End of this chapter)