My medical skills add experience

Chapter 507 The Nerve Center Is Still a Forbidden Zone, Terrifying Live Streaming Effect
After listening to the patient's situation, Zhou Can fell silent.

Just like what he thought, the patient had indeed injured a nerve during the operation.

There are not many nerves that can cause paralysis of patients, mainly in the cervical spine and spine.In addition, there is no need to talk about the nerve center of the head.

Injury to the nerve center, not to mention paralysis, may directly lead to the death of the patient.

It can be called a ceiling surgery in this field, Zhou Can secretly guessed that the cervical spine and even the nerve center of the brainstem were accidentally injured.

"Teacher, where is the tumor in that patient?"

"head!"

Dr. Xu only answered two words.

Compared with the level of surgical risk, there is a most direct criterion for judging.The higher you go, the greater the risk.

The surgical risk of the head is higher than that of the neck, and the risk of the neck is higher than that of the spine.

For all operations involving nerves, the original functions of the nerves and spinal cord should be preserved as much as possible.Otherwise, the patient is paralyzed or disabled, and the significance of the operation will be greatly reduced.

Including endoscopic surgery and minimally invasive surgery, which are particularly popular now, all need to abide by this principle.

The purpose is to preserve the original functions of the nerves and spinal cord, and the small incision can only be regarded as increasing the surgical requirements.

If an operation destroys the patient's nerves, no matter how small the wound is, it doesn't matter.

Unexpectedly, the nerve that was accidentally injured by that patient was in the head.

Reminiscent of what Dr. Xu said was maternal tumor.

The only thing Zhou Can could think of was neuroblastoma.

Of course, other malignancies are also possible.as big as World, nothing is nonexistent.

All kinds of strange diseases emerged one after another.

In particular, the excessive use of pesticides in modern planting has resulted in excessive pesticide residues in many foods.In addition, some chemicals pollute the environment, as well as nuclear radiation, etc., which have caused a high incidence of various rare malignant diseases.

If the patient's operation site is on the spine, perhaps he can try to repair it with his current ability.

Unexpectedly, it was in the head, which was far beyond his surgical ability.

At least he needs to wait until his multiple surgical skills have been promoted to level seven or above before he may try to repair the intracranial nerve center.

"Okay, I'm basically done talking about my old stories. Let's talk about your surgical innovation! I think your surgical thinking and surgical plan are very feasible. But this patient named Chen Zhongzhi is not ordinary. People, in case something happens, the signed informed consent form for surgery is like waste paper. I suggest that you must be very cautious. Even if you want to take risks, it is not on such patients with special identities. You can wait until you meet ordinary people in the future. It will be implemented when there are similar symptoms."

Dr Hsu thinks the risk is too great.

He has experienced many things.

Don't want to watch your lover take any excessive risks.

"Teacher, I understand what you said. But I still want to talk to the patient first to see his attitude before deciding whether to perform this operation for him. If it doesn't work, I can also tell him the operation plan. Let him find a doctor with this ability to operate on him."

Zhou Can believes that with the power of the patient, it is not difficult to find a good heart surgeon to operate on him.

Although there is no real hired medical team in China, there are still many doctors and nurses who are willing to do some private work as long as the patients can afford it.

In addition, private medical teams are not new in Hong Kong.

Many of those wealthy people have dedicated medical consultants or private medical teams.

For example, the former richest man has multiple private medical teams serving him.Including providing scientific and reasonable nutritional intake management, vaccination, disease prevention, disease treatment, physical health care, life extension and anti-aging, etc.

Of course, raising such a medical team is a very expensive thing.

The top doctors in the industry basically start with an annual salary of 500 million.The price of top nurses is a little cheaper, but it will not be less than 200 million.

Even if his private medical team only has four or five people, that is an extremely astonishing expenditure.

This man named Chen Zhongzhi did not have a private medical team. Although he traveled with two bodyguards, it gave the impression that he was not at the level of the richest man.

Dr. Xu was very persistent when he saw Zhou Can, and he knew he couldn't persuade him.

I had to remind him, "The operation to deal with this kind of aortic dissection is already a fourth-level major operation. I am not qualified to participate in the fourth-level operation at all, let alone preside over it. Your current identity is only a resident doctor. According to the regulations, even second-level surgeries are only qualified to participate in, not preside over. If you really want to do this surgery, you must first ask whether there is a chief physician in the Department of Cardiothoracic Surgery who is willing to take the risk.”

"Okay, I'll take everything into consideration."

Zhou Can nodded.

After coming out of the operating room, he saw the patient sitting on the bench in the corridor waiting again.

This guy is really punctual.

"Doctor Zhou, do you have time to talk now?"

The man stood up and greeted Zhou Can.

"Go, go to the doctor's office!"

Zhou Can took the man to the doctor's office, and the two bodyguards kept guard at a distance of more than ten meters behind him, protecting the man's personal safety.

The man should have explained to them, so he didn't have close protection.

"Mr. Chen, please sit down!"

After asking the other party to sit down, Zhou Can took out the patient's information bag.

"I have seen the films and examination reports. If you think the risk of replacing the aorta is too high, there is a more complicated surgical plan worth trying. However, no one has tried this surgical plan, and there are many uncertainties in it. risk. I can explain it to you first.”

Zhou Can didn't hide anything.

It is best to tell the truth when talking with such a person of relatively high status.

"Oh, please tell me!"

The man was overjoyed when he heard that Zhou Can had an operation plan that did not require aortic replacement so quickly.

There was also an involuntary look of joy on his face.

Zhou Can didn't hesitate, and explained the idea of ​​the operation in a graphical way.

It wouldn't be an exaggeration to say that this surgical plan was particularly complicated.

Compared with the simple and crude replacement of the aorta, it must be quite complicated.

After listening to Zhou Can's introduction to the entire operation plan, the man did not express his opinion immediately.

But fell into thinking.

"Can you tell me the pros and cons of doing this?"

After a long time, the man raised his head and looked at Zhou Can.

"The advantage is that there is no need to stop the heart, and you don't have to worry about paraplegia and organ failure caused by ischemia. The surgical wound is much smaller than that of replacing the entire aorta. What's more, your aorta basically doesn't need to be moved. When the bridge is built, just place a custom-made long stent directly. The disadvantage is that the operation is relatively complicated, and no one has ever tried it. At least as far as I know, no doctor has tried this operation plan. There are many uncertainties factor."

After thinking for a while, Zhou Can continued, "Also, only one artificial blood vessel is needed for aortic replacement surgery. And this one, because of the need for a bridge, builds a main blood vessel from the end of the aorta, and then has at least five branch blood vessels respectively. fits into these five positions."

Artificial blood vessels are foreign bodies after all.

Although the current manufacturing process and materials are very good, risks must exist.

If it is used for a long time, it breaks and breaks, it will be a disaster.

In addition, although the rejection reaction of the artificial blood vessel is very small, no matter how high the level of the doctor's operation is and how perfect the anastomosis is, it is impossible to make it grow together with the blood vessel of the human body.

It didn't work for long.

If human blood vessels are used to bridge, this problem does not exist.

As long as the operation is successful, the blood vessels can come alive.

And artificial blood vessels, because they have no life, will always be dead things.

The difference between the two is quite large.

This is why when doing some large aortic repair operations, doctors try not to replace artificial blood vessels as much as possible, but spend more effort to take the great saphenous vein from the leg for blood vessel repair.

Because the own blood vessels are much better than artificial blood vessels in terms of rejection and long-term stability.

Of course, in theory, the lifespan of artificial blood vessels far exceeds the lifespan of humans.

Basically, there is no need to worry that the person is still alive, and the blood vessels are already aging.

"The operation plan given by Dr. Zhou is very special and innovative. I think it is worth taking some risks. When can I be arranged for this operation?"

After careful consideration, the man was very interested in Zhou Can's operation plan.

I already had a strong will in my heart to do this surgery.

For doctors, only the corresponding treatment recommendations can be given to patients.As for how the patient chooses, that is the patient's right.

"Because this is a level four major surgery, I have to discuss it with the chief physicians of the cardiothoracic surgery department of our hospital before I can give you an answer. If possible, you can also find a doctor who can perform this kind of surgery in Modu. Basically If you can do traditional aortic replacement surgery, you have the ability to do this surgery.”

Zhou Can is tactfully pushing the patient out.

It's not considered defensive medicine, but it's just because it belongs to level [-] surgery, which is beyond his ability.

If you want to do it, you must find Director Xue or Director Le.

It's okay for Zhou Can to take some risks himself.But because his level is not enough, he is not qualified to take this risk.

The final risk must be borne by the doctor who presides over the operation.

Not everyone is willing to take on this responsibility.

It is a better way to let the patients return to the magic city for local treatment.

"No, no, I'll do it here. Otherwise, you can go and ask the chief physicians of the cardiothoracic surgery department first. I'll wait for your news."

The man insisted on being treated at Tuya Hospital.

It is estimated that it was somewhat affected by yesterday's live broadcast.In his mind, Tuya Hospital is stronger than other hospitals in the field of cardiothoracic surgery.

After reaching a certain level, many people tend to become 'stubborn'.

Because they are used to all kinds of unspoken rules and routines.

Therefore, I am more willing to trust my own judgment based on actual observation.

"Thank you for your trust in our hospital, let me go and ask for you first!"

"I'll go with you to save you from running back and forth! Don't worry, I'll sit outside and wait for you when you ask, and I won't follow you into the office."

The man was able to make some considerations for Zhou Can, which also made Zhou Can have a good impression of this man.

Zhou Can could only put aside the ward rounds and dinner.

Ask the patient about the situation.

"Chan!"

A call came.

Zhou Can turned his head to look, and Su Qianqian was standing not far away with a thermos bucket.This is bringing him dinner.

"Sorry, my girlfriend brought me dinner. I'll pick it up first."

After explaining something to the patient, Zhou Can walked over quickly.

"I have a patient on hand now, and I need to discuss with the superior doctor whether I can be admitted to the hospital. How about you give me the lunch box, and I will eat it after I am done with work. You and Wei Fang go back first!"

Zhou Can noticed that the way Su Qianqian looked at him today seemed to be so flattering that water dripped out.

Her kidney disease was finally cured, and the two could get married. I believe she must be looking forward to marriage.Now she gets along with him as Zhou Can's fiancée.

The mentality has somewhat changed.

There is a huge difference between a girlfriend and a wife.

"Then you can't forget about eating when you get busy! I'll go first, bye! Be careful when you go home at night!"

She is different from those pestering little girls.

On such occasions, she would never interfere with Zhou Can's normal work, let alone pester Zhou Can endlessly.

It is a great experience to have a wife who understands the general situation.

A scholar who specializes in the study of society made a very interesting summary.People at the bottom look for mates in order to carry on the family line.Middle-level people look for partners in order to support each other and become stronger together.People in the upper class pay attention to being well-matched when looking for a partner, at least with matching abilities, they can become comrades-in-arms.

Zhou Can and Su Qianqian should be between the middle class and the upper class.

Undoubtedly, he is happy and lucky.

"Mr. Chen, let's go!"

After Zhou Can watched Su Qianqian leave, he called the patient to the cardiothoracic surgery department.

"I was planning to treat you to dinner at first, but it seems that it will be the next time. You have a girlfriend who loves you very much, and she is very good in every way, which is quite enviable." Chen Zhongzhi talked to him very frankly and very frankly.

Especially after Zhou Can came up with a brand new surgical plan, Chen Zhongzhi's attitude towards him became much more friendly.

It can be felt that the patient's trust in him has increased significantly.

"Hehe, my girlfriend treats me really well. But you don't have to envy me. I believe your wife must be better."

Zhou Can is really not flattering the other party.

For rich and powerful people, finding a wife is very easy.

There are plenty of women willing to marry them.

This also gives them room to choose.It is not uncommon to choose one in a thousand.When many successful people are looking for a marriage partner, they choose one in a million.

"I divorced my ex-wife a long time ago. Forget it, don't talk about those unhappy things."

The patient revealed something, then waved his hand, and did not continue this topic.

Coming to cardiothoracic surgery, Zhou Can's luck is not bad.

Director Xueyan, Director Le and others did not leave work, but discussed several difficult cases in the conference room.

Seeing Zhou Can's arrival, Director Xueyan said in surprise, "Brother Zhou Can came very early today! This is because you know that we have received a lot of difficult cases here, so you came here early to help?"

"Doctor Zhou, you don't know. You became famous last night, and our cardiothoracic surgery clinic was almost overwhelmed. Yesterday's live broadcast had too much influence."

Director Le also followed suit.

"He still has a lunch box in his hand, and it looks heavy. I guess he hasn't eaten yet." Deputy Director He observed very carefully.

"Well... I really didn't know that the cardiothoracic surgery department is so busy. I came here to cause trouble for you. There is a patient with aortic dissection who came all the way from Shanghai to find me..."

Zhou Can embarrassedly explained the reason for his visit.

He really didn't expect that the cardiothoracic surgery department would be overwhelmed.

The influence of the live broadcast is really terrifying.

The stamina of yesterday's live broadcast is still fermenting.There must be more than this wave of patients brought in.

If Tuya Cardiothoracic Surgery can grasp this important meeting, hold on.

I am afraid that for a long time, he will become the 'big brother' in the field of cardiothoracic surgery.The influence brought by the reputation of the top department in the head will be extremely far-reaching.The number of patients seeking treatment will also increase.

(End of this chapter)