My medical skills add experience

Chapter 508 Old Scalper, Save the God of Wealth
"With such a long aortic dissection, there is no way to solve it without aortic replacement?"

Director Le really couldn't think of any other way.

"My operation plan can not replace the aorta."

Zhou Can said confidently.

"How are you going to operate on the patient?"

Director Xueyan asked with great interest.

Since her divorce, she seems to have put all her thoughts on her career.For all kinds of difficult operations and difficult cases, it is now close to the level of obsession.

"I'll draw it for everyone, and use collective wisdom to see if this surgical plan is feasible?"

Zhou Can drew pictures while explaining the operation plan.

Everyone is an expert in the field of cardiothoracic surgery, and at least a senior attending physician is eligible to sit in the conference room and participate in this level of discussion.

Of course, Zhou Can is an exception.

As a resident doctor, he discussed difficult cases and surgical plans with the chief physicians, and he was completely detached.

After listening to his narration, none of the more than a dozen chief and deputy chief physicians said anything.

Everyone was shocked by his genius idea.

"As long as the operation is done properly and there are no mistakes in all aspects of connection, I think this surgical plan is safer than traditional aortic replacement surgery."

Deputy Director He is mainly good at thoracic surgery.

However, given his age and qualifications, he also has rich experience in cardiovascular replacement surgery.

"Zhou Can's innovative surgical plan is indeed very feasible. If it can be implemented successfully, it can provide reference experience for similar cases in the future."

Director Xueyan is also optimistic about Zhou Can's operation plan after careful consideration.

"Innovation means that there are many unknown variables. This patient has a special identity. I think it is better to be cautious."

Director Le has no objection to the operation plan.

Just considering the special status of the patient, the risks borne by the medical staff participating in the operation will be greatly increased.

Among these chief physicians, the youngest is already in his forties.

I've seen all kinds of chilling things.

For some potential risks, it is natural to be extremely cautious.

Safety first, in the eyes of doctors, there are two safety firsts.The safety of medical staff comes first, and the safety of patients comes first.

Many of those medical staff who really only put the lives of patients first and lacked their own protection ended in misery.

It is impossible not to get your shoes wet when you often walk by the river.

"Let me preside over this operation! Anyway, I don't have too many worries. If there is any problem, I can bear the worst result."

Director Xueyan took the initiative to stand up and expressed her willingness to preside over the operation out of various considerations.

She knows the risks better than anyone else.

"Director Xue is a banner of our cardiothoracic surgery department, and it cannot be down. I am in charge of the operation. I have not made much contribution to the cardiothoracic surgery these years. If this major innovative operation can be successful, it will definitely let us The prestige of cardiothoracic surgery has been raised to a higher level. The wax torch has turned into ashes and tears are dry. Please, Director Xue, give me a chance to dedicate myself to the department.”

The person who spoke was an old doctor who was nearly 60 years old.

Bald, wearing large black-rimmed glasses, with a rosaceous nose, he looks like an academic person.

There are quite a lot of directors and deputy chief physicians in the Department of Cardiothoracic Surgery.

However, there are not many excellent chief physicians in the field of surgery.

Pretty much any hospital.

Regardless of how strong that hospital is, when it comes to each department, there can't be too many doctors who perform beautiful operations.

This is determined by many factors.

It's like there are a lot of people who get a driver's license.However, there are very few people who have passed the test for aircraft flight certificates.

Because the cultivation cost of the latter is too high.

Cardiothoracic surgery Theoretically, every doctor has the opportunity to perform operations in the operating room.But this requires talent, but also a lot of practice opportunities.Even closing a chest cavity needs to be at least above the attending level to qualify.

It is conceivable that it is doomed to fail to train surgeons in batches.

Zhou Can took the lead in making troubles last time, protesting against the inaction of the security department of the hospital, and the personal safety of clinical doctors and nurses was not guaranteed.This kind of thing is black history in any unit.

The usual practice of the leaders is to find a way to get rid of the doctor who led the trouble soon after the situation subsides.

Either be marginalized, and let them resign automatically by means of exclusion and suppression.

Or find an excuse and transfer away directly.

But after Zhou Can made trouble, he was not punished in any way.

So far it's been fine.

It is because his surgical ability is extremely strong, and he is an extremely scarce high-level talent.In addition, the chief physicians and deputy chief physicians of various departments of the hospital have a good relationship with Zhou Can.

Zhou Can's foundation is already so deep that no hospital leader dares to touch him.

Don't look at Vice President Ye, Vice President Bai, President Zhu and others being kind to him.For a character of this level, the speed of turning faces is much faster than turning pages.

"Director Bu is willing to preside over this operation, I think it is worth considering."

Director Le was the first to agree.

Director Xueyan of the Department of Cardiothoracic Surgery is the banner of the department, the commander in chief, and there can be no mistakes.

The general surgery room back then was a lesson learned in blood.

A powerful department that is in full swing will be disbanded as soon as it is said to be disbanded.

Today, there is no shadow of the general surgery room in Tuya Hospital.

No one has suggested rebuilding this department.

"Director Xue is the commander-in-chief of our department. It is not suitable to be in danger. I also agree that Director Bu will preside over this operation." Deputy Director He also voiced his support.

"Please Director Xue complete it."

Director Bu is usually the kind who is unknown to the public.

Contributes silently to the department, but has no special strengths.People like him belong to the backbone of the department, not the backbone.

More like an old cow.

"Okay, thank you Director Bu and all colleagues for caring for me. As long as this innovative operation is successful, it will benefit our department and even the entire hospital. Therefore, we should not miss this opportunity. Director Bu, just You can come forward and have a talk with the patient now, and after the talk is settled, you can be directly admitted to the hospital, and go through the green channel to arrange surgery as soon as possible. For such a long aortic dissection, every hour of delay will increase the variables a lot."

Director Xueyan accepted everyone's kindness.

"Zhou Can, you eat first, and you can listen to the difficult cases we discussed. There are still many places that need your efforts."

She has always cared about Zhou Can.

"Row!"

Zhou Can sat in the back and began to eat quickly.

As a surgeon, sometimes there is no way to pay too much attention.It's nice to have time to eat.

For some ultra-difficult major operations, Chinese food and dinner are often eaten together, and it may be eaten in the middle of the night.

……

"Zhou Can, this patient's tissue adhesion is extremely serious, and he needs liver tumor resection. After we saw it, we all thought it was not sure. This person had already had surgery in another hospital, but after the doctor opened the abdominal cavity, he found that the tissue adhesion was particularly serious. There was no way to operate, so he was stitched up again in the end. Can you see if you are sure?"

After Zhou Can had finished eating, Director Xueyan asked him for help.

Sometimes, when doctors encounter such extreme situations during surgery, they have no choice but to re-sew the wound.

It's much better to be slapped in the face than to have an accident.

However, this kind of thing usually happens in small hospitals, and large hospitals will do various examinations before surgery.Then the technical ability is also much stronger, and such extreme cases are rarely encountered.

The current liver tumor patient is an extreme case.It was performed in a digital hospital in another province.

You know, digital hospitals are generally military hospitals.

Strength is undeniable.

Even a hospital of this level is forced to re-sew the patient's abdominal cavity and give up the operation. One can imagine how difficult the operation is.

"Is this patient admitted today?"

"Isn't that right! Your live broadcast last night probably had a lot of influence across the country. This liver tumor patient also flew here from another province."

Director Xueyan loves and fears these patients flocking in.

As the director of the department, she naturally hoped that the department's business volume would be as large as possible.But I was also afraid of encountering such an extremely difficult case. If I don’t have that ability, it is easy to break my teeth.

It is not so easy to be the "first brother" of cardiothoracic surgery.

It is estimated that more ultra-difficult cases will flood in in the future.

"What is the attitude of the patient and family?"

Zhou Can had seen some post-abdominal photos and films taken by the patient when he was eating.

It is estimated that the digital hospital was also worried about being criticized, so it took photos and recorded videos, which can be regarded as evidence.It can also be used for scientific research and teaching in the future.

"The patient has a strong desire to survive, and the attitude of the family members is not bad. At least when I contacted them, I didn't hear that they were going to a hospital to trouble me. Instead, I felt a little pessimistic after having a new understanding of my disease. despair."

"I dare not say that I am 100% sure, but I can give it a try. Based on my feeling, I should be more than [-]% sure."

Zhou Can's fast and steady sword skills are not practiced in vain.

Now his separation technique and incision technique have reached level six.

Facing this kind of extremely serious adhesion lesion, he also had some confidence.

"With such a high degree of certainty, then you can take this operation and try it. I will talk to the family members and patients later. If they are willing to take the risk, then try another abdominal cavity operation."

Director Xueyan knows Zhou Can's character very well.

Since he said he was [-]% sure, it meant he had a lot of confidence and it was totally worth taking the risk.

After all, it is difficult for this patient to find a second hospital willing to operate on him.

"The etiology of the other two cases is extremely difficult to find out. You are unique in this respect. Help the staff."

The Department of Cardiothoracic Surgery received a lot of difficult cases today.

"Okay, I'll go back to the emergency department to check the ward first, and then come here to deal with it."

Zhou Can really feels a bit out of control now.

Able people should do more work.

He is needed everywhere, and it is still the kind that cannot be shirked.

But this is also a good thing. Dealing with difficult cases is exactly what he yearns for.

After accumulating basic knowledge and general clinical experience to a certain extent, he already has the strength to tackle tough problems.

Whether it is diagnosing difficult cases or performing difficult operations, the speed of earning medical skill experience points is faster.

……

More than half an hour later, he returned to the cardiothoracic surgery department.

In the emergency department, an inpatient in the internal medicine department had a little accident, and the other patients were relatively stable.

Deputy Director Han Changqing has been asked to deal with it.

The head of internal medicine in the emergency department is currently Deputy Director Han.

However, Deputy Director Han is about to reach retirement age, and successor is a problem.The emergency department couldn't find a particularly good physician, let alone a director level, not even a deputy director level.

Naturally, Zhou Can would not worry about this matter, but Director Lou and Deputy Director Han would worry about it.

In the cardiothoracic surgery office, Zhou Can was looking at two difficult cases on the computer.

One is a patient transferred from the Provincial People's Hospital of this province.

Veteran cadres underwent left pneumonectomy and lymph node dissection for lung cancer at the Provincial People's Hospital.The operation went smoothly, but unexpectedly, on the second day after the operation, the patient developed shortness of breath, chest tightness, and dyspnea, accompanied by a cough, and the sputum spit out was white foam.The family members were worried that the patient would die in the Provincial People's Hospital, just in time to hear that Tuya Hospital showed its superb surgical capabilities in the live broadcast.

So through personal connections, the patient was quickly transferred from the Provincial People's Hospital.

Under normal circumstances, Tuya would find a way to reject such patients.Because everyone is obviously dying, and it is clear whoever accepts is unlucky.

What if I die in the hospital after receiving it?
If the family members file a lawsuit, they will definitely sue the two hospitals together.

Isn't this lying down and being shot?

But the veteran cadre itself is a magical existence.

As long as it can be saved, it is the absolute god of wealth for the department.

In addition, patients are retired cadres, and their personal connections are often very strong.There is always a way to find the senior management of Tuya Hospital, or some leaders of the competent department.Say hello and come in.

It is impossible for Director Xueyan to refuse.

However, when the patient comes in, he will definitely make an agreement with the acquaintance who greeted him. If something happens to the patient, then we can't sue our hospital!
Under normal circumstances, family members will also give some verbal promises.

Everyone is a person of status, and they rarely do foolish things.

As long as Tuya Hospital follows the normal procedures for diagnosis and treatment, even if the patient dies in the hospital, because the family members have made promises, there are generally few things like repentance.

Otherwise, the acquaintance introduced will be particularly embarrassed if there is a real disturbance.

It's not just a simple relationship that was broken.

There are so many people who are popular!

Zhou Can couldn't help sighing after reading this case.

In the past, when the Cardiothoracic Surgery Department of Tuya Hospital was unlucky, they begged other patients to see the doctor, but they would not come.

Well now, the patient is begging to come in.

He decided to go to the ward to see the patient himself.

Veteran cadres, that is a magical existence, they live in either separate wards, special needs wards, or intensive care units.

Their medical insurance system is also a separate system, and the settlement is very simple.

(End of this chapter)