My medical skills add experience

Chapter 521 Convincing the anesthetist to reverse the sequence of operations
Feeling Zhou Can's firm eyes, Director Xiang was also touched.

Inviting Zhou Can to the office to discuss the patient's treatment plan has already taken down his face and taken an important step.

He doesn't want to give up halfway.

"You wait in my office, I will be able to find you quickly." Director Xiang put away Zhou Can's phone number, picked up the patient's information and left the office.

They took away the drawings that Zhou Can drew when explaining the operation plan just now.

In fact, it is just a simple drawing of a few pictures.

Not a professional surgeon, it's hard to understand.

Director Xiang must have consulted with the directors of other departments.After all, saving people is like putting out a fire, and time is running out.

Regardless of the final result, Zhou Can has more recognition for Director Xiang's character and character.

Being able to take the patient's life into consideration, run around for it, and work hard to unite various departments to treat patients together.This kind of heart is not something any doctor can have.

The vast majority of doctors are unwilling to pay so much for an irrelevant patient.

Because this has gone far beyond the scope of their own work.

……

The waiting time became extremely long, and Zhou Can knew very well that with every second that passed, Deputy Director Lu's situation would become more dangerous.

Finally, Zhou Can's cell phone rang.

It was an unfamiliar call, and based on my intuition, it was probably from Director Xiang.

connected.

"Doctor Zhou, I'm Director Xiang of the Provincial People's Hospital! Are you still in my office?"

"here I am!"

"I have consulted with experts from the extracerebral and thoracic departments, and introduced your treatment plan to them. In addition, I asked Section Chief Huang of our medical department for instructions.
.I didn't say that I disagreed, but I just asked you and your immediate family members to rush to the consultation room to have a chat. "

Director Xiang spent a lot of effort and finally persuaded the experts of the two departments, as well as the chief of the medical department.

This is already very big progress.

When the family members were brought over, they should be preparing to have a direct conversation with the family members.

Because the hospital has to take a huge risk to perform endoscopic surgery on the patient, it must be signed by the family members.Time is running out, so we should be ready to talk together.

"Okay, I'll bring my family over immediately."

Without any nonsense, Zhou Can immediately found Lu Fen, and there were already nurses from the intensive care department waiting for them.

Take the two of them directly to the consultation room outside the brain.

For Deputy Director Lu's operation, the most difficult operation must be intracranial hemostasis.

Even just drilling a skull can be very dangerous.For such an injured person whose vitality is already very fragile, the skull drilling can easily cause a series of problems.The fire of life may be extinguished at any time.

When he came to the consultation room, Zhou Can found that there were already eight or nine people sitting in it.

"Let me introduce you. This is Dr. Zhou Can from Tuya. He is young and promising with a high level."

Director Xiang spoke highly of Zhou Can.

"Doctor Zhou, this is Chief Huang of the Medical Department of our hospital."

The middle-aged man sitting on the main seat, with big ears and powerful eyes, looks like an administrative leader.

"Hello, Section Chief Huang!"

Zhou Can greeted each other with a very humble attitude.

"Hello! Welcome to our People's Hospital."

Section Chief Huang nodded and responded lightly.

"This is Director Gouqiong from the Department of Thoracic Surgery. This is Director Wu Yongming from the Department of Brain Surgery. This is Director Mingxin from the Department of Anesthesiology. He is also my senior and mentor."

Xiang Fei successively introduced three other main characters.

As for other doctors and nurses, they are basically students or medical assistants of these people.

Zhou Can greeted these people one by one.

The chief physician of the anesthesiology department is a female doctor in her 50s, with a very outstanding temperament, and she is not at all depressed due to her age.From her eyes and face, what can be seen is the vigor of constantly forging ahead.

Zhou Can couldn't help being amazed by this.

A person's energy and spirit also reveals a person's living state, physical condition, and learning state.

After the age of 50, adults can basically be divided into two types, one is successful in career and enjoying life.Play mahjong, go fishing, or drink with friends, or travel around the world, etc.The other is that there is no achievement in career, and you still need to work hard to make a living.

These two types of people account for the majority.

Especially the latter.

There is also a special kind of people, no matter whether they are successful in their careers or not, they always insist on learning and keep making progress.

In fact, those who can live to the old age and learn from old age, their careers are not so bad no matter how bad they are.

Unless luck is really bad, that can't be helped.

Doctors are a special profession. Because of the continuous advancement of science and technology, medical science and technology are also updated very rapidly. Many surgical methods 20 years ago have basically been eliminated, or after combining with modern technology, there are better optimized solutions.

The same goes for medication.

This requires doctors to keep learning and keep pace with the times.

Otherwise, using the technology 20 years ago to treat diseases and save lives will cause great loss and harm to patients.

In the past, the mortality rate of cardiovascular disease was extremely high, and the prognosis was extremely poor.Now combined with technologies such as intervention, stents, new drugs, and advanced instruments, the mortality rate can already be controlled at a very low level.

For example, the aortic dissection operation in which Zhou Can became famous in the first battle, in the past, the dissection wall had already begun to ooze blood, and the patient was basically hopeless.

However, he has solved the hidden dangers of patients with modern interventional technology, vascular stents, and artificial blood vessels.

Although most doctors are constantly learning, because of their busy work and the older they get, the more family affairs they have.Then adults definitely need to enjoy it.

It is conceivable that the amount of this learning must be very limited.

Director Ming Xin of the Department of Anesthesiology, over fifty years old, is still able to maintain the vigor of young people, which is really amazing.

It can also be deduced that the level of anesthesia of this person must be extremely high.

What's more interesting is that she is also the mentor of Director Xiang Fei.

Judging by her age, she should be a few years older than Xiang Fei.It is his senior and mentor, this kind of thing is quite rare.

In the Tuya Hospital where Zhou Can works, many people are his seniors.

To put it a bit arrogantly, even if he is ten years older than him, there are very few people who can teach him.

Even if Director Xiang Fei wasn't as defiant as Zhou Can when he was young, he certainly wasn't far behind.After all, they have the reputation of 'King of Hades'.

There are no worthless people under the prestigious name, it is by no means just talk.

"I have long heard that Tuya Hospital has many outstanding young doctors. The surgical treatment plan Dr. Zhou formulated for 13-bed patients is indeed feasible."

The speaker was Director Wu Yongming of the Department of Neurosurgery.

Zhou Can proposed to drill holes in the patient's head and use endoscopic surgery to repair blood vessels. This treatment plan has been implemented many times in the Neurosurgery Department of Tuya Hospital.Few fail.

It is a new technology that has been verified many times.

Moreover, Wu Baihe from Shenwai and many doctors in the department continued to improve and optimize this technology after further research, and the current technology is very mature.

However, the Provincial People's Hospital seems to be far behind in the application of this new technology.

In the application of endoscopic technology, many hospitals are still in the initial stage of focusing on the detection of lesions.Even if I try to do some endoscopic surgery, it is a very common appendix surgery.

Many hospitals have not been involved in some technically difficult and risky endoscopic surgery projects.

There are many reasons for this phenomenon.

First of all, talents in endoscopic surgery are extremely scarce. This refers to the extreme scarcity of doctors who are good at endoscopic surgery.Rather than manipulating the endoscope casually to stop bleeding in the patient's abdominal cavity and cut a tumor.

Secondly, the time for endoscopic surgery to be introduced into China is still short, and there are many technical blockades against our country by foreign countries.

Not only the operation technology, but also the technical blockade of advanced instruments, drugs, in vivo consumables and many other aspects.

To put it bluntly, many human body replacement materials are surprisingly poor in domestic production.

Imported materials have many advantages, and the only disadvantage may be that they are expensive.

Don't look at people who often call for overtaking on curves, overtaking on curves, some precision instruments, high-end consumables, they have decades, hundreds of years of technology accumulation and precipitation.You said that you want to surpass others in ten or twenty years, maybe not?
In many fields, our country's medical devices and drugs have a technical gap with others.

Only a difference of ten years is considered good.

In some respects, technology is at least 30 years behind.It is not easy to talk too much, and it is not easy to develop step by step from poor and white to today.

It can only be said that if we continue to develop like this, the gap will become smaller and smaller, and there is still hope for us to overtake the opponent in the end.

But it takes time.

Finally, endoscopic surgery is difficult to develop rapidly in China, and it is blooming everywhere, which is also related to the harsh medical environment.

The doctor-patient relationship is too tense, and doctors generally seek stability when formulating treatment plans.

Few dared to take the risk.

Even if the doctor is willing to take risks and is technically confident, he still needs to seek the consent of the family members.If it is an innovative technology, it also needs the approval of the leadership of the institute.The program is quite complicated, and many difficulties are enough to make people daunting.

In addition, for example, the emergence of Da Vinci robots has also made many young doctors reluctant to practice the basic skills of surgery.

After two or 30 years of hard training, I finally reached a certain level.

God knows if it was already dominated by robotic surgery at that time?

Compared with humans, robots have many advantages in the field of surgery.

At present, if it is not expensive to start up, I am afraid that it has been widely used long ago.

"I also support the laparoscopic surgery plan proposed by Dr. Zhou."

Director Gou Qiong of the Department of Thoracic Surgery also spoke out in support of Zhou Can's treatment plan.

Both experts supported his plan, and there was probably something to it.

Zhou Can couldn't help but feel secretly happy.

"Although the surgical plan is feasible, the patient's current condition is very bad, and it may be difficult for him to withstand thoracoabdominal and cranial cavity surgery. Even if the trauma of endoscopic surgery is small, it is still difficult for this patient to bear."

Director Ming Xin of the anesthesiology department rejected Zhou Can's operation plan with one sentence.

If the surgical plan given by the doctor cannot pass the level of the anesthesiologist, it can only be aborted.

"The most dangerous thing for the patient at present is intracranial hemorrhage, which has already caused the intracranial pressure to be too high, and the blood supply to the brain has also been affected by the hemorrhage. This should be the main cause of the patient's coma. Without surgery, the patient may be very Can't make it through tonight. Maybe not even six hours."

What Zhou Can said was by no means alarmist.

It is a comprehensive judgment based on his experience in diagnosis and treatment and the actual situation of Deputy Director Lu.

"I agree with Dr. Zhou's point of view. The patient's coma was indeed caused by intracranial hemorrhage. Even with all kinds of life support, it is still difficult for him to survive for six hours, and the possibility of self-stop bleeding is even slimmer."

Director Wu Yongming, who is out of his head, no matter how you hear this, it sounds like you are turning your elbows outward.

It's just that medical discussions don't divide camps, only truth.

What Zhou Can said was reasonable, so he naturally wanted to support it.

"Even if this is the case, what's the point of doing surgery if the patient can't get off the operating table? Will the patient's life be ended early?"

Director Ming Xin's words were extremely sharp.

"Of course not. I think the abdominal surgery can be done first, and the ruptured spleen and possibly damaged pancreas can be dealt with first. If the damage to the left kidney is serious, we can also deal with it together. If there is a problem with the pancreas, it will cause major hidden dangers to the body. and interference. Moreover, the longer the course of the disease takes place, the worse the reversibility. Performing laparoscopic surgery first can stabilize the patient's blood pressure, breathing and other signs above the surgical standard line. Then do cranial endoscopic surgery, the risk can be reduced Greatly reduced..."

Zhou Can talked eloquently. Before coming, he obviously had already planned the operation plan in his mind.

After listening to his statement, Director Mingxin fell into deep thought.

Gouqiong, Wu Yongming, and Xiang Fei cast complex gazes of amazement and admiration at Zhou Can.

This kid is simply a surgical genius.

Instead of dealing with the most dangerous intracranial hemorrhage and effusion first, perform laparoscopic surgery that is not immediately life-threatening.This kind of surgical thinking is difficult to come up with without a deep concentration and a high position to see the overall situation.

At least everyone present here didn't think about it.

They either think about doing intracranial surgery first, or they think about doing two surgeries at the same time.

It's like a pot of oil is on fire.There is a basin of water next to it, and some wooden boards.

The thinking of ordinary people must be to pick up water and pour it into the pot.

But Zhou Can's idea was to put the wooden boards together first, then cover the pot and extinguish the fire.

Needless to say, splashing it with water will definitely not work.

It will only cause the fire to grow rapidly. It seems a bit 'stupid' to put the wooden boards together, but in the end it can extinguish the fire and avoid the occurrence of the fire.

It's easy to say, but when encountering such a thing, most people will pour water into the pot with water.

"I have to admit that the surgical plan you mentioned seems risky, but it is indeed feasible. As long as the operation is done properly, the patient may indeed be rescued." After thinking for a while, Director Ming Xin approved Zhou Can's surgical idea and plan.

So far, the anesthesiologist has also done it.

"Thank you for your approval. Thank you for your willingness to take the risk to rescue this patient. She is the family member and the only daughter of the patient. She can make the decision and sign the operation plan with full authority."

Zhou Can looked at Lu Fen beside him.

In the consultation room, Lu Fen felt very uncomfortable being overwhelmed by so many chief doctors and medical chiefs.

After all, she is just a female student at school.

"Dr. Zhou is the person my father trusts the most. I trust him. I completely agree with the surgical plan discussed by the doctors." Lu Fen stated directly.After finishing speaking, she stood up and bowed to Zhou Can and the doctors present.

"They all agreed, but I haven't agreed yet! Give me a reason for agreeing, otherwise, I don't agree to take this risk." Chief Huang of the medical department stood up and objected at this juncture.

Zhou Can was a little dumbfounded.

(End of this chapter)