My medical skills add experience

Chapter 522 Two medical assistants are not enough, just a cannon that doesn't sound
The medical department has great power.

Especially for such extremely high-risk operations, they generally need to be reported to the medical department for approval.If the leader doesn't nod, if something happens, it's the doctor's fault.

At least the doctor's department should take the blame and swallow the bitter pill.

Only when the leader nodded, the hospital could take the lead in dealing with the accident.

This is an industry rule.

Section Chief Huang didn't nod, which doctor would dare to perform this operation?No one dares to joke about their future and jobs.

"I don't know what kind of reason you want?"

Zhou Can looked up at Section Chief Huang.

It is not once or twice to deal with the leaders of the hospital at all levels. At this moment, Zhou Can seems very calm.Facing Section Chief Huang's official authority and strong aura, he is quite like an inconspicuous hill.

It is strong and it is strong, and the breeze blows the hills.

"Just need a reason to convince me! Just like you just convinced them!"

Section Chief Huang clearly intended to make things difficult for Zhou Can.

It's unclear what the idea was.

There are two official words, and the leader can say whatever he wants.

If Zhou Can wanted to save Vice President Lu, he had to convince Section Chief Huang.

Even if he knows that the other party is deliberately making things difficult, he can't have any confrontational emotions.

To convince the surgeon, it is only necessary to give a surgical plan and clarify the patient's etiology and condition.Convince the anesthetist that it is only necessary to ensure the safety of the patient during and after the operation.

Wanting to explain Section Chief Huang, the reason given, I'm afraid it can only be for the benefit of knowing, and moving with emotion.

"First of all, you and I are both medical workers. I believe that you must be like us, very much looking forward to the patient's life being saved. Furthermore, the successful rescue of such a high-falling victim who is almost fatal is a great contribution to the reputation of the Provincial People's Hospital. It is very beneficial. I can also take this opportunity to explore some valuable experience in treatment. If the above is not enough, I have observed the work style of the Provincial People's Hospital, which is enough to describe it as strict discipline."

"Being able to grasp the style of clinical medical staff so well, I believe you must have the feelings of a great doctor in your heart, calm your nerves and resolve your mind, have no desires or demands, first show great compassion and compassion, and vow to save the suffering of Han Ling. I brazenly boast In a word, I also have the ambition of a great doctor, and you should belong to the same aspirations. Those who are like-minded are not far away from mountains and seas. I came across the hospital, and you have no reason not to help rescue patients together."

After Zhou Can's words, Section Chief Huang nodded repeatedly.

"Young doctors at Tuya Hospital are quite provocative in their speeches! Now that you've already made your decision, hurry up and save people! I'll handle the approval procedures, I'll arrange the scheduling of the operating room, and I'll leave the rest to you. us."

A smile appeared on Section Chief Huang's face, as if the clouds opened to see the sun.

Everyone is smiling.

At this moment, everyone has a common goal, to save lives.

Lu Fen was excited and quietly wiped away his tears.

Without personal experience, I can't appreciate how much effort Zhou Can put in to save her father.

Her gratitude to Zhou Can was deeply hidden in her heart.

He also trusted Zhou Can more.

The person who can let her father trust him with death is worthy of her trust.

Now that she saw Zhou Can running and working hard to save her father, her trust in Zhou Can naturally became deeper.

……

In the endoscopic operating room, the anesthesiologist Ming Xin personally escorted the operation with people.

She had three young doctors under her command, all of whom performed very well.

Being able to personally take care of such an important operation must be a key training object.There may be many students that a chief doctor can lead in a lifetime, but the number of disciples that can really be brought out is actually very limited.

Often no more than five people.

Because it takes a long time and a lot of energy to cultivate a successor.

It is not that a few words in a certain operation can cultivate people.

Zhou Can watched the group of people "clumsily" connect the probe of the life monitor to Deputy Director Lu, and then adjusted the ventilator and other parameters one by one.He couldn't help feeling anxious for a while.

But it didn't mean to come forward to help.

Letting him participate in this operation as a guest is already a great care.

If he is still rushing to perform, it will appear to be trying to show off.

Since the patient itself was transferred from the ICU, many pre-anesthesia tasks no longer require additional treatment.There is also no need to do tasks such as skin cleansing before surgery.

Prepared, direct inhalation general anesthesia.

Gou Qiong, director of the Department of Thoracic Surgery, performed laparoscopic surgery on patients.Get involved with your team.

Judging from their operation method of opening small holes in the abdomen, it is simple, efficient and very professional.

It is indeed a provincial top three compound.

Surgical strength is really not weak.I believe that Director Gouqiong and his medical assistants are only the tip of the iceberg of the Provincial People's Hospital.

According to common sense, cardiac surgery should be more delicate and high-end.

Not to mention the brain or the mind.

The difficulty of operation in thoracic surgery is similar to that of many sub-departments of general surgery.

Director Gouqiong and another medical assistant over 40 years old performed laparoscopic surgery on patients.The first is to repair the ruptured spleen.

Director Wu Yongming outside the brain, and Director Xiang of the Department of Critical Care Medicine were watching the screen.

Director Xiang Fei may feel that the opportunity is rare, so he brought in the two lovers.

Not to mention Director Wu Yongming, who is outside the brain. Like Director Gou Qiong, the entire surgical team was brought in.

Generally, you can make some achievements in the field of surgery. As long as you reach the sub-high level, you can form your own surgical team.

At the attending level, you usually have to mix with the director or deputy chief physician, and you can't lead the group by yourself.

Also, there may be a huge difference in income between directors with a team and directors without a team.

The director who leads the group, in large hospitals like Tuya and Provincial People's Hospital, if the department he works in is better, the annual income can often reach an astonishing 400 million.If it is a Shanghai city, an imperial capital, or some super large hospitals, it is possible to have an annual income of more than 500 million.

This may be one of the reasons why countless medical students desperately take the postgraduate entrance examination.After finishing the master's degree and doctoral degree, I will not stop after finishing the doctoral degree.Those who have the conditions and talents will also study as a postdoctoral fellow.

Not for anything else, just to become the chief physician leading the group as soon as possible.

As everyone knows, many people will be over 50 years old by the time they reach their peak.

Of course, compared with ordinary people, these bigwigs need academic qualifications, income and income, and their status and positions are also rising steadily.They are the real winners in life.

Director Gouqiong first made a hole on the left side of the navel of the patient, and after inserting an endoscope, he explored the spleen in order to find potential problems that could not be found.

It can be seen that when he manipulates the endoscope, he is skilled and at a high level.

"This is how hard it fell! The spleen is broken like this!"

He sighed and shook his head.

The auxiliary operation was completed by the medical assistant in his 40s, and the auxiliary hole was opened under the xiphoid process.

Also on the left side.

Because the spleen is on the left side of the body.

In endoscopic surgery, no doctor will look far away. Unless there are very special circumstances, the more direct the better.

If the surgical path is designed too complicated, the endoscope will run rampant in the patient's body, and the patient will be half-breathed before the operation begins.

"Drain the effusion first!"

To do this kind of surgery with internal bleeding, you must first find a way to find out the source of the bleeding.It is relatively easier to find the source of the bleeding by pumping out the accumulated blood.

The normal operation is to stop bleeding for the patient next.

After the fluid in the left abdominal cavity was drained, the source of bleeding was searched.

"Director Tang, lift up the right side of the spleen a little bit. I suspect the bleeding point is underneath."

"it is good!"

The medical assistant in her 40s agreed very simply, and quickly lifted the right side of the spleen with precise and skilled operation techniques.

"It's a broken blood vessel, and the tear is quite serious."

Director Gouqiong detected the bleeding point without much effort.It can be seen that the blood is almost gushing, and the bleeding is very severe.

The spleen is very fragile, and it is often the most likely to rupture when the body is hit hard or falls high.

"Director Gou, should we stop the bleeding first or what?"

"I can only stop the bleeding first and then repair the blood vessels. The tear is so serious, and it is the intersection of blood vessels. I will drop it, this repair is really difficult!"

Director Gouqiong frowned after reading it.

Those who have reached their level are generally very experienced, and they can tell the difficulty of the operation at a glance.

Director Tang has already started to stop the blood vessels from bleeding.

If it is a small bleeding point, electrocoagulation can be considered.To put it bluntly, it is to burn the bleeding port of the blood vessel.

Zhou Can's first step in practicing hemostasis was electrocoagulation to stop bleeding.

To stop the bleeding of mice, he was accurate every single point.

At the beginning, he practiced so hard one after another, and gradually laid a solid foundation, so that he can have the current sixth-level hemostasis.

At this moment, the blood vessel that is bleeding is not small, so electrocoagulation will definitely not work.

Otherwise, the blood supply to the spleen is abolished.

The consequences can be imagined.

"If you want to ligate the blood vessels in this position, it's not easy to operate!"

Director Tang tried to stop the bleeding several times, but all failed.

Zhou Can watched from the side, and he found that Director Tang's hemostasis level was only at the fifth level.The level of endoscopic operation is considered to be above average, and it is definitely not a tip.

"Can't stop?"

Director Gouqiong asked.

"It's quite difficult."

In front of so many people, Director Tang must be embarrassed to admit that he couldn't stop the bleeding.

Everyone is a face-saving person.

"I'll try it out!"

One of Wu Yongming's doctors came over to help.

Instead he was ligated to stop the bleeding.

It can be seen that his operation level is much higher.Especially in some details, brain surgery is known as the ceiling of fine surgery, and it is more difficult than cardiac surgery.

This person is a master of brain surgery, it is not surprising that he can have this surgical ability.

"Oh, this blood vessel is very fragile, and the ligature seems to be torn from it."

After the doctor got started, he soon discovered that it was not that Director Tang was not good enough, but that the patient's blood vessels were too fragile.

If the strength is weak, the ligation is not firm and the bleeding cannot be stopped.

After increasing the strength, the current result appeared.

The blood spurted even more violently.

Patients' blood pressure also appeared to be affected.

"The blood pressure is dropping, but the heart rate is increasing, so I have to find a way."

Director Ming Xin of the anesthesiology department said anxiously.

The patient's vital signs declined, and she, the anesthesiologist, was under the greatest pressure.

"I'm going to get the blood plasma. Let's transfuse the patient's blood first?"

The itinerant nurse has rich experience, seeing the situation in the operation, she hastily asked for assistance.

"No blood transfusions, at least not yet. Otherwise, the ruptured blood vessels in the spleen would be under more stress and harder to repair."

Zhou Can said hastily.

Seeing these people operating on Deputy Director Lu, an accident happened just at the beginning, and he was really anxious.

When he heard that the itinerant nurse was going to give the patient blood transfusion, he became even more anxious.

Under normal circumstances, ligation of blood vessels cannot easily cut off the blood vessels.

It can only explain one problem, Deputy Director Lu's blood vessels are far more fragile than normal people.

The blood pressure has now dropped to 82, which is relatively serious, but it will not be fatal in a short time.

It would be better to seize this opportunity and quickly repair the blood vessels.

At least with lower blood pressure, it's much easier to stop the bleeding.

The itinerant nurse didn't take Zhou Can seriously.

A young doctor from an outer hospital really regarded himself as a god.

She looked at Director Mingxin.

Whether to transfuse blood, the anesthesiologist has the most right to speak and decide.

"Listen to Dr. Zhou, don't transfuse blood yet."

Director Mingxin affirmed Zhou Can's opinion.

"Director Gou, Director Wu, you have to find a way to stop the bleeding and repair the blood vessels immediately. The time left for you should be very short, maybe no more than 10 minutes. If you want to pursue safety, it is best to complete this within 10 minutes All operations on the blood vessels. If the bleeding cannot be stopped immediately, the patient's bleeding will continue, and the blood pressure will drop at a faster rate, and it will be more dangerous."

She dumped the pressure on the two chief surgeons.

This is an experienced anesthesiologist!If there is a problem, never carry it silently by yourself, but find a way to throw it to the chief surgeons, and everyone will carry it together.

"The patient's blood vessels are as brittle as a tofu dregs project, how can this be done? I'm so anxious!"

The two medical assistants stomped their feet anxiously.

Director Wu Yongming wanted to go off in person, but seeing the difficulty of stopping the bleeding, he didn't have the guts to do so.As long as you end up on the field, nine times out of ten you will be slapped in the face.

The two medical assistants in operation are not weak.

Even if there is a difference in strength from his chief swordsman, the difference is not too much.

"May I try it?"

Zhou Can looked at the two medical assistants.

Director Tang and another medical assistant were extremely surprised. Although they knew that Zhou Can's strength was not weak, Zhou Can was still too young.

The difficulty of stopping the bleeding was even more frightening.

Not to mention Zhou Can, even if it was Director Wu or Director Gou, it might not work.

"Dr. Zhou's endoscopic surgery and interventional surgery are very good, why don't you let him try?" Director Xiang Fei said something to help Zhou Can.

At this time, Director Gouqiong must nod.

"Let Dr. Zhou try it!"

Director Gouqiong doesn't trust Zhou Can, but he trusts Director Xiang Fei a lot.

Nodding in agreement.

"Doctor Zhou, you must do what you can, don't force it. Ligation is not enough, we can think of other ways."

Director Gouqiong had never seen Zhou Can's surgical ability.

How much is still a little worried.

"Okay, I will proceed with caution."

After Zhou Can agreed, he stepped forward to take over.I saw him skillfully manipulating the robotic arm and began to check the condition of the patient's blood vessels.

Seeing his operation skills, several chief doctors felt relieved.

This level is very high!

Not even weaker than the two medical assistants.

So young, but with such a high level of endoscopic surgery, I don't know how to practice it?

It's just that everyone frowned quickly.

Because after Zhou Can took over, he has been manipulating the arm of the endoscope to keep touching the blood vessels, but he has no intention of ligating the blood vessels.

The patient's abdominal bleeding continues continuously, and the bleeding does not stop. Is it okay or not?

Could this kid be a fake cannon?

(End of this chapter)