My medical skills add experience

Chapter 524

"This isn't an away game!"

Zhou Can smiled and was about to raise his hand to scratch his head. Realizing that he was wearing gloves and needed to keep it as sterile as possible, he put his hand down again.

In fact, wearing a hood at the moment, it is impossible to scratch your head.

The status of an anesthesiologist is quite high, not to mention that Director Mingxin is also the mentor of Director Xiang Fei, so his status is even higher.Zhou Can didn't dare to offend this big lady.

Taking the opportunity of saving Deputy Director Lu this time, he was fortunate to meet many big bosses from the Provincial People's Hospital, which he cherished very much.

Because those who are willing to lead the team into this operating room are basically like-minded people with him.In order to save the lives of patients, they are willing to take huge risks.

This medical ethics is extremely noble.

Zhou Can is particularly willing to get acquainted with such medical staff.

If you don't accumulate small streams, you won't be able to become a big river.Only by uniting more like-minded doctors and nurses can we truly become bigger and stronger in the future.This is also an accumulation of human resources.

"Whether it is away or not, being able to invite you to participate in the operation together means that you are not regarded as an outsider. In the rescue, everyone is a boatman on the same boat. At a critical moment, everyone has the obligation to play a role as a master."

Director Ming Xin estimated that she was quite frightened, so she grabbed Zhou Can and taught her a lesson, and then stopped.

But she was not malicious.

It is quite normal to be scolded by the superior doctor in the operating room and scolded by the tour.It even happened that in the operating room, the chief surgeon and the anesthesiologist had a red-faced fight.

Everyone wants to get better treatment for patients. They have different ideas, but the goal is the same.

"That's what you said! Then I dare to ask Director Gou to entrust me with the next surgical task?" Zhou Can looked at Director Gouqiong.

For laparoscopic surgery, Director Gouqiong is the chief surgeon and has the highest right to speak.

"No problem, I will be your assistant. If there is a problem, I will stop at any time. You feel that the risk is too high when you operate, so you must discuss it with me in advance." Director Gouqiong saw Zhou Can's miraculous hemostasis With the anastomosis technique, his trust in Zhou Can has increased significantly.

While delegating power, don't forget to put down a "curse" to prevent Zhou Can from getting into trouble.

Perhaps he still felt that it was not safe, so he looked at Director Wu Yongming outside his mind.

"Old Wu, you also help me keep an eye on it and make sure nothing happens. Otherwise, it will be difficult for everyone to explain."

"Row!"

Director Wu Yongming agreed without a word of nonsense.

People also stood beside Zhou Can.

With these two guarantees, Director Gouqiong felt more at ease.

Surgery continues.

Zhou Can manipulated the endoscope and quickly repaired the ruptured spleen.

Which organ of the human body is the most vulnerable?

The brain isn't really an organ, it's certainly one of the most fragile bodily tissues.The spleen is the most vulnerable of all organs.Even the kidneys of the human body are much stronger than it.

As for the widely recognized eyes, this organ is considered to be the strongest organ in the human body.

It's just because the vitreous body and the eye mask are very tender and are directly exposed on the body surface in most cases, so they are considered fragile by the public.

The tolerance and anti-shock ability of the eyes are actually much stronger than we imagined.

Spleen repair is a test of the doctor's suturing and ligation skills.

Fortunately, Zhou Can's ligation has been promoted to level six, otherwise it would be much more difficult to repair the spleen.

I saw him manipulating the arm of the endoscope to debride, suture, and tie the patient's spleen. The whole process was like flowing water.The speed is astonishingly fast.It made the watching people keep applauding him.

In less than 10 minutes, Zhou Can had completed the restoration of his spleen.

It looks like a piece of broken porcelain. After being repaired, it is completely presented in front of everyone.Simply impeccable.

The surgeon's surgical repair is much more difficult than porcelain repair.

Because no matter how badly the porcelain is broken, it is difficult to put it together, and it is the test of patience and care.Human organs are living things. After repairing, it is necessary to ensure that it can survive and restore most of the functions of the organ, or even all of them.

There are many technical difficulties in it.

"The spleen has been basically repaired. During the nursing, it is necessary to take extra care of the patient's spleen organ for at least a week, and try to let it get a good rest. It can't be shut down, and it can't be too tired."

Zhou Can said to the itinerant nurse after completing the repair of his spleen.

This is actually a kind of oral doctor's order.

No matter how beautiful the operation is, it is useless if the level of nursing and nutrition cannot keep up.

Having performed so many operations in the emergency department, Zhou Can found out that postoperative care and nutrition are extremely important when checking the recovery status of hospitalized surgical patients.

Some wrong care, or lack of nutrition, unreasonable, will increase the risk of postoperative complications of patients.

The postoperative healing period will also be significantly prolonged.

"Mr. Lian, take a good record of what Dr. Zhou explained, and you must implement it in place." Director Gouqiong noticed that the itinerant nurse didn't seem to take Zhou Can seriously, so he hurriedly said something.

In terms of post-operative care and nutritional support, Tuya Hospital is regarded as an outlier among dwarfs, and is at the top level in the province.

It is estimated that only the Provincial Children's Hospital can compete with Tuya Hospital in this respect.

In fact, every provincial top three compound has its own strengths and weaknesses.

For example, Tuya's nursing is very strong, because when the hospital was first established, it was called Women's Hospital.Mainly for the wives of officials, daughters of powerful and powerful, wives to see a doctor, postpartum care and so on.

Since then, its nursing technology has been passed down from generation to generation, and it has continued to grow and develop, and has attracted enough such patients. Through continuous accumulation, it has today's nursing level.

Also, Tuya's Department of Internal Medicine is well-known in China because of the fact that in the early days there was an outstanding Chinese medicine practitioner who founded the Department of Internal Medicine in Tuya after returning from overseas.From the beginning of the Department of Respiratory Medicine, it has gradually developed, until now all internal medicine sub-departments are complete.

Even now, Tuya's Department of Respiratory Medicine is still one of the best.

Moreover, Tuya's internal medicine has another characteristic. Most of the director-level physicians like to study Chinese medicine, and they also like the combination of Chinese and Western medicine in diagnosis and treatment.

This is equivalent to a kind of inheritance.

Any large hospital that can prosper for a long time relies on this kind of technology to be passed on from generation to generation, accumulated, and finally carried forward.

If a certain hospital has only one or two inheritances in the medical field, it will appear very thin, and it will easily lose in the competition.

For example, Xinxiang Maternity and Children's Hospital is an old hospital with a history of more than 70 years.

It has always only inherited the obstetrics and childbirth, and other pediatrics, gynecology, etc. have not been developed.In the end, it was almost bankrupt because of an accident.

On the other hand, in Tuya Hospital, the Department of Cardiothoracic Surgery is also an ace department. When Director Hu Kan passed away, the department was also disastrous.

It almost fell from a first-rate ace department to a third-rate department.

However, Tuya Hospital was not particularly seriously affected.

Because in addition to cardiothoracic surgery, Tuya Hospital also has multiple strong support departments.

This is the true background of an old strong courtyard.

It is definitely not something that the Third Hospital can afford by hiring a Japanese expert at a high price and buying a complete set of imported equipment.It is Xinxiang Hospital, although it is developing rapidly now, it seems to be very powerful.

In fact, it's just puffiness.

Lack of decades, hundreds of years of accumulation, no foundation, just like a tree without deep roots.

There is a serious risk of collapse.

"Ok."

The itinerant nurse heard Director Gouqiong's words, and hurriedly recorded them honestly so that they could be implemented after the operation.

Zhou Can naturally didn't care about the cold treatment of a nurse.

Respect is earned by strength.

Some itinerant nurses think they are experienced and well-informed, and have seen countless big men perform operations.I am tired of seeing all kinds of sophisticated surgeries and difficult major surgeries.

So he didn't pay attention to the strength that Zhou Can showed just now.

It can only be said that she is too superficial.

Zhou Can may not be considered particularly top-notch, but the restoration of his spleen just now is definitely not bad.

There may be some doctors with this level in the whole country, but in the province, it should be rare.

Because the difficulty of endoscopic surgery itself is higher than that of traditional surgery.

After Zhou Can repaired his spleen, Deputy Director Lu's physical signs improved significantly.

"The rate of blood pressure drop has almost stagnated. If it can be stabilized, the operation time can be extended a lot. The patient's heart rate is also slowly falling, which is a good sign."

A small spleen can affect the whole body with a single stroke.

In the final analysis, it was mainly because the blood vessels of the spleen were broken, resulting in a considerable amount of bleeding in the body.This directly poses a serious threat to the life of the patient.

Director Mingxin's words were like a shot in the arm for Director Gouqiong and the others.

Everyone is very excited to see that the patient's condition is developing in a good direction.

It can be regarded as the first small result after the operation began.

Zhou Can didn't speak, but concentrated on manipulating the endoscope and began to inspect the part of the pancreas that he thought was injured.

When his endoscope probed the pancreas, there was some fluid accumulation.It means that there is also bleeding, but the amount of bleeding may not be large, and the bleeding will stop automatically soon.

"Director Gou, help me turn the pancreas up a little bit. I suspect the source of bleeding is on the lower left side. You have to be careful and try not to enlarge the wound."

He told Director Gouqiong.

Because the pancreatic tissue is turned up, it is easy to cause the wound that has stopped bleeding to tear and bleed again.

With Deputy Director Lu's blood vessel condition, let alone a wound, even if there is no wound, it is easy to tear the blood vessel.

Director Gouqiong's endoscopic surgery skills are quite good, and he lifted the pancreas carefully.

"God, what is that?"

"It looks like a tumor!"

"This kind of strange-shaped tumor has unclear borders. It is best to do an intraoperative pathology."

Everyone stared at the display screen, and after Director Gou lifted up the pancreas, many people let out very soft exclamations.

His eyes were also wide open.

No one expected that there was a tumor behind the patient's pancreas.And it looks very unfriendly.

Like the appearance of human beings, kind-hearted people often have kind eyebrows and kind eyes, and a group of kindness.People with dark and vicious hearts are often scary in appearance.

Even if I have no social experience, when I see some people, I feel scared in my heart and subconsciously want to hide away.It means that the person is probably not a good person.

A person's temperament and image are closely connected with the inner world.

For those who like to read, men will become refined and women will become intellectual.

People with bad ideas often have cloudy and evil eyes.Temperament is almost nonexistent.

Zhou Can stared at the screen carefully, then adjusted the angle of the endoscope and kept observing.

"I really didn't expect it to be a pancreatic tumor, and it doesn't look like Shan Lei. Director Gou, can you take a sample for intraoperative pathology? Then decide on the next operation plan?"

This is the benefit of having a friend help out with surgery.

Will not worry about the consideration of patients.

Pancreatic cancer is known as the king of cancers and is one of the most terrifying cancers.Its prognosis is extremely poor, and the three-year survival rate is appallingly low.

The best way to treat this disease is early detection and early surgical resection.

As long as the tumor diameter does not exceed 2cm, it is basically still in the early stage.At this time, as long as it is cut clean, there is still a good chance of a cure.

After careful inspection, Zhou Can felt that Deputy Director Lu's situation should be in the early stage based on his experience.

With the naked eye, no obvious spread was found.

The nearby lymph and blood vessels were not significantly affected.

These are all good things.

"Quickly communicate with the family members, and then take a sample for a biopsy after signing!"

Director Gouqiong reluctantly agreed.

The current operation is mainly to save the life of the patient, and the treatment of pancreatic tumors is basically not included in the original operation plan.

Considering that the size of the tumor is not small, and now that the pancreas is injured, if the tumor is not cut off immediately, the stimulated tumor may grow wildly and spread rapidly.

At that time, Deputy Director Lu will still die.

At most it's just a little longer.

In the process of communicating with the family members, Zhou Can did not idle, but continued to investigate.

Finally, it was found that there was a rupture and bleeding in the pancreas, which was closely related to the tumor.Everything else is fine.

In addition, he checked the left kidney.

The injury is relatively minor, and it is entirely possible to heal on its own.But be alert to the occurrence of nephritis.

Soon, news came from outside that the family members agreed to the operation and signed the agreement.

Then there is nothing to say.

Zhou Can directly separated the whole tumor from the surrounding tissue, and then cut it off.

The separation from the blood vessels makes every chief physician amazed after watching it.

They asked themselves, no one can separate the tumor so well like Zhou Can.

"I didn't expect that Dr. Zhou's ability to anastomose blood vessels is first-class, he is also excellent at ligation of blood vessels, and his ability to separate lesion tissues is also amazing!"

"I am over-flattered!"

Zhou Can groaned and debrided the surgical wound, then sewed it up and stopped the bleeding.And repeatedly check the surrounding lymphatic and other tissues that may spread, and confirm that there is no problem, and then the operation is ended.

So far, laparoscopic surgery is basically completed.

The intraoperative pathological results came out quickly, and the possibility of malignant tumors exceeded 90%.Seeing this result, I believe that many people are sweating for the patient.

(End of this chapter)