Chapter 147 The dangers of a second surgery, a good friend asks for help

Status is gained bit by bit through strength.

During this group consultation, Zhou Can showed a pathological diagnosis ability that was even stronger than that of Dr. Zou and Tang Li. As for those residents and graduate students, they were even less able to compare with Zhou Can.

Even though they said a lot, their combined words were still not as good as Zhou Can's one sentence.

This is really how doctors diagnose and treat illnesses.

Some doctors have no real skills and only know how to read from the textbook and talk about science in front of patients, but none of their words hit the point.

No matter how much you say, it's just bullshit.

Because what patients need is to identify the lesions and confirm the causes of the diseases, rather than going to the hospital to learn.

If patients want to learn about medical knowledge, they can search for it at home on Zhihu, Baidu, or Dingxiangshehui. Websites like Zhixin and Meis provide more professional medical knowledge.

There are more professional contents such as medical papers and surgical practices.

It is difficult for ordinary people to understand.

Zhou Can was recruited from the operating room by Director Wen just to make use of his implant surgery skills.

As for Director Wen's words about cultivating him well, just listen to it.

At this moment, Director Wen discovered that his diagnostic ability was so outstanding, coupled with Zhou Can's flattery just now being very appropriate.

Only then did he decide to increase his efforts in training Zhou Can.

In fact, it can’t be considered as real training, it is mainly to utilize Zhou Can’s value.

Director Wen's team has no other outstanding generals except Director Wen himself. Zhou Can has strong diagnostic ability and can help to check and reduce the misdiagnosis rate and missed diagnosis rate of patients in the team.

On the contrary, when he was in the orthopedics department, Dr. Shan helped him apply for an account to log in to the group, which showed that he was really treated as his own.

Director Wen is more like a person who will not release the eagle until he sees the rabbit, and he always puts interests first.

The second focus of epilepsy was found in the patient in bed 22, and the next step is to develop a treatment plan.

"The cause of the worsening epilepsy has been identified. According to the situation, the cavernous hemangioma in the patient's brain should be removed. However, considering that the patient's life is not in danger at present. In addition, it is only a hidden vascular malformation, not a real tumor. Performing a second craniotomy on the patient in a short period of time is extremely risky."

"So I think it would be safer to schedule a second craniotomy for the patient two or three months later."

Director Wen seemed very cautious about the patient's second surgery.

Chief physicians are basically all cautious and careful when formulating surgical plans.

It's nothing else, I just got scared so many times that it eventually became a disease.

As a doctor, one must have reverence for life and be both bold and timid.

This is the only way to keep the trees evergreen and reduce the accident rate.

A cavernous hemangioma is simply a vascular malformation that lacks an arterial component.

Its development speed is generally slow.

It won't be a big problem if I have the surgery in two or three months.

Performing a second craniotomy within a short period of time is often a helpless move.

This is mostly due to the obvious secondary intracranial hemorrhage or cerebral edema after the first craniotomy, and the prominent space-occupying effect. If surgical treatment is not performed in time, it may be life-threatening.

Major surgeries like this, whether or not they involve craniotomy, should not be performed frequently within a short period of time.

Unless surgery is performed immediately, the patient's life will be in danger.

Because the second operation means the need for endotracheal intubation and intravenous general anesthesia.

It has a great impact on the patient's internal environment and is prone to cardiopulmonary complications.

In addition, due to the short interval between the two operations, the patient may suffer from anemia, electrolyte imbalance, hypoproteinemia and other symptoms.

The possibility of lung infection and urinary tract infection will also greatly increase.

Imagine that after a major operation, the patient is already seriously injured and needs to rest and recover. If a series of serious complications occur, it is like being on the verge of death for the patient.

So, for safety reasons, doctors will do their best to avoid performing surgery on their patients too frequently.

Even for a minor surgery like tooth extraction, if multiple teeth need to be extracted at the same time, the doctor will recommend that the patient do it in multiple sessions.

"Tang Li, can you still communicate with the family members?"

Director Wen looked at her.

There is a female doctor in the group, who is actually quite nice.

It can adjust the working mood of doctors and share many tasks when necessary.

"No problem, I will complete the task!"

She smiled sweetly.

Appears very confident.

"Haha, you are quite confident!"

Director Wen was in a good mood and teased her with a smile.

"To be honest, if the patient's lesion had not been found, I would not dare to communicate with the family members. I was afraid of being beaten. Now the lesion has been found, and it is a hidden lesion. This is the result of the excellent medical skills of our hospital. I am completely justified in talking to the family members about this matter. I believe that as long as the family members are not extremely barbaric, most of them will gladly accept the suggestion of elective surgery."

Her explanation caused everyone to laugh.

Doctors’ happiness is simple. Every time they successfully treat a patient, they feel a sense of accomplishment and are happy from the bottom of their hearts.

…

After Zhou Can joined Director Wen's team, his treatment also underwent some significant changes.

During ward rounds and shift handovers, few doctors and nurses in the inpatient department dared to act arrogantly in front of him.

He also found that neurosurgeons were particularly realistic.

The news that he was appreciated by Director Wen was never publicized to the outside world.

It was as if they had grown wings. All the doctors and nurses in the inpatient department knew about it .

This also shows that neurosurgeons and nurses have their own small circles and complicated relationships.

They share various important information within the department with each other.

At present, only Dr. Zou in the team has a somewhat cold attitude towards Zhou Can.

Zhou Can also understood that Dr. Zou had lost face, which was why he acted like this.

Zhou Can didn't care about this.

It is even more impossible for him to hide his shortcomings deliberately in order to please Dr. Zou.

We should strive for surgical opportunities when necessary, and report the patient's condition when necessary.

All Dr. Zou has to do is adapt.

The first day of neurosurgery training ended quickly.

Zhou Can’s gains were beyond imagination.

He stood out directly from twenty trainee students and obtained the qualification to study under the chief physician.

Perhaps considering that it was his first day working in neurosurgery, he was not scheduled to be on duty at night.

You should know that interns, trainees and graduate students are the key care targets on duty.

After get off work, he returned to his apartment and continued to practice quick knife skills and advanced medical techniques such as insertion, grasping, and transmission.

Jin Mingxi got off work much later than him.

I don't get off work until almost eight o'clock in the evening.

As soon as he entered the apartment, he collapsed on the bed as if he had fainted.

"Oh, I'm so tired. The living environment in neurosurgery is so bad. They don't even treat the trainees as human beings."

Jin Mingxi trained in two departments and never complained of being tired.

Today is my first day of training in neurosurgery, and I am complaining here. It shows that the workload of neurosurgery is really huge.

Not to mention him, even Zhou Can is not much better.

I used to work under Cheng Gang and was treated like a slave.

Fortunately, he later jumped to Director Wen's group based on his own ability, which made him feel much more comfortable.

"If you want to learn technology, this is it! Only those who endure the most hardships can become successful people. Haven't you heard of this?"

Zhou Can turned around and said to him with a smile.

"You said it's easy to talk without any pain in the waist! Don't think I don't know. Now you are appreciated by Director Wen and you are personally taken care of by a chief physician. How can you understand the sufferings of us low-level salted fish!"

Jin Mingxi rolled his eyes.

There was a hint of envy in his tone.

"Haha, you are surprisingly well-informed."

Zhou Can was able to soar to the top and live a better life than other trainees. It would be a shame for him to say that he was not proud at all.

As for humans, from infancy to old age, each stage of life has its own characteristics.

He has done such an excellent job, if he says he is not proud at all, he is a saint.

"Wait until your position is more solid, can you help me put in a few words? The resident doctor above me is really abominable, even more abominable than Zhou Paopi and Huang Shiren in ancient times. They push all the dirty and tiring work on me, and after I finish the work, I am scolded by them."

Jin Mingxi is not a rookie in the workplace.

He is fully aware of Zhou Can's current status.

He has a chief physician above him and his status in the department is much higher than that of ordinary resident doctors.

As long as Zhou Can helped to say hello, the resident doctors above him would not dare to exploit him like this anymore.

"When assigning tasks, wasn't there a resident trainee named Chen Hao in your second ward group? Doesn't he have to work?"

Zhou Can asked.

"Don't mention that guy. He's very good at dealing with things. Whenever he gets a chance, he'll flatter the resident doctor. In just one day, he's already on good terms with that resident doctor. I'm not good at talking, and I can't save face or let go of my dignity, so I'm at a disadvantage. All the hard and dirty work is pushed onto me alone."

When Jin Mingxi mentioned this, he was filled with sadness and tears.

After hearing this, Zhou Can burst into laughter.

Everyone has a different way of living. Some people are good at flattering and currying favor with their superiors, while others just keep their heads down and work.

Honest people are actually bullied everywhere.

It is actually quite difficult to meet a mentor like Dr. Xu.

"What's the name of your senior resident?"

When his good friend was bullied, Zhou Can happened to have the ability to help, so he naturally wanted to lend a hand if he could.

"Dai Wei."

Zhou Can had never heard of this resident's name.

However, he had just arrived at the Department of Neurosurgery and was not familiar with the staff.

"Do you know who is Dai Wei's attending physician?"

Zhou Can felt that it would be more effective if he directly approached Dai Wei's attending physician to say hello.

With Zhou Can's current status, he really has this ability.

"It seems to be Dr. Ou Xinjin. I'm not sure. I just saw him reporting to Dr. Ou."

Jin Mingxi was also unfamiliar with the personnel in the department.

"Okay, I'll do my best on this matter."

"Hehe, brother, you treat me well. I knew you would agree." Jin Mingxi smiled happily.

When you are in a low position, having someone to give you a hand can indeed bring you great advantages.

The benefits gained will also be numerous.

If no one greeted him, he would work very hard in neurosurgery for two months, but would not learn much technology and would suffer a lot of scolding.

…

The next day, Zhou Can rushed to the hospital at only seven o'clock.

According to regulations, they had to arrive at their respective departments before 7:40 a.m. 40 minutes early so they would have enough time to review the cases in their group.

He took a look and saw that his team had three operations to perform today.

Dr. Zou has one level-two surgery, and Director Wen has two.

Let's check out Dr. Zou's secondary surgery first. This is a trauma patient with a skull fracture who needs surgery to reposition.

After carefully checking the patient's CT and X-rays, the fracture was not large, but the condition was quite serious.

A piece of skull collapsed directly into it, with a depth of more than 1cm.

If it is in other parts, such as the chest cavity or abdominal cavity, a depth of 1 cm is nothing.

But after the skull was fractured, it collapsed one centimeter, which is very scary.

It can directly cause symptoms such as hematoma, cerebral effusion, epilepsy, and coma.

Zhou Can repeatedly watched the patient's skull fracture. If he could participate in this operation, the fracture joining technique and manual reduction technique in orthopedics would definitely come in handy.

However, when he thought about the current strained relationship between him and Dr. Zou, he finally gave up the idea of following Dr. Zou to get some surgical experience.

Let’s take a look at Director Wen’s two operations.

One was a brain surgery on a patient who was in a coma after a car accident. This was a major level 4 surgery. The patient was seriously injured and had a complicated condition.

The fact that the department dared to entrust this operation to Director Wen showed that Director Wen was very likely to be just as Zhou Can had guessed. The department was strong in traditional surgery, but weak in emerging interventional and endoscopic surgery.

As for the reason, it is probably because Director Wen only has talent for traditional surgery, but not advanced surgery.

In any case, the doctors who are able to be awarded the titles of associate senior or senior professional titles in Tuya Hospital are all very capable.

They may have their own flaws and weaknesses, and they are by no means ordinary people.

Zhou Can spent nearly half an hour to finally finish reading all three surgical cases in the group today. With about ten minutes left, he did not sit idle, but began to check the cases that had not yet been operated on and the cases that had not yet been discharged after surgery.

The doctors in the team have arrived one after another.

He is not the only one who is diligent.

There are two graduate students who are also very hardworking.

Instead, the three residents and another graduate student arrived at the department on time.

"Doctor Zhou, you're here quite early!" Tang Li smiled and took the initiative to greet him.

"My level is already low, and there are too many things I need to learn. If I don't come earlier, I'm afraid you will despise me!"

Zhou Can responded modestly with a smile.

Chuck!

She covered her mouth and chuckled.

"Men's words are deceiving. I don't believe you. I performed so well yesterday, how dare you say your level is poor?" Her rank is two levels higher than Zhou Can, so her words were somewhat ambiguous.

But this is also in line with her style.

Make full use of your female advantages and try your best to build good relationships with capable male doctors in the group.

Why do I say so?

Because Tang Li only acts in a flirting or coquettish manner when she is talking to Director Wen, Doctor Zou, and Zhou Can.

This is not the attitude towards those residents and graduate students.

She seemed quite aloof when talking to these people.

Fully revealing the majesty of a senior doctor.

"The word excellent is only suitable for you and Director Wen and others. I don't deserve it."

Zhou Can has a high emotional intelligence. With just one word "you", he was able to distance the two of them without making her feel disgusted.

He didn't dare to have any ambiguous relationship with Dr. Tang Li.

Who knows, Director Wen might see this and feel unhappy, so he might just give him the cold shoulder.

Besides, he has a girlfriend as beautiful and outstanding as Su Qianqian, so he really doesn’t feel anything when he looks at other women.