Chapter 170 This is strength, the lucky star of the group
Director Wen's endoscopic surgery skills are average, but his traditional surgery skills are definitely above average.
After some operations, a small hole was drilled in the skull.
Throughout the entire process, Director Wen's every move and gesture was full of masterly demeanor.
"Okay, Xiao Zhou, the rest of the operation is up to you!"
Director Wen gave up the main operating position.
Zhou Can walked to the main operating position with ease and stood there without any courtesy.
Director Liu and Doctor Hu were both stunned.
This is the home turf of the Department of Neurosurgery, and the two of them didn't dare to talk nonsense because it was the arrangement made by Director Wen.
I can only watch silently.
Seeing Zhou Can taking the lead role in the surgery, the two were shocked and distressed.
That's ridiculous.
What was Director Wen thinking when he asked a trainee to complete the core work of removing the hematoma and stopping the bleeding in such a big operation with such high risks?
Even if we want to focus on cultivation, there is no such method!
This is a living life!
Life is paramount, and respecting life has been deeply rooted in the hearts of every conscientious doctor.
Zhou Can took the endoscopic electrosurgical unit calmly and made a cross incision on the dura mater.
This action made Director Liu standing next to him feel nervous.
They were afraid that Zhou Can would make a mistake in the operation and the patient would die.
At this time, the patient's vital signs fluctuated severely. Respiration, blood pressure, and heart rate all changed drastically.
"Did you cut into the brain tissue inside?"
Director Liu asked in horror and anger.
"It's a normal reaction of the patient to the stimulus."
Zhou Can seemed very calm.
Director Wen glanced at Director Liu calmly. "Be patient!"
This statement was a tenfold blow to Director Liu.
If the person who said this had not been Director Wen, and if it had not been for the sake of face, Director Liu would have angrily denounced them on the spot, saying that their behavior was simply murder.
At this time, Zhou Can had completed the endoscopic introduction.
The patient's blood pressure dropped severely, and his heart rate also dropped. His breathing became weak.
"You are just fooling around, it's murder!"
Director Liu was furious.
We hurriedly helped the patient stabilize his vital signs.
When Director Wen saw that the patient's condition suddenly became very bad, his heart sank.
Not to mention other doctors and nurses.
“Don’t worry!”
Zhou Can only said three short words and continued to concentrate on the operation.
As he drained the blood from the patient's brain, the patient's vital signs began to recover rapidly.
"It was probably just that the patient's intracranial hypertension was suddenly relieved, coupled with the damage caused by the craniotomy, which caused a brief stress phenomenon. It was not a mistake made by Dr. Zhou."
The anesthesiologist, who had remained silent the whole time, explained calmly.
This was not the first time that he had participated in the anesthesia for a neurosurgery operation. He had witnessed Zhou Can's surgical skills many times, so he was a little annoyed by Director Liu's fuss.
I was even more worried that Director Liu would be cursing and disrupting Zhou Can's surgery.
Instead it is a dangerous behavior.
This is also the reason why he took the initiative to speak up and prove Zhou Can's innocence.
After Zhou Can drained the blood from the patient's brain, he could clearly see the brain tissue inside the skull through the endoscope. He operated the endoscope and gradually approached the largest bleeding point.
This area is very close to the brain stem area, so even if Wu Baihe performs the operation himself, he has to be very careful.
"The broken blood vessel is quite large, and the tear is not too big. Do you think it is okay to repair it directly? I am worried that it will affect the blood supply to the brain and cause sequelae to the patient if I use electrocoagulation to stop the bleeding."
Zhou Can asked Director Wen for his opinion.
Even repairing superficial blood vessels like those in the limbs is very difficult.
Repairing blood vessels in the cranial cavity through endoscopy is so difficult that it is unimaginable.
"Are you sure? This is very close to the vital center. The difficulty is very great. The risk is also extremely high."
Director Wen is more inclined to seek stability in his heart.
Every doctor has his or her own style.
Most doctors have similar ideas to Director Wen, not seeking to make achievements, but to avoid mistakes.
Although direct electrocoagulation hemostasis may cause sequelae to the patient, it does not require too much risk and can save the patient's life.
"Definitely not 100% sure, maybe more than 80%!"
Zhou Can has always been very modest in his words.
Director Wen knows him too well.
Hearing him say that he was more than 80% sure, I felt reassured.
"Okay! Let's do it according to your plan!" Director Wen directly delegated the authority.
Next, Director Liu, Doctor Hu and others fully witnessed Zhou Can's surgical skills on the endoscope display screen.
Zhou Can found the proximal end of the ruptured blood vessel and said to Director Wen, "I am worried about damaging the blood vessel if I use a vascular clamp. The cost of the operation will also increase a lot. Can I use direct ligation to stop the bleeding?"
"Can!"
Director Wen nodded again.
Zhou Can always thinks about his patients, which shows his noble medical ethics.
All the doctors present secretly admired his medical ethics.
Director Liu and Doctor Hu, in particular, have a deeper understanding of Zhou Can.
Zhou Can quickly tied the blood vessel with deft movements.
The knot is a slip knot.
Many surgeons do not like to tie sliding knots. In fact, in some special surgical situations, square knots, sliding knots, and triple knots can all be used.
Each type of knot requires hard practice.
If you are "biased", you will easily face surgical shortcomings at critical moments, which will make you very passive during the operation.
After ligating the blood vessels, Zhou Can began to repair the ruptured blood vessels.
If the blood vessel wound is contaminated or uneven, it needs to be cut flat before repairing the blood vessel.
Zhou Can was seen operating the endoscope and starting to quickly suture the blood vessel wall.
“What an amazing suturing technique!”
Director Liu couldn't help but exclaim.
"This is not an ordinary suturing, but an endoscopic operation. Today I am really enlightened!"
After seeing Zhou Can's suturing skills, Dr. Hu felt extremely ashamed.
His suturing skills as a chief physician are far inferior to those of a resident trainee.
Even though he was not a full-time surgeon, the fact that he was so far away from being one still made him feel ashamed.
The blood vessels were repaired quickly.
Checked and found nothing wrong.
Zhou Can took the initiative to ask Director Wen for instructions, which was also a way to save Director Wen's face.
"Director Wen, please check it. If everything is ok, I will loosen the ligature and test the blood flow in the blood vessels."
"The stitches are very good, just test the blood!"
Director Wen's face was saved, and he liked Zhou Can even more.
A tree lives by its bark, a man lives by his face.
Maintaining your superiors' face and dignity is a basic survival skill in the workplace.
Those who are careless in what they say, do things without a sense of propriety, and bring shame to their leaders will eventually suffer from the social beatings. They will either be "unappreciated" or be scolded every day and eventually be fired.
Zhou Can loosened the knot, and blood flow resumed smoothly, quickly flowing into the repaired blood vessel segment.
It can be clearly seen that the blood vessels quickly become filled, and the blood flow to the small blood vessels at the back is restored. The blood vessel repair is very successful.
"Well, this operation was done beautifully!"
Director Wen laughed heartily.
The bleeding from the largest bleeding point has stopped, and blood circulation has been restored. This also means that the patient's life is basically saved.
It is worth mentioning that the repaired blood vessel segment will become narrower.
There is no way to solve this problem.
If the surgical field is sufficient and the area is low-risk and easy to operate, you may be able to try to cut off the blood vessels and re-anastomose them.
However, this part of the patient's skull is extremely close to the brainstem area, and it is an endoscopic surgery, so cutting off the blood vessels and re-anastomosing them is simply courting death.
Choose the lesser of two evils.
If a single blood vessel becomes slightly narrower, the impact will not be particularly significant.
This is the best result that current medical technology can achieve.
Next, Zhou Can began to remove the blood from other parts of the body, and then quickly electrocoagulated some small bleeding points to stop bleeding. The remaining larger bleeding point was repaired with the same method.
The entire operation was carried out in a tense and orderly manner.
Almost all the core surgical parts were performed independently by Zhou Can.
At this moment, Director Liu and Doctor Hu finally understood why Zhou Can, a small intern, could have a direct conversation with the chief physician of neurosurgery.
If they were the chief physicians of neurosurgery, they would be more warm and friendly when facing such a humble and polite super genius.
The operation lasted nearly two hours and was finally completed.
The endoscopic cranial surgery went very smoothly, and Zhou Can also earned a lot of medical experience points.
The biggest gain is pulling the patient back from the brink of death.
After the operation, the patient's vital signs returned to normal and the ice blanket was removed.
There was no more need for emergency rescue from time to time.
However, because the patient's injuries are extremely serious, he still needs to stay in the intensive care unit for a period of time.
After the operation, Zhou Can did not indulge in these achievements and glory at all.
At this moment, he was already sitting in the dormitory, practicing the quick knife technique diligently.
After practicing the quick knife technique, he chose a combination of work and rest to supplement the notes he made in the intensive care unit during the day.
For some unknown drug usage and dosage, as well as some difficult to understand parts, I will consult the information again and again, understand them, learn them, and truly master them.
Some doubts that need to be resolved by consulting a senior doctor are marked.
I will find a chance to consult my senior doctor after work tomorrow.
…
The next day, when Zhou Can went to work, Dr. Hu saw him and greeted him enthusiastically from a distance.
Zhou Can still finds it difficult to adapt to this change.
It was probably because of what he had witnessed yesterday about Zhou Can's powerful surgical skills that Dr. Hu had completely humbled himself and was working hard to get along well with Zhou Can.
Director Liu also hurried over at this time.
According to the agreement, Zhou Can will no longer follow Dr. Hu from today on, but will be directly led by Director Liu.
"Doctor Hu, the patient in bed 6 is doing well after returning from surgery yesterday?"
"Dr. Shi was in charge of the night shift. When he took over, he was still amazed that the patient in bed 6 who had been in a car accident not only survived the critical moment, but also recovered rapidly. He kept praising the correct and timely operation."
Dr. Hu works the day shift.
The night shift is Doctor Shi.
When talking about the condition of the patient in bed 6, Dr. Hu couldn't help but smile.
Every doctor feels particularly happy when he sees the patient's condition improve.
"When I was on duty, the patient in bed 6 not only had stable vital signs, but also showed signs of regaining consciousness. To be honest, I have never had such an easy shift as today. The patients in beds 6 and 7 have all shown obvious improvement. Only the patient in bed 8 needs occasional care. Since I really had nothing to do, I also helped other teams with some work. They all envy me."
When Dr. Hu talked about this, he was really excited.
The death curse of bed 6 was finally broken.
Moreover, the conditions of two extremely seriously ill patients under his care improved, which made him feel very proud.
"Haha, it looks like our group has a lucky star!"
Director Liu was also very happy after hearing this.
Turned to look at Zhou Can.
"I can't do this by myself. It's mainly because of the good leadership of several senior doctors. Rather than saying that I'm a lucky star, it's better to say that I joined a very good team."
Zhou Can quickly gave way.
This high EQ answer made Dr. Hu and Director Liu smile even more.
Following Director Liu into the intensive care unit, Zhou Can checked the condition of the patient in bed 6. He saw that the patient's originally pale face had regained a hint of redness.
Blood pressure, blood oxygen, heart rate, and breathing all became stable.
The patients themselves are very young and their recovery ability far exceeds that of the elderly.
It is normal for the condition to improve quickly after surgery.
This is also the reason why young patients with the same injuries in car accidents are more likely to walk out of the hospital alive than the elderly.
The blood circulation, cell metabolism, regeneration ability, and body recovery speed of the elderly are far inferior to those of young people.
The highest mortality rate is also among the elderly.
"Everything we did for the patient in bed 6 yesterday was so meaningful!"
Zhou Can saw a flower of life that was about to wither bloom again and regain its vitality. He felt a sense of accomplishment.
The patient in bed 6 has little to worry about except suctioning sputum, turning over, and taking normal medications.
No wonder Dr. Hu said today was the easiest shift he had ever had.
Zhou Can walked to bed 7 to check on the patient’s condition and was also filled with gains and surprises.
The patient in Bed 7 seemed to have known for a long time that it was Zhou Can who saved him.
Seeing Zhou Can walking to the bedside, he nodded vigorously at Zhou Can.
"Don't move, don't move. Wait until you get better. Then you can talk to me however you want."
Zhou Can hurried to comfort the patient.
The patient is still intubated and cannot communicate directly.
"Director Liu, do you think he needs a nutritional injection?"
"It depends on his family's financial situation. But I think nutritional injections can quickly replenish his weak body with nutrients and speed up his recovery. He can be transferred out of the expensive intensive care unit as soon as possible. Overall, it is a very good choice."
Director Liu thought about it and said seriously.
At present, domestic nutritional injections are not actually advanced, let alone perfect.
However, for patients who have been ill for a long time and are extremely weak, appropriate nutritional support is a very good choice.
I must say here that there is a saying in Chinese medicine that the weak cannot be nourished.
When patients who have been ill for a long time use dietary supplements, they must not take a large amount of supplements, but should proceed step by step and take it slowly.
Nutritional injections are usually administered intravenously, and the main substance supplemented is human albumin.
I have to complain that domestic nutritional injections are very expensive and the effects are average.
Research in this field is still very backward and the market is relatively monopolized, which is extremely unfavorable to the development and competition of the entire industry.
If the status of nurses in China can ever be as high as that in developed countries, the field of nutritional medicine will surely usher in a period of rapid development. At present, some nurses in China have switched to become nutritionists.
Compared with foreign countries, it can only be considered as a rudimentary form.
Still very immature.
It would be perfect when we can provide the people with truly cost-effective nutritional support.
The life expectancy of Chinese people will definitely be greatly improved, and the hospitalization period will be greatly shortened.
This is a huge untapped pie.
Unfortunately, due to many constraints and technical difficulties, we can only wait and see.
"I'll talk to your family later and try to help you recover quickly and get transferred out of here."
When Director Liu saw the patient's pleading look, he spoke to comfort the patient.
After checking the patient in bed 7, the two men walked to bed 8. The patient's condition was relatively stable.
"Let's go check out the other beds!"
Director Liu's duty was obviously different from that of Doctor Hu.
As the leader of the entire team, he needs to inspect the patients in the entire team. If patients in other teams have emergencies, Director Liu also needs to rush over to provide support.
The higher the status, the heavier the burden on your shoulders.
