Chapter 221: A Thousand Doctors Have A Thousand Ideas, Met An Old Acquaintance
No matter when, strength is above all else.
Before Zhou Can found the bleeding point, there were constant doubts. After he found it, all the doubts disappeared. Instead, there were amazement, praise, and deep shame.
"Director Wu, this blood vessel should supply a large area. I'm afraid it won't work if we just ligate it to stop the bleeding, right?"
Zhou Can stood at the operating table, wanting to continue with the next part of the surgery.
This kind of difficult surgery is a challenge for any chief physician, let alone him as a resident intern.
"It can be sterilized, but even if the patient is saved, he will have to spend the rest of his life in a wheelchair or lying in bed as a vegetable." Wu Baihe is usually a very serious person.
At this moment, he might be happy to see Zhou Can successfully find the bleeding point, so he made a joke with him.
"Then...can you let me repair the blood vessels? I'm confident I can fix it."
Zhou Can's suturing and ligation skills have all reached the deputy director level, and he is fully capable of repairing a blood vessel.
For someone like him who has a high talent for endoscopic surgery, the difference between traditional surgery and endoscopic surgery is not that big. For example, suturing surgery is now level five, and whether doing traditional surgery or endoscopic surgery, he can reach the level of deputy director.
However, some people do not have the talent for endoscopic surgery, and their medical skills will be greatly reduced when they operate through long arms.
Those people either cannot find the familiar feel, or become unable to operate them and are far below their normal level.
"You can try. But let me be frank. The rescue time has exceeded four hours and the patient's condition is not optimistic. If I feel that you are only barely competent or your repair skills are not up to standard, I will stop immediately."
Wu Baihe hesitated for a moment and decided to let Zhou Can give it a try.
People are like this sometimes. Because of personal relationships, when they can refuse or not refuse, most of them will choose not to refuse.
If Zhou Can hadn't found the bleeding point in time, they would have been in trouble.
The patient is likely to die immediately.
"OK!"
After getting Wu Baihe's approval, Zhou Can did not hesitate and immediately began to perform vascular repair on the patient.
I saw him operating the endoscope arm to ligate the ruptured blood vessels accurately and quickly.
After stopping the bleeding, start to quickly clear the accumulated blood stasis, then find a way to make room for the operation and start repairing the ruptured blood vessels.
The difficulty of repairing this type of deformed and diseased blood vessels is much higher than that of repairing ordinary blood vessels.
Most of their blood vessel walls have calcified.
The more serious ones basically have extremely severe atherosclerosis.
The blood vessel wall has long lost its original elasticity and toughness. Its internal passage will also increase due to the appearance of plaques, and eventually become narrower and narrower.
The operation is proceeding intensely.
Zhou Can’s operation was not particularly good, but at least it was above average.
Wu Baihe, who was originally a little worried, gradually relaxed.
This was not the first time he had watched Zhou Can perform endoscopic surgery. He had always had a good impression of Zhou Can.
Otherwise, it would not be possible to invite a trainee to help this time.
[Suture skill experience +1.]
[You have successfully completed the suture of the right intracerebral artery for the first time, and you will be awarded suture experience points +100. ]
[Ligation experience +1.]
[You have successfully completed the suturing and knotting of the right intracerebral artery wall for the first time, and you will be awarded +100 ligation experience points. ]
Zhou Can had long expected that this high-difficulty vascular repair could earn him extra experience points as a reward.
It turned out to be just as he expected.
After earning the reward, he did not get carried away, but continued to concentrate on repairing ruptured blood vessels for patients.
…
After more than an hour and great effort, he finally successfully repaired the deformed artery.
Before anastomosing the blood vessels, the two calcified plaques inside the blood vessel wall were also cleaned away.
He is confident that after the operation, the patient's blood vessels will be more unobstructed than before.
"Director Wu, I have finished the repair. Please help me check it again!"
Zhou Can felt quite satisfied looking at his repaired blood vessels.
"Well, it looks like there's nothing wrong. Let's do a blood circulation test!"
After so much time has passed, the biggest worry is the cell necrosis at the end of the blood supply.
Theoretically, stopping the bleeding and restoring blood flow to the blood vessels within three hours will achieve a more satisfactory treatment effect.
The longer it takes, the more disadvantageous it will be for the patient, and the more uncertain the efficacy will become.
When doctors are trying to save patients, sometimes they know that there is little hope, but they still try their best to save the patients. It is not because doctors are full or stupid, but because they want to create a miracle of life.
When Zhou Can was doing his resident training in the Department of Critical Care Medicine, he encountered a very frustrating situation.
The doctor tried his best to save the patient and had achieved some results. However, the family members were worried about losing both the patient and the money, or they could not afford the high cost of 10,000 or 20,000 yuan a day for treatment, so they strongly asked the doctor to give up treatment.
In this case, even if the doctor has seen that the patient's condition is improving, there is hope as long as the treatment is persisted.
However, the family members demanded that the doctor give up the treatment, and no matter how unwilling and reluctant the doctor was, he had no choice but to give up the treatment.
Then watch the patient die quickly.
Zhou Can tried to loosen the proximal end of the ligated blood vessel and the ligature at the blood supply end.
When repairing blood vessels, experienced doctors prefer to ligate both ends of the blood vessels, which can effectively reduce the possibility of air being trapped in the blood vessels and the occurrence of thrombosis.
The proximal end is ligated mainly to prevent continuous bleeding. Otherwise, surgery is impossible.
After the ligatures at both ends were loosened, blood quickly flowed into the repaired blood vessel segment.
"It's unblocked! The blood vessel repair was successful!"
Wu Baihe has extensive surgical experience and can tell with just one glance that the blood vessels have been repaired.
"Don't rush to move it. Observe it for a while to see if there is any bleeding or blood clots."
[Experience points for hemostasis +1.]
[You have successfully repaired and cleaned the malformed artery in the cerebral hemisphere for the first time, and you will be awarded +100 hemostasis experience points. ]
One operation earned me 100 experience points as a reward.
But Zhou Can was very happy.
However, this was the first time for him to repair the malformed blood vessels in the brain, and he learned a lot and accumulated a lot of valuable experience.
"Okay, let me do the rest of the work!"
After Wu Baihe took over, he first conducted a second inspection of the repaired blood vessels to make sure there was no problem. Then he completed the final hematoma elimination and began to close the cranial cavity in an orderly manner.
The operation lasted more than six hours and the patient was pushed out of the operating room.
Although the patient has not yet woken up, from the doctor's point of view, the operation was successful.
The patient was taken to the recovery room and his vital signs were stable.
"Ah, it's already past ten in the morning. I'll treat you all, let's go have breakfast together. You've all worked so hard today. Fortunately, the operation was successful, and our efforts were not in vain. I hope the patient can wake up, and it would be best if there are no obvious sequelae."
After Wu Baihe finished the operation, he looked up at the wall clock and found that it was already past ten o'clock.
Generously invite everyone to have breakfast together.
Sometimes a doctor's work really requires no distinction between day and night.
The whole process of the rescue operation just now was carried out in a highly tense atmosphere and no one cared about the time.
Doctors and nurses walked out of the operating room one after another.
I thought we were going to the cafeteria to have breakfast, but I didn't expect that Wu Baihe had already asked his assistant to order breakfast in advance and put it in the small conference room of the Department of Neurology.
Everyone had been working hard for most of the night and now they could finally sit down and take a rest.
The breakfast is quite rich, including steamed buns, bread, fried dough sticks, angelica eggs and soy milk.
Doctors pay more attention to health preservation and often cook angelica eggs themselves or buy them to eat.
Eat less fried foods.
Perhaps considering the tastes of some young medical staff, they ordered some fried dough sticks.
The taste of fried food is very tempting, and young people are in good health and have no taboos.
I don’t care whether the food you eat tastes good or not, I just want to satisfy your taste buds first.
While eating breakfast, everyone talked about the surgery or other topics.
It's just chatting anyway.
The chief physicians are usually very busy, and there are not many opportunities like this for them to sit together and chat.
There was laughter and joy in the meeting room, and the atmosphere was very harmonious.
"Doctor Zhou, your vascular repair skills are great! The vascular repair in this surgery was extremely difficult. I've only heard that you're good at endoscopic surgery before, but today I've seen it with my own eyes."
A chief neurosurgeon, who Zhou Can rarely interacted with, smiled and praised Zhou Can.
It's not that kind of flattery.
It’s just that I saw that Zhou Can was so outstanding, so I established a good relationship with him in advance.
"I'm more curious about how he found the bleeding point! Doctor Zhou should have deliberately not sucked out the blood, right?"
Another deputy chief physician got involved.
Zhou Can was munching on meat buns, taking two bites at a time, eating them with soy milk.
These bigwigs from the outside world suddenly came to talk to him, forcing him to stop eating.
Because it is very impolite to talk to people unclearly while chewing food.
"I guess so! When you look for bleeding points, don't you ever use the method of observing the accumulation of blood to find the bleeding points?"
Zhou Can vaguely realized that each doctor's hemostasis technique was consistent in basic operations, but there were also many similarities and differences. Everyone had his own set of experience and techniques.
To put it bluntly, rats have their own ways and snakes have their own paths.
"It's exactly what I expected. I never knew that you can find the bleeding point by observing the blood accumulation. If Dr. Zhou is willing, please share your successful experience!"
This deputy chief physician is in his fifties and still thirsts for knowledge.
"I have never heard of this method. This is the first time I've heard of finding the bleeding point by observing the accumulated blood!" Another attending physician joined the discussion.
Although Wu Baihe and the others did not speak, it could be seen from the fact that they stopped talking and pricked up their ears to listen to Zhou Can sharing useful information that they probably did not master the technique to observe blood accumulation and find the source of bleeding.
Everyone has different ways of thinking and doing things.
For example, when rushing from home to work at the hospital, some people choose to walk, some hitchhike, some take a private car, some drive, and some ride a bicycle...there are so many ways.
But they were able to get to the hospital on time to work.
This is what people often say: different paths lead to the same destination.
"Since someone asked, I'll tell you my own way. Please don't laugh at me."
Zhou Can does not keep his knowledge to himself, but generously shares the valuable experiences he has gained.
"When blood accumulates, it will flow in a certain direction. When there is too much blood, it will form wavy lines..."
He shared his skills with everyone.
The four nurses didn’t know much about surgical techniques and just looked at Zhou Can with admiration.
In neurosurgery, many operating room nurses knew that Zhou Can was very good. When Dr. Wen performed endoscopic surgeries, Zhou Can was often the lead surgeon.
There are many unmarried young nurses who are interested in him.
"It turns out that this method can be used to find the source of bleeding. Today I have learned a lot." Wu Baihe was the first to speak after listening.
He was amazed at Zhou Can's "homemade method".
"That's right. I wouldn't even dare to dream of such a method. Young people just think differently!"
The chief physician who asked the first question followed up.
"Zhou Can's surgical and diagnostic ideas are different from those of ordinary people. I am not surprised that he can figure out this unique surgical technique on his own."
Director Wen knows Zhou Can's abilities very well.
After hearing Zhou Can's method of finding the bleeding point, he was not really surprised.
"I have seen many medical geniuses. It is no exaggeration to say that we have too many medical geniuses in the Department of Divine Surgery. Most of the people present here deserve the title of medical genius, including myself. However, there are very few geniuses like Dr. Zhou. I am afraid that only Director Wu can be called a genius."
A young deputy chief physician praised with a smile.
Everyone smiled and agreed with what the deputy chief physician said.
There is some truth in what you said.
There are many geniuses, but very few prodigies.
Dr. Xu, Wu Baihe, and Hu Kan can all be called geniuses.
Everyone has his or her own unique abilities that ordinary people do not have, and therefore can be called a genius.
"I dare not compare myself with an industry leader like Director Wu . You are flattering me too much. When I live to be sixty, if I can have half of Director Wu's ability, it will be enough to make me happy in my life."
Zhou Can doesn't dare to wear this high hat.
He would not be so arrogant as to put himself on the same level as Wu Baihe.
Whether out of modesty or high emotional intelligence, he had to give in.
"Doctor Zhou, please do not underestimate yourself. With the talent and strength you have shown now, I dare to assert you will probably become the top surgeon in Tuya before you are even forty."
Wu Baihe has a very high opinion of Zhou Can.
This is not an exaggeration, but a relatively conservative prediction made through contact with Zhou Can, understanding him, and observing the all-round improvement in his surgical and diagnostic abilities.
"Haha, Director Wu's words make people happy. When I heard this, I thought I was no good, but now I am good again."
Zhou Can's words made everyone burst into laughter.
The atmosphere in the conference room is also more harmonious and cordial.
After breakfast, everyone prepared to start their day's work.
Zhou Can walked out of the small conference room and headed for the elevator. It was already past half past ten.
Originally, according to his work schedule, his surgery schedule for these two days was fully booked.
There are still many operations waiting for him to perform in the general surgery department.
When passing the ward on the side of the corridor, Zhou Can's eyes lit up slightly. He unexpectedly saw an acquaintance, his old partner Qiao Yu.
I saw Qiao Yu holding a plate and placing it in front of a bed, taking care of the patient.
The work is not easy.
An experienced nurse stood behind her, gesticulating and ordering her to do things.
There is nothing wrong with this in itself.
But when Zhou Can saw it, he felt a little unhappy.
He immediately walked over quickly.
"You can't even insert a catheter? How can you be a nurse if you are so shy? I have taught you several times that you must not only do it well, but also seize the time and make sure it is done quickly."
This old nurse was actually an old acquaintance of Zhou Can.
Head nurse: Hu Shuiling.
On the first day Zhou Can entered the hospital, the head nurse was also extremely arrogant towards Zhou Can.
Later, Zhou Can made great contributions in both the operating room and the ward diagnosis, which won the appreciation of Director Wen and his position was quickly promoted. Hu Shuiling's attitude towards him changed 180 degrees.
From having a cold face to all kinds of fawning and trying to please others.
I didn't expect Qiao Yu to be assigned to her. I'm afraid he has suffered a lot recently.
