Chapter 227 Terrible interstitial tumor, Dr. Xia was impressed
If the doctor is a senior doctor you are familiar with, you might be able to take advantage of the opportunity to actually perform the surgery.
For example, Elder Liu, the chief physician of the Department of Digestive Surgery, etc., all of them knew Zhou Can's surgical ability very well. They would even ask Zhou Can for help without Zhou Can asking.
After all, Zhou Can was famous for performing surgeries well and quickly during the general surgery competition in the last month.
Not long after, reinforcements from the general surgery department arrived.
The people who came turned out to be Director Jia and Qiu Hong, which surprised Zhou Can.
Logically speaking, even if such a patient needs surgery, at most the attending physician can be sent over.
Directly dispatching a rehired chief physician and an attending physician will give enough face to the Department of Gastroenterology.
I have heard before that gastroenterology surgery and gastroenterology are as close as one family.
Now I believe it.
"Hey, Director Jia, why did you bother to come here in person? Thank you, thank you!"
When Xia Ping saw Director Jia coming, he hurried forward to greet him warmly.
This patient is his, and now he has a problem, so he needs to ask a general surgeon to help. Naturally, he has to express his gratitude.
"Doctor Qiu is still as beautiful as ever. Thank you for your help this time!"
It was really unexpected that Dr. Xia Ping knew Director Jia and Qiu Hong.
"Doctor Xia, you don't have to be polite. It's only natural for us to help each other. Is the patient suffering from intermittent intestinal bleeding?"
Director Jia represented the newly established gastrointestinal surgery department, and he probably wanted to show a brand new sub-department. In addition, the two departments were like brothers and interdependent, so they sent Director Jia directly to help.
"Doctor Zhou, thank you for your hard work today. Director Jia from the General Surgery Department has brought some people here. With Director Jia doing the surgery, we're sure it will be done. Just go and do your job!"
Xia Ping felt relieved after inviting reinforcements from the general surgery department.
The next step was to have an open surgery, and he didn't think a resident trainee could be of much help.
In addition, Zhou Can had been leading the rescue just now, which made Xia Ping's face look ashamed. Zhou Can's continued stay here brought him an invisible psychological pressure.
That's why I thought of sending Zhou Can away as soon as possible.
"Okay then, I'll leave first!"
Zhou Can didn't care. It would be best if he could get the opportunity to practice for this surgery, but if he couldn't, it didn't matter either.
"Director Jia! Senior Sister Qiu, goodbye!"
Zhou Can is an old acquaintance of these two and they have a very close personal relationship.
At this moment, they were just waving goodbye like old friends.
"You... know each other?"
Xia Ping was not stupid either. He was secretly surprised when he saw Zhou Can waving goodbye to Director Jia and Qiu Hong in a very familiar manner.
Director Jia is a heavyweight boss in the general surgery department. Xia Ping, a senior attending physician, wants to build a relationship with him, but has been unsuccessful.
When he found out that a trainee was so close to Director Jia, he was more surprised than envious.
"More than just knowing him, he is my junior fellow apprentice." Qiu Hong replied with a smile.
"Junior brother? What is his relationship with Director Jia?"
Xia Ping knew that Qiuhong was Director Jia's student. Since Qiuhong called Zhou Can "junior brother", did that mean Zhou Can was also Director Jia's student?
"Dr. Zhou and I are good friends regardless of age. He is the most talented young doctor I have ever met. He is excellent in every aspect."
Director Jia actually defined the relationship between the two in this way.
Even Zhou Can didn't expect this.
"Ah...you and him are good, good friends?"
Xia Ping almost dropped his jaw in shock.
A very prestigious chief physician is actually good friends with a young resident doctor. This is too much information.
The gap between their identities and status is too big. On what basis does Zhou Can have the right to be on equal terms with a chief physician?
"Don't get me wrong, this is all Director Jia's praise for me. In fact, Director Jia and I should be considered as both a teacher and a friend. When I was doing my residency training in the Department of Digestive Surgery, Director Jia was very kind to me and gave me a lot of guidance. Whether we are working or chatting, we get along very well, so we are good friends regardless of age difference."
Zhou Can quickly explained that he dared not take any advantage of Director Jia.
I dare not be arrogant at all.
"I see! I really envy your friendship regardless of age difference." Doctor Xia Ping was really envious from the bottom of his heart. He wanted to get to know Director Jia, but he hasn't succeeded yet.
"Zhou Can is here for regular training in the Department of Gastroenterology this time. Is he assigned to work under you?"
Director Jia asked Xia Ping.
"Not yet! He just reported to the Department of Gastroenterology today, and he ran into danger early in the morning. It's also my fault for being careless and not following Dr. Zhou's advice in time, which almost caused a disaster."
When talking about this incident, Xia Ping still felt a lingering fear.
Fortunately, with the joint efforts of many people, the patient was saved.
Otherwise, the consequences will be disastrous.
He, the attending physician, is probably going to be in trouble.
"Haha, you don't understand Zhou Can's ability. Next time he makes a diagnosis, you'd better take it seriously." Director Jia knew what was going on as soon as he heard it. Zhou Can had made too many great contributions to the Department of Digestive Surgery.
The diagnostic capabilities are so strong that they can only be described as incredible.
Although he is just an intern, sometimes Zhou Can is even better than the chief physician in diagnosing some difficult and complicated diseases or critical cases.
Xia Ping actually didn't listen to Zhou Can's diagnostic advice. It would be strange if he didn't suffer any loss.
"I will definitely take it seriously next time! This was the first time, and I didn't know his diagnostic skills, so I was careless."
This was the first time in Xia Ping's life that he had seen a trainee with such strong abilities.
"In fact, Zhou Can is here for this operation, so it can be done just as well without us."
Director Jia smiled again.
"What do you mean?" Xia Ping looked puzzled.
"Zhou Can is very skilled in surgery. He can definitely complete this level of surgery easily. Even if you invite us here, he will still be the one to complete the surgery with him here."
After Director Jia finished speaking, he looked at Zhou Can.
"Boy, don't be lazy. You are the one who located the bleeding, right? You are the only one who knows the bleeding point best. It's perfect for you to do this operation."
Director Jia directly conscripted Zhou Can into the army.
He was old, and Qiu Hong’s surgical skills were only average.
It is the best choice to have Zhou Can perform this operation.
"This operation will probably require opening the abdomen and moving the intestines! It's too dangerous for a resident trainee to do these difficult and high-risk operations. It might be okay to let Dr. Zhou help sew the skin and close the abdominal cavity."
How could Xia Ping believe that Zhou Can had the ability to open the abdomen and remove the intestines!
He was being very tactful in saying these things.
"Yeah, seeing is believing for many things. Where is the patient?"
Director Jia was too lazy to explain more to Xia Ping. He brought his people here to help perform the operation and save the patient's life.
"Over there!"
Xia Ping led them to check on the patients who had been intubated with many tubes and had just been rescued.
Director Jia checked the patient's condition, including physical signs.
"This is only an interventional operating room. It doesn't have the conditions for surgery. We need to transfer him to a hybrid operating room with DSA for surgery. Contact the hybrid operating room first, and then transfer him there quickly!"
The Department of Internal Medicine only has an interventional operating room, which can perform both interventional and endoscopic surgeries.
If you really want to perform an open surgery, you have to go to the surgical complex operating room.
Director Jia personally contacted the operating room and asked Zhou Can to send the patient there together.
Doctor Xia Ping was somewhat worried, but despite being very busy at work, he followed the patient into the operating room.
As for Zhou Can, he was simply drafted by Director Jia.
"Zhou Can, as usual, you perform the surgery. If you are unable to do the job, I will take over."
Director Jia liked him very much.
The trust level is also extremely high.
Whenever there is an opportunity for surgery, try to let him practice.
In Tuya Hospital, Director Jia was not the only one who treated Zhou Can so well. In fact, many older doctors were very happy to pass on their medical skills from generation to generation.
However, in the process of training successors, we will teach them according to their aptitude.
Senior doctors are particularly fond of young doctors like Zhou Can who are insightful, talented, and have excellent moral character.
"Just let him be the surgeon?"
Doctor Xia Ping asked weakly.
"Um!"
Director Jia snorted as a response.
After helping the anesthesiologist to anesthetize the patient, Zhou Can stood at the operating position.
Qiuhong has skillfully disinfected the patient's abdominal surface.
The knife positions were marked by Zhou Can himself.
Director Jia is in charge of the review.
Wearing sterile gloves and taking the scalpel handed to him by the instrument nurse, Zhou Can began to cut open the patient's abdominal epidermis, subcutaneous tissue, namely the fascia layer, muscle layer, and peritoneum layer layer by layer, and finally opened the abdominal cavity.
Dr. Xia Ping, who was standing in the audience and watching his movements, which were as fierce as a tiger and as fast as the wind, was almost frightened to the point of having a heart attack.
My God, this is an open abdomen!
With just a few cuts, an abdominal wound was opened, which looked really scary.
Not to mention young novice surgeons, even chief surgeons with extremely rich surgical experience have never seen such an operation.
After opening the abdominal cavity, Qiuhong and an intern helped with the hook retraction.
Originally, the work of stopping bleeding was performed by the assistant.
When Zhou Can performed surgery, unless he couldn't spare his hands, he would stop bleeding during the operation himself.
Whether it is electrocoagulation hemostasis, ligation, or clamping, he is an expert at it.
Even an assistant at the attending physician level couldn't do as well as he did.
He performed the interventional angiography himself, and he had memorized the patient's bleeding site.
However, in order to prevent the bleeding point from being lost, the arterial catheter sheath was intentionally retained when the interventional surgery was withdrawn.
The laparotomy to find the lesion went smoothly.
Zhou Can found the site of the lesion without much effort.
"It turns out that the bleeding point is inside the small intestine wall. No wonder gastroscopy and colonoscopy failed to find the bleeding point!" Zhou Can said with sudden .
"No wonder, no wonder! I should have done a gastrointestinal angiography a long time ago. It's all my fault for being too conservative and too conventional."
Doctor Xia Ping muttered to himself as he reviewed his mistakes during this diagnosis and treatment.
This is how doctors grow.
Learn from every mistake, accumulate experience, and become stronger and stronger.
This is why patients prefer to see older doctors.
Old doctors have more experience and can avoid many pitfalls and pitfalls. Patients can also suffer less.
"Because the lesion is located in the small intestine and the stromal tumor grows under the mucosa of the intestinal wall, even capsule gastroscopy is of little use. It is normal that no bleeding point can be found. Stromal tumors are rich in blood vessels, and angiography is the best examination. Dr. Zhou is young, and although he is still in the training stage, his diagnostic thinking is far better than mine."
At this point, Doctor Xia Ping was completely convinced.
I no longer feel uncomfortable being slapped in the face by Zhou Can.
Instead, he began to sincerely repent and reflect on his mistakes.
This was Zhou Can's first time meeting this patient. After observing the patient briefly and gaining a slight understanding of his condition, he immediately suggested that the patient undergo a gastrointestinal angiography.
This extremely accurate diagnostic ability really impressed Dr. Xia Ping.
At the same time, I am also envious.
The most difficult thing for a doctor to develop is diagnostic ability.
Many doctors spend their entire lives improving their diagnostic skills in order to avoid detours and reduce suffering for their patients.
If this patient had been handed over to Zhou Can for treatment, perhaps the tragedy of shock and need for emergency treatment would not have occurred.
It was just good luck and the development of modern medical technology that eventually saved the patient.
Otherwise, a life would be lost.
"His condition looks good, and there is no metastasis. After direct resection, it should be able to be cured."
After some inspection, Zhou Can asked Director Jia to review it.
Ultimately, the patient underwent radical surgery to remove the stromal tumor.
"Send it for a pathological test!"
Director Jia said.
Stromal tumors are very dangerous and malignant. Many patients are diagnosed with intestinal stromal tumors, but when they want surgery, they find that the tumors have already metastasized to the liver and other parts of the body.
In this case, surgery is no longer a cure.
Most patients will undergo so-called palliative surgery, and at the same time, they will choose the drug imatinib to control the progression of the disease and prolong the patient's survival time as much as possible.
This patient was lucky in misfortune.
After the operation, Director Jia left with Qiuhong and his interns.
After the patient regained consciousness, Dr. Xia Ping took Zhou Can to push the patient back to the gastroenterology ward for careful care.
"Doctor Zhou has both strong diagnostic and surgical abilities. No wonder Director Jia and other big names in general surgery are willing to be friends with you!"
Dr. Xia Ping's attitude towards Zhou Can has undergone a fundamental change.
From being arrogant at the beginning, to being a little hesitant later, until now he completely accepted Zhou Can's superior status.
This psychological transformation is quite complex.
In the final analysis, strength is the basis for everything.
He was completely impressed by Zhou Can's diagnostic and surgical abilities.
"You are so kind!"
Zhou Can responded modestly.
"If Dr. Zhou is assigned to my regular training, I am willing to teach you with all my knowledge and give you the greatest authority." After Dr. Xia Ping psychologically accepted and recognized Zhou Can's status, he immediately began to make his wishful calculations.
Zhou Can is so capable that if he can get his subordinates as trainees, it would be like having an extra general.
Even if Zhou Can only does regular training in the Department of Gastroenterology for one or two months, it will bring him huge benefits.
Apart from anything else, the patients in the group have Zhou Can to help, which is much better than those stupid residents and interns under him.
Furthermore, the two of them have such a teacher-student relationship, and when Zhou Can is promoted in the future, he will be able to have a say.
Xia Ping had been in the hospital for so long and had seen too many geniuses rise rapidly to the rank of deputy director and chief physician, leaving him far behind.
Even though his current position is higher than Zhou Can's, with the abilities Zhou Can has shown , he will be able to surpass him in a few years.
After sending the patient back to the ward, the family members held Zhou Can's hands and thanked him repeatedly.
Not only was the patient rescued, but he also successfully completed the operation and was cured. This is definitely great news for his family.
Zhou Can has been busy running around to rescue patients, and the family members have seen it all.
In addition, Zhou Can was the first doctor to suggest angiography, and the family members had a high degree of trust in him.
Doctor Zhang, the doctor in charge of the patient, is now like a rat and doesn't dare to enter the ward easily.
Afraid of being beaten to death by family members.
After finishing his work, Zhou Can returned to the doctor's office.
Doctor Chi was sorting out the medical records written by his doctors. When he saw Zhou Can coming back, he smiled and took the initiative to greet him, "Hello, Doctor Zhou, we are really destined to meet. I didn't expect you to be admitted to the gastroenterology department so soon."
"Haha, fate brings us together! I need two months of regular training in gastroenterology, so please take care of me, Doctor Chi!"
Zhou Can walked over with a smile.
This is not the first or second time I have dealt with Dr. Chi. The two of us probably first met in the emergency department.
At that time, Dr. Chi boasted that even a minor illness in the emergency department had to be consulted by the internal medicine department, and asked the doctors in the emergency department to read more books. In the end, he found that the patient's illness was very troublesome, and ran away in disgrace.
This was the first time the two had dealt with each other.
"Okay, okay! Here is the admission form you need to fill out. If you have any questions, you can ask me anytime. Director Shang said he will take you there personally, and he just left. Hurry up and fill out the form and complete the admission training procedures. Director Shang will probably be back soon."
Dr. Chi handed him a form.
As soon as they enter the department, they will be personally taught by the chief physician. Apart from Zhou Can, only a very few interns can enjoy this special treatment.
The hospital is actually willing to invest a lot in training these outstanding general practitioners.
For example, Yang Chan, Gao Jian, and Du Leng, who were in the same class as Zhou Can, all reached the pinnacle of their careers right after entering the department. They were directly taught by the chief physician of the department.
A year and a half had passed, and Zhou Can knew a little about Du Leng's situation.
However, he knew very little about the situation of Yang Chan and Gao Jian.
The main reason is that I am too busy. I can’t even take care of my own affairs, so how can I have time to care about other people’s affairs?
