Chapter 249 This kid's surgical skills have improved again, the terrifying bug
"Doctor Zhou can also perform anesthesia surgery! My God, he is so talented!" Xie Lin saw Zhou Can skillfully helping the anesthesiologist with his work, and she couldn't help but marvel at Zhou Can's abilities.
Zhou Can himself didn't feel anything about this.
He has forgotten how many times he has performed anesthesia surgery.
From being an assistant at the beginning, to gradually learning all the anesthesia operations, he can now complete simple anesthesia operations independently.
It definitely won’t work if it’s too complicated, after all, he’s only at the lower level of a resident doctor now.
There is still a lot of anesthesia skills and knowledge to learn.
It is said that a good anesthesiologist can not only protect patients during surgery, but can even roughly infer the post-operative effects and recovery time.
Under Zhou Can's operation, the patient quickly entered a state of general anesthesia and lost consciousness.
He also successfully earned 1 anesthesia experience point.
The general anesthesia surgery for this patient was not difficult at all. The real difficulty was that the patient was too thin and malnourished, which would increase the anesthesia and surgical risks of the patient exponentially.
Some patients died during the perioperative period, and everything was normal during the operation. Postoperatively, sudden events such as pulmonary edema, venous thrombosis, cardiac and respiratory arrest may occur.
Once it happens, the situation is extremely dangerous and it is difficult to save the patient even if the doctor tries his best.
"Sorry, I'm late!"
Wu Baihe seemed to have calculated the time precisely. He hurried over after the patient's general anesthesia surgery was completed.
Zhou Can was slightly stunned, thinking that Director Wen was here to preside over the operation!
I didn’t expect Wu Baihe to come in person.
"Director Wu, I'm glad to see you! I have to explain to you that I called Vice President Ye today to complain about your Department of Neurosurgery. I was only targeting the nurses and doctors who answered my call. They were so irritating with their official language. I didn't mean to target you."
Director Shang was delighted to see this top surgeon come in person to perform the operation.
The anger in my heart had long since subsided.
He took the initiative to explain to Wu Baihe.
It can be seen that although Director Shang is the director of a sub-department of internal medicine and a chief physician, he still pales in comparison to a super famous doctor like Wu Baihe.
It’s hard to explain, but I feel suppressed in terms of momentum.
When the two stand together, it's easy to tell who's better.
Wu Baihe's aura is obviously much stronger than Director Shang's.
"I really have no idea what Director Shang said! Our neurosurgery nurses and some doctors may be arrogant sometimes, Director Shang, please bear with me. Vice President Ye has not talked to me yet, nor has he called me. This is just a small matter, Director Shang, don't worry too much."
After listening to this, Wu Baihe was slightly stunned, then waved his hand generously.
Instead, I comforted Director Shang and told him not to have any mental burden.
To be honest, with Wu Baihe's fame and strength, let alone such a small matter, even if it was ten times more serious, it would probably hardly have an impact on him.
The hospital has always been very tolerant and polite to such famous doctors.
I will never make them unhappy for a trivial matter.
"Ah... Vice President Ye hasn't told you about this yet? Then why did you come here in person to perform the surgery..."
After Director Shang heard this, he felt as if countless crows were flying over his heart.
It's so miserable.
I was bullied by the neurosurgery nurses and general doctors. I went to the vice president to complain, but he was ignored.
Fortunately, he thought that the hospital's attitude towards them had become warmer because of the reprimand from Vice President Ye! It seems that he was overthinking it.
"For such a small matter, Vice President Ye will probably have to wait for a while before he finds an opportunity to tell me about it. As for why I came here in person to preside over the operation, it was because of him."
Wu Baihe pointed at Zhou Can.
In an instant, everyone's eyes fell on Zhou Can's face.
The surgical nurses and anesthesiologist Dr. Guan knew that Zhou Can had a special position in the neurosurgery department and was highly regarded by Wu Baihe and others, so they were not too surprised.
Director Shang of the Department of Gastroenterology and his three graduate students did not know that Zhou Can had such great power. At this moment, they were really shocked and extremely shocked.
"Well... this is what happened. Zhou Can called Director Wen and asked us to help this patient with a brain infection of sparganosis to perform surgery as soon as possible. Director Wen promised Zhou Can that he would work overtime after 6 o'clock this afternoon to help perform the surgery. But Director Wen is currently presiding over another important operation and cannot get away. So he asked me to come and help."
Wu Baihe simply explained it in two sentences.
"Xiao Zhou, I've explained this to you clearly. Don't think that Director Wen stood you up. After Director Wen agreed to help you, he took this matter very seriously. When he was scheduling the operating room this afternoon, he even made a special request to make Operating Room 2 available for you at 6 p.m. As for why he can't make it now, it's because something went wrong during the operation."
To put it bluntly, Wu Baihe came here in person just to make Zhou Can satisfied.
Don’t let Zhou Can mistakenly think that he is ignored by Director Wen.
"Thank you, thank you and Director Wen for caring so much about my feelings. I am really touched."
Zhou Can nodded heavily, his face full of emotion.
Even after being away from neurosurgery for so long, these chief physicians still attach so much importance to him that he really feels like he is being held in the palm of their hands.
It was only then that Director Shang realized how enthusiastic the neurosurgery department was towards them and arranged surgery for the patient that day. It turned out that it was not because of his complaint that it worked, but because Zhou Can secretly called Director Wen.
"Dr. Zhou, you are too low-key! It turns out that you did everything through your connections. Why didn't you tell me?" Director Shang seemed to be blaming him, but in fact he was praising Zhou Can and thanking him for what he had done.
"I was planning to report this to you after I met Director Wen, but when I went to your office I found out that you were at school. I wanted to explain later, but I never had the chance. So I simply didn't mention it again."
Zhou Can explained with a little grievance.
He hadn't even said a word yet, but Director Shang turned around and complained about the department of surgery!
After the three graduate students figured out the truth of the matter, the way they looked at Zhou Can changed again.
From a little bit of admiration, it turned into complete respect.
He was even more envious and jealous of Zhou Can.
They could never have imagined that a resident trainee could have such a high status. And in the neurosurgery department, which is known as the most advanced surgical department.
In their opinion, Zhou Can is definitely the ceiling for regular trainees.
"Okay, let's operate on the patient quickly! I have something else to do later."
Wu Baihe is an absolutely busy man with a distinguished status. He was able to come in person to preside over the operation, which really gave Zhou Can enough face.
"Xiao Zhou, you do it!"
Wu Baihe's words confused Director Shang and others again.
This is a craniotomy.
Letting a trainee to operate the operation , I really don’t know whether Wu Baihe is too careless or has never had an accident.
Even the average deputy chief physician of neurosurgery does not dare to perform craniotomy.
Because craniotomy places extremely high demands on the surgeon.
If you are not careful, it may lead to extremely serious consequences. Under the dura mater are important blood vessels, nerves, and brain tissues. If any of them are damaged, an accident will occur.
"Thank you Director Wu for your trust."
Zhou Can is usually a very humble person, and he is never shy when it comes to competing for surgical tasks.
He stood directly at the main surgery position.
The patient's skin had been prepared and his hair had been shaved. After disinfection, the incision site was marked.
That is where the sparganum is hiding.
Now that he is the lead surgeon, it is actually very helpful to quickly locate the hiding place of the sparganum and then remove it accurately.
The most ideal way to remove the worm is to just cut the cuticle and take the worm out.
He first checked the equipment prepared by the nurse and found nothing wrong.
Flat tweezers and pointed tweezers with teeth are the most commonly used tweezers for clamping parasites.
These tweezers are slightly different from regular surgical tweezers.
The tip of their tweezers has tiny horizontal lines on the clamping area to prevent slipping.
Some parasites can secrete mucus on their body surface.
After clamping them, it is possible that they cannot be clamped firmly and may escape.
These tweezers won't do that.
Once you clamp the parasite's body, it will be difficult for them to escape, and you can also use force when pulling them out.
After Zhou Can held the scalpel, he did not rush to operate.
Instead, he stared at the drawn cutting position and waited quietly.
Wu Baihe trusted him extremely and did not rush him.
Director Shang seemed to know what Zhou Can was waiting for, and he also did not urge him and waited patiently.
After about fifteen or sixteen minutes, Zhou Can took action.
The knife cuts as fast as lightning.
The knife directly cut open the patient's scalp, revealing the flesh and skull inside.
His eyes were very sharp. He aimed at one of the white spots and directly clamped it with the tweezers in his left hand.
After the long white object was clamped, its head and body were twisting slowly.
Especially its head, which twists greatly.
The speed is also quite fast.
"That's right, this is definitely a parasite. Judging from its appearance, it must be a sparganosis."
Wu Baihe has performed many operations to remove sparganosis from the brain.
Well-informed.
At a glance, he recognized the long white object that Zhou Can was holding.
"Being able to clamp its head in the first place and prevent it from retracting into the cranial cavity is a very successful step." Wu Baihe praised sincerely.
After not seeing each other for nearly a year, he found that Zhou Can's medical skills had improved dramatically.
Whether it was the control of speed, precision, and strength in cutting the scalp just now, or the timely stopping after the cut, everything was just right.
It is a state of mind where one's actions are guided by one's heart.
This kind of ability can only be possessed by a full-time surgeon at least at the deputy director level.
It is really shocking that a little kid like him, who has only been trained for less than two years, has already acquired such skills.
After cutting the wound open, he immediately used the tweezers in his left hand to clamp the parasite in a lightning speed, also showing his superb grasping skills.
Grasping technique is an advanced medical skill and one of the basic skills of endoscopic surgery.
What kind of monster is this!
Wu Baihe could foresee that in the near future, Tuya Hospital would have a super-powerful surgical expert. Zhou Can's surgical achievements would far surpass his, Director Hu Kan, and Doctor Xu.
As the saying goes, the layman watches the excitement, while the expert watches the details.
In the eyes of the three graduate students, whether Zhou Can cut open the patient's scalp or quickly clamped the parasite, it seemed to be just a few easy movements. It looked simple and ordinary, nothing amazing.
What they don’t know is that it is this kind of ability to make light of heavy tasks and to do things with ease that is the true wisdom.
It is like a martial arts master. When his martial arts skills reach perfection, every move and every gesture becomes simple and ordinary.
To put it bluntly, their surgical skills were too weak and they simply could not understand Zhou Can's strengths.
Only Director Shang could see how powerful Zhou Can's surgical skills were.
"If I had known this kid was so capable, there would be no need to hire a neurologist! This department can handle it."
Director Shang thought to himself.
He was very angry because of asking the neurologist for help.
"Oh, it's trying hard to shrink into the patient's cranial cavity with great force. I'm afraid its body will break directly." After Zhou Can clamped the insect, he was about to pull it out.
It turned out that the insect was frightened and had instinctively shrunk into the skull cavity.
Its body was stretched and thinned like a rubber band.
Zhou Can was particularly afraid that its body would break.
"Don't worry, just give it some medicine and it will be quiet."
Wu Baihe had extensive surgical experience. He quickly took the tube of medicine that the nurse had prepared and injected it into the worm.
As soon as the medicine was poured onto the insect's body, it felt like it was splashed with concentrated acid and struggled even more violently.
Zhou Can didn't dare to use too much force, for fear that its body would break.
We can only seek a delicate balance as much as possible.
Fortunately, the parasite struggled for about 40 to 50 seconds, and the drug seemed to take effect. It was obviously beginning to become weak. Then Zhou Can pulled it out of the patient's cranial cavity little by little.
One centimeter, two centimeters, three centimeters...
The parasite was pulled out to a length of six centimeters, but it still hadn't reached the end. Zhou Can and all the doctors and nurses were shocked.
Keep pulling out.
Zhou Can had already put down the scalpel, and Wu Baihe personally helped him to use the hook to pull open the scalp layer.
Director Shang also reacted at this time and helped to stop the bleeding with electrocoagulation.
But his ability to stop bleeding is really not satisfactory. At best, he is just a lower-level doctor.
The surgical skills of the internist are really eye-popping.
"It's okay to have a small amount of bleeding. Director Shang, please take a rest first."
Wu Baihe couldn't bear to see this, so he quickly asked Director Shang to stop the electrocoagulation hemostasis operation. He was mainly worried that too much of the skin tissue under the patient's scalp would be burned, which would greatly affect the healing of the wound.
"OK!"
Director Shang's old face turned red.
He put down the electrocoagulation knife and did not continue the treatment.
He also understood that Wu Baihe was saving his face. His hemostasis skills were too poor. Normally, he could barely stop bleeding from general surgical wounds. But now, when he used it on the patient's head, especially in front of the chief physician of neurosurgery, he immediately became as weak as an intern.
It is normal to be stopped urgently.
"Holy shit, how long is this worm?"
Zhou Can intended to help Director Shang ease the awkward atmosphere.
This worm is really amazing. It has been pulled out for more than ten centimeters and it seems that there is no end yet.
"If the sparganum lurks in the body for a long enough time, its body can grow to an extremely alarming size. You must operate steadily, and you must not rush or be careless. As long as the operation is done well, the patient can avoid craniotomy. "
Wu Baihe was directing from the side.
The patient's body is extremely weak, and the risk of craniotomy is very high. Being able to remove this terrible parasite by only cutting the scalp layer can not only save a lot of surgical costs for the patient, but also minimize the trauma to the patient.
Zhou Can had no choice but to hold a pair of tweezers in each hand and keep changing the clamping position.
In this way, the parasite was pulled out of the patient's body inch by inch.
It took nearly forty minutes to finally pull the entire worm out.
I put the parasite on the plate and measured its total length, which was 57cm long. Such a long parasite is really scary.
The growth ability of sparganosis also refreshed the knowledge of every medical staff.
"I think it can be applied for a Guinness record. This is the first time I've seen a brain parasite this long!"
The three surgical nurses looked at the sparganum still wriggling in the plate in shock.
This kind of worm is very tenacious and there is almost no medicine that can kill it. After discovery, surgical removal is currently recognized as the most thorough and effective method.
"It's so scary! My hair stood on end. I'd never eat frog or snake meat again, even if you kill me."
Xie Lin looked at the bugs on the plate with fear in her eyes.
Not to mention her, Luo Jingyi was also frightened and hid behind Xie Lin. Like a timid two-year-old child, she was afraid but couldn't help her curiosity, secretly hiding behind her parents to look at strange things.
