At this moment, even fools understand that Director Wen, who is the strongest in their minds, has encountered a problem.

The patient's aneurysm neck was too narrow, and the coil wanted to be placed in the exact position because of the flexibility of the catheter, which was greatly compromised.

Director Wen was already riding a tiger in front of the students and the doctors of the outside group.

A man wants a face, and a tree wants bark.

Sometimes burdened by false reputation, in order to save face and majesty, you can do many unthinkable things.

Director Wen gritted his teeth and decided to be bold and give it a go.

The coil was put out of the catheter.

This special coil is placed into the target blood vessel and is fed with direct current, which attracts negatively charged blood components: red blood cells, white blood cells, platelets, etc., and electrocoagulation occurs.

Eventually, a blood clot forms within the aneurysm.

At the same time, the coil is connected to the stainless steel guide wire and the part is dissolved due to electrolysis, and the coil is released and left in the aneurysm.

It was not delivered to the ideal target position, and the circle position was not correct, so it was forcibly released.

The consequence is that the coil does not play its intended role.

Keep in mind that the patient's aneurysm has ruptured and is bleeding.

It needs to be completely plugged up.

This necessitates the insertion of multiple coils.

But the first one is not put away, how to get the second one?

Director Wen's idea is very simple, in case it is not put in place, just try to adjust the circle.

The GDC coil is extremely soft, and has good compliance with the advance and retreat of the aneurysm, and can be adjusted if the placement position is not satisfied.

In general, aneurysm-carrier artery occlusion is less likely.

Then adjust it slowly.

It's a pity that the more you adjust, the more unsatisfactory it becomes, and Director Wen's head is too big.

"It's really evil today, why is this spring coil not obedient at all?"

Director Wen's speech is quite level.

If you are a doctor with a bad temper, I am afraid that I will start scolding my mother a long time ago.

"Director Wen, you take a break and let me fight for a while."

The attending physician surnamed Zou took the initiative to ask for help.

Share the worries of Director Wen.

"Maybe I've had two surgeries today, and I'm a little tired. You top it first, and I'll go to the side and take a breath. ”

Director Wen also borrowed the slope to get off the donkey and gave way in a timely manner.

After Dr. Zou took over, things didn't get much better.

After all, it's a matter of real skills.

And now that the coil is out of the conduit, it is more difficult to operate.

Within a few minutes, Dr. Zou was already sweating profusely.

Half tired, half anxious.

The operation is always bad, and the patient's intracranial hemorrhage is continuing, can he not be in a hurry?

At this moment, the patient's body suddenly began to tremble.

Immediately afterward, the life monitoring instrument emitted a screeching alarm.

"Oh no, the patient's blood pressure is dropping rapidly, the heartbeat is accelerating, and the brain waves are abnormal!"

The anesthesiologist was sitting by the wall resting, glancing at the display screen of the monitoring instrument from time to time.

Under normal circumstances, an interventional operation for a brain aneurysm is almost risky.

Who knew that Director Wen and several of his students were stunned to make the patient like this.

"How?"

Director Wen also nervously ran to check on him.

"It should be that the coil was not put in place, and the position of the coil was repeatedly adjusted, which aggravated the bleeding."

The anesthesiologist is experienced and gives the reason after looking at it.

"I, I didn't get it much!"

Dr. Zou felt that he had been wronged.

Isn't interventional surgery claimed to have minimal risk?

The most dangerous catheteripuncture has been done.

It is almost impossible to insert a coil, and it has not been done for a few minutes, so how can it cause a big problem for the patient?

It was such bad luck.

"If the coil cannot be successfully inserted in time to stop the bleeding, the patient is afraid that he will not be able to get off the operating table."

The anesthesiologist is more depressed than anyone else.

In this case, he didn't even have a way to rescue him.

The patient has intracranial hemorrhage, and the only way to stop it is to stop it.

"Something that is not enough to achieve, and more than to fail. Go down! ”

Director Wen's eyes were already extremely cold.

The face covered under the mask must have become extremely ugly.

So much so that he scolded Dr. Zou extremely ugly.

I was really anxious.

There is a big difference between a failed operation and the death of a patient.

The consequences are simply not something he can bear.

"Before the patient entered the operating room, he was bleeding for more than an hour. Now, because of Dr. Zou's operation error, the bleeding has worsened. Craniotomy is no longer meaningful. The only way to do this is to insert all the coils in the shortest possible time and cut off the blood supply to the aneurysm. ”

Zhou Can really couldn't bear to watch this patient die or become a vegetative state.

In order to save this patient, he has paid a lot with his meager strength.

Wu Baihe can't come, Director Wen's level is like that.

At the moment, I am afraid that only he, a humble petty Peisheng, can turn the tide and come back to life.

"There's no place for you to talk here. Everyone understands the truth. ”

Dr. Zou scolded coldly.

Zhou Can directly pointed out that it was because of his operation mistake that caused the patient's bleeding to aggravate.

The words are true.

But he listened very harshly, and his heart was very uncomfortable.

"I've had an implantation, can Director Wen let me try it? It doesn't take too long, thirty seconds is enough. ”

Zhou Can is really speechless, and he is endless.

Director Wen operated the bullet ring for nearly half an hour without progress, and Dr. Zou did it for seven or eight minutes, but not only did it not progress, but also made the patient's bleeding worse.

This young trainee, who had a tight face, actually said that it was enough to give him thirty seconds.

"Do you know what you're talking about?"

Director Wen looked at Zhou Can with a cold gaze.

It was also the first time to look at this trainee with a straight eye.

With his status, not to mention the standard trainee, he is a resident doctor, he is not particularly good, and he is not even worthy of his name.

"I said give me thirty seconds and I'll fix the coil insertion."

Zhou Can's eyes were clear, and his voice was sonorous and powerful.

This is a sign of extreme self-confidence.

"Xiao Zhou, don't be reckless."

Dr. Ou pulled him along.

This kid doesn't know the depths. The patient could die at any time, and he would be a proper scapegoat when the time came.

Hospitals have never been the best places to be.

On the contrary, under the façade of sacredness, too much squalor and ugliness are hidden.

"If this patient is not saved, he will probably die. I can't think too much about personal interests. ”

Dr. Zhou Can said gratefully.

After the words fell, he looked at Director Wen again.

If the main knife doesn't agree, he won't have a chance to get started.

"Seeing that you are so confident, I can't give you a chance. Come on, it's already like this, and it couldn't be worse. Director Wen really agreed.

Zhou Can doesn't care so much, as long as he agrees.

Walking quickly to the operating table, standing in the best operating position, I saw him fiddling with the thin guidewire.

Before everyone could see it clearly, he had already stopped operating.

"That's it!"

He said lightly.

Just now watching Director Wen and Dr. Zou operate, he felt that he could do it.

Now as soon as I got started, I successfully put the coil into the target position.

The total time is six seconds.

It could have been a little faster, mainly for the first official operation.

"This, that's good?"

Director Wen's eyes almost fell.

"Oops, this trainee seems to have really put it right!"

The female attending doctor exclaimed in surprise.

"It only took five or six seconds to get it done?" Dr. Zou has personally tried it, so he knows how difficult it can be.

Not to mention five or six seconds, it is fifty or sixty minutes to be able to get that coil in the right position.

Those three graduate students, as well as two resident doctors, were a big eye-opener today.

The surgical task that their teacher couldn't handle and Dr. Zou couldn't handle was easily handled by a regular trainee.

Is this the legendary sweeping monk beating the martial arts master?

Or is it the legendary pig that does not swallow chaff and only swallows dragons and tigers?

Director Wen stared at the screen over and over again, and after watching it no less than ten times, he finally determined that the inconspicuous kid in front of him had created a miracle. It really only took a few seconds to do something almost impossible.

This aneurysm is not a single coil.

You'll have to put in more than one to block it completely.

Zhou Can had already moved out of the way.

And with an indifferent face.

As if just doing a trivial thing.

Such a performance made Director Wen ashamed.

My family knows my own business.

Don't look at Zhou Can, he easily got the bullet ring right, but if he was to operate it, there was a high probability that the bullet circle behind would still get stuck.

At that time, Director Wen's face will really be beaten.

"What's your name?"

Director Wen settled down and took the initiative to ask Zhou Can's name.

Almost all senior doctors are in this routine.

When you meet a particularly outstanding junior doctor, the first thing you say is definitely to ask for your name.

It's like greeting acquaintances, and the opening line is always a few words.

"Have you eaten?"

"It's a beautiful day!"

……

"My name is Zhou Can, and I have just been transferred to the Department of Neurosurgery."

I should have added a general practitioner from our hospital.

Think about it or forget it.

In fact, the status and weight of general practice trainee doctors are higher than all other trainee doctors.

"Xiao Zhou, I performed very well just now. This shows that you are particularly talented in the field of implantation. I've decided to leave the rest of the rings to you. Young people should train more and give more opportunities to exercise. ”

Director Wen's ability to speak clichés is not weak at all.

Obviously, he is not capable of operating, so he wants to ask Zhou Can to complete the rest of the bullet ring placement. But it has to be so high-sounding.

"That's not good! I have a low level of seniority and a low level. Why don't you let Dr. Zou or Dr. Tang Li do it! ”

Zhou Can despises this kind of hypocrite the most.

deliberately retreated to advance and stimulate Director Wen.

"No, no, they will have a lot of opportunities to exercise in the future. This time you have to do it. ”

Director Wen had to stuff this exercise opportunity to Zhou Can.

Because only Zhou Can can operate it well.

Let Dr. Zou operate it, and he won't agree to kill him. I almost didn't kill the patient just now.

As for Dr. Tang Li, her level is not as good as Dr. Zou.

He was even less likely to say yes.

Zhou Can just teased Director Wen, and when he saw Director Wen's anxious denial, he almost didn't laugh in his heart.

"Okay, then you're welcome! Thank you, Director Wen, for your cultivation and trust. ”

Zhou Can also accepted it when he saw it.

There is absolutely no benefit in offending a chief physician.

It's just a temporary addiction.

He stood in the main surgical position and began the next surgical operation.

One spring after another, it was like playing with it in his hands. It is easy to place in the target position and drain tightly.

Soon, the entire cerebral aneurysm space was filled with coils, and after thrombosis, the intracranial hemorrhage was finally successfully stopped.

"Very good! The patient's blood pressure, heart rate and other indications gradually stabilized! ”

The anesthesiologist's hanging heart finally fell to the ground.

His gaze at Zhou Can was extremely complicated. There was appreciation, there was shock, and there was a hint of gratitude.

If it weren't for Zhou Can's desperate action, this patient might not have been able to get off the operating table.

"Well, the operation is not bad. However, there are still areas for improvement, such as the fact that the opening direction of these rings is not consistent. Director Wen pretended to comment on two sentences.

I've never heard of the opening of the ring in the same direction.

It's almost like picking a 'thorn' out to maintain his authority as a director.

Through this operation, Zhou Can also completely recognized Director Wen's strength and personality.

Other surgical abilities are not clear, and the two surgical abilities of puncture and implantation can only be regarded as average.

Definitely not great.

Also, this man is very face-loving.

Whether it was forcibly releasing the coil out of the catheter before, or letting Zhou Can save the scene later, he said it soundingly. And the so-called reviews at the moment. All of them fully show that this person is particularly hypocritical.

It seems that not every chief physician is decent and hard-hearted.

Fortunately, the patient's cerebral aneurysm intervention was successfully completed.

The patient's fate was saved.

"Director Wen, the patient has a certain amount of blood in his skull, do you think it needs to be drained?"

Zhou Can took a look at the location of the brain tumor.

As long as he is given the opportunity to puncture, he is sure that he can successfully complete the puncture without injuring the cerebrovascular and nerves and important brain tissues. Draw out the blood.

Although the aneurysm bleeding has stopped, the intracranial pressure must still be high because of the continuous bleeding.

"Judging from the videos taken by the patients, the amount of bleeding is not particularly large. Even if the bleeding increases during the procedure, it is still within the tolerable range. The risk of brain puncture drainage is too high to be risked. After a few days, his body will naturally absorb the accumulated blood. ”

Director Wen has experienced the previous danger.

Be cautious at the moment, never willing to take any more risks.

The successful completion of a cerebral aneurysm interventional surgery is quite impressive, both in terms of the department's income generation and the surgical commission of the chief surgeon.

It is also an accumulation of surgical achievements.

Therefore, Director Wen's mood at this moment has gone from hell to heaven.

Surprisingly good.

After the examination is correct, the catheter is withdrawn and the patient is given a coagulation medication.

Then wake up anesthesia.

Unlike the awakening anesthesia of ordinary surgery, the anesthesiologist did not dare to remove the vital signs monitor. Just stop taking the medication through a respirator.

In general, the patient will wake up on his or her own within about 10 to 20 minutes after stopping the use of the anesthetic.

There are also abnormal cases, at which time the anesthesiologist can use some corresponding methods to wake up the patient.

For example, antagonistic drugs are given to antagonize their sedative effect to achieve the purpose of awakening the patient.

When the patient woke up, Director Wen did not dare to evacuate.

The main thing is to worry about some accidents.

can be mixed with the chief doctor, and generally attaches great importance to safety issues.

Because they have been through too many dangerous situations, they know that some small negligence can lead to big mistakes.

"Doctor Zhou, let me know, my name is Tang Li, and I am an attending physician outside the gods. He specializes in functional neurological diseases, specializing in the surgical treatment of Parkinson's disease and refractory epilepsy. ”

Tang Li smiled and took the initiative to greet Zhou Can.

Perhaps it was to see this young trainee show amazing surgical potential and get a good relationship ahead of time.

In the hospital, there are not a few doctors like her who are good at dancing with long sleeves.

If you wait until Zhou Can becomes famous and wants to get acquainted, it will be very difficult.

Not to mention anything else, the two of them are in different departments, which is a natural ditch.

"Hello! Nice to meet you! ”

Zhou Can was quite polite to her.

I don't feel cold in the face of this woman in my heart.

She looks pretty well, but she doesn't have any real skills in her hands. At least the surgical ability on display is not flattering.

In contrast, Dr. Shan of the Department of Orthopedic Surgery is also a young female doctor, but she is much more pragmatic than her.

"Dude, are you really just a regular trainee? I see you're a good cow when you put it in the bomb ring! ”

A graduate student couldn't help but talk.

The integration of planning and mastering, following the teacher to operate in the hospital during the graduate student's study or something, is also equivalent to regular training.

However, Tuya has developed rapidly with the continuous rise in recent years.

In order to improve the quality of diagnosis and treatment and the level of doctors, we began to implement regular training for graduate students. It has been criticized as a painful secondary training.

For example, a graduate student with a master's degree may only need to be trained for more than ten or twenty days in a small hospital, and after a symbolic familiarization, he can officially become a resident doctor and start receiving a salary.

Not so in Tuya.

It doesn't recognize it.

(End of chapter)