"Surgery so soon! Even if you go through the green channel in the center of chest pain, you can't go so fast, right? ”

A nurse was surprised.

Larger hospitals have chest pain centers, which are generally multidisciplinary cooperation between emergency department, cardiology, imaging department, cardiac surgery, thoracic surgery, gastroenterology, respiratory medicine and other disciplines to establish a regional collaborative treatment system to provide rapid and accurate diagnosis for patients with acute chest pain.

Patients with chest pain do not need to queue up for medical appointments and examinations.

The original intention of the Chest Pain Center was to establish chest pain patients who may have acute myocardial infarction, heart disease, aortic dissection, etc.

These diseases are acute and critical.

For every minute of delay, the risk of death increases dramatically.

Therefore, it is necessary to receive a consultation as soon as possible, and then an experienced doctor can quickly diagnose and determine the next treatment plan.

"I thought that if I was on the site of cardiothoracic surgery, there would be no need to go to the emergency chest pain center. So I directly found Director Xue for diagnosis. Zhou Can explained.

"Wise!"

"Director Hu is very kind to us and is the mentor of the entire cardiothoracic surgery. Now that he is sick, I believe that every doctor in the Department of Cardiothoracic Surgery wants to do their part to save his life. ”

"Xiao Zhou, well done!"

Several doctors, led by Zhou Can, heard that Zhou Can directly asked Director Xue to cut in line to treat Director Hu Kan, and they very much agreed with Zhou Can's approach.

When encountering this kind of thing, we must do everything we can to save people first.

If you are pedantic and abide by the so-called rules and dare not transgress them, then you are really stupid.

Zhou Can's approach is very much in line with the appetite of these people.

"Director Hu's safety has been settled, everyone can operate with peace of mind! Making this operation beautiful is our best consolation to Director Hu. ”

Director Le said to everyone.

Not to mention, this morale-boosting tactic is quite effective.

The morale, which was originally a little low, quickly became high.

One by one, it's like being beaten with chicken blood.

It is enough to see that Director Hu has a very high status in their minds.

"The patient's condition is very bad, and at this rate of surgery, it is not optimistic."

Dr. Yu poured cold water on the group.

This operation can be said to be full of twists and turns, and there are many situations.

Now, the shortcomings of the slow operation speed of the doctors in Director Hu's department are infinitely magnified in this operation.

"Is cardiopulmonary bypass established or can't control the patient's vital signs?" Director Le asked with some despair.

"At the speed of your operation, it's basically equivalent to a death sentence for him." Dr. Yu doesn't speak without a turn. These words made Director Le feel very uncomfortable to hear.

"Director Le, can you let me try it? My separation is fast, which may have shortened the operation time quite a bit. Zhou Can just had the idea of trying it and stood up and asked for help.

Director Le probably won't agree.

"I've seen Dr. Chow's separation, and it's not only fast, but also very high. At least not lower than the main level. ”

The patrol nurse actually helped Zhou Can speak at this time.

Zhou Can had some impressions of her, that time she did the thoracotomy and hemostasis surgery with Dr. Long, and this nurse girl seemed to be also a nurse patrolling the stage.

In that operation, Zhou Can's performance was extremely dazzling.

I was impressed with all the medical staff.

Dr. Long has been polite to Zhou Can since that operation.

"How do you know he has a high level of separation?" Director Le asked, staring at the nurse.

"Once, Dr. Long performed a thoracotomy to stop bleeding, and Dr. Zhou showed extremely good surgical ability, and even Dr. Long was ashamed of himself. Dr. Zhou's sutures, ligations, and various catheters are powerful, I believe you have also seen it with your own eyes. ”

The nurse replied neither humbly nor arrogantly.

She helped Zhou Can speak at this time, which made Zhou Can very grateful.

The eyes of the two met, and she winked at Zhou Can.

"Come and try!"

After a battle between heaven and man, Director Le finally decided to boldly use Zhou Can in battle.

Because Zhou Can's usual sewing skin is indeed very high.

can be compared with him, the chief physician.

Director Le decided to take a look at Zhou Can's level of separation first.

"Separate this little blood vessel."

He pointed to a very thin vein in the gland to separate Zhou Can.

Even if the veins are broken, they can easily stop bleeding.

With such a small vein, the risk is completely controllable.

When Director Le asked Zhou Can to try his hand, he was extremely cautious.

Zhou Can put on sterile gloves, stood in the main knife position, and didn't talk nonsense, brushed and brushed, three times and five divided by two, and easily separated the vein blood vessel.

"It's fast enough!"

Director Le carefully examined the vein and blood vessels, as well as the tissue part on the thymus.

In fact, the thymus gland of adults is mostly fat.

After the examination, Director Le's eyes lit up, and he couldn't help but be amazed.

"It's a really good level of separation. The process of separating the thymus gland must be careful and careful, and when you encounter a part that you are not sure of, stop immediately, understand? ”

After Director Le saw it, he decided to take some risks and let Zhou Can complete the rest of the separation surgery.

Because the patient's condition is deteriorating, the surgery must be expedited.

At the moment, I am afraid that only Zhou Can can be up to this task.

There is also a way to ask for help from other departments.

But this kind of thing, if you don't have to do it yourself, you really can't wipe that face.

And even if you invite someone over, the speed may not be much faster.

In the entire Tuya Hospital, the person with the fastest surgery was Dr. Xu.

Zhou Can is the descendant of Dr. Xu, and has already obtained a trace of the essence of fast surgery, and should be the second fastest person to operate.

"Understood!"

After Zhou Can gained the initial trust of Director Le, he was about to go under the knife.

Nisuke and the other doctors are still worried.

"Director Le, wouldn't it be too risky for him to complete such a dangerous part of the operation with a regular trainee?"

Something happened, but Director Le was not the only one to take the blame.

They're going to have to be unlucky, too.

"There is no suspicion in employing people, and there is no need to suspect people. As far as I know, he has already been involved in many high-risk surgical parts outside of the bone and outside the nerves. Includes multiple fourth-degree major surgeries. I'm sure he won't joke with the lives of his patients. ”

Director Le overrode public opinion and insisted that Zhou Can complete the most difficult separation task.

From his words, it can be heard that he has a certain understanding of Zhou Can's past.

This is a normal thing.

The circle is so big, and many of the chief doctors of Tuya Hospital have established interdisciplinary friendships.

What's more, neurosurgery, ossupatic surgery and cardiothoracic surgery are all major surgeries.

Equivalent to a large family.

It's all too common for the bigwigs in various departments to have private contact and occasionally chat about something.

This is also the reason why Zhou Can never dared to lie.

When people ask casually, they immediately go to the gang.

Lying is basically tantamount to self-destruction.

"Xiao Zhou, let's start!"

"Good!"

Zhou Can began to quickly isolate the thymic tumor.

The reason why it is difficult to separate is mainly because of the adhesion of connective tissue, and then there is a lot of fat around, plus it is close to the heart.

Director Le can let him do it, that's really a great trust.

Brush Brush Brush!

The combination of the quick knife technique and the separation technique is one, and his separation speed, efficiency, and precision are all breathtaking.

The clock ticks by.

Every minute and every second was thrilling for the doctors present.

The speed of Zhou Can's operation simply refreshed their cognition.

I never thought that someone could be separated so quickly.

Director Le and the second assistant were not too surprised, because they had seen Dr. Xu's knife technique.

Compared with Dr. Xu, there is a big gap.

Dr. Xu operated on patients with quick knife techniques at his peak, and I believe that everyone who has seen it has left an indelible impression for a lifetime. It can only be described as stunning.

"That's it!"

Zhou Can glanced up at the time, which took 23 minutes.

This is the longest time it takes him to separate a tissue, and it usually takes more than ten minutes at most. There is even a history of getting it done in a few seconds.

The isolation of this thymoma is simply too difficult.

"So, that's it?"

The second assistant is a little unfavorable to speak.

He thought about how to deal with Zhou Can's big blood vessel with a knife, and thought about Zhou Can leaving halfway after separating a small part, but he didn't expect that Zhou Can completely separated the thymus, including thymoma, in less than half an hour.

"Director Le, can you leave the entire thymus and tumor to me at the same time?"

Zhou Can has to inch in.

Desperately trying to get a chance for surgery.

He had just isolated the entire thymus, including thymoma, and he had earned a lot of experience points for separation.

Not to mention anything else, just for the first time to isolate an ultra-difficult organ and tissue, the extra prize of 100 isolation experience points was enough to make him feel extremely happy.

In the past five months, he has not experienced such a hearty operation for a long time.

In the Intensive Care Physician Department, needless to say, there are very few opportunities for surgery.

When it came to the decent surgery done in the cardiothoracic surgery, it was only the time I did the thoracotomy and hemostasis surgery with Dr. Long.

"Okay!"

Director Le has more confidence in him.

Even the most difficult thymus and tumor separation were successfully completed by Zhou Can, and it was more than ten times easier than this, what else is there to say.

Decisively let Zhou Can operate.

Zhou Can first released the thymic vein, and then showed a deputy director-level ligation.

After the vein was ligated and severed, he carefully removed the thymus and the entire tumor.

The operation is not over here.

It's just the most core part of the operation.

After cleaning the surrounding tissues, there was no hidden danger, and Zhou Can looked at the ruptured artery.

"Director Le......"

"If you are sure, you will do it, the separation and excision of the thymus and tumor with the highest risk will be left to you, is it still necessary to repair this blood vessel?" Director Le watched the operation go smoothly and marched forward to eliminate the main force of the 'enemy army'.

His heart was genuinely happy.

It's like the emperor used a young general, but this young general named Huo Qubing was a military god, and he killed the Huns in three strokes and five by two, and directly defeated thousands of miles, far away from the area outside the south of the desert. Since then, there has been no royal court in Monan, and the Xiongnu rebellion has been completely quelled.

Director Le boldly used Zhou Can, just as successfully as Emperor Wu enabled Huo Quai.

Zhou Can first separated the broken end of the ruptured blood vessel, then trimmed it, and then anastomosed it.

The deputy director-level suture and ligation, that was really cool.

Obviously, he only has an anastomosis of the inferior level of the main director, but it allows him to match the effect of not losing to the deputy director level.

[Congratulations on your first successful anastomosis of the larger arteries of the heart, reward 100 suture experience, 100 ligation experience, and 100 anastomosis experience.]

rewarded Zhou Can with a total of 300 experience points at one time, and he was so happy that he couldn't close his mouth.

After suturing and ligation are upgraded to level 5, if you want to level up again, you need 100,000 experience points.

If you want to accumulate so many experience points and only earn 1 point at a time, I am afraid it will take more than ten years to be able to reach level six. It can only be said that it is too difficult to rise to the level of director.

It is no wonder that some surgeons have been deputy chief physicians until retirement.

If Zhou Can wants to think of a way, like now, he will specifically challenge some difficult surgical tasks. You can get 100 XP points at a time, and you can move up to the director level, maybe in two or three years.

After completing the anastomosis of the arteries, Zhou Can debrided and stopped the bleeding from the wound in the chest cavity.

Then there is no problem, test whether the blood flow is smooth.

"Good cow, the arterial blood vessels were successfully anastomosed after only one use."

Someone couldn't help but exclaim.

What made them even more envious was Zhou Can's astonishing speed of surgery.

In the past, in their cognition, only slow can be stable, and slow work can produce meticulous work.

Now that they have watched Zhou Can have surgery, their cognition has been subverted. It turns out that surgery can be done quickly and well.

"Shut down!"

Director Le is very satisfied with the results of the surgery.

Zhou Can has never completed thoracostal closure independently. Especially this kind of large thoracotomy.

I've seen it many times.

Since Director Le didn't say anything about replacement, he was not polite.

The stainless steel wire was removed from the nurse and the sternum was sutured.

A drain is then placed behind the sternum.

"Director Le, please check it, if there is no problem, I will suture the incision layer by layer."

Zhou Can has seen so many surgeries and taken so many notes, and every step is familiar to his chest.

Finally came in handy today.

At least it's done well in every way, above the level.

It was also an important growth experience for him personally.

"Excellent! Go on! ”

Director Le and the doctors present had a thorough understanding of Zhou Can's surgical strength today.

The nurse girl who helped Zhou Can speak showed a smug smile.

It was because of her recommendation that the surgery was able to take a major turnaround.

Half an hour later, Zhou Can's suturing was completed, and the patient's vital signs had already begun to rise steadily after he finished closing his chest cavity.

At this moment, the operation is over and the patient is completely safe.

"Dr. Xu, you can give the patient anesthesia. Because of his special condition, he was first transferred to the intensive care unit for observation for one day, and then transferred to the general ward for nursing until the patient's vital signs were completely stable. ”

Director Le made a steady postoperative arrangement.

"Xiao Zhou, today is a very good performance. Surgery in the future can give you some opportunities to get started. ”

"Thank you! Thank you! ”

Zhou Can finally found the right opportunity and opened up the situation.

In the department of cardiothoracic surgery, which is so proficient, it is really difficult for him to take advantage of important surgical training opportunities as a regular trainee.

The main reason is that the surgeries in cardiothoracic surgery are basically third- or fourth-level major surgeries, not to mention him, even those senior residents basically help pull the hook, sew the skin, intubate or something.

The high-risk practice they have done is probably chest piercing.

After the operation, Zhou Can found that it was already 6:47 in the evening.

Today's situation is good.

If Director Le insists on not letting him get started, it is normal to operate until 12 o'clock in the middle of the night according to their turtle speed surgery.

Surgeons earn a lot of money, but they often need to commute to work with stars and months, and they earn hard-earned money.

Back at the doctor's office, Zhou Can thought that Director Xue must have left from work a long time ago.

I didn't expect her to be in the office.

"Doctor Zhou, did your operation go well?"

She seemed to be waiting specifically for Zhou Can to get off work.

Zhou Can is not so sure.

After all, the status of the family is extremely high, and there is no certain number when Zhou Can will have surgery.

"The surgery went well. Is Director Hu's condition okay? ”

Zhou Can still remembered this in his heart.

Director Hu Kan's broad-mindedness and selfless teaching to junior doctors make people respect him and like him from the bottom of their hearts.

Now that something has happened, everyone is very concerned about his safety.

"I have done interventional surgery, placed a vascular stent, and am still in the ICU for the time being. However, the overall picture is quite optimistic. Director Xue introduced the general situation.

After hearing this, Zhou Can had a happy smile on his face.

"It's good to be safe!"

He was genuinely happy for Director Hu.

The fatality rate of acute myocardial infarction is quite high. As long as the treatment is not timely, even if it is rescued, the person is basically useless.

Many people only know that nerve cells are not renewable, but they don't know that heart muscle cells are also non-renewable.

Therefore, cardiomyocytes are very precious, and if you die, you will lose one.

Therefore, for patients with acute myocardial infarction, early opening of blood vessels is important, and the sooner the blood vessels are opened, the more myocardial cells are saved, and the heart will not undergo significant remodeling.

For patients with myocardial infarction, time is of the essence.

Zhou Can discovered Director Hu Kan's abnormal condition in time, and carried him around to do inspections, winning valuable rescue time, and the credit was very great.

I believe that when Director Hu wakes up, he will definitely be very grateful to him.

"Didn't Dr. Zhou want to ask me about the medical exam? If there's nothing else important to do right now, let's talk! ”

Director Xue was really waiting for him.

Zhou Can didn't say anything, but he was so moved in his heart.

Hurry up and sit down and humbly ask Director Xue for advice.

"I've picked thirty questions here, and you can just answer them. If you don't know how to answer, you can leave it blank. ”

Director Xue removed the chair and asked Zhou Can to sit in front of her work computer to answer the questions.

This kind of treatment can envy the doctors who stay on duty in the office.

can get such meticulous one-on-one training from Director Xue, as long as the foundation is not ridiculously bad, I believe that I will definitely be able to pass the medical comprehensive examination.

Zhou Can found that these questions were very targeted.

The breadth of knowledge involved is extremely wide.

It turned out that she had been operating the computer just now, and she was choosing test questions for him.

The woman's heart is as delicate as hair, which is vividly reflected in her.

Zhou Can answered every question carefully, she just watched from the side.

It should be that he wants to use this way to find out Zhou Can's knowledge shortcomings in the shortest possible time. Then help Zhou Can formulate a short-term study plan.

(End of chapter)