Bring the patient into the operating room, and the anesthesiologist and nurse are ready.

Zhou Can helped the anesthesiologist anesthetize the patient together.

"Does this patient have significant malnutrition and needs central venous cannulation and parenteral nutrition support?" Zhou Can asked the anesthesiologist for his opinion.

"Yes!"

Many anesthesiologists now know Zhou Can and are familiar with each other.

"In cases like this, you can also do a dilation treatment so that you can get liquid food through your mouth."

He taught Zhou Can some ways to deal with the situation.

After listening humbly, Zhou Can began to intubate the patient.

He is very diligent, which is one of the reasons why he is loved by many anesthesiologists.

When the anesthesia was almost complete, He Hansheng hurried to the scene with two resident doctors. Immediately afterwards, Deputy Director Liu walked into the operating room with his interns and two other regular doctors.

Deputy Director Liu glanced at the wall clock on the wall, and it was past six o'clock.

"It's all about to be operated on, why haven't two of them arrived?"

There are a total of six full-fledged physicians in his group.

There were two less, and it immediately seemed much more deserted.

"Song Ze has joined Director Yang Qing's team, and resident Hong Zhengbo has joined Director Tang's team and is responsible for managing the bed. They're embarrassed to tell you in person, let me tell you. ”

When He Hansheng talked about this matter, he was cautious, he was very worried that Deputy Director Liu was old, and if it caused an increase in blood pressure, a heart attack, etc., it would be troublesome.

The two doctors who were brought out by themselves chose to leave at this critical moment and join other groups, which was a huge harm to Liu Lao.

Their actions are no different from betrayal.

However, everyone has the right to choose their own future, so their behavior is not illegal, except for some immorality.

After Liu Lao heard this, there was no expression on his face.

There was silence for twenty or thirty seconds, and then he said, "It's a very good time to join the other groups. Each team needs to fight for more surgeries, and one more person can do a lot of work. If any of you want to leave, you must seize the moment. Otherwise, if you want to join the top group, it will be difficult to change to the usual level. ”

The stronger the group, the more demanding it is to recruit new members.

Without two brushes, a team with an extremely high ranking like Director Yang Qing would not accept it at all.

"Alright, let's start the operation!"

Deputy Director Liu seemed to be in a mood that had been greatly affected.

People also look older.

People who are less than sixty years old are like twilight old men in their eighties and nineties.

Walking to the main knife position on the operating table, Deputy Director Liu asked the nurse to help him put on sterile gloves and check the knife position drawn on the patient.

"When you encounter this type of surgery patient, you must check whether the patient has a lung infection before the operation. If there is, then it cannot be operated. Deputy Director Liu shared his valuable surgical experience with everyone.

These experiences have been exchanged for bloody lessons.

There have been too many accidents in the predecessors of surgery.

"In addition to looking for infections in the lungs, pay attention to the patient's esophagus. Due to food retention in the esophagus, the esophagus is prone to varying degrees of inflammation. Therefore, I asked the patient to insert a gastric tube to clean the esophagus once a night three days before the operation, and inject antibiotic solution after cleaning. ”

Deputy Director Liu continued to share dry goods.

"Three days before the operation, I followed your instructions and gave the patient a gastric tube to clean the esophagus. I deliberately repeated it before the anesthesia just now. ”

Zhou Can replied.

This is done again before anesthesia to remove secretions that have accumulated overnight and to leave the tube in place.

In this category, pills or tablets should not be used before surgery.

Otherwise, it is prone to danger.

"Xiao Zhou's work is still very reassuring."

When Deputy Director Liu looked at Zhou Can, he finally had a smile of relief again.

Zhou Can was the most gifted of all the doctors under his command.

He is very down-to-earth, diligent and studious, and his progress is very fast.

"The incision is generally selected in the middle of the left upper quadrant, or a little next to the left upper quadrant, and cut all the way to the xiphoid process."

Deputy Director Liu held the knife and began to cut the abdominal cavity for the patient.

As soon as the knife fell, his body shook.

It freaked everyone out.

I'm operating on a patient, but it's no joke.

The knife in the doctor's hand is cut to save people. If you don't cut it well, if you cut it right, if you cut it deeply, it will become murder.

"Director Liu, are you alright?"

Zhou Can and He Hansheng hurriedly held him up.

The two are almost equal to Deputy Director Liu's right-hand man.

"Maybe I had breakfast a little too early in the morning and now I feel like I'm a little hungry. Hansheng, are you sure that you and Xiao Zhou will cooperate to complete this operation? ”

Deputy Director Liu looked at the two of them with earnest eyes.

Nothing like this has ever happened before. Liu Lao's physical problems are definitely not the reason why he said he ate breakfast too early.

It was the departure of Song Ze and another resident doctor that deeply broke Liu Lao's heart.

People are old and can't stand the stimulation.

Zhou Can and He Hansheng both know this, but no one will be stupid to say this.

"Don't worry, I have studied cardia surgery with you many times, and with the help of Dr. Zhou, I will definitely be able to do this surgery well."

He Hansheng comforted Liu Lao with confidence.

"Director Liu, you can sit next to us and take a break, help us check the gates, and give us some guidance at the critical moment."

Zhou Can also said beside him.

"Good, good! I look really old, and it's time to retire! The only regret is that I couldn't get the senior title. This department reform was an opportunity for me, but I didn't expect to have physical problems again. Time also, life also! ”

Deputy Director Liu had never said such frustrating words in front of his doctors before.

At this moment, seeing the hard-trained doctors betray him, it is very much like a battle for hegemony. After the betrayal of his henchmen, he joined the enemy camp. The enemy is stronger, but the enemy is desolate.

In addition, when I am older, I feel unwell after being stimulated.

As a result, he inevitably became pessimistic.

"Don't be discouraged, the competition has just begun, and it's too early to decide the male and female. Trees, which lay down their fallen leaves in autumn, quietly gather strength in winter. When spring comes, the fragrance is still the same. You're not alone, and so many of us are fighting with you. ”

Zhou Can saw that Liu Lao had been hit hard, and he felt very uncomfortable.

He secretly made up his mind that this time he would accompany Liu Lao to fight together.

In the emergency department, Zhou Can once created a personal monthly operation volume of more than 1,000.

What is this concept?

The annual volume of surgeries in Tuya Hospital is only more than 100,000.

If he does more than 1,000 surgeries a month, he can complete 13,000 or 4,000 surgeries a year.

This is a very scary number.

Of course, all the surgeries he did were first-level surgeries, which were relatively simple.

Many complex tertiary and fourth-level major surgeries often require one or more medical teams to work together, up to seven or eight hours, or even more than thirty hours.

The longest operation time for a complex operation performed by Tuya Hospital is 37 hours.

It is a very big test for doctors and patients.

"Dr. Zhou is right, you and so many of us are fighting with you, and you must not admit defeat easily. I still want to take this opportunity to hit the deputy senior title! ”

He Hansheng echoed.

This department reform is both a crisis and an opportunity.

"It's my realm that is lagging behind! It's better to have two children in the future! ”

Deputy Director Liu sat down in a chair with a complicated expression.

The operation continued, to be completed by two of his elders.

The surgeon or chief physician sometimes does not necessarily need to perform the surgery himself. They are on the side, and the same is true for the Kida doctors, who are on the side and guide the team.

The surgeon is like a chef in a restaurant, he only needs to ensure the safety and quality of the operation, and that is enough.

Otherwise, even if he is like Deputy Director Liu, he is only the deputy chief physician, and sometimes he performs as many as a dozen surgeries a day. It's all up to him to do it himself, I'm afraid that before the patient's operation is completed, he, the chief surgeon, will already die of exhaustion on the operating table.

"Doctor Zhou, how about you come to open your abdomen?"

He Hansheng took the initiative to give Zhou Can some opportunities for surgical exercises.

"Thank you Dr. Ho for giving me this opportunity! I'll be careful. ”

Zhou Can stood on the main knife position, took the scalpel, and performed the abdomen for the patient with a focused expression.

The whole process was fast and steady, and a trace of the bearing of a chief physician had been revealed from his body.

"Very well done! Is it safe to free the esophagus? ”

"You can try!"

Zhou Can's separation technique is currently at the inferior level of the main treatment, and he is still short of more than 400 experience points before he can be promoted to the middle level of the main treatment.

I saw that he cautiously began to free his esophagus, while the others held their breath and watched nervously.

The trachea is brittle and the esophagus is weak.

Free esophagus is a high-risk surgical job.

[Dissection XP +1.] 】

[Congratulations on successfully isolating your esophagus for the first time, and you will be rewarded with +100 experience points for isolation.] 】

After Zhou Can successfully freed his esophagus, he received a generous reward.

This kind of medical experience value has risen by more than 100 at once, which is very refreshing.

There are only more than 300 left, and he can be promoted to the middle level of the main officer.

At this rate, it may not take until the end of the month to rise above the mid-range level.

This is because the volume of general surgery is quite abundant.

This time the department is trying to reform, and the teams will definitely be crazy to grab the surgical patients.

Zhou Can's surgery was notoriously fast.

Hehe, when the time comes, he will show the other groups the ability of the Quick Knife Successor.

I heard that Dr. Xu's reputation in surgery back then made many surgeons worship. There is no confrontation at all.

Later, if it weren't for Dr. Xu's knife speed being too fast and a medical accident, the most stable scalpel - Director Hu Kan or the peak scalpel - Wu Baihe would not be able to compete with him.

"Very well done! After esophageal freeing, the liver deltoid ligament is severed. Look, that's how it's cut. ”

He Hansheng didn't dare to let Zhou Can do it, so he started it himself.

While cutting, he taught Zhou Can and other doctors specific details and precautions.

Zhou Can secretly kept the skills and steps in mind, and the next time he needed to cut the hepatic deltoid ligament, he would be able to give it a try.

"Next, flip the liver left and right and cut the peritoneal fold of the cardia."

This operation was also not done by Zhou Can, and it was all operated by He Hansheng himself.

The strength of the senior attending physician is really strong.

"Pause for a moment, and I'll explain the next steps to the surgery. This is a critical step that is very difficult to operate. Deputy Director Liu stood up and began to explain to several junior doctors in detail.

"The finger extends through the hiatal into the mediastinum, then free of the esophagus, and pulls down with a ribbon around the cardia and pulls the cardia along with the lower end of the esophagus into the abdominal cavity......"

Deputy Director Liu didn't get started in person, but every time he explained a step, he would signal He Hansheng to do it.

Zhou Can has never had this kind of surgery, and his qualifications are still young, so he can only study and watch from the side.

If necessary, take a hand.

The whole operation, whether it is the longitudinal incision of the anterior wall of the esophageal cardia from the outside of the mucosa, or the shaping and various sutures in the back, have greatly increased Zhou Can's knowledge.

The complexity of this operation is beyond imagination.

No wonder few doctors are willing to do it now.

Towards the end, the abdominal wall was sutured, and Zhou Can did not fight with the two residents.

Instead, he took the initiative to step aside.

He is so familiar with suturing the abdominal cavity that there is no need to watch the resident cavity close. There's nothing to learn either.

He Hansheng stood by and stared out of duty.

Zhou Can took advantage of this gap to quickly take notes on the surgical steps and key points. so that you can review it in the future.

After more than 40 minutes, the clumsy resident finally closed the abdominal cavity.

"The operation was a complete success, and everyone worked hard. You can get your surgery notes in order, it's past lunchtime. I've ordered a meal, and after everyone has eaten, we can take a break and then have a second surgery like about 3 pm. ”

The operation took quite a long time, almost five hours.

Fortunately, the operation was a success.

This is also a place of relief for everyone.

From the beginning of the patient's treatment, the doctor must begin to put in the effort, various communication with the family, as well as the management and difficult surgery throughout the perioperative period.

Eventually, the patient was able to recover and be discharged from the hospital, which was the happiest moment for the doctors.

At about 2:50 in the afternoon, Zhou Can and the intern of the tube bed sent the patient to the No. 4 operating room.

Endoscopic surgery is usually done in this operating room.

As soon as I turned the corner of the corridor, I saw a large number of doctors walking towards me. All of them are dark green surgical gowns. Some even have masks still hanging on their chins.

Look at this situation, it must have just been surgery.

The doctor at the head was of medium height, wore glasses, looked like he was forty or fifty years old, and his momentum was very calm.

This person is Director Yang Qing, who ranks extremely high among the many chief physicians who can perform surgery in the Department of General Surgery.

It must be said that not every chief surgeon is good at surgery.

In fact, there are very few chief physicians who can do the operation well.

Theoretically speaking, the strength of a surgical team is not only the strength of the chief surgeon.

The main knife plays the role of the leader.

Director Yang Qing's surgical team has many masters and talents.

Du Leng is also in the surgical team, and his status is quite high.

A doctorate degree from a famous overseas university is really popular. In fact, he can only be regarded as a newcomer to surgery now, and his status is almost at the level of the attending physician.

Now he is among the ranks of deputy chief physicians, and it seems that he is very valued in Yang Qing's group.

"Huh?"

Zhou Can's gaze only stayed on Du Leng's face for about a second, and soon fell on a younger male doctor walking behind the surgical team.

That person was none other than Song Ze, who had just betrayed the past from Deputy Director Liu.

Compared with Du Leng's fragrant and spicy food, Song Ze's status is far behind.

I was only able to travel with a few residents.

And he walks on the tail end of the residency.

I really don't know what it means for him to join Yang Qing's team?

used to be under Deputy Director Liu, and when Zhou Can didn't come, he belonged to the third person.

Now he has defected to Director Yang Qing, but he is not even as good as a resident doctor.

The status is only a little higher than that of Guipei.

It's sad.

Song Ze saw Zhou Can and lowered his head a little weakly.

Well, if you do something wrong, you will always be weak-hearted.

Director Yang Qing glanced at the patient Zhou Can was taking lightly, and looked away indifferently.

Not to mention Zhou Can, a regular trainee, even if it is Deputy Director Liu, Yang Qing doesn't care about it.

People really have this strength and confidence.

The two sides passed by.

On Zhou Can's side, there is only him, a regular trainee and an intern, who seems to be alone.

And the other camp, there are several chief physicians and deputy chief physicians alone.

Attending doctors, resident doctors, not to mention.

It can be said that the soldiers are strong and strong, and there will be more food.

The difference in strength between the two sides is really not ordinarily large.

Zhou Can took the patient and the intern, took the initiative to step aside, and let the other party go first.

Humility is not only a kind of mind, sometimes it is also a calm and confident.

When Du Leng passed by Zhou Can's side, a sneer of disdain appeared on his face. It comes from the bottom of my heart.

Because the gap between the teams on both sides is too obvious.

Song Ze's betrayal to join Yang Qing's team made Du Leng feel like he had been beaten and thought that he was in control.

(End of chapter)