Chapter 227: The Terrible Stromal Tumor, Doctor Xia was impressed

If you are a senior doctor who is more familiar, you may be able to take the opportunity to get the actual opportunity to preside over the operation.

For example, Liu Lao, the chief physician of digestive surgery, etc., they all know Zhou Can's surgical strength very well. didn't even need Zhou Can to speak, he would take the initiative to ask Zhou Can for help.

After all, Zhou Can did surgery in the last month of the competition in general surgery, which was notoriously good and fast.

Not long after, reinforcements from the Department of General Surgery arrived.

The people who came turned out to be Director Jia and Qiu Hong. This surprised Zhou Can.

It stands to reason that even if such a patient needs surgery, the most attending doctor can be sent over.

Directly dispatched a rehired chief physician, plus an attending physician, which gave enough face to the Department of Gastroenterology.

I've heard of digestive surgery and gastroenterology before.

Now it's a believe.

"Yo, Director Jia, why did you come here in person! Thank you, thank you! ”

Xia Ping saw Director Jia coming, and hurriedly stepped forward to greet him warmly.

This patient is his, and now something has happened and he needs to call in a general surgeon to help. Naturally, I want to be grateful.

"Doctor Qiu is still so beautiful, I have you to thank you this time!"

Dr. Xia Ping, Director Jia, and Qiu Hong all knew each other, which was really unexpected.

"Physician Xia doesn't have to be polite, it is right to help each other. Is the patient suffering from intermittent intestinal bleeding? ”

Director Jia represents the newly established Department of Gastrointestinal Surgery, and it is estimated that he also wants to show a new subdepartment. In addition, the two departments are like brothers and are interdependent, so they will directly send Director Jia to help.

"Doctor Zhou, I've worked hard for you today. Now Director Jia of the Department of General Surgery has personally brought people over, and Director Jia will definitely be able to handle the operation well. Go get busy! ”

After Xia Ping invited reinforcements from the Department of General Surgery, he was very relieved.

He was going to have an open surgery, and he didn't think a regular trainee could help much.

In addition, Zhou Can had been leading the rescue just now, which made Xia Ping's face dull. Zhou Can continued to stay here, bringing him an invisible psychological pressure.

That's why I thought about sending Zhou Can away as soon as possible.

"Okay, I'll go first!"

Zhou Can doesn't care, this operation can get the best opportunity to exercise, and it doesn't matter if you can't get it.

"Director Jia! Senior Sister Qiu, goodbye! ”

Zhou Can and these two are old acquaintances and have a close personal relationship.

At this moment, it is completely like an old friend waving goodbye.

"You ...... Know? ”

Xia Ping was not stupid, and when he saw Zhou Can waving goodbye to Director Jia and Qiu Hong very familiarly, he was secretly shocked.

Director Jia is a heavyweight boss in general surgery, and Xia Ping, a senior attending physician, wants to get a relationship, but he has not been able to get it.

When he found out that a trainee was so close to Director Jia, he was more surprised than envious.

"I don't know, he is my junior brother." Qiu Hong replied with a smile.

"Senior brother? What is his relationship with Director Jia? ”

Xia Ping knew that Qiu Hong was Director Jia's student, since Qiu Hong called Zhou Can his junior brother, could it be that Zhou Can was also Director Jia's student?

"Dr. Zhou and I are good friends! He was the most talented young doctor I have ever met, and he was excellent in every way. ”

Director Jia actually defined the relationship between the two in this way.

Even Zhou Can didn't expect it.

"Ah...... Are you good friends with him? ”

Xia Ping almost dropped his jaw.

A highly prestigious chief physician turned out to be good friends with a young doctor who was trained in regulation. This amount of information is a little too much.

The difference between the identities and status of the two is too big, why did Zhou Can argue with a chief physician on an equal footing?

"Don't get me wrong, it's all Director Jia who lifted me. In fact, Director Jia and I should be regarded as both teachers and friends. When I was training in digestive surgery in the past, I was greatly loved by Director Jia, who cultivated and guided me a lot. Whether we are at work or chatting, we are very close to each other, so we are good friends who have forgotten the year. ”

Zhou Can hurriedly explained that he didn't dare to take advantage of Director Jia.

Don't dare to have any support.

"Got it! I really envy your friendship for the rest of the year. "Doctor Xia Ping is really envious in his heart, he wants to make some friends with Director Jia, but he hasn't succeeded yet.

"Zhou Can went to the Department of Gastroenterology for training this time, and he was under you?"

Director Jia asked Xia Ping.

"Not yet! He had just arrived at the gastroenterology department today to report, but he was in danger early in the morning. I also blame my negligence for not following Dr. Zhou's advice in time, which almost caused a catastrophe. ”

Speaking of this matter, Xia Ping still had palpitations.

Fortunately, after the joint rescue of many people, the patient was rescued.

Otherwise, the consequences will be unimaginable.

He, the attending physician, is probably going to be cool.

"Hehe, you don't know Zhou Can's skills. In the future, he will make a diagnosis suggestion, and it is best to treat it seriously. Director Jia knew what was going on as soon as he heard it. Zhou Can has made too many great contributions in digestive surgery.

The diagnostic ability is so strong that it can only be described as unbelievable.

is obviously just a regular trainee, and sometimes in the diagnosis of some incurable diseases or critical cases, Zhou Can is even more powerful than the chief physician.

Xia Ping didn't listen to Zhou Can's diagnosis and advice, and it was no wonder that he didn't suffer.

"I will definitely treat it solemnly in the future! It was also the first time that I didn't know the level of his diagnosis, so I was careless. ”

Xia Ping has grown so big, and it is indeed the first time to see such a strong trainee.

"Actually, Zhou Can is here for this operation, and it can be done without inviting us over."

Director Jia said with a smile again.

"What do you mean?" Xia Ping looked puzzled.

"Zhou Can's surgical strength is very strong, and he will definitely be able to complete this level of surgery easily. Even if you bring us over, he'll still be here to do the surgery. ”

After Director Jia finished speaking, he looked at Zhou Can.

"Boy, don't be lazy. You did the location of the bleeding, right? Only you know best where the bleeding point is, and it's up to you to do this surgery. ”

Director Jia directly arrested Zhou Can Zhuang Ding.

He is old, and Qiu Hong's surgical ability is only average.

Zhou Can will complete this operation, which is the best choice.

"This, I'm afraid this operation will have to open the abdomen and intestines! He felt too dangerous to do these difficult and high-risk operations as a regular trainee. It may be okay to ask Dr. Zhou to help sew up the skin and close the abdominal cavity. ”

How could Xia Ping believe that Zhou Can had the ability to open his stomach and cut his intestines!

He said these words very tactfully.

"Well, a lot of things are believing. Where are the patients? ”

Director Jia didn't bother to explain to Xia Pingduo, and brought someone over to help the operation and save the patient's life.

"Over there!"

Xia Ping led them to inspect the patients who had just been rescued with many intubations.

Director Jia checked the patient's condition, including signs and whatever.

"It's just an interventional operating room, and there are no surgical conditions. You need to transfer him to a hybrid operating room with DSA to operate, contact the hybrid operating room first, and then transfer it quickly! ”

In the Department of Internal Medicine, there is only an interventional operating room, and interventional surgery and endoscopic surgery can be done.

If you really want to do open surgery or the like, you can also get a surgical compound operating room.

Director Jia personally contacted the operating room and asked Zhou Can to send the patient over together.

Dr. Xia Ping was a little uneasy, and he didn't care that he was very busy with work, so he followed him into the operating room.

As for Zhou Can, he was purely arrested by Director Jia.

"Zhou Can, the old rule, you come to operate. If you can't do it, you will find me to take over. ”

Director Jia is very fond of him.

The level of trust is also extremely high.

As long as there is a chance for surgery, try to give it to him to exercise.

In Tuya Hospital, Director Jia is not the only one who treats Zhou Can so well. In fact, many older doctors are very happy to pass on their medical skills from generation to generation.

However, in the process of cultivating successors, students will be taught according to their aptitude.

For young doctors like Zhou Can, who are perceptive, talented, and have excellent moral character, senior doctors are particularly favored.

"Just let him take the knife?"

Doctor Xia Ping asked weakly.

"Hmm!"

Director Jia snorted and replied.

After Zhou Can helped the anesthesiologist anesthetize the patient, he stood on the main knife position.

Qiu Hong has been quickly disinfecting the epidermis of the patient's abdomen.

The knife position was drawn by Zhou Can himself.

Director Jia checks.

Putting on sterile gloves and taking the scalpel handed by the instrument nurse, Zhou Can began to cut the patient's abdominal epidermal layer, subcutaneous tissue, that is, fascia layer, muscle layer, and peritoneal layer layer by layer, and finally opened the abdominal cavity.

Dr. Xia Ping, who was standing in the audience and watching, looked at his fierce and fast operation, and was almost scared out of the heart attack.

Oh my God, this is an open stomach!

With a few scabs, a abdominal wound was opened, which was really scary to look at.

Not to mention the young novice surgeon, even the chief surgeon with extremely rich surgical experience, I have never seen such an operation.

After opening the abdominal cavity, Qiu Hong and an intern helped pull the hook.

Originally, the hemostasis was carried out by Ichisuke.

Zhou Can has surgery, unless there is no way to free his hands. Otherwise, he will stop the bleeding during the operation for the patient.

Whether it's electrocoagulation to stop bleeding, ligation, or clamping, he is a good hand.

Even if it's an attending level, he can't do it so well.

The interventional angiography was done by him himself, so that he had memorized the bleeding site of the patient.

However, in order to prevent the bleeding point from being found, the ductus arteriosus sheath was deliberately retained when the interventional surgery was removed.

The open examination of the lesion was quite smooth.

Zhou Can didn't make too much effort to find out the location of the lesion.

"It turns out that this bleeding point is in the wall of the small intestine, no wonder the gastroscopy and colonoscopy have not been able to find the bleeding point!" After Zhou Can found the lesion, he suddenly realized.

"No wonder, no wonder! I should have had an angiography of my digestive tract a long time ago, and I blamed myself for being too conservative and conformist. ”

Dr. Xia Ping muttered to himself reviewing his own mistakes in this diagnosis and treatment.

That's how doctors grow.

Learn from mistakes and learn from them, gain experience, and then get stronger and stronger.

This is why patients are more likely to see older doctors.

The old doctor is more experienced and can avoid many pitfalls and lightning spots. Patients can also suffer less.

"Because the lesion is located in the small intestine, this stromal tumor grows under the mucosa in the intestinal wall, and even the capsule gastroscopy is difficult to use. I can't find a bleeding spot, it's too normal. Stromal tumors have abundant blood vessels, and angiography is the best test. Dr. Zhou is young, and although he is still in the training stage, his diagnostic thinking is far better than mine. ”

Doctor Xia Ping arrived at this moment, and he was convinced.

I don't feel uncomfortable being slapped in the face by Zhou Can anymore.

Instead, he began to sincerely repent and examine his mistakes.

Zhou Can only came into contact with this patient for the first time, and after observing the patient a little and understanding the condition, he immediately recommended that the patient be given a digestive tract angiography examination.

This extremely accurate diagnosis ability really made Dr. Xia Ping extremely admired.

At the same time, I am also envious.

The most difficult thing for a doctor to cultivate is the ability to diagnose.

Many doctors have been improving their diagnoses all their lives, in order to be able to avoid detours and make patients suffer less.

If this patient had been handed over to Zhou Can for treatment, perhaps there would have been no shock and the tragedy of needing to be rescued.

This is also good luck, coupled with the development of modern medical technology, and finally the patient was rescued.

Otherwise, a human life will be accounted for in this way.

"He seems to be doing well, and there has been no transfer. After direct excision, it should be able to cure radically. ”

After some inspection, Zhou Can asked Director Jia to check again.

Finally, radical surgery to remove the stromal tumor was performed for the patient.

"Send it for a pathology test!"

Director Jia said.

Stromal tumors are both dangerous and malignant, and many patients are found to have metastasized to the liver and other parts of the body when they are diagnosed with intestinal stromal tumors and want surgery.

In this case, surgery is no longer incurable.

So-called palliative surgery is often performed, and the drug imatinib is selected to control the progression of the disease and prolong the patient's survival time as much as possible.

This patient is a blessing in disguise.

At the end of the operation, Director Jia left with Qiuhong and his interns.

After the patient woke up, Dr. Xia Ping took Zhou Can to push the patient back to the ward of the Department of Gastroenterology for careful care.

"Dr. Zhou has both super diagnostic ability and excellent surgical ability, no wonder Director Jia and other big men in general surgery are willing to be friends with you!"

Dr. Xia Ping's attitude towards Zhou Can has changed radically.

From the arrogance at the beginning, to the twisting and pinching in the back, until he completely accepted Zhou Can's transcendent status at this moment.

This psychological shift is quite complex.

In the final analysis, strength is the foundation that determines everything.

Whether it was Zhou Can's diagnostic ability or surgical ability, he was completely impressed.

"You've won a prize!"

Zhou Can modestly coped.

"If Dr. Zhou is assigned to me for training, I am willing to do my best to take you with what I have learned, and give you the greatest authority." After Dr. Xia Ping psychologically accepted and recognized Zhou Can's status, he directly began to make wishful thinking.

Zhou Can's strength is so strong, if he gets his subordinates to be regular trainees, it is equivalent to one more general.

Even if Zhou Can only trains in gastroenterology for a month or two, it can bring him great benefits.

Not to mention anything else, the patients in the group have Zhou Can's help, which is much better than those stupid resident doctors under him.

Moreover, the two have such a teacher-student relationship, and if Zhou Can is promoted in the future, he will be able to speak.

Xia Ping has been in the hospital for so long, and he has seen too many geniuses rise to the top, and he has been promoted to deputy director and chief physician all the way, leaving him far behind.

Don't look at his current position higher than Zhou Can, but with Zhou Can's ability, it won't take a few years to overtake him.

Sending the patient back to the ward, the family took Zhou Can's hand and thanked him again and again.

The patient was not only rescued, but also successfully underwent surgery and was cured, which is definitely great news for the family.

Zhou Can has been busy trying to save patients, and his family members are watching it.

In addition, Zhou Can was the first doctor to propose an angiography examination, and the family's trust in him is very high.

Dr. Zhang, who was in charge of the bed, was like a rat now, and he didn't dare to enter this ward easily.

Afraid of being beaten by family members.

After finishing his work, Zhou Can returned to the doctor's office.

Dr. Chi was sorting out the medical records written by his doctors, and when he saw Zhou Can coming back, he smiled and took the initiative to greet him, "Hello Dr. Zhou, we really have fate, I didn't expect you to go to the Department of Gastroenterology so soon." ”

"Hehe, it's fate to meet thousands of miles away! I need to train in the gastroenterology department for two months, and I ask Dr. Chi to take care of me! ”

Zhou Can walked over with a smile.

It was not once or twice that I dealt with this Dr. Chi, and the two should have known each other in the emergency department at the earliest.

At that time, Dr. Chi Niu B coaxed that the emergency department should consult with internal medicine for such a minor illness, and asked the doctors in the emergency department to read more books. In the end, I found out that the patient's disease was very troublesome, and I ran away in disgrace.

This is the first time the two have dealt with each other.

"Well said, well said! This is the admission form you need to fill out, if you don't know what to fill out, you can always ask me. Director Shang said that he would take you personally, just went out, you hurry up and fill out the form, complete the procedures for admission to the department, and Director Shang is estimated to be back. ”

Dr. Chi gave him a form.

As soon as he entered the department, he was personally led by the chief physician, except for Zhou Can, only a very small number of regular trainees can enjoy this special treatment.

The hospital is actually quite willing to train them as excellent general practice trainees.

For example, Yang Chan, Gao Jian, and Du Leng, who were in the same class as Zhou Can, were all at the peak as soon as they entered the department. Directly supervised by the chief physician of the department.

A year and a half has passed, and Zhou Can knows a little about Du Leng's situation.

Yang Chan and Gao Jian's situation, but he knows very little.

The main reason is that he is too busy to take care of his own affairs, so how can he have time to take care of other people's affairs.

(End of chapter)