The two were walking side by side in the corridor at the moment, and when Luo Shengsheng heard this, he stopped and turned his head to look at Zhou Can.

"Isn't the 73-bed patient under the management of Yu Xin? Doctor Zhou, this is a hero who is sad about the beauty level and wants to help her? ”

"Hey, sort of! But to say that I have the idea of pursuing her, I really don't. That is to say, everyone belongs to the same medical group, and the couple I saw 73 beds are not from a good family, and they are all at the bottom of the society. When the patient's condition is seriously delayed, the cost of treatment will be terrifying. The key is not necessarily to save life. ”

Zhou Can has his own ideas.

To say that he is interesting to beautiful women, he is really wronged.

Yu Xin's appearance is not bad, but compared with Su Qianqian, the gap is not a little bit.

In Zhou Can's eyes, she is at most a vulgar fan type.

"So that's the case, Dr. Zhou has a benevolent heart, which is admirable!"

He gave Zhou Can a thumbs up.

"I don't need you to say anything about this, and I'll do it. The main reason is that Yu Xin's woman is too cold, and when she usually meets, she rarely greets her. It's like someone owes her 2580,000 yuan, and it's not cool to look at it. ”

Yu Xin's personality is indeed a little too cold, and it is normal for others to complain about her.

There are always some women who don't know where they get their confidence and confidence, and they drag their faces all day long, thinking that everyone wants to revolve around them.

As a result, it is conceivable that this kind of woman's relationship with her colleagues in the workplace can maintain a superficial harmony.

When they did encounter something, none of them helped.

Compared with Yu Xin, Qiao Yu is much better than her.

Qiao Yu is not only more beautiful than Yu Xin, but also has a much higher emotional intelligence.

Even if Dr. Lu pestered her so much, even if she hated Dr. Lu so much, she never tore her face.

"Dr. Zhou opened his mouth, and I will definitely take care of this matter. In fact, it is a trivial matter, and there are many ways to deal with this kind of family member. I'm going to get her done now. ”

After seeing Zhou Can's piercing level, Luo Shengsheng's attitude towards Zhou Can became more enthusiastic and friendly.

Zhou Can returned to the office.

Yu Xin sat there with a sad expression. It seems that she went to persuade the aunt again, but the effect was not ideal.

It didn't take long to see Luo Shengsheng come back with a relaxed smile.

"The family members of the 73 beds have obediently registered for treatment! The patient's sister will rush to the hospital later to take care of her. ”

Luo Shengsheng said to Zhou Can.

"Mr. Luo is amazing! It's so hard to persuade the aunt, I didn't expect it to be easily handled by you. She was sick like that, and if she didn't seek medical attention, she would turn into typhoid fever or sepsis and couldn't run. Mr. Luo also saved her life. According to Buddhism, this is a seventh-level floating slaughter! ”

Zhou Can was shocked when he heard that Luo Shengsheng had persuaded that aunt so quickly.

"Haha, it's not that much merit! But the good deeds can definitely be judged. ”

Luo Shengsheng laughed happily, not without pride.

The inch is short, and the ruler is long.

Everyone has their own skills. Luo Shengsheng's puncture technique may be far inferior to Zhou Can, but his ability to persuade his family members is simply the pinnacle and has entered the realm.

Anyway, let Zhou Can persuade that aunt, he is a head and two big.

Not far away, Yu Xuan was originally sad and sad, and his eyebrows were tightly locked.

At this moment, she was surprised and delighted to hear that Luo Shengsheng persuaded the family members of the 73rd bed.

After thinking about it for a while, she understood that it must be Zhou Can who secretly asked Luo Shengsheng to help her. Otherwise, Luo Shengsheng would not have asked Zhou Can for credit as soon as he came in.

"Thank you, Mr. Luo, thank you, Dr. Zhou!"

Yu Xin was still a little incredulous, and hurriedly ran to the ward to check.

She soon came back again.

But the sadness on his face has been swept away.

"That aunt really went to see a doctor, and was really persuaded by Mr. Luo."

"Otherwise, can it be fake?"

Luo Shengsheng raised his eyebrows and asked with some dissatisfaction.

"Dr. Yu certainly didn't mean to distrust you, she just felt the same incredulous as I was. The family members who are so difficult to deal with, why are they so obedient in front of your President Luo? Mr. Luo taught us newcomers! ”

Zhou Can hurriedly played a round for her.

Otherwise, with her cold face, she might have provoked Luo Shengsheng before she spoke.

After Luo Shengsheng listened to Zhou Can's explanation, his face softened a lot.

He did a good job in this matter.

"It didn't matter, I just moved out of the hospital's infection control regulations and said some harsh words to her. Tell her that if she doesn't leave the ward immediately, the consequences will be extremely serious. As a result, before I finished speaking, her husband had already urged her to hurry up to register for treatment. ”

Luo Shengsheng did not elaborate on the harsh words he said to the aunt.

But it is certain that those words can bring great psychological pressure to the patients and their families in the 73rd bed.

The person who can call the shots in this matter is actually her husband.

As long as it may seriously touch her husband's vital interests, there is no need for the doctor to say anything more, and her husband will be the first to be anxious.

"It seems that you can't be polite to your family members blindly! Today, I learned another trick with Mr. Luo, and when dealing with some difficult family members, we must pay equal attention to grace and power, and never be polite to him when I should be serious. ”

Zhou Can has always been the worst at dealing with those difficult family members.

It has to do with his upbringing.

From childhood to adulthood, the people he has dealt with are basically the ones with high quality. Even if you encounter an unreasonable person, you can deal with it with your fists.

But being a doctor in a hospital is a service industry.

You can't use your fist against your family or patients!

If there is anything, you can only persuade patiently.

Luo Shengsheng's handling of this difficult aunt gave Zhou Can a great inspiration.

While chatting, Director Shang's figure appeared at the door of the office.

He didn't mean to come in, he just stood at the door and shouted at Zhou Can, "Doctor Zhou, remember to send the 71-bed patient with esophageal anastomotic fistula to the interventional operating room on time." ”

This case is a difficult surgical case.

Endoscopic surgery in gastroenterology is a lot done, but it is still challenging.

"Okay!"

Zhou Can also hopes that this patient can have surgery sooner.

The patient's body has become very weak due to the long-term inability to eat.

The sooner the surgery, the better.

……

In the interventional operating room, 71 patients were sent to the interventional operating room by Zhou Can and the nurses.

Both the family and the patient themselves have expressed their willingness to take the risk of the procedure.

Because the patient is so miserable.

The anastomosis between the esophagus and jejunum is occluded, so the patient cannot even swallow saliva, and a spittoon needs to be prepared and placed next to the bed at all times. This level of pain is unimaginable to ordinary people.

After the anesthesia was administered, Director Shang personally performed the surgery.

With the cooperation of the nurse, a thin needle less than 1 mm in length is inserted from the patient's esophageal anastomosis into the opposite intestinal lumen using an endoscopic ultrasound. The whole process needs to be assisted by the image of XX line.

Zhou Can stood next to him and watched with greed.

It's a pity.

What a great opportunity for surgery, if you can let him get started, he can earn at least 100 points of advanced medical experience points.

The whole endoscopic puncture process was quite smooth, and the nurses selected were also the best endoscopic surgery nurses in the department.

Director Shang also specially called a deputy director to come over as an assistant to avoid mistakes.

Next, a laminated metal stent is placed.

Although the placement was successful in the end, from the perspective of the proficiency of the operation techniques and skills, Director Shang's insertion technique was not very powerful.

If you die, you will have the main level, which is about the same as Zhou Can.

But it's already very powerful.

There is no red gold, and no one is perfect.

The endoscopic surgery ability of many chief physicians is unsatisfactory, and Director Shang is already a tall man among the short ones, and he is already a master of endoscopic surgery.

"Good! The occluded jejunum-esophageal interface finally helped him get through. ”

Director Shang was very pleased.

The whole procedure went smoothly and took only one hour and five minutes.

However, this only helped the patient to solve the problem of anastomotic occlusion, and the problem of esophageal anastomotic leakage still exists.

"Okay, the operation was successful, prepare to withdraw the endoscope, and wake up under anesthesia!"

Director Shang directly announced the end of the operation.

Zhou Can was stunned, he had clearly proposed to Director Shang to repair the fistula!

Seeing that the doctors and nurses were all elated, Zhou Can hesitated for a moment and decided to mention this matter.

In order to repair the fistula, he also deliberately did a lot of homework.

Just like that, the surgery ended, and the patient still couldn't eat later.

"Director Shang, the patient's fistula has not been resolved, do you want to take this opportunity to solve it together?"

Zhou Can really made this suggestion head-on.

is just a regular trainee, and the relationship with Director Shang is still very unfamiliar, far from establishing a friendship, and even has a deep relationship.

If it was Liu Lao or Doctor Xu, Zhou Can would casually give his opinion.

As long as it is reasonable, they will gladly agree.

Director Shang is on the rise at the moment, and Zhou Can proposed that there is still a problem that has not been solved, which is equivalent to ruining his interest.

"The solution of esophageal anastomotic leakage is extremely difficult, and the second hospital where the patient underwent surgery is the same as our Tuya, which is also a provincial tertiary hospital. As a result, the problem was not solved, but instead led to anastomotic occlusion. If we want to solve the problem of esophageal anastomotic leakage, we have to cut out and re-anastomize, which is very risky, so it is not recommended. ”

Director Shang was a little unhappy, but for the sake of Zhou Can's particularly good performance yesterday, he patiently explained to Zhou Can.

Esophageal anastomotic leakage can be caused by a variety of causes.

Some are not close enough sutures, poor local blood supply, anastomosis errors, etc. Some are due to postoperative infection, necrosis of the cut tissue, or pleural effusion.

In the last case, there is a local infection that suppurates, or the anastomosis is too small.

From here, it can be seen that doctors with poor surgical skills kill people.

Almost all of the above reasons are caused by poor surgical skills. If this patient had had done the first surgery, nothing would have happened after that.

As a result, because the first match was not in place, he suffered so many sins.

"Can you let me try it? I might be able to find the fistula accurately and close it. ”

Zhou Can dared to say this, it was based on the fifth level of suture and ligation.

"In a narrow lumen, endoscopy to repair the fistula? Zhou Can, it's really not my confidence that I can succeed in doing it, there is no such doctor in the world. ”

Director Shang himself is a master of endoscopic surgery and has a very deep understanding of endoscopic surgery.

"I didn't say that the fistula should be repaired in the esophagus or jejunum! My idea was to find the fistula, then open two small windows from the outside and use an endoscope to complete the repair work. ”

Zhou Canqi continued to fight for the opportunity to repair the fistula for the patient.

"Two small windows in the ribcage? Do you know how high this risk is? ”

Director Shang's voice was much higher.

This young trainee is just too much of a fool. Think the surgery is a child's house?

If only esophageal anastomosis leakage were so easy to repair.

"What if this fistula is in this location?"

Zhou Can pointed to the patient's left upper abdomen.

"You think the fistula is in this location?" Director Shang's expression became much more solemn.

"It's not clear yet, but it's just an inference based on the patient's examination at the hospital and some of the current symptoms. At present, the patient's anastomosis has been successfully unblocked by you, and it can be examined by imaging. ”

Zhou Can said in a calm tone.

In the face of even a department director, he is still neither humble nor arrogant. Not to mention any fear.

It's just normal communication.

"Okay, I'll follow your opinion and take a look at the fistula and fistula. Ugly words ahead, if you want to open your chest, I will never agree. Even if you just open two small windows, it will definitely not work. The patient's age, coupled with chronic malnutrition, makes it difficult to withstand thoracotomy surgery. And his chest organs are likely to be severely adhesional. ”

Director Shang has his own concerns and concerns.

The patient has already undergone two surgeries, and there will definitely be a certain degree of adhesion between the organs and tissues of the chest cavity and the abdominal cavity.

This will undoubtedly increase the risk and difficulty of the procedure.

When multiple risks increase, the risk level of surgery will increase exponentially.

For safety reasons, neither the surgeon nor the anesthesiologist will agree to perform such a procedure.

"Thank you for saying yes!"

Zhou Can successfully persuaded Director Shang, and he was also relieved.

Next, I did an esophagography, and sure enough, I found that the fistula was at the location that Zhou Can pointed out before.

The fistula is easier to find, and it is directly connected to the drainage tube.

"Even if the fistula is in this location, it is still frighteningly difficult to repair. Are you really sure it's done? Director Shang secretly assessed it and asked him to do this repair, but he was not sure at all.

"If you agree to let me do it, I'm at least 80% sure that it will be successful."

Zhou Can didn't dare to say it too hard.

Eighty percent certainty is actually very high.

This is because doctors tend to use very conservative estimates.

Director Shang did not agree immediately, but lowered his head and considered the risks.

"I've heard that you've done a lot of endoscopic surgeries in other departments, is that true?"

When Director Shang asked, he stared at Zhou Can's eyes.

His gaze was terrifying, which was to prevent Zhou Can from lying.

"It's true."

Zhou Can replied in the affirmative.

"How many failures have you had?"

Director Shang asked again.

"Zero cases!"

Zhou Can's answer stunned everyone.

The failure rate of surgery is not low, even in a large hospital like Tuya, the failure rate of surgery is still quite high.

There are risks associated with any surgery.

Director Shang was also full of suspicion.

"To be precise, there were zero cases of intraoperative failure. The postoperative treatment effect did not meet expectations, and there were 11 cases in total. ”

Zhou Can explained.

"And how many endoscopic surgeries have you performed?"

According to ordinary people's thinking, the failure rate is zero, and the total number of surgeries performed must be very small.

It is even possible that only eleven cases were done in total.

Although there were no problems in the eleven cases of endoscopic surgery, the postoperative effect was not good, which can show that Zhou Can's surgical ability is poor.

"There are probably more than 500 endoscopic surgeries in total! I haven't counted the exact number of cases. ”

This question really stopped Zhou Can.

For surgery, he calculated the total amount of surgery that day at most, and as for the total number of surgeries he had done since Gui Pei, how could he have the spare time to calculate this!

If you have that time, you might as well read two more books.

"Oh my God, there are more than 500 endoscopic surgeries! Is this really something that a regular trainee can do? ”

After hearing this, the deputy chief physician couldn't help but exclaim.

Others are also strongly skeptical of authenticity.

Zhou Can's general training time is less than two years.

"So, you wait a minute, I'll make a call to find out."

Director Shang went to the side to make a call.

The stakes are high, and he does not dare to be careless. Only after confirming that Zhou Can has really completed a large number of endoscopic surgeries will he consider letting Zhou Can do fistula repair.

"Is it an old bear? I'm Shang Feng from the Department of Gastroenterology, can you help me check how many endoscopic surgeries Dr. Zhou Can has participated in in total? ”

"Yes, yes, I want to know the result right away."

……

After waiting for about a minute, the result was found on the other end of the phone.

"What...... You said that Zhou Can has participated in more than 800 endoscopic surgeries? "This number really scared Director Shang. It seems that Zhou Can only reported 500 units, which is already very conservative.

"Understood! I just wanted to learn more about his endoscopic skills and experience, and the results really scared me. Okay, thank you old friend for helping, I'm having surgery here, I won't tell you! ”

After speaking, Director Shang hung up the phone.

I don't know which department of the hospital this call is to? The other party is likely to have a little power, otherwise it would be impossible to find out the total number of Zhou Can's surgical participation so quickly.

After making the call, Director Shang already had a relaxed face and an extremely rare smile.

"Dr. Zhou really didn't lie, to be honest, I was really shocked that you participated in so many endoscopic surgeries." Participation in surgery, if it is only a bystander, is usually not included in the surgical record.

At least you have to mix up with the role of three assistants to be eligible to stay famous.

Interns who do miscellaneous hooks, don't even think about it.

"It is also the senior doctors in various departments who have trained me vigorously to participate in so many endoscopic surgeries."

If Zhou Can told Director Shang that he not only participated in many endoscopic surgeries, but also was the chief surgeon, I don't know if it would scare Director Shang out of heart disease.

"Okay! It's up to you to fix the fistula! I will be your assistant with Director Shi. "Director Shang personally served as an assistant to Zhou Can, just worried about any accidents during the operation.

It's just to escort Zhou Can on the side.

(End of chapter)