As for the remaining attending doctors and resident doctors, they basically couldn't understand Zhou Can's surgical ideas. Don't blame them, when the level is enough, listening to these difficult surgical plans is indeed like listening to a book.

The purpose of many surgical steps is not understood by them because they are not skilled enough.

Not to mention the trainees and interns present.

"Is Dr. Zhou really here to ask for advice? Why do I feel like I'm here to show off my skills? An attending physician who had a good relationship with Zhou Can asked him with a wry smile.

This question has asked the voices of many people.

The surgical plan given by Zhou Can just now is already very smart, and the level is not inferior to the chief physician present. It's so powerful, so that many of the attending physicians present are ashamed of themselves.

Even some of the deputy chief physicians' surgical ideas may not be as good as his.

They in turn learned from Zhou Can about the same.

"Doctor Long, don't make fun of me, how dare I show off my skills in front of all the teachers with my half-baked level! Come and ask the teachers for guidance! ”

Zhou Can has never done such a thing as showing off.

Low-key is his norm.

"I have to say that Xiao Zhou's progress is indeed great. Many of you young doctors have to learn from him. I wonder if you have such an experience? Every once in a while, when I see Xiao Zhou again, I will be surprised to find that his medical skills have improved a lot. It's the same almost every time, no exceptions. This is actually a very good state, which shows that he is always studying hard and trying his best to improve his medical skills. ”

Director Hu Kan expressed the thoughts of many directors and deputy chief physicians present.

They feel the same way.

Almost every time I saw Zhou Can in the operating room, I would be surprised to find that Zhou Can's medical skills had improved again.

"Xiao Zhou, the surgical plan you just gave is quite good. However, there are still some areas that can be improved or further improved. For example, the interval between the second surgery mentioned by you is 24 hours is a bit too long. According to my surgical experience, patients with low cardiac output after the first operation can wait as little as 16 hours for a second operation as long as the drug is administered correctly in time. ”

Director Hu Kan is worthy of being the top expert in cardiothoracic surgery.

He can give improvement suggestions so accurately, and obviously has a deep understanding of the surgical plan proposed by Zhou Can, and he knows it well.

This shows that his level is far above Zhou Can.

Only in this way can we comment on the deficiencies.

The attending and resident doctors present, not to mention pointing out the shortcomings, it was not easy to understand Zhou Can's surgical ideas. In fact, they don't have a thorough understanding of some of the surgical steps.

I only know the general purpose of doing this.

Some of these advanced intentions, because the level is not enough, they can't understand it at all.

"Director Hu, if the patient has a low cardiac output state, what drugs should be used?" Zhou Can is still weaker in pharmacological differentiation after all. It needs to be upgraded to at least level 5 in order to deal with some difficult diseases more calmly.

Low cardiac output often occurs after cardiac surgery and is quite dangerous.

However, as long as the drug is administered in a timely and correct manner, the prognosis is generally good.

"What do you think should be done with the medication?" Director Hu Kan did not answer the rhetorical question.

Director Xueyan also stared at Zhou Can tightly, wanting to see if he had made much progress in pharmacology.

"Postoperative low cardiac output indicates myocardial weakness, and the first consideration is to use inotropic drugs, such as dopamine, milrinone, prostaglandins, and if necessary, inhalation of nitric oxide can be considered to the patient."

For the medication to correct the low cardiac output state, Zhou Can can only think of this.

"You're taking the right medication. But you need to figure out the cause of low cardiac output before taking the drug. Low cardiac output syndrome is usually caused by left ventricular dysplasia or other disorders. In addition, incomplete correction of the pulmonary arteries can also cause a low cardiac output. This disease usually occurs during surgery. The use of dopamine and the like you just mentioned to enhance myocardial contractility, relax blood vessels, reduce vascular resistance, and increase cardiac output is a good way. ”

"Regulating cardiac preload, blood transfusions, and fluid regeneration to increase blood volume, thereby increasing ventricular filling pressure, are also effective. Reducing left ventricular afterload has also been shown to have a good therapeutic effect in clinical practice. ”

Director Hu Kan's level is really not covered.

The guidance given is not only accurate, but also much more perfect than Zhou Can's treatment opinion.

Subsequently, he successively commented on the surgical plan given by Zhou Can and gave suggestions for improvement.

Zhou Can listened carefully one by one and took notes.

If you don't understand something, ask for advice in person.

This serious learning attitude made Director Hu Kan value him even more.

After the discussion of the surgical plan, Zhou Can has more than eighty percent confidence in this congenital heart disease operation.

At least there are no more theoretical hurdles.

An operation consists of two parts: theory and practice. To put it bluntly, the actual operation is the technique, the surgical operation skill.

Zhou Can's current basic surgical skills are only a little weaker in incision, and he is currently at the middle level of the main treatment, close to the excellent level of the main treatment.

Several other medical techniques have reached the level of deputy chief physician, and it is completely sufficient to complete this congenital heart disease surgery.

"Director Hu, when the time comes for my side to have surgery, please come over and help me stand on the platform and sweep the formation, is it okay? With you, I will feel at ease in my heart. ”

Zhou Can has always liked to prepare for the worst.

Invite Director Hu Kan over to sweep the formation, and in case of danger, you can immediately ask Director Hu Kan to come to the rescue.

If Director Hu Kan is temporarily invited from the Department of Cardiothoracic Surgery to rush to the pediatric rescue site, it is likely that the child is already cold.

"Tell me in advance when the time comes, I'll have no problem going over."

Director Hu Kan did not refuse.

Zhou Can is his savior, and he is really embarrassed to refuse a small request.

The purpose of the trip had been achieved, and he got up to take his leave.

"Xiao Zhou, come with me to the office and say a few words!" Director Hu Kan stood up with his hands on the table.

It seems that there is something to have a private chat with Zhou Can.

"Slow down!"

Zhou Can hurriedly went over to support him.

When he walked, he could feel Director Hu Kan's body trembling slightly.

In this state, the most stable scalpel is afraid to completely exist in name only. I can't do even the simplest surgery.

Zhou Can's heart lamented for a while, Director Hu has practiced 'steady gong' for so many years, who would have thought that in the end, due to physical reasons, he would not be able to complete even the simplest operation.

Life is unpredictable, and no one knows which will come first, tomorrow or the accident.

entered the office and helped Director Hu Kan to sit down.

"Close the door!"

He said to Zhou Can.

After Zhou Can closed the door, he beckoned Zhou Can to sit down and talk.

"You can see my body, and now I can't hold a scalpel. I really didn't expect this day to come so quickly that I wasn't prepared at all. What cardiothoracic surgery lacks most now is a coach who can take the lead. Don't look at the chief physicians, they are not weak, but they can only cope with the third and fourth level major surgeries of medium difficulty. Some difficult cardiothoracic surgeries are no longer possible in our hospital. ”

Director Hu Kan openly and honestly told Zhou Can about the dilemma faced by cardiothoracic surgery.

Because of the sudden fall of Director Hu Kan, the training of top surgical talents has not been able to keep up, which has caused the current predicament.

Talent reserve has always been the core of every department.

It's a pity that thousands of troops are easy to obtain, and one will be hard to find.

Leading talents who can really resist the flag are too rare to be met but not sought.

In addition, the training cycle of surgical talents in cardiothoracic surgery is extremely long, and it takes at least ten years to become a talent, which further aggravates the shortage of talents.

"Don't worry, I believe that the doctors of cardiothoracic surgery will speed up their growth and will soon be able to raise the banner of the department. The most important thing for you now is to get your body in good shape so that you can go back to the operating table. ”

Zhou Can tried his best to comfort Director Hu.

"Alas! I'm afraid my body won't get better! I have been a doctor all my life, and although doctors do not treat themselves, I am very clear about my physical condition. Take care of it, and I will not have a problem living for another eight years and ten years. It's almost impossible to keep your body from trembling. ”

Director Hu Kan shook his head, his face full of loneliness and unwillingness.

It is common for elderly people in their eighties and nineties to tremble in their hands and feet. Because when people get old, there will be many problems in the body, such as calcium deficiency, muscle movement imbalance, nerve control problems, and so on.

The most common are Parkinson's disease, hyperthyroidism, and low blood sugar that causes the body to tremble.

However, he is only sixty years old, and all of the above diseases should be ruled out.

The main reason is heart problems, after all, I have had two major surgeries, and there are certain sequelae.

"Xiao Zhou, how about entering cardiothoracic surgery as my successor? With your demonic talent, I am confident that you will be able to raise the banner of cardiothoracic surgery in a year or two. ”

This is not the first time that this idea has been proposed to Zhou Can.

It's just that this time the situation is a bit special.

Previously, Director Hu had not fallen. This time, Director Hu's optimus pillar fell, and there was a talent gap in cardiothoracic surgery.

This will certainly have a detrimental effect on the weighted department of a top hospital.

In a short period of time, you can still eat the old book, and basically maintain.

Over time, the business of cardiothoracic surgery will shrink.

Patients will throw away Tuya Hospital like a rag.

For patients, which hospital has stronger medical skills must give priority to which hospital to go to.

"As you know, I'm Dr. Xu's quick knife heir, and it's impossible for me to switch to someone else's disciple again." Zhou Can could only ruthlessly refuse his request.

Facing the hopeful eyes of a fallen chief physician, he was somewhat unbearable.

"By the way, I can recommend you a talent who is very talented in the field of 'steady knife'."

At this moment, Zhou Can suddenly remembered Jin Mingxi in the same dormitory.

Practicing fast knives, Jin Mingxi has no talent, but in terms of stabilizing knives, he shows amazing talent.

"Deliberately perfunctory, isn't it?"

Director Hu Kan asked angrily.

"How dare I! You have always been one of the people I admire the most, and you are only honest with you, and there is no perfunctory anything. I'll call him over, and you'll find out for yourself. ”

Zhou Can is very confident in this matter.

Jin Mingxi has been practicing 'steady gong' for nearly two years, and I believe that he has already attained a certain level.

"Is there really such a person?"

Director Hu Kan saw that Zhou Can didn't look like a lie, and couldn't help but look forward to it.

"Can you call someone over for me now?"

"I'll call right away!"

Zhou Can didn't talk nonsense, and directly took out his mobile phone to call Jin Mingxi.

"Lao Jin, I will introduce you to a great opportunity, hurry up and come to the office of the director of the Department of Cardiothoracic Surgery."

"I'm working overtime!"

Jin Mingxi didn't know what the opportunity was for Zhou Can.

He is still in the regular training period, and he has endless overtime classes every day. The departments that circulate are also the major departments of surgery. In addition, the Department of Anesthesiology and Imaging are compulsory departments.

Surgeons generally choose to study in the imaging department for one month in the penultimate month of regular training, and then return to their chosen department to complete the final three months of regular training, paving the way for formal residency work.

Compared with Zhou Can's various preferential treatments, Jin Mingxi's treatment is far worse.

Night shifts are commonplace.

"Aren't you going to take a leave of absence? Hurry up, don't grind, this kind of opportunity will not be missed. ”

Zhou Can really convinced Jin Mingxi, this is an opportunity for Director Hu Kan to be the successor! I don't know how many good doctors rush to get it.

"What kind of chance is mysterious? Okay, okay, I'll come right over! ”

After Jin Mingxi hung up the phone, it didn't take long for him to arrive out of breath.

knocked on the door, and he found that the person who opened the door for him was actually Zhou Can.

Sitting inside was Director Hu, who I admired the most.

"Hu, hello Director Hu!"

Jin Mingxi looked extremely nervous, and he stammered a little when he spoke. I don't know where to put my hands.

"Is that him?"

Director Hu Kan stared at Jin Mingxi and frowned.

Not to mention the age, the psychological quality is far worse than Zhou Can's calm atmosphere.

"That's right, it's him! Maybe because he hasn't seen any big scenes, and he has always regarded you as the person he admires the most, so he is a little excited. ”

Zhou Can hurriedly helped Jin Mingxi say good things.

After explaining to Director Hu Kan, he turned his head to look at Jin Mingxi.

"You're nervous!"

While glaring at Jin Mingxi, he scolded him in a low voice.

"Behave well, pass Director Hu's test in a while, and you can realize your ultimate dream!"

Jin Mingxi is almost thirty-seven years old, and when he heard the deep meaning of Zhou Can's words, he pinched himself twice with his hand, using the pain to relieve the tension in his heart.

"Director Hu, let you laugh! I've always regarded you as an idol after I saw you at a morning meeting, and I didn't expect to see you when I came in. So it's inevitable to be a little excited and nervous. ”

After Kim Mingxi came back to his senses, his performance gradually returned to a normal level.

If nothing else, his explanation is quite good.

The tone is sincere, and the eyes are calm.

"Everyone has two nostrils, two eyes and one mouth, so you don't have to be nervous. Have a seat! ”

Director Hu Kan's face softened slightly, and motioned for Jin Mingxi to sit down and speak.

It's a good start.

At least it shows that his impression of Jin Mingxi has changed a lot. When Jin Mingxi first came in, looking at Director Hu Kan's tone and expression, it was definitely a precursor to driving people out directly.

"Xiao Zhou recommended it to me, saying that your talent for steady skills is good."

"I don't dare to take the word good, I just like to practice your steady skills very much." Jin Mingxi replied very frankly.

"Oh! Have you been practicing steady exercises? Director Hu Kan's eyes lit up slightly.

"I've been practicing for almost two years. At that morning meeting, I saw your demeanor of practicing Wengong, so I begged Dr. Xu to teach me, and I slowly practiced. ”

Jin Mingxi originally wanted to take the fast knife route back then, but unfortunately he didn't have the talent in this area.

After practicing Wengong, it seems that he has found the right way.

I have to say that everyone has their own opportunities and creations.

The east window is not bright, and the west window is bright, and there is always a development path suitable for yourself.

"Come here, and draw an identical line according to the line I made."

Director Hu Kan took a pen and randomly drew a crooked long line on a blank piece of paper.

His hands were already shaking, and the lines he drew were simply natural wavy.

It's quite difficult to imitate drawing an identical line.

This way of mimicking the way of drawing lines is often used by people who learn to draw to practice basic skills.

At this moment, Director Hu Kan used it to test whether Jin Mingxi was really steady.

I saw Jin Mingxi walk to the table, pick up the pen, take a deep breath, and begin to imitate Director Hu Kan's handwriting to draw an identical line.

Although there are some discrepancies, his hands are very steady.

As soon as the connoisseur makes a move, he will know if there is one.

Director Hu Kan has practiced steady skills all his life, and naturally he can see at a glance that Jin Mingxi's steady skills have a certain attainment.

"Yes! Depending on your handiality, you can't practice it at all after only practicing for a year or two. At least seven or eight years of skill. Director Hu Kan showed a rare smile on his face.

(End of chapter)