Chapter 338: Tolerant of all rivers, the first time he really performed a fourth-level major surgery
The three of them came to Wang Fatzi's barbecue stall, and a young woman greeted the three with a smile on her face.
"Please sit down, three! Feel free to call me if you need anything! ”
"Bring us a plate of kebabs, a plate of peanuts, and a case of beer!" Dr. Xu took the initiative and ordered dishes, all of which were Director Hu's favorite foods.
The number of kebabs on a plate is fifty skewers, which should be enough for three people.
After he finished ordering, he seemed to realize that Director Hu Kan was not in good health, and changed his words, "Why don't you have three bottles of beer and a bottle of juice drink!" ”
"Okay! Please sit down and send it right away! ”
The woman's dress and temperament are not bad, and she should not be a waiter.
Probably the hostess here.
"Girl, is there any fermented bean curd? Bring us some. Director Hu Kan said to the woman.
"Hmm...... Sorry, but that's not really the case. The woman shook her head apologetically.
Eating barbecue is generally drinking, and there are not many customers who order peanuts.
She thought the guests at this table were strange.
If she hadn't seen the three of them dressed and had an extraordinary bearing, she really wanted to wonder if these three people were deliberately trying to make trouble? After all, the barbecue stalls in the night market often have some street slippers and social people who drink and make trouble.
"Xiao Zhou, you go buy a bottle nearby! Your master is just this bite! ”
Director Hu Kan said to Zhou Can.
"After so many years, Lao Hu still remembers that I like to eat fermented bean curd! Let's brothers, think about how it shouldn't be all these years! Dr. Xu should have been moved, and took the initiative to hold Director Hu Kan's hand and support him.
"Teacher, then I'll go buy fermented bean curd first."
Zhou Can cleverly let go of his hand, turned around and ran to the supermarket not far away.
Leave a chance to be alone for the two, so that the relationship between the two will further melt the ice and warm.
He is familiar with the terrain around the hospital, and this supermarket has bottled Lao Gan Ma, bean paste, and moldy tofu.
When Zhou Can bought the bean curd and returned to the barbecue stall, he found that Dr. Xu and Director Hu Kan had obviously become much closer.
"Teacher, I don't know if this brand of bean curd is suitable for your taste?"
Zhou Can handed the bean curd to Dr. Xu.
"Haha, you kid really have a vision, this brand is exactly what I like." After seeing it, Dr. Xu smiled and boasted.
"Hehe, Director Hu mentioned that you liked to eat fermented bean curd thirty-two years ago. I'm guessing you'll love the old tastes. I asked the owner of the supermarket, and he said that this Chen Apo moldy tofu is an old brand, so I chose it. ”
Zhou Can explained.
"I have a heart! Sit down and eat together! The lamb skewers at this barbecue stall are the most authentic, and the taste is still the same as that of more than 30 years ago. ”
Dr. Xu praised him and beckoned him to sit down and taste the delicious food.
At this moment, a large plate of lamb skewers is placed on the table.
The proprietress brought two bottles of beer and a bottle of fruit juice drink, just in time to hear Dr. Xu's words, and happily continued, "I didn't expect you to be an old customer of our shop thirty years ago, it's really disrespectful!" It used to be my father-in-law and mother-in-law who ran the business, but now that they are older, my husband and I have taken over the barbecue stall business. ”
"It's good, we're old customers back, and it's actually a memory. Our barbecue stall has also developed from a small stall to a barbecue restaurant. ”
Dr. Xu sighed.
"Thank you for your support for decades, this table today is a nine-percent discount, please eat and drink well!" The proprietress put down her drink and took a light step to welcome the next table of guests.
It can be seen that she is very happy to meet a table of regular customers from 30 years ago.
The three of them chatted while eating, and Dr. Xu finished contacting Director Hu, and then brought the topic to medical skills.
"Lao Hu, let's talk about how the fast knife and the stable knife are compatible! I still think it's a bit mysterious. ”
Dr. Xu has devoted his life to the fastest surgery in the world, and his understanding and comprehension of the fast surgery method is unparalleled.
He agreed with Director Hu's problem of dragging knives, but he did not believe that the stable knife and the fast knife method could be compatible with each other.
Fire and water do not melt, this is the law of nature.
"Whether it is compatible or not, I am only at the stage of conception. If there is no problem with my body, I may be able to further explore and verify it in practice. Now I can only let Xiao Zhou finish this for me. ”
Director Hu Kan's gaze turned to Zhou Can.
In this matter, Dr. Xu has not nodded in agreement, and Zhou Can does not dare to agree.
So, he just lowered his head and nibbled on the lamb skewers.
Not to mention, the taste is really good. It's no wonder that many people still enjoy eating barbecue knowing that it is harmful to their health.
Life is inherently short, and being happy in time is what most people think.
"The ultimate knife speed pursued by the fast knife, and the pursuit of the stable knife is stable and stable, so as to ensure that there is no error to the greatest extent. The two seem to be like fire and water, they are two extremes, but the yin and yang, softness and rigidity in Tai Chi, are not the two extremes? Tai Chi can achieve the balance of yin and yang, both rigid and soft, I believe that fast knives and steady knives can also find a balance. ”
"And I didn't do experiments before I got sick, and there will be constraints in seeking speed in stability, but I didn't have the water and fire as I imagined. On the contrary, as long as the knife stabilization method is strong enough, it can well tolerate the negative effects of seeking speed. It's a bit inclusive. Whether it's a clear stream, dirty water, or even all kinds of garbage, the sea can accommodate it. ”
When Director Hu Kan talked about his discovery, his eyes were bright, not at all like the eyes of an elderly person.
People who have pursuits and beliefs will always have bright eyes because they have light in their hearts.
"Inclusive?"
Dr. Xu's eyes lit slightly, and the biggest difference between him and Director Hu Kan was that he pursued more narrow medical skills. This can also be seen from the fact that he has accepted heirs, and so far, he has only accepted one apprentice from Zhou Can.
Director Hu Kan is full of peach and plum all over the world, and the entire cardiothoracic surgery, and even some doctors who have been trained or specialized in cardiothoracic surgery, may have learned the knife stabilization technique with him.
Just look at the doctors in cardiothoracic surgery who perform the surgery.
Basically, it is mainly steady.
But it's true that they are so slow that they vomit blood when they do the surgery.
"That's right, it's inclusion. More precisely, the two should be compatible. For example, if my knife stabilization method is strong enough to a certain extent, I can try to have certain fast knife characteristics. In the same way, if you have a strong fast knife technique, you can also try to have a certain degree of stable knife technique. If you have to quantify and you have reached level 10, then you should be able to have both level 5 or even level 6 stabilization. As long as your original skills are strong enough, you can be compatible with other knife techniques and seek common ground while reserving differences. ”
Director Hu Kan explained his feelings and thoughts in an extremely confident tone.
Zhou Can listened quietly beside him, and already had the answer in his heart.
Because Director Hu's description of the profound realm of these surgical skills, although obscure, makes people feel reasonable when they hear it.
All laws in the world are connected, and the road is clear and simple.
"There's no denying that the idea you're proposing is a good way to go." Dr. Xu took a sip of the beer in his glass. "In terms of medical innovation, I must admit that I am not as good as you."
Lost to Director Hu Kan again, and it can be seen that Dr. Xu's heart is a little depressed.
"I have no opinion on Xiao Zhou's learning of the sword stabilization technique with you."
Dr. Xu finally opened his heart, let go of zero-sum thinking, and was willing to let the only successor learn the knife stabilization technique from Director Hu Kan. This also means that he acquiesced to Zhou Can becoming the successor of Director Hu Kan.
For some people with deep-rooted sect ideas, it is not easy to make this decision.
"Haha, I knew you would say yes. Come, I salute you with this cup. ”
Director Hu Kan has done Dr. Xu's ideological work, and he is as happy as a child.
Being able to make Zhou Can his successor has almost become an obsession in his heart. Mainly in a short period of time, I really can't find a second successor as good as Zhou Can.
No matter how good a young doctor is, compared with Zhou Can, who has a medical experience value system, it is also more people than people have to die, and goods have to be thrown away.
"You'd better drink juice! Otherwise, if you really want to drink something, how will you teach Xiao Zhou in the future? ”
Dr. Xu poured out the beer from Director Hu's cup and replaced it with juice.
"Thank you!"
Director Hu Kan picked up his wine glass and toasted to Dr. Xu, and the two clinked glasses.
"Xiao Zhou, pick up the cup! Blame me for not asking for your opinion? I've asked your opinion a long time ago, and now that Xu Chen agrees, you can do it! ”
Director Hu Kan is so happy today, his face is full of red light, and the smile on his face seems to have never broken.
Zhou Can can learn the knife stabilization technique from Director Hu Kan, and at the same time have the strengths of both families, he is naturally willing.
Raise a glass and clink glasses with the two teachers.
"I respect the two teachers! Thank you for your willingness to nurture me and help me grow. There is nothing to repay, I will do it first for respect! ”
Zhou Can tilted his neck and drank dry to the end.
"Haha, this kid is a big guy. A glass of wine is so bold. Director Hu Kan now looks at him with affection.
Dr. Koh also seems to be in a pretty good mood.
After many years of untying the knot, reconciling with Director Hu Kan, and then watching the apprentice break out of a new path.
Everything was a great joy for him.
"Xiao Zhou, in the future, as long as you have time, you will go to the Cardiothoracic Surgery Department to learn the knife stabilization technique from me, and at the same time, I will also teach you all the advanced medical skills of the Cardiothoracic Surgery. If you are too busy at work, you can come to me after work, but you must stick to it every day, because my physical condition is very bad, and I am very worried that I will close my eyes without teaching you. ”
Director Hu Kan's physical condition is indeed very worrying.
The terrible thing about heart disease is that it can take a person's life at any time.
In particular, patients like Director Hu Kan, who have undergone two heart surgeries, are even more dangerous.
……
The next day, Zhou Can first went to the pediatric department to check on the condition of the child with congenital heart disease. Then he found Director Zhuang Sheng to discuss the patient's surgical plan.
Because he had already discussed with the chief doctors in the Department of Cardiothoracic Surgery, and there was Director Hu Kan's check, Director Zhuang only glanced at the surgical plan he proposed, and then nodded immediately.
With Director Zhuang's level, it can naturally be seen that this surgical plan is extremely clever and comprehensive.
Even some details are considered, as well as the treatment of potential dangers, there is a perfect plan.
The next step is simple, schedule the surgery and get the patient ready for surgery.
The anesthesiologist conducts a surgical risk assessment on the patient and signs a consent form for anesthesia risk.
The chief surgeon talked to the family members, and Director Zhuang threw it directly to Zhou Can. also confidently told Zhou Can that Zhou Can would be the main surgeon for this congenital heart disease operation, and he should naturally come forward to talk to family members.
Zhou Can has also talked to his family members before, and it is the first time he has officially talked to his family members as the chief knife.
Fortunately, after his family members were 'beaten by society' once, their trust in him has risen to a certain height.
The whole conversation went smoothly.
For specific preoperative preparations, nurses and bedside doctors will follow up. The arrangement of the operating room is the unified dispatch of the hospital.
……
In the operating room, Zhou Can was wearing a dark blue surgical gown, and for the first time officially stood in the position of the chief surgeon.
Director Hu Kan had already been invited by him, and he sat at the base of the wall.
You can give him some guidance and help at critical moments. It is also one of the confidence that he dares to preside over this operation.
Director Zhuang was willing to be his first assistant.
The entire surgical team is centered on Zhou Can.
In the past, Zhou Can looked at other chief physicians and was very envious. I am eager to one day be able to preside over a decent major surgery as the chief surgeon.
When this dream was really realized at this moment, he realized that the responsibility on his shoulders was like an invisible mountain pressing down.
There was no complacency at all as I imagined, and the soles of my feet fluttered.
Perhaps the only difference is that everyone in the operating room revolves around his baton.
After the patient is successfully anesthetized, the operation officially begins.
The establishment of cardiopulmonary bypass and the performance of total vena cava-pulmonary artery connection were successfully completed by Zhou Can. The next thoracotomy and heart surgery were also ideal.
The operation was halfway completed, and there was no mistake, and Zhou Can also breathed a sigh of relief.
The preliminary surgery has been completed, try to stop to see the effect.
As a result, as soon as the machine was shut down, the patient's arterial blood pressure plummeted and could not be maintained at all. However, the central venous pressure showed a trend of high pressure.
Seeing this situation, Zhou Can was a little panicked in his heart.
In other words, whoever will be in charge of the knife will have to panic.
Because the risk of heart surgery is extremely high, the arterial blood pressure cannot be maintained, and the patient can show you that it is cold when it is cold.
"Xiao Zhou, don't panic! This kind of sudden accident will often encounter you in the future during surgery. Director Hu sat there with a calm tone.
This also gave Zhou Can some motivation to stay calm.
It's like when we climb a rock wall, with and without a safety rope, those are completely two psychological feelings.
With a rope tied to your body, you can feel more at ease.
When Director Hu Kan was the chief surgeon himself, he encountered an unexpected situation, and he was also a little unable to bear the pressure. However, compared to Zhou Canlai, his psychological quality is definitely much stronger.
After all, he is a veteran who has been on the operating table for decades.
After Zhou Can calmed down, he began to seriously look for the reason.
Why does the patient's arterial pressure drop as soon as the machine is turned off? He decided to start with high central venous pressure.
Time is of the essence, and finding the cause of the disease in such a state of extreme time and high pressure is definitely a huge challenge for him.
After careful measurements, he found that there was no significant pressure gradient between the superior and inferior vena cava and the pulmonary artery.
This excludes surgical anastomotic stenosis.
Could it be that the pulmonary vascular resistance is too high?
This is very likely.
Zhou Can's mind quickly thought about the method of testing. At present, it is only suspected that the pulmonary vascular resistance is too high, and whether it is really due to this reason still needs to be verified by some tests.
Opening a window in the atrial baffle can relieve venous hypertension and increase cardiac output.
He tried to open a window in the atrial barrier and use pulmonary vasodilators, but the problem was still not resolved.
In fact, this issue has been discussed in cardiothoracic surgery, and he also has a plan for this. It was only after the actual implementation that it was found that the symptoms of low cardiac output had not been resolved at all.
Seeing that the child's condition was becoming more and more dangerous, Zhou Can turned his heart sideways and could only remove the barrier connecting the inferior vena cava and pulmonary artery.
At this point, the operation immediately faced failure.
Director Zhuang's forehead was already sweating profusely. The rest of the surgical team also felt bad and the atmosphere became tense and oppressive.
At this critical moment, Director Hu Kan made a move.
"The main reason for the failure of this operation is that the child's pulmonary vascular development is not good and the pulmonary vascular resistance is too high. Come, do my way......"
Director Hu Kan is like a needle that points out the reasons for the failure of the operation to Zhou Can at a critical moment and gives solutions.
……
After more than three hours, Zhou Can was so tired that he was close to collapse, and the child was pulled back from the death line several times.
The surgery was successfully completed.
At this moment, the child's blood pressure has returned to normal, the heart is beating strongly, and the child's respiratory function has reached an unprecedented good state. Almost at a speed visible to the naked eye, the cyanosis of the whole body is fading little by little.
Zhou Can made postoperative summaries and reflections.
The problem of this child is far more serious than he thought, except that the pulmonary blood vessels are not well developed, resulting in high pulmonary vascular resistance. The child also has tricuspid atresia.
If it weren't for the on-site command of Director Hu Kan, a top cardiothoracic surgeon, this child would have confessed ten lives.
Zhou Can felt like he had survived a catastrophe of life and death, his nerves had been tense during the operation just now, and all he was thinking about was how to operate. After completing the operation at this moment, in addition to receiving a lot of super high medical experience rewards, he also truly experienced the taste of presiding over major surgery for the first time.
Just four words, extremely sour.
(End of chapter)