It was almost seven o'clock in the afternoon, and Director Xueyan hurried in.

"I encountered something during the ward rounds just now, so I came a little late. Director Le will be an assistant to me, Zhou Can will be a special assistant to me, and if necessary, I will be the main operator, and your arrangement will remain the same. ”

Director Xue Yan made a resolute deployment of the surgical post.

In the past, she spoke softly and did things gently. This is all forced to become a female man by reality!

It is difficult to be a man without poverty, and he will always be innocent without setbacks.

She has made such great progress in just two months, from a gentle female director to an iron-blooded female general, and she doesn't know how much she has suffered.

Only this kind of sharpening can make her management ability truly grow.

Zhou Can has never seen a department director laughing.

Even if they usually treat people gently, but when they encounter something, they should turn their faces immediately, they should be ruthless, and they will not show mercy.

I believe that Director Xue Yan will also become a qualified department director in the near future.

The first surgery soon began.

It can be seen that Director Xueyan's expression is solemn, his eyes are focused, and he is obviously more stable than before when he goes under the knife.

Zhou Can was on the side to sweep the battle for her, and Director Le acted as a helper. Deputy Director Lu, who is over fifty years old, is only qualified to serve as a second assistant.

In any surgical team, priority will be given to the training of young doctors.

By the age of Deputy Director Lu, he will be 54 years old, and he will retire after a few more years. On the one hand, when you are old, your learning ability becomes worse and your physical fitness declines seriously, on the other hand, it is not cost-effective to finally cultivate it, and people have reached the age of retirement.

Therefore, excellent young doctors in their thirties and forties generally belong to the most popular existence of the surgical team.

At this age, the frizziness and frivolity of the young have faded, and the calmness that middle-aged people should have, and the tempering of medical knowledge and surgical skills also has a certain foundation. It's easier to cultivate.

And as long as it is cultivated, it can become an important backbone of the team.

The input is directly proportional to the output.

Zhou Can watched from the side, which was actually a good learning process. Even though he has had many lobectomy surgeries, each one is different.

From the perspective of a bystander, you can find many problems that you can't find during surgery.

The authorities are confused, and the bystanders are clear, this is a wise saying.

The first half of the surgery has been going smoothly.

When it came to ligating the arteries in the dorsal and basal segments of the lower lobes of the lungs, Director Xueyan was a little hesitant.

Zhou Can did not speak immediately, but patiently waited for Director Xueyan to make his own decision.

Only when she has no assertiveness and needs help, will Zhou Can take action.

The growth of every surgeon is inseparable from his own understanding in practice.

The knowledge in the book, or the skills taught by the teacher, can only become one's own knowledge if you understand it. Otherwise, after learning, it will be returned to the teacher soon.

"I'm not sure I'm doing this arterial ligation!"

Xue Yan was silent for three or four minutes before looking up at Zhou Can.

She knew that for this kind of left lower lobectomy surgery, Zhou Can had already mastered the surgical skills in various situations.

"Didn't you just do well with your lower pulmonary veins?"

Whether she directs Ichisuke to use a retractor to press down on the diaphragm to reveal the lower lung ligament, or uses an electric knife to cut the ligament along the edge of the lung from the bottom up, she handles it well.

Even in the sudden case of abnormal blood vessels in the lung ligament being severed, she was still able to calmly stop the bleeding.

Now when it's time to deal with the left lower lobe artery in the lungs, why do you retreat?

"I'll command, you operate, can you?"

Zhou Can asked lightly.

Fortunately, these people in the operating room are basically the cronies brought by Director Hu Kan before his death, and they know Zhou Can's ability. Otherwise, if you change a stranger to the operating room, you will definitely be shocked.

Zhou Can is so young, a small resident doctor, and he actually said wildly that he would command the chief physician of cardiothoracic surgery to perform a fourth-level major surgery.

It's crazy.

"I ......"

She still looked a little unconfident.

The day before yesterday, the failed extracardiac surgery killed the person, and the psychological shadow brought to her was not completely dispelled.

It will take time, and it will take her to succeed in the operation in order to dispel the shadow little by little and completely regain her self-confidence.

"Don't worry, even if something happens, I can help with it. I believe that you will be able to complete it successfully. ”

Zhou Can gave her encouragement.

"Oh well! I'll try! ”

Director Xueyan was in front of Zhou Can, and she didn't have the majesty that a department director should have.

"It's not about trying, it's about going all out."

Zhou Can emphasized in a serious tone.

"Good!"

She nodded vigorously.

"Cut the mediastinal pleura on the surface of the lower pulmonary vein and expose the upper edge of the lower pulmonary vein."

Zhou Can patiently guided her step by step.

In fact, she must know the general operation method, but there are some details or things that need to be adapted, and she may not be able to grasp them as flexibly as Zhou Can.

"Use the index finger to blunt separation between the lower lobe bronchi and the lower pulmonary vein, free the lower pulmonary vein. Be sure not to rush and be careful about tearing the tissues, which will adversely affect the postoperative recovery......"

The two also studied with Director Hu Kan, and Director Xueyan should have received more guidance.

But in practice, Zhou Can is obviously far better than her.

In particular, the flexible use of various skills, as well as the judgment of various emergencies that may occur during the operation, and the prediction of postoperative recovery, Zhou Can far surpasses her.

Under the guidance of Zhou Can, Director Xueyan worked closely with the entire surgical team, and it was successfully completed without even asking Zhou Can to take action in person.

"It's done very well, and as long as you take care of it back to the ward, it shouldn't be a big problem."

Zhou Can said with heartfelt admiration.

"Dr. Zhou is simply our lucky star, if only you could come over often to help in the future. To put it bluntly, after Director Hu's death, every time I participated in this kind of difficult fourth-level major surgery, I was nervous. With your help, it feels really different and much more down-to-earth. ”

Director Le couldn't help but breathe a sigh of relief when he saw the successful completion of the first operation.

He was really worried about the fate and safety of the department.

"There is great strength in numbers, and our department really needs Dr. Zhou's help now."

Deputy Director Lu is not good at words, and this time it is rare to open his mouth.

He agrees with Director Le, and they both want Zhou Can to come over often to help.

Not to mention the doctors and nurses below.

Something happened the day before yesterday, and they have been walking on thin ice for the past two days, and they have been quite depressed.

The mood of the chief physicians of the department, especially the mood of the department director, is basically the barometer of the entire department.

"Look, everyone is asking you to come over and help!"

Director Xue Yan smiled for the first time in a few days.

The success of the operation, which was done by her alone, helped her to restore her confidence.

"Hehe, thank you for looking up to me so much, as long as I have time, I will definitely be on call."

Zhou Can agreed with a cheerful smile.

I had promised Director Hu Kan that he would do his best to help cardiothoracic surgery and not let this department decline. Now it's just a favor.

"This operation took three hours, it's ten o'clock, is the second operation still done?"

Director Xue Yan asked for everyone's opinions.

"I'm completely fine with this second assistant. If necessary, these young lads can take my place. Deputy Director Lu was the first to speak.

He is considered to be the older generation of medical staff in the department, and he has a deep affection for the department.

Knowing that there is no hope for promotion, his biggest wish is to retire smoothly from the position of deputy director. Then I hope that the department can develop well. Cardiothoracic surgery, just like his home.

"The surgeries are all scheduled, even if I fight until dawn, I will accompany me." Director Le is even more absolute.

"I'm okay too."

Zhou Can also made a statement.

In the operating room, several of them are the main personnel, and others, including itinerant nurses and anesthesiologists, actually don't have much real say.

Looking at the high sudden death rate of anesthesiologists in major hospitals, you can see what the status of anesthesiologists is.

If people have the right to refuse, who wants to continue to work overtime for surgery when they are extremely tired?

"What about you? Can you still hold on? ”

"Yes!"

"No problem!"

The three surgical nurses agreed.

"I just want it to be over sooner. Some of the more time-consuming parts of the operation can be completed by Dr. Zhou Can, which may be a little faster. ”

The anesthesiologist is at the director level, and his opinions are somewhat weighty.

Zhou Can touched his nose, he had done a lot of major surgeries, and almost all anesthesiologists already knew him and knew that he was a quick knifeman.

"Yes. The second operation was completely performed by Zhou Can, no problem. ”

Director Xueyan also knows that slow speed is a big flaw.

"How can I perform a fourth-level surgery at my level! Sister Yan gave me some time-consuming surgery, which was good. ”

Zhou Can hurriedly refused.

Many of his surgical skills are still only at the level of deputy director, and he is still a little worse if he wants to completely perform fourth-level surgery.

However, there are some key parts of the operation, and he has the ability to do it well.

After all, his fast knife skills have reached the proficiency level, and the steady knife method has also reached the entry level.

With these two knife techniques, it can be integrated into surgical techniques that require surgery, such as incision and separation, and it can reach the director-level level.

……

Nearly 12 p.m., the second operation was successfully completed.

In order to shorten the operation time, there are many parts that Zhou Can personally operated. Including the final chest closure, it was all done by Zhou Can.

It's already late, and if I leave it to two excellent residents to close my chest, I'm afraid I'll have to get it until one or two o'clock in the morning.

Not an exaggeration.

Residents are only novices in the surgical team.

Some low-seniority residents can be happy for a whole month with a closed abdominal cavity.

Because they don't usually have these opportunities to practice.

"I've ordered a supper for everyone, and everyone has one, take it home or eat it in the dormitory! Thank you all for your hard work today. Director Xueyan said to everyone.

Both surgeries were successfully completed, which was her happiest moment in the past two months.

The invisible stone that pressed on his heart seemed to have become much lighter.

Zhou Can participated in two major surgeries tonight, and showed her amazing absolute strength, which made her see hope.

In the past, it was true that his self-esteem was too strong, and he was embarrassed to trouble Zhou Can. Besides, she thought she could, and it got worse and worse.

It can be seen that all the medical staff involved in the operation are very happy.

It doesn't matter how hard you work, what you are most afraid of is not seeing the dawn and hope.

"Zhou Can, can you go to the ward to help see a postoperative patient?"

After the operation, Director Xueyan continued to pull him to help.

"What's wrong with that patient? Let's go, I'll go with you to have a look. You are my sister, I must be at your disposal! ”

Zhou Can said with a smile.

"Hehe, thank you for being so nice to me! It has been two days since the operation of the patient, and it was the operation led by Deputy Director He who led the surgical team. The patient had a lobectomy and the postoperative drainage exceeded the standard......"

She gave a brief overview of the patient.

After lobectomy, a small amount of blood is normal. The drainage volume is less than 500ml a day, which is basically within the normal range.

However, if the drainage volume is less than 200ml per day, it is not necessarily a good thing.

Especially on the second day after surgery, the drainage volume is too small, so don't be blindly confident that your surgery is done well and there is little bleeding and oozing. And you need to be alert to whether it is blocked, or whether there are other abnormal changes.

The risk of lobectomy surgery has always been high.

The reason why many doctors find this procedure safe is because the technology is very mature.

However, if there is a mistake in the operation, or if the postoperative complications are serious, the probability of death of the patient is very high.

"Does Deputy Director He know about this?"

Zhou Can asked.

He had a very bad impression of Deputy Director He, and the hospital implemented the first diagnosis system. Since it was Deputy Director He's surgery on the patient, and now there is a postoperative abnormality and obvious complications, it must be handled by Deputy Director He.

It is impossible for him to lie down at home and sleep, Director Xue and Zhou Can only got off work so late after surgery, and they had to help him wipe his buttocks.

This kind of indiscriminate good person, Zhou Can is absolutely inappropriate.

"He has been notified to come and deal with it. I haven't gotten off work yet. Just now when I was having surgery, he sent me a message asking for help, and the patient's condition was very bad. The point is that the cause of the excessive diversion has not yet been found. ”

Director Xue Yan showed a sly smile.

To be able to make Deputy Director He bow his head and ask her for help, she must be happy in her heart.

After all, Deputy Director He is unruly and has always had his old qualifications in front of her.

Just this afternoon, Deputy Director He was asked to participate in the first left lower lobectomy operation, and he found a reason to refuse.

Heaven is a good reincarnation.

Who would have thought that when it was close to seven o'clock in the evening, the patient who was operated on by Deputy Director He would have a condition.

Now it's Deputy Director He's turn to get angry in a hurry.

"I'm worried that you won't be able to make up your mind when you have the means! Just call him over and deal with it. ”

Zhou Can is as close as a sister and brother to her, and when it comes to some words, she has no worries.

It's all for her good.

"I've just been the head of the department for more than a month, and I've really relented. At that time, I naively thought that if I was good to others, others would be good to me. Later, there were a few cases in which I was thinking about the deputy director, but he calculated it, and I saw his face clearly at that time. ”

Director Xueyan is not stupid, she just uses kindness to the wrong person.

"Compassion is not in charge of soldiers, and righteousness is not business. Sister Yan, I think you must be ruthless when you should be ruthless, if you want to manage such a large department, you can't manage it at all without any means. ”

Zhou Can said to her seriously.

"Understood! The front is the inpatient department, let's not talk about that. ”

She was afraid that others would listen.

When the two came to the ward, they saw that the patient was about forty years old, male, with a pale face, and his mental state was very bad.

After Zhou Can looked at it carefully, his face became solemn.

He also had a lot of experience working in the intensive care unit, which made him realize that this patient's situation was very dangerous.

(End of chapter)