Chapter 424 Cardiothoracic Surgery in Strong, Ling Chi Separation Method
It is precisely because she has tasted the benefits of having Zhou Can participate in major surgery, Director Xueyan is now a marrow eater, as long as she feels that the operation is risky or difficult in cardiothoracic surgery, she will definitely ask Zhou Can to help.
However, when she receives surgical patients, she does not accept all kinds of patients.
Some patients who are too difficult to operate, or too risky, are either tactfully persuaded to go to other hospitals.
Either give the patient conservative treatment.
In fact, even when Director Hu Kan was alive, conservative treatment has always existed.
Director Hu Kan acted steadily and never easily challenged uncertain surgeries. In his later years, that adventurous challenge ended up giving him a heart attack. It can be seen that it is a high-risk thing for doctors to treat patients.
It requires a high degree of trust from patients and family members to doctors, so that doctors dare to carry out some risky treatments.
Zhou Can came all the way to the Department of Cardiothoracic Surgery, and he could feel that the atmosphere here had obviously changed a lot.
The nurse's face was no longer so cold and ugly, and there was a little bit of a smile.
When walking with a basin or empty-handed, the pace is brisk.
They used to walk as slowly as old ladies in their seventies and eighties.
In addition to the nurses' work attitude has become significantly more positive and friendly, the doctors' mental outlook has also changed. It was already past seven o'clock, and when he passed by the office just now, he saw the doctor outside the heart and the doctor outside the chest getting together to discuss the patient's condition and discuss the treatment plan.
That's a very good sign.
It is important to know that in the past, cardiothoracic surgery was nominally a department. But the doctors in the department are clearly divided, at least into two camps.
One camp is doctors who specialize in cardiac treatment, and the other camp is doctors who specialize in chest treatment.
What about doctors who specialize in both cardiac and thoracic treatments?
Such people are either forced to take sides or stay in the middle, remaining neutral.
It is precisely this split that has led to the division of the entire department into at least three camps. There is a serious weakening of the strength of the department.
After the death of Director Hu, the chest camp was headed by Deputy Director He. The extra-heart camp is led by Director Le and Director Xueyan. At the same time, some people in the neutral camp support Director Xue Yan, and some people support Deputy Director He.
That time when Director Xueyan failed to perform the operation and the patient died on the operating table, it should be the lowest period of her life.
Even many doctors and nurses who originally supported her quietly turned to support Deputy Director He.
But now, under the strong mediation of Zhou Can's '-stirring stick', cardiothoracic surgery has condensed into a rope. There are no camps.
Doctors and nurses from the three camps, such as the chest, the heart, and the neutrals, all began to integrate into this big family.
Solidarity, knowledge sharing, friendly learning, and joint discussion have gradually become common phenomena in cardiothoracic surgery.
This phenomenon is also what Zhou Can is happy to see.
Although the external suppression and encirclement of Tuya Cardiothoracic Surgery is very powerful, and although the diagnosis and treatment business of the department is still shrinking, Zhou Can is very optimistic about the future of this department.
As long as the internal unity is united, and then the strength of all aspects is improved, and the shortcomings are slowly filled, there is no need to worry about competitiveness.
In the operating room, in addition to the two familiar faces of Director Xue Yan and Deputy Director Lu, Deputy Director He was also there.
This really surprised Zhou Can.
"Doctor Zhou, I'm waiting for you!"
Deputy Director He was the first to speak.
"I'm sorry, I'm sorry, there are a lot of patients in the emergency department today, and I'm a little late for the operation." Zhou Can hurriedly apologized.
"Now that Dr. Zhou has arrived, let's get started!"
After Director Xue Yan saw Zhou Can, a happy smile appeared between her eyebrows.
She didn't expect that after the death of her teacher, the person who could bring her a sense of security and make her feel like she had taken a reassuring pill during the operation would actually be this 'little junior brother' Zhou Can.
"Didn't Director Le come today?"
After Zhou Can's gaze swept over, he did not find Director Le's figure.
"He was so tired for the past two days, and the second operation was a heart surgery, and then he would have to perform some important parts of the operation. In order to perform that operation in the best possible condition, he is now catching up on sleep in the duty room. After the second operation starts in a while, go and call him to do it. ”
Director Xue Yan replied.
"Director He, thoracic surgery is your forte, let Ling take the lead!"
Xue Yan looked at Deputy Director He.
"No, no, no, I'm just here to be your assistant. When people are old, they must recognize their old age. I'll retire in a few years, and you'll have the best surgical talent in the department. As long as you exercise more, you will definitely be able to do both cardiac and chest surgeries like Director Hu in the future. ”
Cardiothoracic surgery is a comprehensive department.
It is extremely rare to be able to perform both cardiac and thoracic surgeries at the same time.
There is only one person who can reach the director level, Director Xueyan. Of course, if Zhou Can is a cardiothoracic surgeon, then his talent is even more demonic than Director Xueyan.
He not only did thoracic surgery and cardiac surgery beautifully, but also could play interventional and endoscopic surgery.
That's what really top surgical talent is.
Looking at cardiothoracic surgery as a whole, there are not many surgeons who can do thoracic or cardiac surgery well. Not to mention the talent who can do so many types of surgery at the same time.
Everyone is mortal, in fact, there are many doctors in cardiothoracic surgery, even at the deputy director level, who can master the surgical skills of a certain subdivision of the thoracic or extracardiac category, which is very good.
For example, some people are good at lung surgery in thoracic surgery, and then lung surgery can be subdivided into multiple subdivisions such as lung lobes and lymph.
A seemingly simple lymph, in the actual case, is strange.
There are all kinds of situations.
It is not easy to master all kinds of lymphatic surgery in the lungs.
In short, the growth of a surgeon is far more difficult than you think. You need talent, chance, opportunity, your own hard work, and you have to have a good teacher.
Deputy Director He gave up the opportunity to exercise surgery to Director Xueyan and was willing to give her a medical assistant, which was actually sending a signal.
He really gave up his ambition to compete for the head of the department.
The surgery soon began, and it was a case of removal of a liver tumor.
The liver is called the most silent organ.
It is like a man, silently working for the body, breaking down various enzymes, and helping the body silently remove all kinds of poisons and harmful substances. It is very similar to the male owner of a family.
When it was sick, it remained silent.
This is because there are no painful nerves in the liver.
It has only a small number of nociceptive nerves distributed on the liver surface on the hepatic capsule. This also creates a very bad phenomenon, after the liver is sick, it is difficult for the body to give early warning.
Pain signals are often the body's high-level warnings and are most easily detected by the human body.
This patient can still have a chance to operate, which can be regarded as a blessing in misfortune.
Many patients with liver tumors, especially malignant tumors, are often found at an advanced stage.
Liver cancer is just less incidentifiable.
Its fierce name is actually not inferior to pancreatic cancer, the king of cancer.
Director Xue Yan's thoracic surgery is actually quite good, and the standard is already very high. It's just that the mastery and comprehension of the steady knife technique are not particularly deep. Therefore, she is prone to difficulties in the face of some difficult anatomical parts, such as separation and excision.
From her cautious surgical attitude, it can be seen that in the two points of prudence and steadiness, she gradually has the style of Director Hu Kan.
As time went on, the surgery quickly progressed to its most critical part.
The tumor is very close to the large blood vessels, and it is extremely difficult to isolate.
She tried again and again, but in the end she failed.
Frustration was already beginning to show between her eyebrows.
"No, the difficulty of this separation is too high, I almost broke the blood vessels of the major arteries just now."
Because of her nervousness, the itinerant nurse had already wiped her sweat many times.
At this moment, her hands had begun to tremble slightly.
"Don't use an electric knife, replace it with an ordinary scalpel!"
Zhou Can has been standing beside him and sweeping the formation.
Deputy Director He also looked calm, and it could be seen that the key part of this operation should be completed with confidence.
However, this kind of thing is also difficult to say, it is easy to see things but difficult to do, and people's predictions are often easy to make mistakes.
Everyone has pride and arrogance, and no matter how mature people are.
So it's easy to overestimate your strength.
Whether Deputy Director He can successfully complete the separation of this position will only be known when he gets his hands on it.
When doctors perform internal autopsies, electrosurgical tools are generally preferred.
It is not only easy to operate and labor-saving, but also has its own hemostatic effect. After surgery, the patient's recovery will also be faster.
Of course, if the traditional scalpel is used easily, it is also possible.
It's just that people are trying to save trouble, the picture is easy, and it can be used with a more convenient electric knife, and the traditional scalpel is gradually withdrawn from the stage in most surgical processes.
"With a normal scalpel?"
Xue Yan looked at Zhou Can.
"Yes!"
Zhou Can nodded slightly.
"Change the knife, I'll try again!"
Director Xue Yan had absolute trust in him, and without asking any more questions, he directly asked the instrument nurse to change the traditional scalpel.
"Do you remember the steady knife separation method that Director Hu taught you?"
Zhou Can asked her.
"Well, I remember. As long as I have time, I've been practicing, and I'm able to operate proficiently, but I can't reach the realm of special refinement. ”
After Director Xueyan changed the knife, her eyes stared at the surgical site again.
There was no rush to go under the knife.
She knew that Zhou Can would definitely give her some guidance if she asked her to change knives at this critical moment.
"You use the ancient method of torture, Ling Chi, to separate this part with a knife. Remember, you use the knife in your hand as if it were a blunt knife. As long as you can cut the flesh with a blunt knife, I can guarantee that you will succeed in this separation. Rest assured, even if the large blood vessels are really broken, I am sure that the bleeding will be stopped in the shortest possible time and the repair will be completed. ”
Zhou Can is giving her a reassuring pill, only in this way can she let go of her hands and feet.
Too much nervousness, too many concerns, will definitely affect the performance.
"Good!"
She's ready to go under the knife.
It's just that it looks like I'm still a little nervous.
"Of course, you can't really break the patient's big blood vessels just because I gave you a package ticket. After all, I'm also a half-ass, and I also have a time for Kuang Scoop. ”
Zhou Can's words made her laugh out loud.
"Hey, it's a fourth-level major surgery now, can you be serious!"
Director Xue Yan scolded in disgust.
"Sorry, actually, I saw that you were too nervous, and I wanted to make you laugh and relieve your nerves. Now the surgery can begin. ”
Zhou Can responded with a smile.
The rest of the room knew that the two of them were like brothers and sisters, and they had long been accustomed to their intimate communication.
Between men and women, in fact, it doesn't have to be love to get along intimately.
It can also be family affection, or cooperation to achieve the same career goal, or like Zhou Can and Director Xueyan, they have the friendship between their sister and their younger brother, and they have the same career goals and strive for them together.
In addition, there is a grateful heart that is grateful to each other.
Director Xueyan has helped him, and he has also helped Director Xueyan a lot.
In the continuous relationship, the relationship between the two will naturally deepen slowly. Eventually became close friends, sisters and brothers.
Director Xueyan began to separate the patient's liver tumor tissue from the arterial adhesion part according to Zhou Can's instructions.
It can be seen that she is not so nervous anymore.
With one knife at a time, slowly cutting, she gradually entered the state.
The mastery of the separation skills in the knife stabilization method is also constantly strengthened.
Actual combat is the only way to quickly improve your level.
Her progress is even visible to the naked eye.
Director Hu Kan originally selected her as the director of the department, in addition to her character and personality are very suitable, her surgical talent is also a major reference factor.
After more than 40 minutes, the patient's liver tumor was successfully isolated and then removed.
Director Xueyan's eyes were full of excitement.
Her whole person has also become more confident.
The rest of the surgical team was equally pleased with the improvement in her surgical skills.
The stronger the leader, the greater the benefit they can get.
Everyone will benefit.
More than half an hour passed, the first operation was successfully completed, and the patient was sent for pathological examination with the removed liver tumor. After the patient was observed on the operating table for more than ten minutes, and the signs were still stable, he was sent to the recovery room for further observation and awakening anesthesia.
After the first operation was done, Deputy Director He went home from work and replaced Director Le to participate in the operation as a helper.
……
Until the end of the two surgeries, Zhou Can raised his wrist to look at his watch, it was already half past eleven in the middle of the night.
It's been a dark day by day.
Entering the hospital in the morning and going home in the evening with the starlight, it is really hard to study medicine.
The birth of every great doctor has been tempered countless times and slowly grown.
As long as he is given enough time to grow, he may become one of the top surgeons in China and even in the world.
What can really save lives is surgery.
Although internal medicine can also save lives, it is much worse than surgery.
In many scenarios, internal medicine is powerless.
Let's talk about one of the most common cerebral hemorrhages, the internal medicine department uses anticoagulant drugs to find ways to lower the patient's blood pressure and find ways to ensure that the patient's breathing and heartbeat are maintained normally. However, the hope of saving the patient remains extremely low.
Even if they are rescued, most of them are vegetative and paralyzed.
Surgery is much more straightforward, direct craniotomy to repair blood vessels and clean up intracranial congestion. The patient recovered well, was hospitalized for a period of time and was discharged from the hospital, and was able to lead a normal life.
Therefore, when it comes to life-saving means, surgery must come first.
When he arrived at the hospital the next morning, Zhou Can saw a patient with extensive burns and a large wound decomposition sent to the emergency department for rescue.
The doctors in the emergency department have already seen it and are not afraid to accept it at all.
Contacting the specialist department, the director of the family came in person, shook his head and left after reading it.
(End of chapter)