Chapter 438: With the style of a boss, sixth-level medical skills

The operation officially began, and the patient was lying on the operating table in a supine position, and the person was already in a state of coma.

Director Xueyan held a knife and made an incision into the chest from the patient's anterior median.

She was originally the chief physician, and after a year of devilish tempering, she became more proficient in thoracotomy surgery. When making an incision, it perfectly avoids large blood vessels and important nerves.

In the process of thoracotomy, I have been able to deal with some emergencies more calmly.

Zhou Can stood next to her and swept the battle for her, and the atmosphere in the operating room was not tense at all.

After more tertiary and fourth-level thoracotomy surgeries have been done together, the psychological quality has been well improved.

"The patient's left thymus gland is a bit in the way!"

Xue Yan muttered to herself.

"No, this thymus is so annoying, it always blocks my view from surgery."

She complained again.

Dr. Long, a man in his forties, was recently awarded the deputy senior title. He did not get carried away because of this, but was more modest and studious, and took the initiative to serve as the third assistant to Director Xueyan as the deputy chief physician.

"If it's really in the way, it's okay to cut it off. One less thymus, not much of a problem. If it gets in the way and the operation fails, the patient loses his life. Compared to the huge potential risk, I think it's worth cutting it out in exchange for better exposure. ”

Zhou Can gave advice on the side.

Ordinary people really don't dare to direct the chief knife to cut off a certain organ or tissue.

One is that the level is not enough, and on the other hand, there is a difference between the top and bottom, speaking indiscriminately, and it is easy to be scolded for interfering in the main surgery.

"In the past, I had a similar operation with Director Hu, and the left thymus was also cut out. I didn't see any adverse reactions from the patient afterwards. ”

Director Le spoke in a timely manner to support Zhou Can's suggestion.

"Well, then I'll cut it."

Director Xueyan did not hesitate any longer and decisively removed the left thymus.

Shortly after the cut, the anesthesiologist shouted, "Oh no, the patient's vital signs are dropping." She hurried to check what was wrong.

I just searched for a long time and didn't find out what the problem was.

"Could it be caused by the removal of the left thymus?"

Anesthesiologists aren't too sure.

Director Xueyan was calm at first, and repeatedly checked the surgical incision and its vicinity to see if important nerves were cut.

The heart's beats are dominated by the heart's electrical signals.

There are still a lot of important nerves around.

If you accidentally cut off an important nerve, you can be in big trouble.

The monitoring instrument soon emitted an alarm.

This time, Director Xue Yan and the anesthesiologist were in a hurry, and Director Xue Yan's face even showed a panicked expression. It's all human instinct, and it can't be disguised in an emergency.

"It should be caused by cerebral hypoxia!"

After careful study, Zhou Can gave a judgment.

As he spoke, he had already tried to flex the child's lower limbs and switch to the knee-chest position.

"Morphine press 0. 05mg/kg subcutaneous injection! ”

In this case, the child may die in a very short period of time, and Zhou Can must quickly give a corresponding rescue plan.

People didn't invite him over to watch the play with their sleeves up.

The weight of the child should be clear to the itinerant nurse, anesthesiologist, and surgeon. Even the interns in charge of the bed can also grasp the key data of the patient with their care.

After the subcutaneous injection of morphine, the anesthesiologist's face showed a hint of joy.

"There's a turnaround, there's a turnaround!"

It's not easy to make an anesthesiologist who usually has a straight face and doesn't smile like a little girl.

Many people say that itinerant nurses are so fierce that they curse people at every turn.

In fact, itinerant nurses have smiling faces a lot of times.

For the most part, they are only fierce to low-ranking doctors. For example, interns, trainees, and low-seniority residents, these people litter in the operating room, or some non-standard operations, etc., the itinerant nurse will scold.

Under normal circumstances, they are quite gentle.

"If it improves, intravenous sodium bicarbonate is given to correct acidosis."

Zhou Can is more like the deceased Director Hu Kan at the moment, and has become the real backbone of this surgical team at a critical moment.

"What is the child's blood pressure?" Did it go up? ”

He continued to ask the anesthesiologist.

"The blood pressure is still very low, and it is slowly rising." She replied.

"The tour lady takes a bottle of new forint and intravenous drip."

Zhou Can calmly issued the third rescue order.

Finally, through the concerted efforts of everyone, the child's vital signs gradually stabilized.

Director Xueyan's face was slightly pale, obviously frightened.

Not to mention her, even the anesthesiologist was scared enough. The itinerant nurse is quite calm.

"It was too scary just now, but fortunately, the person was finally saved. Can the surgery continue? ”

"Don't worry too much, it shouldn't be anything for now. Without surgery, the child still can't live, so it's better to go down the road and maybe pass the customs? Zhou Can also breathed a sigh of relief.

"Doctor Zhou, you are the most calm just now, I think you are especially like the Dinghai Shen Needle of our surgical team. Just now, you calmly commanded the rescue, and I faintly felt it in you...... Director Hu Kan can bring us stability. ”

Holding Zhou Can to such a high position, he didn't dare to take it.

"I can have one-tenth of the teacher's incense, even if I burn high incense, but in the face of the critical situation of the child, I have no choice but to bite the bullet!"

To say not to panic is to deceive.

Zhou Can is also a human being, and he may not have experienced as many dangerous scenes as Director Le.

At a critical juncture, someone has to step up and take charge of the overall situation.

"By the way, in the case of the child just now, it is best not to use rehmannia drugs when rescuing. Otherwise, it is likely that the person will be really sent away. ”

Zhou Can reminded everyone.

In the operating room, people generally don't say dead words.

This is quite taboo.

Some ignorant interns, when they enter the operating room for the first time, ask the instructor what if the patient dies on the operating table.

At this time, you can see that the instructor has a black face, eager to slap this indebted intern to death.

If something does go wrong with this operation, make sure that the intern never wants to go into the operating room again.

Also, when people speak in front of patients, they usually use some code words.

For example, if the patient has cancer, Ca will generally be used instead. If the patient has a second operation, it will be replaced by a second uterus.

"Zhou Can, is it okay for you to be in charge?"

Xue Yan looked at him with a pleading look.

"Don't you want to try your hand at trying to challenge tetralogy? Giving up so soon? Zhou Can asked as he walked towards the main knife position.

"The operation was far more dangerous than I could have imagined, and I was worried that something would happen. If I want to practice, I will find a chance next time, there is no need to risk it with this special patient. Xue Yan calmly analyzed.

"Okay, I'll leave it to me."

Zhou Can has always been very enthusiastic about this kind of fourth-level major surgery.

Tetralogy of Farot surgery, he only followed Director Hu Kan to do it, this is the first time to operate independently.

"Sister Yan, after reaching this step, the next step is to free the mediastinal pleura to both sides, you must be careful, you can't destroy it."

After Zhou Can got started, the speed of the operation was significantly accelerated many times.

"Next, the ascending aorta is inserted with blood vessels, and the upper and lower vena cava is inserted with drainage catheters to establish a cardiopulmonary bypass ......"

Nearly three hours later, Zhou Can glanced at the surgical masterpiece with satisfaction.

The operation was full of twists and turns, and finally with his efforts, he successfully completed the main part of the operation.

"Who's going to close your chest?"

"Either it's up to you! The patient's ability to tolerate it was already poor, and the thoracotomy took too long, and I was worried that it would be bad for the prognosis. This surgery is the first time we have performed a similar surgery in cardiothoracic surgery after a year. So, I want to be stable. ”

Director Xueyan's mood can be understood.

If you don't belong to your home, you don't know how expensive firewood and rice are.

After she became the head of this department, she needed to be responsible for the future and fate of the entire department. So the things to consider are also far beyond ordinary people.

The two resident doctors were eager to try, and they wanted to take advantage of this opportunity to close their chests.

But after Director Xueyan said the word "stability", they took the initiative to dispel the idea of getting started.

"Dr. Chow's surgery was top-notch, and the chest closure was done well and quickly. It's getting late now, so I think it's good to finish work early. ”

Director Le said with a smile next to him.

"Makes sense. You young people may be able to resist it, and to be honest, I'm a little too old to resist. "Deputy Director Han is more than fifty years old, and he has to fight with Director He.

Men are born to work hard, whether at home or outside, they are the main force of heavy labor and technical work.

Sometimes when I get home from work, even if I am tired, I have to pay my wife public food.

Just two words, life is hard.

Many women always complain, saying that housework is hard, giving birth to children, and menstruation is hard every month...... If they had seen the hard work of men outside, they might not have said so.

Zhou Can quickly closed his chest.

[If you successfully close your chest, you will be rewarded with suture experience +100.] Congratulations on your promotion to Level 6 in Suture. 】

When he was doing intrathoracic repair just now, Zhou Can earned a number of medical experience points in a row.

I really didn't expect that at this juncture, the suture technique was first promoted to level six and became his first director-level medical skill.

The accumulation of a full 100,000 experience points is really not easy.

He could clearly feel that Dai Ran had a different experience of understanding and comprehension of sutures. It's different from any previous medical advancement.

Even if his medical skills were upgraded to the fifth level and reached the level of deputy director, he only felt as if he could faintly spy on some more advanced medical mysteries. But it feels very uncomfortable, like looking at a beautiful woman through frosted glass.

You don't know if she's beautiful or not, you can only vaguely see her graceful and slender figure.

"Is this a sixth-level medical skill?"

Zhou Can was immersed in the brand-new director-level suture medical skills.

If the ability given to him by the fifth-level suture technique is to be just right in the sutures, then the sixth-level suture technique is given to him by the mysterious and mysterious.

It was as if he could directly peek into the mystery of life through a small wound.

For example, when he looked at the wound on the chest wall that had just been sutured, what he saw was not whether the sutures were neat or whether the wound layer was tightly fitted, but he could really feel that the life on the operating table had been repaired and was quietly restoring the vitality of life.

As for the speed of this recovery process, he still can't clearly feel it.

It may be that his realm has not yet reached that level.

Or maybe only one of them has been promoted to level six.

After all, the composition of the entire life is very complex, and the human body is 10,000 or 100,000 times more complex than the world's most sophisticated and complex computer.

So far, even the United States, the most developed country in the world, has not been able to thoroughly study the mysteries of the human body.

Just a neuronal simulation has made countless scientists, biologists, doctors, and scholars go home. A lot of R&D funds have been spent, and the artificial intelligence that wants to be simulated has not been successful.

This is just a study of the neurons of the human brain, and if it is the whole body, it may not be possible to study it thoroughly in another 500 years.

The genes of the human body, the DNA genetic code of the blood...... There are too many unsolved mysteries of mankind waiting for future scientists and doctors to solve.

"Level 6 medical skills are really wonderful. I wonder if other doctors, like me, can directly see the mystery of life when they look at a patient's wound? ”

At this moment, Zhou Can was extremely looking forward to the day when other medical skills could also be promoted to the sixth level.

Perhaps when the time comes, his peek into the mysteries of life will be clearer and deeper.

"Dr. Chow, Dr. Chow...... It's time to leave work! ”

The instrument nurse waved his hand in front of Zhou Can's eyes, waking him up from his contemplation.

"Oh, sorry, I was distracted! The patient's signs are stable, right? ”

Zhou Can asked the anesthesiologist who was packing up his tools.

"The operation went very smoothly and the child's signs were very good in all aspects. However, it will definitely need to be in the intensive care unit for a while. It depends, it can be as short as three or five days, or as long as it is long...... That's not clear. ”

Anesthesiologists are optimistic about the child's prognosis.

"With you, the protector of life, speaking, then I have nothing to worry about. Eat supper and then go! ”

Zhou Can greeted the anesthesiologist.

"There are still children waiting for me to come home, so it's okay for me to bring some back for my children to eat."

The anesthesiologist is at least thirty-seven or eighteen years old.

She is a very good young and middle-aged anesthesiologist in Tuya.

"I know that you have people who take care of your family, and you specially ordered them to be packaged one by one. Everyone, including interns, take it home and eat it! Director Xue Yan answered with a smile.

At the end of the overtime, the more generous director will usually order supper for everyone or ask everyone to go to dinner together.

For financial affordability, potlucks will only come once or twice once in a while.

It's impossible to eat together every day.

Because this money is not from the department, but by the director himself.

"Thank you, Director Xue!" After hearing this, the anesthesiologist smiled and thanked him with a rare smile.

"How many children do you have?"

Zhou Can helped her pack her tools while chatting with her.

"How many children! We are doctors, and we are so busy all day that we don't touch the floor, and it would be nice if the hospital could allow me to take one maternity leave. Of course, if I insist on giving birth, the leader probably can't do anything. Because the anesthesiology department has been short of staff. ”

When she is working, she has a straight face and is very serious.

After the surgery, I talked like a normal person.

"What about you? Married? ”

The anesthesiologist probably added another sentence considering that Zhou Can was particularly young.

(End of chapter)