Chapter 461: Looking forward to a good result, Level 6 Debridement

At the end of the round, as soon as he looked up, he saw two women sitting in the rest area of the emergency hall.

Su Qianqian wore sunglasses and a wide coat, and sat there quietly waiting for him.

"Shallow, Wei Fang!"

Zhou Can walked over quickly. Wei Fang stood up and walked into the distance, leaving space for Zhou Can and Su Qianqian.

"I knew you were going to work overtime tonight, so I made a meal and sent it over. Three dishes and one soup, you can taste it! ”

Now that they live very close to the hospital, Su Qianqian's care for Zhou Can is almost meticulous.

Preparing meals and delivering them to the hospital has become her norm.

Even if she is sometimes busy with work, she will find a way to let Zhou Can eat nutritious and delicious meals. She thinks the meals in the hospital cafeteria are unhygienic and nourishing enough to be the recipes she carefully matches.

Zhou Can really likes to eat the food she cooks.

"I'm going to wash my hands!"

He ran to wash his hands, and then opened the food box and ate a large piece.

"Eat slowly! No one is robbing you! ”

Su Qianqian watched him gobble up beside him, always nagging.

When colleagues saw this twilight, they were always very envious of Zhou Can for having such a considerate and gentle girlfriend.

The two did let their colleagues see the beauty of love.

"It would be nice to have a separate office at any time. I can deliver the food directly to your office. ”

Su Qianqian felt that there were constantly curious glances or strange eyes from people, and she felt a little uncomfortable. It may have something to do with the fact that she is a public figure herself.

And eating in the emergency hall is a bit of a concern for hygiene.

Patients come here with a variety of diseases, including various infectious diseases.

"Our emergency department, Director Lou has this treatment. Even Director Han and Director Niu Lan don't have separate offices, so don't even think about it now. ”

Zhou Can has never cared too much about these things in terms of enjoyment.

"By the way, did you take your medicine on time today?"

Zhou Can finally helped her collect all the medicines needed for the prescription last time, and then decocted the medicine for her to drink.

In another half a month, you can finish a course of treatment.

This medicine is not taken every day, but once every seven days.

"I'm so impressed! You're so busy every day, but you always remember on time when I should take my medication. Don't worry, I've already fried it at home. ”

Su Qianqian's kidney disease has always been the top priority for the two of them.

"By the end of the month, we should be able to see the results. I hope God won't torture you anymore, people are beautiful and kind-hearted, how can you bear it! ”

Zhou Can especially hopes that she can recover soon.

She is very calm on the surface, but in fact she is very nervous and even a little anxious inside. Zhou Can still remembered finding the main medicine and giving it to her after decoction, and she couldn't sleep for several nights.

This is not a side effect after taking the medicine, but she is too eager to cure her kidney disease, suffering from gains and losses, and has too many worries, as well as excitement and anticipation.

"Hehe, am I as good as you say?"

After she was praised by Zhou Can, her eyes narrowed into a slit with a smile.

"Of course there is! In my mind, you are one of the most important people in this world, and the most beautiful and clean girl. The mind is clean, the soul is clean, the heart is clean, and the body is clean. ”

Zhou Can continued to praise her seriously.

"Oh, okay, okay, eat your meal! I heard that I had a pregnancy reaction! ”

She was constantly praised and a little overwhelmed.

"That's just right, when you're ready, let's make two babies out!"

Zhou Can just made a random joke, but made her red-faced.

"You're going to die! Say these things here! ”

She glared at him viciously, so ashamed that she didn't dare to look up.

The two actually experience playing and joking on weekdays, and their relationship has always been very stable. Conflicts never lasted more than a day. Often it was either Su Qianqian who coaxed him, or Zhou Can who coaxed her.

After eating, Zhou Can stood up.

"Alright, you can go back quickly! I don't think I'll be home until 11 or 2 o'clock in the evening, so you guys should be safe on the road! ”

He gave Su Qianqian a hug.

"Bye-bye!"

After Su Qianqian separated from him, he waved his hand and left with Wei Fang with the thermos box.

……

Cardiothoracic Surgery, Zhou Can, who had just finished dinner, rushed to the cardiothoracic surgery operating room.

The patient is already lying on the operating table and has completed the anesthesia.

Before the operation, Director Xueyan had already confirmed the time with him. When he arrived, it was just right.

"Zhou Can, this is the patient's information, you can take a look at it again!"

Yesterday, Zhou Can was invited to come to the Cardiothoracic Surgery Department for a consultation and discussed the surgical plan. This person has a more difficult type of chest wall tuberculosis, which has formed an abscess and sinus tract in the chest cavity.

The surgery is complex and quite difficult.

During the consultation and discussion, Director Xueyan, Director Le and others unanimously asked Zhou Can to take the lead.

This kind of difficult cardiac surgery, especially the need to remove lesions such as sinus tracts and abscesses, can easily cause chest infection, or the lesions cannot be cleaned, resulting in recurrence and further deterioration of the condition.

As for the other surgical risks, they have to be calculated separately.

For example, during thoracotomy, large blood vessels are accidentally injured, causing massive bleeding. Or it may injure important nerves, resulting in sudden cardiac arrest or abnormality. Another example is that after the patient's chest cavity is opened, his constitution is special, he cannot adapt to the open chest environment, and his heart stops beating.

There are too many risk factors.

This is also the reason why thoracotomy is all fourth-level major surgery.

No matter where you want to go under the knife, as long as you open the chest, it will cause great harm to the patient.

Then there is an accident during the operation, which requires emergency rescue, and it is the kind where every second counts.

Not to mention the resident doctor and attending level, even the general deputy chief physician will be in a hurry and panic.

Sometimes, when a patient suddenly suffers from cardiac arrest, the time left for the doctor to rescue may be as short as two or three minutes. In this case, if the surgeon does not have excellent psychological quality, rich surgical experience, and strong professional knowledge, there is a serious consequence that the rescue will fail and the patient will die on the operating table.

Even such an excellent chief physician as Director Xue Yan has made such a mistake, let alone an ordinary deputy chief physician.

It takes at least ten years for cardiothoracic surgery to train a surgeon, and it is really not nonsense.

Many low-key cardiothoracic surgeons, even after more than ten years of work, still feel like a novice. If you want to meet the conditions of the main knife, you basically have worked for 17 or 8 years, or even more than 20 years.

For brain surgeons, the culture cycle is similar.

It only took a few years for Zhou Can to reach the ability of others to perform surgery in 20 years, which should be unprecedented in Tuya Hospital.

"I've read the information, and there's no problem. Routine disinfection, towel spreading, let's get started! ”

Since it has been discussed, he will be in charge, and he will not shirk at all.

There is no stage fright, after washing hands, let the nurse help put on the surgical gown and wear disposable sterile rubber gloves. He stood directly on the main knife position on the operating table.

Because everyone is already familiar with his skills, and they have also seen Zhou Can's heroic posture like a coach in various major surgeries.

Therefore, when he stood in the main knife position, everyone thought it was normal.

Even many people saw Zhou Can personally take charge of the surgery, and they felt very down-to-earth in their hearts.

Because Zhou Can has undergone surgery, he has always been very steady, even if there are some emergencies, he can respond quickly, and finally turn the corner.

"Sister Yan, I'm going to make a skin incision along the rib cage with the abscess as the center, okay?"

"That's good! You can just do the surgery directly, there is no need to ask me. ”

Director Xueyan looked helpless.

In terms of surgical strength, Zhou Can has far surpassed her in many aspects. As for the flexible use of surgical skills and various surgical experiences, Zhou Can is also much better than her.

At the beginning, she and Zhou Canke studied cardiothoracic surgery with Director Hu Kan, and even her study time was much longer.

However, for the flexible use of surgical skills and the comprehension of various surgical points, she is not as good as Zhou Can.

"Isn't cardiothoracic surgery in a critical period? I was worried about an accident, so I discussed it with Sister Yan. ”

Zhou Can replied as he began to concentrate on the operation.

He quickly made a fusiform incision along the center of the abscess,

"No, there is too much pus in it, it needs to be pulled out first to reduce the tension! Give me empty needles! ”

He handed the scalpel to the instrument nurse and asked for a needle to puncture the abscess directly.

Director Le was a helper to him.

Help to pump the pus out.

"Hey, this is really a bun with meat, not on the folds! From the outside, it doesn't seem like there is much pus, but I didn't expect it to be pumped out so much. ”

Director Le said in surprise.

"Fortunately, Zhou Can found the problem in advance, otherwise the pus will flow out when the muscle layer is cut, and it will definitely contaminate the incision."

Director Xue Yan was also thrilled.

The incision is contaminated with pus, which increases the risk of infection.

In cardiothoracic surgery, it is a major taboo.

"Director Le, you're almost drawn, right?"

Zhou Can kept an eye on the patient's lesion and gently pressed it with his hand, feeling that it should be almost there.

"Wait, there is too much pus, and a cleaner squeeze can reduce the probability of contamination of the incision."

After some effort, Director Le drew the pus almost to the end.

"Alright, you can continue."

Zhou Can motioned to Director Le to remove the needle that drew pus, and then said to the instrument nurse without looking back, "Vascular clamps!" ”

The instrument nurse is also an experienced surgical nurse, and has done many cardiothoracic surgeries.

Hearing that Zhou Can wanted hemostats, she was stunned, "Do you want vascular forceps?" ”

This is what it means to confirm with the chief knife.

Because according to her understanding, what should be asked now is a scalpel to continue to cut through the skin and muscle layer of the lesion.

"That's right!"

Zhou Can confirmed.

The itinerant nurse was pointing at the instrument nurse next to her: "Doctor Zhou, this is preparing to bluntly separate the muscle layer into the abscess cavity!" ”

"Ah...... I see! I thought I had misheard. I didn't see the rupture of blood vessels, so why did I suddenly ask for vascular clamps. The nurse's eyes were full of smiles, and she had learned something new.

The trainee nurses and doctors in the audience were all studying silently, and some hurriedly took notes.

Some also lifted their feet, wanting to see how Zhou Can operated.

Many nurses, even interns and trainees, may now have the opportunity to come into the operating room to watch the procedure. You may never get to the operating room again in your life.

Being able to gain more knowledge now will definitely help them in the future after their work.

While the instrument nurse admired the rich knowledge of the itinerant nurses, she was full of admiration for Zhou Can, the chief surgeon. Zhou Can is about the same age as her, and may even be a year or two younger than her, but he can already stand on the operating table and perform the surgery.

Calm and relaxed, personable.

The gap between people is really too big.

Zhou Can didn't have time to pay attention to the idea of this surgical nurse, took the vascular clamp she handed over, and began to blunt the muscle layer at the lesion site.

[Dissociation XP +1, Reward Dissociation XP +100.] 】

This unique separation method brought unexpected little surprises to Zhou Can.

A full 100 XP points are awarded, which is a very good bonus.

Since he had two medical skills to advance to level six, he saw that those two medical skills needed one million experience points to advance to the next level. Looking at the 100,000 experience points upgrade requirements of these fifth-level medical skills, I no longer feel how difficult it is.

Especially in the process of various complex surgeries, you can often get 10 points and 100 points of surgical experience points rewards, and it will be easier to level up.

At most, he's currently being rewarded with 10,000 XP points.

After all, this kind of good luck is only a minority, and it is hard to come by.

Not to mention the huge XP rewards of up to 10,000, but the 1,000 XP rewards are hard to come by.

He operated the hemostat and carefully tore through the muscle layer about a centimeter or so to enter the abscess cavity.

"Sucker!"

The instrument nurse did not hesitate this time, and quickly removed the hemostat and replaced the suction device for him.

Originally, the pus suction work at this time could also be handed over to Director Le to operate, but Zhou Can was greedy for the experience of debridement, so he started the operation himself.

The pus in the abscess cavity was sucked clean, and as expected, the 101-point debridement experience value was received.

During the procedure, he felt that the experience points of debridement should be among the easiest to earn.

[Your debridement technique has been promoted to level six!] 】

Unexpectedly, at this critical moment, the debridement technique was promoted to level six first.

became his third director-level medical technique.

He happily felt the benefits of the sixth-level debridement technique. My heart was as happy as if I had drunk honey.

Compared to the fifth-level debridement technique, he clearly felt that the debridement technique had already had an indescribable feeling after being promoted to the sixth level. For example, the excision of the abscess and sinus tract at the moment, he knew how to go under the knife at a glance, and the depth and width of the incision could naturally appear in the brain.

For the blood vessels, nerves, and various tissues around the wound, he can clearly show them in his brain.

It feels like the whole brain suddenly has an extra function – a scanner.

It can be directly scanned like a high-precision MRI instrument to scan the lesion and the surrounding tissue.

Even including the direction and depth of the Dou Dao, he can deduce it more accurately.

It may be because he has just been promoted to the sixth level and is still at the primary level of the chief physician, so he can't judge whether there are twists and turns in the sinus tract.

It is estimated that it will not be able to have that ability until debridement is further improved.

Even so, for him, it was already very good.

"The promotion of debridement is at the right time! It will allow me to complete this surgery better. ”

At this moment, the pus in the abscess cavity has been sucked clean.

He replaced himself with a scalpel and made a flexible incision in the direction of the incision to cut the muscular layer and the wall of the abscess cavity.

In the process, the sixth-level debridement technique has brought him great benefits.

If you have a god, you don't have to worry about cutting crookedly, or cutting less.

It can be as precise as an instrument.

(End of chapter)