It was busy until 12:43 that Zhou Can finished the emergency surgery and the patients who were admitted yesterday for surgery.

Some traumatic and emergency patients in the emergency department need to be treated immediately.

There's no way to backlog this.

As long as such patients are treated, they often seize the time to do an examination, and after the cause is identified, the attending doctor simply judges whether it can be handled in the emergency department. If it can't be handled, either call the appropriate specialist room to get the patient away.

More often than not, even if it can't be treated, some initial rescue work needs to be done on the patient.

For example, helping patients stop bleeding, defibrillation, open airways, and so on.

Needless to say, patients who can be treated directly by surgery in the emergency department. Those patients will be lined up like an assembly line to go to the emergency operating room for surgery.

Zhou Can has recently consciously begun to reduce the number of first- and second-level ordinary surgeries and let other doctors in the operating room handle them.

He mainly deals with patients with difficult surgeries.

The number of tertiary surgeries has been increased from about two to three, or even four.

In the first and second level of surgery, if the case is difficult, other doctors will handle it if other doctors are sure. If you are not sure, they will all be thrown to Zhou Can and Dr. Xu.

This arrangement is beneficial to Zhou Can and to the other doctors in the emergency department's operating room.

Zhou Can has almost become a new trump card in the emergency department's operating room. He blindly does simple and minor surgery, which is not conducive to growth. The leaders of the department naturally hope that he will be as strong as possible.

Leader, how can you lead the emergency department to fight if you are too weak?

Throwing a simpler minor surgery to other doctors can also give them a better workout.

Doctors who have developed their surgical skills will be able to take on more difficult surgeries.

Eventually, a virtuous circle slowly develops.

When I walked out of the operating room, I looked up and saw a middle-aged man in his forties sitting on a bench across the corridor. Short hair, well-dressed, peaceful eyes, and the mental state of the whole person is poor.

"Is it Dr. Zhou?"

Seeing Zhou Can walk out of the operating room, the man stood up and asked.

"It's me!"

Zhou Can walked directly to the other party.

"Are you the patient who came to see me?"

"Yes, yes, that's me!"

The man nodded again and again, and just said a few words, but he coughed while holding his chest. There was a faint cracking sound when he coughed, and a pained expression appeared on the man's face.

"What's uncomfortable? Come, sit down and talk slowly, don't rush. ”

Zhou Can is more than ten years younger than the other party, but he cares about this man like an elder.

"It's okay! I had an operation on my heart and have been coughing a lot ever since. Recently, I feel palpitated and short of breath, and occasionally tingling pain in my upper abdomen from time to time. I checked in several major hospitals, and they all said that it was aortic dissection, and it was very serious. ”

As he spoke, the man picked up the bag that was placed on the chair.

Hand the film he shot in the courtyard to Zhou Can.

After taking a look, Zhou Can's face suddenly changed slightly.

"Yo, this situation is really serious, this avenue is a mezzanine. To be honest, this is the first time I've seen such a large mezzanine. Moreover, this blood vessel is an aorta, and if it ruptures, I am afraid that it will not even be able to rescue it. It is recommended that you deal with this as soon as possible, and do not delay. ”

Zhou Can followed Director Hu Kan to have major surgeries.

He has dealt with some very dangerous aortic dissections.

But I have never seen such a serious mezzanine as the man in front of me. The main reason is that the dissection zone where the tear of the blood vessel wall occurs is too long.

The blood that erupts from the dissection forms a long band of water pocket-like shadows in the thoracic and abdominal cavities.

With such a large and long mezzanine, the risk of rupture is very high.

Even in a hospital as large as Tuya, as long as the patient is diagnosed with aortic dissection, even if there is no angina, the patient will be immediately given a critical illness notice.

Only doctors understand how dangerous aortic dissection is.

"I asked a number of major hospitals in a row, and they all told me that I would do a cardiovascular aortic artificial vascular replacement, and replace the entire blood vessel of the disease. The incision runs from the ribcage to the thigh. There are also many surgical risks, including paraplegia, intraoperative death, and so on. ”

The man spoke clearly and knew the whole operation and the risks.

Explain that you have learned the whole procedure in detail from other doctors.

With such a long aortic dissection, it is almost impossible to place a stent.

This aorta has multiple branches that supply blood to multiple organs in the thoracoabdominal cavity.

Placement of a stent can close the gap in the dissection, but it will also close the other branches of the vessel. This causes multiple organs to lose blood supply. When the time comes, it will not be to save people, but to kill people.

It is difficult to replace the entire aortic blood vessel, but as long as the surgical level is excellent, you can still try to challenge it.

As long as Zhou Can raises the ligation to level six, he will be fully capable of challenging this surgery.

"There are many problems with high trauma, high risk, unpredictable intraoperative and postoperative risks. However, your aortic dissection is already so serious that if left untreated, it is even more dangerous than strapping a ticking time bomb to your body. ”

The patient's condition can no longer be delayed.

A casual emotional overburst, or an out-of-control blood pressure, can lead to a ruptured dissection.

When the time comes, the blood will pour into the chest and abdomen like an uncontrollable flood.

Basically, any rescue measures are too late.

A ruptured aortic heart has a much higher mortality rate than a ruptured carotid artery.

The prognosis is extremely poor, with a mortality rate approaching 100%.

Being cut by someone's neck and throat, the bleeding is also very terrifying, but as long as you send it to the hospital in time, most of them can be saved.

The aorta of the heart is in the thoracic and abdominal cavity, and once it ruptures, the bleeding cannot be stopped at all without opening the chest.

And even if you open your chest, there is a high probability that it will still be useless.

Lituring the aorta or clamping it with a hemostat is equivalent to cutting off the supply to most organs and tissues in the body. If the body's limbs are ischemic for more than half an hour, there is a risk of necrosis.

The organs are more delicate, and some only need to be ischemic for three minutes, and necrosis will gradually occur.

You must know that most of the necrosis of the body's organs is irreversible.

"Doctor Zhou, I came to you this time to ask you to help me think of a way. Let's see if I can solve this aortic dissection without replacing the entire blood vessel. I also heard a subordinate tell me that he watched a live online surgery yesterday, and you successfully cured a cardiovascular disease that the imperial capital Renhe Hospital and Japanese cardiosurgery experts could not cure. ”

This person was able to make a special trip to find Zhou Can in such a short time, which is enough to see that the energy is not small.

Because listening to the accent, it doesn't feel like a local accent.

"Where are you from?"

"Oh, I'm from Modu, and I have a small business at home. After learning about Ling's deeds last night, I thought about it and rushed from the magic capital this morning. ”

"Thank you for your trust. I am actually a general doctor at Tuya Hospital, and the success of that operation yesterday was half due to luck, and it was not as powerful as you think. ”

Zhou Cancai didn't believe that this person was doing some small business.

There are not a few rich people and bigwigs he usually comes into contact with.

From this, you can feel a faint majesty, as well as that indescribable self-confidence. If you guess correctly, this person is not only very strong economically, but I am afraid that he also has a lot of energy in the official face.

This kind of person is either the second generation of the top family or the second generation of officials.

In case someone is killed, Zhou Can doesn't want to be the second Xu Yidao to fall.

Dr. Xu's desolation, he saw it deeply.

Therefore, if you can shirk it, try to shirk it.

Doctors must learn to protect themselves so that they have a chance to save more people.

"Otherwise, you go to dinner first. I can wait until you have time, and then I'll have a good talk with you. I can feel a little fear of me in the depths of your eyes. Don't worry, I'm not the kind of person who messes around and is unreasonable. Not to mention ungrateful. ”

The man is really powerful, and even a trace of jealousy inadvertently revealed by Zhou Can in his eyes can be clearly observed.

During the conversation, Zhou Can is also a billionaire with a net worth of more than 100 million.

But he was crushed by this man all the way, and the other party's aura was very terrifying.

Generally speaking, a person's aura comes from the comprehensive strength of all aspects. Including their own wealth, knowledge, ability, connections, as well as the strength of the family, and the resources that can be mobilized.

Those who can easily mobilize a large amount of resources are the first officials and the second is the wealthy businessmen.

This has been true throughout the ages.

However, with the evolution of modern civilization, capital has gradually become all-encompassing.

The man told Zhou Can that he was not an ungrateful person. It means that as long as Zhou Can cures his illness, he will be his savior.

We will definitely go back and forth for a long time in the future.

This person has not revealed his true identity from beginning to end, but he is using his identity as a hole card.

"Have you eaten? If you don't eat it, if you don't dislike it, I can treat you to a working meal in the hospital. ”

People came from far and wide to see him.

Now that the illness has not been treated, please eat a working meal, not too much.

"I've already eaten, go eat it! When do you see when you're free? I'll come back to you then. ”

The man said.

"There are still multiple surgeries to be done in the afternoon, I'm afraid it will be late in the evening. It's not easy for you to come all the way here, otherwise, give me the information, and I'll read it carefully when I eat, and I'll give you a definite answer when the time comes. ”

Zhou Can's words are also equivalent to telling the other party that if it really can't be cured, then I'm sorry, you can only ask for another master.

Attitude is very important to communicate with such a 'second generation'.

With enough sincerity, even if you reject others, you won't be annoyed.

"Give! Please! ”

The man handed him the bag.

"You're welcome, that's what we're supposed to do."

Taking the information bag, Zhou Can quickly went to the cafeteria to eat.

Qiao Yu had already cooked for him.

Watching Zhou Can eat and read the film at the same time, she couldn't help but ask curiously, "I don't look like an ordinary person with this patient, what's the disease?" ”

"Aortic dissection, it's quite serious."

"It seems that you became famous in the live broadcast yesterday, and there will be more people who come to you to see a doctor in the future."

Qiao Yu said with a smile.

"Alas, people are afraid of being famous, pigs are afraid of being strong. When the pig grows fat, it will be knifed, and when the person becomes famous, trouble will follow. I really hope that some ordinary patients will give me enough time to grow, and it would be better for these big guys and boys to come a little less. ”

Zhou Can sighed.

Other doctors are trying to become famous.

But after he became famous, the patients who came to him for treatment were difficult to treat.

In the end, the strength is still not strong enough.

It's like a banknote, you never feel like it's enough to spend.

Don't look at his current net worth of more than 100 million, but what he can do is extremely limited.

If you buy a house in a super first-tier city, you may not have the money.

The same is true for the level of medical skills, which will never be strong enough. Compared to the beginning, his strength is already very strong.

But there are still 108,000 miles away from the peak of the medical path.

"If the patient's identity is too sensitive, it is safer to push it directly. But anyone with a bit of status, who has such a serious illness, must go all over the world to find the best doctor to treat them. If other top experts can't cure the disease, it's better not to challenge it, it's too risky. ”

Qiao Yubing and Xue are smart, and when they heard it, they understood that it was not easy for this person to seek medical treatment from Zhou Can.

"Sister Qiao Yu is right, you must push it if you should push it off, and you can't hesitate. If you find it inconvenient, I'll help you get back later. ”

Ma Xiaolan's mouth and personality have always been like a little pepper.

She also has an advantage as a person, she only treats others fiercely, but she takes great care of her team members and those close to her.

Whether Zhou Can encounters a difficult patient or other medical staff have difficulties, she will take action.

Sometimes watching her quarrel with patients and scolding her family, Zhou Can appreciates her even more.

Everyone has shortcomings, Ma Xiaolan has a lot of shortcomings, but with continuous contact, Zhou Can never had the idea of driving her away.

"No, I've already had a vaccination, and if his treatment is beyond my means, I'll have to ask him to go home. People made a special trip from the magic capital to come by plane, I don't want to, and I can't say it. ”

Zhou Can has always been worthy of his conscience.

After reading the patient's film and biochemical test report, Zhou Can fell into deep thought.

The man, Chen Zhongzhi, is 42 years old and has no other physical diseases.

The main one is aortic dissection.

Replacement of the entire aorta is risky, traumatic, and can interfere with the blood supply to other branches.

This surgery is really tricky!

Until after eating, Zhou Can still couldn't come up with a solution that could be solved without replacing the aorta.

Carrying the information bag, he was ready to talk to the patient and ask the family to find another master.

After looking around, the man named Chen Zhongzhi seemed to have left the emergency department.

There was no way, Zhou Can could only temporarily put the information bag in the office and go to the operating room for surgery.

I guess this person should come over when the end of the day.

One patient after another, under the treatment of Zhou Can and his team members, the lesions were eliminated.

Most of them go with the treatment, just take some medicine and go home to recuperate.

If it is more severe, it will require hospitalization for a period of time.

"......Ahh

A grunting patient was pushed in.

Pain into such a patient, presumably will not be a small problem.

(End of chapter)