After listening to the patient's situation, Zhou Can fell silent.

As he thought, the patient had indeed injured his nerve during the operation.

There are not many nerves that can cause paralysis in patients, mainly concentrated in the cervical spine and spine. In addition, the nerve center of the head is needless to say.

Injury to the nerve center, not to mention paralysis, may directly lead to the death of the patient.

can be called the ceiling surgery in this field, Zhou Can secretly guessed that it is likely that the cervical spine and even the nerve center of the brainstem were accidentally injured.

"Teacher, where is the tumor of that patient?"

"Head!"

Dr. Xu replied with only two words.

There is one of the most straightforward criteria for determining the level of surgical risk. The higher you go, the greater the risk.

The risk of surgery for the head is higher than for the neck, which in turn is riskier than for the spine.

All surgeries involving nerves should preserve the original function of nerves and spinal cord as much as possible. Otherwise, the patient is paralyzed or disabled, and the meaning of the surgery is greatly reduced.

Including endoscopic surgery, which is particularly popular now, minimally invasive surgery, all need to comply with this principle.

Preserving the original function of the nerve and spinal cord is the goal, and the small wound can only be regarded as improving the surgical requirements.

If a single operation will destroy the patient's nerves, no matter how small the wound is, it will not be meaningful.

Unexpectedly, the patient's nerve was injured in the head.

I think of Dr. Xu talking about the mother tumor.

The only thing Zhou Can could think of was neuroblastoma.

Of course, it is also possible that there are other malignancies. The world is so big that there are no surprises.

All kinds of strange diseases are endless.

In particular, the excessive use of pesticides in modern planting has caused many food pesticide residues to exceed the standard. In addition, some chemicals pollute the environment, as well as nuclear radiation, etc., all of which have caused a high incidence of various rare and malignant diseases.

If the patient's surgical site is in the spine, perhaps he can try to repair it with his current ability.

Unexpectedly, it was in the head, which was far beyond his surgical ability.

At the very least, he would need to wait until his many surgical skills were promoted to level 7 or above, and perhaps he would be able to try to repair the intracranial nerve center.

"Alright, I'm almost done with my old things. Let's talk about your surgical innovation! I think your surgical ideas and surgical plans are highly feasible. But this patient, named Chen Zhongzhi, is not an ordinary person, and in case of an accident, the signed informed consent form for surgery is like waste paper. I would advise you to be very cautious, even if you want to take risks, not with such a special patient. It can be implemented later when ordinary people have similar symptoms. ”

Dr. Koh thought the risk was too great.

He is a person who has come to many things.

I don't want to watch my lover take any excessive risks.

"Teacher, I understand what you said. However, I still want to talk to the patient first to see his attitude and then decide whether to do this surgery for him. If it really doesn't work, you can also inform him of the surgical plan and ask him to find a doctor who has the ability to operate on him. ”

Zhou Can believes that with the power of the patient, it is not difficult to find a powerful cardiac surgeon to operate on him.

Although there is no real hired medical team in China for the time being, as long as patients can afford to pay, there are still many doctors and nurses who are willing to do some private work.

In addition, private medical teams are not new in Hong Kong.

Many of those rich people have dedicated medical advisors or private medical teams.

For example, the former richest man has multiple private medical teams to serve him. Including providing scientific and reasonable nutrition intake management, vaccination, disease prevention, disease treatment, physical health care, life extension and anti-aging, etc.

Of course, raising such a medical team is a very expensive thing.

The annual salary of top doctors in the industry basically starts at 5 million. The price of a top nurse is a little cheaper, but it will not be less than two million.

Even if his personal medical team consisted of only four or five people, it would be a staggering expense.

This man named Chen Zhongzhi does not have a private medical team, and although he travels with two bodyguards, he feels that he should not reach the level of the richest man.

Dr. Xu saw that Zhou Can was very persistent, and he knew that he could not persuade him at all.

I had to remind, "The surgery to deal with this kind of aortic dissection is already a fourth-level major operation, and I am not qualified to participate in the fourth-level surgery at all, let alone preside." Ling's current identity on the surface is only a resident doctor, and according to the regulations, even the second-level surgery is only qualified to participate, and there is no qualification to preside. If you really want to have this surgery, you must first ask if the chief physician of cardiothoracic surgery is willing to take this risk. ”

"Okay, I'll take care of everything."

Zhou Can nodded.

When he came out of the operating room, he saw the patient sitting on a bench in the hallway again.

This man is really punctual.

"Dr. Zhou, do you have time to talk now?"

The man stood up and greeted Zhou Can.

"Let's go, go to the doctor's office!"

Zhou Can took the other party to the doctor's office, and the two bodyguards always followed him more than ten meters away to protect the man's personal safety.

The man should have explained to them, so he didn't have close protection.

"Mr. Chen, please be seated!"

After inviting the other party to sit down, Zhou Can took out the patient's information bag.

"I've seen both the film and the inspection report. If you feel that replacing your aorta is too risky, there is a more complex surgical option worth trying. However, no one has tried this surgical option, and there are many uncertain risks. Let me tell you about it first. ”

Zhou Can didn't hide anything.

When talking to someone with such a high status, it is better to tell the truth.

"Oh, tell me about it!"

The man was overjoyed when he heard that Zhou Can had a surgical plan that did not require the replacement of the aorta so quickly.

His face couldn't help but show joy.

Zhou Can didn't grind, and explained the original idea of the operation in a diagrammatic way.

It would not be difficult to say that this surgical plan is particularly complicated.

Compared to the simple and crude replacement of the aorta, it must be quite complicated.

After listening to Zhou Can's introduction to the entire surgical plan, the man did not immediately express his position.

Instead, I got caught up in thought.

"Can you tell us about the pros and cons of doing this?"

After a long time, the man raised his head and looked at Zhou Can.

"The advantage is that there is no need to stop the heart, there is no need to worry about paraplegia and organ failure caused by ischemia, and the surgical wound is much smaller than the wound that replaces the entire aorta. In addition, your aorta basically does not need to move much, and when the time comes, you can directly place a customized long stent after the bridge. The downside is that the surgery is relatively complicated and has never been tried, at least as far as I know, no doctor has ever tried this surgical option. There are many uncertainties. ”

After thinking about it, Zhou Can continued, "Also, only one artificial blood vessel is needed to replace the aorta. And this, because of the need for bypass, is to build an aortic vessel from the end of the aorta, and then at least five branch blood vessels are anastomosed to these five positions. ”

Artificial blood vessels are foreign bodies after all.

Although the current manufacturing process and materials are very good, there are definitely risks.

If it is used for a long time, it cracks, breaks, it is a disaster.

In addition, although the rejection reaction of artificial blood vessels is very small, no matter how high the doctor's surgical level is and how perfect the anastomosis is, it is impossible for it to really grow with the blood vessels of the human body.

It didn't work for a long time.

If the human blood vessels are used for bypassing, this problem does not exist.

As long as the surgery is successful, the blood vessels can come back to life.

And artificial blood vessels, because they have no life in the first place, are always dead things.

The difference between the two is considerable.

This is why when performing some large aorta repair surgery, doctors try not to replace artificial blood vessels as much as possible, but spend more effort to take the saphenous vein from the leg to repair the blood vessels.

Because its own blood vessels, both in terms of rejection and long-term stability, are much better than artificial blood vessels.

Of course, theoretically, the lifespan of artificial blood vessels far exceeds the lifespan of humans.

Basically, there is no need to worry about people still alive, the blood vessels have aged to the point that they are not good.

"The surgical plan given by Dr. Zhou is very special and innovative. I think it's worth taking some risks, when can I be scheduled for this surgery? ”

After careful consideration, the man was very interested in Zhou Can's surgical plan.

There was already a strong desire in my heart to do this surgery.

For doctors, only the patient can be given corresponding treatment recommendations. As for how the patient chooses, that is the patient's right.

"Because this is a fourth-level major surgery, I have to consult with the chief physicians of the cardiothoracic surgery department in our hospital before I can give you an answer. If you can, you can also find a doctor who can do this type of surgery locally in the city. Basically, if you can do traditional aortic replacement surgery, you have the ability to do this surgery. ”

Zhou Can: This is a more tactful way to push the patient out.

It's not defensive medicine, it's just that it's a fourth-level surgery, which is beyond his ability.

If you want to do it, you have to find Director Xue or Director Le.

It's nothing for Zhou Can to take some risks himself. But because his level is not enough, he is not qualified to take this risk.

The ultimate risk must be borne by the doctor who is presiding over the operation on the surface.

No one necessarily wants to take on this responsibility.

It is a better way to let the patient return to the local city for treatment.

"No, no, no, I'll do it with you. Otherwise, you should first ask the chief physicians of the Department of Cardiothoracic Surgery, and I will wait for your news. ”

The man insisted on being treated at Tuya Hospital.

It is estimated that it was somewhat affected by yesterday's live broadcast. In his mind, Tuya Hospital is stronger than any other hospital in the field of cardiothoracic surgery.

At a certain level, many people tend to become 'stubborn'.

Because they are used to seeing all kinds of unspoken rules and routines.

Therefore, they prefer to trust their own judgments based on actual observations.

"Thank you for your trust in our hospital, I'll go and ask you first!"

"I'll go with you, so you don't have to run back and forth! Don't worry, I'll sit outside and wait for you when you ask, and I won't follow you into the office. ”

The man was able to do some consideration for Zhou Can, which also made Zhou Can have some good feelings about this person.

Zhou Can can only put aside the matter of ward rounds and dinner first.

Ask the patient about the situation.

"Chan!"

A call was heard.

Zhou Can turned his head to look, and Su Qianqian was standing not far away with a thermos bucket. It's bringing him dinner.

"I'm sorry, but my girlfriend brought me dinner. I'll pick it up first. ”

After explaining to the patient, Zhou Can walked over quickly.

"I have a patient on hand right now, and I need to talk to my senior doctor about whether I can be admitted to the hospital. Why don't you give me the lunch box, and I'll eat it when I'm done. You and Wei Fang should go back first! ”

Zhou Can found that Su Qianqian's eyes looked at him today, as if he was so charming that he could drip water.

Her kidney disease was finally cured, and the two could get married, and I believe she must be looking forward to marriage. Now she is getting along with him as Zhou Can's fiancée.

The mentality has changed somewhat.

The difference between a girlfriend and a wife is too great.

"Then you can't forget about eating when you get busy! I'll go first, bye-bye! Stay safe when you go home at night! ”

She's different from those pestering little girls.

On this occasion, she will never interfere with Zhou Can's normal work, let alone be brainlessly entangled.

It's a great experience to have a wife who knows the whole thing.

A scholar who specializes in social studies has made an interesting summary. People at the bottom look for a partner in order to pass on the lineage. Middle-level people look for partners in order to support each other and become stronger together. Upper-class people looking for a partner pay attention to the right match, at least the ability to match, can become comrades-in-arms.

Zhou Can and Su Qianqian should be between middle-level and upper-class people.

Undoubtedly, he is happy and lucky.

"Mr. Chen, let's go!"

After Zhou Canmu saw Su Qianqian leave, he beckoned the patient to go to the cardiothoracic surgery together.

"I was thinking of inviting you to dinner in the evening, but it seems that I can only do it next time. You have a girlfriend who loves you very much, and she is very good in every way, which is quite enviable. Chen Zhongzhi spoke to him, very frank and honest.

Especially after Zhou Can came up with a new surgical plan, Chen Zhongzhi's attitude towards him obviously became much more friendly.

I can feel that the patient's trust in him has increased significantly.

"Hehe, my girlfriend treats me really well. But you don't have to envy me, I believe that your wife must be better. ”

Zhou Can really didn't slap the other party's ass.

For the rich and powerful, it is very easy to find a wife.

There are a lot of women who are willing to marry them.

This gives them a choice. One in a thousand, not unusual. When many successful people are looking for a marriage partner, they are one in a million.

"My ex-wife and I have long since divorced. Forget it, don't talk about those unhappy things. ”

The patient revealed, then waved his hand and did not continue the topic.

When he came to cardiothoracic surgery, Zhou Can's luck was not bad.

Director Xue Yan, Director Le and others did not leave work, but discussed several difficult cases in the conference room.

Seeing Zhou Can's arrival, Director Xueyan was surprised and said, "Brother Zhou Can came quite early today!" This is knowing that we have received a lot of new difficult cases here, so I came over to help earlier, right? ”

"Doctor Zhou, you don't know. Last night you became famous, and our cardiothoracic surgery clinic was almost not crowded. Yesterday's live broadcast was too influential. ”

Director Le also said.

"He still has a lunch box in his hand, and it doesn't look light, I guess he must not have eaten it yet." Deputy Director He was quite meticulous in his observations.

"That...... I really didn't know that cardiothoracic surgery was so busy. I'm here to cause you trouble. There is a patient with aortic dissection who came all the way from Modu to find me......"

Zhou Can embarrassedly said his intentions.

He really didn't expect the cardiothoracic surgery to be crowded.

The impact of live streaming is truly terrifying.

The momentum of yesterday's live broadcast is still fermenting. There must be more than one wave of patients.

If Tuya Cardiothoracic Surgery can seize this important meeting, it will be stable.

I am afraid that for a long time, I will become the 'first brother' in the field of cardiothoracic surgery. The fame of such a top department will have a far-reaching impact. More and more patients will seek medical treatment.

(End of chapter)