"With such a long aortic dissection zone, there is no way to solve it without aortic replacement, right?"

Director Le really can't think of any other way.

"I don't need to replace the aorta with this surgical option."

Zhou Can said confidently.

"How are you going to operate on the patient?"

Director Xue Yan asked with interest.

Since her divorce, she seems to have put all her mind on her career. For all kinds of difficult surgeries and difficult cases, it is now close to the level of obsession.

"I'll draw it for everyone, and with the help of collective wisdom, see if this surgical plan is feasible?"

Zhou Can explained the surgical plan while drawing pictures.

Everyone is an expert in the field of cardiothoracic surgery, and the minimum is that the senior attending physician is qualified to sit in the conference room and participate in this level of discussion.

Of course, Zhou Can is an exception.

As a resident physician, he discussed difficult cases and surgical plans with the chief physicians, which is completely transcendent.

After listening to his narration, more than a dozen directors and deputy chief physicians were stunned, but none of them said a word.

All were shocked by his genius vision.

"As long as the operation is done properly and there are no mistakes in all aspects of the connection, I think this surgical option is safer than traditional aortic replacement surgery."

Deputy Director He specializes in thoracic surgery.

However, his age and seniority are there, and he has just as much experience in cardiovascular replacement surgery.

"Zhou Can's innovative surgical plan is indeed highly feasible. If it can be successfully implemented, it can provide lessons for similar cases in the future. ”

After careful consideration, Director Xue Yan is also optimistic about Zhou Can's surgical plan.

"Innovation is that there are many unknown variables, and this patient's identity is special, so I think it's better to be cautious."

Director Le has no objection to the surgical plan.

However, considering the special status of the patient, the risk of the medical staff involved in the operation will be greatly increased.

The youngest of them, the chief physicians, is already in his forties.

I've seen all sorts of chilling things.

Naturally, it is extremely cautious about some potential risks.

Safety first, in the minds of doctors, there are two safety firsts. The safety of medical staff comes first, and the safety of patients' lives comes first.

Many of the medical staff who really put the lives of their patients first and lack their own protection end up tragically.

Walking by the river is often impossible without getting your shoes wet.

"I'll preside over this operation! Anyway, I don't have too many worries, if there is any problem, I can bear the worst outcome. ”

Director Xue Yan took the initiative to stand up and express her willingness to preside over the operation out of various considerations.

She knows the risks better than anyone.

"Director Xue is a banner of our cardiothoracic surgery department, and it cannot be overcome. I was in charge of the surgery, and I didn't make much contribution to cardiothoracic surgery over the years. The success of this major and innovative surgery will certainly raise the prestige of our cardiothoracic surgery to the next level. The wax torch turned to ashes and tears began to dry, please Director Xue give me a chance to dedicate myself to the department. ”

It was an old doctor who was nearly sixty years old.

Bald, wearing large black-rimmed glasses, and a wine trough nose, he looks like an academic figure.

The number of directors and deputy chief physicians of cardiothoracic surgery is actually quite large.

However, there are not many excellent chief physicians in the field of surgery.

It's pretty much the same with any hospital.

No matter how strong that hospital is, when it comes to each department, there can't be too many doctors who do a good job.

This is determined by many factors.

It's like a person who gets a car driver's license, a lot of them. However, there are very few people who have obtained an airplane flight certificate.

Because the cultivation cost of the latter is too high.

Cardiothoracic surgery theoretically requires every doctor to come into the operating room for surgery. But it takes talent, and it takes a lot of practice. Even a chest cavity needs to be at least at the attending level or above to be eligible.

It is conceivable that this is destined to not be able to train surgeons in batches.

Zhou Can took the lead in making trouble last time, protesting the inaction of the hospital's security department and the lack of personal safety of clinical medical staff. This kind of thing, put in any unit, is black history.

It is the usual practice of the leaders to find a way to dispose of the doctor who led the troubles soon after the situation has calmed down.

or marginalization, through exclusion and suppression, so that they will leave their jobs voluntarily.

Or find an excuse and just transfer out.

But after Zhou Can made trouble, he was not punished in any way.

It's been good until now.

It is because of his extremely strong surgical ability that he is an extremely scarce senior talent. In addition, the chief physician and deputy chief physician of many departments of the hospital have a good relationship with Zhou Can.

Zhou Can's foundation is already extremely deep, so no hospital leader dares to touch him.

Don't look at Vice President Ye, Vice President Bai, Dean Zhu and others are kind to him. For a character of this level, the speed of turning his face is much faster than turning a book.

"Director Bu is willing to preside over this operation, and I think it's worth considering."

Director Le was the first to agree.

Director Xue Yan of the Department of Cardiothoracic Surgery is a battle flag of the department, a commander, and there can be no mistakes.

The general surgery department of those days was a lesson in blood.

A powerful department in the middle of the day will be disbanded when it is said to be dissolved.

Today, there is no shadow of a comprehensive surgery department in Tuya Hospital.

Nor has there been any proposal to rebuild the department.

"Director Xue is the commander of our department, and it is not appropriate for Wanjin's body to be in danger, and I also agree that Director Bu should preside over this operation." Deputy Director He also spoke out in support.

"Please Director Xue."

Director Bu is usually an obscure kind.

Contribute to the department silently, but there is no special strength. People like him belong to the backbone of the department, not the backbone.

More like an old cow.

"Okay, thank you Director Bu and all my colleagues for loving me. This innovative surgery, as long as it is successful, will be of great benefit to our department and even the entire hospital. So, we should not miss the opportunity. Director Bu, it is up to you to come forward to talk to the patient now, and after the conversation is completed, you can be directly admitted to the hospital and take the green channel to arrange the operation as soon as possible. With such a long aortic dissection, the variables will increase a lot with each delay. ”

Director Xueyan accepted everyone's kindness.

"Zhou Can, you eat first, you can listen to these difficult cases we discussed. There will be a lot of work to be done. ”

She has always cared about Zhou Can.

"Okay!"

Zhou Can sat in the back and began to eat quickly.

As a surgeon, sometimes you can't pay much attention to it. It's nice to have time to eat.

For some ultra-difficult major surgeries, I often eat lunch and dinner together, and it may be eaten in the middle of the night.

……

"Zhou Can, this patient's tissue adhesions are extremely serious, and liver tumor resection is needed. This person had already undergone surgery in the hospital, but after the doctor opened the abdominal cavity, he found that the tissue adhesions were very serious, and there was no way to operate, and finally he was sewn up again. Do you see if you are sure? ”

When Zhou Can finished eating, Director Xueyan began to ask him for help.

Sometimes, doctors encounter such extreme situations during surgery, and they have no choice but to re-stitch the wound.

It's better to slap your face than to have an accident.

However, this kind of thing usually happens in small hospitals, and large hospitals will do various tests before surgery. And then the technical ability is also much stronger, and it is rare to encounter such extreme cases.

The current patient with a liver tumor is an extreme case. It was an operation done in a digital hospital in another province.

You know, digital hospitals are generally military hospitals.

The strength is undoubted.

Even a hospital of this level was forced to re-stitch the patient's abdominal cavity and give up the operation, so you can imagine how difficult the operation is.

"Was this patient admitted today?"

"Not really! Your live broadcast last night is estimated to have caused quite a bit of influence across the country. This patient with liver tumor was also rushed by plane from other provinces. ”

Director Xueyan loves and fears these patients who flock to them.

As the head of the department, she naturally hopes that the business volume of the department is as large as possible. But I am afraid of encountering such a difficult case, and if I don't have that ability, it is easy to break my teeth.

The 'first brother' of cardiothoracic surgery is not so easy to be.

It is estimated that there will be more ultra-difficult cases in the future.

"What is the attitude of patients and families?"

Zhou Can had already seen some of the post-laparotomy photos and videos provided by this patient when he was eating.

It is estimated that the digital hospital was also worried about being criticized, so it took photos and recorded videos, which can be regarded as evidence. In the future, it can also be used for research and teaching.

"The patient's desire to survive is very strong, and the attitude of the family is not bad. At least when I came into contact with them, I didn't hear that they were going to get into trouble with a hospital. But after having a new understanding of his own disease, he felt a little pessimistic and hopeless. ”

"I'm 100% sure, but I can give it a try. Based on the feeling, more than 60% of the certainty should be there. ”

Zhou Can's fast knife technique and steady knife technique are not practiced in vain.

Now his separation and incision techniques have reached level six.

In the face of this extremely serious adhesion lesion, he also has some confidence.

"With such a high degree of certainty, then you can take this surgery and give it a try. I'll talk to the family and the patient later, and if they're willing to take the risk, then try to open the abdominal cavity again. ”

Director Xueyan knows Zhou Can's personality very well.

Since he said that he is 60% sure, it means that he is very sure, and it is completely worth taking the risk.

After all, it was already difficult for this patient to find a second hospital willing to operate on him.

"There are two other cases that are extremely difficult to pinpoint, and you are unique in this area. Help a staff officer together. ”

The Department of Cardiothoracic Surgery has received a lot of difficult cases today.

"Okay, I'll go back to the emergency department first and check the ward, and then I'll come over to deal with it."

Zhou Can really feels a little lacking in skills now.

Those who can work harder.

He is needed everywhere, and there is still no way to shirk it.

But this is also a good thing, and dealing with difficult cases is exactly what he yearns for.

After accumulating basic knowledge and general clinical experience to a certain extent, he already has the strength to tackle tough problems.

Whether you're diagnosing a difficult case or performing a difficult surgery, you'll earn experience points faster.

……

More than half an hour later, he returned to the Department of Cardiothoracic Surgery.

There was an inpatient in the emergency department who had a little change, and the other patients were stable.

Deputy Director Han Changqing has been asked to deal with it.

The head of the internal medicine department of the emergency department is currently the deputy director of Han.

However, Deputy Director Han will soon reach retirement age, and the successor is a problem. There is no particularly good internist in the emergency department, let alone a director level, not even a deputy director level.

Zhou Can naturally didn't worry about this matter, but Director Lou and Deputy Director Han would worry about it.

In the cardiothoracic surgery office, Zhou Can was checking two difficult cases on the computer.

One is a patient transferred from the Provincial People's Hospital in this province.

The veteran cadre did left total lung resection and lymph node dissection of lung cancer in the Provincial People's Hospital. The operation went smoothly, but the day after the operation, the patient had shortness of breath, chest tightness, difficulty breathing, and coughing, and the sputum spit out was white foam. The family was worried that the patient would die in the Provincial People's Hospital, and they happened to hear that Tuya Hospital had demonstrated its first-class surgical ability in the live broadcast.

So through personal connections, the patient was quickly transferred from the Provincial People's Hospital.

Under normal circumstances, Tuya's side will usually find a way to refuse to admit such patients. Because people are already obviously not good, it is clear who receives and who is unlucky.

What if I pick it up and die in the hospital?

If the family files a lawsuit, they will definitely sue the two hospitals together.

Isn't this lying down and getting shot?

But the old cadres themselves are a magical existence.

As long as it can be saved, for the department, this is the absolute God of Wealth.

In addition, patients are retired from cadres, and their connections are often very strong. There is always a way to find the top management of Tuya Hospital, or some leader of the competent department. Say hello and come in.

Director Xueyan couldn't possibly refuse.

However, when I receive it, I will definitely say hello to the acquaintance who greeted him, and if something happens to the patient, I can't sue our hospital at that time!

Usually, family members will also give some verbal promises.

Everyone is a person with status, and Laipi rarely does things.

As long as Tuya Hospital follows the normal procedures for diagnosis and treatment, even if the patient dies in the hospital, because the family has made a promise, there is usually no such thing as remorse.

Otherwise, if it really makes a fuss, the acquaintance who introduced it will be particularly embarrassed.

It's not just a personal relationship that is broken.

There are a lot of people who are popular!

After Zhou Can saw this case, he couldn't help sighing.

In the past, when the Department of Cardiothoracic Surgery of Tuya Hospital was unlucky, when other patients came to see them, no one would come.

Now it's good, the patient is begging to be admitted.

He decided to go to the ward to see the patient himself.

The old cadre, that is a magical existence, lives in either a separate ward, a special needs ward, or an intensive care unit.

Their health insurance system is also a separate system, and the settlement is very smooth.

(End of chapter)