Observation for half an hour is a common practice in the face of some uncertainties during surgery.

In particular, the observation of blood vascularization involves the supply of oxygen and nutrients to organs and related tissues. It's not immediately apparent.

For example, if the limbs are bitten by poisonous snakes or spiders, the correct way to do this is to tie the wound at the proximal end to prevent the flow of blood vessels. The purpose is to prevent venom from circulating through the blood into key parts of the heart, nerve centers, and other vital parts.

Many people don't know that if the limb is tightened for more than half an hour, it needs to be loosened and then tied again.

Because the limb is ischemia for more than half an hour, irreversible necrosis is prone to occur.

Similarly, in some imperceptible organs and tissues, continuous observation should be maintained for more than half an hour to ensure safety.

In addition, in the case of the current patient, it can also play a certain role in assisting the diagnosis by observing the amount and color of the urine discharged.

Qiao Yu, Pu Dingdong and others watched Zhou Can take the lead and complete a fourth-level major operation that no one had ever tried before, and they were not only excited, but also proud and admired.

The stronger Zhou Can is, the more glorious they are with their faces.

For them, it is more of an incentive. The boss is already so strong, naturally they can't fall too far behind. This will spur them to work hard.

Thirty minutes passed quickly.

Director Yu's expression has always been very serious, sometimes looking at the urine out, sometimes looking at the monitoring equipment, sometimes looking at the patient's pupils, and the inside of the abdominal cavity.

As one of the strongest anesthesiologists in Tuya Hospital, his level is also extremely high.

Whether it is rescuing critically ill patients or judging the physical condition of patients, he has extremely rich experience.

"It's time to shut down! The patient's blood vascularity was good, and all organs were stable. Experiments have proved that Xiao Zhou's idea is completely feasible, and it can even be used as a reference in other surgical fields in the future. ”

After careful checking, Director Yu was satisfied with the result.

"Zhou Can, it's up to you to shut up! Our closing speed is too slow. ”

Although Director Xueyan is not the nominal chief knife, her status is there.

Except for his name, Director Bu is not responsible for any command work during the operation.

"No problem!"

Zhou Can worked hard to complete the first innovative surgery, and he naturally wanted to have a good result.

By taking care of the situation himself, the risk can be further reduced.

If the cavity is not in place, it will cause problems such as infection and long-term difficulty in healing the wound, which is a troublesome thing.

In addition, since it is the first innovative operation, looking at the meaning of Director Xueyan and others, as long as the operation is successful, most of them need to use this case for publicity. The technique of suturing the wound is not at home, it is not delicate, and it is easy to form an unsightly scar.

Twenty-five minutes later, Zhou Can performed a perfect suture on the patient's wound.

[Completed innovative surgery, pathological diagnosis +10000.] 】

Seeing the huge reward for pathological diagnosis that he suddenly obtained, Zhou Can was a little confused.

I can't believe it.

It feels like being hit by a pie falling from the sky.

Innovate a surgery and successfully implement it, which can increase the experience value of pathological diagnosis by so much.

What a surprise.

However, after thinking about it, the design of this surgery requires a comprehensive diagnosis of the body's blood circulation, organ operation, aortic dissection repair, etc., and flexibly use it to innovate.

Then he needed to make sure that the surgery was carried out successfully and that the patient would be treated as he had envisioned after the operation.

It's not too much.

[Congratulations on your promotion to level 6 in pathological diagnosis, with a current experience value of 1/1000000, and a primary level of chief physician.] It can diagnose difficult cases in general practice, and is good at diagnosing cases in the fields of pediatrics, cardiothoracic surgery, general surgery, and acute and severe cases. 】

His pathological diagnosis was directly promoted to level six.

I have been thinking about it for many years, but I didn't expect that he was only in his twenties, and when he was less than thirty years old, the level of pathological diagnosis was actually promoted to the level of chief physician.

You know, this gold content is much higher than the gold content of the high rating.

That's a real level of medical skills.

Some chief physicians who are rated as having a high professional title may have a little better diagnostic ability than the attending physician. There are not a few chief physicians of this academic type.

In other words, the theoretical level of this type of chief physician is very high.

For example, a chief physician in the Department of Urology may be extremely proficient in the medical knowledge of the urology field, or even the medical knowledge of a certain subdivision. He has also published high-level papers in related fields.

However, this doctor may usually engage in less diagnosis and treatment, and the accumulation of practical experience is somewhat unsatisfactory.

For the diagnosis and treatment of some difficult cases, it is even more stretched.

Pathological diagnosis is also the most important of all clinical medical techniques, and it is even more important than surgery.

Even if it is to operate on a patient, the doctor must first know what disease the patient has. What is the cause? How to perform surgery to achieve satisfactory treatment results?

If the level of pathological diagnosis is poor, no matter how strong the surgical ability is, he can only be a 'thug'.

Wherever others tell you to cut, you will cut it.

After Zhou Can's pathological diagnosis was promoted to level six, he also discovered an important thing.

The system seems to have directly 'subscribed' him.

The fields of medicine that he specializes in are currently four medical departments.

Cardiothoracic surgery is more specific, and general surgery, pediatrics, and acute and critical care are more general.

They have a very wide coverage.

Paediatrics alone is enough to give birth to general practice.

General surgery is known as the origin department of surgery, and all the top surgical departments have evolved from general surgery.

The earliest surgeons could only do some simple limb treatment, and ordinary wound treatment on the body surface.

As for the open chest, open the skull, just look at how Hua Tuo died in ancient times.

Cao Cao: "You told this king that you want to cut open this king's head?" This king will cut off your head and kick it as a ball. Come on, push out this traitor who intends to kill the king, and behead it. ”

Even in the West, the earliest forms of surgery were created because of war.

And at that time, even ordinary amputations had a frighteningly high mortality rate.

Not to mention the surgical method for the treatment of mental illness invented by a swindler in a Western country later, which directly hit the head with a nail and destroyed the brain. A lot of patients become fools because of this.

However, in that backward era, the surgical method of this liar was implemented everywhere for a long time.

Zhou Can's pathological diagnosis, although the system has divided the medical field that he is good at, but in fact, it is not much different from a general practitioner.

At most, it is obstetrics and gynecology, or neurology, orthopedics, orthopedic surgery and other specialties are not very good.

After all, his medical experience is still a little shorter, and he basically doesn't have much experience in the one-year internship, and he just does miscellaneous things. He is relatively lucky, the three-year regular training has been very fulfilling, and he has learned a lot of things, which can be regarded as a formal working life.

Then it has only been more than two years since he became a regular.

With more than five years of formal work experience, it is already very unnatural to have the current achievements.

"A hundred doors are not as good as a fine one. First of all, further deepen these areas of expertise, and wait until the results of the postgraduate examination come out, if you can be admitted, you can also deepen your cultivation in the field of orthopedics at that time. As for other medical fields, they can only be put aside for the time being. ”

Zhou Can made further plans for his future.

As his medical skills grew, he discovered that mastery was more important than learning.

Even if other medical fields are at a failing level, as long as one can reach the expert level, patients can be treated well in diagnosis and treatment.

However, if you are really proficient in only one subdivision, you will definitely need to ask for help often in diagnosis and treatment.

Or is it more refreshing for him to dabble in a wider range now.

"Director Bu, Director Xue, can this patient be directly pushed into the intensive care unit for a few days after waking up from anesthesia? Although the surgery went well, there were too many uncertainties. I see that the patient's family situation is very good, and I don't care about spending so much more. ”

According to the actual situation of the patient, Zhou Can discussed the level of postoperative care of the patient with the two chief physicians.

This patient does not need to be admitted to the intensive care unit of the intensive care unit, but only to the intensive care unit of the cardiothoracic surgery department.

The intensive care units of these weighted departments, also known as small ICUs, are not badly cared for.

The resuscitation capacity may be a little weaker than that of the intensive care department.

After all, people are more professional, the hardware is more complete, and the talent team is stronger.

"I'm okay with that."

Director Bu's gaze looked at Director Xueyan.

"Agreed."

Director Xue also nodded in agreement.

This kind of thing, the senior doctor will generally agree.

……

In the blink of an eye, five days have passed, and the patient Chen Zhongzhi has undergone surgery and is recovering very well.

Almost all of the major surgeries were performed by Zhou Can, and the patient himself was still very young, plus he was living in the intensive care unit. It's normal to recover well.

After five days, his surgical wound had healed preliminarily.

However, it takes at least three months for this deep surgical wound to heal completely. Under normal circumstances, you can be discharged from the hospital in half a month.

As long as you don't die, you have to pull at the surgical wound, or do some strenuous exercises just after the stitches are removed, there is basically no big problem.

On this day, Zhou Can got off work and rushed to the cardiothoracic surgery department to help as usual.

No way, since the last live broadcast, cardiothoracic surgery has almost been crowded. Even the number of patients in the emergency department has increased significantly, and many of them are patients with chest pain and chest tightness.

The famous doctor effect can indeed bring great benefits to hospitals.

Zhou Can became famous in a fight, obviously only at the level of a junior resident, and many family members and patients called him an expert when they saw him.

This made him feel quite embarrassed.

The senior leaders of the hospital have all been red recently, and even Vice President Bai, who has always been unpredictable, heard that there were more smiles on their faces.

Being able to watch the hospital's business grow rapidly and grow stronger is a real achievement for them.

In the eyes of President Zhu, Tuya Hospital is like his own child.

No one doesn't want their children to be productive.

"Dr. Zhou is here! It's early today! ”

Young and beautiful nurses like to say hello to Zhou Can and chat a few words.

Even if he knows that he has a girlfriend, he is happy to do it.

It's like a man who even gets married, and when he sees a young and beautiful girl, he still likes to deal with them. It's just instinct.

I really see that the beautiful girl still has a straight face, a serious one, and nine out of ten men are fake and serious.

And one more, most likely, comrade.

Women are similar, and old aunts like little fresh meat.

Of course, there are moral and legal red lines, and this liking will be restrained within a certain range.

"Come and see you guys early!" Zhou Can responded with a smile, he rarely put up any shelf in front of other doctors. Unless you meet the kind of person who is stalked, and whose skin is thicker than the city wall, there is no way, you must have a cold face.

"I heard that the Department of Cardiothoracic Surgery has admitted eight critical cases and difficult cases today, is it true?"

"Of course it's true! There are many patients and family members who come to see you! Just now another family member said I wanted to thank you in person, and I told her that you might not come until after 7 p.m. ”

The nurses stopped what they were doing and looked for opportunities to talk to Zhou Can.

Even if you don't want to fall in love with him, get acquainted with him, and if you want to ask Zhou Can for help in the future, it's easy to talk.

For example, if anyone in their family is unfortunately ill, it happens to be a disease in the field of cardiothoracic surgery, so they can ask Zhou Can to take special care of them and help with the surgery.

In particular, some patients who are difficult to operate on may not be able to be cured by ordinary doctors.

With Zhou Can personally in charge of the surgery, it can save worry and effort, and greatly reduce the risk of surgery.

You might even save a lot of money.

"When a family member or patient sends me something, thank me for it, and you will help me get rid of it. Tell them that it is what we medical staff should do to treat patients, so that they are not welcome. Of course, if someone makes trouble for me, you can also help to say more good things, and try to make them not complain about me and not trouble me. Tomorrow I will invite everyone in your nurses' station to drink milk tea. ”

Zhou Can is rich but capricious.

Never stingy with spending a little money and building a good relationship with these colleagues.

With a good relationship with the nurses, they can help Zhou Can avoid a lot of unnecessary trouble.

"Hehe, Dr. Zhou is so humorous!"

"Then we'll take it seriously, and we'll tell the sisters later."

The three nurse girls were very happy when they heard Zhou Can invite them to drink milk tea.

"The gentleman said, the four horses are difficult to chase, count well, give me the list, and I will call the milk tea shop to send it over when the time comes."

After Zhou Can finished speaking, he waved his hand.

"I'll go to the ward first to see a few key patients, and talk next time."

"Goodbye!"

They waved in response.

Zhou Can came to the inpatient ward and began to make rounds on some key patients. The main thing is to understand their current physical condition, and to deal with problems in time. If it is a difficult case and the cause has not been found for the time being, more useful information can be obtained through hospitalization observation.

It's 'expert' now, it's just the same.

Many patients and family members took the initiative to greet him warmly when they saw him, and they respected him very much.

(End of chapter)