Chapter 521: Convincing the Anesthesiologist to Reverse the Order of Surgery

Feeling Zhou Can's firm eyes, Director Xiang was also touched.

Bringing Zhou Can to the office to discuss the patient's treatment plan has already pulled down his face and taken an important step.

He didn't want to give up halfway.

"You wait in my office, and I'll be able to find you quickly in a while." Director Xiang put away Zhou Can's phone number, and directly picked up the patient's information and walked out of the office.

Including the drawings drawn by Zhou Can when he explained the surgical plan just now, he took them away.

In fact, it's just a matter of drawing a few pictures.

Not a professional surgeon, it's hard to understand.

Director Xiang must have discussed with the directors of other departments. After all, saving people is like fighting fire, and time is pressing.

No matter what the final result is, Zhou Can has more recognition of Director Xiang's character and character.

He is able to take the patient's life to heart, work hard to treat the patient together with various departments. This is not the kind of heart that any doctor can have.

The vast majority of doctors are not willing to give such a sacrifice for an irrelevant patient.

Because it's far beyond what they do.

……

The waiting time became extraordinarily long, and Zhou Can knew very well that every second that passed, Deputy Director Lu's situation would be much more dangerous.

Finally, Zhou Can's mobile phone rang.

It was a strange call, and intuitively, it was likely to be from Director Xiang.

Put through.

"Doctor Zhou, I am Director Xiang of the Provincial People's Hospital! You're still in my office, aren't you? ”

"Here it is!"

"I have already consulted with experts from the two departments of brain surgery and chest surgery, and introduced Ling's treatment plan to them. In addition, I asked the head of our medical department, Mr. Huang

。 I didn't say I disagreed, I just asked you and your immediate family members to rush to the consultation room immediately to have a few words. ”

With great effort, Director Xiang finally persuaded the experts of the two departments, as well as the chief of the medical department.

That's a lot of progress.

When you bring the family to the family, you should be prepared to talk to the family directly.

Because the hospital has to take a huge risk to endoscopic treatment of the patient, it must need the signature of the family. Time is pressing, and we should be ready to talk together.

"Okay, I'll rush over with my family immediately."

Zhou Can didn't have any nonsense, and immediately found Lu Fen, there were already nurses from the intensive care department waiting for them.

Take the two of them directly to the consultation room outside the brain.

The most difficult operation of Deputy Director Lu must be intracranial hemostasis.

Even just drilling a skull is already very dangerous. For an injured person like this, whose vitality is already very fragile, the skull is drilled, which can easily cause a series of problems. The fire of life can be extinguished at any time.

When he came to the consultation room, Zhou Can found that there were already eight or nine people sitting inside.

"Let me introduce you, this is Dr. Zhou Can of Tuya, who is young and promising, and his level is very high."

Director Xiang spoke highly of Zhou Can.

"Dr. Zhou, this is the head of the medical department of our hospital."

The middle-aged man sitting on the main seat has big ears and a majestic gaze, and at first glance he is an administrative leading cadre.

"Section Chief Huang, hello!"

Zhou Can greeted each other with a very humble attitude.

"Hello! You are welcome to visit our People's Hospital. ”

Section Chief Huang nodded and responded lightly.

"This is the director of thoracic surgery. This is Director Wu Yongming outside the brain. This is the director of the Department of Anesthesiology, Mingxin, and my senior and mentor. ”

Xiang Fei introduced three other main characters one after another.

As for the other doctors and nurses, they are basically students or assistants of these people.

Zhou Can greeted these people one by one.

The chief physician of the anesthesiology department is a female doctor in her fifties, with a very outstanding temperament, and there is no twilight due to her age. From her eyes and face, what she saw was the vigor of constantly forging ahead.

This made Zhou Can couldn't help but be amazed.

A person's spirit also reveals a person's living state, physical condition, and learning state.

After the age of 50, adults can basically be divided into two types, one is to have a successful career and enjoy life. Rubbing mahjong, fishing, or drinking with friends, or traveling around the world, etc. There is also a kind of career that has not achieved much, and still needs to work hard for life.

These two types of people account for the majority.

Especially the latter.

There is also a special type of people, regardless of whether their career is successful or not, they always insist on learning and making continuous progress.

In fact, people who can live to learn all the time will not be far worse in their careers.

Unless it's a bit unlucky, it can't be helped.

Doctors are a special profession because of the continuous progress of science and technology, and medical science and technology are also updated and iterated very rapidly. Many of the surgical methods of 20 years ago have now been largely obsolete, or have been combined with modern technology to have better optimization solutions.

The same goes for medications.

This requires doctors to keep learning and keep up with the times.

Otherwise, it will still take the technology of 20 years ago to treat diseases and save people, which will cause great losses and injuries to patients.

In the past, cardiovascular disease had a very high mortality rate and a very poor prognosis. Now, combined with intervention, stents, new drugs, advanced instruments and other technologies, the mortality rate can be controlled at a very low level.

For example, in the aortic dissection operation that Zhou Can became famous for, in the past, the dissection wall had begun to seep blood, and the patient was basically hopeless.

However, he relied on modern interventional technology, vascular stents, and artificial blood vessels to solve the hidden dangers of patients.

Although most doctors are constantly learning, because of their busy schedules and the older they get, the more family affairs they have. Then adults definitely need to enjoy.

As you can imagine, the amount of learning must be very limited.

The director of the Department of Anesthesiology, Ming Xin, who is over fifty years old, is still able to maintain the vigor of a young talent, which is really amazing.

It can also be inferred that the level of anesthesia must have been extremely high.

What's more interesting is that she is also Director Xiang Fei's mentor.

Looking at her age, she should be a few years older than Xiang Fei. is his senior and mentor, this kind of thing is still quite rare.

In Tuya Hospital, where Zhou Can is located, there are also many people who are his seniors.

To put it mildly, even if he is ten years older, few people can teach him.

When Director Xiang Fei was young, even if he was not as rebellious as Zhou Can, he would definitely not be much worse. After all, they have the reputation of 'Hades'.

There is no vanity under the fame, and it is not just talk.

"I have long heard that Tuya Hospital has a number of outstanding young doctors, and the surgical treatment plan formulated by Dr. Zhou for 13 patients is indeed feasible."

The speaker was Director Wu Yongming of the Department of Brain Surgery.

Zhou Can proposed to drill holes in the patient's head and use endoscopic surgery to repair blood vessels, a treatment that has been implemented many times in the neurosurgery department of Tuya Hospital. There are very few failures.

It's a new technology that has been proven many times.

Moreover, Wu Baihe and many doctors in the department have continuously improved and optimized this technology after further research, and now the technology is very mature.

However, the Provincial People's Hospital seems to lag far behind in the application of this new technology.

The application of endoscopic technology is still in the initial stage of exploring lesions in many hospitals. Even if I tried to do some endoscopic surgery, it was a very ordinary appendix surgery or something.

Some technically difficult and risky endoscopic surgery projects have not been covered by many hospitals.

There are many reasons for this.

First of all, there is an extreme scarcity of talents in endoscopic surgery, which refers to the extreme scarcity of doctors who do endoscopic surgery well. It is not the kind that casually manipulates the endoscope to stop the bleeding in the abdominal cavity and cut a tumor for the patient.

Secondly, the introduction of endoscopic surgery in China is still short, and there are many technical blockades in foreign countries to our country.

Not only the operation technology, but also the technical blockade of advanced instruments, drugs, body consumables and other aspects.

To put it bluntly, there are many human body replacement materials, and the effect of domestic production is surprisingly poor.

There are many advantages to imported materials, and the only disadvantage may be that they are expensive.

Don't look at the people who often shout about overtaking in corners, overtaking in corners, some precision instruments, high-end consumables, people have decades, hundreds of years of technology accumulation and precipitation. You said that you want to surpass others in ten or twenty years, maybe not?

In many fields, our country's medical devices and drugs have a technical generation gap with others.

The difference is only ten years, which is considered good.

In some respects, technology is at least thirty years behind. It's all tears when you talk too much, from being poor and white, step by step to today, it's not easy.

It can only be said that if we continue to develop like this, the gap will be smaller and smaller, and there is still hope for overtaking the other party in the end.

It will take time, though.

Finally, endoscopic surgery is difficult to develop rapidly in China, and it is also related to the poor medical environment.

The doctor-patient relationship is too strained, and doctors generally seek stability when formulating a treatment plan.

Few people dare to take the risk.

Even if the doctor is willing to take the risk and is technically sure, the consent of the family needs to be sought. If it is an innovative technology, it also needs to be approved by the leadership of the hospital. The procedure is quite complex, and many difficulties are prohibitive.

In addition, for example, the emergence of the da Vinci robot has also made many young doctors reluctant to practice the basic skills of surgery hard.

After twenty or thirty years of hard practice, I finally got a little level.

God knows if it was already the world of robotic surgery at that time?

Robots have a lot of advantages in the field of surgery compared to humans.

At present, if it were not expensive to boot, I am afraid that it would have been widely used a long time ago.

"I also support Dr. Zhou's plan for laparoscopic surgery."

Director Gou Qi of the Department of Thoracic Surgery also spoke out in support of Zhou Can's treatment plan.

Both experts supported his proposal, and it was probably a joke.

Zhou Can couldn't help but be secretly happy.

"Although the surgical plan is feasible, the patient's current condition is very bad, and I am afraid that it is difficult to withstand thoracoabdominal and cranial surgery. Even though endoscopic surgery is less invasive, it is still difficult for this patient to bear. ”

Director Ming Xin of the anesthesiology department vetoed Zhou Can's surgical plan in one sentence.

The surgical plan given by the doctor can't pass the anesthesiologist's hurdle, so the fetus can only be stillborn.

"The most dangerous thing for patients at the moment is intracranial hemorrhage, which has caused high intracranial pressure and has also affected the blood supply to the brain due to the hemorrhage. This should be the main reason for the patient's unconsciousness. Without surgery, it may be difficult for the patient to survive tonight. It may not even last six hours. ”

What Zhou Can said is by no means alarmist.

It is a comprehensive judgment based on his diagnosis and treatment experience and the actual situation of Deputy Director Lu.

"I agree with Dr. Zhou that the patient's unconscious state was indeed caused by intracranial hemorrhage. Even with all kinds of life support, it was still difficult for him to survive six hours, and the possibility of stopping the bleeding on his own was slim. ”

Director Wu Yongming outside his head, no matter how he hears this, it smells of his elbow turning outward.

It's just that the discussion in medicine is not divided into camps, but only seriously.

Zhou Can is reasonable, and he naturally wants to support it.

"Even if this is the case, if the patient can't get off the operating table, what's the point of surgery? Is it possible to end a patient's life early? ”

Director Mingxin's words were extremely sharp.

"Naturally not. I think it would be possible to do abdominal surgery first, and treat the ruptured spleen and potentially damaged pancreas first. If the damage to the left kidney is significant, the same should be done. If there is a problem with the pancreas, it will cause major hidden dangers and disturbances to the body. And the longer this course occurs, the worse the reversibility. Laparoscopic surgery is done first, which can stabilize the patient's blood pressure, breathing and other signs above the surgical standard line. When the time comes, the risk of endoscopic surgery can be greatly reduced......"

Zhou Can talked eloquently, before he came, he had obviously thought of the surgical plan in his mind.

After listening to his statement, Director Mingxin fell into deep thought.

Gou Qian, Wu Yongming, and Xiang Fei cast complex eyes of surprise and appreciation at Zhou Can.

This kid is simply a surgical genius.

Laparoscopic surgery that is not immediately life-threatening is performed without first managing the most dangerous intracranial hemorrhage and effusion. This kind of surgical idea is difficult to think of without deep concentration and a high position to see the overall situation.

At least all of you here don't think about it.

They either want to do intracranial surgery first, or they want to do both at the same time.

It's like a pot of oil catching fire. There was a basin of water next to it, and some wooden planks.

The ordinary person's mind must be to take the water and pour it into the pot.

But Zhou Can's idea was to put the planks together first, then cover the pot and extinguish the fire.

Needless to say, splashing with water certainly won't work.

It will only cause the fire to grow rapidly, and putting the wooden planks together may seem a bit 'stupid', but in the end it can extinguish the fire and avoid the fire.

It's easy to say, but when this happens, most people will pour water into the pot.

"I have to admit that the surgical plan you mentioned seems risky, but it is indeed feasible. With the right handling, there is a real possibility that the patient will be rescued. After thinking for a while, Director Mingxin recognized Zhou Can's surgical ideas and plans.

At this point, the anesthesiologist has also done it.

"Thank you for your recognition and for your willingness to take the risk to save this patient. She is a family member and the only daughter of the patient, and she has full control over the surgical plan and signature. ”

Zhou Can looked at Lu Fen beside him.

In the consultation room, Lu Fen felt the momentum of so many chief doctors and medical chiefs, and he looked very uncomfortable.

After all, she was just a schoolgirl in school.

"Dr. Chow is the person my father trusts the most, and I believe in him. I completely agree with the surgical plan discussed by the doctors. Lu Fen said directly. After speaking, she also stood up and bowed to Zhou Can and the doctors present.

"They all agreed, but I haven't agreed yet! Give me a reason to agree, otherwise, I don't agree to take the risk. "The head of the medical department, Huang, stood up against it at this juncture.

Zhou Can was suddenly a little dumbfounded.

(End of chapter)