The powers of the Medical Section are very high.

In particular, such high-risk surgeries generally need to be reported to the medical department for approval. If the leader doesn't nod, if something happens, it's a doctor.

At the very least, the doctor's department should take the blame and swallow the bitter fruit.

Only when the leader nods, can the hospital take the lead in dealing with the accident.

This is the rule of the trade.

Section Chief Huang didn't nod, which doctor would dare to do this operation? No one dares to joke about their future and their jobs.

"I don't know what kind of reason you want?"

Zhou Can raised his eyes to look at Section Chief Huang.

It's not once or twice that I have dealt with leaders at all levels of the hospital, and Zhou Can seems very calm at this moment. In the face of Section Chief Huang's official authority and powerful aura, he is quite like an inconspicuous hill.

It is strong, it is strong, and the breeze blows on the hills.

"All it takes is a reason to convince me! Just like you just convinced them! ”

Section Chief Huang clearly deliberately made things difficult for Zhou Can.

It's not clear what the idea is.

There are two official words, and the leader can say whatever he wants.

If Zhou Can wants to save Vice Dean Lu, he must convince this Section Chief Huang.

Even if he knows that the other party is deliberately making things difficult, he can't have any confrontational feelings.

Convince the surgeon that he only needs to give a surgical plan and clarify the cause and condition of the patient. Convince the anesthesiologist that the patient is only safe during and after the procedure.

If you want to explain Section Chief Huang, the reason given is probably only to know it for benefit and move it with affection.

"First of all, you and I are both health workers, and I am sure that you must share our desire for patients' lives to be saved. Moreover, the successful rescue of a person who was almost certain to die from a high fall would be of great benefit to the reputation of the Provincial People's Hospital. I can also take this opportunity to explore some valuable treatment experience. If the above is not enough, I have observed the work style of the Provincial People's Hospital, which is enough to describe it as disciplined. ”

"To be able to grasp the style of clinical medical staff so well, I believe that you must have great medical feelings, calm your mind, have no desires, and be compassionate first, and vow to save the suffering of the soul. I brazenly boast that I also have the ambition of a great doctor, and you should be like-minded. Those who are like-minded do not take mountains and seas as far. I'm coming from across the hospital, and there's no reason why you shouldn't help save patients together. ”

Zhou Can's words made Section Chief Huang nod again and again.

"The young doctor at Tuya Hospital is quite sensational! Now that you've all decided, hurry up and save people! I'll handle the approval procedures, I'll arrange the scheduling of the operating room, and I'll leave the rest to you. ”

A smile appeared on Section Chief Huang's face, like a cloud opening to see the sun.

Everyone was smiling.

At this moment, everyone has a common goal, to save people.

Lu Fen quietly wiped away his tears excitedly.

is not personal experience, and I can't realize how much effort Zhou Can put in to save her father.

Her gratitude to Zhou Can is hidden deep in her heart.

He also has more trust in Zhou Can.

The person who can make her father trust him with death is in itself worthy of her trust.

Now that she sees Zhou Can running and working hard to save her father, her trust in Zhou Can naturally becomes deeper.

……

In the endoscopic operating room, anesthesiologist Ming Xin personally led people to escort the operation.

She had three young doctors under her, all of whom were very good.

Being able to carry this important operation in person must be the focus of training. There may be many students that a chief doctor can bring out in his life, but the disciples who can really bring out are actually very limited.

It tends not to be more than five people.

Because it takes a long time to train a successor, and it takes a lot of energy.

It's not like a few words in a particular operation can train people.

Zhou Can watched these people be a little 'clumsy' and connected the probe of the life monitor to Deputy Director Lu, and then adjusted the ventilator and other parameters one by one. He couldn't help but feel anxious in his heart.

But there was no intention of coming forward to help.

To be able to involve him in this operation as a guest is already a great care.

If he still rushes to perform, it will seem to be a recklessness.

Since the patient himself was transferred from the ICU, much of the pre-anesthetic work no longer required additional processing. Tasks such as skin cleaning before surgery also do not need to be done.

Ready, direct inhalation of general anesthesia.

The laparoscopic surgery was performed by the director of the Department of Thoracic Surgery. Bring your team and participate together.

Judging from their operation method of making a small hole in the abdomen, it is simple and efficient, and it is very professional.

It is worthy of being a provincial top three compound.

The strength of the operation is really not weak. I believe that Director Gou Poor and his medical assistants are only the tip of the iceberg of the strength of the Provincial People's Hospital.

Logically speaking, cardiac surgery should be more delicate and high-end.

Not to mention the outside of the brain or the outside of the mind.

The surgical difficulty of thoracic surgery is similar to that of many subdepartments of general surgery.

Together with another medical assistant over 40 years old, he performed laparoscopic surgery on the patient. The first is to repair a ruptured spleen.

Director Wu Yongming outside the brain, and Director Xiang of the Department of Intensive Care Medicine were staring at the screen from the side.

Director Xiang Fei may have felt that the opportunity was rare and brought in the two beloved apprentices.

Not to mention Director Wu Yongming outside the brain, like Director Gou Qian, it is the entire surgical team that is brought in.

Generally, you can make achievements in the field of surgery, and as long as you reach the deputy senior level, you can form your own surgical team.

At the attending level, you generally have to follow the director or deputy chief physician, and you can't lead the group yourself.

In addition, the income difference between the director with the group and the director without the group may be very large.

The director of the group, in a compound like Tuya and the Provincial People's Hospital, if the department is relatively good, the annual income can often reach an astonishing three or four million. If it is a magic capital, an imperial capital or some super hospitals, it is possible to have an annual income of more than five million.

This may be one of the reasons why countless medical students are desperately trying to get into graduate school. After finishing the master's degree and the doctorate, I will not stop after completing the doctorate. Those who have the conditions and talents will also study for postdoctoral studies.

If nothing else, just to become the chief physician of the group as soon as possible.

As everyone knows, by the time they get out, many people are over 50 years old.

Of course, compared with ordinary people, these bigwigs have to have academic qualifications, income, and status, and positions, and they are also rising. They are good winners in life.

The director first made a hole on the left side of the patient's navel, placed an endoscope, and then explored the spleen to find potential problems that could not be detected.

It can be seen that when he manipulates the endoscope, he is skillful and has a very high level.

"That's how heavy a fall is! The spleen is broken like this! ”

He couldn't help but sigh and shake his head.

The auxiliary operation was performed by the medical assistant in his forties, and the auxiliary hole was opened under the xiphoid process.

It is also on the left.

Because the spleen is on the left side of the body.

No doctor will go far and far from endoscopic surgery, except in very special circumstances, the more direct the better.

If the surgical path is designed to be too complicated, the endoscope will run rampant through the patient's body, and the patient will only be left with half a breath before the operation begins.

"Drain the fluid first!"

For this kind of surgery, there is a need to find a way to find out the source of the bleeding. It is much easier to detect the source of the blood by removing the accumulated blood.

The normal operation is to stop the bleeding for the patient.

After the fluid in the left abdominal cavity is removed, the source of the bleeding is sought.

"Director Tang, lift the right side of your spleen a little. I suspect the bleeding spot is down there. ”

"Good!"

The medical assistant in his forties agreed very simply, and quickly lifted the right side of the spleen with precise and skillful operation techniques.

"It's the blood vessel that is broken, and the tear is quite serious."

It didn't take much effort for Director Gou to find the bleeding point. You can see that the blood is almost gushing, and the bleeding is very severe.

The spleen is very fragile, and it is often the most vulnerable to rupture when the body is hit hard or falls from a height.

"Director Gou, do you want to stop the bleeding first or how to get it?"

"I can only stop the bleeding first and then repair the blood vessels. The tear is so serious, and it is the intersection of blood vessels, I will drop it obediently, this repair difficulty is really not small! ”

After Director Gou Qian saw it, his brows furrowed terribly.

At their level, they are generally extremely experienced, and they know the difficulty of the operation at a glance.

Director Tang has begun to stop bleeding in the blood vessels.

If the bleeding point is small, electrocoagulation may be considered. To put it bluntly, it is to scorch the bleeding mouth of the blood vessel.

Zhou Can's first step in practicing hemostasis was electrocoagulation to stop bleeding.

To stop bleeding in mice, he is accurate little by little.

At the beginning, I practiced hard again and again, and slowly laid a solid foundation, so that I could have today's sixth-level hemostatic technique.

At this moment, the bleeding blood vessels are not small, and electrocoagulation is definitely not possible.

Otherwise, the blood supply to the spleen will be nullified.

The consequences can be imagined.

"If you want to ligate blood vessels in this position, it's not easy to operate!"

Director Tang tried several times to stop the bleeding, but all failed.

Zhou Can watched from the side, and he found that Director Tang's level of hemostasis was only level five. The level of endoscopic operation is considered to be above average, and it is definitely not a tip.

"Can't you stop?"

Director Gou asked the poor.

"It's quite difficult."

Director Tang must be embarrassed to admit that he couldn't stop the bleeding in front of so many people.

Everyone is a face-saving person.

"I'll give it a try!"

One of Wu Yongming's doctors walked over to help.

Replace him with ligation to stop the bleeding.

It can be seen that his level of operation is much higher. Especially in some details, brain surgery is known as the ceiling of fine surgery, and the difficulty is higher than that of cardiac surgery.

This person is a master of brain surgery, and it is not surprising that he can have this surgical ability.

"Oops, this blood vessel is very brittle, and the ligature seems to have been cut by it."

After this doctor got started, he quickly found that it was not Director Tang's level that was not good, but that the patient's blood vessels were too fragile.

The force is small, the ligation is not firm, and the bleeding cannot be stopped.

When the force increased, the current result appeared.

The blood gushed even harder.

The patient's blood pressure also appears to be affected.

"The blood pressure is decreasing, but the heart rate is increasing, so we have to find a way to do it quickly."

Director Ming Xin of the anesthesiology department said a little anxiously.

The patient's vital signs slipped, and she, the anesthesiologist, was under the most stress.

"I'm going to get the plasma and give the patient a blood transfusion first, right?"

The experienced itinerant nurse saw the problem of the operation and hurriedly requested assistance.

"You can't have a blood transfusion, at least not yet. Otherwise, the ruptured blood vessels in the spleen will be under more pressure and more difficult to repair. ”

Zhou Can hurriedly said.

Seeing these people operating on Deputy Director Lu, an accident had just happened, and he was really anxious.

When he heard that the itinerant nurse was going to give a blood transfusion to the patient, he was even more anxious.

Under normal circumstances, it is not possible to cut the blood vessel easily by ligating it.

It can only explain one problem, Deputy Director Lu's blood vessels are far more fragile than normal people.

Blood pressure has now dropped to 82, which is considered serious, but it will not be fatal in the short term.

It is better to seize this opportunity and quickly repair the blood vessels.

At least when blood pressure is low, it is much easier to stop the bleeding.

The itinerant nurse didn't take Zhou Can seriously.

A young doctor in the outer courtyard really thinks of himself as a god.

She looked at Director Mingxin.

Whether there is a blood transfusion or not, the anesthesiologist has the most say and decision.

"Listen to Dr. Zhou, don't have a blood transfusion first."

Director Mingxin affirmed Zhou Can's opinion.

"Director Gou, Director Wu, you have to find a way to stop the bleeding and repair the blood vessels immediately. The time left for you should be very short, probably no more than thirty minutes. If you want to be safe, it is best to complete all the operations on this vessel in less than 20 minutes. If the bleeding is not stopped immediately, the patient's bleeding will continue and the blood pressure will drop at a faster rate, which will be more dangerous at that time. ”

She threw the pressure on the two surgeons.

This is an experienced anesthesiologist! If there is a problem, I will never carry it silently by myself, but find a way to throw it to the main knives, and everyone will carry it together.

"The patient's blood vessels are brittle like tofu slag engineering, how can this be done? I'm dying! ”

The two medical assistants were so anxious that they stomped their feet.

Director Wu Yongming wanted to end up in person, but when he saw the difficulty of stopping the bleeding, he didn't have the guts. As long as it ends, there is a chance that you will be slapped in the face.

The two medical assistants who are operating are not weak.

Even if there is a gap with the strength of his main sword, it is not too different.

"Can I try it?"

Zhou Can looked at the two medical assistants.

Director Tang and the other medical assistant looked extremely surprised, although they knew that Zhou Can's strength was not weak, but Zhou Can was too young after all.

The difficulty of stopping the bleeding is even more frightening.

Not to mention Zhou Can, even if Director Wu or Director Gou are replaced, it may not work.

"Dr. Zhou's endoscopic and interventional surgeries are very high, why don't you let him try it?" Director Xiang Fei said a word for Zhou Can.

At this time, it is definitely necessary to nod the head of the poor director.

"Let Dr. Zhou try it!"

Director Gou Poor doesn't trust Zhou Can, but he trusts Director Xiang Fei very much.

Nodding in agreement.

"Doctor Zhou, you must do what you can, don't force it. Ligation doesn't work, we can think of another way. ”

Director Gou Qian has never seen Zhou Can's surgical ability.

Still a little worried.

"Okay, I'll be cautious."

After Zhou Can agreed, he stepped forward to take over. I saw him skillfully manipulating the robotic arm and began to check the condition of the patient's blood vessels.

As soon as they saw his operating skills, several chief doctors were immediately relieved.

That's a very high level!

Not even weaker than two medical assistants.

is so young, but has such a high level of endoscopic surgery, I don't know how to practice?

It's just that everyone quickly frowned.

Because after Zhou Can took over, he has been constantly manipulating the endoscopic arm to constantly touch the blood vessels, but he has no intention of ligating the blood vessels.

The patient's intraperitoneal bleeding is continuous, and there is more than blood, is it okay or not?

This kid can't be a fake cannon, right?

(End of chapter)