Surgery has always been subject to extremely strict operating procedures.

There is never a gradation in internal medicine treatment, as long as you have the ability, it is completely okay to treat serious illnesses. However, the operating room has strict qualification requirements and hierarchical access system.

Residents can only perform first-level surgeries and participate in second-level surgeries at most.

There is also preoperative assessment, intraoperative sterility management, safety management, postoperative strict care, etc., all medical staff have a red line that cannot be crossed, that is, the safety of patients.

Zhou Can's surgical ability is extremely strong, and he is almost proficient in the whole field.

I am very careful when I perform surgery on my patients, so I have never had an accident.

It is also because he has been in the industry since he started his career, coupled with his personality, that he gradually jumped out of the routine process during the operation, and there are some quite risky behaviors.

So far, there have been no major surgeries in the emergency department, cardiothoracic surgery, or other departments.

Even if there is an accident during the operation, Zhou Can still has director-level experience in anesthesiology and intensive care medicine rescue, as well as director-level pathological diagnosis and pharmacological differentiation, which is enough for him to turn the tide and rescue the patient from the hands of death at a critical moment.

Well, people, it's all the same.

With strong strength, it is easy to overconfident. When doing something familiar, like to act out of the ordinary.

Zhou Can usually goes to other departments to help with surgery, and basically follows the surgical plan formulated by others.

He is only responsible for a few key parts.

If speed is desired, it is possible that most of the entire surgery will be done and the rest of the skin will be closed by another doctor.

He has a high status in the emergency department and cardiothoracic surgery, and the chief physicians also have a high degree of trust in him.

This has also led to his problem not attracting anyone's attention.

Wu Baihe's discovery of Zhou Can's problem this time must be a good thing.

Those who know shame are brave.

Only by being able to recognize our own mistakes can we continue to improve and reduce mistakes.

"Director Wu's lesson is that I used to do as I pleased. This problem must be corrected." Zhou Can saw that the teacher was criticized, and Director Wu was indeed good for him.

Immediately accept criticism and opinions.

"It's a good thing to have a good attitude, no matter how great your ability is, but you must follow the rules that you should follow. Surgical safety regulations and safety guidelines are summed up by the experience and lessons of countless ancestors who used blood. Maybe it may not be reasonable in your opinion, or you think you can break these rules, but I can tell you responsibly that almost all of the Dr. Niu B who had an accident was because he felt that he was capable and confident, and he could come without following the rules.

As a result, the last misstep became a hatred for the ages.

Most of the people who were electrocuted were electricians, and most of the people who drowned were swimmers."

It's hard to hear, but it's true.

And that makes a lot of sense.

"You probe the brainstem directly, what if the brainstem doesn't bleed? Or even if there is bleeding in the brainstem, but the symptoms are mild, it is not the main cause of the patient's deep coma at all? The brainstem is called a forbidden area of life, not to mention you as a young man who has only been a doctor for a few years, but I, who have been in the field of neurosurgery for decades, dare not touch it easily."

Wu Baihe scolded Zhou Can so much that he couldn't lift his head.

The consultation room was surprisingly quiet.

Although Director Lou and Dr. Xu did not speak, they both realized the seriousness of the problem, and they were very supportive of Wu Baihe's opinion.

Anesthesiologist Qu Zi looked at Zhou Can with a strange look.

This is the first time she has seen Zhou Can being scolded so badly.

In the past, all she heard was senior doctors, patients, and nurses praising Zhou Can.

"In any major surgery, you must remember to start from a safe place first, and deal with the lesions that can be identified first...... Wu Baihe explained the principle of surgery to Zhou Can.

"This surgery is minimally invasive, and it is only suitable for it

Minimally invasive. My advice is to deal with thalamic hemorrhage and injury first, and then make a decision to explore the brainstem region after observation. I feel that there should be serious sclerosis and lesions in the blood vessels of this patient's brain, you can take a look at the blood vessel spots on the film, although they are inconspicuous, but they are very numerous. I suspect that she has a more severe atherosclerosis of the blood vessels in her brain."

Wu Baihe deserves to be a top expert, and he actually diagnosed some problems that Zhou Can had never found from some subtleties.

"The patient's blood lipids are significantly high, which should be the main culprit of atherosclerosis. I really didn't notice that her blood vessels had such a serious lesion. Director Qu, please re-evaluate the patient's surgical risks."

[In view of the general environment,

After Zhou Can heard this, he was slightly shocked.

Fortunately, Wu Baihe was invited to come over for consultation, if he followed his original surgical idea and directly took the brainstem area as the first stop of the operation, the consequences would be difficult to predict.

This is not to say that there is always a risk, at least in the case of large-scale atherosclerosis of the patient's cerebral arteries, the safety risk of the surgery is doubled.

He couldn't help but be afraid.

Every time I think I'm strong, but I still have a lot to learn.

Accumulate steps to thousands of miles, accumulate small streams to become rivers and seas.

In the future, we must be more humble, insist on learning every day, and we must not be complacent.

"Now, with new discoveries, patients have large areas of atherosclerosis in the intracranial arteries, which increases the risk of intraoperative bleeding, the difficulty of hemostasis, and so on. However, Dr. Chow's surgical ability is sufficient to greatly reduce this potential risk, so I think the surgery can still be performed after evaluation."

Qu Zi is also in the growth stage.

After the restructuring of the anesthesiology department, she signed a one-to-one cooperation agreement with the emergency department.

Basically, he became the royal anesthesiologist in the emergency department.

In fact, the people who use her the most are Zhou Can and Dr. Xu.

These two people are currently the only ones in the emergency department who have the ability to actually perform tertiary surgery.

Dr. Tang Wangnian is sprinting for the deputy senior title, because with the support of the department, it is basically a certainty. His own conditions are also okay, and the papers and medical achievements required by the deputy high school have basically been achieved.

The only thing lacking is the achievement of surgery.

This is not the key to evaluating the deputy high, and the department will also help him play a round, and Yucheng will do this.

Therefore, there should be no problem for him to be rated as a deputy high this year and become the deputy chief physician in the field of surgery in the emergency department.

Even if he was promoted to vice high, he still couldn't immediately preside over the third-level surgery.

Even a less difficult tertiary surgery is not possible.

You have to exercise again to be able to have this ability.

"Director Wu, what is your opinion?"

She looked at Wu Baihe, her eyes full of respect.

"Anesthesia manages life, doctors manage diseases, isn't this a rule that has been established in the operating room for a long time? Your anesthesiologist has said yes, so I naturally have no opinion. But there is one thing I have to say about you, you can't be too superstitious about the surgical ability of the main surgeon. Stable performance and strong surgical ability can only be used as a small part of the reference for surgical safety, and must not be a key part of the assessment."

Although Director Wu is a straight man of steel.

But when it comes to female doctors and nurses, they are quite gentle.

Even if it is criticism, it is only a tactful point. scolded Zhou Can just now, but he really didn't leave any affection at all.

Male doctors usually take into account the psychological capacity of lesbians.

If they scold too hard, they will cry.

I don't cry in person, and many of them cry in the bathroom or office. This is the weakness of male doctors, and no male doctor likes to make female colleagues cry.

"Understood!"

Qu Zi playfully spit out her fragrant tongue.

She knew what Wu Baihe was referring to, and she was to warn her not to think that Zhou Can's surgical ability was strong, and he had never had an accident, so he took this as a key element in assessing the risk of surgery.

Instead, the proportion should be reduced.

"That...... Now that the surgical plan has been determined, the anesthesia risk assessment, and the surgical safety assessment have also been passed, can we take advantage of Director Wu's presence to perform the surgery tonight?"

Zhou Can proposed.

"You kid is calculating enough! You've had this idea a long time ago, right?"

Wu Baihe couldn't help but shake his head and smile bitterly.

I thought about this kid in my heart, but he calculated it.

"Hehe, doesn't it mean that you're busy every day! It is not easy for you to come over, and I dare not delay you too much, this patient's family is more difficult, and her daughter is anxious to save her mother. I thought that if I could have the surgery done tonight, it would be possible to further reduce the patient's injury, and at the same time save some treatment costs for the patient's family."

Zhou Can did not shy away from it, and directly said something.

Cheng Xiaolu's father is disabled, and her income is not particularly high. It is estimated that it is only about six or seven thousand monthly salary.

The pharmaceutical department has been losing money year after year, and there is no such thing as a year-end bonus.

In fact, any company is almost the same, in the case of serious losses, let alone the year-end bonus, it is good to be able to pay the salary.

Those companies that give out million-dollar year-end bonuses during the New Year, or reward cars and houses, are making a lot of money, and take out a part of it to motivate employees and strive to create greater brilliance.

"I like your virtue of caring for patients and being able to sympathize with poor families and the weak. Hurry up and make arrangements, I will be seen in the outpatient clinic tomorrow morning, and I must go home early to rest because I am old."

A rare smile appeared on Wu Baihe's face.

Looking at Zhou Can's eyes, he also softened a lot.

The human heart is made of flesh.

Zhou Can thinks about patients everywhere and considers the economy of patients' families, and these words and deeds make many doctors and nurses love and respect him from the bottom of their hearts.

Wu Baihe smiled, and the atmosphere in the consultation room suddenly became much more relaxed.

Next, quickly talk to the family, go through the surgical process, and send the patient to the operating room.

When the patient was admitted to the hospital yesterday, Zhou Can explained to the doctor in charge of the bed.

Always be ready for surgery.

Now it comes in handy.

The patient was successfully admitted to the endoscopic operating room.

……

In order to improve the safety and success rate of the operation, Wu Baihe called his professional team over.

Temporary overtime.

Of course, it was also a great learning opportunity for the medical staff.

Following a strict surgical procedure, the endoscopic surgery begins after drilling the patient's head. Zhou Can operated the main knife, assisted by Wu Baihe and another senior nurse from outside the gods.

Others have their own jobs.

The patient's physical condition is not very good, which is the biggest risk.

Human life is sometimes very tenacious, in the earthquake, people were crushed to the ground, no water, no food, body injuries, unable to move, but strong survived for more than 100 hours, and was finally successfully rescued.

Sometimes, human life is extremely fragile.

This is especially true in the operating room, where some patients are still alive and well before they are pushed in. However, he had an accident during the operation and finally died in the operating room.

Many people think that it is safe to perform surgery in large hospitals, but in fact, this is really not absolutely safe.

Taking the Department of General Surgery and Gastrointestinal Surgery of Tuya Hospital as an example, this subdepartment should be recognized as a department with a high surgical safety factor and relatively low risk. However, more than 100 patients die from surgery every year.

This does not include patients who survive for more than three days after surgery.

What does that mean?

That is, after the operation, the patient survives for three days, maybe a week, or half a month, or even a little longer.

But the cause of death was definitely related to the surgery.

After all, there is a huge risk in any surgery, and the removal of the lesion will also cause serious harm and impact on the patient's body.

Take the chest

Glands, for example.

In the minds of ordinary people, the thymus gland is a small organ that is dispensable. Few people have even heard its name.

In many thoracotomy surgeries, it is common for the thymus to be removed.

Especially cancer patients.

Generally speaking, the thymus gland of infants and young children is only about 10 grams, and it will not exceed 15 grams. Adults, and adult men and women in the prime of life, the thymus gland is only twenty or thirty grams, not more than 40 grams.

In old age, the thymus gland degenerates and becomes about 15 grams again.

Such a small organ is not as heavy as a large tumor.

However, the thymus gland is the body's largest immune organ.

When it is cut off, the body's immune system will have major defects, which can be imagined with your toes in the days to come.

Everyone knows that AIDS is terrible.

Why is it scary?

It is because it attacks the body's immune system.

The reality is that some people are unfortunately infected with AIDS, and they are going to die or live, and they are extremely afraid in their hearts, and they always think that they will not live long. Patients who have had their thymus or other immune organs and tissues removed do not have any psychological pressure at all.

For example, lymph, this one cuts a lot, right?

Not to mention the lymph nodes that are removed during some tumor surgeries, there are also various lymph nodes that are too large and cause pain, or the patient is worried that it is cancer and will be removed.

In fact, lymph is also an important part of the immune system.

Lymphocytes are one of the most important fighters in the body's immune system.

The flame of this patient's life is already flickering and can be extinguished at any time. In addition, the patient herself is older, and now she is given a craniotomy, and the risk can be imagined.

Qu Zi and the anesthetist nurse were all in good spirits, and they didn't dare to slack off for a moment.

Zhou Can manipulated the forceps of the endoscope, carefully brushed away some brain tissue, and hit the bleeding point. Because the dark shadow was very obvious when this area was filmed, based on his experience in craniotomy, it didn't take much effort to find the location of the target.

"Director Wu, can you drain the blood first?"

"Nonsense!"

Wu Baihe hates asking for instructions on the left and asking for instructions on the right. In fact, with him staring at him and assisting, there is really no problem, and Zhou Can is not needed to speak at all.