Chapter 335 Director Hu's Request, Jin Mingxi's Great Opportunity
As for the remaining attending doctors and residents with average skills, they basically couldn't understand Zhou Can's surgical ideas. It's not their fault. When they are skilled enough, listening to these difficult surgical plans is really like listening to a mystery.
Because of their lack of expertise, they were unable to understand the purpose of many surgical steps.
Not to mention the trainees and interns present.
"Doctor Zhou, are you really here to ask for advice? Why do I feel like you are here to show off your skills?" A chief physician who had a good relationship with Zhou Can asked him with a wry smile.
This question reflects the thoughts of many people.
The surgical plan Zhou Can had just given was already very clever, and his level was not inferior to that of the chief physicians present. He was so amazing that many attending physicians present felt ashamed of themselves.
Even some deputy chief physicians' surgical ideas may not be as good as his.
It would be better for them to learn from Zhou Can instead.
"Doctor Long, please don't make fun of me. I am so unskilled that I dare not show off in front of you teachers! I really want to ask for your guidance!"
Zhou Can has never done anything like showing off.
Being low-key is his normal state.
"I have to say that Xiao Zhou has made great progress. Many of you young doctors need to learn from him. I wonder if you have had this experience? Every time you see Xiao Zhou again, you will be surprised to find that his medical skills have improved greatly. It is almost the same every time, without exception. This is actually a very good state, which shows that he is always working hard to learn and improve his medical skills."
Director Hu Kan expressed the thoughts of many directors and deputy chief physicians present.
They feel the same way.
Almost every time I see Zhou Can in the operating room, I am surprised to find that Zhou Can's medical skills have improved again.
"Xiao Zhou, the surgical plan you just gave is quite good. However, there are still some areas that can be improved or further perfected. For example, the interval between the second surgery you mentioned is a bit too long, twenty-four hours. According to my surgical experience, if the patient has a low cardiac output state after the first surgery, as long as the correct medication is given in time, the shortest wait time is sixteen hours before the second surgery can be performed."
Director Hu Kan is indeed the top expert in cardiothoracic surgery.
He was able to give such precise suggestions for improvement, and it was obvious that he had a deep understanding of the surgical plan proposed by Zhou Can and knew it very well.
This shows that his level is far above Zhou Can.
Only in this way can we comment on its shortcomings.
It was very difficult for the attending doctors and residents present to understand Zhou Can's surgical ideas, let alone point out the shortcomings. In fact, they did not fully understand some of the surgical steps.
I only know the general intention of doing so.
Some of the more profound meanings were simply beyond their comprehension due to their lack of knowledge.
"Director Hu, if the patient has a low cardiac output state, what medicine should be used?" Zhou Can is still a little weak in pharmacological differentiation. He needs to improve to at least level five to deal with some more difficult conditions more calmly.
Low cardiac output often occurs after heart surgery and is quite dangerous.
However, as long as the medication is given promptly and correctly, the prognosis is generally good.
"How do you think the medicine should be used?" Director Hu Kan asked instead of answering.
Director Xueyan also stared at Zhou Can closely, wanting to see how much progress he had made in pharmacology.
"The low cardiac output state after surgery indicates myocardial weakness. First, consider the use of positive inotropic drugs, such as dopamine, milrinone, and prostaglandins. If necessary, consider giving the patient inhaled nitric oxide."
These were all Zhou Can could think of regarding medication to correct low cardiac output.
"Your medication is basically correct. But you need to find out the cause of low cardiac output before using the medication. Low cardiac output syndrome is generally caused by left ventricular hypoplasia or some diseases. In addition, incomplete correction of the pulmonary artery can also cause low cardiac output. This disease often occurs during surgery. The use of dopamine and other drugs you mentioned just now to enhance myocardial contractility, relax blood vessels, reduce vascular resistance, and increase cardiac output is a good way."
"Regulating cardiac preload, blood transfusion and fluid infusion to increase blood volume, thereby increasing ventricular filling pressure, also has a good effect. Reducing left ventricular afterload has also been proven to have a good therapeutic effect in clinical practice."
Director Hu Kan’s level is really amazing.
The guidance given was not only accurate, but also much more complete than Zhou Can's treatment advice.
Afterwards, he commented on the surgical plan given by Zhou Can and gave suggestions for improvement.
Zhou Can listened carefully and took notes.
If you encounter something you don’t understand, ask in person.
This serious attitude towards learning made Director Hu Kan value him even more.
After discussing the surgical plan, Zhou Can was more than 80% confident about the congenital heart disease surgery.
At least in theory there are no more obstacles.
An operation consists of two parts: theory and practical operation. To put it simply, practical operation refers to technology and surgical operation skills.
Among Zhou Can's basic surgical skills, only incision is a little weak. Currently, he is at an intermediate level as an attending physician, approaching the excellent level.
His other medical skills have already reached the level of associate chief physician, which is more than enough to complete this congenital heart disease surgery.
"Director Hu, when I perform surgery, can you please come over and help me stand guard and sweep the surgery? I'll feel at ease when you're here."
Zhou Can always likes to prepare for the worst.
Invite Director Hu Kan to come over to help. If any danger occurs, we can immediately ask Director Hu Kan to help.
If Director Hu Kan was asked to rush from the cardiothoracic surgery department to the pediatric department to help, the child would probably have died.
"Just let me know in advance, and I'll be able to go over there."
Director Hu Kan did not refuse.
Zhou Can was his savior, and he felt embarrassed to refuse such a small request.
The purpose of this trip had been achieved, and he stood up and said goodbye.
"Xiao Zhou, come with me to my office and talk for a few words!" Director Hu Kan stood up, holding the table.
It seems that he has something to discuss with Zhou Can in private.
"Slow down!"
Zhou Can hurried over and supported him.
While walking, he could feel Director Hu Kan's body trembling slightly.
In this state, the most stable scalpel is probably completely dead in name only. Even the simplest surgery cannot be performed.
Zhou Can sighed in his heart. Director Hu had practiced 'Steady Power' for so many years, but who would have thought that he would eventually become unable to complete even the simplest surgery due to physical reasons.
Life is unpredictable, and no one knows which will come first, tomorrow or an accident.
After entering the office, he helped Director Hu Kan sit down.
"Close the door!"
He said to Zhou Can.
After Zhou Can closed the door, he asked Zhou Can to sit down and talk.
"You've seen my body. I can no longer hold a scalpel. I really didn't expect this day to come so soon, and I wasn't prepared at all. What the cardiothoracic surgery department lacks most now is a head coach who can take on the responsibility. Although those chief physicians are quite capable, they can only handle medium-difficulty level 3 and 4 major surgeries. Our hospital can no longer perform some high-difficulty cardiothoracic surgeries."
Director Hu Kan frankly told Zhou Can the difficulties faced by cardiothoracic surgery.
Because of the sudden death of Director Hu Kan, the training of top surgical talents has not been able to keep up, which has led to the current dilemma.
Talent reserve has always been the most important issue for every department.
It’s a pity that it’s easy to get thousands of soldiers, but it’s hard to get a good general.
Leaders who can truly carry the flag are too rare to be found.
In addition, the training cycle for surgical talents in cardiothoracic surgery is extremely long, and it takes at least ten years to become a talent, which further aggravates the shortage of talents.
"Don't worry. I believe that the doctors in the Department of Cardiothoracic Surgery will grow faster and soon be able to take up the banner of the department. The most important thing for you now is to take good care of your health so that you can return to the operating table in due time."
Zhou Can tried hard to comfort Director Hu.
"Alas! I'm afraid my health won't get better! I've been a doctor all my life, and although doctors don't treat themselves, I know my physical condition very well. If I take good care of myself, I can live another eight or ten years. It's almost impossible to stop my body from shaking."
Director Hu Kan shook his head, his face full of loneliness and unwillingness.
It is common for elderly people in their 80s and 90s to experience tremors in their hands and feet. This is because when people age, their bodies will have many problems, such as calcium deficiency, imbalanced muscle movement, and problems with nerve control.
The most common causes of body tremors are Parkinson's disease, hyperthyroidism, and hypoglycemia.
But he is only sixty years old, so all the above-mentioned diseases should be ruled out.
The main reason is still heart problems. After all, he has undergone two major operations and there are certain sequelae.
"Xiao Zhou, how about you become my successor in the cardiothoracic surgery department? With your incredible talent, I am confident that you will be able to take on the banner of the cardiothoracic surgery operating room within one or two years."
This is not the first time that this idea has been proposed to Zhou Can.
It’s just that the situation this time is a little special.
In the past, Director Hu had not fallen. This time, Director Hu, the pillar of support, fell, and there was a talent gap in the cardiothoracic surgery department.
This will definitely have an adverse impact on the important departments of a top hospital.
In the short term, you can still live off your savings and maintain your basic living standards.
Over time, the cardiothoracic surgery business will shrink.
Patients will discard Tuya Hospital like a rag.
For patients, they will definitely give priority to the hospital with better medical skills.
"You know, I am the successor of Dr. Xu's Quick Knife. It is impossible for me to switch to someone else's school." Zhou Can could only cruelly reject his request.
Faced with the hopeful eyes of a collapsed chief physician, he felt somewhat reluctant.
"By the way, I can recommend you a talent who is very talented in the field of 'steady knife'."
At this moment, Zhou Can suddenly thought of his roommate Jin Mingxi.
Jin Mingxi has no talent in practicing fast knife skills, but he shows amazing talent in steady knife skills.
"Are you deliberately trying to fool me?"
Director Hu Kan asked angrily.
"How dare I! You have always been one of the people I admire most. I will be honest with you and never be perfunctory. I will call him over and you will know after you personally inspect him."
Zhou Can is very confident about this matter.
Jin Mingxi has been practicing "Steady Power" for nearly two years, and I believe he has achieved a certain level of accomplishment.
"Is there really such a person?"
Director Hu Kan saw that Zhou Can did not seem to be lying, and he could not help but become excited.
"Can you call someone over so I can see him now?"
"I'll call right away!"
Zhou Can didn't waste any time and took out his cell phone to call Jin Mingxi.
"Old Jin, I have a great opportunity for you. Come to the director's office of the cardiothoracic surgery department right away."
"I'm working overtime here!"
Jin Mingxi didn't know what opportunity Zhou Can was talking about.
He is still in the regular training period and has to work overtime every day. The departments he is transferred to are also major departments of surgery. In addition, the anesthesia department and the imaging department are compulsory departments.
Surgeons generally choose to study in the radiology department for one month in the fourth to last month of their residency training, and then return to the department of their choice to complete the final three months of residency training to pave the way for formal residency work.
Compared with Zhou Can's various generous treatments, Jin Mingxi's treatment is far worse.
Working the night shift is a common occurrence.
"Can't you take a leave? Hurry up and don't waste time. If you miss this opportunity, you won't have it again."
Zhou Can was really impressed by Jin Mingxi. This was an opportunity for Director Hu Kan to be the successor! Who knew how many excellent doctors would be vying for the position?
"What kind of opportunity is this, it's so mysterious? Okay, okay, I'll be right over!"
Not long after Jin Mingxi hung up the phone, he arrived panting.
After knocking on the door, he found that the person who opened the door for him was Zhou Can.
Sitting inside was Director Hu, the person whom I admired the most.
"Hu, hello, Director Hu!"
Jin Mingxi seemed extremely nervous, stuttering a little while speaking, and didn't know where to put his hands.
"Is that him?"
Director Hu Kan stared at Jin Mingxi with a frown.
Not only is he older, but his mental quality is also far inferior to Zhou Can's calm and composed temperament.
"Yes, it's him! Maybe because he has never seen such a big scene, and he has always regarded you as the person he admires most, so he is a little excited."
Zhou Can quickly spoke well of Jin Mingxi.
After explaining to Director Hu Kan, he turned and looked at Jin Mingxi.
"You're so nervous!"
He winked at Jin Mingxi and cursed him in a low voice.
"Perform well, and once you pass Director Hu's test, you can realize your ultimate dream!"
Jin Mingxi was almost 37 years old after all. Hearing the deeper meaning behind Zhou Can's words, he pinched himself hard twice, using the pain to relieve his inner tension.
"Director Hu, I'm sorry to have embarrassed you! After seeing your demeanor at a morning meeting, I have always regarded you as my idol. I didn't expect to see you when I came in just now. So it's inevitable that I am a little excited and nervous."
After Jin Mingxi came to his senses, his performance gradually returned to normal.
If nothing else, his explanation was pretty good.
The tone is sincere and the eyes are calm.
"Everyone has two nostrils, two eyes and one mouth. You don't have to be nervous. Sit down!"
Director Hu Kan's expression eased a little and he motioned for Jin Mingxi to sit down and talk.
This is a good start.
At least it shows that his impression of Jin Mingxi has changed a lot. When Jin Mingxi first came in, looking at Director Hu Kan's tone and expression, it was definitely a sign that he was going to kick her out.
"Xiao Zhou recommended it to me, saying that you have a good talent for steady skills."
"I don't deserve the word 'good', I just really enjoy practicing your steady skills." Jin Mingxi answered very frankly.
"Oh! Have you been practicing the steady exercise?" Director Hu Kan's eyes lit up.
"I have been practicing for almost two years. I first saw you practicing the steady exercise at that morning meeting, so I begged Dr. Xu to teach me, and gradually I started practicing."
Jin Mingxi originally wanted to go the fast-moving route, but unfortunately he didn't have the talent for it.
After changing to practicing steady exercises, it seems that I have found the right way.
It has to be said that everyone has his or her own opportunities and luck.
If the east window is dark, the west window will be bright. There is always a development path that suits you.
"Come here and draw a line exactly like the one I drew."
Director Hu Kan picked up a pen and casually drew a long crooked line on a piece of white paper.
His hands were shaking, so the lines he drew were naturally wavy.
It is very difficult to imitate and draw an identical line.
This method of imitating drawing lines is often used by people learning to paint to practice basic skills.
At this moment, Director Hu Kan used it to test whether Jin Mingxi's hands were really steady.
Jin Mingxi walked to the table, picked up a pen, took a deep breath, and began to imitate Director Hu Kan's handwriting to draw an identical line.
Although there are some discrepancies, his hands are very steady.
An expert can tell whether something is good or not with just one look.
Director Hu Kan has practiced stabilization skills all his life, so he could naturally see at a glance that Jin Mingxi had achieved a certain level of accomplishment in stabilization skills.
"Of course! Looking at your skill, you can't achieve that in just one or two years. You need at least seven or eight years of experience." Director Hu Kan showed a rare smile on his face.
