Chapter 363 This is talent. One flower blooming alone does not make spring.
With the development of modern technology, information can be spread very quickly with the help of the Internet and self-media platforms. Competition between hospitals has also become more intense.
Xinxiang Maternity and Child Health Hospital, a large specialized hospital, was on the verge of bankruptcy in just two years because of the death of a pregnant woman.
Although Tuya Hospital has deep roots and has always performed well in the diagnosis and treatment of cardiothoracic surgery, it often declines in just one or two years due to the lack of pillars.
It may even take several months.
"I will definitely work hard, because pursuing higher medical skills is my hobby and my lifelong career. But as you know, it takes more than ten years to improve the surgical skills of cardiothoracic surgery! I am afraid that I will disappoint you and the chief physicians' high expectations."
Although Zhou Can has a medical experience system, he has good talent and works very hard.
However, the training period for cardiothoracic surgeons is particularly long.
Many doctors have worked hard and studied silently for more than 20 years before they can achieve some success.
"Xiao Zhou, you are growing much faster than ordinary doctors. In particular, your surgical skills are improving the fastest I have ever seen. As long as you are willing to study hard, I think you will be able to reach a considerable level in four or five years. At least you will be able to complete the key parts of most difficult surgeries."
Director Hu Kan thinks highly of him.
The expectations for him even exceeded those of Director Xueyan, Director Le and others.
"Today's ventricular plication surgery is a good opportunity to prove that our cardiothoracic surgery department's surgical capabilities have not declined. Therefore, I hope everyone will be fully prepared to ensure the success of the surgery."
Director Hu Kan's eyes swept over everyone present.
For this department, performing an influential and difficult operation is urgent.
“Do you have confidence?”
"have!"
Everyone's answers seemed weak and they clearly lacked confidence.
"Are you confident? Speak louder." Director Hu Kan's face showed anger.
"have!"
This time, the crowd's responses were much louder.
But surgical skills cannot be improved by just shouting loudly.
…
In the operating room, the first operation was to remove foreign body from the lungs.
The patient was 28 years old, a strong young man. According to the patient's family, because he took cold medicine during pregnancy, the child was born with low intelligence. A person who was almost 30 years old was not as intelligent as a three-year-old child.
Basically, as long as the patient is hungry, he will take the food he can eat and put it in his mouth.
At present, it is still unclear what the foreign object stuck in the patient's lungs is.
All we know is that it is an irregularly shaped foreign object with a diameter of about 1.2CM.
The family members don’t even know how it entered the patient’s lungs.
Initial suspicion is that the foreign body may have entered the trachea due to choking, and then entered the lungs along the trachea. The material is likely to be metal.
Bronchoscopy to remove the foreign body was attempted but failed.
In desperation, the family members could only take the patient to Tuya Hospital for treatment. The surgical plan given by Tuya Hospital was a traditional thoracotomy to remove the foreign body.
According to the examination results, this foreign body was stuck in the lungs and had caused a certain degree of pneumonia.
The patient has a severe cough.
If not treated in time, it will definitely lead to more serious consequences.
So, the family members were very anxious.
"Xiao Zhou, is there any problem with your being the lead surgeon in this operation?"
"I can try."
Zhou Can has even performed a lobectomy, so he is fully capable of challenging this lung foreign body removal surgery.
What's more, he finally got the hang of steady knife technique when he practiced it yesterday.
It can be used today.
You can see how it actually works during surgery.
"You take charge of the operation! I'll be by your side to give you guidance."
Director Hu Kan had absolute say, and when he said that Zhou Can should be the lead surgeon, naturally no one objected.
Zhou Can put on sterile gloves and stood at the operating position.
Taking the scalpel handed to him by the instrument nurse, he casually cut into the marked incision site.
[Experience points for quick knife skills +1, experience points for steady knife skills +1 , experience points for incision skills +1. ]
With one cut, the experience points of three medical skills increased. It felt so good.
“Huh!”
Director Hu Kan stood by and watched, his eyes widened suddenly, staring at Zhou Can in surprise. An expression of extreme surprise blossomed on his face.
Because he found that the swordsmanship Zhou Can displayed was obviously different from before.
Director Hu Kan has been immersed in the art of steady knife for his entire life and is known as the steadiest knife master in cardiothoracic surgery. He is extremely sensitive to knife techniques. He could tell at a glance that Zhou Can had made a major breakthrough in knife techniques.
But Director Xueyan, Director Le and others failed to see it.
This is because their level is still low and their eyesight is not good enough, so they cannot see it.
"This knife is very steady! Mature men all have hunched backs and walk as if they are carrying a heavy load, because they carry a responsibility on their shoulders. This knife technique is just like the principle of being a human being. When the knife is drawn, it seems as if an invisible mountain is pressing on it, which represents both responsibility and stability. This is the secret of a steady knife. My disciples, whether it is the newly recruited Jin Mingxi or the chief physicians, have profound skills in steady knife, but they lack this understanding."
Director Hu Kan was happy for Zhou Can, but he also sighed inwardly.
Talent cannot be forced.
And after all, those with talent are very few.
If there were one or two chief physicians in the cardiothoracic surgery department with the talent of Zhou Can, the cardiothoracic surgery department would not be in the embarrassing situation of lack of successors and people to take charge.
Talent is something that is hard to explain, but it does exist.
Take Jin Mingxi and Zhou Can as examples. Jin Mingxi has been practicing since childhood and has been practicing the basic skills of steady knife for the past two years. His skills are solid. But that's all.
Although Zhou Can has only been practicing steady knife skills for a short time, he has been able to grasp the true meaning of steady knife skills. His knife is as steady as a mountain. This is his understanding and talent.
This is something that Jin Mingxi and other chief physicians cannot envy.
From then on, it basically became Zhou Can's personal performance show. His sword moves were as fast as the wind, and each strike was steady. These moves became more and more steady, and his efficiency was extremely high.
"Dr. Zhou's surgical skills seem to have improved a lot!"
Director Xueyan seemed to have noticed something.
She muttered quietly.
“Where has the progress been?”
Director Hu Kan's eyes lit up slightly, and he couldn't help but feel more expectant of this apprentice who had been promoted to chief physician.
Xueyan is one of the best doctors in the department in terms of medical knowledge. She is extremely knowledgeable and can apply what she has learned. In the diagnosis of difficult and complicated diseases, she can often provide some important reference suggestions, or even directly give accurate diagnosis results.
The only drawback is that the surgical skills are not up to the top level.
At this moment, she could see that Zhou Can's swordsmanship had improved significantly, and perhaps he could make a breakthrough.
Gaining insights from learning from others and observing others are both ways to make progress.
"I can't really put it into words, but I just felt that his swordplay today was steadier than before, not as agile, and his speed was somewhat reduced. It was like a hot-headed young man who had learned to be restrained and calm, and had become steady."
She couldn't see that there was an invisible mountain on Zhou Can's knife.
All we can see is that Zhou Can's swordsmanship has become much more steady.
"You observe very carefully. Keep observing! Xiao Zhou is a child whose comprehension is truly impeccable."
Director Hu Kan nodded slightly.
He asked Director Xueyan to continue observing and learning.
When Ping Jin was performing the surgery, because Director Hu Kan's level was so high, the chief physicians and attending physicians under him were actually all in the dark and could not see the true essence of the surgery.
At this moment, Zhou Can had just realized the true meaning of steadying the knife, and it was also the time when others were most likely to gain insights while watching.
If Zhou Can becomes more familiar with the true meaning of steady knife skills, it will be deeply integrated into his knife skills, and it will be difficult for these chief physicians and attending physicians to see anything.
…
More than an hour later, the foreign body in the patient's lungs was removed.
The surface was slightly blackened and looked like an earring or a pendant of a necklace. I don’t know how the patient got it and put it into his mouth, then choked and coughed, and it accidentally entered the trachea, bronchi, and finally into the lungs.
"This pendant seems to be made of platinum. It should not be stainless steel or silver." Director Le expressed his opinion after carefully examining the foreign object he removed with tweezers.
"Give it back to the family! It's unfortunate for this family to have such a mentally retarded son."
Director Hu Kan sighed.
Doctors often encounter various suffering families. For various reasons, such families are full of misfortune and sympathy.
Under normal circumstances, if you raise a son to the age of 28, he would be able to go out into the society to work and earn money to repay his parents.
However, this patient has low intelligence and is unable to work in society. He is also unable to take care of himself at home and needs his parents to take care of him all the time. I believe that this patient's parents are not only exhausted, but their financial situation is probably not very good.
"Xiao Zhou, that's great! It seems that taking five days off has not ruined your practice of Steady Blade Technique."
Director Hu Kan did not disturb Zhou Can as he was performing surgery just now.
Now that the first operation is completed, he can't help but give some praises.
"I just had a little insight when practicing the steady knife technique. I tried to apply it in surgery today, and it really brought me a lot of benefits. The risk of surgery has been significantly reduced."
After trying out the actual effect of the steady knife technique, Zhou Can felt quite satisfied.
To be precise, he combined the steady knife method with the fast knife method, rather than just the steady knife method.
"Stay humble and keep practicing in this direction. I believe you will make greater progress." Director Hu Kan nodded slightly.
"What did you learn from watching Xiao Zhou perform surgery just now?"
Director Hu glanced at the other doctors.
Everyone was silent.
Xueyan's expression was that her brows were slightly frowned, her eyes were focused, and she was obviously thinking hard, repeatedly pondering Zhou Can's knife skills during the operation.
The operating room was cleaned up briefly, and after everyone had a short rest, the second patient was pushed into the operating room.
This is a cancer patient who had a lung cancer removal surgery a year ago. This time, the patient was found to have a tumor in his mediastinum. It has already caused interference to the patient and has some obvious symptoms.
As to whether this tumor is malignant, we are not sure yet.
Its unclear boundaries and the presence of blood signals indicate that the possibility of it being malignant is high.
The patient needs a mediastinal tumor resection.
This is a level 3 major surgery.
Zhou Can performed the operation again. The chief physicians of the cardiothoracic surgery department took care of Zhou Can and reserved this operation for him to practice and learn.
There are no shortcuts to advancement as a surgeon.
The best way is to accumulate practical experience and grow quickly by performing surgeries in the operating room.
Mediastinal tumors are divided into upper, middle and lower mediastinum.
The tumor was located in the superior mediastinum.
It is likely due to the metastasis of lung cancer. Generally speaking, the most common ways for cancer cells to spread are lymphatic spread, blood spread, and infiltration of adjacent organs.
Blood spread is not as scary as imagined, and not all blood spread will spread throughout the body.
For a cancer cell to enter the blood, it has to break through multiple barriers of the body.
Even if it enters the blood, it may be excreted through the glomeruli or sweat glands. It may also be found by the body's immune cells and killed and removed.
Even if it circulates through the blood and eventually spreads to other organs, if it wants to take root, it still needs to face the elimination of multiple immune mechanisms of the body.
Only when it finally escapes, it will have the chance to take root, replicate wildly, and eventually develop into a malignant tumor.
It must be said that any tumor that grows from cancer cells is definitely malignant and can never be benign. Regardless of whether the border is clear or whether there is a blood flow signal, these conventional methods of identifying the nature of the tumor are useless.
Only by biopsy or removing the tumor for pathological examination can its nature be determined.
Some patients, hoping for the best, think that everything is fine if they find that the border is clear and the blood signal is not obvious after the examination. In fact, this is a very dangerous practice.
Especially when seeking medical advice, if you encounter a young doctor, due to his lack of practical experience and consideration of surgical guidelines, he may hastily advise the patient to observe for a while.
This results in missing the best time for surgery.
The tumor diameter of this patient with mediastinal tumor was 4.6cm. After surgical evaluation, Zhou Can believed that minimally invasive surgery could be performed.
Generally speaking, if the tumor is less than 5 cm in diameter, minimally invasive surgery can be considered for removal.
Of course, this also depends on the doctor's surgical skills.
In a provincial-level top-level tertiary hospital like Tuya, there are basically no technical barriers. But in Zhou Can’s hometown, Xinhai People’s Hospital, it’s hard to say.
This is why patients like to go to big hospitals for surgery, even some first and second level surgeries.
They would rather wait in line for a long time or go to a faraway hospital to have surgery.
It's not that the patients are being hypocritical, but that everyone cherishes their lives. If you have surgery in a small hospital, you are likely to be used as a guinea pig for doctors to practice. If it goes well, everyone is happy.
If I don't do it well, then death will be the end of it.
I’m afraid that I’ll be half dead, which would be worse than death.
Zhou Can made rapid progress, always maintaining his vigorous and decisive surgical style. In less than forty minutes, the tumor had been successfully removed. Whether it was separating the tumor or stopping the bleeding, he was as fast as the wind.
Compared with the slow surgical style of cardiothoracic surgeons, he is definitely an outlier.
If Director Xue and others could watch Zhou Can perform surgery more often, perhaps it would change their surgical style, allowing them to pursue stability as well as speed.
At least, after watching Zhou Can perform two operations in a row, their desire for speed became much stronger.
From this point of view, Director Hu’s downfall is not entirely a bad thing.
In the past, Director Hu Kan was a god in the eyes of all doctors in the cardiothoracic surgery department and a kind of belief.
Everyone takes him as a role model and learns from him in everything.
As a result, almost all surgeons in the cardiothoracic surgery department have developed a habit of not being afraid of slowness but being steady when performing surgery.
This is actually very detrimental to the development of the entire department.
When only one flower blooms it is not spring, but when all flowers bloom the garden fills with spring.
Only when a hundred flowers bloom and each has its own characteristics can a department's development be vibrant.
Because some surgeons may not be suitable for Director Hu's slow surgical pace, but need to be compatible and match other styles.
Zhou Can achieved both speed and stability, which was equivalent to opening a new window for them.
Let them see a different world.
In the future, we will dare to break free from the shackles and make some new attempts.
