Chapter 424: Cardiothoracic Surgery is strong, Lingchi separation method
Having tasted the benefits of having Zhou Can participate in major operations, Director Xueyan has become addicted to it. As long as she feels, after evaluation, that an operation is risky or a cardiothoracic surgery is difficult, she will definitely ask Zhou Can to help.
However, she does not accept all patients for surgery.
For some patients whose surgeries are too difficult or risky, they are either tactfully persuaded to leave or go to other hospitals to cause trouble.
Either give the patient conservative treatment.
In fact, conservative treatment has always existed even when Director Hu Kan was alive.
Director Hu Kan was a steady man who never took on an operation he was not sure of. In his later years, he took that risk and ended up having a heart attack. It can be seen that it is a high-risk thing for doctors to treat patients.
Doctors only dare to use risky treatments if patients and their families have a high degree of trust in them.
Zhou Can walked all the way to the cardiothoracic surgery department. He could feel that the atmosphere here had obviously improved a lot.
The nurse's face was no longer so cold and ugly, and there was a hint of smile on her face.
When carrying a basin or walking empty-handed, your steps are brisk.
In the past, they walked as slowly as old ladies in their seventies or eighties.
In addition to the nurses' work attitude becoming more positive, friendly and enthusiastic, the doctors' mental outlook has also changed. It's past seven o'clock now, and when he passed by the office just now, he saw the cardiac and thoracic surgeons gathered together to discuss the patient's condition and discuss the treatment plan.
This is a very good phenomenon.
You know, in the past, cardiothoracic surgery was nominally a department, but the doctors in the department were clearly divided into at least two camps.
One camp consists of doctors who specialize in cardiac surgery, and the other camp consists of doctors who specialize in thoracic surgery.
You ask what to do if a doctor is good at both cardiac and thoracic surgery?
Such people are either forced to choose sides or be caught in the middle and remain neutral.
It was this split that caused the entire department to be divided into at least three camps, which seriously weakened the department's strength.
After Director Hu passed away, the thoracic surgery camp was headed by Deputy Director He. The cardiac surgery camp was headed by Directors Le and Xueyan. Meanwhile, some people in the neutral camp supported Director Xueyan, while others supported Deputy Director He.
The time when Director Xueyan's surgery failed and the patient died on the operating table was probably the lowest point in her life.
Even many doctors and nurses who originally supported her quietly turned to support Deputy Director He.
But now, under the strong matchmaking of Zhou Can, the "troublemaker", the cardiothoracic surgery department has become a united force. There is no longer any distinction between camps.
Doctors and nurses from three camps: thoracic surgery, cardiac surgery, and neutral surgery, all began to integrate into this big family.
Solidarity, mutual assistance, knowledge sharing, friendly learning and joint discussion have gradually become common phenomena in cardiothoracic surgery.
This phenomenon is also what Zhou Can is happy to see.
Despite the severe external suppression and encirclement of Tuya Cardiothoracic Surgery Department, and despite the fact that the diagnosis and treatment business of the department is still shrinking, Zhou Can is very optimistic about the future of this department.
As long as there is internal unity and solidarity, and strength in all aspects is improved and shortcomings are gradually made up, there is no need to worry about competitiveness.
In the operating room, in addition to the two familiar faces of Director Xueyan and Deputy Director Lu, Deputy Director He was also there.
This really surprised Zhou Can.
"Doctor Zhou, we're waiting for you!"
Deputy Director He was the first to speak.
"I'm sorry, I'm sorry. There were a lot of patients in the emergency room today, so I was a little late for surgery." Zhou Can quickly apologized.
"Since Dr. Zhou is here, let's get started!"
When Director Xueyan saw Zhou Can, a happy smile appeared between her eyebrows.
She also didn't expect that after her mentor passed away, the person who could give her a sense of security and make her feel reassured during the operation would be this 'junior brother' Zhou Can.
"Didn't Director Le come today?"
After Zhou Can glanced around, he did not see Director Le.
"He has been very tired these past two days. The second operation is a heart surgery, and he will be responsible for some important parts of the operation. In order to perform the operation in the best condition, he is now catching up on his sleep in the duty room. When the second operation starts, go and call him to perform it."
Director Xueyan replied.
"Director He, thoracic surgery is your forte, so you should be the lead surgeon!"
Xueyan looked at Deputy Director He.
"No, no, no, I'm just here to be your assistant. When you get old, you have to accept your age. I'll retire in a few years, and you have the best surgical talent in the department. As long as you practice more, you will definitely be able to perform both cardiac and thoracic surgeries like Director Hu in the future."
Cardiothoracic surgery is a comprehensive department.
It is extremely rare to find someone who can perform both cardiac and thoracic surgery.
Currently, only Director Xueyan can reach the director level. Of course, if Zhou Can is from the cardiothoracic surgery department, then his talent is even more monstrous than Director Xueyan.
Not only is he good at thoracic and cardiac surgery, but he is also capable of interventional and endoscopic surgery.
This is truly top surgical talent.
Looking at the entire field of cardiothoracic surgery, there are not many surgeons who can perform thoracic or cardiac surgery well, not to mention the rare talents who can perform so many types of surgery at the same time.
We are all mortals. In fact, there are many cardiothoracic surgeons, even those at the deputy director level, who are proficient in surgical skills in a certain sub-field of thoracic or cardiac surgery, which is considered very good.
For example, some people are good at lung surgery within thoracic surgery, and lung surgery can be further divided into multiple sub-fields such as lung lobes and lymph nodes.
Lymph nodes may seem simple, but in actual cases, they can be very strange.
There are all kinds of situations.
It is not easy to master various types of lung lymph node surgeries.
In short, the growth of a surgeon is much more difficult than one might imagine. It requires talent, chance, opportunity, personal effort, and a good teacher.
Deputy Director He gave the opportunity to practice surgery to Director Xueyan and was willing to serve as her medical assistant. This actually sent a signal.
He really gave up his ambition to compete for the position of department director.
The operation started quickly. It was a liver tumor removal operation.
The liver is called the most silent organ.
It is like a man, silently working for the body, breaking down various enzymes, and helping the body to silently remove various toxins and harmful substances. It is very similar to the male owner of a family.
When it is sick, it remains silent.
Because there are no pain nerves in the liver.
There are only a few pain nerves distributed on the liver capsule on the surface of the liver. This also creates a very bad phenomenon. When the liver is sick, it is difficult for the body to warn.
Pain signals are often the body's high-level warning signals and are most easily detected by the human body.
It is fortunate that this patient still has the opportunity for surgery.
Many patients with liver tumors, especially malignant tumors, are often diagnosed in the late stage.
Liver cancer just has a lower incidence rate.
Its notoriety is actually no less severe than that of pancreatic cancer, the king of cancers.
Director Xueyan is actually quite good at thoracic surgery, and her level is already very high. However, her mastery and understanding of steady knife techniques are not particularly deep. Therefore, when faced with some difficult anatomical parts, such as separation and resection, she easily encounters difficulties.
From her careful attitude during the operation, it can be seen that she has gradually acquired the style of Director Hu Kan in terms of prudence and steadiness.
As time passed, the operation soon reached the most critical part.
The tumor is very close to large blood vessels, making separation extremely difficult.
She tried to challenge it again and again, but failed in the end.
Frustration had begun to show in her eyes.
"No, this separation is too difficult. I almost ruptured the aorta just now."
Because of nervousness, the circulating nurse had wiped her sweat many times.
At this moment, her hands began to tremble slightly.
"Don't use the electric knife, use a regular scalpel!"
Zhou Can was standing by and watching the battle.
Deputy Director He also looked calm, and it was obvious that he should be confident that he could complete the key part of this operation.
However, this kind of thing is hard to say. It is easier to see things than to do them, and people’s estimates are often prone to errors.
Everyone has pride and arrogance, even the most mature ones.
So it is easy to overestimate your own strength.
Whether Deputy Director He can successfully complete the separation of this location will only be known after he tries it himself.
When doctors perform internal dissection, they usually choose electrosurgical knife.
It is not only easy to operate and labor-saving, but also has a self-hemostatic effect. After the operation, the patient will recover faster.
Of course, if you are comfortable using a traditional scalpel, that is also possible.
It’s just that people want to save time and effort, so they use more convenient electric scalpels. As a result, traditional scalpels are gradually being phased out from most surgeries.
"With a regular scalpel?"
Xueyan looked at Zhou Can.
"right!"
Zhou Can nodded slightly.
"Change the knife, I'll try again!"
Director Xueyan had absolute trust in him. Without asking any more questions, she directly asked the instrument nurse to switch to a traditional scalpel.
"Do you still remember the steady knife separation method that Director Hu taught you?"
Zhou Can asked her.
"Yes, I remember. Whenever I have time, I keep practicing and I can operate it skillfully, but I can't reach a particularly precise level."
After Director Xueyan changed the knife, she looked at the surgical site again.
There was no rush to cut.
She knew that Zhou Can asked her to change the knife at this critical moment and would definitely give her some guidance.
"Use the ancient torture method, lingchi, to separate this . Remember, use the knife in your hand as if it were a blunt knife. As long as you can use it to feel like a blunt knife cutting flesh, I can guarantee that you can successfully complete the separation. Don't worry, even if a large blood vessel is really ruptured, I am confident that I can stop the bleeding and repair it in the shortest possible time."
Zhou Can was giving her a reassurance. Only in this way could she let go.
Being too nervous and having too many concerns will definitely affect your performance.
"good!"
She was ready to cut.
But he still looked a little nervous.
"Of course, you can't really rupture the patient's major blood vessels just because I promised you to do it. After all, I'm just a novice, and I can make mistakes at times."
Zhou Can's words made her burst out laughing.
"Hey, this is a level 4 major surgery, can you please be serious?"
Director Xueyan scolded angrily.
"Sorry, I just saw that you were too nervous, so I wanted to make you laugh and ease your nerves. Now we can start the operation."
Zhou Can responded with a smile.
Other people in the operating room knew that the two of them were like siblings and had long been accustomed to their intimate way of communication.
In fact, love is not necessarily necessary for men and women to be intimate with each other.
It could also be family affection, or cooperation to achieve the same career goal, or like Director Zhou Can and Director Xue Yan, who have the friendship of senior and junior sisters and the same career goal and work hard for it together.
In addition, there is a grateful heart that is grateful to each other.
Director Xueyan helped him, and he also helped Director Xueyan a lot.
As they continue to interact, their feelings for each other will naturally deepen, and they will eventually become close friends and siblings.
Director Xueyan began to separate the patient's liver tumor tissue from the arterial adhesion part according to Zhou Can's instructions.
You can tell that she is no longer that nervous.
As she cut slowly, one knife at a time, she gradually got into the state.
The mastery of separation techniques in the steady knife method is also constantly strengthened.
Actual combat is the only way to quickly improve your level.
Her progress is even visible to the naked eye.
When Director Hu Kan chose her as the department director, in addition to her suitable character and personality, her surgical talent was also a major consideration.
After more than forty minutes, the patient's liver tumor was successfully separated and then removed.
Director Xueyan's eyes were full of excitement.
She also became more confident.
The other members of the surgical team were also happy about her improved surgical skills.
The stronger the leader, the greater the benefits they can get.
Everyone will benefit.
Another half an hour passed, and the first operation was successfully completed. The liver tumor removed from the patient was sent for pathological examination. The patient was observed on the operating table for more than ten minutes, and after his vital signs remained stable, he was sent to the recovery room for further observation and awakening from anesthesia.
After the first operation, Deputy Director He went home after get off work and was replaced by Director Le to participate in the operation as an assistant.
…
When the two operations were finished, Zhou Can looked at his watch and it was already 11:30 in the evening.
The days are really dark and gloomy.
Going to the hospital in the morning under the light and returning home under the starlight at night, studying medicine is really hard.
Every great doctor has gone through countless hardships and grown up slowly.
If he is given enough time to grow, he may become the best surgeon in the country, or even in the world.
What can truly save lives is surgical skills.
Although internal medicine can also save lives, it is still far inferior to surgery.
In many scenarios, internal medicine is powerless.
Take the most common cerebral hemorrhage for example. Medical doctors use anticoagulants to lower the patient's blood pressure and ensure that the patient's breathing and heartbeat are maintained normally. However, the hope of saving the patient is still extremely low.
Even if they are rescued, they will most likely become vegetative or paralyzed.
The surgery was much more straightforward, and they directly performed a craniotomy to repair the blood vessels and clear the blood clots in the brain. The patient recovered well, was discharged after a period of hospitalization, and was able to lead a normal life.
Therefore, when it comes to life-saving methods, surgery comes first.
The next morning, when Zhou Can arrived at the hospital, he saw a patient with extensive burns and large wound rot who was sent for emergency treatment as soon as he arrived at the emergency room.
The doctor in the emergency department had already examined the patient and didn't dare to admit him.
I contacted the specialist department, and the director came in person, took the look, shook his head and left.
