Chapter 459: Level 6 Hemostasis Technique, Are Poachers Coming?
He has a very good relationship with Director Zhang Bihua of the Department of Obstetrics and Gynecology, so if there are any problems during the operation, he can seek help in time.
And he does have some selfish motives.
By challenging a surgery that you have never performed before, you will earn surgery experience points faster.
As his suture skills were promoted to the level of chief physician, he tasted the sweetness and yearned for the sixth-level medical skills. It was not enough to just promote suture skills to the sixth level, other medical skills had to keep up.
What he wanted to know more was, was medical skills reaching their peak after reaching level six?
If you can be promoted again, what level will it be?
He had just contacted the operating room and the anesthesia department, and the ultrasound results of the female patient came out first.
The walnut-sized gestational sac can be clearly seen, and it is located right in the middle of the fallopian tube, relatively close to the cervical opening.
"It's an ectopic pregnancy!"
After looking at the ultrasound results, Zhou Can further confirmed his diagnosis.
The gestational sac should normally be like a seed, rooted in the uterus. When it is not in the uterus, it is an ectopic pregnancy.
You are now in the fallopian tube, where the space is very narrow.
As the gestational sac continues to develop and grow, its size continues to increase, eventually causing the fallopian tube to rupture. During this process, the patient generally feels abdominal pain. If the bleeding is severe, blood will soon appear in the lower body.
The patient may even experience black blood clots when urinating.
Ectopic pregnancy is extremely dangerous when bleeding occurs, and the only way to treat it is surgery.
At this time, the anesthesiologist had already arrived. After a brief conversation with Zhou Can, she began to quickly conduct an anesthesia risk assessment on the patient.
Zhou Can talked to the family members.
In fact, there was no need to look for it. After the ultrasound results came out, the patient's condition was already very bad. His face was as pale as paper, his eyes became indifferent, his expression was dull, and his body was shaking constantly.
"Doctor, what's wrong with my daughter? Please save her quickly!"
The family members' tone was urgent and fierce.
"Please be mentally prepared. Your daughter has an ectopic pregnancy and her fallopian tube is ruptured and bleeding. She must undergo emergency surgery to save her life. After the anesthesiologist has evaluated her, she will be taken to the operating room immediately. Any further delay may put her life in danger. Her condition is very bad now..."
As soon as Zhou Can said the words "ectopic pregnancy", the family members' faces were full of disbelief.
"My daughter is still in school and I've never heard that she has a boyfriend. How could she be pregnant? You must have made a mistake. Ask an older doctor to come and help take a look."
The family questioned that Zhou Can was too young and the diagnosis was wrong.
"This is the ultrasound report. The results are very clear. Also, your daughter started dating a boyfriend more than two months ago, but she never told you. This is a letter she asked me to pass on to you. She's worried that she won't have the chance to talk to you again."
Zhou Can handed the letter to the family.
As a result, the girl's mother just took it, her body shook, and she collapsed to the ground.
"Ma'am, ma'am, are you okay?"
Zhou Can quickly asked about her situation.
If something happened to the mother and daughter at the same time , it would be a big trouble.
The girl's mother now needs to sign for the surgery.
“Ah… wuwuwu…”
The female family member burst into tears.
"It's all my fault. I'm the one who harmed my daughter! That motorcycle driver named Shi is a beast and a liar... wuwu..."
At this time, the blood test results have come out.
Girls' hemoglobin is only 65. Under normal circumstances, women's hemoglobin should be above 110.
According to the hemoglobin calculation, Zhou Can deduced that the girl was likely to have bled more than 1,500 ml, which was already very dangerous.
He did not panic, but quickly took out the consent form for surgery, filled in the girl's information, and asked the family to sign.
At this time, the family members looked like zombies.
Zhou Can asked her to sign, and she signed.
But she had to point out where to sign, because she had no way of reading the contents of the consent form on her own. Under the current circumstances, she didn't have time to carefully study the terms of the consent form.
…
Soon, the girl was pushed into the operating room, where she underwent fluid replacement, blood transfusion, anesthesia, and emergency surgery.
Zhou Can performed the operation, and Dr. Xu provided guidance.
After cutting open the abdominal cavity layer by layer, they soon discovered the bleeding point. The originally tiny fallopian tube was directly ruptured.
The arteries also ruptured.
The uterus was already full of blood, and a conservative estimate was that the amount of bleeding was over 2000 ml.
If it had been a little later, the person would have died.
He carefully and quickly removed the gestational sac, scraped it clean, repaired the fallopian tube, and anastomosed the broken artery...
The entire rescue process went surprisingly smoothly. Perhaps it was because Zhou Can’s surgical skills were now very strong, so he could handle all the tasks in the operation with ease, and nothing was particularly difficult.
After the operation, he breathed a sigh of relief.
Finally, the person was rescued.
This operation brought him 101 experience points for debridement, 11 experience points for incision, and 1013 experience points for hemostasis...
The biggest gain is the experience points of hemostasis.
This medical skill has already reached the peak of level five and is about to be upgraded.
After gaining so much experience points, as expected, he was successfully promoted from level five to level six, becoming Zhou Can's second director-level medical skill.
[Hemostasis, Level 6, current experience value 1/1000000. Junior level of chief physician.]
He carefully felt the difference of the director-level hemostasis technique.
In the past, when his hemostasis skills reached level five, he could sense more clearly whether the patient's bleeding had stopped. He could also accurately infer where the patient's bleeding point was based on the symptoms described by the patient, the color of the local skin, whether the patient had blood in the stool, whether the patient had vomited blood, and other symptoms.
For example, this time it was obvious at a glance that the female patient was bleeding heavily, thanks to the fifth-level hemostasis technique.
Now that this medical skill has been promoted to level six, there are several most obvious changes. First, when he is stopping bleeding for a patient, a variety of ways to stop bleeding will automatically appear in his mind, and then he will quickly select the most suitable method of stopping bleeding, or use a combination of multiple methods of stopping bleeding.
Compared with the previous level 5 medical skills, this ability should be considered an evolution.
In the past, when he encountered various bleeding situations, he needed to study carefully, think repeatedly, and weigh the pros and cons before choosing a method of stopping bleeding that best suits the patient's actual condition.
Now, it seems that I no longer need to think too much. I can naturally choose the best method to stop bleeding. It has changed from an ability and skill to a habit.
It's as simple as drinking water and eating. It doesn't require any effort at all. After repeated practice, all the skills have been mastered.
They evolved from skills to instinctive habits.
Second, after the blood vessels are anastomosed, it is necessary to loosen the hemostatic forceps or untie the silk thread that ligates the blood vessels to conduct a blood flow test to determine whether the blood vessels are unobstructed and whether there is bleeding.
As for detecting blood clots, we can only rely on angiography, color ultrasound and other methods.
Now, after the blood vessels are anastomosed, he only needs to take a look to roughly infer whether the blood vessels are well connected, whether the internal space is narrow, and even whether there is a risk of thrombosis.
Third , he now has to judge the patient's blood health by observing the patient's blood color, viscosity, clarity, bleeding rate, etc.
It certainly can't be as accurate as instrument detection, but he can basically estimate some important indicators to be almost correct.
This is a completely new capability that has never been available before.
In addition, he can not only accurately infer the location of the patient's bleeding points, but also know the bleeding conditions.
For example, if he were to diagnose this female patient again, he should be able to directly know her bleeding speed. Of course, this is based on the premise that he must check her lower body bleeding.
Female patients would definitely not easily let male doctors check their private parts.
Therefore, even if he encounters this situation next time, as long as the person is not unconscious, he will most likely only be able to obtain information about the bleeding condition by asking the female patient.
Zhou Can felt very excited after feeling the huge benefits brought by the sixth-level hemostasis technique.
Not only did his hemostasis ability improve after hemostasis was promoted, but it also had a qualitative improvement. He also discovered that after hemostasis was promoted to level six, there was a subtle connection between it and suturing.
It was as if there was an invisible thread connecting the two medical skills.
Whether diagnosing difficult diseases or performing complex surgeries, nowadays, it requires collaboration among multiple departments and teams. Zhou Can's hemostasis and suturing techniques have a subtle connection, which is equivalent to the two medical skills being able to collaborate with each other like two professional teams, making each other's professional capabilities stronger.
When suturing a wound, you can use the ability of hemostasis to know how to sew it for the patient's benefit. After suturing, you can even know whether there is slight bleeding inside, the blood flow of the wound, etc.
Conversely, when stopping bleeding for patients, some benefits can also be obtained by using the power of suturing.
The benefits brought by the cooperation between the two can be regarded as an extra surprise after acquiring a second level six medical skill.
Before this, all of his medical skills had been upgraded to level five, and this kind of ability had never appeared before.
He was thinking, what would happen if one day all medical skills were upgraded to level six?
By combining various medical skills, will he become the God of Life?
At least he will become a top doctor in the medical field!
You know, due to limited energy and time in a person's life, and different talents, almost no one has ever upgraded multiple medical skills to level 6 or above. Generally speaking, as long as two or three surgical skills are upgraded to level 6, they can basically sweep the operating room and become a very powerful chief surgeon.
As for medical skills such as pathological diagnosis and pharmacological differentiation, the difficulty of promotion will only be higher.
If you are promoted to level six in any one of the subjects, it is enough to become a famous doctor or expert in a large hospital.
…
After the female patient was sent out of the operating room, Zhou Can did not leave.
Qiao Yu and Ma Xiaolan began to quickly clean up the operating room in preparation for the next operation.
Zhou Can stayed in the operating room to treat patients all day except for lunch and going to the toilet. This was his daily routine. The current level of revenue generated by the emergency department was not achieved by chance.
Instead, it was Zhou Can's "core power" that was fully utilized and kept running, digesting a large number of surgical patients, and constantly creating a high reputation and winning the recognition of patients and their families, which gradually opened up the situation.
After get off work, he walked out of the operating room with a tired look on his face.
After a day of surgery, I am really tired.
"Doctor Zhou, can I spare you a few minutes?"
A middle-aged man seemed to have been sitting outside the operating room waiting for him for a long time. The man looked extraordinary, with a calm and shrewd look in his eyes and a comfortable smile on his face.
"Whatever you want, just tell me!"
Zhou Can secretly guessed that this person might be a family member.
"Here's my business card! Would you mind going somewhere else to chat?"
The man did not say why he was here, but took out a business card.
After Zhou Can took it, he saw that it read "Deputy Director of Operations of the Third Hospital, Zhang Mingxing".
Someone actually gave it this name.
What surprised Zhou Can even more was the identity of this person. He was from the Third Hospital and was the vice president.
He was really flattered that the vice president could come in person and wait for him outside the operating room.
You can almost guess this person's intention with your toes.
When Xinxiang Hospital recruited him, it was almost the same routine. Director Tian of Xinxiang Hospital talked to him a lot, but was rejected by Zhou Can in the end.
As he worked longer and longer at Tuya Hospital, he gradually came to regard it as his "home".
He has familiar people, his unique stage, and his favorite learning and working environment.
In Tuya, he is growing almost every day.
The hospital's top management also took good care of him. In other words, this was a good talent training mechanism.
It is estimated that Zhou Can is not the only one who has received care. Other young doctors and nurses with outstanding performance have also been taken care of. They have their own development space and can enjoy good training.
It includes one-on-one teaching, as well as learning and practice of clinical practice, as well as improvement of scientific research and academics, etc.
All systems of Tuya Hospital are quite complete and healthy.
As for problems with the Security Department and the General Affairs Office, these kinds of things happen in every hospital.
A hospital with thousands or even more than 10,000 employees cannot guarantee that everyone is above the ordinary. Most of them are from ordinary families who need to earn money to support their families and work hard to climb up the social ladder to prove their worth.
Once they have status and power, if the conditions are right, some people will inevitably have some crooked thoughts and try to make some extra money secretly.
As long as it is not too excessive, this is a common social phenomenon.
Be it the higher authorities or the hospital management, they basically turn a blind eye to such matters.
When the water is too clear, there will be no fish.
If you really strictly follow the rules and regulations, the capable people will just run away and change jobs, leaving behind a bunch of "ordinary employees" with mediocre abilities, and those who stay may not necessarily be honest.
The money has been delivered to your hands, and it is not a bad thing to do, so there is no reason not to take it.
Besides, if someone really goes too far and does something seriously illegal, then he is basically courting death.
For example, Chief Mi of the Security Department had a very comfortable life, but he was determined to commit suicide and even set his sights on the clinical department. Moreover, with all kinds of unscrupulous demands and retaliation, it would be strange if there were no problems.
Even if Zhou Can hadn't sent him in last time, someone else would still have dealt with him.
Those who do evil will eventually perish, this is by no means an empty saying.
After Zhou Can guessed the purpose of Vice President Zhang Mingxing, he made a quick decision in his mind.
"If Dean Zhang has anything to say, it's the same if you just say it here. Of course, if you know I won't agree to something, it would be best if you don't say it."
Zhou Can's words were already a tactful refusal.
I believe that Dean Zhang should be able to hear the hidden meaning.
