Chapter 461: Expecting a good result, level 6 debridement
After the ward rounds, he looked up and saw two women sitting in the rest area of the emergency room hall.
Su Qianqian was wearing sunglasses and a loose coat, sitting there quietly waiting for him.
"Qianqian, Weifang!"
Zhou Can walked over quickly. Wei Fang stood up and walked away, leaving space for Zhou Can and Su Qianqian.
"I know you have to work overtime tonight, so I specially prepared food and sent it over. Three dishes and one soup, please try it!"
Now they live very close to the hospital, and Su Qianqian takes care of Zhou Can in every possible way.
It has become her normal routine to prepare meals and deliver them to the hospital.
Even if she was busy at work, she would always find a way to make sure Zhou Can had nutritious and delicious meals. She believed that the meals in the hospital cafeteria were unhygienic and far less nutritious than the recipes she carefully prepared.
Zhou Can really likes the food she cooks.
"I'm going to wash my hands!"
He ran to wash his hands, then opened the food box and started eating.
"Eat slowly! No one is trying to snatch it from you!"
Su Qianqian watched him wolf down the food and would always nag him.
When colleagues saw this, they always envied Zhou Can for having such a considerate and gentle girlfriend.
The two of them really showed their colleagues the beauty of love.
"It would be nice if you had a separate office someday. I could deliver the meal directly to your office."
Su Qianqian felt that people kept looking at her with curiosity or strange eyes, and she felt a little uncomfortable. It might be because she was a public figure.
Moreover, eating in the emergency room is a bit worrying in terms of hygiene.
Patients who come here for treatment have a variety of illnesses, including infectious diseases.
"In our emergency department, only Director Lou has this treatment. Even Director Han and Director Niu Lan don't have their own offices. Forget it now."
Zhou Can never cared much about these things of enjoyment.
"By the way, did you take your medicine on time today?"
Last time, Zhou Can managed to collect all the medicines needed for the prescription for her, and then boiled the medicine for her to drink.
In about half a month, you can complete a course of treatment.
This medicine is not taken every day, but once every seven days.
"I'm so touched! You're so busy every day, but you always remember when I should take the medicine. Don't worry, I've already boiled it at home."
Su Qianqian’s kidney disease has always been the top priority for both of them.
"You should be able to see the effects by the end of this month. I hope God won't torture you any more. You are such a beautiful person with a kind heart, how can I bear to do that to you!"
Zhou Can especially hopes that she can recover soon.
She looked calm on the surface, but in fact she was very nervous and even a little anxious. Zhou Can still remembered to find all the main herbs, boil them and give them to her. She had trouble falling asleep for several nights.
This was not a side effect of the medicine, but she was too eager to cure her kidney disease, and was worried about gains and losses, with too many concerns, excitement and anticipation.
"Haha, am I as good as you say?"
After being praised by Zhou Can, she smiled so much that her eyes narrowed into slits.
"Of course I do! In my mind, you are one of the most important people in the world, and the most beautiful and clean girl. Clean mind, clean soul, clean heart, and clean body."
Zhou Can continued to praise her seriously.
"Oh, alright, alright, eat your meal! Just listening to this is giving me pregnancy reactions!"
She was overwhelmed by the constant praise.
"That's perfect. When you get better, we'll make two babies!"
Zhou Can was just making a joke, but it made her blush.
"You're going to die! Saying these things here!"
She glared at him fiercely, and was so embarrassed that she didn't dare to look up at him.
The two of them would actually play around and joke around on weekdays, and their relationship had always been stable. Their conflicts had never lasted more than a day. Usually it was either Su Qianqian who coaxed him or Zhou Can who coaxed her.
After finishing his meal, Zhou Can stood up.
"Okay, hurry back! I don't think I'll be home until eleven or twelve at night, so be careful on the road!"
He gave Su Qianqian a hug.
"Bye-Bye!"
After Su Qianqian separated from him, she waved goodbye, picked up the insulated box and left with Wei Fang.
…
Cardiothoracic Surgery Department. Zhou Can, who had just finished dinner, rushed to the cardiothoracic surgery operating room.
The patient is already lying on the operating table and has completed anesthesia.
Before the operation, Director Xueyan had confirmed the time with him. When he arrived, it was just in time.
"Zhou Can, this is the patient's information, you can take another look!"
Yesterday, Zhou Can was invited to the cardiothoracic surgery department for a joint consultation on this patient's condition, and the surgical plan was discussed. This patient had a more difficult case of chest wall tuberculosis, which had formed abscesses and sinus tracts in the chest cavity.
The operation is complex and quite difficult.
During the consultation, Director Xueyan, Director Le and others all unanimously requested that Zhou Can be the lead surgeon.
This kind of difficult extracardiac surgery, especially when it requires the removal of lesions such as sinus tracts and abscesses, can easily lead to chest infection if the operation is improper, or the lesions are not cleaned properly, causing the disease to recur and further deteriorate.
As for other surgical risks, they have to be calculated separately.
For example, during the thoracotomy, a large blood vessel may be accidentally injured, causing heavy bleeding. Or an important nerve may be injured, causing sudden cardiac arrest or abnormality. Another example is that after the chest cavity is opened, the patient's special physique cannot adapt to the open chest environment, causing cardiac arrest, etc.
There are too many risk factors involved.
This is why all open-heart surgeries are considered level 4 major surgeries.
No matter where you operate on the patient, as long as you open the chest, it will cause great harm to the patient.
Then an accident occurred during the operation and emergency rescue was required, and every second counted.
Not to mention the resident and attending physician levels, even the general associate chief physicians would be in a panic and panic.
Sometimes, patients suddenly suffer from cardiac arrest, and doctors may only have two or three minutes to rescue them. In this case, if the surgeon does not have a strong psychological quality, rich surgical experience, and strong professional knowledge, the rescue will most likely fail, and the patient will die on the operating table.
Even an excellent chief physician like Director Xueyan has made such mistakes, let alone ordinary deputy chief physicians.
It is no exaggeration to say that it takes at least a dozen years to train a surgeon in cardiothoracic surgery.
Many low-key cardiothoracic surgeons still feel like novices even after working for more than ten years. To qualify as a chief surgeon, one must have worked for 17 or 18 years, or even more than 20 years.
The training period for neurosurgeons is similar.
It only took Zhou Can a few years to achieve surgical skills that would take others twenty years to perform. This should be unprecedented .
"I've read the information, there's nothing wrong. Routine disinfection, drape laying, let's get started!"
Since it had been agreed that he would be the surgeon, he did not refuse at all.
There was no stage fright, and after washing his hands, he asked the nurse to help him put on his surgical gown and disposable sterile rubber gloves, and he stood directly on the operating table.
Because everyone is already familiar with his skills, and has also witnessed Zhou Canru's heroic performance in turning the tide in various major operations.
So, everyone thought it was normal for him to take the lead.
Many people even felt particularly reassured when they saw Zhou Can personally perform the surgery.
Because Zhou Can was very calm during the surgery, he was able to respond quickly even when some unexpected situations arose, and the situation was ultimately resolved.
"Sister Yan, I'm going to make a skin incision along the ribs with the abscess as the center. Is that okay?"
"It's fine! You can just go for the surgery, no need to ask me for permission."
Director Xueyan looked helpless.
In terms of surgical ability, Zhou Can has far surpassed her in many aspects. As for the flexible use of surgical techniques and various surgical experiences, Zhou Can is also much better than her.
At the beginning, she and Zhou Can studied cardiothoracic surgery together with Director Hu Kan, and she even studied for much longer.
However, she is not as good as Zhou Can in the flexible use of surgical techniques and understanding of various surgical key points.
"Isn't the cardiothoracic surgery department in a critical period? I was worried about accidents, so I discussed this with Sister Yan."
Zhou Can answered while concentrating on the operation.
He quickly made a fusiform incision along the center of the abscess.
"No, there's too much pus in there. We need to drain it out first to relieve the tension! Give me an empty needle!"
He handed the scalpel to the instrument nurse, and then asked for an empty needle to directly puncture the abscess site.
Director Le served as his assistant.
Help to drain the pus.
"Hey, this is really a case of the meat is not in the folds! From the outside it doesn't look like there is much pus, I didn't expect so much to be drawn out."
Director Le said in surprise.
"Fortunately, Zhou Can discovered the problem in advance, otherwise the pus would flow out when the muscle layer was cut, which would definitely contaminate the incision."
Director Xueyan also felt thrilled.
The incision becomes contaminated with pus, which increases the risk of infection.
It is a taboo in cardiothoracic surgery.
"Director Le, have you finished smoking?"
Zhou Can kept his eyes on the patient's diseased area and pressed it gently with his hand. He felt that it should be about right.
"Wait a little longer. There is too much pus. Draining it thoroughly can reduce the chance of contamination of the incision."
After some effort, Director Le managed to drain most of the pus.
"Okay, we can continue."
Zhou Can signaled Director Le to remove the needle used to drain the pus, and then without turning his head, he said to the instrument nurse, "Vascular clamp!"
The instrument nurse is also considered an experienced surgical nurse and has performed many cardiothoracic surgeries.
When she heard Zhou Can asked for a hemostatic forceps, she was stunned. "You want a vascular clamp, right?"
This means to confirm with the surgeon.
Because according to her understanding, what should be needed now is a scalpel to continue cutting the skin and muscle layer of the lesion area.
“That’s right!”
Zhou Can confirmed.
The circulating nurse was instructing the instrument nurse, "Doctor Zhou is preparing to bluntly separate the muscle layer and enter the abscess cavity!"
"Ah... So that's how it is! I thought I heard it wrong. I clearly didn't see any ruptured blood vessels, so why do they suddenly need a vascular clamp?" The instrument nurse's eyes were full of smiles, she had learned new knowledge.
The trainee nurses and doctors watching in the audience were all learning silently, and some were quickly taking notes.
Some even tiptoed to see clearly how Zhou Can operated.
Many nurses, even interns and trainees, may only have the opportunity to enter the operating room and watch the surgical process now. They may never have the opportunity to enter the operating room again in their lifetime.
Gaining more knowledge now will definitely be helpful to them in their future work.
The instrument nurse admired the circulating nurse's rich knowledge and was even more impressed by Zhou Can, the surgeon. Zhou Can was about the same age as her, maybe even a year or two younger, but he was already able to stand on the operating table and perform surgery.
Calm and composed, elegant and graceful.
The gap between people is really huge.
Zhou Canke didn't have time to pay attention to the surgical nurse's thoughts. He took the vascular forceps she handed over and began to bluntly separate the muscle layer at the lesion site.
[Separation skill experience +1, bonus separation skill experience +100. ]
This unique separation method brought Zhou Can an unexpected little surprise.
The reward is 100 experience points, which is a very good gain.
After two medical skills were promoted to level 6, he saw that those two medical skills needed one million experience points to be promoted to the next level. Looking at the 100,000 experience points required to upgrade these level 5 medical skills, he no longer felt that it was that difficult.
Especially during various complex surgeries, you can often get 10 or 100 surgical experience points as rewards, making upgrading easier.
The most he has ever received is 10,000 experience points.
After all, this kind of good luck is only rare and can only be encountered by chance.
Not to mention the huge experience value reward of up to 10,000, but even a 1,000 experience value reward is hard to come by.
He operated the hemostatic forceps, carefully tore open the muscle layer about one centimeter, and entered the abscess cavity.
"Attractor!"
This time, the instrument nurse did not hesitate. She quickly removed the hemostat and replaced it with a suction device for him.
Originally, the pus suction work at this time could be handed over to Director Le, but Zhou Can was envious of the experience gained in debridement, so he did it himself.
The pus in the abscess cavity was sucked out, and as expected, 101 points of debridement experience were earned.
During the operation, he felt that the experience points for debridement should be one of the easiest to earn.
[Your debridement skills have been promoted to level six! ]
Unexpectedly, at this critical moment, debridement surgery was promoted to level six.
It became his third director-level medical skill.
He happily felt the benefits of the sixth-level debridement, and his heart was as happy as if he had drunk honey.
Compared with the fifth-level debridement, he clearly felt that the debridement had been promoted to the sixth level, which was an indescribable feeling. For example, when removing the abscess and sinus tract, he knew how to cut at a glance, and the depth and width of the cut could be naturally reflected in the brain.
He could clearly visualize the blood vessels, nerves and various tissues around the wound in his mind.
It feels like my entire brain suddenly has an additional function - a scanner.
It can directly scan the lesions and surrounding tissues like an extremely precise magnetic resonance imaging device.
He could even infer the direction and depth of the sinus with relative accuracy.
Perhaps because he had just been promoted to level 6 and was still at the junior level of chief physician, he was unable to judge whether there were any twists and turns in the sinus tract.
I guess we’ll have to wait until debridement techniques are further improved before we’ll have that capability.
Even so, it was already very good for him.
"The upgrade of debridement is just in time! It will allow me to perform this operation better."
At this moment, the pus in the abscess cavity has been sucked out.
He changed the scalpel and cut the muscle layer and the abscess cavity wall along the incision direction.
During this process, level VI debridement brought him great benefits.
If you cut with the knife with god's skill, you don't have to worry about cutting crookedly or cutting too little.
It can be as precise as an instrument.
