Chapter 501: Hell Level Difficulty, How Awesome is Level 6 Injection
Director Xueyan and other medical staff nearby looked very anxious.
At this moment, Vice President Ye did not leave the cardiothoracic surgery department, but sat in the office watching the live broadcast of "Brother Wang" on his mobile phone.
The number of online viewers has exceeded 80,000 and is still rising.
The comment section is filled with pessimistic remarks.
Many people were laughing at this young surgeon at Tuya Hospital, who started off strong but ended up failing. At the beginning, his puncture and guidewire insertion were amazing. But now, he was doing extremely poorly.
"With so many online viewers, it would be great if Xiao Zhou could perform this operation successfully!"
Vice President Ye secretly cheered for Zhou Can.
The influence of this live broadcast is beyond imagination.
Vice President Ye was not the only industry insider who was watching this live broadcast. President Zhu of Tuya even quietly entered the live broadcast room and was watching.
Needless to say, Vice President Zhang of the Third Hospital stared at the screen of his mobile phone without blinking.
Seeing Zhou Can trying to manipulate the guide wire through the occluded blood vessel and failing every time, he couldn't help but reveal a happy smile on his face.
The results are moving in the direction he expected.
"Even the Japanese experts in our hospital have failed, so it would be strange if this guy doesn't fail! But this guy does have some real skills, but it's a pity that we can't poach him."
Vice President Zhang personally approached Zhou Can to recruit him, so he recognized the surgeon as Zhou Can at a glance.
In addition to many bigwigs from the Third Hospital who were closely following the live broadcast of the operation, many famous doctors in the field of cardiothoracic surgery got the news and entered the live broadcast room to follow the progress of the operation.
Everyone wants to see what’s so special about this old hospital in Tuya?
Especially the cardiac surgery experts at the Imperial Capital Renhe Hospital. They challenged the failed surgery, and now someone else is challenging it, so they naturally have to pay close attention to the progress of the surgery.
"No, the forward path is impossible."
Zhou Can shook his head repeatedly.
His injection skills are level five, close to level six.
The implantation technique is almost at level six.
Both medical skills are at the deputy director level. He is fully capable of operating a guidewire through an occluded blood vessel from the front.
If you have tried and failed so many times, it means that this method does not work.
The patient's right coronary artery was a chronically occluded vessel, with severe calcification and blockages everywhere in the branches. It was extremely difficult to find a forward passage. In desperation, he could only find another way.
He repeatedly recalled the patient's coronary angiography images in his mind. Forward artery ...
A new reverse pathway took shape in his brain.
He first tried to find a new puncture point, and after the puncture was successful, he used a guide wire from the left coronary artery through the collateral vessels to the occlusion of the right coronary artery. The collateral vessels were also severely calcified.
Spots within the vessel wall pose a great challenge to guidewire passage.
In addition, the side branch blood vessels were very thin and tortuous, so the operation was once again in trouble.
The audience in the live broadcast room, including some professionals, were amazed again when they saw that he chose the reverse path.
Only a very small number of top cardiovascular experts can think of this kind of thinking.
Being able to think of it is one thing, being able to do it is another.
Those experts knew that the reverse pathway was at least three to five times more difficult to operate than the forward pathway.
The patient's internal blood vessel environment is harsh, so the operation will only be more difficult.
After Zhou Can tried the reverse access several times and still failed, Director Xueyan standing next to him sighed secretly. It seems that today's operation will most likely end in failure.
It is probably impossible to take advantage of this opportunity to make Tuya's cardiothoracic surgery famous again.
After the death of Director Hu Kan, experts in cardiothoracic surgery have been trying to revive the glory of cardiothoracic surgery.
Although the current business volume of Tuya Cardiothoracic Surgery is very good, in terms of reputation and the medical status of this discipline, it certainly cannot be compared with the era of Hu Kan.
The most stable scalpel in the past was like a mountain in the industry, and was admired by countless colleagues.
Zhou Can took a deep breath and tried his best to calm his mind.
Completing the operation with a normal mind is the key to its success.
Caring too much about gains and losses and success and failure can easily form an invisible shackle that restricts your hands and feet and prevents you from performing beyond your normal capabilities.
Reverse technology places extremely high demands on the surgeon. Not only does it require extensive clinical experience, it also tests the surgeon's touch.
The surgical guide wire is thinner than a hair, and every bit of resistance of the guide wire in the occluded blood vessel must be felt by hand. Passing the guide wire through tiny side branch vessels also requires very high skills from the surgeon.
Zhou Can is not unfamiliar with the word "feel".
In his surgical skills, many of the operations are very dependent on the feedback of hand feel.
For example, when cutting different tissues and depths during incision, the hand feel feedback varies. Only those with a certain level of technical skills can perceive the subtle differences.
At this time, the audience discovered that the surgeon performing the operation actually closed his eyes.
"Is he desperate?"
"It must be hopeless."
"I guess we'll soon declare the operation a failure!"
"If you don't have the skills, don't take on the job! It's embarrassing!"
"The car flipped over, haha!"
The audience's ridicule and gloating became more and more unscrupulous.
The Japanese experts from the Third Hospital and the cardiac surgery experts from the Imperial Capital Renhe Hospital all showed relaxed and knowing smiles.
This young man is very courageous and his surgical ideas are quite impressive.
But in the end, it still failed in the face of reality.
Young man, if you get beaten a few times you will learn to keep your tail between your legs.
Zhou Can closed his eyes and relied on the weak sense of his hands to control the guide wire. He seemed like a blind man, bumping into walls everywhere and unable to find a way out.
The more this happened, the more he gritted his teeth and refused to admit defeat.
At this time, the guide wire seemed to have made a little breakthrough and advanced less than 1 cm.
[Implantation experience +1, bonus experience +100. ]
[Injection skill experience +1, bonus experience +100. ]
Both medical skills will receive large experience points as rewards.
This is the first time this phenomenon has occurred.
The operation at this moment used both insertion and puncture techniques.
The essence of puncture is injection.
A smile inadvertently appeared on the corner of Zhou Can's mouth.
Even a small breakthrough would be a great encouragement to him.
Slowly, he manipulated the tiny guide wire, stumbling and searching for a way forward in the darkness, and made new breakthroughs again and again.
His operations became more and more confident and skillful.
It is better to fall down once than to be taught by others a hundred times.
To achieve technological breakthroughs, you still have to rely on your own understanding and practice.
Finally, he sensed that the guide wire seemed to have passed through the tiny side branch blood vessels and successfully reached the other end of the main artery of the right coronary artery.
“Wow, that’s amazing!”
"Successfully passed through the side branch blood vessel!"
There was warm applause and cheers in the operating room.
Everyone watched Zhou Can operate the guide wire and move forward bit by bit, and they instinctively clenched their fists . They wanted to help him, but they couldn't.
They could only stand by and watch helplessly. Everyone did their job well and gave Zhou Can the best assistance possible.
At this moment, seeing that this operation had made a major breakthrough, they were even happier than Zhou Can.
Zhou Can opened his eyes.
Just now, he was controlling the guidewire to break through the barriers and move forward. His experience in insertion and injection techniques was increasing.
"There's only one level left!"
Taking a deep breath, he decided to strike while the iron was hot and steered the guidewire through the occluded section of the aorta.
"No, the calcification is too severe, the blockage is too severe, it can't pass at all."
The operation was once again at a standstill.
The long guide wire is not as obedient as expected. When manipulating it through the blood vessels, it is like a toddler. And the puncture force is also very weak.
Zhou Can did not give up and kept looking for a gap to break through.
[Piercing skill experience +1, bonus experience +10. ]
[Congratulations on your advancement to level 6 in puncture skills. Your current experience on duty is 1,000,000, and you are at the junior level of a chief physician. You can perform extremely difficult punctures and injections.]
The fewer words there are, the stronger the power is.
The puncture is a simple operation. However, with the rapid development of medical technology and interventional surgery, the puncture has become more and more complicated. The difficulty has reached the limit of what humans can challenge.
At this critical juncture, the puncture technique was successfully promoted to level six, which was a timely relief for Zhou Can.
After his medical skills were promoted to the level of chief physician, he immediately had a different feeling when he looked at the blocked blood vessel. He already had the ability to analyze the nature of the tissue he touched by the faint feeling fed back by the guide wire.
It seems to have some connection with incision or separation.
Because the feel of the guide wire is fed back by the two medical skills, it is necessary to draw on the feedback from them, analyze and compare them, and finally know the nature of the tissue touched by the guide wire.
When dissecting a patient's body, one can clearly feel whether the scalpel is cutting blood vessels, nerves, cortex, muscles, fat, etc.
At this moment, injection has also evolved this ability.
By using a thin guide wire and repeatedly trying to puncture the tissue in front, we can find out its specific structure.
"This is a severely calcified spot, and it's quite large!"
Zhou Can immediately adjusted the guide wire to avoid the big spot.
Maybe he was hiding too far away, and when he felt the touch again, he found that this time it was a slightly smaller calcification spot.
The patient's arterial condition was truly terrible.
There should be some loose space between the two spots, and perhaps this is the only breakthrough point to pierce through.
Zhou Can controlled the guide wire and adjusted the speed to find the breakthrough point between the spots.
This process is not as easy as imagined.
Either it moves too much and pierces another spot, or it moves too little and fails to reach the edge of this spot.
He continued to accumulate experience, and was immersed in a state of extreme concentration during the operation.
At this moment, the number of people in the live broadcast room has already exceeded 100,000.
It has even risen to an incredible 280,000, directly ranking first in popularity.
It can only be described as horrifying.
The patient himself had never achieved such a good live broadcast result since he started live broadcasting. He was so happy that he smiled.
More and more big names in cardiac surgery and cardiovascular medicine are attracted here.
Even senior officials from health departments, entrepreneurs, relatives and subordinates of wealthy people accidentally watched the live broadcast. After entering the live broadcast room, they learned the whole story through comments.
After learning that Japanese cardiac surgeons from the Imperial Capital Renhe Hospital and the Third Hospital of a provincial city had performed cardiovascular interventional surgeries on this patient and all ended in failure, they became more interested in this operation.
Everyone wants to see how top cardiovascular surgeries are performed.
Zhou Can had no idea that he had become famous overnight and attracted the attention of countless audiences.
Some of the audience in the live broadcast room left after watching for a while because they had something to do.
However, people's instinct of curiosity will certainly drive most of them to pay attention to the results of the operation again the next day or when they think about it a few days later.
Therefore, the influence is far more than just the 280,000 people online now.
The traffic of Tik Tok is really terrifying.
The number of its active users is simply terrifying.
From children as young as two or three years old to old ladies and grandfathers in their eighties or nineties, everyone may become a viewer of short videos and live broadcasts.
Every time Vice President Ye saw Zhou Can make a major breakthrough in surgery, he would clench his fists excitedly and cheer repeatedly.
"Yes, it's right here. It's much softer than the calcified spots, so we can definitely penetrate it."
Relying on the feel of the guide wire and after unremitting efforts, Zhou Can finally found the breakthrough point.
The guide wire immediately punctured forward under his control.
brush!
It worked.
[Injection skill experience +1, bonus experience +1000. ]
This breakthrough was indeed very difficult and is a major breakthrough in interventional surgery.
The reward is 1,000 injection experience points, which is fair.
Don't think that the operation is successful just because you can get through it successfully.
not yet.
The guide wire advanced about 2 cm and got stuck again.
Through the feedback from the guide wire, he knew that there was another big spot ahead.
If this patient had come for interventional surgery earlier, his blood vessels wouldn't have been blocked like this. This surgery was dragged out to a level of hellish difficulty.
Zhou Can quickly adjusted the angle and direction of the guide wire and, relying on his successful experience, once again looked for the gaps between the spots, that is, the soft tissue for a breakthrough.
[Injection skill experience +1, bonus experience +100. ]
Another breakthrough.
The experience points awarded this time have been reduced tenfold.
Still quite impressive, up to 100 points.
In fact, his mind was completely focused on the operation and he had no energy to pay attention to these things.
After the guide wire successfully broke through two checkpoints, a head was successfully revealed at the other end of the occluded artery.
Suddenly, cheers and applause rang out again in the operating room.
In the live broadcast room, many big brothers began to give various gifts, including Carnival, Dragon Boy, etc.
"It's so cool, even though I don't understand it!"
"Support Chinese doctors !"
"Which hospital is the best for cardiac surgery? It has to be Tuya Hospital!"
"Next time my cardiovascular system is blocked, I will go to Tuya Hospital and ask this young doctor to clear it for me."
"How do you become an expert? I've witnessed with my own eyes that being an expert has nothing to do with age!"
"This is a true master!"
"Great God, please accept my knee!"
It is estimated that the speaker is a colleague. After watching Zhou Can's top interventional surgery, they bowed down in worship.
The comment section of the live broadcast room has completely changed its tone from the various taunts and insults it had not long ago.
That's how public opinion is.
Many people just follow the trend. On the Internet, because everyone is invisible, there is no need to be too cautious when speaking. As long as you feel happy, it's fine.
When we were children, we couldn't express our ideas clearly; when we grow up, we say things that are not what we mean.
This law must definitely be followed in reality, but in the virtual online world, everyone tears off their disguises and says whatever they want.
There is no such thing as cursing in your heart while saying nice things that the other person likes to hear.
“Finally the stent can be placed!”
An extremely happy smile appeared on Zhou Can's face.
The stent is carefully placed into the occluded section of the blood vessel, and then expanded to open the blood vessel.
[Implantation experience +1, bonus experience +1000. ]
The system was really generous and directly gave one thousand implantation experience points.
His implantation technique, at this critical moment, was directly pushed to level six.
