Chapter 503: Qianqian recovers, a persistent patient
Half an hour later, Zhou Can finished treating four other diseased cardiovascular segments for the patient.
During the implantation process, he gained a new ability.
In the past, whether it was the insertion of stents or metal rings, the most they could do was to deliver them precisely into the blood vessels or tissue locations.
During the operation just now, he could clearly feel that the stent was expanded to the optimal size.
When inserting a stent, in addition to overcoming the challenges of puncture, sending the guidewire from the femoral artery to the heart and large blood vessels, passing through the diseased blood vessel segment, and accurately placing the stent, there is another extremely important technical indicator.
That is the choice of the size and length of the bracket.
Generally speaking, depending on the different blood vessel segments, doctors can choose appropriate vascular stents based on surgical experience.
If the stent you choose is too large, it may easily cause blood vessel rupture or other unexpected problems.
If the stent is too small, the ideal surgical effect cannot be achieved, the lumen is still narrow, and the blood flow is affected. If the stent is too small, it may not be fixed well in the blood vessel and may shift.
Therefore, the size and length of the bracket are extremely important.
Before placing the stent, a drug-eluting balloon is usually inserted to expand the occluded blood vessel to achieve the ideal lumen diameter.
It is best to make the diameter of the diseased blood vessels close to that of normal blood vessels so as not to affect blood circulation.
Many of the technical requirements can only be experienced by the surgeon himself, and through continuous summary, gradual improvement can be achieved.
A good cardiovascular interventional surgeon can save patients a lot of pain. A doctor with inadequate skills may cause the patient to need a second drug-eluting stent expansion, stent problems, or even death.
After Zhou Can completed all the stent implantation operations for the patient, the patient's blood circulation had recovered to a very ideal state.
The heart rate returned to normal, the pulse became strong and powerful, blood circulation throughout the body was smooth, and especially symptoms such as chest tightness and fatigue were significantly improved.
"Okay, the operation was successful! Congratulations on your heart recovering. Please take good care of yourself in the future."
The operation was completed and Zhou Can breathed a sigh of relief.
Finally there is no Kuang Piao today.
There was no telling how many people in the live broadcast room hoped that he would fail, but it didn’t happen as they wished.
"Thank you, Dr. Zhou! Thank you!"
The patient thanked repeatedly with excitement.
Zhou Can was like his reborn parent, pulling him back from the brink of death.
"Dr. Zhou, many fans are asking, can you take off your mask and say hello to everyone? We all want to see the true face of a top heart surgeon."
"Okay!"
Zhou Can hesitated for a moment and agreed to the live broadcast audience's request.
He took off his mask and waved to the camera. "Hello everyone, I am the most ordinary surgeon in Tuya Hospital. Thank you for watching this operation. I am very happy to meet you all. If you have any cardiovascular problems, you are welcome to come to Tuya Hospital for treatment at any time. Of course, I hope that each of you can be healthy, and it would be best if you never need to come to the hospital for treatment."
This is a very well-stated statement.
He was very low-key when introducing himself. While promoting business for Tuya Hospital, he did not forget to stand on the audience's side and hoped that each of them could be free of disease.
This is the true embodiment of noble medical ethics.
Some hospitals even put up shocking slogans such as "Business is booming, money is flowing in." Other hospitals put up "warm" messages welcoming patients to come back.
What's more, at the internal meeting of the hospital, the slogan of doubling the business volume and striving to generate a certain amount of revenue was called for.
Without exception, these hospitals treat medical treatment as a business.
There is nothing wrong with hospitals wanting more patients to treat their illnesses and to generate more income in order to survive and increase the income of medical staff. However, they have violated the original intention of doctors and tied patients to making money, turning something that should have been sacred into a commercial act.
I believe that patients and their families must feel angry and disgusted by this behavior.
It’s just like the owner of a coffin shop, who looks forward to seeing someone die every day.
To put it bluntly, it is immoral.
Because Zhou Can's speech was very appropriate, it made the audience feel comfortable. Countless praises floated out of the live broadcast room, and some people kept giving rewards just to cheer for Zhou Can.
"Benevolent heart and benevolent skills!"
"As expected of a top surgeon, his medical ethics of wishing for a world without disease alone is enough to make people admire him."
"pay tribute!"
…
After greeting the audience, Zhou Can did not look at their comments, but left the operating room.
The entire operation took nearly three hours.
It's already eleven o'clock in the evening and it's time for him to go home.
Tomorrow will definitely be another beautiful day.
Tuya Hospital will surely become famous all over the world and create a wave of popularity in the country because of the great success of his operation today.
Vice President Ye, President Zhu and others must be in a very good mood at this moment.
When I came out of the interventional operating room, I didn't expect that Vice President Ye was standing outside the operating room waiting for me.
"Xiao Zhou, your performance tonight was very good! My promise to you will definitely be fulfilled, and you must continue to work hard and strive to become better and better."
He was waiting here just to praise Zhou Can and make a promise to him.
Of course, this is also an attitude.
Shows importance to Zhou Can.
"Thank you, Dean Ye, for your training! I will work hard."
Zhou Can gave a panacea answer.
…
When I got home from the hospital, it was almost eleven twenty.
This is because I live very close to the hospital. If I lived near Bajing Lake, I wouldn’t be able to get home before 12 o’clock.
After entering the room, Su Qianqian had considerately prepared pajamas for him to take a bath.
After taking a shower, she served a bowl of ginseng bird's nest porridge specially cooked for Zhou Can. Now they have no shortage of food and clothing, and their economic strength is strong. Su Qianqian sees that he is so busy and tired every day, and she also tries every means to stew various supplements for him.
"By the way, show me your physical examination results!"
After Zhou Can finished drinking the ginseng and bird's nest porridge, he remembered that Su Qianqian went to the hospital for a check-up.
Ask her to bring the test results over immediately.
"Give!"
She took it.
Long illness makes a good doctor.
She actually already knows how to read the test results. She only needs to look at a few key test data.
"Urine creatinine, urine protein, and urine sediment are all normal, the kidney morphology on ultrasound is normal, and the glomerular filtration rate is acceptable... Oh my God, it's really healed, it's really healed... That's great! Qianqian, your kidney disease is finally cured, Chinese medicine is really great!"
After reading the results, Zhou Can was incoherent and extremely excited.
Ever since he fell in love with Su Qianqian, her kidney disease has always been Zhou Can's biggest concern.
Now seeing the test results, he feels extremely happy.
I have paid so much to help her cure her illness.
As their relationship deepened, she had already become an inseparable part of his life.
What I fear most is that one day she will quietly leave.
With her personality, she is capable of doing such a stupid thing.
He was so excited that he hugged Su Qianqian and walked around in circles in the living room.
"Hehe... I want to get married, I want to have children for you, I can finally become a healthy and normal person again! I'm happy!"
Su Qianqian hugged his neck and laughed non-stop.
"Have a baby? Great, I'll plant the seeds today!"
Zhou Can held her and strode towards the bedroom.
"Bad guy, bad guy..."
Her hammer fell down, but it lost its power and her pretty face turned red.
The next day, Zhou Can woke up full of energy again.
It’s good to be young.
Occasionally indulge yourself for a night and you won't be affected at all.
Now that Su Qianqian's illness has been cured and they are both old enough, it's time to put the wedding on the agenda.
Zhou Can was in the critical stage of preparing for the postgraduate entrance examination, and his career was in a period of rapid growth, so he had almost no energy to be distracted by the preparations for the wedding. After discussing this matter with Su Qianqian, I'm afraid she will have to take care of it.
The two have been in love for several years and have been living together for several years.
But Zhou Can has never met the girl's parents.
Her family situation is special. She lost her parents when she was young and was raised by her uncle and aunt.
For such a big thing as marriage, it must be discussed with her uncle and aunt. This is also a kind of respect.
However, from some of her descriptions, it is not difficult to see that her uncle and aunt did not treat her as well as she imagined.
She was given food to eat when she was young, but she had to help with a lot of chores every day.
At a young age, she herded sheep and cattle, cut grass and boiled it to feed pigs, and helped work in the fields... My uncle's son and daughter basically didn't have to work. Every time she fought with my uncle's son or daughter for a toy or had an argument, no matter if she was right or wrong, she was the one who got beaten and scolded.
Whenever her uncle and aunt came back from a long trip, they would always hug their children first and never her.
Children without parents, living under the care of others, are often very pitiful.
It was this experience that taught her to read people's expressions from an early age.
As for studying, the country has done a very good job in providing free education.
For truly poor students, all kinds of fees can be reduced or waived.
Later, when she was in high school, she completed her three years of hard study in high school by working during the winter and summer vacations, as well as scholarships and public welfare funds that her teachers helped her to obtain.
To go to college, you have to apply for a national loan.
At the same time, she receives scholarships every year and also uses her vacation time to work part-time to earn money.
It can be said that her uncle and aunt gave her very limited care when she was a child. Apart from giving her food and letting her live at home, they did not take much care of her.
Of course, no matter what, if she had not been raised by her uncle and aunt when she was young, her fate might have been very tragic.
Now that she has money, she sends some money or buys some items for her uncle and aunt every year.
But she has never been back in the past few years.
Once, during the Chinese New Year, Zhou Can proposed to accompany her to visit her hometown and mention their relationship to her elders. She just shook her head and said that she would tell them after she got married.
I believe that even as an adult, she still clearly remembers the neglect and discrimination she suffered in her childhood.
All these things had chilled her heart.
This is also the main reason why she is unwilling to return to her hometown.
The wedding of the two was on the agenda, and no matter what, he would definitely accompany her back to her hometown. As for how she would repay her uncle and aunt for their kindness in raising her, Zhou Can respected her wishes.
He will always be her strongest support.
…
When he arrived at the hospital, his colleagues in the emergency department congratulated him with smiles.
The live broadcast of the surgery yesterday had an impact beyond imagination. Many colleagues in the hospital knew about it. Some people even happened to watch it and really felt how amazing Zhou Can's skills were.
The popularity of the live broadcast room at that time was extremely astonishing.
Zhou Can didn't think there was anything wrong. After a night, he had already returned to his normal state and was doing what he was supposed to do.
Make ward rounds and work in the operating room.
At present, among his several surgical skills, only ligation remains at the fifth level.
There is nothing we can do about this.
To advance from level 5 to level 6, one needs 100,000 experience points, which is not too much, but not too little either.
If you can only earn 1 point at a time, it is quite difficult to earn 100,000 experience points.
Ligation is not used as often as suturing, and the chances of getting a big reward are much less. This is why it has not been able to advance.
Zhou Can was also helpless about this.
The daily workload is very heavy. It is impossible for us to ignore other operations and perform random ligations on patients just to improve the ligation technique.
There was no patient willing to be his guinea pig.
Therefore, you can only let nature take its course and try to grab the chance to earn experience points for ligation.
They were busy until around 10:50 in the morning when a nurse came in to look for Zhou Can.
"Doctor Zhou, there's a patient outside who came to see you. He's waiting for you outside."
Under normal circumstances, when a doctor is performing surgery, nurses outside will not easily come in to disturb him.
The operating room itself is a relatively sterile environment.
There is a strict procedure for nurses from outside to come in.
"Tell the patient that I am in the emergency department every Friday morning. I have to do other work on weekdays and cannot see patients."
Zhou Can had no intention of going out to see the patient.
There are often patients who come to him specifically for medical treatment, but it is impossible for him to interrupt his surgery and go out to see patients.
Patients can only adapt to the doctor's working hours.
If doctors revolve around patients, then even if the hospital had ten times more doctors it would not be enough.
"I've already explained it to the patient, but he didn't listen. He even said he'd like to wait until you finish the operation before asking you to help him."
"This patient is really persistent! You can also tell him that it's the same if he sees other doctors. Everyone's treatment process is similar."
Zhou Can was also helpless when he encountered such stubborn patients seeking treatment.
Try to let the nurses do their ideological work.
"I've told him, but he insisted on having you see a doctor. Also, I think that man is not an ordinary person. When he was sitting outside waiting for you, two men in plain clothes were standing more than ten meters away from him."
"Okay, then you tell him that I may not be able to perform surgery until around 1 p.m. There are a lot of patients undergoing surgery today, and most of them are emergencies that need to be treated as soon as possible. You can also ask him to go ahead and come back to see me around 1 p.m."
Zhou Can had no choice but to agree.
When he encountered such stubborn patients, he would eventually agree to use his rest time to treat them.
When people come to him, it is a sign of trust in itself.
