Chapter 507: The nerve center is still a restricted area, the terrifying live broadcast effect
After hearing about the patient's condition, Zhou Can fell silent.
Just as he thought, the patient's nerves were damaged during the operation.
There are not many nerves that can cause paralysis in patients , and they are mainly concentrated in the cervical spine and spine. In addition, there is no need to mention the nerve center in the head.
If the nerve center is damaged, it may not only cause paralysis but also directly lead to the patient's death.
This surgery could be called the ceiling surgery in this field. Zhou Can secretly guessed that it was possible that the nerve center of the cervical spine or even the brain stem was accidentally injured.
"Teacher, where did the tumor of that patient occur?"
"head!"
Dr. Xu only answered with two words.
There is a most direct criterion for determining the risk level of surgery: the higher the level, the greater the risk.
The surgical risk of the head is higher than that of the neck, and the risk of the neck is higher than that of the spine.
In any surgery involving nerves, the original functions of the nerves and spinal cord should be preserved as much as possible. Otherwise, the patient will become paralyzed or disabled, and the significance of the surgery will be greatly reduced.
This principle needs to be followed in all surgeries, including the endoscopic surgery and minimally invasive surgery that are particularly popular nowadays.
The goal is to preserve the original functions of the nerves and spinal cord. Small incisions can only be regarded as raising the surgical requirements.
If an operation damages the patient's nerves, it will be meaningless no matter how small the incision is.
Unexpectedly, the patient's accidentally injured nerve was in the head .
This reminds me of what Dr. Xu was talking about: a maternal and child tumor.
The only thing Zhou Can could think of was neuroblastoma.
Of course, it could also be other malignant tumors.
Various strange diseases are emerging one after another.
In particular, excessive use of pesticides in modern farming has caused excessive pesticide residues in many foods. In addition, some chemicals pollute the environment, as well as nuclear radiation, which have caused the high incidence of various rare and malignant diseases.
If the patient's surgical site is on the spine, perhaps he can try to repair it with his current abilities.
Unexpectedly, it was on the head, which was far beyond his surgical capabilities.
At least he would have to wait until his multiple surgical skills were promoted to level seven or above before he could attempt to repair the intracranial nerve center.
"Okay, I've basically finished talking about my old stories. Now let's talk about your surgical innovation! I think your surgical ideas and plans are highly feasible. But this patient named Chen Zhongzhi is not an ordinary person. If something goes wrong, the signed informed consent form for the surgery will be like waste paper. I suggest that you must be particularly cautious. Even if you want to take risks, don't take risks on patients with such special identities. You can wait until you encounter ordinary people with similar symptoms in the future before implementing it."
Dr. Xu thought the risk was too great.
He has experienced many things.
I don't want to see my beloved disciple take any excessive risks.
"Teacher, I understand what you said. But I still want to talk to the patient first to see his attitude, and then decide whether to perform this operation on him. If it is really not possible, I can also tell him the surgical plan and let him find a doctor who is capable of performing the operation on him."
Zhou Can believed that with the patient's power, it would not be difficult to find a good cardiac surgeon to perform surgery on him.
Although there is no real hired medical team in China yet , there are still many medical staff willing to do private work as long as the patients can afford it.
In addition, private medical teams are no longer a new thing in the country and Hong Kong.
Many of the wealthy people have dedicated medical advisors or private medical teams.
For example, the former richest man had multiple private medical teams serving him, including providing scientific and reasonable nutrition intake management, vaccination, disease prevention, disease treatment, physical health care, life extension and anti-aging, etc.
Of course, maintaining such a medical team is a very expensive thing.
The top doctors in the industry generally start with an annual salary of 5 million. The top nurses are a little cheaper, but not less than 2 million.
Even if his private medical team only has four or five people, it is still an extremely staggering expense.
This man named Chen Zhongzhi does not have a private medical team. Although he travels with two bodyguards, he does not seem to be as wealthy as the richest man.
Seeing that Zhou Can was very persistent, Dr. Xu knew that there was no way he could persuade him.
I had to remind him, "This type of aortic dissection surgery is already a Level 4 major surgery. I am not qualified to participate in a Level 4 surgery, let alone preside over it. Your current status is just a resident physician. According to regulations, you are only qualified to participate in Level 2 surgeries, not to preside over them. If you really want to do this surgery, you must first ask the chief physician of the cardiothoracic surgery department if there is one who is willing to take the risk."
"Okay, I'll take all aspects into consideration."
Zhou Can nodded.
After coming out of the operating room, he saw the patient sitting on the bench in the corridor waiting again.
This person is really punctual.
"Doctor Zhou, do you have time to chat now?"
The man stood up and greeted Zhou Can.
"Let's go to the doctor's office!"
Zhou Can took the man to the doctor's office. The two bodyguards followed him more than ten meters away, keeping watch and protecting the man's personal safety.
The man must have explained to them that this was not the reason why he did not provide close protection.
"Mr. Chen, please take a seat!"
After asking the other party to sit down, Zhou Can took out the patient's information bag.
"I have already seen the film and the examination report. If you think the risk of aortic replacement is too great, there is a more complicated surgical option worth trying. However, this surgical option has not been tried before, and there are many uncertain risks involved. I can explain it to you first."
Zhou Can did not hide anything.
When talking to people of such a high status, it is best to tell the truth.
"Oh, please tell me!"
The man was overjoyed when he heard that Zhou Can had a surgical plan that did not require aortic replacement so quickly.
He couldn't help but reveal a look of joy on his face.
Zhou Can did not waste any time and explained the surgical ideas in detail in a graphical way.
It wouldn’t be wrong to say that this surgical plan is particularly complicated.
Compared to the simple and crude aortic replacement, it is definitely quite complicated.
After listening to Zhou Can's introduction to the entire surgical plan, the man did not express his opinion immediately.
Instead, he fell into thought.
"Can you tell me the pros and cons of doing this?"
After a long time, the man raised his head and looked at Zhou Can.
"The advantage is that the heart does not need to be stopped, and there is no need to worry about paraplegia and organ failure caused by ischemia. The surgical incision is much smaller than that of replacing the entire aorta. In addition, your aorta basically does not need to be moved. After the bridge is built, a customized long stent can be placed directly. The disadvantage is that the operation is relatively complicated and has never been tried before. At least as far as I know, no doctor has tried this surgical plan. There are many uncertain factors involved."
After thinking for a while, Zhou Can continued, "Also, aortic replacement surgery only requires one artificial blood vessel. And this one, because it requires a bypass, a main blood vessel is built from the end of the aorta, and then at least five branch blood vessels are anastomosed to these five locations."
After all, artificial blood vessels are foreign bodies.
Although current manufacturing technology and materials are very good, risks definitely exist.
If it cracks or breaks after being used for a long time, it would be a disaster.
In addition, although the rejection reaction of artificial blood vessels is very small, no matter how high the doctor's surgical skills are and how perfect the anastomosis is, it is impossible to make it truly grow together with the human body's blood vessels.
It's useless no matter how long it takes.
If human blood vessels are used for bypass surgery, this problem does not exist.
As long as the operation is successful, the blood vessels can come back to life.
Artificial blood vessels, however, have no life and will always be dead.
The difference between the two is quite big.
This is also why when performing some major aortic repair surgeries, doctors try not to use artificial blood vessels, but instead spend more effort to obtain the great saphenous vein from the leg to perform vascular repair.
Because one's own blood vessels are much better than artificial blood vessels, both in terms of rejection reaction and long-term stability.
Of course, in theory, the service life of artificial blood vessels far exceeds that of humans.
Basically, there is no need to worry that the person is still alive but his blood vessels have already aged.
"The surgical plan given by Dr. Zhou is very special and innovative. I think it is worth taking some risks. When can I have the surgery?"
After careful consideration, the man became very interested in Zhou Can's surgical plan.
I already had a strong desire to have this surgery.
Doctors can only give patients appropriate treatment suggestions. As for how patients choose, that is their right.
"Because this is a major level 4 surgery, I must consult with the chief physicians of the cardiothoracic surgery department of our hospital before I can give you an answer. If possible, you can also look for a doctor who can perform this surgery in Shanghai. Basically, anyone who can perform traditional aortic replacement surgery is capable of performing this surgery."
Zhou Can's method of pushing the patient away was more tactful.
It wasn't really defensive medicine, it was just a level 4 surgery which was beyond his capabilities.
If you want to do it, you must find Director Xue or Director Le.
It would be fine for Zhou Can to take some risks, but because of his low level, he was not qualified to take the risk.
The ultimate risk will definitely be borne by the doctor who officially performs the operation.
Not everyone is willing to take this responsibility.
It is a better solution to let patients return to Shanghai for local treatment.
"No, no, no, I'll do it here. How about this, you go and ask the chief physicians of the cardiothoracic surgery department first, and I'll wait for your news."
The man insisted on being treated at Tuya Hospital.
It was probably influenced by yesterday's live broadcast. In his mind, Tuya Hospital is better than other hospitals in the field of cardiothoracic surgery.
When they reach a certain level, many people tend to become "stubborn".
Because they are used to all kinds of unspoken rules and routines.
Therefore, I prefer to trust my own judgment based on actual observation.
"Thank you for your trust in our hospital. I'll go ask for you first!"
"I'll go with you so you don't have to run back and forth! Don't worry, I'll be sitting outside waiting for you when you ask, and I won't follow you into the office."
The man was able to consider Zhou Can, which made Zhou Can have some good feelings towards him.
Zhou Can could only put the ward rounds and dinner aside for the time being.
Ask the patient about his condition first.
"Can!"
A calling voice came.
Zhou Can turned around and saw Su Qianqian standing not far away with a thermos bucket. She was bringing him dinner.
"Excuse me, my girlfriend brought me dinner. I'll go pick it up first."
After explaining to the patient, Zhou Can walked over quickly.
"I have a patient on hand right now, and I need to consult with a senior doctor to see if he can be admitted to the hospital. Why don't you give me the lunch box and I'll eat it after I'm done with my work. You and Wei Fang go back first!"
Zhou Can discovered that the way Su Qianqian looked at him today was so charming that water could drip out of it.
Her kidney disease was finally cured, and the two could get married. I believe she must be looking forward to marriage. Now she is living with Zhou Can as his fiancée.
There has been some changes in mentality.
There is a huge difference between a girlfriend and a wife.
"Then don't forget about eating when you're busy! I'm leaving now, bye! Be careful when you get home tonight!"
She is different from those clingy little girls.
In such occasions, she would never interfere with Zhou Can's normal work, nor would she pester him mindlessly.
It's a great experience to have a wife who understands the big picture.
A scholar who specializes in social research has made an interesting summary. The lower class people look for partners in order to continue the family line. The middle class people look for partners in order to support each other and become stronger together. The upper class people look for partners who are of equal status, or at least have matching abilities, so that they can become comrades-in-arms.
Zhou Can and Su Qianqian should be between middle and upper class.
Undoubtedly, he is happy and lucky.
"Mr. Chen, let's go!"
After Zhou Can watched Su Qianqian leave, he called the patient to go to the cardiothoracic surgery department together.
"I was thinking of treating you to dinner tonight, but it seems I'll have to do it next time. You have a girlfriend who loves you very much, and she's great in every aspect, which is quite enviable." Chen Zhongzhi spoke to him very frankly and honestly.
Especially after Zhou Can came up with a new surgical plan, Chen Zhongzhi's attitude towards him became much friendlier.
It can be felt that the patients' trust in him has increased significantly.
"Haha, my girlfriend treats me very well indeed. But you don't have to envy me. I believe your wife must be even better."
Zhou Can really wasn't trying to flatter the other party.
For rich and powerful people, finding a wife is a very easy thing.
There are plenty of women willing to marry them.
This also gives them room to choose. It is not uncommon to choose one out of a thousand. Many successful people choose one out of ten thousand when looking for a marriage partner.
"My ex-wife and I divorced a long time ago. Forget it, let's not talk about those unhappy things."
The patient revealed this, then waved his hand and did not continue the topic.
Zhou Can was lucky enough to come to the cardiothoracic surgery department.
Director Xueyan, Director Le and others did not leave work, but were discussing several difficult cases in the conference room.
Seeing Zhou Can coming, Director Xueyan was surprised and said, "Brother Zhou Can, you came quite early today! You know that we have received a lot of difficult cases, so you came early to help, right?"
"Doctor Zhou, you don't know. You became famous last night. Our cardiothoracic surgery clinic was almost packed. The influence of yesterday's live broadcast was too great."
Director Le also said the same thing.
"He was holding a lunch box in his hand, and it looked quite heavy. I guess he hasn't eaten yet." Deputy Director He made a very careful observation.
"Well... I didn't know the cardiothoracic surgery department was so busy. I came here to cause trouble for you. There is a patient with aortic dissection who came all the way from the Magic City to see me..."
Zhou Can embarrassedly repeated his purpose of visit.
He really didn't expect that the cardiothoracic surgery department would be so overcrowded.
The influence of live streaming is truly terrifying.
The impact of yesterday's live broadcast is still brewing. It will definitely bring more than just one wave of patients.
If Tuya Cardiothoracic Surgery can seize this important opportunity and keep it stable.
I am afraid that for a long time, I will be the "number one" in the field of cardiothoracic surgery. The reputation of this top department will have a far-reaching influence. More and more patients will seek treatment.
