Chapter 508: Old Ox, Save the God of Wealth
"Such a long aortic dissection band, there is no way to solve it without aortic replacement, right?"
Director Le really couldn't think of any other solution.
"My surgical plan does not require aortic replacement."
Zhou Can said confidently.
"How are you going to operate on the patient?"
Director Xueyan asked with interest.
Since her divorce, she seems to have put all her attention on her career. She is now almost obsessed with various difficult surgeries and difficult cases.
"I'll draw it for everyone, and with the help of collective wisdom, see if this surgical plan is feasible?"
Zhou Can explained the surgical plan while drawing the diagram.
Everyone is an expert in the field of cardiothoracic surgery, and only senior attending physicians are qualified to sit in the conference room and participate in discussions of this level.
Of course, Zhou Can is an exception.
With the title of resident physician, he discussed difficult cases and surgical plans with the chief physicians, and his presence was completely transcendent.
After listening to his story, none of the dozen or so chief and deputy chief physicians said a word.
Everyone was shocked by his genius idea.
"As long as the operation is done properly and there are no mistakes in the connection between the two, I think this surgical plan is safer than traditional aortic replacement surgery."
Deputy Director He is mainly good at thoracic surgery.
However, his age and qualifications are there, and he also has rich experience in cardiovascular replacement surgery.
"Zhou Can's innovative surgical plan is indeed highly feasible. If it can be successfully implemented, it can provide reference experience for similar cases in the future."
After careful consideration, Director Xueyan was also optimistic about Zhou Can's surgical plan.
"Innovation means there are many unknown variables. This patient has a special identity, so I think it's better to be cautious."
Director Le had no objection to the surgical plan.
However, considering the patient's special identity, the risks faced by medical staff involved in the operation will be greatly increased.
Among these chief physicians, the youngest is already in his forties.
I've seen all kinds of heartbreaking things.
We are naturally extremely cautious about some potential risks.
Safety first. In the minds of doctors, there are two safety firsts: the safety of medical staff and the safety of patients’ lives.
Many medical staff who truly only put the lives of their patients first and fail to protect themselves end up in a miserable state.
If you walk by the river often, you will get your shoes wet.
"Let me perform the operation! I don't have too many concerns anyway. If there is any problem, I can bear any bad outcome."
Director Xueyan took many considerations and took the initiative to express her willingness to perform the operation.
She knew the risks better than anyone else.
"Director Xue is a banner of our cardiothoracic surgery department and cannot fall. I am the one who presided over the operation, and I have not made much contribution to the cardiothoracic surgery department over the years. If this major innovative operation can be successful, it will surely raise the reputation of our cardiothoracic surgery department to a higher level. The candle will burn out before the tears dry up, please give me a chance to dedicate myself to the department."
The person who spoke was an old doctor who was nearly sixty years old.
He is bald, wears large black-framed glasses, and has a ruddy nose. At first glance, he looks like an academic.
There are actually quite a lot of chief and deputy chief physicians in cardiothoracic surgery.
However, there are not many excellent chief physicians in the field of surgery.
It's pretty much the same in any hospital .
No matter how strong a hospital is, when it comes to each department, there can't be too many doctors who perform surgeries brilliantly.
This is determined by many factors.
Just like there are a lot of people who pass the driving test, but there are very few people who pass the flying test.
Because the training cost of the latter is too high.
In theory, every doctor in the field of cardiothoracic surgery has the opportunity to enter the operating room to perform surgery. However, this requires talent and a lot of practice. Even to close the chest cavity, one needs to be at least an attending physician to be qualified .
As you can imagine, it is impossible to train surgical doctors in large quantities.
Zhou Can led the riot last time to protest the inaction of the hospital's security department, which left clinical staff without personal safety guarantees. This kind of thing would be a black record in any unit.
The leaders' usual practice is to find a way to deal with the doctor who led the trouble as soon as the situation calms down.
Either they are marginalized or forced to resign voluntarily through exclusion and suppression.
Or find an excuse and transfer directly.
However, Zhou Can did not receive any punishment after causing trouble.
It's still fine until now.
It was because of his strong surgical skills that he was an extremely scarce senior talent. In addition, the chief physicians and deputy chief physicians of many departments in the hospital all had a good relationship with Zhou Can.
Zhou Can's foundation is so deep that no hospital leader dares to touch him.
Even though Vice President Ye, Vice President Bai, and President Zhu were kind to him, people of this level could turn against him much faster than turning the pages of a book.
"Director Bu is willing to preside over this operation. I think it's worth considering."
Director Le was the first to agree.
Director Xueyan of the Department of Cardiothoracic Surgery is the department’s battle flag and commander, and there cannot be any mistakes.
The comprehensive surgery department back then was a bloody lesson.
A powerful department that was at its peak was disbanded just like that.
To this day, there is no trace of the general surgery department in Tuya Hospital.
No one has even suggested rebuilding this department.
"Director Xue is the commander of our department. He should not put his precious body in danger. I also agree that Director Bu should preside over this operation." Deputy Director He also voiced his support.
"Please help me, Director Xue."
Director Bu is usually a relatively unknown person.
He quietly contributes to the department, but he has no special strengths. He is the backbone of the department, not the core.
More like an old cow.
"Okay, thank you Director Bu and all my colleagues for their love for me. This innovative surgery, as long as it is successful, will be of great benefit to our department and even the entire hospital. Therefore, we should not miss the opportunity. Director Bu, you will come forward to talk to the patient now. After the discussion is settled, you can directly admit the patient to the hospital and arrange surgery as soon as possible through the green channel. For such a long aortic dissection, every minute of delay will increase the variables a lot."
Director Xueyan accepted everyone's kindness.
"Zhou Can, you can eat first and listen to our discussion of these difficult cases. We will need your help in many areas when the time comes."
She has always cared about Zhou Can.
"OK!"
Zhou Can sat in the back and started eating quickly.
Being a surgeon, sometimes you can't be too particular. It's good enough to have time to eat.
When performing some extremely difficult major surgeries, lunch and dinner are often eaten together, and possibly in the middle of the night.
…
"Zhou Can, this patient has extremely severe tissue adhesions and needs liver tumor resection. After we examined him, we all think that the chances of success are slim. He has already had surgery in another hospital, but after the doctor opened his abdominal cavity, he found that the tissue adhesions were extremely severe and that surgery was impossible. In the end, he had to be sewed up again. Do you think it is possible?"
After Zhou Can finished his meal, Director Xueyan began to ask him for help.
Sometimes, doctors encounter such extreme situations during surgery and have no choice but to sew the wound again.
It's always better to get slapped in the face than to get into trouble.
However, this kind of thing usually happens in small hospitals. Large hospitals will do various tests before surgery. And the technical capabilities are much stronger, so they rarely encounter such extreme cases.
The patient with liver tumor was an extreme case. He had surgery at a digital hospital in another province.
You know, digital hospitals are generally military hospitals.
The strength is unquestionable.
Even hospitals of this level were forced to re-sew the patient's abdominal cavity and give up the operation. You can imagine how difficult the operation was.
“Was this patient admitted today?”
"That's right! Your live broadcast last night probably had quite an impact across the country. This patient with liver tumor also flew here from another province."
Director Xueyan loves and fears the patients who flock to her.
As the head of the department, she naturally hopes that the department's business volume will be as large as possible. But she is also afraid of encountering such extremely difficult cases. If she doesn't have the skills, it will be easy to break the tooth.
It is not easy to be the top doctor in cardiothoracic surgery.
It is estimated that more extremely difficult cases will come in in the future.
“What are the attitudes of patients and their families?”
While Zhou Can was having dinner, he had already seen some photos and films of the laparotomy provided by the patient.
I guess the digital hospital was worried about being criticized, so they took photos and recorded videos as evidence. It can also be used for scientific research and teaching in the future.
"The patients have a strong desire to survive, and their family members have a good attitude. At least when I contacted them, I didn't hear them wanting to cause trouble for a hospital. Instead, they felt a little pessimistic and hopeless after gaining a new understanding of their own illness."
"I can't say I'm 100% sure, but I can give it a try. Based on my feeling, I should be more than 60% sure."
Zhou Can’s quick and steady knife techniques were not practiced in vain.
Now his separation and incision skills have reached level six.
Faced with this extremely severe adhesion lesion, he felt more confident.
"Since we have such a high probability of success, we can give this operation a try. I will talk to the family and the patient later. If they are willing to take the risk, we can try another abdominal surgery."
Director Xueyan knows Zhou Can's character very well.
Since he said he was 60% sure, it means the chances are very high and it is totally worth taking the risk.
After all, it is very difficult for this patient to find a second hospital willing to perform surgery on him.
"There are two other cases whose causes are extremely difficult to identify. You are unique in this regard. Please help me with the consultation."
The cardiothoracic surgery department received quite a few difficult cases today.
"Okay, I'll go back to the emergency department and check the ward first, then come over and deal with it."
Zhou Can really feels like he's overwhelmed right now.
Those who are capable should work harder.
He is needed everywhere, and there is no way to refuse him.
But this is also a good thing, as dealing with difficult cases is exactly what he aspires to do.
After accumulating a certain level of basic knowledge and general clinical experience , he has acquired the ability to tackle tough problems.
Whether you are diagnosing difficult cases or performing difficult surgeries, you can earn medical experience points faster.
…
More than half an hour later, he returned to the cardiothoracic surgery department.
There was a minor problem with an inpatient from the internal medicine department in the emergency department, but the other patients were relatively stable.
Deputy Director Han Changqing has been asked to handle the matter.
The chief medical officer of the emergency department is currently Deputy Director Han.
However, Deputy Director Han will soon reach retirement age, and the successor is a problem. The emergency department cannot find a particularly good internal medicine doctor, let alone a director, or even a deputy director.
Zhou Can naturally would not worry about this matter, but Director Lou and Deputy Director Han would worry about it.
In the cardiothoracic surgery office, Zhou Can was checking two difficult cases on the computer.
One is a patient transferred from the Provincial People’s Hospital in this province.
The old cadre had a left lung resection and lymph node dissection for lung cancer at the Provincial People's Hospital. The operation went smoothly, but unexpectedly, the patient had shortness of breath, chest tightness, and difficulty breathing on the second day after the operation, accompanied by coughing, and the sputum he spit out was white and foamy. The family was worried that the patient would die in the Provincial People's Hospital, and happened to hear that Tuya Hospital showed its top-notch surgical capabilities in the live broadcast.
So, through my connections, I quickly transferred the patient from the Provincial People's Hospital.
Under normal circumstances, Tuya would usually try to refuse to accept such patients, because the person is obviously dying, and whoever accepts him will be in trouble.
What if he dies in the hospital after being taken over?
If the family files a lawsuit, they will definitely sue both hospitals together.
Isn't this just like getting shot while lying down?
But the old cadres themselves are a magical existence.
As long as the patient can be saved, it will be an absolute blessing for the department.
In addition, the patient was a retired cadre, and his connections were often very strong. He could always find a way to find the top management of Tuya Hospital, or some leaders of the competent department. He just said hello and was allowed in.
Director Xueyan couldn't possibly refuse.
However, when we admit the patient, we will definitely make an agreement with the acquaintance who greets him/her that if anything happens to the patient, he/she must not file a lawsuit against our hospital!
Generally speaking, family members will also make some verbal promises.
We are all people of status and rarely do anything shameful.
As long as Tuya Hospital follows normal procedures for diagnosis and treatment, even if the patient dies in the hospital, the family members will rarely go back on their word because they have made their promise.
Otherwise, if things really get out of hand, the acquaintance who introduced the person will be very embarrassed.
What was severed was more than just a personal connection.
When you are famous, you are prone to gossip!
After reading this case, Zhou Can couldn't help but sigh.
When the cardiothoracic surgery department of Tuya Hospital was in trouble, other patients would not come even if they begged them to see the doctor.
Now, patients are begging to be admitted.
He decided to go to the ward to see the patient himself.
Old cadres are magical beings. They either live in a private ward, a special care ward, or an intensive care unit.
Their medical insurance system is also a separate system, and the settlement is very smooth.
