Chapter 521: Convincing the Anesthesiologist to Reverse the Surgery Order
Director Xiang was also touched by Zhou Can's determined look.
Inviting Zhou Can to the office to discuss the patient's treatment plan was already a shameless and important step.
He didn't want to give up halfway.
"Please wait in my office. It will be easy for me to find you later." Director Xiang collected Zhou Can's phone number, picked up the patient's information and left the office.
Including the drawings that Zhou Can had drawn when he was explaining the surgical plan.
In fact, it is just a simple drawing of a few pictures.
It is difficult to understand if you are not a professional surgeon.
Director Xiang must have consulted with the directors of other departments. After all, saving lives is like putting out a fire, and time is of the essence.
Regardless of the final result, Zhou Can has more recognition of Director Xiang's character and personality.
Being able to take the patient's life to heart, running around for it, and trying to unite various departments to treat the patient is something that not every doctor can have.
Most doctors are unwilling to make such sacrifices for an unrelated patient.
Because this is far beyond the scope of their job duties.
…
The waiting time became extremely long, and Zhou Can knew very well that with every second that passed, Deputy Director Lu's situation would become much more dangerous.
Finally, Zhou Can's cell phone rang.
It was an unfamiliar phone call. Based on my intuition, it was most likely from Director Xiang.
Connected.
"Doctor Zhou, I'm Director Xiang from the Provincial People's Hospital! Are you still in my office?"
“Here I am!”
"I have consulted with experts from the neurosurgery and thoracic surgery departments and introduced your treatment plan to them. I also consulted with Chief Huang from our medical department. He didn't disagree, but just asked you and your immediate family members to come to the consultation room immediately to have a chat."
Director Xiang took great efforts and finally convinced the experts from the two departments and the head of the medical department.
This is already a huge progress.
Bringing the family members over should be a way of preparing to have a direct conversation with them.
Because the hospital is taking a huge risk to perform endoscopic surgery on the patient, the family members must sign. Time is tight, so we should prepare to discuss it together.
"Okay, I'll bring my family over right away."
Zhou Can didn't waste any time and immediately found Lu Fen. A nurse from the intensive care unit was already waiting for them.
The two were taken directly to the consultation room outside the brain.
The most difficult operation performed by Deputy Director Lu is definitely intracranial hemostasis.
Even if it was just a skull drilling, it was already very dangerous. For a wounded person whose vitality was already very fragile, a skull drilling could easily lead to a series of problems. It could extinguish the flame of life at any time.
When Zhou Can arrived at the consultation room, he found that there were about eight or nine people sitting inside.
"Let me introduce you. This is Dr. Zhou Can from Tuya. He is young and promising, and his skills are very high."
Director Xiang spoke highly of Zhou Can.
"Doctor Zhou, this is Chief Huang from the Medical Department of our hospital."
The middle-aged man sitting in the main seat had a square face, big ears, and a stern look in his eyes. He was obviously an administrative leader.
"Hello, Chief Huang!"
Zhou Can greeted the other party with a very humble attitude.
"Hello! Welcome to our People's Hospital."
Section Chief Huang nodded indifferently in response.
"This is Director Gou Qiong of the Department of Thoracic Surgery. This is Director Wu Yongming of the Department of Neurosurgery. This is Director Ming Xin of the Department of Anesthesiology, who is also my senior and mentor."
Xiang Fei then introduced three main characters.
As for other doctors and nurses, they are basically students or medical assistants of these people.
Zhou Can greeted these people one by one.
The chief physician of the anesthesiology department was a female doctor in her fifties, with an outstanding temperament, without any sign of decadence due to her age. From her eyes and face, one could see the vigor of continuous progress.
This made Zhou Can marvel at it.
A person's spirit and energy also reveal his or her living conditions, physical condition, and learning status.
Adults over fifty can be divided into two types: one is successful in career and enjoys life, playing mahjong, fishing, drinking with friends, traveling around the world, etc. The other is not successful in career and still has to work hard for life.
These two types of people make up the majority.
Especially the latter.
There is another special type of people who, regardless of whether they are successful in their careers, always insist on learning and making continuous progress.
In fact, for those who can keep learning throughout their life, their career will not be too bad no matter how bad it is.
Unless your luck is really bad, there is nothing you can do.
Doctors are a special profession. With the continuous advancement of science and technology, medical science and technology are also updated very quickly. Many surgical methods from 20 years ago have been basically eliminated, or have better optimization solutions after combining with modern technology.
The same is true for medication.
This requires doctors to continue learning and keep up with the times.
Otherwise, if we continue to use technology from twenty years ago to treat illnesses and save lives, it will cause great losses and harm to patients.
In the past, the mortality rate of cardiovascular disease was extremely high and the prognosis was extremely poor. Now, with the combination of interventional treatment, stents, new drugs, advanced instruments and other technologies, the mortality rate can be controlled at a very low level.
For example, the aortic dissection surgery that made Zhou Can famous. In the past, the dissection wall would have already started to bleed and the patient would have been basically beyond saving.
However, he solved the patient's hidden dangers by using modern interventional technology, vascular stents and artificial blood vessels.
Although most doctors are constantly learning, they are busy with work and have more family affairs as they get older. And adults definitely need to enjoy themselves.
As you can imagine, the amount of learning must be very limited.
Director Ming Xin of the Anesthesiology Department is over 50 years old, but she is still able to maintain the youthful vigor, which is truly amazing.
It can also be inferred that this person's anesthesia level must be extremely high.
What’s more interesting is that she is also Director Xiang Fei’s mentor.
Judging from her age, she should be only a few years older than Xiang Fei. She is his senior and mentor, which is quite rare.
There are also many seniors of Zhou Can at Tuya Hospital where he works.
To be a little arrogant, even if someone is ten years older than him, there are few people who can teach him.
Even if Director Xiang Fei was not as amazing as Zhou Can when he was young, he was definitely not much worse. After all, he was known as the "King of Hell".
There is no false reputation under a great name, and this is not just talk.
"I have heard that Tuya Hospital has many outstanding young doctors. The surgical treatment plan developed by Dr. Zhou for the patient in bed 13 is indeed feasible."
The person who spoke was Director Wu Yongming of the Department of Neurosurgery.
Zhou Can proposed drilling a hole in the patient's head and using endoscopic surgery to repair the blood vessels. This treatment plan has been implemented many times in the neurosurgery department of Tuya Hospital. Very few cases have failed.
It is a new technology that has been verified many times.
In addition, Wu Baihe from the Department of Neurosurgery and many other doctors in the department have conducted further research and continuously improved and optimized this technology. Now the technology is very mature.
However, the Provincial People's Hospital seems to be lagging far behind in the application of this new technology.
In terms of the use of endoscopic technology, many hospitals are still at the primary stage of mainly exploring lesions. Even if they try to perform some endoscopic surgeries, they are very common appendectomy surgeries.
Many hospitals have not yet involved in some endoscopic surgical projects that are technically difficult and risky.
There are many reasons for this phenomenon.
First of all, talents in endoscopic surgery are extremely scarce, which means doctors who are good at endoscopic surgery are extremely scarce, not those who can just use the endoscope to stop bleeding in the patient's abdominal cavity or remove a tumor.
Secondly, endoscopic surgery has only been introduced into China recently, and foreign countries have imposed many technical blockades on our country.
It's not just operating technology, but also technical blockades in many aspects such as advanced instruments, drugs, and consumables.
To be honest, the effects of many domestically produced human body replacement materials are surprisingly poor.
Imported materials have many advantages, and the only disadvantage may be their high price.
Although people often say that they are overtaking others, some precision instruments and high-end consumables have decades or even hundreds of years of technological accumulation and precipitation. You want to surpass them in ten or twenty years, is it possible?
In many fields, our country's medical devices and drugs have a technological gap with others.
Only a ten-year difference is considered good.
In some areas, the technology is at least 30 years behind. It is really not easy to talk about it. From a poor and blank place, we have developed step by step to where we are today.
All I can say is, if we continue to develop like this, the gap will get smaller and smaller, and there is still hope that we will eventually overtake the other side.
But it takes time.
Finally, the difficulty for endoscopic surgery to develop rapidly and become widespread in China is also related to the poor medical environment.
The doctor-patient relationship is too tense, so doctors generally play it safe when formulating treatment plans.
Few people dare to take the risk.
Even if the doctor is willing to take the risk and has a certain degree of technical confidence, he still needs to seek the consent of the family. If it is an innovative technology, it also needs the approval of the hospital leaders. The procedure is quite complicated and many difficulties are enough to discourage people.
In addition, the emergence of the da Vinci robot has made many young doctors unwilling to practice basic surgical skills diligently.
After practicing hard for twenty or thirty years, I finally reached a certain level.
God knows whether robotic surgery will have already become the norm by then?
Compared with humans, robots have many advantages in the field of surgery.
If it weren't for the high startup costs, it would have been widely used long ago.
"I also support the laparoscopic surgery proposed by Dr. Zhou."
Director Gou Qiong of the Department of Thoracic Surgery also voiced support for Zhou Can's treatment plan.
Both experts support his proposal, so this is likely to succeed.
Zhou Can couldn't help but feel secretly happy.
"Although the surgical plan is feasible to a certain extent, the patient's current condition is very bad and it may be difficult for him to withstand chest, abdominal and cranial surgery. Even if endoscopic surgery is less invasive, it is still difficult for this patient to bear."
Director Ming Xin of the Anesthesiology Department rejected Zhou Can's surgical plan with just one sentence.
If the surgical plan given by the doctor cannot pass the anesthesiologist's test, the fetus will die in the womb.
"The most dangerous thing for the patient right now is intracranial hemorrhage, which has caused excessive intracranial pressure, and the blood supply to the brain has also been affected because of the bleeding. This should be the main reason why the patient is in a coma. Without surgery, the patient may not survive tonight. He may not even survive for six hours."
What Zhou Can said is by no means alarmist.
Instead, it was a comprehensive judgment based on his diagnosis and treatment experience and Deputy Director Lu’s actual situation.
"I agree with Dr. Zhou. The patient's coma is indeed caused by intracranial hemorrhage. Even if he is given various life support, it is still difficult for him to survive for six hours, and the possibility of stopping the bleeding on his own is even slimmer."
Director Wu Yongming of the Department of Brain Surgery, these words sound a bit like a traitor.
It’s just that in medical discussions, there is no division into camps, only truth.
What Zhou Can said made sense, so he naturally supported it.
"Even if that's the case, what's the point of doing surgery if the patient can't get off the operating table? Is it going to end the patient's life early?"
Director Ming Xin's words were extremely sharp.
"Of course not. I think we can do abdominal surgery first to deal with the ruptured spleen and the possible damaged pancreas. If the left kidney is severely damaged, we should also deal with it. If there is a problem with the pancreas, it will cause major hidden dangers and interference to the body. And the longer the course of this disease lasts, the worse the reversibility. Doing laparoscopic surgery first can stabilize the patient's blood pressure, breathing and other vital signs above the surgical standard line. Then do cranial endoscopic surgery, and the risk can be greatly reduced..."
Zhou Can talked eloquently, and it was obvious that he had already thought of the surgical plan in his mind before coming.
After listening to his statement, Director Ming Xin fell into deep thought.
Gou Qiong, Wu Yongming and Xiang Fei cast mixed looks of surprise and admiration at Zhou Can.
This guy is simply a surgical genius.
Instead of dealing with the most dangerous intracranial hemorrhage and effusion first, they performed a laparoscopic surgery that would not immediately endanger life. This surgical idea would be hard to come up with without deep concentration and a high position to see the overall situation.
At least, no one here thinks in this way.
They either think about doing the intracranial surgery first, or they think about doing both operations at the same time.
It's like a pot of oil on fire, with a basin of water and some wooden boards next to it.
The common thought is to just pick up the water and pour it into the pot.
But Zhou Can's idea was to put the wooden boards together first, then cover the pot with them and turn off the fire.
Needless to say, throwing water on it won't work.
It will only cause the fire to grow rapidly. Putting the wooden boards together may seem a bit "stupid", but it can eventually put out the fire and prevent it from happening.
It's easier said than done, but when this really happens, most people will just pour water into the pot.
"I have to admit that although the surgical plan you mentioned seems risky, it is indeed feasible. As long as the operation is performed properly, the patient may indeed be saved." After thinking for a while, Director Ming Xin approved of Zhou Can's surgical ideas and plan.
At this point, the anesthesiologist has also figured it out.
"Thank you for your approval and for taking the risk to save this patient. She is a family member and the patient's only daughter. She has full authority to decide on the surgical plan and sign the document."
Zhou Can looked at Lu Fen beside him.
In the consultation room, Lu Fen felt overwhelmed by the aura of so many chief doctors and medical department directors and seemed very uncomfortable.
After all, she is still just a female student in school.
"Dr. Zhou is the person my father trusts the most, and I trust him. I fully agree with the surgical plan discussed by the doctors." Lu Fen stated directly. After that, she stood up and bowed to Zhou Can and the doctors present.
"They have all agreed, but I haven't agreed yet! Give me a reason to agree, otherwise, I don't agree to take the risk." Chief Huang of the Medical Department stood up to object at this critical juncture.
Zhou Can was a little dumbfounded.
