Chapter 522: Two medical assistants are useless, a cannon that only bluffs but doesn't work
The Medical Department has great power.
Especially for such high-risk surgeries, they generally need to be reported to the Medical Department for approval. If the leader doesn't give the nod, the doctor will be held responsible if something goes wrong.
At the very least, the department where that doctor works should take the blame and bear the consequences.
Only with the leader’s nod can the hospital take the lead in handling any incident.
This is the industry rule.
Without Section Chief Huang's nod, which doctor would dare to perform this operation? No one dared to joke with their future and job.
"I don't know what kind of reason you want?"
Zhou Can raised his eyes and looked at Section Chief Huang.
Zhou Can had dealt with the hospital's leaders at all levels more than once or twice, and at this moment he seemed very calm. Facing Section Chief Huang's authority and strong aura, he was like an inconspicuous mountain.
No matter how strong it is , the breeze will blow across the hills.
"All you need is a reason that can convince me! Just like you just convinced them!"
It was obvious that Section Chief Huang was trying to make things difficult for Zhou Can.
It is not clear what the plan is for now.
The word "official" has two mouths, so the leader can say whatever he wants.
If Zhou Can wants to save Vice President Lu, he must convince Section Chief Huang.
Even if he knew that the other party was deliberately making things difficult for him, he could not show any resistance.
To convince a surgeon, one only needs to provide a surgical plan and explain the patient's cause and condition. To convince an anesthesiologist, one only needs to ensure the patient's safety during and after the operation.
If we want to explain Section Chief Huang, I'm afraid the only reasons we can give are to explain the benefits and appeal to his emotions.
"First of all, you and I are both medical workers. I believe that you, like us, are very eager to save the patient's life. Second, successfully saving a high-altitude victim who is almost certain to die will greatly benefit the reputation of the Provincial People's Hospital. It can also be used as an opportunity to explore some valuable treatment experience. If the above is not enough, I have observed the work style of the Provincial People's Hospital, which can be described as strict discipline."
"You are able to manage the work style of clinical medical staff so well. I believe that you must have the ambition to be a great doctor, calm your mind, have no desires or requests, and first develop a heart of great compassion and sympathy, vowing to save all living beings from suffering. I shamelessly boast that I also have the ambition to be a great doctor, and you should be like-minded. People with the same aspirations will not consider mountains and seas as far away. I came from another hospital, and there is no reason for you not to help rescue the patient together."
After hearing what Zhou Can said, Section Chief Huang nodded repeatedly.
"The young doctors at Tuya Hospital are quite good at making emotional speeches! Since you have already made up your mind, hurry up and save lives! I will handle the approval procedures and arrange the operation room. The rest is up to you."
A smile appeared on Section Chief Huang's face, like the sun shining through the clouds.
Everyone smiled.
At this moment, everyone has a common goal, to save people.
Lu Fen was so excited that she quietly wiped away her tears.
If you hadn't experienced it yourself, you would never have realized how much effort Zhou Can put in to save her father.
Her gratitude to Zhou Can was deeply hidden in her heart.
I also trust Zhou Can more.
The person who could make her father entrust his death to her was worthy of her trust.
Now that she had seen with her own eyes how Zhou Can had been running around and working hard to save her father, her trust in Zhou Can had naturally deepened.
…
In the endoscopic operating room, anesthesiologist Ming Xin personally led people to escort this operation.
She has three young doctors under her, all of whom have performed very well.
Those who can personally lead such important surgeries must be key training targets. A chief physician may have many students in his lifetime, but the number of disciples he can truly bring up is actually very limited.
Usually no more than five people.
Because training a successor takes a long time and a lot of energy.
It is not possible to train a person by just giving a few pointers during an operation.
Zhou Can watched as the group of people clumsily connected Deputy Director Lu to the life monitor's probe, and then adjusted the parameters of the ventilator one by one. He couldn't help but feel anxious.
But he had no intention of stepping forward to help.
Being able to allow him to participate in the operation as a guest is already a great favor.
If he still tries to show off, it will seem like he is just trying to show off.
Since the patient was transferred from the ICU, many pre-anesthesia tasks no longer needed to be done. Preoperative skin cleaning and other tasks also did not need to be done.
Prepare well and directly perform general anesthesia by inhalation.
The laparoscopic surgery was performed by Director Gou Qiong of the Department of Thoracic Surgery, who brought his team to participate.
Judging from the way they opened the small hole in the abdomen, it was simple, efficient and very professional.
It is worthy of being a provincial-level top three hospital.
The surgical skills are really strong. I believe that Director Gou Qiong and his medical assistants are just the tip of the iceberg of the Provincial People's Hospital's strength.
Normally speaking, cardiac surgery is more delicate and advanced.
Not to mention brain surgery or neurosurgery.
The difficulty of thoracic surgery operations is similar to that of many sub-departments of general surgery.
Director Gou Qiong and another medical assistant who was over 40 years old performed laparoscopic surgery on the patient. The first step was to repair the ruptured spleen.
Director Wu Yongming of the Department of Neurosurgery and Director Xiang of the Department of Critical Care Medicine were both watching the screen nearby.
Director Xiang Fei probably felt that this was a rare opportunity, so he brought his two beloved disciples in as well.
Not to mention Director Wu Yongming of the Department of Neurosurgery. Like Director Gou Qiong, he brought in the entire surgical team.
Generally, if you can make achievements in the field of surgery and reach the associate senior level, you can form your own surgical team.
At the attending physician level, you usually have to work with the chief or deputy chief physician and cannot lead a team on your own.
In addition, the income difference between a director who leads a team and a director who does not lead a team can be very large.
The director of a team in a large hospital like Tuya Hospital or Provincial People's Hospital, if the department is good, can often earn an astonishing three to four million yuan a year. If it is in Shanghai, Beijing, or some super hospitals, the annual income can reach more than five million yuan.
This may be one of the reasons why countless medical students work so hard to get into postgraduate studies. After completing their master's degree, they will study for a doctorate, and after completing their doctorate, they will not stop. Those who have the conditions and talents will also study for a postdoctoral degree.
If for no other reason, just to become the chief physician leading a team as soon as possible.
Little do people know that by the time they finally get through this, many of them are already over 50 years old.
Of course, compared with ordinary people, these bigwigs have education, income, and rising status and positions. They are definitely winners in life.
Director Gou Qiong first made a hole on the left side of the patient's belly button, inserted an endoscope, and then explored the spleen in order to detect potential problems that had not been discovered.
It can be seen that he operates the endoscope with great skill and at a very high level.
"How hard was the fall! The spleen is ruptured like this!"
He couldn't help but sigh and shake his head.
The auxiliary operation was performed by the medical assistant who was in his forties, and the auxiliary hole was opened under the xiphoid process.
It is also on the left side.
Because the spleen is on the left side of the body.
No doctor would go to great lengths to perform endoscopic surgery. Unless in extremely special circumstances, the more direct the better.
If the surgical pathway is designed too complicated, the endoscope will rush around in the patient's body and the patient will be half dead before the operation even begins.
"Drain the accumulated fluid first!"
When doing this kind of surgery involving internal bleeding, you must first find a way to identify the source of the bleeding. It will be much easier to find the source of the bleeding if the accumulated blood is drained out.
The normal operation is to stop the bleeding for the patient.
After the fluid in the left abdominal cavity was drained, we began to look for the source of bleeding.
"Director Tang, lift up the right side of the spleen a little. I suspect the bleeding point is right below."
"good!"
The medical assistant, who was in his forties, agreed readily and quickly lifted up the right side of the spleen with precise and skilled techniques.
"It's a ruptured blood vessel, and the tear is pretty serious."
Director Gou Qiong found the bleeding point without much effort. It can be seen that the blood is almost gushing out and the bleeding is very severe.
The spleen is very fragile and is often most likely to rupture when the body is hit hard or falls from a high place.
"Director Gou, should we stop the bleeding first or what?"
"We can only stop the bleeding first and then repair the blood vessels. The tear is so severe and the blood vessels are crossing. Oh my god, this is going to be very difficult to repair!"
After reading it, Director Gou Qiong frowned deeply.
People at their level are generally extremely experienced and can tell the difficulty of an operation at a glance.
Director Tang has begun to stop the bleeding from the blood vessels.
If it is a small bleeding point, you can consider electrocoagulation. To put it simply, it is to burn the bleeding point of the blood vessel.
The first step Zhou Can took in practicing hemostasis was electrocoagulation.
When it comes to stopping bleeding in mice, he is very accurate.
It was through repeated hard practice that I gradually laid a solid foundation, which enabled me to acquire the sixth-level hemostasis technique today.
At this moment, the bleeding blood vessels are not small, so electrocoagulation will definitely not work.
Otherwise the blood supply to the spleen will be impaired.
The consequences are predictable.
"It's not easy to ligate a blood vessel at this location!"
Director Tang tried to stop the bleeding several times, but failed each time.
Zhou Can was watching from the side and he found that Director Tang's hemostasis level was only about level 5 at best. His endoscopic operation level was above average, definitely not top-notch.
"Can't you stop it?"
Director Gou Qiong asked.
“It’s quite difficult.”
Director Tang would definitely be embarrassed to admit that he couldn't stop the bleeding in front of so many people.
We all want to save face.
“Let me give it a try!”
One of Wu Yongming's doctors went over to help.
Let him do the ligation to stop the bleeding.
It can be seen that his operation level is much higher, especially in some details. Brain surgery is known as the ceiling of delicate surgery, and its difficulty is higher than that of cardiac surgery.
This person is an expert in neurosurgery, so it's no surprise that he has this surgical ability.
"Oh, this blood vessel is very fragile, and the ligature seems to have cut it."
After the doctor took over, he quickly discovered that it was not because Director Tang’s skills were not good enough , but because the patient’s blood vessels were too fragile.
If the force is too weak, the ligation will not be firm and the bleeding will not stop.
As the force increased, the current result appeared.
The blood gushed out even more violently.
The patient's blood pressure also appeared to be affected.
"Blood pressure is decreasing, but heart rate is increasing. We need to find a solution quickly."
Director Ming Xin of the Anesthesiology Department said anxiously.
The patient's vital signs were deteriorating, and she, as the anesthesiologist, was under the greatest pressure.
"Shall I go get the plasma and give the patient a blood transfusion and fluid replacement first?"
The circulating nurse was very experienced and when she saw something went wrong during the operation, she quickly asked for help.
"You can't give a blood transfusion, at least not now. Otherwise, the ruptured blood vessels in the spleen will be under greater pressure and more difficult to repair."
Zhou Can said hurriedly.
Watching these people performing surgery on Deputy Director Lu, an accident happened right at the beginning, and he was really anxious.
He became even more anxious when he heard that the circulating nurse wanted to give the patient a blood transfusion.
Under normal circumstances, it is not easy to cut the blood vessels by ligating them.
This only proves one thing: Deputy Director Lu’s blood vessels are much more fragile than those of normal people.
The blood pressure has now dropped to 82, which is considered to be quite serious, but not fatal in the short term.
It would be better to seize this opportunity and repair the blood vessels quickly.
At least when the blood pressure is lower, it is much easier to stop the bleeding.
The circulating nurse didn't take Zhou Can seriously.
A young doctor from another hospital really thinks he is a great man.
She looked at Director Ming Xin.
The anesthesiologist has the final say and decision on whether to give a blood transfusion or not.
"Listen to Dr. Zhou and don't give a blood transfusion yet."
Director Ming Xin affirmed Zhou Can's opinion.
"Director Gou, Director Wu, you must find a way to stop the bleeding and repair the blood vessels immediately. The time should be very short, probably no more than thirty minutes. If you want to pursue safety, it is best to complete all operations on this blood vessel within twenty minutes. If the bleeding cannot be stopped immediately, the patient's bleeding will continue, and the blood pressure will drop at a faster rate, which will be more dangerous."
She put the pressure on the two surgeons.
This is what an experienced anesthesiologist does! If there is a problem, he will never bear it alone, but will find a way to pass it on to the surgeons, so that everyone can shoulder it together.
"The patient's blood vessels are as fragile as shoddy construction. What can we do? It's so frustrating !"
The two medical assistants stamped their feet in anxiety.
Director Wu Yongming wanted to go down himself, but seeing how difficult it was to stop the bleeding, he didn't have the courage to do so. If he went down, he would most likely get slapped in the face.
The two medical assistants who were performing the operation were both very strong.
Even if there is a gap in strength between him and the chief surgeon, it is not too big.
"Can I give it a try?"
Zhou Can looked at the two medical assistants.
Director Tang and another medical assistant seemed extremely surprised. Although they knew that Zhou Can was quite capable, he was too young after all.
The difficulty of stopping the bleeding is even more terrifying.
Not to mention Zhou Can, even if Director Wu or Director Gou took over, it might not work.
"Dr. Zhou is very skilled in endoscopic and interventional surgery. Why don't we let him have a try?" Director Xiang Fei spoke up for Zhou Can.
At this time, Director Gou Qiong's approval is definitely needed.
"Let Dr. Zhou give it a try!"
Director Gou Qiong does not trust Zhou Can, but he trusts Director Xiang Fei very much.
Nodded and agreed to this.
"Doctor Zhou, you must do what you can and don't force it. If sterilization doesn't work, we can think of other ways."
Director Gou Qiong had never seen Zhou Can's surgical abilities.
I'm still a little worried.
"Okay, I'll proceed with caution."
Zhou Can agreed and took over. He skillfully operated the robotic arm and began to check the patient's blood vessels.
Once they saw his operating skills, several chief doctors felt relieved.
This level is very high!
Even not weaker than the two medical assistants.
He is so young, but has such a high level of endoscopic surgery skills. I wonder how he practiced?
But everyone soon frowned.
After Zhou Can took over, he had been constantly manipulating the endoscope arm to touch the blood vessels, but he had no intention of ligating the blood vessels.
The patient's abdominal bleeding continues and cannot be stopped. Is this possible?
Could this guy be a fake cannon?
