Chapter 523: Level 6 ligation, you should do it sooner!
They didn't know that Zhou Can was using his super sensitive tactile feedback to find the best ligation section.
Deputy Director Lu's vascular condition is very bad.
A person in his 50s has blood vessels like an old lady in her 80s or 90s. This shows that Deputy Director Lu doesn't take good care of his body.
As a doctor, and a cardiothoracic surgeon at that, I naturally know how to maintain blood vessels.
But for a surgeon in an operating room, missing meals, holding urine and bowel movements, not being able to drink water, and staying up late are almost all the bad habits he has.
It’s not that I don’t want to be better to my health, but I have no choice because of the needs of work and study.
If you are performing surgery on a patient, you cannot go anywhere until the operation is completed.
No matter how hard or tiring it is, you have to grit your teeth and hold on.
In order to write papers and do scientific research, I can only squeeze out time after get off work and work overtime.
When Deputy Director Lu was in Tuya, he was still a deputy senior professional at the age of 50. He watched as other colleagues were successfully promoted to senior professional positions and surpassed him.
The sadness and pressure can be imagined.
In order to achieve a senior professional title, he had to work hard to write a high-quality paper. This was not something he could write just because he wanted to. He needed to go through a lot of experiments and research, statistics, search for various materials, and then continue to learn and study the medicine in that field, before he could write a high-quality paper.
It was precisely because of these reasons that he had no time to take care of his health.
Perhaps he himself did not expect that his blood vessels were now as old as those of an 80 or 90-year-old man.
“Found it.”
A hint of joy appeared on Zhou Can's face.
After repeatedly studying the feel of the blood vessels, he finally found a section of the blood vessel that was in slightly better condition.
The blood vessels at this location should be ligated quickly.
He appeared cautious while operating.
The tension is increased little by little, and the feedback is constantly felt to judge the blood vessels' tolerance.
This kind of sensitive tactile feedback was acquired only after his injection and insertion skills were advanced to level six.
Zhou Can didn't know if other doctors had such a sensitive sense of touch.
He remembered that when his first surgical skill was promoted to level 6, he became more sensitive to the tactile feedback from surgical instruments. Later, when the incision skill was promoted to level 6, the tactile feedback was further improved.
From then on, every time a surgical skill was promoted to level six, the tactile feedback he obtained through the instruments would be significantly improved.
By now, tactile feedback has reached an extremely amazing level.
For example, when he is looking for a blood vessel segment with better toughness, he relies entirely on tactile feedback. The strength of the blood vessel ligation is also determined by tactile feedback.
When he tightened it to a certain degree, he could clearly feel through the instruments and ligatures that the blood vessel's bearing capacity had reached its maximum limit.
He quickly stopped pulling it tight and tied a knot to secure it.
[Ligation experience +1, complete the extremely difficult ligation task, and be rewarded with ligation experience +1000. ]
His ligation technique immediately moved much closer to level six again.
I'm only a hundred experience points away from advancing.
If we are lucky, we can upgrade the ligation to level six during this operation.
"Wow, look at the screen, the bleeding has stopped!"
“What a high level!”
"He's really good at it."
Everyone was amazed. No one expected that Zhou Can's endoscopic surgery assistance ability was better than Director Tang's.
The two chief medical assistants at the Provincial People’s Hospital are not as good as Zhou Can.
"You are worthy of being one of the youngest and most promising doctors in Tuya. You are truly excellent." Director Gou Qiong showed the proper bearing and broad-mindedness and gave Zhou Can a thumbs up.
There is definitely no glow on his face.
Zhou Can completed the bleeding stop task that his medical assistant failed to complete.
"You are too kind."
After Zhou Can helped the patient to stop bleeding successfully, he stepped aside and handed the position of assistant back to Director Tang.
After seeing Zhou Can's strength, Director Tang's attitude towards him has become very polite.
Even the way he looked at her was different.
Director Xiang Fei sighed secretly. After all, the Provincial People's Hospital is a top hospital in the province that can be compared with Tuya Hospital. How come it doesn't even have a capable fighter?
Where can the doctors of the Provincial People's Hospital put their face when they are always overshadowed by this kid Zhou Can?
Ru Yaji and Pang Houzhong, who were standing behind Director Xiang Fei, both had mixed feelings.
At this moment, they were shocked to find that Zhou Can's previous excellent performance in the ICU was just one of his skills. Not only did he have a very high level of diagnostic skills, but his surgical skills were also terrifyingly strong.
It is not ordinary surgical capability, but endoscopic surgical capability.
A name suddenly popped up in both of their minds.
"Monster!"
The two of them could only look up to Zhou Can's strength.
They are only good at diagnosing and rescuing critically ill patients, and know nothing about surgery.
"Hurry up and repair the blood vessels!"
Anesthesiologist Director Ming Xin looked at Zhou Can deeply, and she had a deeper understanding of the abilities of this young man.
But for her, what matters more is the patient's life safety.
The surgeons in charge had to be urged to speed up.
Her three disciples were also impressed by Zhou Can and recognized his strength, with a hint of admiration in their eyes.
It is hard to find someone in the entire Provincial People's Hospital who has such high surgical skills at such a young age.
They couldn't help but look up to Tuya Hospital even more.
The blood vessels begin to repair.
Director Gou Qiong of the Department of Thoracic Surgery made everyone deeply realize what it means to take your time and do a good job.
When it comes to repairing blood vessels, it's so slow it can make people feel breathless.
"Director Gou, can you speed it up? I'm afraid the patient's condition won't last that long. If the operation takes too long, I'm afraid we can only complete a laparoscopic surgery at best."
Anesthesiologist Ming Xin had no choice but to urge the patient.
Under normal circumstances, anesthesiologists sit far away and will not easily disturb the doctors' operations.
In particular, the chief surgeon has a very high status in the operating room. In most cases, the anesthesiologist listens to the chief surgeon. Everything else is done around the chief surgeon.
If the relationship between the anesthesiologist and the surgeon is likened to that of a husband and wife, the anesthesiologist is equivalent to the wife, a good helper to the surgeon.
"I would like to speed it up, but the blood vessels are severely hardened and it is too difficult to anastomose."
Director Gou Qiong was worried. Considering the bad blood vessels he encountered, his current anastomosis speed was considered fast.
If it were any other surgery, he would be more than twice as slow.
"Can I help with some of the stitching?"
Zhou Can didn't want to give up all his efforts, so he had to take the initiative to step forward.
When it comes to surgical speed, he and Dr. Xu are the only two who can claim the top spot at Tuya Hospital.
"Doctor Zhou, can you anastomose blood vessels through endoscopy?" Director Gou Qiong asked in surprise.
"It does match up with some of the other times."
Zhou Can: This is a modest statement.
When it comes to vascular anastomosis, his current skills are no less than those of high-level chief physicians.
"Director Tang, let him try."
Director Gou Qiong had spoken, and Director Tang naturally had no objection.
Gladly gave up the seat.
After the auxiliary arm was replaced, Zhou Can and Director Gou Qiong began to anastomose the ruptured blood vessels together.
Zhou Can was seen quickly cleaning and anastomosing the torn blood vessels at an astonishing speed.
If the two were compared to a race between a tortoise and a hare, Zhou Can would definitely be the fastest hare.
When it came time to tie the knot, he slowed down.
Because blood vessels are very fragile, knotting requires a high level of skill. If too much force is used, the blood vessels will be torn directly. If the knot is not tied firmly, the anastomosis will fail.
Level 5 anastomosis, even if it has reached the excellent level of associate chief physician, is still a little bit short of the mark.
After quite a bit of effort, I finally managed to tie the first knot successfully.
[Ligation experience +1, achieve difficult vascular knotting, reward experience +100. ]
[Congratulations on your successful promotion to level 6 in ligation. Your current experience value is 1/1000000, which is the junior level of chief physician. You can achieve knotting in extremely fragile tissues or extremely difficult narrow spaces and complex environments. You can achieve the most precise vascular ligation...]
At this juncture, ligation was successfully promoted to level six.
It's like a timely rain.
The sixth-level ligation technique can tie a knot on very tender tofu without breaking the tofu and the knot is firm and fits tightly.
Deputy Director Lu’s blood vessels were in such bad condition that the knot during the anastomosis posed a great challenge to Zhou Can.
Now, I have reached level six at the critical moment, and my knot-tying skills have greatly improved. I can now handle knot tying in vascular anastomosis with greater ease.
Try to fit it again and then tie the knot.
He found that it was done in one go, which was wonderful. It felt really good, and there was no more stuck like before.
Next, his surgical speed became faster and faster.
When tying knots on fragile blood vessels, you can even clearly feel the blood vessel's bearing capacity and its fragility.
"Well... you young people have nimble hands and feet, so you should do the anastomosis! I'll assist you." Director Gou Qiong raised his eyes and found that Zhou Can had already anastomosed all the most difficult blood vessel segments.
And the quality is top notch.
It's even much better than what he, a senior chief physician, can do.
Director Gou Qiong's face flushed. It was really like the Yangtze River where the waves behind rush after the waves in front, and the waves in front die on the beach.
Compared with Zhou Can, he looks old and frail in every way.
The wisest approach is to take the initiative to let Zhou Can complete all the vascular anastomosis.
Because we all have a common goal, which is to find ways to save patients.
Abdominal surgery is just the beginning. The really difficult part is probably cranial endoscopic surgery.
"Tsk tsk, this level of matching and speed is something I have never seen before. I wonder which doctor in Tuya trained such a monstrous successor? Tuya's prosperity is already unstoppable."
Wu Yongming is a neurosurgeon and considers himself to be quite capable in surgery.
But after seeing Zhou Can's series of actions, he felt not only shocked but also powerless.
After witnessing the strength of the young doctors in Tuya Hospital with his own eyes, he felt deeply powerless. He turned the Provincial People's Hospital upside down but could not find a young doctor who could compete with Zhou Can.
Even if the standard is relaxed to forty years old, there is still no one who can compete with Zhou Can.
As for the old doctors in their fifties or sixties, forget it.
In terms of growth potential, physical fitness, and every aspect, they cannot be compared with young people.
"Today I finally understood what it means that there are always people better than you. The skills that I thought I was proud of are nothing in front of him." Ru Yaji was dazzled by Zhou Can's god-like operation.
The pride in my heart was shattered.
Compared with Zhou Can, she deeply understood what the gap was.
Pang Houzhong next to him also had a dejected expression, like a defeated rooster.
"When I was in the ICU, it was ridiculous that I was still thinking about competing with him. Now there is no need to compete, because he can rub the ground with just one finger." Pang Houzhong said bitterly.
Although he works in the Department of Critical Care Medicine and his expertise is different, he knows very well that a well-performed surgery is much more valuable than critical care rescue and diagnosis.
It is also more popular.
If Zhou Can worked at the Provincial People's Hospital, with his status and growth potential, he could easily defeat him.
"If you know the gap between us and others, it is not in vain that I brought you here to visit this operation today. Watch carefully. The gap is not scary. What is scary is to sit in a well and see the world, and become proud and complacent after a little achievement."
Director Xiang Fei felt happy when he saw that both of his apprentices had frustrated looks on their faces.
The most common mistake young people make is becoming proud and complacent and being unable to position themselves correctly.
Maybe you only have a little bit of ability, but you feel like the world is under your feet.
It's a good thing that this opportunity can help the two of them to recognize themselves.
Only humility can make people progress.
Talent and foundation alone are not enough.
At this time, Zhou Can had already anastomosed the entire blood vessel, including exhausting air and clearing blood stasis during the anastomosis process. He had taken care of every detail.
The attentiveness and high standards displayed were so great that even several chief physicians couldn't help but applaud inwardly.
As for the other doctors and nurses, as long as they had a little insight, they admired Zhou Can's surgical skills from the bottom of their hearts.
"Director Gou, the anastomosis is complete. Please check it. If there is no problem, I will do a blood test."
After the operation, Zhou Can reported to Director Gou Qiong. This was a kind of respect and gave Director Gou enough face.
Even if he didn't report it and just did it directly, Director Gou wouldn't say anything.
Of course, his report made Director Gou look very happy and feel extremely comfortable.
"The anastomosis is very good. Let's loosen the ligated blood vessels and try blood flow!"
Director Gou gave instructions.
His voice was very gentle, and the look he gave Zhou Can was full of fondness.
There is no chief physician who doesn't like a young doctor who is skilled and polite.
Zhou Can tried to loosen the ligature.
Even though it was a slippery knot, it still required a high level of skill to untie it. He didn't dare to let Director Tang and others do it, because if the blood vessel was ruptured again, it would seriously delay the patient's treatment.
After release, blood flows into the anastomosed blood vessels and quickly enters the ends of the blood vessels, forming a blood circulation.
"It's very good. There's no bleeding or rupture. It has withstood the test."
It is already very difficult to anastomose a "tofu-like" blood vessel.
The fact that there was no rupture in the blood circulation test is like a shoddy building withstanding the test of an earthquake.
Deputy Director Lu's blood vessels are all in bad condition. No matter how good the doctors are, they can only patch up the wounds. They cannot replace all the blood vessels in the patient's body.
If Deputy Director Lu can survive this time, Zhou Can will definitely persuade him to pay attention to his health and not risk his life again if there is a chance.
"If you have this ability, why are you still hiding it? You should have used it a long time ago. When saving people, there is no need to be so particular."
Director Ming Xin glared at Zhou Can with dissatisfaction and scolded him.
This made her, the anesthesiologist, extremely anxious. This guy didn't do anything until the last minute. It was really infuriating.
