All famous hospitals have one thing in common: a high shortage of beds.

"Dong dong dong!"

Zhou Can knocked on the door.

"Please come in!"

A majestic, steady voice came from inside, with a deep tone.

After opening the door and walking in, I saw the big guys from the cardiothoracic surgery department gathered together, all with serious expressions.

The screen on the wall is playing the examination report of the patient in bed 19.

Dr. Duan and Dr. Zhao were pale, frightened, and deeply regretful.

If he had listened to Zhou Can's "offensive words" the day before yesterday, or if the patient had been more careful and patient when he reported chest pain yesterday, he would not have ended up in this situation.

The person sitting in the main seat was none other than Director Hu Kan, whom he had met once from a distance.

He is still as steady as an old monk in meditation, and there are not too many waves on his face.

As soon as Zhou Can walked into the consultation room, he immediately felt many pairs of eyes staring at him.

These people are all important bosses in the department.

Some have high attainments in the cardiovascular field, and some have achieved extremely high achievements in thoracic surgery.

All of them have real talents and outstanding surgical skills.

"Dr. Zhou, please sit down!"

The female nurse standing by the door asked Zhou Can to sit at the end of the conference table.

She should just temporarily provide tea and water for the directors attending the consultation. She is also responsible for who needs to be contacted.

"Dr. Zhou, the patient in bed 19 had a chest wall muscle suturing operation the day before yesterday. Do you still have any impressions?"

"have!"

Zhou Can answered very simply.

"According to the relevant personnel who participated in the operation at the time, before the operation was about to end and before the skin was sutured, you reminded the two superior doctors to be careful of large-scale tissue ischemia and necrosis. Can you tell us about the situation at that time?"

The matter was brought up again, but Zhou Can was fine with it.

Dr. Zhao was already so ashamed that Dr. Duan also lowered his head, not daring to raise his eyes to look at anyone.

Mainly because I have no face.

"OK!"

Zhou Can nodded in agreement.

Let’s start by introducing the situation at that time.

"During the operation, when Dr. Duan incised the pectoral muscle flap, the bleeding was quite serious. He cut a relatively thick artery. Then Dr. Zhao performed electrocoagulation on the bleeding point to stop the bleeding. Maybe the electrocoagulation time was a bit long. I

Standing under the operating table, I noticed that the body tissue that had been electrocoagulated had a slight discoloration. How should I put it, it was like pork that had been scalded, with an oily sheen and a bit of grayish white."

"I looked at it at the time and was a little worried about tissue ischemia and necrosis. I did remind Dr. Duan and Dr. Zhao."

Zhou Can just stated something related to his illness.

Dr. Zhao became angry because of this incident and punished him for cleaning the operating room without mentioning anything.

This also prevented Dr. Zhao’s reputation, image, and character from being completely ruined.

Even after he warned that tissue ischemia and necrosis would occur, Dr. Duan carefully examined it and thought it was OK, and then asked Dr. Zhao to suture the skin without mentioning it.

Good character can sometimes bring many unexpected gains.

It saves face for the two doctors Zhao and Duan. They don't say it, but they must be grateful in their hearts.

"On the third day after the operation, the patient developed high fever and symptoms of sepsis. What do you think is the problem?"

Director Hu Kan's eyes were fixed on Zhou Can.

This was the first time he spoke since Zhou Can came in.

"The possibility of necrosis of the chest muscle flap is relatively high."

Zhou Can gave his own opinion.

"What about the treatment plan?"

Director Hu Kan asked again.

I don't know why, but there seemed to be invisible pressure when he asked questions.

"Uh... with so many department heads present, it's not appropriate for me as a trainee to talk about treatment plans!" Zhou Can quietly checked and found that there were at least seven or eight directors and deputy chief physicians.

The strength of cardiothoracic surgery is really strong.

"It's okay. Just say it with confidence. I've heard of your reputation a long time ago. If I have a chance today, I'd like to see what kind of apprentice Lao Xu has accepted?"

Director Hu Kan, like many big bosses, likes conspiracy.

What is the purpose, state it openly and openly.

Many little people like to play conspiracies, that's because they are weak and must sneak through Chencang and attack in the east to defeat their opponents or gain huge benefits.

Big bosses don't like to play conspiracies, that's because society is becoming more and more civilized.

Everyone is a respectable person, and after reaching a certain level, the circle becomes very small. If you play conspiracy, no one will want to play with you, and you will be isolated.

And the price is also very low.

So they prefer to delve into conspiracy.

Director Hu Kan had already spoken out for this reason, so Zhou Can naturally couldn't avoid it anymore.

"If you ask me, re-open the patient's wound, clean it first, and then suture it again. Then give the patient various supportive treatments to fight infection and prevent sepsis from getting worse. Especially to prevent kidney failure, if necessary

At this time, extracorporeal renal function replacement can be established. In addition to anti-infection, organ and life support, immune conditioning therapy can be supplemented."

Sepsis develops rapidly and is extremely harmful.

Early, timely and effective symptomatic treatment is very important.

It can be roughly divided into three directions. The first is to diagnose the cause, detect the lesions, then eliminate them, and then use corresponding antibiotics to prevent infection and treat them.

The second direction is life support treatment.

Including circulatory resuscitation, mechanical ventilation, renal replacement, etc.

The third direction is immune conditioning.

The human immune system is the ultimate magic weapon to defeat all diseases. No surgery, no medicine, no matter how advanced the equipment is, cannot compare with the immune system.

Even the latest anti-cancer drugs developed by humans start from the immune aspect, such as activating immune T cells and so on.

"If this patient is dying and you are asked to take over the treatment, would you be willing?"

Director Hu Kan's eyes brightened even more after hearing Zhou Can's answer.

There was a hint of interest on Gujing Muha's face.

"Of course! It is the bounden duty of a doctor to save lives and heal the wounded. The patient is critically ill, so I should do my best to treat him."

Zhou Can answered very decisively.

"If something happens and we can't be saved, aren't you worried about the consequences?"

Director Hu Kan's soul torture was pressing harder and harder. Even a fool could see this time that he was testing Zhou Can.

You may want to observe Zhou Can's abilities and qualities in all aspects.

"I am also a human being, and I will definitely be worried! For this kind of thing, I just try my best. I really tried my best but couldn't save the patient. I believe the family members can understand. As for reputation, I really don't care about it.

Those vain things."

Zhou Can only cares about strength and never cares about fame.

On the contrary, he particularly likes to remain anonymous and treat patients silently. In this way, he does not have to bear too much psychological pressure, and people can live a particularly relaxed life.

"It's interesting! You are much better than Lao Xu. If he had understood earlier that false fame can harm others, nothing would have happened to him. I hope you can go longer and further than Lao Xu."

Director Hu Kan's magnanimity also made Zhou Can secretly admire him.

Dr. Xu and he were competitors. They had been fighting for many years. Now something happened to Dr. Xu and he was reduced to the chief physician of the emergency department. Director Hu Kan's position was stable and higher than before.

But he didn't do anything to add insult to injury.

This is a kind of respect.

"Whether you are training in the Department of Cardiothoracic Surgery or you are going to pursue advanced studies in the future, as long as I remain in the position of director of this department, I can guarantee that the stage you will be able to be as strong as your ability. Our department also

I will give you the best training."

Director Hu Kan said this in front of the big bosses in the undergraduate department, which was almost like saying hello to Zhou Can.

This means telling the other directors and deputy chief physicians of the department to give Zhou Can the best guidance and training.

This is true generosity and fraternity.
To be continued...