Chapter 556 Understand before surgery, the two most easily overlooked cancers

Author: Jiangbian Yuweng

Chapter 556 Understand before surgery, the two most easily overlooked cancers

"This is Director Tan Shengli from our Department of Gastroenterology!"

Song Qian took the lead in making an introduction to a middle-aged man who was leading the group.

"This is Dr. Zhou Can from Tuya. This is his surgical nurse Jiang Wei, a returnee doctor. This is his colleague. Come and learn from him."

When introducing the three people, Zhong Ming was placed last.

I never asked Zhong Ming’s name during the entire process.

If it weren't for Zhou Can's sake, Zhong Ming wouldn't even be able to enter the operating room.

"I have long admired Dr. Zhou's name, thank you!"

Tan Shengli did not shake hands with Zhou Can, but nodded and smiled to say hello.

In the operating room, everyone can talk and physical contact is rare. In theory, the area above the waist needs to be kept sterile. Sterile consumables such as gloves, surgical gowns, masks, and headgear used in each operation are paid for by the patient.

Every penny should be spent wisely.

Random waste, although patients and family members may not pursue it because they do not understand, there will be some supervision within the hospital. Of course, the operating room has always been the core of the hospital, and supervision is relatively loose.

Very few leaders from the medical department, quality control office, and hospital office enter the operating room and watch the doctors perform operations.

After all, it makes doctors nervous. If a surgical accident occurs, who will be held responsible?

Besides, the status of the chief surgeons is not low. They are often the technical backbone of the hospital. If they work for a little longer, they will also take on some administrative positions in the hospital. No administrative staff in any department is willing to offend them.

At most, after the operation, people who are sick in the hospital occasionally come into the operating room for random checks.

Check to see if the infection prevention and control work in the operating room is in place, and is there any littering?

In the operating room, medical waste and domestic waste must be separated, otherwise you will be scolded and fined if caught. Some doctors throw medical waste into the trash can with black plastic bags for convenience.

The more responsible circulating nurse notices it and often corrects it face to face.

It's just that she also takes a nap.

Especially when an accident occurs to a patient during surgery, everyone is busy rescuing the patient, so how can they have time to pay attention to these small things?

"Director Tan, you're welcome!"

After Zhou Can said hello, his eyes were already consciously looking at the patient on the operating table.

"That's our anesthesiologist, Director Hei."

"Hello, Director Hei, it's a pleasure to work with you on the same stage."

Zhou Can obviously attaches great importance to the anesthesiologist and is extremely humble when greeting him.

The surgeon and the anesthesiologist need to work closely and cooperate closely during the operation. This person is equivalent to Zhou Can's comrade-in-arms in this operation.

Naturally, we need to have a good relationship.

The chief surgeon has a very high status in the operating room, equivalent to the captain, but he cannot work alone. To successfully complete an operation, at least the anesthesiologist, surgical nurse, medical assistant, and the joint assistance of multiple forces are needed.

It won't work without either party.

Especially this slightly larger surgery.

There are three gangs of heroes, and it is definitely not for nothing.

“A pleasure to work with!”

Director Hei is a female doctor in her early forties, wearing black-rimmed glasses and looking quite serious.

When greeting Zhou Can, there was no smile on her face.

Basically, most anesthesiologists adopt this approach.

It’s not entirely because they are cold-blooded and aloof, but because the situation during the operation is ever-changing. Due to professional habits, they keep a straight face for a long time and are always in a state of nervous tension.

Over time, I developed the habit of always being serious at work.

"Is the patient now under general anesthesia?"

When Zhou Can came in, he found that the patient was in a comatose state. When he talked to other doctors, the patient showed no reaction.

"Yes, the patient has now been successfully under general anesthesia, his physical condition is stable, and he can undergo surgery at any time."

Seeing Zhou Can ask about the patient's condition, Director Hei answered in detail.

"I just noticed that there is an incision on the posterolateral side of the patient's left chest. Is this the incision from the last surgery?"

Zhou Can actually carefully observed the condition of the patient's surgical incision, including the shape and length of the incision, whether it was red, swollen or suppurating, how the sutures were done, etc. These can basically infer the skill of the previous surgeon.

However, considering that third- and fourth-level surgeries in large hospitals are often completed by multiple doctors, poor incision and rough sutures do not represent the quality of the surgeon.

It's possible that my medical assistant opened the breast for the patient.

As for closing the chest cavity, some excellent residents are fully capable of doing this job.

For a major surgery, only a limited number of people can go on stage.

Many residents only get an opportunity to stand in the audience and observe and learn, which is already very good.

Even if it is a level 100 laminar flow operating room, the number of medical staff entering the operating room will be minimized.

If it is not necessary, it will often be strictly controlled.

For example, for a third-level surgery, there are at most three places for anesthesiologists. In fact, there are often one experienced anesthesiologist and one anesthetist nurse, a total of two people.

Sometimes you may bring an apprentice, that is, three people.

Then for the surgical nurses, there are one to two instrument nurses and one circulating nurse. The circulating nurse is equivalent to the housekeeper in an operation and is an indispensable and important role.

Then the doctor is more flexible.

There is usually only one surgeon, but under special circumstances there may be two surgeons. That is, two surgeons, each performing a part. For example, if a patient needs to undergo surgery on both the abdomen and chest at the same time, there may be two surgeons.

It must be said that the probability of dual main surgeons appearing is not high.

It is often an emergency life-saving operation, and it does require surgery on two parts at the same time, so there is no way.

Otherwise, the life-threatening parts of the surgery will be prioritized, and the less critical parts will be postponed as much as possible.

Because incisions are made on two parts of the patient at the same time, the harm to the patient is very great, and the risks in all aspects are doubled.

The surgeon who is not an experienced surgeon with extremely high surgical skills would not dare to take such a risk.

In fact, it is more common for two teams to perform operations on patients at the same time.

For example, perform surgery on a pregnant woman with aortic dissection.

It may be necessary for an obstetrician and gynecologist to first perform a cesarean section to remove the fetus, and then a cardiovascular surgeon will perform the aortic dissection surgery.

Zhou Can's team has only been established for a short period of time and is still very immature.

The comprehensive surgical team that wants to achieve his ideal is composed of multiple top teams, such as cardiac team, thoracic team, general surgery team, orthopedic team, anesthesia team, nutritional care team, surgical nurse team, postoperative care team, etc.

.

There is still a big gap in this.

At present, he only has this idea and is quietly working in this direction.

For example, the extracardiac team and the extrathoracic team are being cultivated.

In the future, when he becomes stronger, he can directly absorb the two top teams in cardiothoracic surgery. The same goes for general surgery.

When that day comes, Tuya will have the most powerful surgical team in history.

Its surgical capabilities are likely to become the best in the country.

"The last time we performed an operation to repair a ruptured esophagus on a patient, the incision was made from the posterolateral side of the left chest and entered the chest through the fourth intercostal space."

Tan Shengli replied from the side.

It seems that the last operation was probably performed by him.

"The incision is very standard and the suturing is in place. It can be seen that the doctors in your hospital are very high-level in performing this operation, and the surgeon is very attentive. I dare say that without 20 or 30 years of suturing experience, there is no suturing at all."

Not at this level.”

Zhou Can complimented the other party without leaving any trace.

Praising someone without naming them is also called blind praise.

That is, when you praise, you don't target anyone, only the work you did. This can eliminate the suspicion of flattery to the greatest extent, and is enough to make the person involved feel particularly comfortable listening to it.

Zhou Can praised Director Tan fiercely even before the operation started. Naturally, he had his purpose.

When I first arrived, I didn’t know the situation.

When wiping someone else's butt, if you can get a high degree of cooperation from the surgeon who performed the last operation, you can greatly reduce the risk. For details that cannot be seen from the report sheet, disease course records, and operation records, people will be reminded in time.

"I have received awards and awards, and I will tell you the truth. When I performed the surgery on this patient, I made all the incisions and closed the cavity myself."

Despite wearing a mask, Director Tan's eyes still smiled.
To be continued...