Chapter 629: Fear, attack the disease directly

Author: Jiangbian Yuweng

Chapter 629: Fear, attack the disease directly

Surgery has always been subject to extremely strict operating specifications.

Internal medicine treatment has never been graded. As long as you have the ability, it is perfectly possible for a graduate student to treat serious diseases. However, the operating room has strict qualification requirements and a graded access system.

Resident doctors can only perform first-level surgeries and may participate in second-level surgeries at most.

There is also preoperative evaluation, intraoperative sterility management, safety management, strict postoperative care, etc. All medical staff have an insurmountable red line, which is the safety of the patient.

Zhou Can has extremely strong surgical skills and is proficient in almost all fields.

I am always very careful when performing surgeries on patients, so nothing has ever happened to me.

It is precisely because of his smooth operation since he started his career, coupled with his personality, that he gradually breaks out of the routine procedures during surgery and engages in some quite risky behaviors.

So far, no matter whether I perform major surgery in the emergency department, cardiothoracic surgery, or other departments, there has been no problem.

Even if an accident occurs during the operation, Zhou Can has director-level experience in anesthesia and critical care medicine, as well as director-level pathological diagnosis and pharmacological syndrome differentiation, which is enough for him to turn the tide and save the patient from death at the critical moment.

People are all the same.

With strong strength and being accustomed to smooth sailing, it is easy to be overconfident. When doing certain familiar things, you like to act unconventionally.

Zhou Can usually goes to other departments to help with surgeries, and basically follows the surgical plans prepared by others.

He is only responsible for some key parts.

If speed is pursued, it is possible to complete most of the entire operation and leave the remaining sutures and cavities to other doctors.

He has a high status in the emergency department and cardiothoracic surgery, and the chief physicians also highly trust him.

This also resulted in his issue never attracting anyone's attention.

It must be a good thing that Wu Baihe discovered Zhou Can's problem this time.

Those who know shame are brave.

Only by being able to recognize your own mistakes can you continue to make progress and reduce mistakes.

"Director Wu's lesson is that I did have some free will in the past. This problem must be corrected." Zhou Can saw that the teacher was criticized, and Director Wu did do it for his own good.

Immediately follow the good advice and accept criticism and opinions.

"It's a good thing to have a good attitude. No matter how great you are, you must abide by the rules. Surgical safety regulations and safety guidelines are summed up by countless ancestors' bloody experience and lessons. Maybe they may not be reasonable in your opinion.

Or they think they can break these rules, but I can tell you responsibly that almost all of Dr. Niu B’s accidents happened because they felt they were capable and confident enough to not follow the rules.

As a result, the last mistake resulted in eternal regret.

Most of those who were electrocuted were electricians, and those who were drowned were mostly people who knew how to swim."

These words are hard to hear, but the words of advice are hard to hear.

What he said does make sense.

"If you directly explore the brainstem, what if there is no bleeding in the brainstem? Or even if there is bleeding in the brainstem, but the symptoms are mild, it is not the main cause of the patient's deep coma? The brainstem is called a restricted area of ​​life, let alone you.

A young man who has only been practicing medicine for a few years, but someone like me, who has been working in the field of neurosurgery for decades, dare not touch it easily."

Wu Baihe scolded Zhou Can until he couldn't even lift his head.

The consultation room was surprisingly quiet.

Although Director Lou and Doctor Xu did not speak, they were both aware of the seriousness of the problem, and they strongly supported Wu Baihe's opinion.

Anesthesiologist Qu Zi looked at Zhou Can with a strange look.

This was the first time she saw Zhou Can being scolded so badly.

In the past, all she heard were senior doctors, patients, and nurses praising Zhou Can.

"When doing any major surgery, you must remember to start from a safe place and treat the identified lesions first..." Wu Baihe explained to Zhou Can the principle of sequencing of surgeries.

"There is no problem with this surgery being minimally invasive, and it is only suitable for minimally invasive surgery. My suggestion is to deal with thalamic hemorrhage and damage first, and then observe the situation before deciding whether to explore the brainstem area. I feel that this patient's brain blood vessels should be serious.

You can look at the blood vessel spots on the film. Although they are inconspicuous, they are very numerous. I suspect that her brain blood vessels have severe atherosclerosis."

Wu Baihe deserves to be a top expert, and he actually diagnosed problems that Zhou Can had not discovered from some subtle points.

"The patient's blood lipids are obviously high, which should be the culprit of atherosclerosis. I have never found such a serious disease in her blood vessels. Director Qu, please re-evaluate the patient's surgical risks."

Zhou Can was slightly shocked after hearing this.

Fortunately, Wu Baihe was invited to come for consultation. If he had followed his original surgical idea and directly used the brainstem area as the first stop for surgery, the consequences would have been difficult to predict.

This does not mean that there will definitely be danger. At least when the patient has large-scale atherosclerosis in the cerebral arteries, the safety risk of the operation will be doubled.

He couldn't help but feel scared for a while.

Every time I think I am strong, but in fact I still have a lot to learn.

Accumulating steps can lead to a thousand miles; accumulating small streams can lead to rivers and seas.

I have to be more humble in the future, keep studying every day, and I must not be arrogant or complacent.

"Now there is a new discovery that there is large-scale atherosclerosis in the patient's intracranial arteries, which will increase the risk of intraoperative bleeding, difficulty in stopping bleeding, etc. However, Director Zhou's surgical ability is enough to significantly reduce this potential risk, so I

After evaluation, it was deemed that the operation could still be performed.”

Qu Zi is also in the growth stage.

After the anesthesiology department was restructured, she signed a one-to-one cooperation agreement with the emergency department.

Basically, he became the queen anesthesiologist in the emergency department.

In fact, the people who use her the most are Zhou Can and Dr. Xu.

Currently, only these two people in the emergency department have the ability to actually conduct third-level surgeries.

Dr. Tang Wangnian is in the process of becoming a deputy senior professional. With the support of the department, it is basically a sure thing. His own conditions are not bad. He has basically achieved all the papers and medical achievements required for the deputy senior professional title.

The only thing lacking is surgical achievements.

This is not the key to the deputy director evaluation. The department will also help him smooth things over and make the matter a success.

So this year he was promoted to deputy senior position and became deputy chief physician in the field of emergency department surgery, so there should be no problem.

Even though he was promoted to associate professor, he still could not immediately preside over third-level surgeries.

Even the less difficult third-level surgery will not work.

You must practice more to have this ability.

"Director Wu, what do you think?"

She looked at Wu Baihe with respect in her eyes.

"Anesthesia takes care of life, and doctors take care of patients. Isn't this a rule that has been established in the operating room? You, the anesthesiologist, have said yes, so of course I have no objection. But there is one thing I have to tell you, and I can't go too far.

There is a superstitious belief in the surgical ability of the surgeon. He usually performs stably and has strong surgical ability. It can only be used as a small part of the reference for surgical safety and must not become a key part of the evaluation."

Director Wu is a straight man.

But he is still gentle when treating female doctors and nurses.

Even if it is criticism, it is only tactful. When I scolded Zhou Can just now, I really didn't spare any mercy.

Male doctors usually take into consideration the psychological endurance of lesbians.

If they are scolded too harshly, they will cry.

If they don’t cry in person, many of them will cry in the bathroom or office. This is a weakness of male doctors. No male doctor likes to make female colleagues cry.

"clear!"

Qu Zi playfully stuck out her tongue.

She knew what Wu Baihe was referring to, and she just warned her not to think that Zhou Can's surgical ability was strong and that he had never had any accidents, so she used this as a key factor in assessing the risk of surgery.

Instead, the proportion of this aspect should be reduced.

"Well...since the surgical plan has been determined, and the anesthesia risk assessment and surgical safety assessment have been passed, can we perform the surgery tonight while Director Wu is here?"

Zhou Can suggested.

"You're such a calculating kid! You've made this idea a long time ago, right?"

Wu Baihe couldn't help but shake his head and smile bitterly.

I was thinking about this kid with all my heart, but he was plotting against me.

"Hey, isn't it because you are busy every day? It's not easy for you to come here, and I don't dare to waste too much of your time. This patient's family is in difficulty, and her daughter is eager to save her mother. I just want to

"Look, if the operation can be performed tonight, the patient's injuries can be further reduced, and at the same time, the patient's family can save some treatment costs."

Zhou Can didn't shy away from anything, he just said what he had to say.

Cheng Xiaolu's father is disabled, and her income is not particularly high. It is estimated that her monthly salary is only about six to seven thousand.

The pharmaceutical department has been losing money for consecutive years, and there is no such thing as a year-end bonus.
To be continued...