【My medical skills can add experience points】【】
As for the remaining general-level attending doctors and residents, they basically couldn't understand Zhou Can's surgical thinking. Don't blame them. When the level is high enough, listening to these difficult surgical plans is indeed like listening to heavenly scriptures.
The purpose of many surgical procedures, they cannot understand because of their insufficient level.
Not to mention the regular trainees and interns present.
"Is Doctor Zhou really here to ask for advice? Why do I feel like I'm here to show off my skills?" An attending physician who has a good relationship with Zhou Can asked him with a wry smile.
This question touched the hearts of many people.
The surgical plan given by Zhou Can just now is already very clever, and the level is not inferior to that of the chief physician present. They are so powerful that many of the attending physicians present feel ashamed.
Even some deputy chief physicians may not have the same surgical ideas as him.
It's almost the same for them to learn from Zhou Can in turn.
"Doctor Long, don't make fun of me. How dare I show off my skills in front of the teachers at my half level! Come here sincerely and ask the teachers for guidance!"
Zhou Can has never done anything like showing off.
Low-key is his norm.
"I have to say that Xiao Zhou has made great progress. Many of you young doctors have to learn from him. I don't know if you have such an experience? You will be surprised when you see Xiao Zhou every once in a while. It is found that his medical skills have improved a lot. It is the same almost every time, without exception. This is actually a very good state, which shows that he is always studying hard and improving his medical skills."
Director Hu Kan expressed the aspirations of many directors and deputy chief physicians present.
They also feel the same way.
Almost every time I saw Zhou Can in the operating room, I was surprised to find that Zhou Can's medical skills had improved again.
"Xiao Zhou, the operation plan you gave just now is quite good. However, there are still some areas that can be improved or further improved. For example, the interval between the second operations you mentioned, twenty-four hours is a bit too long. According to my operation According to my experience, if a patient experiences a low cardiac output state after the first operation, as long as the drug is given in time and correctly, the shortest waiting time is 16 hours before the second operation can be performed.”
Director Hu Kan deserves to be the top expert in cardiothoracic surgery.
He was able to give such accurate suggestions for improvement, and it was obvious that he had a deep understanding of the surgical plan proposed by Zhou Can.
This shows that his level is far above Zhou Can.
Only in this way can we evaluate the deficiencies.
The attending physicians and residents present, not to mention pointing out the deficiencies, it is already very difficult to understand Zhou Can's surgical thinking. In fact, they did not fully understand some of the surgical steps.
I only know the general purpose of doing so.
Some of the advanced intentions, because their level is not enough, they have no way to comprehend.
"Director Hu, if the patient has a low cardiac output state, what kind of medicine should be used?" Zhou Can is still weak in pharmacological syndrome differentiation after all. At least it needs to be upgraded to the fifth level in order to deal with some difficult diseases more calmly.
The state of low cardiac output often occurs after heart surgery, which is quite dangerous.
However, as long as the drug is given in time and correctly, the prognosis is generally good.
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【My medical skills can add experience points】【】
"How do you think the medicine should be used?" Director Hu Kan asked without answering.
Director Xueyan also stared closely at Zhou Can, wanting to see how much progress he had made in pharmacology.
"The postoperative low cardiac output status indicates myocardial weakness. First, consider the application of positive inotropic drugs, such as dopamine, milrinone, and prostaglandins. If necessary, inhalation of nitric oxide can be considered for the patient."
As for the medicine to correct the state of low cardiac output, Zhou Can can only think of these.
"Your medication is basically correct. But you must find out the cause of low cardiac output before taking medication. Low cardiac output syndrome is generally caused by left ventricular dysplasia or some diseases. In addition, incomplete correction of the pulmonary artery can also cause low cardiac output. The disease mostly occurs during surgery. The use of dopamine, etc. you just mentioned to enhance myocardial contractility, relax blood vessels, reduce vascular resistance, and increase cardiac output is a good way.”
"Regulation of cardiac preload, blood transfusion and fluid replacement to increase blood volume, thereby increasing ventricular filling pressure, also have good effects. Reducing left ventricular afterload has also been verified in clinical practice to have a good therapeutic effect."
Director Hu Kan's level is really not underestimated.
The guidance given is not only accurate, but also much more complete than Zhou Can's treatment advice.
Afterwards, he successively commented on the surgical plan given by Zhou Can, and gave suggestions for improvement.
Zhou Can listened carefully one by one and took notes.
When you encounter something you don't understand, ask for advice in person.
This kind of earnest learning attitude makes Director Hu Kan value him even more.
After discussing the operation plan, Zhou Can was more than 80% sure about this congenital heart disease operation.
At least in theory, there are no more obstacles.
An operation includes two parts, theory and practice. To put it bluntly, the actual operation is technology and surgical operation skills.
Zhou Can's current basic surgical skills are only a little weaker in incision, which is currently at the middle level of attending, close to the excellent level of attending.
Several other medical skills have reached the level of deputy chief physicians, which is completely sufficient to complete this congenital heart disease operation.
"Director Hu, when the time comes for my operation, can you please go over and help me stand on the platform and sweep the battle? With you here, I will feel at ease in my heart."
Zhou Can always likes to prepare for the worst.
Invite Director Hu Kan over to Luezhen, and in case of danger, Director Hu Kan can be asked to rescue him immediately.
If Director Hu Kan is temporarily invited from the cardiothoracic surgery department to rush to the pediatric department for rescue, it is very likely that the child is already cold.
"Tell me in advance when the time comes, I'll go there no problem."
Director Hu Kan did not refuse.
Zhou Can was his savior, so he was too embarrassed to refuse a small request.
The purpose of this trip has been achieved, and he got up to leave.
"Xiao Zhou, come with me to the office and have a few words!" Director Hu Kan stood up while supporting the table.
It seems that there is something to chat with Zhou Can privately.
"Slow down!"
Zhou Can hurried over to support him.
While walking, he could feel Director Hu Kan's body trembling slightly.
In this state, the most stable scalpel might exist in name only. Even the simplest surgery can't be done.
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【My medical skills can add experience points】【】
Zhou Can sighed in his heart. Director Hu had practiced "Stable Kung Fu" for so many years. Who would have thought that due to physical reasons, he would not be able to complete even the simplest surgery.
The fate of life is impermanent, and no one knows which will come first, tomorrow or the accident.
Entering the office, he helped Director Hu Kan to sit down.
"Close the door!"
He said to Zhou Can.
After Zhou Can closed the door, he called Zhou Can to sit down and talk.
"You have also seen my body, and now I can no longer hold a scalpel. I really didn't expect this day to come so soon, so that I was not prepared at all. The most lacking in cardiothoracic surgery is a coach who can take the lead. Don't It can be seen that the chief physicians are not weak, but they can only deal with moderately difficult major operations of the third and fourth grades. Some high-difficulty cardiothoracic operations can no longer be performed in our hospital."
Director Hu Kan told Zhou Can frankly the difficulties faced by the cardiothoracic surgery department.
Because of the sudden fall of director Hu Kan, the cultivation of top surgical talents has not kept up, which has caused the current predicament.
Talent reserve has always been the core of every department.
It's a pity that thousands of troops are easy to get, but one general is hard to find.
Leading talents who can truly resist the flag are too rare to meet but not to seek.
In addition, the training period for cardiothoracic surgery personnel is extremely long, and it takes at least ten years to become a talent, which further exacerbates the shortage of personnel.
"Don't worry, I believe that the doctors of cardiothoracic surgery will accelerate their growth and will soon be able to raise the banner of the department. The most important thing for you now is to take good care of your body, and then you can return to the operating table. "
Zhou Can tried to comfort Director Hu.
"Oh! I'm afraid my body won't get better! I have been a doctor all my life. Although doctors don't treat themselves, I am very clear about my physical condition. Take good care of me. I will live another eight or ten years without any problem. Want to It's almost impossible not to shake your body."
Director Hu Kan shook his head, his face full of loneliness and unwillingness.
For the elderly in their eighties and nineties, it is more common to have tremors in their hands and feet. Because when people get old, there will be many problems in the body, such as calcium deficiency, muscle movement imbalance, nerve control problems and so on.
The most common are Parkinson's disease, hyperthyroidism, and hypoglycemia that cause body tremors.
The main reason was heart problems. After all, he had undergone two major operations and there were certain sequelae.
"Xiao Zhou, how about being my successor in cardiothoracic surgery? With your monstrous talent, I am confident that you will be able to stir up the banner of cardiothoracic surgery in a year or two."
This is not the first time this idea has been proposed to Zhou Can.
It's just that this time the situation is a little special.
In the past, Director Hu hadn't fallen down yet. This time, Director Hu's pillar of optimism has fallen, and there is a talent gap in cardiothoracic surgery.
This will definitely have a negative impact on the important department of a top hospital.
In a short period of time, you can still eat your money and basically maintain it.
Over time, the business of cardiothoracic surgery will shrink.
Patients would throw away Tuya Hospital like a rag.
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【My medical skills can add experience points】【】
For patients, which hospital has better medical skills will definitely give priority to which hospital to go to for treatment.
"You know, I'm Dr. Xu's quick-witted successor, and I can't switch to someone else's sect." Zhou Can could only cruelly reject his request.
Facing the hopeful eyes of a fallen chief physician, he felt somewhat unbearable.
"By the way, I can recommend a talent to you. He is very talented in the field of 'stable knife'."
At this moment, Zhou Can suddenly thought of Jin Mingxi in the same dormitory.
Jin Mingxi has no talent for practicing fast swords, but he has shown amazing talent for steady swords.
"Did you deliberately perfunctory me?"
Director Hu Kan asked angrily.
"How dare I! You have always been one of the most admired people in my heart. I can only be honest with you, and there is no perfunctory. I will call him over, and you will find out after examining it yourself."
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Zhou Can is very confident about this matter.
Jin Mingxi has been practicing 'Steady Kung Fu' for nearly two years, and I believe he has already achieved a certain degree.
"Is there really such a person?"
Director Hu Kan saw that Zhou Can didn't look like a liar, so he couldn't help but look forward to it.
"Can you call someone over now so I can see you?"
"I'll call right away!"
Zhou Can didn't talk nonsense, and directly took out his mobile phone to call Jin Mingxi.
"Old Jin, I'll introduce you to a great opportunity. Hurry up and come to the office of the chief of cardiothoracic surgery."
"I'm working overtime here!"
Jin Mingxi didn't know what opportunity Zhou Can was talking about.
He is still in the regular training period, and there are endless overtime classes every day. The transferred departments are also the major departments of surgery. In addition, anesthesiology and imaging are compulsory departments.
Surgeons generally choose to study in the radiology department for one month in the fourth-to-last month when the training is about to end, and then return to the department of their choice to complete the last three months of training and work as a formal resident doctor. Pave the way.
Compared with Zhou Can's generous treatment, Jin Mingxi's treatment is far worse.
It is commonplace to be on the night shift.
"Aren't you going to ask for a vacation? Hurry up, don't hesitate, if you miss this kind of opportunity, you won't have it again."
Zhou Can really convinced Jin Mingxi, this is an opportunity for Director Hu Kan to be his heir! I don't know how many excellent doctors are rushing to get it.
"It's mysterious, what kind of chance is it? Alright, alright, I'll come over right away!"
Not long after Jin Mingxi hung up the phone, she arrived panting.
Knocking on the door, he found that it was Zhou Can who opened the door for him.
Sitting inside is Director Hu who I admire the most in my heart.
"Hu, Director Hu, hello!"
Jin Mingxi looked extremely nervous and stuttered. I don't know where to put my hands.
"Is that him?"
Director Hu Kan stared at Jin Mingxi and frowned.
Not to mention the older age, the psychological quality is far worse than Zhou Can's calm atmosphere.
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【My medical skills can add experience points】【】
"That's right, it's him! Maybe because he hasn't seen any big scenes, and he has always regarded you as the person he admires the most, so he is a little excited."
Zhou Can quickly helped Jin Mingxi speak well.
After explaining to Director Hu Kan, he turned to look at Jin Mingxi.
"You are so nervous!"
While winking at Jin Mingxi, he scolded him in a low voice.
"Behave well, you will pass Director Hu's test in a while, and you can realize your ultimate dream!"
Jin Mingxi was almost thirty-seven years old anyway, and he heard the deep meaning in Zhou Can's words. He pinched himself twice with his hands, and used the pain to relieve the tension in his heart.
"Director Hu, I made you laugh! After I saw your demeanor at a morning meeting, I have always regarded you as an idol in my heart. I didn't expect to see you when I came in. So I was a little excited and nervous."
After Jin Mingxi recovered, his performance gradually returned to normal.
If nothing else, his explanation was pretty good.
The tone is sincere and the eyes are calm.
"Everyone has two nostrils, two eyes and one mouth. You don't have to be nervous. Sit down!"
Director Hu Kan's expression softened slightly, and he motioned for Jin Mingxi to sit down and talk.
This is a good beginning.
At least it shows that his impression of Jin Mingxi has changed a lot. When Jin Mingxi first came in, seeing Director Hu Kan's tone and expression, it was definitely a sign that he was going to kick him out directly.
"Xiao Zhou recommended it to me, saying that your talent for stabilizing skills is good."
"Not bad, I don't dare to say it, but I really like to practice your stability skills. UU Reading www.uukanshu.com" Jin Mingxi replied very frankly.
"Oh! Have you been practicing steady work?" Director Hu Kan's eyes lit up slightly.
"I've been practicing for almost two years. At that morning meeting, I saw your demeanor of practicing steady kung fu, so I begged Dr. Xu to teach me, and I gradually got into it."
Jin Mingxi originally wanted to take the fast knife route back then, but unfortunately he didn't have the talent in this area.
After changing to steady work, it seems that I have found the right way.
It has to be said that everyone has their own opportunities and fortunes.
The east window is not bright, the west window is bright, there is always a development path that suits you.
"Come here and draw a line that is exactly the same as the line I drew."
Director Hu Kan took a pen and randomly drew a long crooked line on a piece of white paper.
His hands were already trembling, and the lines he drew were simply natural waves.
It is quite difficult to imitate and draw an identical line.
This way of imitating drawing lines is often used by people who learn painting to practice basic skills.
At this moment, Director Hu Kan is using it to test whether Jin Mingxi is really steady.
Jin Mingxi walked to the table, picked up the pen, took a deep breath, and began to imitate Director Hu Kan's handwriting and draw an identical line.
Although there are some discrepancies, his hands are very steady.
Experts will know if there is one as soon as they make a move.
Director Hu Kan has practiced stabilizing kung fu all his life, so he can tell at a glance that Jin Mingxi has achieved a certain level of stability in kung fu.
"It's ok! Look at your chirality, you can't get it out of it after only one or two years of practice. At least you have seven or eight years of skill." Director Hu Kan showed a rare smile on his face.