My Medical Skills Give Me Experiences Chapter 144

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At this moment, even fools understand that Director Wen, the strongest in their minds, has encountered a problem.

The neck of the patient's aneurysm is too narrow, and the elastic circle wants to be placed precisely at the target position, but it is ultimately compromised by the flexibility of the catheter.

In front of the students and doctors from the outside team, Director Wen was already on the verge of riding a tiger.

People need face, trees need bark.

Sometimes burdened by false reputation, in order to save face and majesty, he can do many unimaginable things.

Director Wen gritted his teeth and decided to be brave and give it a go.

Put the spring yellow circle directly out of the catheter.

After the special springy circle is placed in the target blood vessel, direct current is applied, and the springy yellow circle attracts negatively charged blood components: red blood cells, white blood cells, platelets, etc., and electrocoagulation occurs.

Eventually a blood clot forms within the aneurysm.

At the same time, the connecting part of the elastic ring and the stainless steel guide wire was melted due to electrolysis, and the elastic ring was released and remained in the aneurysm.

It was not sent to the ideal target position, and the circle position was not correct, so it was released forcibly.

The consequence is that the yellow circle doesn't work as it should.

You know, the patient now has an aneurysm that has ruptured and is bleeding.

It needs to be completely blocked.

This requires multiple spring circles to be placed.

But the first one is not put away, what to do with the latter one?

Director Wen's idea is very simple, if it is not placed properly, just try to adjust the circle position.

The GDC spring ring is extremely soft, and it has good compliance in advancing and retreating in the aneurysm. If the delivery position is not satisfactory, it can be adjusted again.

In general, parent artery occlusion is less likely to occur.

Then adjust slowly.

It's a pity that the more tuned it is, the less ideal it becomes. Director Wen's head is getting bigger.

"Today is really crazy, why is this yellow circle so disobedient?"

Director Wen's speech is quite good.

If it were a bad-tempered chief surgeon, I'm afraid he would have started scolding his mother a long time ago.

"Director Wen, take a break first, let me fight for a while."

The attending physician surnamed Zou took the initiative to ask for help.

Share Director Wen's worries.

"Maybe I've had two surgeries today, and I'm really tired. You do it first, and I'll go to the side to catch my breath."

Director Wen also took advantage of the **** to get off the donkey, and stepped aside at the right time.

After Dr. Zou took over, the situation was not much better.

After all, it depends on real skills.

And now that the yellow circle is released from the catheter, the operation is more difficult.

Within a few minutes, Dr. Zou was already sweating profusely.

Half tired, half anxious.

The operation is always poor, the patient's intracranial hemorrhage is continuing, can he not be in a hurry?

At this moment, the patient's body suddenly began to tremble.

Immediately afterwards, the life monitoring instrument issued a piercing alarm sound.

"Not good, the patient's blood pressure is dropping rapidly, the heartbeat is accelerating, and the brain waves are abnormal!"

The anesthetist was originally sitting by the wall to rest, glancing at the display screen of the monitoring instrument from time to time.

Under normal circumstances, a brain aneurysm interventional operation is only necessary, and there is almost no risk.

Unexpectedly, this director Wen and his few students made the patient like this in a daze.

"What happened?"

Director Wen also ran up to check nervously.

"It should be that the spring ring was not placed properly, and the position of the spring ring was adjusted repeatedly, which aggravated the bleeding instead."

The anesthesiologist has rich experience and gave the reason after the inspection.

"I, I didn't do much!"

Dr. Zou felt quite wronged.

Isn't interventional surgery claimed to be extremely risky?

The most dangerous catheter puncture has already been done.

There is almost no danger in inserting the spring ring. How could it cause serious problems for the patient after only a few minutes?

What a shame.

"If the yellow circle cannot be inserted in time to stop the bleeding, the patient may not be able to get off the operating table."

Anesthesiologists are more depressed than anyone.

In this case, he has no way to save him.

The patient is suffering from intracranial hemorrhage, and the only way is to stop the bleeding.

"Things that are not enough to succeed, but have more than enough to fail. Go down!"

Director Wen's eyes were extremely cold.

The face covered under the mask must have become extremely ugly.

So much so that he scolded Dr. Zou extremely nasty words.

I was really anxious.

There is a huge difference between a failed operation and a patient being put to death.

The consequences were simply not something he could bear.

"Before the patient entered the operating room, he had been bleeding for more than an hour. Now, due to Dr. Zou's operation error, the bleeding has become more severe. There is no point in rescuing the craniotomy. The only way is to insert all the elastic circles in the shortest time and break them off. The blood supply to this aneurysm."

Zhou Can couldn't bear to watch this patient die or turn into a vegetable.

In order to save this patient, he has paid a lot with his meager efforts.

Wu Baihe can't come, Director Wen's level is just like that.

Right now, I am afraid that only this humble little Gui Peisheng can turn the tide and bring the dead back to life.

"It's not for you to talk here. Everyone understands the truth."

Doctor Zou scolded coldly.

Zhou Can directly pointed out that it was because of his operation error that the patient's bleeding worsened.

The words are the truth.

But it sounded very harsh to him, and he felt very uncomfortable.

"I've had implantation surgery, can Director Wen let me try it? It doesn't take too long, thirty seconds is enough."

Zhou Can's words are really shocking and endless.

Director Wen made no progress for nearly half an hour operating the spring ring, and Dr. Zou worked it for seven or eight minutes, but not only made no progress, but also made the patient's bleeding worse.

This young Gui Peisheng with a tight face actually said that thirty seconds is enough for him.

"Do you know what you're talking about?"

Director Wen looked at Zhou Can with cold eyes.

It was also the first time to look at Gui Peisheng with a straight eye.

With his status, not to mention Gui Peisheng, he is a resident doctor, not particularly outstanding, and he is not even worthy of his name to remember.

"I said give me thirty seconds, and I can solve the problem of placing the yellow circle."

Zhou Can's eyes were clear and his voice was sonorous and powerful.

This is a sign of extreme confidence.

"Xiao Zhou, don't be brave."

Doctor Ou gave him a hand.

This kid is clueless. The patient may die at any time, and he is doing it now, and he will be a perfect scapegoat when the time comes.

Hospitals have never been the beautiful holy places imagined.

On the contrary, under the sacred appearance, there is too much dirt and ugliness hidden.

"If this patient is not saved, he will probably die. I can't consider too many personal interests."

Zhou Can said gratefully to Dr. Ou.

After saying that, he looked at Director Wen again.

If the chief surgeon refuses to agree, he will have no chance to get started.

"Seeing how confident you are, I can't do without giving you a chance. Come on, the result is already like this, and it can't be any worse." Director Wen actually agreed.

Zhou Can doesn't care so much, as long as he agrees.

He walked quickly onto the operating table and stood in the best operating position, only to see him fiddling with the thin guide wire.

Before everyone could see clearly, he had already stopped operating.

"alright!"

He said calmly.

Watching Director Wen and Dr. Zou operate just now, he felt that he could do it.

Now that I got started, I successfully placed the spring circle at the target position.

It took six seconds total.

It could have been faster, mainly because it was the first official operation.

"This, is this all right?"

Director Wen's eyeballs almost fell off.

"Oh, this Gui Peisheng seems to have really straightened it up!"

The female attending doctor exclaimed in surprise.

"It only took five or six seconds to fix it?" Dr. Zou has done it himself, so he knows the difficulty.

Let alone five or six seconds, fifty or sixty minutes to put the spring circle in the target position is already very good.

Those three graduate students, and two residents, were a big eye-opener today.

The surgical tasks that their teachers couldn't handle, and Dr. Zou couldn't handle, were easily handled by a regular trainee.

Is this the legendary sweeping monk hanging and beating the martial arts master?

Or is it the legendary pig that does not swallow dross, but only swallows dragons and tigers?

Director Wen stared at the screen and watched it over and over again. After watching it no less than ten times, he finally confirmed that this humble kid in front of him had created a miracle. Literally a near-impossible operation done in just a few seconds.

This aneurysm can't be done with just a spring ring.

You have to put in more than one to completely block it.

Zhou Can has already stepped aside.

And with a calm face.

As if just doing a trivial thing.

Such behavior made Director Wen feel ashamed.

My family knows my own affairs.

Don't look at Zhou Can who easily fixed the bullet ring, but if he were to operate it, the latter bullet ring would still get stuck with a high probability.

When the time comes, Director Wen's face will really be slapped.

"May I have your name?"

Director Wen collected himself and asked Zhou Can's name.

Almost all senior doctors follow this routine.

When encountering a particularly outstanding junior doctor, the first sentence must be to ask for his name.

Just like greetings between acquaintances, the opening remarks are always a few words.

"Have you got a meal yet?"

"The weather is so nice today!"

"My name is Zhou Can, and I am a doctor trained in our hospital who has just transferred to Neurosurgery."

A general practitioner from our hospital should have been added.

Think about it or forget it.

The status and weight of general practitioners are actually higher than all other doctors.

"Xiao Zhou, you performed very well just now. It shows that you are very talented in the field of implantation. I decided to leave the rest of the implantation to you. Young people, you need to train more and give them more exercise. Chance."

Director Wen's ability to speak clichés is not weak at all.

Obviously I have no ability to operate, so I want to ask Zhou Can to complete the rest of the ring insertion. But he has to say it so high-sounding.

"This is not good! My qualifications are low and my level is low. Why don't I let Dr. Zou or Dr. Hou Li do it!"

Zhou Can despises such a hypocrite the most.

Deliberately retreating to advance, to stimulate Director Wen.

"No, no, they still have a lot of opportunities to practice in the future. You must be allowed to operate this time."

Director Wen would give Zhou Can this training opportunity.

Because only Zhou Can can handle it well.

Let Dr. Zou do the operation, even if he is killed, he will not agree. Almost killed the patient just now.

As for Dr. Houli, his level is not as good as that of Dr. Zou.

It is even more impossible for him to agree.

Zhou Can just flirted with Director Wen, and when he saw Director Wen's anxious negation, he almost burst out laughing.

"Okay, then I won't be polite! Thank you Director Wen for your cultivation and trust."

Zhou Can also accepted as soon as he saw it.

There is absolutely no benefit in offending a chief physician.

It's just a temporary addiction.

He stood at the chief surgeon's position and started the next operation.

One after another, the spring circles were like playing in his hands. It is easy to put into the target position, and it is tightly arranged.

Soon, the entire brain aneurysm space was filled with spring circles, and after the thrombus formed, the intracranial hemorrhage was finally stopped successfully.

"Very good! The patient's blood pressure, heart rate and other indications have gradually stabilized!"

The anesthetist's hanging heart finally fell to the ground.

He looked at Zhou Can with extremely complicated eyes. There was appreciation, shock, and a hint of gratitude.

If Zhou Can hadn't acted in danger, this patient might not even be able to get off the operating table.

"Well, the operation is not bad. However, there are still areas for improvement, such as the opening directions of these spring rings are not consistent." Director Wen made a few comments with a pretentious attitude.

I have never heard that the opening direction of the spring ring should be consistent.

It's almost like picking a 'thorn' out to maintain his authority as director.

Through this operation, Zhou Can also thoroughly recognized Director Wen's strength and personality.

I don't know about other surgical abilities. The ability of puncture and implantation can only be regarded as an average level.

Definitely not great.

Also, this person is very face-saving.

Whether it was forcibly releasing the spring yellow circle out of the catheter before, or asking Zhou Can to save the scene later, the words were high-sounding. And the so-called comments at the moment. It fully shows that this person is very hypocritical.

It seems that not every chief physician is decent and tough.

Fortunately, the patient's brain aneurysm interventional surgery was successfully completed.

The patient's life was saved.

"Director Wen, there is a certain amount of blood accumulation in the patient's brain, do you think it needs to be drained?"

Zhou Can looked at the location of the brain tumor.

As long as he is given this opportunity to puncture, he is sure to complete the puncture successfully without injuring the cerebral blood vessels, nerves, or important brain tissue. Get the blood out.

Although the aneurysm bleeding has stopped now, the intracranial pressure must still be high because of the continuous bleeding.

"Judging from the pictures taken by the patient, the amount of bleeding is not particularly large. Even if the bleeding increased during the operation, it is still within an acceptable range. The risk of brain puncture and drainage is too high, and there is no need to take this risk. Too much In the past few days, his body will naturally absorb the accumulated blood."

Director Wen has experienced the previous danger.

Be cautious at this moment and never want to take any risks.

Successful completion of a brain aneurysm interventional operation, whether it is the income of the department or the operation commission of the chief surgeon, is quite considerable.

It is an accumulation of surgical achievements.

Therefore, Director Wen's mood at the moment has reached heaven from hell.

Surprisingly good.

After the inspection is correct, the catheter is withdrawn and the patient is given blood coagulation medication.

Then wake up from anesthesia.

Unlike wake-up anesthesia for general surgery, the anesthetist did not dare to remove the vital signs monitor. Simply stop the medication through the breathing mask.

Generally speaking, about ten to twenty minutes after the anesthetic is stopped, the patient can wake up on his own.

There are also abnormal situations. At this time, the anesthesiologist can use some corresponding methods to wake up the patient.

For example, antagonistic drugs are given to antagonize its sedative effect and achieve the purpose of awakening the patient.

Director Wen did not dare to evacuate while the patient was awake.

The main concern is that something unexpected will happen.

Being able to be the chief doctor, they generally attach great importance to safety issues~www.mtlnovel.com~ because they have experienced too many dangerous situations, and they know that some small negligence may lead to big mistakes.

"Doctor Zhou, let me meet you. My name is Hou Li. I am an attending physician at Shenwai. I specialize in functional neurological diseases, and I am good at surgical treatment of Parkinson's disease and intractable epilepsy."

Hou Li smiled and greeted Zhou Can actively.

Perhaps it was because of seeing this young Gui Peisheng showing amazing surgical potential and establishing a good relationship in advance.

In the hospital, there are not a few skilled doctors like her.

It would be very difficult to get to know Zhou Can after he became famous.

Not to mention anything else, the departments of the two are different, it is a natural ditch.

"Hi, nice to meet you!"

Zhou Can was very polite to her.

Facing this woman in my heart is not cold.

She looks pretty, but she doesn't have any real skills. At least the surgical ability displayed is not flattering.

In contrast, Dr. Shan of the Orthopedic Surgery Department is also a young female doctor, but she is much more pragmatic than her.

"Dude, are you really just a regular trainer? I think you're awesome when you put the bullet ring in!"

A graduate student couldn't help talking.

The combination of regulation and masters, during the postgraduate study period, followed the teacher to perform surgery in the hospital, which is equivalent to regular training.

However, with the continuous rise of Tuya in recent years, it has developed rapidly.

In order to improve the quality of diagnosis and treatment and the level of the doctor team, regular training has also been implemented for graduate students. It was criticized as a painful secondary training.

For example, for postgraduates and masters, it may only take ten or twenty days of regular training in a small hospital, and after a symbolic familiarization, they can officially become a resident doctor and start receiving wages.

But not in Tuya.

It does not recognize.

Chapter end