My Medical Skills Give Me Experiences Chapter 169

Doctors try their best to make as many friends as possible during training and further study.

It's not that they like to be licking dogs.

It is so that you can consult doctors in other departments at any time when you encounter intractable diseases in related fields in the future.

If you know doctors from other departments who are of a high enough level, you can even invite them directly for a joint consultation.

Also, when the hospital conducts elections, the more friends the better.

However, the vast majority of doctors can only make friends with the same level during their regular training and advanced studies. A doctor who can speak is at most one level higher than himself.

They are completely incomparable with Zhou Can.

Zhou Can became acquainted with the elders of many departments, and had inextricable connections or friendships. This is an intangible wealth.

Maybe he himself didn't realize the great benefits these contacts could bring him.

Right now, the 6-bed patient is in urgent need of surgery.

Craniotomy is usually done out of the blue.

Even if Deputy Director Yu wanted to operate the 6-bed patient overnight, it was very difficult to operate. It's almost impossible to succeed.

Because the director of the neurosurgery room will not buy his account.

Then, he can only follow the rules.

First consult with the patient's attending physician and apply for surgery. Then the attending physician communicates with the chief physician of the Department of Surgery to determine the operation plan, and the department arranges the operation.

After this operation, the day lily is cold.

In this case, Zhou Can knows the chief physician of Shenwai, and has a good friendship, so the effect is revealed.

You can discuss surgery directly by calling and chatting privately.

There is no need for the seven bends and eight windings in the middle.

"Director Yu, if I can convince the chief physician of Shenwai to agree to operate on the patient, can the critical care department arrange it now?"

Zhou Can's words are really amazing.

When the surrounding doctors heard this, they felt that it was very shocking.

A little Gui Peisheng, his tone is louder than that of the chief physician.

Ask the chief physician of the neurosurgery room to arrange surgery immediately, who does he think he is?

To put it bluntly, the vice presidents dare not say that they are sure to arrange it immediately. At best, try to discuss it with the chief physician of Shenwai.

Shenwai is one of the top departments of surgery.

The chief physicians of this department are all proud and pedantic, and no one will buy it when they come up with a pedantic temper.

"Are you going to convince the chief physician of Shenwai?"

Surprise flashed in Deputy Director Yu's eyes, but after all, he was someone who had seen the world, so he quickly regained his composure.

"Even if you really have a way to persuade the chief physician of Shenwai to agree to operate on the patient, I can't make the decision. The patients in bed 6 belong to your group, and you need to find Director Liu."

When rescuing patients, everyone does not divide into which group.

However, such a major matter as arranging surgery must be taken care of by the respective team leaders.

You can't do things that are done on behalf of others.

Zhou Can looked at Dr. Hu.

Anyway, Dr. Hu is still his superior doctor.

"I will report the patient's condition to Director Liu now."

Dr. Hu did not dare to underestimate Zhou Can's opinion this time.

What's more, Deputy Director Lian Yu also supports the operation on patients overnight.

In addition, the patient's condition is indeed not optimistic.

Probably won't make it through tonight.

"Xiao Zhou, you go to the duty room with me to report this matter."

Dr. Hu took him to the duty room outside and directly dialed Director Liu's mobile phone.

After briefly talking about the situation of the patient on the sixth bed, Dr. Hu went straight to the topic.

"Just now, Dr. Zhou Can proposed to Deputy Director Yu to perform endoscopic surgery on the patient overnight. Deputy Director Yu quite agreed with this plan. Let us ask you for instructions."

Dr. Hu pushed Zhou Can out as a shield.

"Based on the patient's condition you just described, he probably won't survive tonight. Emergency surgery overnight is indeed the only way to save lives. It's just that Shenwai may not agree. The risk of surgery is too great."

Director Liu is well aware of the stakes.

No chief physician would dare to wade into such muddy waters.

It's not that those chief physicians are indifferent, but that the domestic medical environment and rules are like this.

"Doctor Zhou said he has a solution!"

Dr. Hu pushed Zhou Can out again.

In fact, he was also quite helpless.

He is obviously an attending physician, but his weight seems to be inferior to that of Zhou Can, the regular trainee.

Of course, it also has something to do with his conservative and cautious nature.

If he needs to take too much risk for the patient, he will resolutely not do it.

Zhou Can is completely different from him. He dares to rush and kill, and rarely thinks about himself.

It's perfectly appropriate to describe Zhou Can as a "stunned young man" with a newborn calf not afraid of tigers.

"Doctor Zhou, please tell Director Liu."

Dr. Hu directly handed the phone to Zhou Can.

After taking the phone, Zhou Can felt contempt for Dr. Hu in his heart.

"Hello Director Liu, I'm Zhou Can."

"Xiao Zhou, I heard that you have a way to get the chief physician of Shenwai to agree to operate on the patient?"

"I can only try to convince the chief physician of Shenwai, but I'm not sure. Before that, you need to agree to the patient's application for surgical treatment."

Zhou Can didn't dare to speak too harshly.

Just to save the patient, he was willing to have the cheek to ask Director Wen to agree to operate on the patient.

"You are willing to work so hard to save the patient's life. I agree with the patient's operation plan, and I will rush to the hospital to preside over the matter immediately. You can contact the chief physician of Shenwai now , I look forward to your good news."

Director Liu is much more refreshing than Dr. Hu.

Not at all like Dr. Hu's mother-in-law.

"Okay, I'll get in touch now."

After hanging up the phone, Zhou Can returned the phone to Dr. Hu.

Then he unhurriedly took out his mobile phone, and under Dr. Hu's half-suspicious gaze, he turned to Director Wen's number and dialed it.

Dr. Hu did not speak, his eyes were fixed on Zhou Can.

Let's see which level of doctor this kid can contact.

"Xiao Zhou, do you miss me after only two days away from Shenwai?" Director Wen's kind voice came from the other end of the phone.

Dr. Hu could tell that the person on the phone had a very good relationship with Zhou Can.

Casual like an old friend.

Hearing the voice, he is not young, so he should be at the attending level!

A doctor who is very old should be able to get the title of attending at least. If you are over forty-five years old and have not been mixed with the title of attending, the end is usually not good.

Either change careers, or be transferred to an administrative position, or kicked to an affiliated hospital such as the Second Attached or the Third Attached.

Generally, after reaching 40, they will not be able to be promoted to attending treatment. Many doctors do not need to be adjusted by the hospital, and they will take the initiative to switch to a lower-level hospital to find another way out.

After Tuya's doctor went out, the recognition of other hospitals in the province was quite high.

For example, the senior resident doctor who jumped out of Tuya may be the bottom one in Tuya. When you go to a lower-level hospital, as long as the doctor himself has passed the attending examination, that hospital will directly issue a letter of appointment for attending.

It doesn't matter if you fail the attending examination, the new hospital will help you find a solution.

If you need a subject, you can help with the subject, and if you need surgery, you can help accumulate surgery. It is even possible to help with a thesis.

In short, try every means to help you get promoted.

Seeing that Zhou Can contacted a supernatural doctor at the attending level, Dr. Hu had some confidence in this matter.

"Hehe, I really miss you. I was going to see you again in a while, but now a patient is forcing me to see you tonight."

Zhou Can answered with a smile.

"I know that your kid will go to the Three Treasures Hall for nothing. Tell me, what kind of patients have you encountered?"

Director Wen scolded with a smile.

"There is a car accident patient with extensive intracranial hemorrhage in the 6th bed of the intensive care unit, who is in a deep coma..."

Zhou Can briefly explained the situation.

"Do you think it is possible to perform this endoscopic surgery on the patient overnight? I will help you."

After talking about the patient's situation, Zhou Can put forward his ultimate goal.

He knew very well that Director Wen's endoscopic surgery ability was average. He took the initiative to help, which was enough to increase Director Wen's confidence in the success of the operation several times.

When Dr. Hu next to him heard this, his eyes straightened.

I thought that what Zhou Can was looking for was the attending level at most, but now I realized that Zhou Can was looking for the chief physician of Shenwai.

This kid is awesome.

When Dr. Hu was Gui Peisheng, being able to chat with the hospital chief was enough to make him very excited. Talking casually with the chief physician of the department like an old friend, I dare not think so in my dreams.

"In this case, we generally do not recommend surgery. The risk is too high. However, I am really touched by your great efforts to save the patient's life. That's it, I will discuss it with Director Wu, and then find Talk to the family members. If the family members are willing to accept the worst result, you and I can try together."

After hesitating for a moment, Director Wen said so.

What?

The Chief Physician and Zhou Can join forces to try? Is this lifting Zhou Can to the same level?

Dr. Hu's heart set off a turbulent sea, he was so shocked.

He vaguely realized that Zhou Can's high status was all due to his strength.

If he were told that Director Wen and Zhou Can were working together to perform the operation, and that Director Wen was just helping, he would be even more shocked.

Less than half an hour later, Director Wen called.

Zhou Can and Dr. Hu have been waiting in the duty room.

During this period, Director Liu also rushed back to the hospital to prepare for the patient's operation.

Now all we have to do is wait for news from Shenwai.

If the chief physician of Shenwai refuses to take this risk, this matter can only end here.

"Xiao Zhou, I have good news for you."

"Has the neurosurgery department agreed to operate on the patient?"

Zhou Can is full of expectations.

"Well, after discussing with Director Wu, I felt that it was worth taking some risks to save a life. Then I communicated urgently with the family members. After the family members learned about the patient's situation, they expressed their gratitude to our hospital for willing to take the risk to save the patient. Currently , the family members have signed the consent form for the operation and paid the operation fee in advance."

Director Wen really brought good news.

The family members are the most anxious party. They are very active when they hear that the patient's life can be saved.

Like this special operation, the attitude of the family members is also very important.

When encountering family members who have a lot of farts, the doctor promises that everyone will be a coward and will never take any risks.

After all, everyone is paid.

Saving one more patient and one less patient has really little impact on doctors.

"Great! How about we send the patient to the operating room immediately? The patient's condition is very bad, and the sooner the operation is, the better."

Zhou Can was very happy.

Dr. Hu and Director Liu next to him were equally excited.

Even they didn't expect that Zhou Can could really make this happen.

The two also had a new understanding of Zhou Can's influence outside the gods.

"Don't rush to be happy. You also know the patient's condition. During the operation on the patient, we need at least one deputy director-level physician from the Department of Critical Care Medicine to help the anesthesiologist provide life support for the patient. Then, you You have to come and help me."

Director Wen made two requests.

"Listen to the voice, it's Director Wen from Shenwai, right?"

Director Liu next to him asked Zhou Can.

"Yes, Director Wen is on the other end of the phone."

Zhou Can nodded.

Director Liu snatched the phone directly.

"Hello, Director Wen, I'm Liu Xiangqing from the Department of Critical Care Medicine. Thank you to the doctors from Shenwai for taking the risk to do this operation for the patient. I can accompany the patient throughout the whole process and provide him with life support to ensure the smooth operation of the operation."

"Haha! Director Liu is here in person, so there is nothing to say. Hurry up and send the patient to No. 1 operating room in Shenwai. The operating room has already been coordinated. Our surgical personnel have also been notified. The patient can be operated on immediately. By the way, before bringing the patient here, send it for a brain CT scan."

These chief physicians all know each other.

Just not necessarily friendship.

When we meet, we will definitely say hello warmly.

To be able to become the chief physician, all the subordinates have real skills.

Even if it's just a familiar face, it's convenient to say hello in the future.

An operation to save the sixth bed patient is quietly unfolding in the hospital.

The patient was escorted to the neurosurgery operating room, and Director Liu personally escorted the patient. Zhou Can was an assistant designated by Shenwai, and he also went with him.

At the same time, Dr. Hu also followed.

This kind of operation observation opportunity is a rare learning opportunity for Dr. Hu. It just so happens that he is off duty now, so he should get off work overtime temporarily.

In addition, there is also a deep meaning of working hard in front of Director Liu.

Don't think that all doctors have no desires and desires. In addition to studying medical skills and academics, they have a strong desire for professional titles and promotions.

There are many benefits to having a good relationship with the chief physician.

Because this is equivalent to the immediate boss.

In the operating room, Director Wen and his subordinates Dr. Zou, Tang Li, two nurses, two residents, and three postgraduates have formed a strong lineup.

The anesthetist is also already in place.

After exchanging greetings with Director Liu, Director Wen checked the intracranial hemorrhage with the newly taken CT scan.

Very bad, massive generalized hemorrhage, severe fluid accumulation in the brain.

"Xiao Zhou, you also come to watch the film together."

In the past two months, Director Wen and Zhou Can have established a deep trust like comrades-in-arms.

He is used to asking Zhou Can to help with this kind of high-risk surgery.

The expressions of Director Liu and Dr. Hu were slightly astonished.

When I called, I knew that the relationship between Director Wen and Zhou Can was unusual.

Now it seems that Director Wen's cultivation of Zhou Can is really beyond imagination.

On the contrary, Dr. Zou, Tang Li and others under Director Wen have long been familiar with the strangeness, and feel that all this is natural. Because they have all seen Zhou Can's surgical ability.

Zhou Can walked over to check the film together.

He has seen all the films taken when the patient was admitted to the hospital.

This time, another CT scan was taken before the operation, in order to grasp the latest situation of the patient's brain.

There are many things that cannot be seen with the naked eye.

It is certainly not possible to infer from experience alone.

"The effusion is so serious, it seems that the bleeding has never stopped. Do you think this is the biggest bleeding point?"

Zhou Can compared it with the angiography and CT done at the time of admission, and then made a conclusion.

It must be said here that angiography is also a CT examination, but it is different from a conventional CT examination.

It generally injects a contrast agent into the vein, processes the image by computer, and then displays the intracranial vascular system in three dimensions. UU Reading www. uukanshu.com Contrast examination can observe the blood supply more intuitively and clearly.

For the identification of bleeding points, as well as thrombus, aneurysm, etc., there are very good inspection aids.

The choice of contrast agent is not the same for every site.

A little more barium is used in the digestive tract, and iodine ion contrast agent is more commonly used in the brain.

"There should be two biggest bleeding points, the point you mentioned, and this point. The bleeding point that directly poses a major threat to the patient's life should be the point you mentioned. If surgery is required, this point can be treated first, but Other bleeding points also need to be dealt with."

Director Wen's surgical experience is much richer than Zhou Can's.

When the two discussed, he pointed out the operation plan one by one.

Dr. Zou and Tang Li basically only listened and could not intervene. For other residents and postgraduates, that is pure observation and study.

After much discussion, the operation began.

Traditional craniotomy certainly won't work.

In the current state of the patient, the craniotomy may have to die halfway through.

It is ideal to drill a small hole and perform endoscopic surgery.

There is also much less harm and impact on the patient.

Director Wen personally performed these drilling operations. As for the key part of the next operation, endoscopic hemostasis and hematoma removal required Zhou Can's action.

The clear division of labor in an operation can also reflect the importance of each doctor in the operation.

Nowadays, few doctors do major surgery alone.

It's all team work.

Mark the points, then cut the scalp, and use an electric drill to drill holes.

Hard skull must use electric drill, chainsaw.

In fact, doctors often use chainsaws when performing amputations and other operations. It's just very different from the large chainsaw used by the murderer in the movie, far less scary.

Chapter end