My Medical Skills Give Me Experiences Chapter 338

Falling in love with you reading network, my medical skills can add experience points

The three came to Fatty Wang's barbecue stand, and a young woman greeted them with a smile on her face.

"You three, please sit down wherever you want! You can call me anytime you need anything!"

"Give us a plate of kebabs, a plate of peanuts, and a case of beer!" Dr. Xu ordered the dishes, all of which were Director Hu's favorite foods.

The number of kebabs in a plate is fifty skewers, which should be enough for three people.

After he finished ordering, he seemed to realize that Director Hu Kan was not in good health, so he changed his mind and said, "How about three bottles of beer and a bottle of fruit juice!"

"Alright! The three of you, please sit down for a while, and I'll send you over right away!"

The woman's dress and temperament are not bad, so she should not be a waiter.

Most likely the proprietress here.

"Girl, do you have fermented bean curd? Bring us some." Director Hu Kan said to the woman.

"Well... sorry, there's really no such thing." The woman shook her head apologetically.

Barbecue is usually served with alcohol, and not many customers order peanuts.

She thought the guests at this table were strange.

If she hadn't seen the extraordinary clothes and demeanor of the three of them, she would really have wondered if the three of them were here to make trouble on purpose? After all, at the barbecue stalls in the night market, there are often some street scumbags and social people drinking and making trouble.

"Xiao Zhou, go to the neighborhood and buy a bottle! Your master just wants this one!"

Director Hu Kan said to Zhou Can.

"After so many years, Lao Hu still remembers that I like to eat fermented bean curd! We brothers, think about it these years, I really shouldn't!" Dr. Xu must have been touched, and took the initiative to hold Director Hu Kan's hand, taking advantage of the opportunity to give him Hold on.

"Teacher, then I'll go buy fermented bean curd first."

Zhou Can let go of his hand cleverly, turned and ran to the supermarket not far away.

Leave a chance to be alone for the two, so that the relationship between the two will be further melted and warmed up.

He is very familiar with the terrain around the hospital. This supermarket has bottled Laoganma, bean paste, and moldy tofu.

After Zhou Can bought fermented bean curd and returned to the barbecue stand, he found that Dr. Xu and Director Hu Kan had become much closer.

"Teacher, I wonder if this brand of fermented bean curd suits your taste?"

Zhou Can handed the fermented bean curd to Dr. Xu.

"Haha, you really have a good eye, this brand is exactly what I like." Doctor Xu boasted with a smile after seeing it.

"Hey, what Director Hu mentioned is that you liked to eat fermented bean curd thirty-two years ago. I guess you must like the taste before. I asked the owner of the supermarket, and he said that this old brand of Chen granny tofu is an old brand. chose it."

Zhou Can explained.

"Sit down! Let's sit down and eat together! The mutton kebabs at this barbecue stand are the most authentic. The taste is still the same as it was more than 30 years ago. The management has changed, but the meat quality and taste have not changed."

Dr. Xu praised him and invited him to sit down and taste the delicious food.

At this moment, a large plate of mutton skewers is placed on the table.

The lady proprietress came over with two bottles of beer and a bottle of fruit juice, just in time to hear Dr. Xu's words, and said happily, "I didn't expect you to be a regular customer of our shop thirty years ago, what a disrespect! It used to be my father-in-law and My mother-in-law is running the business, and now they are getting older, so my husband and I will take over the business of the barbecue stall."

"It's good. We old customers come back. In fact, what we eat is a memory. Your barbecue stall has also developed from a small stall to a barbecue restaurant."

Doctor Xu said with emotion.

"Thank you for your support for decades. I will give you a 10% discount for this table today. Please eat and drink well!" The proprietress put down the drink and went to the next table with light steps.

It can be seen that she was very happy to meet a table of regular customers from thirty years ago.

The three of them ate and chatted. After Dr. Xu and Director Hu finished their relationship, they brought the topic back to medical skills.

"Old Hu, talk about the compatibility of fast knife and steady knife! I still think this is a bit mysterious."

Dr. Xu has studied the quick knife technique all his life and set the record for the fastest operation in the world. His understanding and comprehension of the quick knife technique is probably unmatched.

He agrees with Director Hu's point of dragging the knife, but he does not believe that the steady knife and fast knife methods are compatible with each other.

Fire and water are incompatible, which is the law of nature.

"Whether it is compatible or not, I am currently only in the conception stage. If there is no problem with my body, maybe I can further explore and verify it in practice. Now I can only let Xiao Zhou complete this matter for me."

Director Hu Kan turned his gaze to Zhou Can.

Dr. Xu hadn't nodded his head to agree to this matter, but Zhou Can didn't dare to agree.

So, he just lowered his head and gnawed on the mutton skewers.

Needless to say, the taste is really good. No wonder many people know that eating barbecue is harmful to their health, but they still enjoy it.

Life is inherently short, and having fun in time is what most people think about.

"The fast knife pursues the ultimate speed of the knife, while the stable knife pursues stability and stability to ensure no mistakes to the greatest extent. The two seem to be like water and fire, two extremes, but the yin and yang in Tai Chi, soft and rigid, And why not two extremes? Tai Chi can achieve the combination of yin and yang, and equal emphasis on hardness and softness. I believe that the fast sword and the steady sword can also find a balance point."

"Besides, I did an experiment before I got sick. Seeking speed in stability will be a hindrance, but it is not incompatible with fire and water as I imagined. On the contrary, as long as the steady knife technique is strong enough, it can well tolerate the negative effects of seeking speed. .It feels like the sea is open to all rivers. Whether it is a clear trickle, dirty water, or even all kinds of garbage, the sea can tolerate it."

When Director Hu Kan talked about his discovery, his eyes were bright, not at all like the eyes that old people should have.

People with pursuit and faith will always have bright eyes because they have light in their hearts.

"tolerate?"

Dr. Xu's eyes light up slightly. The biggest difference between him and Director Hu Kan is that his pursuit of medical skills is more narrow. This can also be seen from his successors. So far, he has only accepted Zhou Can as an apprentice.

Director Hu Kan is full of peaches and plums. The entire cardiothoracic surgery department, and even some doctors who have been trained or specialized in cardiothoracic surgery, may have learned the steady knife technique from him.

Just look at the cardiothoracic surgeons performing operations.

Basically, it's all about stability.

But it's also true that they're **** slow in their operations.

"That's right, it's tolerance. To be more precise, it should be compatible with both. For example, if my steady sword technique is strong to a certain extent, I can try to have certain characteristics of fast sword at the same time. Similarly, if your fast sword technique is strong, you can also You can try to have a certain level of steady knife technique. If you have to quantify it, if your quick knife technique has reached level 10, then you should be able to have level 5 or even level 6 stable knife technique at the same time. Tolerance is great, as long as My original ability is strong enough to be compatible with other sword techniques, seeking common ground while reserving differences."

Director Hu Kan explained his feelings and ideas in a very confident tone.

Zhou Can listened quietly by the side, already having an answer in his heart.

Because Director Hu's description of the advanced state of these surgical techniques, although obscure, makes people feel reasonable upon hearing it.

All laws in the world are interlinked, and the avenue is as clear as it is simple.

"It is undeniable that the idea you mentioned is a good way." Dr. Xu drank the beer in his glass in one gulp. "In terms of medical innovation, I must admit that I am not as good as you."

Losing to Director Hu Kan again, it can be seen that Dr. Xu is a little depressed.

"I don't have any objection to Xiao Zhou learning the steady knife technique from you."

Dr. Xu finally opened his heart, let go of the zero-sum thinking, and was willing to let the only successor learn the steady knife technique from Director Hu Kan. This also means that he tacitly allows Zhou Can to become Director Hu Kan's successor.

For some people with deep-rooted sect ideas, it is not easy to make this decision.

"Haha, I knew you would agree. Come, I respect you with this cup."

Director Hu Kan managed Dr. Xu's ideological work, and he was as happy as a child.

Being able to make Zhou Can his successor has almost become an obsession in his heart. The main reason is that in a short period of time, it is really impossible to find a second successor as excellent as Zhou Can.

No matter how good a young doctor is, compared with Zhou Can, who has a medical experience point system, it is also a comparison between people and goods.

"You'd better drink juice! Otherwise, something will happen if you drink it, how will you teach Xiao Zhou in the future?"

Dr. Xu poured out the beer in Director Hu's glass and replaced it with fruit juice.

"Thanks!"

Director Hu Kan picked up the wine glass, toasted Dr. Xu, and the two clinked glasses.

"Xiao Zhou, pick up the cup! Blame me for not asking for your opinion? I have already asked for your opinion, and now Xu Chen agrees, so you should follow suit!"

Director Hu Kan is really happy today, his face is flushed, and the smile on his face seems to have never been broken.

Zhou Can is able to learn the knife stabilizing technique from director Hu Kan, and at the same time has the strengths of the two, so he is naturally very willing.

Clink glasses with the two teachers.

"I respect the two mentors! Thank you for your willingness to cultivate me and help me grow. There is nothing to repay, and I will do it first!"

Zhou Can raised his neck and drank to the end.

"Haha, this kid is a man who does great things. Even a glass of wine shows such courage." Director Hu Kan now sees him with eyes full of love.

Dr. Xu also seemed to be in a good mood.

Years of knots were untied, reconciled with Director Hu Kan, and then watched as the apprentice might break out a new path.

Everything is great news for him.

"Xiao Zhou, as long as you have time, you can come to the cardiothoracic surgery department to learn how to stabilize the knife with me. At the same time, I will teach you all the advanced medical skills in the cardiothoracic surgery department. If you are too busy at work, you can also come to me after get off work, but you must You must stick to it every day, because my physical condition is very bad, and I am very worried that I will close my eyes without teaching you."

Director Hu Kan's physical condition is indeed very worrying.

The terrible thing about heart disease is that it can take away people's life at any time.

Especially a patient like Director Hu Kan who has undergone two heart surgeries is even more dangerous.

The next day, Zhou Can first went to the pediatrics department to check the condition of the child with congenital heart disease. Then I found Director Zhuang Sheng to discuss the patient's surgical plan.

Because he had already discussed it with the chief doctors in the cardiothoracic surgery department, and was supervised by Director Hu Kan, Director Zhuang only glanced at the operation plan he proposed, and then nodded immediately.

With Director Zhuang's level, it is natural to see that this surgical plan is extremely clever and comprehensive.

Even the consideration of some details, as well as the handling of potential dangers, have perfect plans.

The next step is simple, schedule the operation time, and prepare the patient for the operation.

Anesthesiologists assess the surgical risk of the patient and sign an anesthesia risk consent form.

Director Zhuang directly threw it to Zhou Can when the chief surgeon talked to his family members. He also told Zhou Can confidently that this congenital heart disease operation will be performed by Zhou Can, and he should naturally be the one to talk to the family members.

Zhou Can had talked with the family members before, and this was the first time he had formally talked with the family members as the chief surgeon.

Fortunately, after the family members were "beaten by society" once, their trust in him has risen to a certain level.

The whole conversation went smoothly.

Specific preoperative preparations will be followed up by nurses and bed doctors. The arrangement of the operating room is the unified scheduling of the hospital.

In the operating room, Zhou Can was wearing a dark blue surgical gown, and for the first time officially stood in the position of the chief surgeon.

Director Hu Kan has already been invited by him, and he is sitting next to the wall.

You can give him some guidance and help at critical moments. It was also one of the reasons why he dared to preside over this operation.

Director Zhuang is willing to be his first assistant.

Zhou Can is the center of the entire surgical team.

In the past, Zhou Can was very envious when he watched other chief physicians performing the surgery. I long for the day when I can preside over a decent major surgery as the chief surgeon.

At this moment when this dream was really realized, he realized that the responsibility on his shoulders was like an invisible mountain pressing down on him.

He was not as complacent as he had imagined, and the soles of his feet were fluttering.

Perhaps the only difference is that everyone in the operating room revolves around his baton.

After the patient is successfully anesthetized, the operation officially begins.

Zhou Can successfully completed the establishment of extracorporeal circulation and total caval-pulmonary artery connection. The following thoracotomy and heart surgery are also ideal.

Half of the operation was completed, and there was no mistake, Zhou Can also breathed a sigh of relief.

The preliminary operation has been completed, try to stop the machine to see the effect.

As a result, as soon as the machine was shut down, the patient's arterial blood pressure dropped rapidly and could not be maintained at all. Central venous pressure showed a high pressure rise.

Seeing this situation, Zhou Can felt a little flustered.

Whoever would be the chief surgeon would have to panic.

Because the risk of heart surgery is extremely high, and the arterial blood pressure cannot be maintained, the patient can show it to you if it is cold.

"Xiao Zhou, don't panic! You will often encounter such sudden and unexpected situations in the future." Director Hu sat there with a calm tone.

This also gave Zhou Can some motivation to keep calm.

It's like when we climb a rock wall, whether we have a safety rope on our body or not, those are completely two kinds of psychological feelings.

With a rope tied to your body, you can feel more at ease.

When Director Hu Kan was the chief surgeon, he also felt a little bit unable to bear the pressure when encountering emergencies. But compared to Zhou Canlai, his psychological quality must be much stronger.

After all, he is a veteran who has fought on the operating table for decades.

After Zhou Can calmed down, he began to seriously look for the reason.

Why does the patient's arterial pressure drop when the machine is turned off? He decided to start with central venous hypertension.

Time is life, and it is definitely a huge challenge for him to find the cause of the disease in such a state of extreme urgency and high inner pressure.

After careful measurement, he found that there was no significant pressure gradient between the superior and inferior vena cava and the pulmonary artery.

From this point, surgical anastomotic stricture can be ruled out.

Is it pulmonary vascular resistance?

This possibility is very high.

Zhou Can quickly thought about the method of testing in his mind. Now it is only suspected that the pulmonary vascular resistance is too high. Whether it is really because of this reason needs to be verified by some experiments.

Opening a window in the atrial baffle can relieve venous hypertension and increase cardiac output.

He tried fenestration in the atrium baffle and pulmonary vasodilators, but the problem was not resolved.

This issue has actually been discussed in the cardiothoracic surgery department, and he also has pre-planning preparations in this regard. It was only after the implementation that the symptoms of low cardiac output were not resolved at all.

Seeing that the child's condition was getting more and more dangerous, Zhou Can had no choice but to remove the baffle connecting the inferior vena cavpulmonary artery.

At this point, the operation will immediately face failure.

Director Zhuang's forehead was already dripping with sweat. The rest of the surgical team also felt bad~www.mtlnovel.com~The atmosphere became tense and depressing.

At this critical moment, director Hu Kan made a move.

"This operation is on the verge of failure. The main reason is that the child's pulmonary vessels are not well developed and the resistance of the pulmonary vessels is too high. Come on, follow my method..."

Director Hu Kan is like a needle for calming the sea, pointing out to Zhou Can the reason for the failure of the operation at a critical moment, and giving a solution.

[To be honest, I have been using Yeguo to read and read books recently, change sources and switch, read aloud with many timbres, and both Android and Apple can be used. 】

After more than three hours, Zhou Can was so tired that he was close to collapse, and the child was pulled back from the death line several times.

The operation was finally completed successfully.

At this moment, the blood pressure of the child has returned to normal, the heartbeat is strong, and the respiratory function of the child has reached an unprecedented good state. Almost at a speed visible to the naked eye, the cyanosis all over the body is fading little by little.

Zhou Can was summarizing and reflecting after the operation.

The child's problem is far more serious than he imagined, except that the pulmonary blood vessels are not well developed, which leads to excessive pulmonary vascular resistance. The child also had tricuspid atresia.

If it weren't for Director Hu Kan, a top cardiothoracic surgery expert, to direct the scene, the patient would have given up ten lives.

Zhou Can felt as if he had survived a life-and-death catastrophe. During the operation just now, his nerves were tense, and all he could think about was how to operate. Now that the operation is completed, in addition to gaining a lot of super high medical experience rewards, he also really experienced the taste of presiding over a major operation for the first time.

Just four words, extremely sour.

Chapter end