Chapter 149: Dual talents revealed, are you really a graduate student?

Author: Jiangbian Yuweng

Chapter 149: Dual talents revealed, are you really a graduate student?

Zhou Can remained very steady and carefully removed all the blood accumulated in the patient's brain.

With the help of the endoscope's probe, he began to look for bleeding points.

A hematoma is formed when a blood vessel ruptures, resulting in bleeding that cannot be discharged from the body. Eventually, the blood becomes trapped in a certain area of ​​the body, forming a hematoma.

Usually, if hematoma occurs on the limbs or body surface, it is basically not a big problem.

If the amount of bleeding is small, you don't even need to go to the hospital, you can just apply ice yourself.

The function of ice compress is to constrict blood vessels, stop bleeding or further reduce bleeding.

After a sprained foot, many people apply safflower oil on the swollen area and rub it in with bruise medicine. This is actually incorrect. Doing so may aggravate the condition.

Especially in the case of fractures, you cannot do this.

It is better to pour cold water on the swollen area.

With the help of water temperature, the ruptured blood vessels will quickly shrink and automatically stop bleeding. The hematoma cannot be eliminated, but it will not make the hematoma further serious.

Which areas are most dangerous for hematoma?

The intracranial and spinal cords are the most harmful areas if they are infiltrated or compressed by hematoma.

The patient being treated had a hematoma in his skull, which caused intracranial high pressure. It also compressed important brain tissues such as the brainstem, brain lobes, and nerves, which caused the patient to become comatose and even cause a rapid decline in vital signs.

Now the accumulated blood is extracted and the intracranial pressure is reduced. The effect is actually the same as intracerebral puncture and drainage.

"Director Wen, I found two bleeding points. Should I perform electrocoagulation to stop the bleeding?"

After two performances yesterday and today, Zhou Can's trust in Director Wen's mind is already very high.

If the electrocoagulation hemostasis operation is performed at an insignificant location, the risk is very small.

But it's inside the skull and close to the brainstem area.

This risk factor is very high.

Director Wen's eyes were fixed on Zhou Can, "Have you ever participated in electrocoagulation to stop bleeding during surgery before?"

Zhou Can immediately became happy.

Among all his medical skills, he is the one with the highest level of hemostasis.

At present, they have reached the intermediate level of main treatment.

“I have been involved in many surgeries to stop bleeding, and I am about 80% sure that these two bleeding places will be stopped without damaging other brain tissues.”

Just saying that it is 80% certain is really very conservative.

Talking without speaking is a very good way of speaking.

It's like eating until you're eighty percent full and making tea until you're seventy percent full.

"Okay, try it!"

Director Wen recalled that his hands were trembling when operating the endoscope before, so he simply delegated the power once. Because if he were to do it himself, he might not be able to operate it as well as Zhou Can.

Under normal circumstances, the surgeon's hands are unlikely to shake when performing any operation.

Only when you are highly nervous can your hands tremble.

This is the body's loyalty response.

Zhou Can controls the endoscope to perform electrocoagulation and hemostasis. Compared with ordinary electrocoagulation scalpels, the use is slightly different.

The main thing is to test the ability to operate the long arm.

His hemostasis skills were already very good, and the insertion and grasping techniques were at least level three. Therefore, the entire hemostasis process was extremely smooth and completed easily.

"Dr. Zhou's hemostasis skills are no worse than those of senior surgeons! Moreover, he is extremely talented in endoscopic operations. Gee, he is really enviable!"

Director Wen stared closely at the endoscope display screen and clearly watched Zhou Can's entire hemostasis process.

The movements are clean and neat, and the bleeding is stopped accurately, quickly and well.

Note that Director Wen used the word envy at the end.

That's because his talent in endoscopic surgery is very average.

Seeing that Zhou Can has both traditional and endoscopic surgery talents, I was inspired to do it.

There is really only one person who possesses the talent for these two types of surgery.

At present, when cultivating talents for endoscopic surgery in China, the first step is to look at traditional surgical talent. This is the basic and required course.

Especially the four basic surgical skills of surgery.

Then, after having a certain foundation in traditional surgery, we can then select people who can perform endoscopic surgery well and train them further.

Therefore, major domestic hospitals and even some county-level tertiary hospitals are already able to perform some endoscopic surgeries.

But to say that it is done particularly well, it should be rare.

The most terrifying thing is that some surgeons think that operating an endoscope is easy. Maybe these doctors can actually perform some simple operations using an endoscope.

Such as appendectomy, polypectomy, etc.

When the success rate of these surgeries reaches over 80%, they begin to suffer from symptoms.

Thinking how amazing you are.

If a tumor appears in the patient's body, the patient will be strongly recommended to undergo minimally invasive surgery.

Especially female breast tumors, granulomas, etc.

The incision is small and the female patient's body shape can be maintained to the greatest extent. Most female patients will choose the more expensive minimally invasive surgery upon hearing this.

As a result, the tumor was not completely removed and the surgery was not performed properly, resulting in recurrence and pus discharge.

It even causes many patients to lose the opportunity for second surgery.

Such doctors are the most wicked.

For the sake of personal performance and so-called endoscopic surgery achievement, patients need to be ignored to bear the serious consequences.

Zhou Can controlled the endoscope and checked it carefully again, and finally found another bleeding point.

This time, I didn’t ask for any more instructions and just used electrocoagulation to stop the bleeding.

Finally got it all done.

After removing the new blood accumulation, Zhou Can asked for instructions, "Director Wen, do you think the endoscope can be removed now?"

"Withdraw!"

Director Wen readily agreed.

Zhou Can carefully withdrew the endoscope.

[Implantation surgery experience value +1.]

[Complete the first intracranial endoscopic surgery operation, the experience value of implantation surgery +100, the experience value of grasping surgery +100, and the experience value of hemostasis +100. 】

Good guy, I got a reward of up to 300 experience points at once.

This is also the highest experience reward Zhou Can has received since his surgery.

Risks and benefits coexist.

It seems that if there are opportunities to perform in the future, we must seize them.

[Congratulations on your grasping skill reaching level 4. Your current experience value is 60/10000, which is below the level of the attending physician. You can complete endoscopic curved grasping, precise displacement of spring coils, and built-in vascular clamp operations.

, can complete the auxiliary work of grasping the diseased tissue during endoscopic resection.】

Good guys, they say misfortunes never come singly, but I didn’t expect good luck to come in bunches!

Zhou Can felt the new level four grasping technique, and felt as happy as drinking honey.

There is one more advanced medical skill at the attending level.

If this trend continues, it should no longer be a dream to upgrade all general medical skills to the deputy director level and advanced medical skills to the attending level within one year.

“Does the skull burr hole need repair?”

"unnecessary!"

Director Wen answered directly.

"Does the dura mater need suturing?"

Zhou Can is frantically looking for opportunities to practice during surgery.

"Theoretically, you just need to pay attention to hemostasis and postoperative infection. The dura mater actually has a certain ability to repair itself. It will grow together with the temporalis muscle."

Director Wen patiently guided Zhou Can.

The three graduate students were taking notes frantically.
To be continued...