Chapter 459 Level 6 Hemostasis, here comes the poacher?

Author: Jiangbian Yuweng

Chapter 459 Level 6 Hemostasis, here comes the poacher?

He has a good relationship with Director Zhang Bihua of the Department of Obstetrics and Gynecology. If there are any problems during the operation, he can seek help in time.

And he does have some selfish motives.

Challenge this kind of surgery that you have never done before, and you will earn surgical experience points faster.

As his suturing skills were promoted to the level of chief physician, he tasted the benefits and yearned even more for the sixth level of medical skills. It was not enough to just upgrade his suturing skills to level six. Other medical skills had to keep up.

He even wanted to know if medical skills had reached their peak after reaching level six?

If you could be promoted again, what level would it be?

He had just established contact with the operating room and anesthesiology department, and the female patient's B-ultrasound results came out first.

You can clearly see the walnut-sized gestational sac, which is located exactly in the middle of the fallopian tube, relatively close to the cervix.

"It is indeed an ectopic pregnancy!"

After reading the B-ultrasound results, Zhou Can further confirmed his diagnosis.

Normally, the gestational sac should be like a seed, taking root in the uterus. When it is not in the uterus, it is an ectopic pregnancy.

The location we are at right now is the fallopian tube, and the space here is very narrow.

As the gestational sac continues to develop and grow, its size continues to grow, eventually causing the fallopian tube to burst. During this process, the patient will generally feel abdominal pain. If the bleeding is severe, blood will soon be seen in the lower body.

Patients may even develop black blood clots when urinating.

Ectopic pregnancy is extremely dangerous when bleeding occurs, and the only solution is surgery.

At this time, the anesthesiologist had already rushed over. After a brief conversation with Zhou Can, she began to quickly conduct an anesthesia risk assessment on the patient.

Zhou Can talked to his family members.

In fact, there is no need to look for it. After the ultrasound results came out, the patient was already in a very bad condition. His face was as pale as paper, his eyes became indifferent, his expression was dull, and his body was shaking constantly.

"Doctor, what is wrong with my daughter? Please save her quickly!"

The tone of the family members was urgent and fierce.

"Please be mentally prepared. Your daughter has an ectopic pregnancy and is suffering from ruptured fallopian tubes and massive bleeding. She must undergo emergency surgery to save her life. After the anesthetist's assessment, she will enter the operating room immediately. Any further delay may cause her life to be in danger. She is now

The situation is very bad..."

As soon as Zhou Can said the words ectopic pregnancy, his family members were full of disbelief.

"My daughter is still studying. I have never heard of her having a boyfriend. How could she be pregnant? You must have made a mistake. Call an older doctor to come over and take a look."

The family members questioned that Zhou Can was too young and the diagnosis was wrong.

"This is a B-ultrasound, and the results are very clear. Also, your daughter had a boyfriend more than two months ago, but she never dared to tell you. This is a letter she asked me to forward to you. She

I’m worried that I won’t have a chance to talk to you again.”

Zhou Can handed the letter to his family.

As a result, the girl's mother just took it in her hand, shook her body, and collapsed directly to the ground.

"Ma'am, ma'am, are you okay?"

Zhou Can quickly asked about her situation.

If something happened to both mother and daughter at the same time, it would be a big problem.

Now the girl's mother still needs to sign for the surgery.

"Ah...wuwuwu..."

The female family member burst into tears.

"It's all my fault. It's my fault for harming my daughter! That motorcycle driver named Shi is a beast and a liar... Wuwu..."

By this time, the blood test results had also come out.

A girl's hemoglobin is only 65. Under normal circumstances, a woman's hemoglobin is usually above 110.

Based on the calculation of hemoglobin, Zhou Can concluded that the girl was likely to bleed more than 1,500 ml. This was already very dangerous.

He didn't panic, but quickly got the surgery consent form, filled in the girl's information, and asked the family to sign.

At this time, the family members were in a state of zombies.

Zhou Can asked her to sign, and she signed.

But she had to point out where to sign, and she had no way of reading the contents of the surgery consent form on her own. In the current situation, there was no time for her to study the terms of the surgery consent form in detail.

…

Soon, the girl was pushed into the operating room, where she received fluids, blood transfusion, anesthesia, and emergency surgery.

Zhou Can performed the surgery, and Dr. Xu provided guidance.

The abdominal cavity was cut open layer by layer, and the bleeding point was quickly discovered. The originally small fallopian tube was directly burst.

Also broken along with the arteries and blood vessels.

The uterus was already full of blood, and the bleeding volume was conservatively estimated to be over 2,000 ml.

If it had been any later, people would probably be gone.

He carefully and quickly removed the gestational sac, then scraped it clean, repaired the fallopian tubes, and anastomized the broken arteries and blood vessels...

The entire rescue process went surprisingly smoothly, perhaps because Zhou Can's surgical skills are now very strong, so all the tasks during the operation can be done easily, and there is nothing particularly difficult.

After the operation, he breathed a sigh of relief.

Finally the person was rescued.

This operation brought him 101 experience points for debridement, 11 experience points for incision, and 1,013 experience points for hemostasis...

The biggest gain is the hemostasis experience points.

This medical skill has already reached the peak of level five and will be upgraded soon.

After adding so many experience points, as expected, he was successfully promoted from level five to level six, becoming Zhou Can's second director-level medical skill.

[Hemostasis, level 6, current experience value 1/1000000. Chief physician’s junior level.]

He carefully felt the difference of director-level hemostasis.

In the past, when his hemostasis reached level five, he could more clearly sense whether the patient's bleeding had stopped. He could also accurately detect the patient's bleeding based on the symptoms described by the patient, the color of the local skin, whether the patient had blood in the stool, whether he vomited blood, etc.

Infer where the patient's bleeding point is.

For example, this time it was obvious at a glance that the female patient was bleeding heavily, which was attributed to the fifth-level hemostasis technique.

Now that this medical skill has been promoted to the sixth level, there are several most obvious changes. First, in the process of stopping the patient's bleeding, his mind will automatically show a variety of ways to stop the bleeding, and then quickly select the most suitable one.

Hemostasis method, or a combination of multiple hemostasis methods.

This ability should be an evolution compared to the previous level five medical skills.

In the past, when he encountered various bleeding situations, he needed to study carefully, think over and over again, and weigh again and again to choose a method of stopping bleeding that best suited the patient's actual situation.

Now, it seems that we no longer need to think too much, and we can naturally choose the best method to stop bleeding. It has become a habit from ability and skill.

It's as simple as drinking water or eating. It takes no effort at all. After repeated practice, all aspects of skills have been mastered.

They evolved from skills into instinctive habits.

Second, after the blood vessels are anastomosed, it was previously necessary to loosen the hemostatic forceps or untie the silk thread ligating the blood vessels to allow the blood vessels to pass through the blood test to know whether the blood vessels are unobstructed and whether they are bleeding or leaking.

As for detecting thrombus, we can only rely on angiography, color ultrasound and other methods.

Now, after the blood vessels are anastomotic, he can roughly infer whether the blood vessels are well connected and whether the internal space is narrow by just looking at it twice. He can even faintly detect whether there is a risk of blood clots.

Third, he now needs to judge the patient's blood health by observing the patient's blood color, viscosity, turbidity, bleeding speed, etc.

It's definitely not as accurate as instrument testing, but he can basically estimate some important indicators pretty closely.

This is a brand new capability that has never been seen before.

In addition, he can not only accurately determine the location of the patient's bleeding point, but also know the bleeding status.

For example, if this female patient is asked to re-diagnose again, he should be able to directly know her bleeding rate. Of course, this has a prerequisite, and the bleeding in her lower body must be checked.

For female patients, it is definitely not easy for a male doctor to look at their private parts.

Therefore, even if he encounters it next time, as long as the person is not unconscious, he will most likely only be able to obtain the bleeding status by asking the female patient.

After Zhou Can felt the huge benefits brought by the sixth-level hemostasis technique, he felt very excited.

Not only was his ability to stop bleeding significantly different after he was promoted to level 6, but he also found that there was a subtle connection between hemostasis and suturing after he was promoted to level six.

.

It is as if there is an invisible thread connecting the two medical skills.

Whether it is diagnosing difficult diseases or performing complex surgeries, it is now necessary to work with multiple departments and teams. With a subtle connection between Zhou Can's hemostasis and suturing techniques, it is equivalent to two medical skills that can interact with each other like two professional teams.
To be continued...