Director Wen raised two requests.
"Listening to the voice, is that Director Wen from Neurosurgery?"
Next to him, Director Liu asked Zhou Can.
"Yes, that's Director Wen on the phone."
Zhou Can nodded.
Director Liu directly snatched the phone away.
"Hello Director Wen, this is Liu Xiangqing from the Intensive Care Medicine Department. Thank you to the doctors from Neurosurgery for taking the risk to perform this surgery on the patient. I can acpany the patient throughout the procedure, providing life support to ensure the smooth implementation of the surgery."
"Haha! With Director Liu personally stepping in, what else is there to say, hurry and send the patient to Neurosurgery's Operating Room 1. The operating room has already been coordinated. Our surgical staff has also been fully notified and is ready to perform the surgery on the patient. Before you bring the patient over, send them for a brain CT scan first."
These directors all know each other.
But they are not necessarily close.
Upon meeting, they would definitely greet each other warmly.
To bee a director, one must possess real skills.
Even if it's just to bee acquainted, it makes it more convenient to greet each other in the future when needed.
An operation to save the patient in bed 6 is quietly unfolding within the hospital.
The patient was escorted to the Neurosurgery operating room, with Director Liu personally ensuring the patient's safety. Zhou Can, designated as the assistant staff for Neurosurgery, also went along.
Doctor Hu also went along.
This surgery observation opportunity was a rare learning chance for Doctor Hu. Since it was his off-duty time, it counted as temporarily working an extra shift.
Besides, it also carried the intention of striving to perform well in front of Director Liu.
Don't think that all doctors have no desires; apart from delving into medical skills and academics, they also have a strong desire for career advancement.
Building good relations with the director offers many benefits.
Because that is akin to dealing with a direct superior.
In the operating room, Director Wen was acpanied by Doctor Zou, Tang Li, two nurses, two resident doctors, and three graduate students, already presenting a strong lineup.
The anesthetist was also ready a long time ago.
After exchanging pleasantries with Director Liu, Director Wen looked at the newly taken CT images to check the intracranial bleeding situation.
It was very bad, with extensive, widespread bleeding and severe cerebral edema.
"Xiao Zhou, e over and look at the images too."
Director Wen and Zhou Can had already established a deep level of trust like rades-in-arms over the past two months.
In performing such high-risk surgeries, he had bee accustomed to asking Zhou Can to help consult.
The expressions of Director Liu and Doctor Hu were slightly surprised.
They knew from the phone call that Director Wen and Zhou Can had an unusual relationship.
Looking at it now, the extent of Director Wen's mentorship toward Zhou Can was beyond imagination.
On the contrary, Doctor Zou, Tang Li, and others under Director Wen's leadership were no longer surprised, and instead, considered it all to be natural. Because they had all witnessed Zhou Can's surgical capabilities.
Zhou Can walked over to examine the images together.
He had already seen the images taken when the patient was admitted.
This new CT scan before the surgery was to grasp the latest situation inside the patient's skull.
Many things are not visible to the naked eye.
Relying solely on experience to deduce them definitely wouldn't suffice.
"This edema is so severe, it seems like the bleeding has never stopped. Do you think the major bleeding point is located here?"
Through parison with the vascular angiography and CT done upon admission, Zhou Can then made a judgment.
It must be pointed out that vascular angiography is also a CT scan, but it is different from the routine CT examination.
It generally involves injecting contrast agents into the veins, processing the images via a puter, and then displaying the intracranial vascular system in three dimensions. Angiography can provide a clearer and more direct observation of blood flow.
For identifying bleeding points and conditions like thromboses or aneurysms, it provides excellent diagnostic support.
The choice of contrast agents varies with each part.
Barium is used more in the gastrointestinal tract, while iodine contrast agents are more mon in the cranial areas.
"The major bleeding points should be in two places, the one you mentioned and this one. The bleeding point posing a direct major threat to the patient's life should be the one you mentioned. If we proceed with surgery, we can prioritize this point, but the other bleeding sites also need to be addressed."
Director Wen's surgical experience was far more extensive than Zhou Can's.
During their discussion, he specified each step of the surgical plan.
Doctor Zou and Tang Li mostly listened, unable to interject. The other resident doctors and graduate students were purely there to observe and learn.
After concluding the discussion, the surgery began.
A traditional craniotomy would not suffice.
In the patient's current state, a craniotomy might only be halfway done before it became fatal.
A small hole drilled to perform endoscopic surgery was deemed most ideal.
It would also cause much less harm and impact on the patient.
Drilling and other operations were personally performed by Director Wen. As for the critical parts of the operation that followed, like endoscopic hemostasis and hematoma removal, Zhou Can was needed.
A clear division of labor in a major surgery also demonstrated each doctor's importance during the operation.
Nowadays, almost no doctor performs major surgeries alone.
It's always a team effort.
After marking the points, the scalp is cut open, and a drill is used to make holes.
The hard cranial bones require the use of electric drills and saws.
Actually, doctors also frequently use electric saws during amputation surgeries, but unlike the large saws used by killers in movies, these are far less frightening.
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