My Medical Skills Give Me Experience Points Chapter 824 - 330: Regret to the Core, Time to Change Antiqu
Although Tang Fei is the chief physician of the pediatric departnt, all the sub-departnts under pediatrics fall under her authority.
Moreover, she herself holds the title of a full professor and is a bona fide chief physician.
However, when faced with Director Yan, an experienced chief physician, she still maintains great respect.
Even if Director Yan makes so mistakes, she only gently reminds him.
"After this fiasco, I’ll definitely learn my lesson. That young man looks gentle and refined, but who would’ve thought his skills were truly not weak!" Director Yan indeed suffered quite a setback this ti.
Her opinion of Zhou Can also changed dramatically.
Without the capability to refute her opinions, it would be arrogant and dismissive. With the capability, refuting her diagnostic opinion is normal discussion and exchange.
Back then, Zhou Can did not argue with her. Thinking back, the young man was showing respect for her as a senior, yielding ground to her.
People’s thoughts are indeed peculiar.
When you dislike soone, nothing about them seems right. Once you acknowledge them, you suddenly find they have so many advantages you hadn’t noticed before.
"Director Tang, thank you for the reminder. I need to quickly bathe and disinfect my grandson, so I won’t chat with you now."
"Alright, goodbye!"
After ending the call, Director Yan began directing her son and daughter-in-law to bathe and change their grandson, which is not elaborated on.
Fearing infecting her family, she locked herself in her room.
It goes without saying that the entire family would be on edge for the next few days, anxious and uneasy.
Director Yan was terrified upon receiving the notification. The other dical staff present at the ti were equally shocked upon learning the news. Amidst the fear, they also gained a newfound respect for Zhou Can’s skills.
Many initially thought Zhou Can’s repeated refutations of Director Yan’s diagnostic opinions were too arrogant and self-conceited.
Only now did they realize Dr. Zhou’s capabilities were so high.
The most terrifying thing about the novel Bunyavirus is its symptoms closely resembling a cold, making it extrely challenging to diagnose.
Precisely because of the diagnostic difficulties, Zhou Can’s high level is highlighted even more.
At this mont, after hastily eating dinner, and before he could return to his apartnt dormitory, a call ca through from Xinxiang Won and Children’s Hospital.
He was truly busy!
"Hello, Director Tang!"
"Dr. Zhou, have you finished work? It’s about the lung cancer endoscopy surgery we scheduled yesterday. Would now be a convenient ti for you?"
Director Tang asked cautiously.
"Yes, it’s convenient. I’ve just left work and arrived at the dormitory. I’ll head over imdiately, it should take about fifty minutes." Zhou Can was very interested in this lung cancer endoscopy surgery.
Earning consultation fees was secondary; the main lure was the surgery experience points.
There really aren’t many doctors proficient in endoscopic surgery, which is the main reason Xinxiang Won and Children’s Hospital earnestly sought Zhou Can’s help.
...
Over fifty minutes later, Zhou Can appeared at Xinxiang Won and Children’s Hospital.
The mont he got out of the car in front of the outpatient building, Director Tang eagerly ca over to greet him.
"Finally, you’re here. The operating room is ready, can we head there directly now?"
"Sure!"
"Please follow !"
Along the way, Director Tang led the way while also introducing the operating room’s situation, helping Zhou Can to be aware of what to expect.
Upon entering the operating room and changing into surgical attire,
Zhou Can found that the patient was already lying on the operating table, successfully anesthetized.
Director Hu, along with several assistant doctors and surgical nurses, were waiting for Zhou Can to lead the surgery. The anesthesiologist occasionally checked various readings on the monitors.
So many people awaiting his arrival left Zhou Can feeling sowhat overwheld by the attention.
"Dr. Zhou, you’re here!"
Director Hu humbly greeted Zhou Can with a smile.
Asking for help is akin to swallowing a three-foot sword.
In a weaker position, one must lower their head.
This is also a social survival rule.
"Hello, Director Hu! Hello, everyone!" Zhou Can responded with a smile, greeting the others as well.
With nearly ten doctors and nurses present, this was the only way to greet them all.
Endoscopic surgery demands high standards from anesthesiologists and nurses. Surprisingly, the requirents for first and second assistants aren’t as high.
Since endoscopic surgeries are mostly a one-person show by the lead surgeon.
"We were just waiting for you to start! Here is the patient’s examination report, Dr. Zhou, please check if there are any additional tests needed." Director Hu handed the examination report to Zhou Can.
Receiving it, Zhou Can ticulously reviewed it sheet by sheet. For surgical procedures, the key is assessing the patient’s imaging results, especially the images of the affected area. Information on tumor size, regions involved, potential tastasis, and whether the tissues requiring removal are adjacent to vital organs, vessels, or nerves are essential for the lead surgeon to know.
After reviewing, Zhou Can was already aware of what to expect.
In fact, he had reviewed the patient’s images days ago.
"The examination items are very comprehensive, and Director Hu has considered things thoroughly. I’ve looked it over, and everything seems fine," Zhou Can stated, then shifted his attention to the required surgical instrunts.
Xinxiang Won and Children’s Hospital’s endoscopic equipnt turned out to be one of the best imported models, and the other instrunts were equally advanced.
The operating room was a top-tier laminar flow operating room.
Indeed, the hardware of Xinxiang Won and Children’s Hospital was truly impressive.
All of which was achieved through substantial investnt.
Unfortunately, a hospital’s strength is never solely dependent on good hardware. It also depends on the solid skills of its doctors to complent each other.
"The equipnt here is genuinely excellent!"
Zhou Can couldn’t help but praise.
"Hehe, if Dr. Zhou likes this equipnt, you could join us. You’d get to use it every day." Director Tang wasn’t giving up on enticing him.
"I prefer to stay at Tu Ya, as I’m already used to it. Since everything is ready, let’s start the surgery. I’ll aim to finish by 9:30 tonight. It’s really not fair to have everyone work overti because of ." Zhou Can was unwilling to discuss this topic further.
Director Tang was tactful and only briefly probed without pursuing it further.
"The incision position is already marked!"
He noticed that Director Hu’s preparation for the surgery was incredibly thorough, having even marked the incision position for him.
Fortunately, no windows had been made on the patient’s body yet.
"Dr. Zhou, if you have a better incision choice, feel free to change it. My endoscopic surgery skills are basic, so I might have made an incorrect marking."
Director Hu was modest in words but actually had great confidence in her skills.
To her surprise, Zhou Can asked for a pen from a nurse.
"Director Hu’s choice of incision is good, but every doctor has their own style; I’m more accustod to creating a window from the patient’s armpit."
Zhou Can said this to give Director Hu so face.
Choosing an incision at the posterolateral side is a traditional surgical thod.
The posterolateral incision provides the best exposure to the surgical field, suitable for resection of the lower lung lobe or entire lung and for patients expected to have significant intrathoracic adhesions.
This incision also has significant drawbacks, including severing more layers of chest wall muscles, causing greater trauma, more bleeding, and taking more ti. Additionally, the lateral position compresses the healthy lung underneath, which isn’t favorable for elderly patients with poor respiratory function.
Even choosing an anterolateral incision would be better than this position.
The anterolateral incision, though less exposed than the posterolateral incision, allows for removing the upper or middle lung lobe smoothly, with less muscle damage, less blood loss, and faster chest entry.
Due to the supine position causing minimal interference to the healthy lung, it’s more suitable for elderly patients with insufficient respiratory function.
This patient is elderly, so even if a traditional incision is chosen, an anterolateral incision would be more appropriate.
From this, it’s evident that Hu Wanjun’s skills in cardiothoracic surgery have so shortcomings.
Whether in judging ability or surgical thinking, they tend to be conservative and rigid.
"Creating a window from the armpit? Wouldn’t the surgical field be very poor? It also seems very inconvenient for surgical removal operations and could easily damage two major organs—the pericardium and liver."
Director Hu displayed a face full of doubt.
Truly the thoughts of an old antiquarian.
If Zhou Can didn’t explain, she might think he looked down on her; if he did, it would be a waste of ti.
Having no choice, he patiently explained, "Creating a window from the armpit has the advantages of aesthetics and minimal trauma, with no muscles essentially being cut. It’s very suitable for local resection surgeries involving the upper or middle lung lobes, involving less damage to chest muscles, less blood loss, and quick access to the chest. It provides not only a beautiful, less traumatic incision but is actually adept for situations like these."
Zhou Can seed on the brink of saying that her thinking needed modernization.
Director Tang quickly intervened to diate the situation, worried the surgery might get contentious even before it began.
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