Chapter 1108 - 437: Some Rejoice While Others Grieve, Challenging Tetralogy of Fallot (Part 2)
Chapter 1108 - 437: Some Rejoice While Others Grieve, Challenging Tetralogy of Fallot (Part 2)
Among the interns of the same period, he's definitely like someone with a cheat code.
Especially in surgical skills.
Many interns might finish their internships without even getting a chance at a simple skin closure task in abdominal surgery.
Luo Shishen can now proficiently close the abdominal cavity.
Under Zhou Can's guidance, his suturing skills have improved almost by leaps and bounds.
After sending Yang Zhi away, Zhou Can hurriedly returned to the rest area of the operating room to gobble down some food, filling his stomach first. There were still surgeries waiting for him in Cardiothoracic Surgery.
...
Around eight o'clock, Zhou Can showed up punctually in the operating room of Cardiothoracic Surgery.
In the span of a year, Director Xue Yan had honed her surgical skills exceptionally well. However, when performing major surgeries, she still invited Zhou Can over to provide support.
The operating room was full of familiar faces.
Even the anesthesiologist was very familiar with Zhou Can.
"Dr. Zhou, after the surgery, could you help check on a patient in the intensive care unit who just underwent a lung resection?"
The request came from Vice Director Hee.
Under normal circumstances, Vice Director Hee rarely joins Director Xue Yan for surgeries.
Tonight's surgery was a cardiac surgery; Vice Director Hee usually focuses only on thoracic surgeries, and being advanced in age, he doesn't have time or energy to learn cardiac surgeries.
There can only be one reason — he came specifically to wait for Zhou Can.
"What's wrong with that patient?"
Zhou Can asked.
Patients needing postoperative care in the ICU are generally severe or have undergone major surgeries.
Their condition is certainly quite dire.
Vice Director Hee's surgical and diagnostic skills are quite outstanding. He is very experienced as well.
Him waiting so late in the operating room specifically for Zhou Can indicates the patient's condition is far more complex than imagined.
In thoracic surgery, lung resection is extremely common.
The number of smokers in our country remains high, and the victims of secondhand smoke exposure are even more astounding. If encountering a man who disregards his family's health, him smoking may lead to the whole family being subjected to secondhand smoke.
It's known that the harm of secondhand smoke is far greater than direct smoking.
Additionally, smog has significantly lowered air quality, with PM2.5 index consistently high, which is another major factor for lung disease prevalence.
PM2.5 refers to atmospheric particulate matter with diameters of 2.5 micrometers or less, also known as 'fine particles.'
It is a leading cause of asthma and lung cancer.
Especially in developed cities of the north, many people must wear masks when going out. Those who can afford, install air purifiers at home to combat PM2.5 in the air.
"The patient shows persistent air leakage from the alveoli, which is very concerning. I'll explain in detail after the surgery is over."
Vice Director Hee was understanding; he wouldn't dare delay Director Xue Yan's surgery.
Over the past year, Director Xue Yan not only greatly improved her surgical abilities but also revitalized the department under her management, showcasing strong survivability, cohesion, and unprecedented unity.
Talent cultivation is also quite excellent.
The three good strategies proposed by Zhou Can were all implemented by her.
"Zhou Can, Director Hee hasn't left after work because of this matter! Should we let Vice Director Hee rest in the duty room for a bit, and after the surgery is finished, you meet him? Don't let him suffer alongside us staying up late."
Director Xue Yan was close to Zhou Can, like siblings, so she spoke bluntly without hesitation.
Very direct.
"My apologies! It's flattering having Director Hee waiting for me like this." Some necessary pleasantries should be exchanged. "Please go to the duty room to rest first, I'll find you after the surgery. This surgery will take at least three hours at best."
Zhou Can felt that while Vice Director Hee had many shortcomings, he was very responsible towards patients.
This is particularly admirable.
But again, he's only responsible for his own patients.
This cannot really be elevated to the height of medical ethics. Everyone relies on this livelihood; under the immense pressure of various regulatory systems, Vice Director Hee fears something going wrong and being highly responsible to patients reflects the real working condition of many doctors today.
Some patients enter the hospital, questioning the doctors here and there, with extremely poor adherence.
Honestly, there's no need for this.
Unless encountering truly unreliable doctors.
Otherwise, no doctor would risk jeopardizing their livelihood to harm patients.
In some medium and small hospitals, doctors have certain quotas and may prescribe additional medications with no adverse effects but moderate treatment results or order more tests for survival.
When meeting self-paying patients, doctors often cautiously calculate when prescribing medications and ordering tests.
Patients with medical insurance, those in the know understand this.
The current environment is such that without earning from medical insurance funds, most hospitals would go bankrupt.
If it ever reached that point, the difficulty for the public in accessing healthcare would worsen.
Vice Director Hee was too old to stay up like the younger ones. Hearing Zhou Can's words, he happily left the operating room immediately.
Zhou Can, on the other hand, quickly picked up the patient's information and started reviewing it.
"This patient's condition is quite tricky! Initially thought to be a common congenital heart disease, but it turned out to be Tetralogy of Fallot."
"If it weren't tricky, you wouldn't have been called over. I know you have a heavy surgical workload in the Emergency Department. We try not to call you over for help unless we're confident about handling a surgery ourselves."
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