My Medical Skills Give Me Experience Points

Chapter 1283: Chapter 506: Old Stories and the Fastest Blade Rules

Once the idea emerged, it became unstoppable.

Zhou Can continually refined and scrutinized this brand-new surgical plan.

By resolving the blood supply issue of the branch vessels, treating this section of the aorta became manageable. Placing a specially long vascular stent could resolve the extremely long Aortic Dissection.

Because a new pathway was created through bypass, the connection between the branch vessels and the aorta was blocked by the stent, no longer affecting the outcome.

This approach has many benefits.

The surgical wound is much smaller than that of vascular replacement.

Moreover, without needing to stop the heart, the risk of losing blood supply during aortic vessel replacement, leading to paraplegia, is avoided.

The sole difficulty might be the bypass.

It requires anastomosis at the blood entry points of multiple branch vessels.

For Zhou Can, who possesses Level 6 Anastomosis and Level 6 Suturing Skill, it’s hardly a challenge. The Level 5 Ligation Skill is barely sufficient.

Because anastomosing these branch vessels primarily tests the Anastomosis skill, while Suturing Skill and Ligation Skill, although important, require only the proficiency of an associate chief physician.

Such a long vascular stent might need to be custom-made.

Normally, no interventional surgery would use such a lengthy stent.

With a complete surgical idea in mind, Zhou Can was extremely excited.

Luckily, the patient wasn’t sent away; perhaps after this surgery, he could talk to the patient.

But given it’s an innovative surgery, lacking mature experience for reference, the potential risks are significant.

...

Busy in the operating room until around 6:20 in the evening, Zhou Can finished the last emergency surgery.

According to his usual routine, after leaving the operating room, he would check on the inpatient wards. Then have dinner and continue working in Cardiothoracic Surgery until late night before heading home.

The Cardiothoracic Surgery Department has recently experienced a sharp increase in business, often receiving complicated cases and patients requiring high-difficulty surgeries. Many require the concerted efforts of the department’s chief physicians.

Zhou Can is the spearhead of this offensive team.

His surgical and diagnostic abilities are exceptionally outstanding.

Take yesterday’s cardiac vascular stent surgery for example; no one else in the department could complete it.

Zhou Can managed to finish the surgery successfully with his determination, skills, and innate ability in interventional surgery.

"Teacher, today I encountered a patient with Aortic Dissection whose dissection tear is very long. I’ve devised an unprecedented surgical plan. Can I discuss it with you?"

Zhou Can stopped Dr. Xu, who had just removed his mask and was preparing to go home.

Since Zhou Can officially became a Resident Doctor in the Emergency Department, Dr. Xu’s workload has noticeably lightened.

Zhou Can has undertaken many tasks.

For instance, once Zhou Can checks a room, Dr. Xu doesn’t need to worry about it anymore.

Those preoperative and postoperative risks, Zhou Can can timely identify and handle. Only when it exceeds his capability does he bother Dr. Xu with a report.

As for surgeries in the operating room, Zhou Can alone is worth several attending physicians.

He’s even of higher standard than an associate chief physician.

Nowadays, even for Level 3 surgeries, if Zhou Can has done it successfully a few times, and the patient doesn’t have significant underlying diseases, Dr. Xu usually doesn’t enter Zhou Can’s operating room. Zhou Can leads the whole process.

This trust was built on Zhou Can’s consistent reliability.

Whether in ward rounds, surgeries, or diagnoses, he has never let Dr. Xu down.

Achieving this is exceptionally challenging.

It requires immense responsibility and meticulous care for every patient.

"Let’s talk in the break room!"

Dr. Xu called Zhou Can into the operating room’s break room.

Typically, discussions on surgical issues were conducted here.

Inside the break room, Zhou Can first provided a brief overview of the patient’s condition. Then he outlined his envisioned surgical plan.

Dr. Xu listened silently.

Once Zhou Can finished, after a full seven or eight minutes of silence, Dr. Xu said meaningfully, "You remind me very much of myself back in the day. In our commitment to saving patients, we can give everything, even face death selflessly. We can take great risks to challenge various surgeries just to heal patients. But this world doesn’t seem that fair; good people don’t always receive good rewards. Of course, I’m telling you this not to dampen your surgical enthusiasm."

"A few years ago, during the surgery where I had an accident, I was equally confident and full of passion. To resolve the patient’s issues, I researched extensively and practiced countless times privately. Later, even when the knife speed led to my hands moving faster than my mind, and I accidentally severed the patient’s nerve, I still persisted in completing the surgery. It was precisely because I gritted my teeth to remove the lesion for the patient that they have such a long survival time."

From Dr. Xu’s words, it’s not hard to discern that during a surgery years ago, he had cut through a critical nerve of the patient due to excessive knife speed.

At that moment, he knew he was in deep trouble.

If it were any other doctor, they might crumble mentally and abandon the surgery.

Especially knowing the patient’s high status would only increase the psychological pressure.

Not to mention, even during the Republic of China era, some skilled traditional Chinese medicine practitioners treated distinguished patients with utmost caution.