Chapter 1326 - 523: Level 6 Ligation Skill, Why Didn’t You Step In Earlier! (Part 2)
Chapter 1326: Chapter 523: Level 6 Ligation Skill, Why Didn’t You Step In Earlier! (Part 2)
They couldn’t help but look up to Tuya Hospital even more.
The vascular repair began.
Director Gou from Thoracic Surgery showed everyone what it means to focus on precision through slow work.
Repairing the vessel was so slow it could make someone lose patience.
"Director Gou, can you speed up? I’m afraid the patient’s condition won’t last that long. If the surgery takes too long, we might only be able to complete a laparoscopic surgery."
Anesthesiologist Ming Xin spoke up urgently, having run out of options.
Under normal circumstances, anesthesiologists stay far away and rarely interfere with the surgeons’ operations.
Especially since the lead surgeon holds a very high status in the operating room, in most cases, anesthesiologists follow the lead surgeon’s instructions. Everything is done around the lead surgeon’s needs.
If you liken the anesthesiologist’s relationship with the lead surgeon to a marriage, the anesthesiologist would be the supportive spouse, assisting the lead surgeon.
"I wish I could speed up, but this vascular hardening is severe, making anastomosis very difficult."
Director Gou was troubled; facing such poor vessels, his current anastomosis speed could already be considered fast.
For other surgeries, he would be even slower.
"Can I help with part of the anastomosis?"
Zhou Can didn’t want his previous efforts to go to waste, so he proactively stood up.
In terms of surgical speed, only he and Dr. Xu at Tuya Hospital could be considered top-notch.
"Dr. Zhou, can you perform endoscopic vascular anastomosis?" Director Gou asked in surprise.
"I’ve done a few anastomoses before."
Zhou Can’s modest response.
Regarding vascular anastomosis, his current skill is on par with top-level attending physicians.
"Director Tang, let him try."
Director Gou made the suggestion, and Director Tang had no objections.
He gladly made room for Zhou Can.
After switching auxiliary arms, Zhou Can and Director Gou began to anastomose the torn blood vessels together.
With Zhou Can swiftly performing debridement on the torn vessel parts, his speed was astounding.
If the two were compared to the tortoise and hare race, Zhou Can was definitely the fastest hare.
When it was time to tie knots, his speed slowed down.
Because the vessels were fragile, knotting required a high level of skill. Too much force would tear the vessel, while a loose knot would mean a failed anastomosis.
Even a Level 5 Anastomosis Skill is just slightly below the excellent level of a deputy director physician.
After considerable effort, he finally tied the first knot successfully.
[Ligation Skill experience points +1, achieved high difficulty knot tying in vascular areas, rewarded with +100 experience points.]
[Congratulations, your Ligation Skill has successfully upgraded to Level 6, current experience 1/1000000, entry-level attending physician level. You can perform knot tying in extremely fragile tissues or high difficulty narrow spaces, complex environments. You can achieve precise vascular ligation...]
At this critical moment, the Ligation Skill improved to Level 6.
It was nothing short of a timely rain.
Level 6 Ligation Skill already allows knot tying on very tender tofu, maintaining the integrity of the tofu while ensuring a secure and tight knot.
Deputy Director Lu’s vessels were extremely poor, and the knot tying during anastomosis posed a significant challenge to Zhou Can.
Now things are better, having surged to Level 6 at a crucial moment, his knot tying skills greatly increased, now making it easier to handle the knot tying required in vascular anastomosis.
He attempted another anastomosis, then tied a knot.
Realizing it was feeling seamless and wonderful, the previous hurdles were no longer present.
Afterward, his surgical speed continued to increase.
When tying knots on fragile vessels, he could even vividly feel the vessels’ endurance and fragility.
"Ahem... you young folks have nimble fingers; you should continue with the anastomosis! Let me assist you." Director Gou raised his eyes and found Zhou Can had already anastomosed the most difficult vessel segments.
Moreover, the quality was outstanding.
It was even better than what he, an experienced attending physician, could achieve.
Director Gou felt his face flush, just like the Yangtze River’s newer waves overpowering the older ones, leaving them on the beach.
Compared to Zhou Can, he seemed outdated.
Offering Zhou Can to complete all vascular anastomosis was the wisest choice.
Because everyone shared a common goal, which was to find ways to save the patient.
Laparoscopic surgery was just the beginning; the real challenge would likely be the intracranial endoscopic surgery.
"Tsk tsk, this level of anastomosis and speed, I’ve never seen anything like it in my life. I wonder which doctor at Tuya trained such a prodigy successor? Tuya’s prosperity is already unstoppable."
Wu Yongming, a brain surgeon who prided himself on having strong surgical skills.
However, watching Zhou Can’s series of operations left him not only shocked but more importantly powerless.
Seeing firsthand the skills of Tuya Hospital’s young generation of doctors, he deeply felt the impotence; even if he turned Provincial People’s Hospital upside down, he couldn’t find a young doctor to rival Zhou Can.
Even relaxing the criteria to forty-year-olds didn’t yield anyone who could compete with Zhou Can.
As for the older doctors in their fifties or sixties, it’s better to forget it.
The growth potential, physical stamina, and various aspects simply couldn’t compare to the younger doctors.
"Today I truly understood the meaning of ’there are always people better than you’, and ’beyond the skies is heaven’. The skills I once thought were worthy of pride are nothing before him." Ru Yaji watched Zhou Can’s operation as if he were a deity, dazzled.
Her inner pride shattered completely.
Compared to Zhou Can, she deeply understood what true disparity meant.
Beside her, Pang Houzhong also wore a defeated expression, like a rooster beaten in a fight.
"Back in the ICU, foolishly I thought I could compete with him. No need to compete now; he could easily defeat me with a single finger." Pang Houzhong spoke with a mouth full of bitterness.
Even though he worked in Intensive Care Medicine Department, specializing in different areas, he knew full well that excelling at surgery had a higher prestige than emergency critical care and diagnostics.
And was more coveted.
If Zhou Can worked at Provincial People’s Hospital, his status and growth potential would easily eclipse Pang Houzhong’s.
"Understanding the gap with others means today’s surgery wasn’t in vain for you to witness. Keep watching; having a gap is not terrible. The terrible thing is being narrow-minded, achieving a little and becoming complacent."
Director Xiang Fei gazed at both of his disciples wearing expressions of defeat and was pleased.
The most common flaw among young people is arrogance and complacency, unable to correctly assess themselves.
With limited skills, mistakenly thinking the world is under their feet.
This opportunity was an excellent chance to help them see their real selves.
Humility is the key to progress.
Talent and foundation alone are insufficient.
At this moment, Zhou Can had anastomosed the entire vessel. Including venting during the anastomosis, clearing blood clots, every detail was attended to meticulously.
The exhibited attentiveness and high standards even drew silent praise from several attending physicians.
As for other doctors and nurses, anyone with even a bit of insight was sincerely admiring Zhou Can’s surgical skills.
"Director Gou, the anastomosis is complete. Please check it. If there are no issues, I’ll conduct the circulatory test."
After finishing the surgery, Zhou Can reported to Director Gou, showing respect and giving Director Gou plenty of face.
Even if Zhou Can didn’t report but directly proceeded, Director Gou wouldn’t have objected.
Of course, his report made Director Gou quite pleased and gratified.
"The anastomosis is excellent; try releasing the ligated vessels to test the circulation!"
Director Gou advised.
His voice was gentle, and his eyes showed affection when looking at Zhou Can.
No attending physician dislikes a skilled and polite young doctor.
Zhou Can attempted to release the ligation thread.
Though the knot was a slipknot, it still required a high level of skill to untie. He dared not let Director Tang and others perform it, for if the vessel were accidentally damaged again, it would significantly delay the patient’s treatment.
Upon releasing, fresh blood surged into the anastomosed vessel and quickly reached the distal end, forming circulation.
"Excellent, no leakage, no rupture, it passed the test."
Anastomosing a ’poor-quality’ vessel properly was already a remarkable feat.
Passing the circulation test without breakage was akin to a substandard building surviving an earthquake.
Deputy Director Lu’s vascular condition was bad overall, and even the best skills could only result in patchwork. Completely replacing all of his vessels was impossible.
If Deputy Director Lu survives this, Zhou Can will definitely advise him to prioritize his health and stop risking his life recklessly.
"With these skills, why hold back? You should have shown this much earlier. When saving lives, there’s no need for so much consideration."
Director Ming Xin discontentedly reprimanded Zhou Can with a glare.
Causing her, the anesthesiologist, to be anxious and restless; this young man only stepped in at the last critical moment. Truly infuriating.
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