My Medical Skills Give Me Experience Points

Chapter 917: Chapter 364: Meritocracy—Will It End in Bitter Defeat? (Part 2)

Each anesthesiologist has a different style of working.

Dr. Feng is the most meticulous of all the anesthesiologists Zhou Can has encountered. Although Dr. Guan is also precise, he is comparatively less experienced in clinical practice.

Dongfang Luoxue works very diligently, but to Zhou Can, she lacks foresight.

Pre-surgery preparation is adequate, but there is a clear lack of necessary measures to prevent unexpected incidents during the operation.

“No need!”

She coldly replied with just two words.

Since she said that, Zhou Can naturally couldn’t say much more.

Truth be told, his skills in the field of anesthesia are quite limited, and there’s still much to learn. During this surgery, as he examined the patient’s ECG, he could detect some subtle abnormalities.

But he couldn’t determine the cause of these subtle abnormalities.

Given that this patient already had severe heart disease, abnormalities in the ECG were quite normal.

Even Director Hu Kan didn’t say anything, so it shouldn’t be a major concern.

However, this is still a minor risk, and as anesthesiologist responsible for safeguarding the patient’s life throughout the perioperative period, Zhou Can felt obligated to remind Dongfang Luoxue.

Having reminded her, she said it’s fine, and since Director Hu Kan and others didn’t say anything, Zhou Can obviously wouldn’t meddle any further.

“Xue Yan, you’ll be the lead surgeon for this operation. Director Le will be the first assistant. Xiao Zhou and Deputy Director Lu will both be second assistants. Everyone else should fully cooperate and assist to ensure the successful completion of the surgery.”

Director Hu Kan laid out the tasks.

“Please everyone help me complete the surgery, thank you!”

Though Director Xue Yan was the lead for this high-difficulty Level 4 major surgery, she was somewhat nervous. Before the surgery started, her eyebrows were tightly knit, and her gaze was extremely sharp.

“No need to be modest, Director Xue!”

“The department needs this surgery to maintain its reputation, it’s crucial for our department’s rise and fall, we’ll definitely give it our all!”

Everyone expressed their commitment.

At this critical juncture, everyone was like grasshoppers on the same ship, and the entire Cardiothoracic Surgery Department was more united than ever.

“Director Dongfang, can we begin the surgery?”

Director Xue Yan turned to look at Dongfang Luoxue.

“The patient’s vital signs are stable, the surgery can proceed!”

She had the same cold attitude towards men and women alike.

The surgery began with a median incision on the chest, inserting an arterial perfusion tube through the ascending aorta, and inserting right-angle tubes directly into the superior and inferior vena cava, along with inserting a left heart decompression tube through the right pulmonary vein. After inducing hypothermic extracorporeal circulation and cardiac arrest, atrial folding surgery was performed.

Almost all Level 4 major surgeries carry extremely high risks.

This type of surgery requiring cardiac arrest is even more terrifying.

As the surgery reached the cardiac arrest stage, Director Xue Yan was already sweating several rounds.

A nurse frequently helped her wipe sweat.

Open-chest surgery is not only a technical job but also requires physical strength.

Though there were male assistants beside her, female doctors leading open-chest surgery still found it challenging.

Director Xue was half nervous and half exhausted.

Next, Director Xue used a knife to make an incision parallel to the right atrioventricular groove.

“Pause for a moment! Everyone carefully observe the patient’s right atrium and see if there are any issues?”

Director Hu Kan conducted on-the-spot teaching.

“The patient’s right atrium seems to have significantly enlarged,” Deputy Director Lu, with his rich surgical experience, quickly offered an answer after a glance.

“Hmm, Deputy Director Lu’s observation is spot-on! When we encounter such a phenomenon during surgery, how should we proceed? Does anyone know?”

Director Hu Kan was very patient while teaching, always guiding step-by-step.

Striving to let students fully learn through practice.

Everyone shook their heads; perhaps the two director physicians knew a bit but feared embarrassment, so they didn’t dare speak up.

“For patients with significantly enlarged right atrium, partial resection should be performed on the right atrium. This patient needs to have part of the right atrium removed.”

Director Hu Kan provided the guidance.

But he did not explain why to do this.

This was intentionally left as room for everyone to think.

It was Zhou Can’s first time participating in such a high-difficulty Level 4 major cardiac surgery, where he was currently assisting by holding retractors, handling miscellaneous tasks.

Even so, it was still considered an honor.

Because even a physician like Dr. Long could not qualify to hold retractors in this surgery. Jin Mingxi was even less qualified, only able to watch from the sidelines.

All this was thanks to Director Hu Kan’s focus on cultivating him.

Jin Mingxi wasn’t lacking in talent, worked diligently, and made enough efforts, along with having a decent foundation in the Stable Knife Technique. These were the reasons Director Hu Kan valued him.

Director Xue Yan cautiously excised part of the right atrium according to Director Hu Kan’s guidance.

The blood vessels here were extremely rich, and even though she cut with utmost precision, the wound was still bleeding substantially.

Director Le helped with hemostasis, scrambling around.

Even the surgical gown and mask had splashes.

“Dr. Zhou, Dr. Zhou, you should take over! My operational speed is far behind yours and easily causes mistakes.”

Director Le actively relinquished the position of first assistant.

The first assistant bears significant responsibility, and if their ability is insufficient or their rapport with the lead surgeon isn’t good enough, it can severely affect the efficiency of the surgery.

“My… qualifications are too shallow, wouldn’t that be inappropriate?”

Though Zhou Can verbally expressed modesty, he was actually quite eager to take on the role of first assistant.