Chapter 295
Chapter 293: Chapter 149: Revealing Dual Talents, Are You Really a Resident Trainee?
Zhou Can remained calm and carefully aspirated all the accumulated blood fluids from the patient’s brain.
Using the endoscope’s probe, he began to search for the bleeding points.
The formation of a hematoma is due to the rupture of blood vessels, causing blood that cannot be expelled from the body to be enclosed in a certain area of the body, resulting in a hematoma.
Under normal circumstances, hematomas occurring in limbs or on the body surface are not a major problem.
If the amount of bleeding is small, it may not even be necessary to go to the hospital; applying ice locally can suffice.
The purpose of applying ice is to cause the blood vessels to constrict, stopping the bleeding or further reducing blood loss.
Many people apply Red Flower Oil or injury ointment and rub it vigorously on a sprained area, which is actually incorrect. Doing so might exacerbate the condition.
Especially in the case of a fracture, this approach should definitely be avoided.
Pouring cold water on the swollen area, on the other hand, is correct.
By using water temperature, the burst blood vessels are made to constrict rapidly, automatically stopping the bleeding. It can’t eliminate the hematoma, but it won’t make it worse.
Which parts of the body are most at risk from a hematoma?
Inside the skull, the spine—these places being infiltrated or compressed by a hematoma pose the greatest danger.
The patient currently being treated formed a hematoma inside the skull, leading to increased cranial pressure. And with pressure applied to important brain structures like the Brainstem, the cerebral lobes, nerves, etc., this has caused the patient to fall into a coma and even experience a rapid decline in vital signs.
Now that the accumulated blood has been removed, and the cranial pressure has lowered, the effect is essentially the same as if a cranial puncture had been used to drain the fluid.
“Director Wen, I’ve found two bleeding points. Should I proceed with electrocoagulation to stop the bleeding?”
Given Zhou Can’s performances yesterday and today, Director Wen already had a great deal of trust in him.
The risk is minor if electrocoagulation hemostasis is performed on non-essential areas.
But inside the skull, and near the brainstem area,
the risk factor is very high.
Director Wen’s gaze was fixated on Zhou Can, “Have you ever participated in electrocoagulation hemostasis during surgeries before?”
Zhou Can couldn’t help but smile.
Of all his medical skills, his Hemostasis Skill was the highest.
It had already reached the level of an intermediate attending physician.
“I’ve participated in surgical hemostasis many times; I’m about 80 percent confident that I can stop the bleeding at these two points without damaging other brain tissues.”
Saying he was 80 percent confident was actually quite conservative.
It’s a good way of speaking not to claim certainty—much like stopping eating when you’re 80 percent full or filling a tea cup to 70 percent.
“Alright, give it a try!”
Recalling the trembling of his hands during previous endoscopic operation, Director Wen decided to delegate authority this time. Because if he did it himself, he might not do as well as Zhou Can.
Under normal circumstances, a surgeon’s hands should never tremble during any operation.
Only when the heart is extremely tense could the hands possibly shake.
This is a faithful bodily reaction.
Zhou Can controlled the endoscope to perform electrocoagulation hemostasis. There were slight differences compared to using a regular electrocautery knife.
It primarily tested the ability to operate with extended arms.
His Hemostasis Skill was already incredibly proficient, coupled with at least Level 3 implantation technique and grasping technique, therefore the entire hemostasis process went remarkably smoothly, easily completed.
“Dr. Zhou’s hemostasis skill is as good as that of senior attending physicians! Moreover, his talent for endoscopic operation is extremely high. Tsk tsk, truly enviable!”
Director Wen closely watched the endoscopic screen, observing Zhou Can’s entire hemostasis process from start to finish.
His movements were clean, precise, fast, and effective.
Note that Director Wen used the word “enviable” at the end.
That’s because his own talent in endoscopic surgery was very ordinary.
Seeing Zhou Can possessing talents in both traditional and endoscopic surgery, it was an emotional response.
It’s very rare to find someone with both types of surgical gifts.
Currently, in the training of endoscopic surgeons within the country, traditional surgical talent is firstly considered. It’s the foundation, a required course.
Especially the four basic surgical skills in surgery.
Then, once a certain foundation in traditional surgery is established, those who are decent with endoscopic operations are further selected and cultivated.
Thus, not only major hospitals across the country but even some third-tier county hospitals can perform some endoscopic operations now.
However, those who do particularly well can be considered very rare.
The most frightening thing is that some surgical doctors think operating an endoscope for surgery is very easy. Perhaps these doctors can indeed complete some simple surgeries using an endoscope,
such as appendectomy or polyp removal.
They start showing off once their success rate exceeds 80 percent.
Believing they are something extraordinary.
Then when a patient has a tumor, they would vigorously recommend minimally invasive surgery.
Especially for female patients with conditions like breast lumps or granulomas.
The smaller incisions can maintain the aesthetic body shape of female patients to the greatest extent. Most female patients, upon hearing this, would choose the more expensive minimally invasive surgery.
As a result, the tumor isn’t completely excised, the surgery isn’t complete, leading to recurrence, infection, and pus formation.
Even causing many patients to lose the opportunity for a second surgery.
Such doctors lack ethics.
For the sake of personal achievements and so-called endoscopic surgical feats, they disregard the severe consequences that patients need to bear.
Zhou Can controlled the endoscope to carefully inspect once again and ultimately found another bleeding point.
This time he didn’t ask for instructions, directly proceeding with electrocoagulation hemostasis.
Finally, everything was taken care of.
After aspirating the new accumulated blood, Zhou Can asked, “Director Wen, do you think we can remove the endoscope now?”
“Remove it!”
Director Wen readily agreed.
Zhou Can cautiously withdrew the endoscope.
[Implantation Technique Experience Points +1.]