Chapter 1551 - 629: Lingering Fear, Directly Targeting the Lesion
Chapter 1551: Chapter 629: Lingering Fear, Directly Targeting the Lesion
Surgery has always had extremely strict operational protocols.
Internal Medicine treatment is never categorized by levels; as long as you have the ability, a resident doctor treating a serious disease is entirely possible. But the operating room has stringent qualification requirements and rank admittance systems.
Resident doctors can only perform Level 1 surgeries and at most participate in Level 2 surgeries.
There are also pre-operative assessments, intraoperative aseptic management, safety management, and strict post-operative care, all medical staff have a red line they cannot cross, which is patient safety.
Zhou Can has extremely strong surgical skills and is proficient in almost all fields.
He is also very careful when performing surgeries on patients, so nothing has ever gone wrong.
It is precisely because everything has been going smoothly for him professionally and because of his personality, that he gradually steps out of conventional processes during surgeries, engaging in some rather risky behavior.
So far, whether in the Emergency Department, Cardiothoracic Surgery, or other departments for major surgery, no issues have occurred.
Even if complications arise during the operation, Zhou Can has director-level anesthesia techniques and Intensive Care Medicine Department rescue experience, as well as director-level pathologic diagnosis and pharmacological differentiation, enough to turn the tide and bring the patient back from the hands of death at critical moments.
People, you know, are mostly the same.
With great strength, accustomed to everything going smoothly, one tends to become overly confident. When doing familiar things, they like to act unconventionally.
Zhou Can usually follows the surgery plans set by others when helping out in other departments.
He only handles some key parts.
If pursuing speed, he might complete most of the surgery himself and leave the skin closure and cavity closure to other doctors.
In the Emergency Department and Cardiothoracic Surgery, he holds a very high status, and the attending physicians have great trust in him.
This has also led to his issues not drawing anyone’s attention.
Wu Baihe discovering Zhou Can’s problem this time is certainly a good thing.
Those who feel ashamed become brave.
Only by recognizing one’s own mistakes can one keep improving and reduce errors.
"Director Wu’s criticism is correct. I indeed have been somewhat willful before. I will definitely correct this problem." Zhou Can saw the instructor being criticized, and Director Wu indeed had his good intentions.
He immediately accepted the criticism and suggestions with an open mind.
"Having a correct attitude is a good thing. No matter how skilled you are, you must abide by the rules that need to be followed. The safety regulations and safety codes of surgery are the summaries of countless experiences and lessons learned through blood by predecessors. Maybe you think they are not reasonable or feel that you can break these rules, but I can responsibly tell you, the exceptional doctors who got into trouble almost all felt that they were skilled and confident enough to not follow the rules.
The result is a moment’s slip becomes a lifetime of regret.
More electricians die of electrocution, while more swimmers drown."
These words are harsh but earnest.
And indeed very reasonable.
"You directly explored the Brainstem, what if the Brainstem hadn’t bled? Or even if it had, the symptoms might be mild and not the main cause of the patient’s deep coma. The Brainstem is known as the forbidden zone of life, let alone a young man who’s only been in the field for a few years, even I, who have been in Neurosurgery for decades, dare not touch it lightly."
Wu Baihe scolded Zhou Can until he could not lift his head.
The consultation room was unusually quiet.
Director Lou and Dr. Xu, although they didn’t speak, both realized the severity of the problem and fully supported Wu Baihe’s opinion.
Anesthesiologist Qu Zi looked at Zhou Can with a peculiar expression.
This was the first time she saw Zhou Can being scolded so badly.
Previously, all she ever heard were praises from senior doctors, patients, and nurses about Zhou Can.
"For any major surgery, you must remember to start from the safe area, handle the confirmed lesions first..." Wu Baihe explained the principles of surgical priority to Zhou Can.
"There is no issue doing this surgery minimally invasively, in fact, it’s only suitable for minimally invasive methods. My suggestion is to first handle the thalamus bleeding and injury, and then decide whether to explore the Brainstem area based on observations. It seems the patient’s cerebral vascular system has quite severe sclerosis and pathological changes, you can check the vascular spots on the scans, though inconspicuous, they are very numerous. I suspect her brain blood vessels have rather severe atherosclerosis."
Wu Baihe, as expected of a top expert, diagnosed a problem Zhou Can had not noticed from some subtle details.
"The patient’s blood lipids are noticeably high, which should be the main culprit for arterial blood vessel atherosclerosis. I really hadn’t noticed her blood vessels had such severe pathological changes. Director Qu, please reevaluate the patient’s surgical risk."
Upon hearing this, Zhou Can was slightly startled.
Thankfully they invited Wu Baihe for the consultation, if he followed his original surgical approach, leading the operation with the Brainstem region, the results would have been unpredictable.
This doesn’t mean danger would have certainly occurred, but at least with extensive atherosclerosis in the patient’s cerebral arteries, the safety risks of surgery would be doubled.
He could not help but feel a bit scared.
Every time he thought he was strong enough, it turns out there was still so much to learn.
The journey of a thousand miles begins with a single step, small streams make great rivers.
He must remain humble, persist in daily learning, and never become arrogant or complacent.
"Now that there is a new discovery, the patient’s intracranial artery vessels have extensive atherosclerosis, which increases risks of intraoperative bleeding and the difficulty of hemostasis, among other things. However, Director Zhou’s surgical ability is sufficient to greatly reduce this potential risk, so after my evaluation, I believe the surgery can still proceed."