My Medical Skills Give Me Experience Points -
Chapter 371 - 177: What Else Can't You Do? Violently Ripping Open the Chest
"Alright, the bleeding has stopped. If you allow me to handle the blood vessel repair and anastomosis next, I'll do my utmost best."
Zhou Can was striving for the remaining surgical tasks.
Getting one done was still an accomplishment.
Doctor Long's trust in him had reached a considerable level.
Taking this opportunity to strive for more surgical practice chances not only helped him earn Experience Points but also helped him refresh and revisit the medical skills he hadn't used in a long while.
During these three months in the Intensive Care Medicine Department, he had only participated in a pitifully small number of two or three surgeries.
Not performing surgeries for a long time can easily lead to rustiness.
"Give it a try!"
Doctor Long, unwilling to lose face, finally agreed to give him a chance.
Even though Zhou Can had already shown remarkable excellence, when Zhou Can requested to perform the blood vessel anastomosis again, Doctor Long still appeared very cautious.
Zhou Can cherished this hard-won opportunity deeply.
He knew very well that if he did well, he could make a name for himself. Afterwards, in the Cardiothoracic Surgery, he would be able to establish himself and not worry about lacking training opportunities.
Doctor Long, standing by his side, watched nervously as he repaired the ruptured vessel.
From the initial heart-in-mouth moments to later feeling relieved.
Doctor Long once again recognized the formidable capabilities of Zhou Can.
Such a high level of anastomosis skill, not to mention trainees, even he as an attending physician felt inferior.
At this moment, Doctor Long no longer worried about Zhou Can's procedure, instead, he got distracted and secretly speculated about Zhou Can's real identity.
A surname Zhou and an impressive trainee—seemed like in the whole Tuya Hospital there was only one.
Could it be that he was the widely known Zhou Can from several leading departments?
The more he thought, the more likely it seemed.
Under a famous name, there stands genuine capability; this young man indeed possessed remarkable skills. No wonder he could rival the returnee doctor Du Leng.
Doctor Long made a quiet comparison between the two.
Du Leng was highly regarded in the department, and the department heads were all quite courteous to him, mainly because of Du Leng's overseas elite university Ph.D. credentials.
However, in the surgery sphere, Du Leng's performance was not as exceptional as imagined.
Having witnessed Du Leng's surgical skills, Doctor Long knew that even after nearly a year of full-fledged training in general surgery, Du Leng's surgical skills were at most at the lower Resident Doctor level.
Compared to the surgical prowess Zhou Can was currently displaying, they were not even in the same league.
The difference was too great.
"The blood vessel anastomosis is completed, please, Doctor Long, could you double-check! If there's no problem, I will release the ligated ends of the vessel to test the blood flow."
Zhou Can gave enough respect to Doctor Long.
His prompt action in taking over the emergency was definitely a slight to Doctor Long's dignity.
Now that the blood vessel anastomosis was completed, which essentially meant the most critical part of the surgery was done. By lowering his stance and asking Doctor Long for help, he indicated to everyone that he was just a trainee; Doctor Long was his superior.
It was a sign of respect.
"Um! The anastomosis is quite good, it would be even better if the sutures were left a bit longer. Mainly because I'm worried that a knot might not hold under tension after perfusion, causing the sutures to become loose."
Doctor Long commented a couple of sentences.
He actually managed to pick a 'bone' from an egg.
In response, Zhou Can humbly accepted the feedback, stating that he would leave longer suture tails next time.
While he outwardly agreed resolutely, he would still stick to his own opinions in the next surgery, refusing to change.
Because he cut the suture tails short, and the length was just right.
Doctor Long's suturing level was not as good as his, and had not reached the level of an associate chief physician, so he didn't understand what was called just right.
In theory, leaving longer suture tails makes the knots less likely to loosen.
In reality, the looseness of the suture tails has little to do with their length.
As long as the knot is securely tied, cutting close to it wouldn't matter.
Leaving suture tails too long could irritate the surrounding tissue and cause symptoms similar to inflammation.
"Release the ligation of the blood vessel, let's check the blood flow!"
Doctor Long instructed Zhou Can to remove the vessel ligation.
It was originally a slip knot, so it was very easy to remove.
After Zhou Can removed it, blood immediately rushed to the anastomosis site. The shriveled blood vessel quickly filled up.
It's crucial to remove all air trapped within the anastomosed vessels as well as blood from the ends to prevent clots.
This is a common mistake among novice doctors.
After the blood flow test, it was found that the blood vessel anastomosis was very well done. The blood flow was almost unaffected.
"Very well! Do another check, and if there are no other bleeding points, we can reattach the rib and then close the thoracic cavity."
This type of thoracotomy is considered minor.
It also causes much less harm to the patient.
Reattaching a sawed rib requires orthopedic bone joining techniques.
Conveniently, Zhou Can had spent three months in orthopedics, following Director Shen and Doctor Shan through many orthopedic surgeries.
Attaching a rib bone, he was fully capable of handling it.
"That... regarding rib reattachment and closing the thoracic cavity, let me do it all, is that alright?" Zhou Can looked at these surgical Experience Points and wanted to earn them.
Unlike others who liked earning money, he was particularly fond of various medical experience points.
"You know how to do rib reattachment too?"
Doctor Long was somewhat speechless.
Is there anything this trainee doesn't know?
Those two assistants, similarly, looked at Zhou Can as if he were a monster.
The instrument nurse smiled kindly, her views of Zhou Can shifting from initial disdain and sympathy to admiration and esteem.
They were all young people; talented men always had an easy time gaining women's admiration.
It has nothing to do with love; it's purely human nature.
One can't say that a woman admiring a man is in love with him—that's nonsense.
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