CHAPTER 836: CHAPTER 335: DIRECTOR HU’S REQUEST, JIN MINGXI’S GREAT OPPORTUNITY

As for the remaining attending doctors and resident doctors who are generally average, they basically cannot understand Zhou Can’s surgical approach. It’s not their fault; when your level is sufficient, listening to these high-difficulty surgical plans does indeed feel like listening to a book written in the heavens.

Many surgical steps have intentions that they cannot understand due to insufficient level.

The interns and trainees present need not be further explained.

"Is Dr. Zhou really here to seek advice? Why do I feel like he’s here to show off his skills?" An attending physician who has a good relationship with Zhou Can asked him with a wry smile.

This question echoed the sentiments of many people.

The surgical plan Zhou Can just provided was already very brilliant, not inferior to the chief physicians present. Being so impressive, many attending physicians present felt ashamed in comparison.

Even some Deputy Chief Physicians may not have surgical ideas as good as his.

They learning from Zhou Can instead might be more appropriate.

"Dr. Long, don’t make fun of me. With my half-baked skill level, how dare I show off in front of all these mentors! I genuinely came to seek guidance from my teachers!"

Zhou Can has never engaged in any such boastful acts.

Staying low-key is his usual state.

"I must say, Xiao Zhou has indeed made significant progress. Many young doctors here should learn from him in this aspect. Do you have this kind of experience? Seeing Xiao Zhou every once in a while, you’ll be surprised to discover that his medical skills have greatly improved every time. Almost consistently, without exception. This is actually a very good state, indicating he is constantly striving to learn, making every effort to improve his medical skills."

Director Hu Kan spoke the minds of many chief and deputy chief physicians present.

They felt the same deeply.

Almost every time they see Zhou Can in the operating room again, they would be surprised to find Zhou Can’s medical skills have improved.

"Xiao Zhou, the surgical plan you proposed just now is quite good. However, there are still some areas that can be improved or further refined. For example, the interval time you mentioned for the second surgery, twenty-four hours is a bit too long. Based on my surgical experience, when the patient exhibits a low cardiac output state post-first surgery, as long as the medication is timely and correct, you only need to wait at least sixteen hours to conduct the second surgery."

Director Hu Kan is indeed a top expert in Cardiothoracic Surgery.

His ability to precisely give improvement suggestions obviously shows a deep understanding of Zhou Can’s surgical plan, grasping it clearly.

This proves his level is far above Zhou Can.

Only by this capability can one critique areas of insufficiency within.

The attending doctors and resident doctors present, not to mention pointing out shortcomings within, understanding Zhou Can’s surgical thought process is already very challenging. In reality, they cannot fully understand some of the surgical steps.

They only know the general intention of doing so.

Some deeper intentions, due to insufficient level, they simply cannot comprehend.

"Director Hu, what medications should be administered when a patient exhibits a low cardiac output state?" In terms of pharmacological differentiation, Zhou Can remains somewhat weak. At least it needs to be improved to a level five competency to comfortably handle some more difficult clinical conditions.

A low cardiac output state frequently occurs post-cardiac surgery, and it’s quite dangerous.

However, as long as the medication is timely and correct, the prognosis is generally quite decent.

"What do you think about the medication use?" Director Hu Kan answered with a question instead.

Director Xue Yan was also closely observing Zhou Can, wanting to see how much he had improved in pharmacology.

"Postoperative low cardiac output state indicates myocardial weakness; initially, consider using positive inotropic drugs such as Dopamine, Milrinone, Prostaglandin, and if necessary, consider having the patient inhale nitric oxide."

For correcting medications for low cardiac output state, Zhou Can could only think of these.

"Your medication administration is basically correct. But before using medication, you need to understand the cause of low cardiac output. Low cardiac output syndrome is typically due to underdeveloped left ventricle or some disease. Additionally, incomplete correction of the pulmonary artery can also cause a low cardiac output state. This condition frequently arises during surgery. You mentioned using Dopamine, etc., to enhance myocardial contractility, relax blood vessels, reduce vascular resistance, and increase cardiac output, which is a good approach."

"Regulating the heart’s preload, blood transfusion, and fluid supplementation to increase blood volume, thereby increasing ventricular filling pressure, also has a good effect. Lowering left ventricular afterload has also proven to have good therapeutic effects in clinical practice."

Director Hu Kan’s level is really impressive.

The guidance given is not only precise but also much more complete compared to Zhou Can’s treatment suggestions.

Then, he continued to comment on Zhou Can’s surgical plan and provided improvement advice.

Zhou Can listened attentively to each one and took notes.

Whenever encountering something he did not understand, he would ask directly.

This earnest learning attitude made Director Hu Kan value him even more.

Upon finishing the surgical plan discussion, Zhou Can was over 80% confident about this congenital heart disease surgery.

At least theoretically, there are no barriers anymore.

A complete surgery comprises theoretical and practical operation parts. In simple terms, practical operation means techniques, surgical operation skills.

Zhou Can’s current several basic surgical skills, only Incision Skill is slightly weaker, currently at an average attending level, close to an excellent attending level.

The other medical skills have all reached Deputy Chief Physician level, completely sufficient to complete this congenital heart disease surgery.

"Director Hu, when I’m performing the surgery over there, could you come and support me? With you there, I would feel more at ease."