"Teacher, please check if the debridement today is satisfactory at this stage?"
Zhou Can had just pleted the debridement and received a reward of 100 Experience Points for his Wound Cleaning Skill. He truly learned a lot of experience and techniques from debriding this patient.
Surgical operations emphasize practice.
Many surgical skills are easy to understand but difficult to execute.
When it es to performing surgery, many surgeons might know the procedure in theory, but when it es to actual operation, few can execute it smoothly.
Those who can perform excellently are even rarer.
Because the growth of surgeons is difficult and slow, doctors who perform surgeries well in hospitals hold quite high status.
At least among clinical healthcare personnel, their status is exceptional.
"Hmm, your debridement technique is genuinely excellent! Like the figure of a young woman, a bit more would be fat, a bit less would be thin, just right."
Dr. Xu, usually a very serious and rigid person, surprisingly used the figure of a young woman as an analogy at this moment.
This made Zhou Can and others feel quite unfamiliar.
The words "repressed and flamboyant" popped into Zhou Can’s head, words he would never dare to say aloud.
Many men, especially those who are very upright, have a bit of repressed flamboyance.
It’s just that the constraints of etiquette, morals, and reputation make them hide the sides that might cause ridicule.
"Send the patient back to the inpatient ward for care first! Closely observe for one or two days and then decide if a second debridement surgery is necessary."
Dr. Xu finished the examination and personally issued medical orders for the patient.
The approach was mainly from two aspects: anti-infection and anti-inflammatory, and nutritional supplementation. Additionally, it’s important to maintain smooth drainage of the wound.
After the initial debridement, just by observing for two or three more days, it will be possible to see which tissues will necrotize.
Then continue with debridement at that time.
The biggest challenge this patient presently faces is not the wound pain or continuous decay. Rather, it is whether the trend of sepsis after this surgery can develop positively.
If it develops negatively, even if Zhou Can and Dr. Xu wish to save the limb, they won’t be able to.
Amputation would be necessary to save his life.
After the patient was sent out, it was already past nine in the evening. Sometimes performing surgery is just like this; if the surgery isn’t finished, the doctor must grit their teeth and persist.
During this time, there’s no way to go to the restroom, drink water, or eat; if there’s a strong team with many members, they can take turns resting, which would be a bit easier.
This surgery took Zhou Can over four hours in total.
It was a surgery with the lowest cost-effectiveness.
Sometimes performing a Level 3 surgery doesn’t even take him this long.
"Everyone worked hard, let’s call it a day!"
Dr. Xu said to the group.
"I asked Xiaolan to order meals for everyone. It’s so late, there’s no place to get food now. Teacher, you should have your portion before leaving, otherwise, it’ll go to waste!"
Zhou Can invited Dr. Xu.
"You brat, are you having us eat at your expense?"
Dr. Xu did not reject.
"I wouldn’t dare call myself that, but I’m more than willing to treat everyone to a few meals. I’m extremely happy to do so. My father taught me since I was young, that a person never goes broke from eating or dressing, but only from picking up bad habits like gambling and drugs."
Zhou Can said with a smile.
"Oh, you’ve had quite a proper upbringing! Someday, I’d really like to meet your parents, to see what kind of parents raised such an outstanding child."
Dr. Xu said while taking off his gloves and throwing them into the trash, heading towards the dressing room.
It must be said, the Emergency Department due to its low status has a simple operating room. There isn’t even a place to eat.
Other more critical departments have much more luxurious operating rooms.
Sterile rooms, reading rooms, can all serve as temporary dining spots for the medical personnel performing surgeries.
In the Emergency Department, once a new operating room is secured, it surely will be able to have a decent operating room.
The group gathered together to eat some fast food.
"Dr. Zhou, may I ask why can’t we perform a plete debridement on the gangrene patient?"
This question had been bothering Luo Shishen for a long time.
He had wanted to ask earlier.
But was afraid of criticism from Zhou Can, so he waited until the surgery ended before asking.
"plete debridement means removing both necrotic tissue and tissue with some reparative ability to achieve deep debridement. It seems thorough, but have you considered it? Doing so will certainly enlarge the wound and increase the difficulty of self-repairing the wound. It will surely affect wound healing significantly."
Zhou Can explained.
The saying goes, ’haste makes waste.’
Different gangrene foci require different debridement plans.
That patient’s gangrenous wound was not only extremely wide but also very deep. pleting a thorough debridement in one go would create a huge wound, wouldn’t it?
Knowing that after such a long time of recovery, even if the wound is infected with pus and hasn’t healed, a certain healing layer has been established in the wound area.
Removing it would be akin to peeling off a newly formed scar, causing immense harm to the patient’s body.
So you must not just look at the surface.
"I understand!"
Luo Shishen nodded.
When cutting the sutures earlier, he was affected and still felt nauseous, unable to eat much.
No one else could help him with that; he would have to slowly adapt by himself.
Ma Xiaolan was in a similar state, barely eating a few bites.
Zhou Can, busy until so late, thought to first send a message to Su Qianqian on his phone to ease her worries.
User Comments
0 comments from readers