My Medical Skills Give Me Experience Points Chapter 1042: 411: The Bitterness of Clinical Staff, What We
Capítulo 1042: Chapter 411: The Bitterness of Clinical Staff, What We Feared Most Has Happened
“Teacher, please check if the debrident today is satisfactory at this stage?”
Zhou Can had just completed the debrident 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 cos to performing surgery, many surgeons might know the procedure in theory, but when it cos 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 debrident 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 mont.
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 n, 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 debrident surgery is necessary.”
Dr. Xu finished the examination and personally issued dical orders for the patient.
The approach was mainly from two aspects: anti-infection and anti-inflammatory, and nutritional supplentation. Additionally, it’s important to maintain smooth drainage of the wound.
After the initial debrident, just by observing for two or three more days, it will be possible to see which tissues will necrotize.
Then continue with debrident at that ti.
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. Sotis performing surgery is just like this; if the surgery isn’t finished, the doctor must grit their teeth and persist.
During this ti, there’s no way to go to the restroom, drink water, or eat; if there’s a strong team with many mbers, 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.
Sotis 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 als 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 als. I’m extrely happy to do so. My father taught 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! Soday, I’d really like to et 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 Ergency Departnt due to its low status has a simple operating room. There isn’t even a place to eat.
Other more critical departnts have much more luxurious operating rooms.
Sterile rooms, reading rooms, can all serve as temporary dining spots for the dical personnel performing surgeries.
In the Ergency Departnt, once a new operating room is secured, it surely will be able to have a decent operating room.
The group gathered together to eat so fast food.
“Dr. Zhou, may I ask why can’t we perform a complete debrident on the gangrene patient?”
This question had been bothering Luo Shishen for a long ti.
He had wanted to ask earlier.
But was afraid of criticism from Zhou Can, so he waited until the surgery ended before asking.
“Complete debrident ans removing both necrotic tissue and tissue with so reparative ability to achieve deep debrident. 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 debrident plans.
That patient’s gangrenous wound was not only extrely wide but also very deep. Completing a thorough debrident in one go would create a huge wound, wouldn’t it?
Knowing that after such a long ti 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 ford scar, causing imnse 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 ssage to Su Qianqian on his phone to ease her worries.
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