My Medical Skills Give Me Experience Points Chapter 1210 - 478: Closed Thoracic Drainage, The Incorrigib

"Co on, continue to take deep breaths, the situation looks good!"

Zhou Can guided the patient to continue taking deep breaths, everything seed normal.

The examination results were accurate.

The patient was sent back to the inpatient ward, and then the attending doctor and nurse were instructed to monitor the patient’s vital signs promptly, and actively provide oxygen, anti-infection, bronchial antispasmodic, and expectorant therapy.

Director Xue Yan saw that Zhou Can had finally successfully handled the patient and was already impatient.

A nurse was sent to urge him to quickly go to the operating room to help.

With so high-difficulty surgeries, having Zhou Can beside them is equivalent to having an extra amulet. Many parts of difficult surgeries, or in cases with strong ti constraints, Zhou Can could replace her as the main surgeon.

In case of unexpected situations during surgery, such as cardiac arrest, ventricular fibrillation, or sudden drop in blood oxygen levels, having Zhou Can there can tily assist in rescue.

In terms of saving patients, Zhou Can was already very skilled.

After following Director Feng from the Anesthesiology Departnt for the past two years, his skills in this area have beco even more outstanding.

There were a couple of tis when unexpected events occurred during surgery, even Dongfang Xuexue, a chief physician, had to ask Zhou Can for help.

...

The next day, Zhou Can was worried about the pneumothorax patient. Early in the morning, after rounds in the Ergency Departnt, he specially went to the Cardiothoracic Surgery ward to check on the patient’s condition.

After examination and inquiry, the patient’s left chest pain had eased, and the symptoms of breathing difficulty had greatly improved, showing obvious signs of improvent.

The family was very grateful to Zhou Can, seeing the patient’s condition significantly improved after treatnt, the patient’s mother and sister were very happy. Their expressions also relaxed a lot.

The nurse told Zhou Can that the patient currently was experiencing a low-grade fever.

Appearing with low fever is a normal phenonon.

Zhou Can requested the nurse’s stethoscope to listen carefully to the patient’s chest sounds.

"His breathing sounds in the left chest are still a bit faint, but luckily there are no dry or wet rales, so he can do more deep breathing. Also, do not touch this drainage tube, if any loosening occurs, you must imdiately find the nurse or attending doctor."

Overall, the treatnt of pneumothorax still carries certain risks.

Earlier during his residency in Cardiothoracic Surgery, Zhou Can had seen a pneumothorax drainage patient die.

The lessons from that event were very painful, involving the nurse’s negligence, the attending doctor’s oversight, and more importantly, the family’s and patient’s failure to follow dical advice and tampering with the water-sealed bottle.

Many dangers are invisible to the family and patient because they are not professionals.

Even so dical staff who lack professional standards or alertness may not tily discover the hidden dangers.

Even after several years have passed, Zhou Can remains especially cautious when treating this kind of pneumothorax patient.

He continually and tirelessly reminds the attending dical staff not to be careless.

After more than ten hours of drainage, the water-sealed bottle still showed a moderate amount of gas overflow, and the volu of the blood-like drainage fluid was as high as over 900 milliliters, bright red in color.

This indicates bleeding.

The attending doctor did not call him, but effective treatnt asures had already been taken.

These include blood transfusion, replenishnt of blood volu, and intravenous injection of cefradine for anti-infection.

In addition, intravenous injection of aminocaproic acid was administered to stop the bleeding.

The tily and reasonable use of these asures also caused Zhou Can to look at the attending doctor with admiration.

After more than twenty senior dical staff were poached from the Cardiothoracic Surgery departnt, the departnt gained many opportunities to bring in young talent. It gradually began to show new vitality.

After all, it is a key departnt, coupled with the profound heritage of Tuya Hospital.

Many trainees who had completed their training and had all four certificates were lining up, eager to join this provincial-level Grade A hospital.

Many of these physicians are still from clinical general dicine.

Currently, when clinical dical students choose research fields, they tend to prefer general dicine. Don’t be swayed by the many ntors out there saying you can’t chew more than you bite off.

That perspective is from the ntor’s lofty position.

For ordinary dical students, what is most important is how to get employed more easily and how to enter the key departnts of a large hospital.

General dical students have stronger competitiveness and more opportunities in big hospitals.

Even dical students like Du Leng with a doctorate from overseas, from prestigious international schools, need to start with the basics and learn from scratch when working in the hospital.

If they keep their heads held high with arrogance, they may find themselves out of their depth and ultimately be overshadowed and outperford by undergraduates like Zhou Can.

"Sorry, sorry, the patient in bed 55 just developed arrhythmia, so I rushed over to handle it. Dr. Zhou, what instructions have you given, let note them down!"

The attending doctor wasn’t the intern who brought the patient from the ergency yesterday.

It was a young male doctor with the surna Pu.

In his early thirties, he had a buzz cut, wore rimless glasses, had a round face, a wide and full forehead, and a square jaw. The first impression he gave was soone who was dependable, sincere, and amiable.

"Last night, was it Dr. Pu who handled the blood transfusion, hemostasis, and anti-infection for the patient?"

Zhou Can appreciated this doctor very much.

"Yes... I handled those. At the ti, considering it was already 1 am, and since you only left surgery close to midnight, I didn’t disturb you. Is there any issue?"

Dr. Pu, though a resident doctor like Zhou Can, is several years older.

At this mont, he spoke to Zhou Can in the capacity of a subordinate physician.

This was a show of deference.