My Medical Skills Give Me Experience Points Chapter 1314: 518: Guided, and Not Unjustly

Capítulo 1314: Chapter 518: Guided, and Not Unjustly

The person who perford the venous puncture on the patient is bound to be scolded.

“It was Xiao Chen who did the venous puncture, and he’s off duty now.”

Air entering the blood vessel doesn’t imdiately form a thrombosis; it takes ti. To cause significant harm, it might take even longer.

Central venous thrombosis is an extrely frightening issue.

If not discovered in ti and not handled properly, it can directly lead to the patient’s demise.

Even a thrombosis ford in the limbs can be enormously harmful. Particularly, so clots moving freely within blood vessels are akin to invisible killers.

“This scenario must serve as a warning: never be careless during catheterization. Be sure to tell Xiao Chen about this tomorrow.”

“Okay.”

It was Doctor He at the chief level who replied.

Having perford venous catheterization makes dication administration very convenient. The thrombolytic drugs act directly and quickly at the site of thrombosis formation.

“It seems to have little effect. The patient’s current condition might not hold until the thrombolysis is successful. Moreover, the clot is large, and I worry that after thrombolysis, it could beco dislodged and cause further harm.”

Director Zhao had been closely observing the patient’s blood circulation, particularly the obstructed site.

To diagnose venous thrombosis, ultrasound or CT scans are effective, but none match the true gold standard of angiography.

Auxiliary diagnostic thods like testing plasma D-dirs have so reference value but cannot directly diagnose.

They can only provide a diagnostic direction.

If it’s superficial venous thrombosis, it can even be preliminarily diagnosed through palpation.

When you press down, it feels hard, and limb swelling may even occur.

Especially in the lower limbs, which are most prone.

Additionally, older individuals are the group most susceptible to varicose veins in the lower limbs.

This is directly related to the formation of venous thrombosis.

When you touch the lower limb, especially the calf area, you can feel lumps. This is likely to be varicose veins.

“The thrombosis might have existed for a long ti, adhering tightly to the blood vessel wall. If dication fails to dissolve it, intervention might be the only way to remove the clot.”

Director Xiang also knew that ti was of the essence.

Don’t underestimate a small clot; if it’s not removed or dissolved in ti, it can be fatal to the patient.

With the continual developnt and advancent of dical technology, there are now multiple thods to combat deep vein thrombosis.

Intervention to remove clots is one of the most direct and effective thods acknowledged.

However, it demands high technical skill from the practitioner and places requirents on the patient’s physical endurance.

In the earlier years, removing thrombus was daunting, even requiring the cutting of blood vessels to remove the clot completely, followed by vascular anastomosis.

Interventional procedures are much less traumatic for patients.

Highly efficient, fast, and much safer.

If they hadn’t been so wary of Zhou Can, and had allowed him to stay on site, perhaps Zhou Can might have suggested intervention to remove the clot earlier.

And if they had been willing to give Zhou Can the opportunity, he could have perford the operation himself.

His interventional skills, while not the most superb, should now be among the top within the province.

After all, his Advanced dical Skill is now all Level 6, which includes Injection Skill and implantation technique. These are the two most common skills used in interventional procedures.

The world is not burdened with so many hypotheticals; the doctors at Provincial People’s Hospital would never possibly have invited an unknown doctor to perform an interventional surgery for them.

…

Half an hour later, the doctors at Provincial People’s Hospital exerted great effort and finally managed to remove the thrombus. The patient’s previously obstructed venous pathway also resud normal flow.

However, this brought about a new problem – thrombolytic drugs had been administered earlier.

The drugs had little effect on the clot, but as they entered the bloodstream, they could easily cause previously clotted areas within the patient’s body to start bleeding again.

They still faced a slew of tricky problems.

“Blood pressure and blood oxygen levels have all risen; the previous rapid deterioration of the patient’s condition was likely caused by this thrombosis.”

All the dical staff felt great joy for successfully reclaiming the patient from the hands of King Yan.

Yet Director Xiang still felt a loss of face because it was that young doctor with the surna Zhou who pointed out the cause.

They were rely following his lead.

The real hero was that young man.

“Director Zhao, do you know the young doctor who ca in earlier to check on the patient?”

Director Xiang inquired of Director Zhao, who was not yet fifty.

The ICU, unlike outpatient or inpatient wards, requires not only technical skills but is also physically demanding work.

Older doctors simply can’t keep up here.

Thus, the doctors here are mainly aged from twenty-seven or eight to just over fifty.

Newly graduated young doctors, due to their lack of experience in ergency care, are equally unsuitable to work here. In their thirties, they are vital labor in the ICU, while those around forty are the backbone and elite.

Those in their fifties are basically the big shots here.

They hold the reins of power.

“No, I don’t recognize him. He does look a bit familiar, though I can’t quite recall where I’ve seen him before.”

Director Zhao shook his head.

“I also think he looks familiar!”

A young doctor chid in.

“He did give a sense of déjà vu; could he be a doctor from our hospital?”

Another nurse added.

“No, he probably isn’t from our hospital. I mostly rember the promising young doctors in our hospital. This young doctor didn’t even look at the patient’s test reports or thoroughly understand her condition and injuries; he just glanced at the monitoring equipnt and the patient’s body and could accurately point out that the real cause of the patient’s critical condition was thrombosis. His capability is truly astonishing.”

Director Xiang was full of doubt; he found this young doctor’s abilities truly profound.

Moreover, he spoke and acted with great propriety.

Exaggerating a bit, he exuded a king-like deanor from head to toe.

“Oh my… I know who he is!”

The nurse who thought Zhou Can looked familiar exclaid.

“Teacher Hu, please mind the volu; this is the ICU.”

“SORRY! My emotions got the better of ; I couldn’t control it.” She quickly apologized. “That young doctor called himself Zhou. Don’t you think he looks very similar to Dr. Zhou, who recently live-stread a cardiothoracic surgery online?”

With this nurse’s reminder, several others rembered.

“Yeah, yeah! It’s him, Dr. Zhou Can – no wonder he looked so familiar!”

Director Zhao confird.

“So, it was Tuya Hospital’s outstanding young doctor. It seems we weren’t wronged at all to be guided by him today!” Director Xiang, still harbored resentnt for being guided by Zhou Can.

People at his level find it hardest to let go of face.

Fa and fortune are detrintal!

However, now knowing Zhou Can’s true identity, Director Xiang felt sowhat relieved.

Today, he got so insights too.

He personally experienced just how outstanding the young doctors from Tuya Hospital are.

“Ru Yaji, Pang Houzhong, you both ought to learn from him. Usually, you both tend to act superior, but now you see the vast gap with a truly skilled young doctor?”

Harsh in reproach, deep in love.

It was evident that Director Xiang cared a lot about the two young doctors under his wing.

He wanted them to grow rapidly and beco the pillars of the departnt soon.

“He indeed is very strong.”

Ru Yaji admitted verbally that Zhou Can was strong, though she felt dissatisfied in her heart.

She wasn’t very scheming, and it was apparent on her face.

“If there’s a chance, I’d really like to have a good exchange with him.” Pang Houzhong was equally unwilling to accept defeat; no one would admit to being weaker than others.

“In recent years, Tuya Hospital has been rising vigorously; it’s not without reason! The caliber of even their young doctors is astonishing. It’s no wonder that the Director-level doctors behind them are probably even more remarkable.”

Director Zhao expressed profound admiration.

“Director Zhao, Director Xiang, there’s sothing I’m unsure whether to say or not?”

Doctor He, at the chief level, spoke timidly.

A chief doctor is indeed a superior doctor in front of ordinary doctors, but in front of these directors and deputy chief physicians, they stand slightly shorter.

“Just speak your mind! In this on-call room, there are no outsiders anyway.”

Director Xiang spoke.

“After Doctor Zhou Can ntioned the venous thrombosis earlier, when he was leaving, he seed to want to say sothing but hesitated. I wonder if he had other diagnostic opinions he wanted to provide to us, but worried it might cause a misunderstanding, he ultimately didn’t speak out?”

Everyone observes different things.

Doctor He unintentionally noticed so subtle expressions from Zhou Can at the ti.

“What do you an?”

Director Zhao’s gaze slightly focused.