My Medical Skills Give Me Experience Points Chapter 1318 - 520: Discussion with Director Xiang—Man Propo

"Hmm, more or less! You’re a doctor too, so you should understand that the patient cannot be put on the operating table given his current condition."

Director Xiang acknowledged.

"Could you let see his examination report? Sigh! We used to be colleagues, and seeing him at such an old age, end up in such a miserable state due to one wrong step, it truly pains . I’m not afraid of you laughing at my overestimation, but I just want to show so goodwill."

Zhou Can knew very well that to persuade Director Xiang, he must evoke the other’s empathy.

This is not too difficult to achieve.

Playing the sympathy card is the easiest way to get results.

He genuinely felt very sad and sorry for Deputy Director Lu’s situation.

"I’ve brought the patient’s examination report and various biochemical test results with ; feel free to take a look."

Director Xiang directly handed the file bag to Zhou Can.

Upon receiving it, Zhou Can thought to himself, it seems Director Xiang ca prepared to discuss the patient’s urgent rescue plan. The groundwork was done quite thoroughly.

This is even better.

He started carefully reviewing Deputy Director Lu’s examination results.

After finishing, he fell into deep thought.

The injury is extrely severe, and based on the current examination results, the brain seems to be damaged. There is also bleeding in the blood vessels near the intracranial brainstem.

As people age, it’s inevitable to have conditions like vascular hardening and arterial plaque.

Doctors are in a high-risk profession, often working overnight and with irregular work schedules.

This makes issues more prone to occur.

Deputy Director Lu is over fifty years old, making the probability of intrinsic problems in the intracranial vessels even higher.

At least from the current examination results, Zhou Can believes that so of the intracranial blood vessels in Deputy Director Lu were already problematic. The fall and severe head impact ultimately led to the rupturing of intracranial artery vessels.

This was the preliminary diagnostic conclusion he reached after reviewing the images.

Thanks to his Hemostasis Skill and pathological diagnosis both reaching Level 6, he could make such a direct diagnosis.

High diagnostic skills often result from a combination of experience, dical knowledge, observational ability, and judgnt, all of which must be strong.

To identify the exact bleeding source, angiography is needed for precise detection.

Currently, only a head ultrasound and CT scan have been done.

Angiography requires considering the patient’s tolerance, and naturally, the hospital won’t perform high-risk tests.

For Zhou Can, these two examinations are already enough.

He’s basically locked onto the bleeding site.

The significant bleeding source should be an artery near the brainstem. There might also be three to four smaller bleeding sources.

The most dangerous is the rupture of a relatively large artery, especially in cases of hidden aneurysms or atheromatous vessel ruptures, which are incredibly difficult to stop bleeding spontaneously.

Without surgery, the patient is very unlikely to self-heal.

The condition will progressively worsen, intracranial fluid will increase, and this will lead to increased intracranial pressure, causing various terrifying comprehensive syndros.

Zhou Can proposed a rescue plan for Deputy Director Lu’s intracranial injury, which involves drilling holes to draw out the fluid, and then repairing the ruptured artery vessel with endoscopic surgery.

The procedure is extrely difficult, but it’s the only direct and effective rescue thod.

After examining the head, he continued to check the thoracoabdominal area.

The head, chest, and abdon are all vital organs and critical areas of the body. Injuries in any of these areas could be fatal.

Of course, limb injuries can also be fatal, but the severity is relatively much lower.

At least it leaves doctors so ti for rescue.

There is also fluid in the thoracic and abdominal cavities, which definitely indicates significant bleeding. Judging by the bleeding location, it seems like a splenic rupture.

The spleen is a very unique organ, prone to rupture when subjected to a significant impact.

Zhou Can frowned slightly after careful research.

"It doesn’t seem like a simple splenic rupture!"

He murmured to himself.

"Did Dr. Zhou discover a problem?"

Director Xiang, who had been silent behind the desk, mostly worried about interfering with Zhou Can’s diagnosis.

As fellow doctors, they understand that reviewing patient examination results requires calm thinking, careful analysis, and dialectical study.

"From the images and examination results, I fear it’s not just the spleen that’s ruptured. I suspect the pancreatitis has been affected as well. There’s even a possibility that the left kidney has sustained quite serious damage."

Zhou Can relayed his diagnostic opinion.

It was just a discussion, so there was no need to hold back. They discussed their findings openly.

"I also noticed the injury of the left kidney. However, the pancreas is rely a gland, and it’s rare to encounter cases where it gets injured by blunt force. Even if injured, it’s likely to be minor and has sufficient self-healing capability."

Director Xiang said.

"It is indeed quite unusual, but I recomnd checking this organ, the pancreas. If not dealt with in ti, it could easily lead to acute pancreatitis, or even pancreatic necrosis. If..."

Zhou Can stopped himself mid-sentence.

"If what?"

Director Xiang asked further.

"Forget it, the possibility is almost nonexistent."

Zhou Can waved it off, unwilling to elaborate.

"This is unlike Dr. Zhou’s usual style. I rushed over here to discuss the patient’s condition behind closed doors, you don’t have to worry about anything, just speak freely."

Director Xiang seed a bit displeased.

He didn’t like people who are wishy-washy.

"Alright! If there’s going to be surgery on the patient in bed 13, I can volunteer. His splenic rupture definitely needs addressing. A normal abdominal and thoracic incision isn’t feasible at all, but endoscopic surgery might have so viability. I believe the family is also willing to take that risk."

Zhou Can, an external doctor, had a negligible chance of participating in surgery at the Provincial People’s Hospital.

Since they didn’t know his expertise, no director doctor would easily agree.

Director Xiang listened but did not showcase too much emotion.

"If you were to treat this patient, what would you do? Feel free to share your plan."

In Director Xiang’s gaze, Zhou Can saw sincerity.

It was a genuine, imnse sincerity borne from the desire to save a life.

Conscientious individuals often develop empathy in the face of many situations.

Doctors seem cold, but most have kind hearts filled with sympathy for patients. They often solve so patient difficulties quietly with a stern facade.

They don’t expect gratitude from patients or families as long as they don’t receive complaints.

"I would directly drill two holes at these places in the head to siphon off the intracranial fluid while repairing the ruptured vessels. Then using endoscopic surgery, I’d enter the left abdominal cavity to repair the patient’s spleen, additionally checking the condition of the pancreas. If there are issues, those can be addressed together."

Images cannot uncover all problems.

Exploration via endoscopic surgery into the abdominal cavity is commonly used in current clinical practices for exploration.

For instance, so tumor lesions are too small for ordinary instrunts to detect.

Surgical explorations often yield satisfactory results.

After listening, Director Xiang nodded slightly.

Holding the drawings Zhou Can explained with, he asked sowhat aningfully, "Dr. Zhou seems to be quite experienced in the field of endoscopic surgery!"

"It’s fairly adequate!"

This ti, Zhou Can didn’t underestimate himself too much because he genuinely wished to personally save Deputy Director Lu.

If the Provincial People’s Hospital does not have doctors with strong surgical capabilities in this area, Zhou Can could step in anyti.

"Could you leave a contact number? I could try to communicate your rescue plan with other departnts and report it to the hospital leaders. If they adopt your rescue plan, you might be invited to participate in the surgery."

Director Xiang stated.

"Ti is of the essence in saving a life. I can wait directly at the Provincial People’s Hospital. If it drags on too long, the significance of the surgery diminishes greatly."

This was Zhou Can’s first interaction with the Provincial People’s Hospital.

Whether the hospital operates with bureaucratism remains to be seen.

If the top officials are severely bureaucratic, achieving a clear result, regardless of having less than an hour or several hours, may be challenging.