My Medical Skills Give Me Experience Points Chapter 1345: 532: Another Troublesome Family Member—Control

Capítulo 1345: Chapter 532: Another Troubleso Family mber—Control the Infection Before Surgery (Part 2)

The daughter-in-law still looked worried.

“I know what I’m doing, go ho now! Take good care of your mother.”

The elderly cadre waved at his son and daughter-in-law.

It was almost as if he was urging them to go ho.

Zhou Can observed all this and thought to himself, big figures really are different from ordinary people. After all, it’s their own efforts that have brought them up step by step, and their response abilities are quite strong.

Judging from this elderly cadre’s behavior, he has likely realized where the problem lies.

Since this person was a priority patient personally assigned by Dean Zhu, arrangents were made overnight for him to undergo angiography.

Unlike cerebral angiography and cardiovascular angiography, angiography of the limbs is relatively less risky. It is also easier to carry out.

However, the necessary preparation work must not be overlooked.

In the office, Zhou Can shook his head, “Sister Yan, should we first perform an X-ray examination on this elderly cadre before proceeding with the angiography?”

This would allow for a more targeted approach.

an X-ray can reveal the plaque calcification in the arteries.

Ultimately, angiography will surely be necessary.

Because angiography can determine the location and extent of arterial blockages.

For instance, is the artery tortuous? Is there diffuse irregular narrowing of the lun, or segntal occlusion?

Only by examining the specific condition inside the blood vessels can the most advantageous surgical plan be made.

This case is not complicated.

The truly challenging part is the patient’s daughter-in-law.

She is quite troubleso, inevitably causing doctors great concern.

Originally, the X-ray examination should have been done at the Provincial People’s Hospital, but it was simply not perford.

No matter how many extra tests are done, they could bring more inco to the hospital.

But the doctors would rather not earn this money.

Doctors get paid a salary and, for patients with many issues, they genuinely don’t care about treating one more or one less.

To save one more patient, but then face complaints from family and patients, or even violence, court cases, and various personal threats, it’s better to save oneself the trouble.

Xue Yan had no objection to Zhou Can’s examination plan.

She gladly agreed.

“The patient himself is quite decent, it’s just that his daughter-in-law is too troubleso. His wife was even more scheming, which really made sick. Luckily, his wife has hypertension and heart disease, making it unsuitable for her to stay at the hospital for long, so she’s gone.”

Hearing this, Zhou Can couldn’t help but shudder.

Just the elderly cadre’s daughter-in-law alone is hard enough to handle; if the patient’s wife was even more formidable, this illness would really be impossible to treat.

“When the ti cos, performing surgery will require the family’s signature, so what should we do? Perhaps we should gently persuade the patient to transfer to another hospital. Cardiothoracic surgery is extrely busy right now, and we cannot let a troubleso patient excessively consu dical resources.”

Zhou Can suggested.

“Let’s wait and see how things develop! If worse cos to worst, we’ll have to figure out a way to transfer the patient.”

Xue Yan eventually showed so leniency.

It’s common for won to be softhearted.

Encountering a ruthless and venomous woman is every man’s nightmare.

…

When Zhou Can finished two surgeries in Cardiothoracic Surgery, it was already midnight.

Currently, the major surgeries he receives are extrely challenging, with surgery tis often spanning three or four hours, or even longer.

Zhou Can increasingly feels there isn’t enough ti.

Heart and thoracic surgery involve highly sophisticated procedures, many of which are major projects.

Sotis, aligning a blood vessel or removing a tumor, or repairing a mitral valve, requires extre caution. Additionally, nurous auxiliary tasks are required for the smooth execution of the surgery.

To a remove a tumor, not only must the chest be opened, but the pericardium might also be moved aside, and even extracorporeal circulation established with the heart stopped.

Every step in the preparation process is indispensable.

And every step is like walking on a razor’s edge, necessitating utmost care.

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Dragging his tired body out of the OR, Zhou Can now just wants to go ho, shower, and sleep.

He initially hoped he could finish early and go ho to write his paper.

Now nothing can be done.

Once this period is over, he surely has to find so way to squeeze more ti for learning and improving his academic qualifications and level.

Many veteran predecessors have taught him with their lessons that education is just too important.

“Zhou Can, the results of the two tests on the elderly cadre have already co out. I know you’re really busy, could you review his test results before leaving?” Xue Yan said, asking Zhou Can after she received the report from the ward physician.

If not now, Zhou Can might not have ti until after 7 PM tomorrow.

“Alright!”

Zhou Can did not refuse.

Taking the report, he scrutinized it in the dim corridor lighting.

“Oh, there’s an additional ultrasound test, nice!”

Zhou Can discovered that besides the X-ray examination and angiography, an ultrasound was also conducted.

“After checking the results, I saw that the patient had narrowing of the popliteal and iliac arteries. So, I took the liberty to apply for an ultrasound test.”

The ward physician is a doctor in his thirties, currently at the chief level.

Doctors newly recruited into Cardiothoracic Surgery are basically of doctoral level, so even postdoctoral level.

These individuals have a major advantage—after working a year, they are directly promoted to chief level.

They advance in rank like a rocket compared to doctors with ordinary qualifications.

“Great, adaptability is key.”

Zhou Can nodded, showing appreciation for the physician’s initiative.

In clinical diagnosis and treatnt, a patient’s condition constantly changes, requiring doctors to adapt accordingly. Doctors who are inflexible aren’t really suited for clinical frontline work.

Administrative positions or dical technical departnts are both good choices.

Of course, many might eventually be forced to change careers.

After thoroughly viewing the three reports of the patient, Zhou Can had a sense.

The color Doppler ultrasound indicated significant stenosis in the patient’s abdominal, iliac, and popliteal arteries. Zhou Can hadn’t anticipated that the abdominal aorta would show stenosis.

This also shows his diagnostic skills have not yet reached the pinnacle.

Of course, even the world’s top experts can’t diagnose so hidden lesions of patients just by palpation and a few simple auxiliary tests.

For Zhou Can to diagnose both the popliteal and iliac arteries’ issues simply by palpation is remarkably impressive.

The ultrasound results also showed no blood flow signals below the right femoral artery.

No wonder no pulsation of the popliteal artery and dorsum pedis artery could be felt in the right foot.

Next, to review the angiography results of the patient.

Extensive irregular narrowing was noted in the abdominal aorta and bilateral iliac arteries; contrast was visible in the right femoral artery, but not in the superficial femoral artery.

The results from the angiography were largely consistent with those from the ultrasound test.

“From the test results, it can basically confirm a diagnosis of arteriosclerotic occlusion of the right superficial femoral artery.”

Upon finishing the examination reports, Zhou Can provided his diagnostic opinion.

Doctors present could all largely diagnose with these test results.

Xue Yan and the ward physician were genuinely awaiting Zhou Can’s treatnt plan.

“Zhou Can, could you provide a surgical plan now? Or you can take the examination results ho and give a plan tomorrow morning, that works too.”

In front of other dical staff in the departnt, Xue Yan didn’t hide that she likes to hear Zhou Can’s views on surgical plans for so key patients.

“I’ll give it now! The examination docunts left in the departnt can also offer reference and learning to other doctors.”

Zhou Can deed the patient’s condition not particularly complicated.

The surgical plan would also not be exceedingly difficult.

“The patient’s angiography results show that contrast is visible in the right deep femoral artery and in the popliteal artery above the knee joint, suggesting that the arteries in the lower limb still have pathways for blood flow. When listening to the patient’s lungs, there is crackling noise, indicating a potential lung infection. If surgery is to be perford, the lung infection needs to be controlled pharmacologically before proceeding. As for the surgical plan, I propose a bypass graft between the right femoral artery and popliteal artery to help restore the blood circulation in the patient’s right leg.”

Performing surgery requires considering various factors.

Lung infection, especially in elderly patients, certainly needs to be controlled before surgery.