My Medical Skills Give Me Experience Points Chapter 387: 182: Discovering Hidden Dangers, A Well-Intenti

Chapter 387: Chapter 182: Discovering Hidden Dangers, A Well-Intentioned Warning_2

The patient described his symptoms upon admission as chest tightness, accompanied by chest pain.

The dical records indicated that the patient claid he had no underlying dical conditions or drug allergies. He did not have a cold or fever before admission, nor was he taking any other dications.

After looking over this, Zhou Can reminded the patient of a few things and then left.

Having finished his rounds, he returned to the office to check the dical orders for the patients in his group.

As he didn’t have his dical Practitioner Certificate yet, even if he prescribed orders, they were under the na of a senior doctor, and he had to proactively ask the senior doctor to check them to prevent mistakes.

Around eight o’clock, once the doctors’ shift change was completed, Zhou Can helped the ward’s attending doctor transfer patient number 47 to the operating room.

If they were late, the anesthesiologist might scold them.

As he was sending the patient into the operating room, he also saw the patient from bed 54, who was there for heart bypass surgery, being wheeled into another operating room.

Tu Ya Hospital never lacked patients; the outpatient volu was particularly large.

A Cardiothoracic Surgery clinic doctor seeing a hundred patients in one day was not uncommon.

With such a large outpatient volu, even if only about 10% of the patients required inpatient surgical treatnt, that still was a rather frightening figure. In fact, according to related statistics, the outpatient to inpatient ratio for so departnts can be as high as 19% or more.

There are a large number of patients seeking treatnt in Cardiothoracic Surgery every day who need inpatient surgical treatnt, so beds are highly in demand.

The number of surgeries each day is also quite substantial.

The chief and deputy chief physicians nearly have one or two major surgeries every day.

With about seven or eight chief and deputy chief physicians in the entire departnt of Thoracic Surgery, the operating rooms are very busy.

Just the other day, he overheard colleagues discussing that the Thoracic Surgery departnt was planning to add a class 100 laminar flow operating room to alleviate the pressure from the high volu of surgeries.

Zhou Can looked at patient number 54 being wheeled into the operating room and felt a twinge of doubt.

During rounds, the patient had ntioned that he had suffered from toothache a week ago.

And the pain subsided after taking dicine.

What pain dication did the patient take?

So dications have a long tabolic period in the body.

At that ti, he had checked the patient’s dical records, which did not ntion any dication history. This was actually a hidden danger.

Patients may not intentionally conceal this, but if the attending doctor did not ask clearly, it was an oversight. It would be fine if nothing happened, but if sothing did, it could lead to complications during surgery.

Like that patient with a rubber allergy at the end of Zhou Can’s internship.

Sotis a patient may not even know what they are allergic to.

Doctors would never expect that the disposable sterile gloves used during surgery could beco a ‘killer’ during a patient’s operation.

“Dr. Zhou, what are you looking at?”

“Oh! Nothing much. The surgical patient from their group, I happened to see him this morning when he had a toothache and asked him a few more questions. He is a heart bypass surgery patient.”

Zhou Can responded sowhat distractedly.

“Seeing the patient’s age is over fifty, it’s very normal to have toothache. So people don’t take care of their oral health well and are prone to developing cavities. As long as it reaches the nerve root, the pain can be unbearable.”

Dr. Wu, the ward’s attending resident doctor, is a young doctor around 27 or 28 years old.

He got along quite well with Zhou Can.

The doctors in charge of beds are usually young doctors who have been working for two or three years. Everyone is slowly working their way up.

There is a lot to learn from being in charge of a ward.

Including patients’ admission, surgery, rehabilitation treatnt, discharge — the entire complete inpatient treatnt process.

In the midst of this process, many unexpected situations can occur.

Resident doctors can learn a lot from these experiences.

However, it’s best not to spend more than four years learning in the inpatient ward. Most people, after passing the dical Practitioner Certificate exam, begin to take charge of the beds on their own, stay in this position for about two or three years until they have honed their skills, go for further studies, return to be the chief resident for a year, and then take the attending physician exam, striving to reach an attending physician position in the fifth or sixth year.

This is considered an ideal way of promotion.

Of course, doctoral students are an exception. They hold an inherent academic advantage and can directly promote to an attending physician.

Master’s degree holders are also quite good; they can promote to an attending physician in about two years.

However, the competition at Tuya Hospital is extrely fierce; even after passing the attending physician exam, one may not imdiately obtain an appointnt letter from the hospital. They simply have to wait in line.

PhD holders are different; after all, they belong to the hospital’s special talent pool and are given priority in various aspects.

So, academic qualifications are actually very important.

For dical students like Zhou Can, with only a bachelor’s degree, to smoothly get a residency qualification at Tu Ya is already quite a feat. Of course, he obtained the qualification for general dical training, which is highly valued.

At the end of the training, staying on to work at the hospital is pretty much a done deal.

It’s just that future promotions to professional titles and positions will be very passive due to academic qualifications.

“Dr. Zhou, Dr. Zhou…”

Dr. Wu noticed that Zhou Can was distracted and called out to him several tis.

“Ah… Sorry, I was daydreaming. What dicine do you think people typically take for a toothache?”

Zhou Can asked.

“Ibuprofen sustained-release tablets are more common! But so patients go to small clinics or pharmacies to buy dication on their own, which is hard to say. I’ve seen so use antibiotics through IV drips.”

Not all small clinics are fraudulent ‘black clinics’ looking to deceive people, but in pursuit of profit, they try to get patients to spend more money and aim to draw in custors by showing imdiate effects after administering dication.

They often misuse antibiotics and various other drugs.

“If that patient really only took Ibuprofen sustained-release tablets, that’s not too bad. I’m just afraid he might have taken sothing like Aspirin or Acetaminophen.”