My Medical Skills Give Me Experience Points

Chapter 287: Chapter 147: The Dangers of a Second Surgery, Best Friend Seeking Help

Status is gained through strength, step by step.

At this intra-group consultation, Zhou Can demonstrated his pathological diagnostic ability, which was even stronger than both Dr. Zou and Tang Li. As for the resident doctors and graduate students, they were far from being able to compare with Zhou Can.

Don’t be fooled by the amount they talk; all of their words combined aren’t worth one sentence from Zhou Can.

This is truly how doctors diagnose and treat diseases.

Some doctors lack real skills and only know how to recite textbook knowledge, spouting off a flurry of pop science in front of patients. But not a single word hits the nail on the head.

No matter how much they say, it’s all just hot air.

Because what patients need is to identify the lesion, diagnose the cause, not to come to the hospital for a lesson.

If patients want to educate themselves on medical knowledge, they can easily search on their own at home on Zhihu, Baidu, and DXY community, and for more professional medical information, websites like Medscape are available.

Mostly with more technical content like medical papers and surgical hands-on.

It’s hard for ordinary people to understand.

Director Wen initially poached Zhou Can from the operating room, just thinking of making use of his implantation technique prowess.

As for cultivating him as Director Wen said, it’s more a matter of paying lip service.

At this moment, having discovered his exceptional diagnostic ability, coupled with Zhou Can’s very apt flattery just now,

Director Wen decided to increase the cultivation efforts toward Zhou Can.

In reality, it wasn’t so much actual cultivation as it was making use of Zhou Can’s value.

In Director Wen’s group, besides Director Wen himself, there were no other prominent figures with standout abilities. Zhou Can’s strong diagnostic skills would be valuable in carefully vetting cases, potentially reducing the rate of misdiagnosis and missed diagnosis within the group.

On the other hand, back in orthopedics, Doctor Shan helped him apply for an internal login account as if really cultivating him as one of their own.

Director Wen seemed more like a person who wouldn’t unleash the hawk until seeing the rabbit – putting interests first.

For patient bed number 22, who has epilepsy, the second lesion was detected, and the next step is to establish a treatment plan.

“Now that the cause of the worsening epilepsy has been identified, the patient’s cerebral cavernous hemangioma should be removed according to the situation. But considering it is not currently endangering the patient’s life, and that it’s only a covert vascular malformation rather than an actual tumor, the risk of a second craniotomy operation in a short period is very high.”

“So, I think it would be safer to schedule a second craniotomy operation for the patient in two or three months.”

Director Wen was extremely cautious about the patient’s second surgery.

Chief physicians are generally very cautious and careful when formulating surgical plans.

No other reason than having been scared too many times, which ultimately becomes a sickness.

In the field of medicine, one must revere life, needing to be both bold and fearful.

This allows for sustainability and reduces accident rates.

A cavernous hemangioma is simply a vascular malformation that lacks arterial components.

Its growth rate is generally slow.

Waiting two to three months for surgery is not a problem.

Most of the time, performing a second craniotomy in a short time frame is a reluctant choice.

It’s usually due to secondary intracranial bleeding or significant cerebral edema post the first craniotomy, along with a pronounced mass effect. If not treated promptly, it might endanger the patient’s life.

For major surgeries like this, whether it’s craniotomy or not, it is not advisable to perform them frequently within a short time frame,

Unless immediate surgery is necessary, or the patient’s life would be at risk.

Because a second surgery means another endotracheal tube insertion and general anesthesia, which greatly affects the patient’s internal environment and could easily lead to cardiopulmonary complications.

Besides, if the interval between the two surgeries is too short, the patient may develop anemia, electrolyte imbalance, and hypoproteinemia, among other conditions.

The probability of pulmonary infection and urinary system infection can also greatly increase.

Imagine, following a major surgery, the patient is already significantly weakened and needs proper rest to recover. Then facing a series of serious complications is equivalent to skirting the brink of death.

Therefore, for safety’s sake, doctors will do everything possible to avoid frequent surgeries for patients.

Even with a minor surgery like tooth extraction, if multiple teeth need to be pulled, the doctor will advise the patient to have it done multiple times.

“Tang Li, will you still communicate with the family? Can you do it?”

Director Wen’s gaze turned to her.

Having a female doctor in the group is actually quite nice.

It can balance the doctors’ work mood and share many tasks when necessary.

“No problem, I guarantee the task will be completed!”

She smiled sweetly.

Appearing very confident.

“Hehe, you seem quite confident, huh!”

Director Wen, in a good mood, teased her with a laugh.

“To be honest, if the lesion hadn’t been detected, I wouldn’t dare to communicate with the family again. I’d be afraid of getting hit. But now that the lesion has been discovered, and it’s a covert one at that, it’s our hospital’s medical expertise that discovered it. Talking to the family about this matter, I have every right to stand my ground. I believe that as long as the family isn’t unreasonably barbaric, most will readily accept the suggestion to schedule the surgery for a later date.”

Her explanation provoked laughter from everyone.

Doctors’ happiness is very simple, feeling a great sense of accomplishment for every patient they successfully treat, sincerely happy from the heart.

…

After Zhou Can joined Director Wen’s group, there were indeed some significant changes in his treatment.

During ward rounds and shift changes, medical and nursing staff in inpatient services rarely dared to act aloof in front of him anymore.

Moreover, he discovered that the doctors in neurosurgery were particularly pragmatic.

The news that Director Wen favored him hadn’t been publicized at all.

Yet, like having wings, all the doctors and nurses in inpatient services knew it.