My Medical Skills Give Me Experience Points

Chapter 1110 - 438: Bearing the Demeanor of a Commander, Level 6 Medical Skills

The surgery officially began. The patient lay flat on the operating table, already in a state of sleep.

Director Xue Yan held the knife, entering the chest through the anterior midline incision of the patient.

She was already an attending physician, and after a year of intense training, she appeared more adept at performing thoracic surgeries. Avoiding major blood vessels and important nerves during incision was not a problem.

Encountering some unexpected situations during the thoracotomy, she was now able to handle them rather calmly.

Zhou Can stood beside her, providing support, and the atmosphere in the operating room was not at all tense.

After performing several Level 3 and Level 4 thoracic surgeries together, everyone's psychological resilience had improved greatly.

"The thymus on the left side of the patient is a bit bothersome!"

Director Xue Yan muttered to herself.

"No, this thymus is really annoying, constantly blocking my surgical view."

She complained again.

The retractor was being held by Doctor Long, a man in his forties, who had recently been promoted to associate senior physician. Despite this, he wasn't prideful, but rather more humble and eager to learn, proactively serving as the third assistant to Director Xue Yan.

"If it's truly bothersome, it can be removed. Missing one thymus is not a major issue. If its interference leads to surgical failure, the patient could lose their life. Compared to the immense potential risk, removing it to ensure better exposure seems worthwhile to me."

Zhou Can offered a suggestion from the side.

Generally, individuals lack the courage to direct the chief surgeon to remove an organ or tissue.

This is partly due to insufficient skill, and secondly, due to hierarchy differences; random remarks and interference in the surgery can easily lead to reprimands.

"Previously, I followed Director Hu Kan in a similar surgery, and likewise, the left thymus was removed. Afterwards, the patient showed no adverse reactions."

Director Le timely voiced his support for Zhou Can's suggestion.

"Alright, I'll remove it then."

Director Xue Yan, without further hesitation, decisively removed the left thymus.

Shortly after removal, the anesthesiologist shouted, "Uh-oh, the patient's vital signs are dropping." She quickly checked to identify the issue.

After looking for a while, she couldn't find where the problem lay.

"Could it be caused by the removal of the left thymus?"

The anesthesiologist couldn't be too sure.

At first, Director Xue Yan remained calm, repeatedly checking the surgical incision and surrounding area for any accidental damage to important nerves.

The heart's beating is governed by electrical signals.

There are quite a few important nerves nearby.

If by mistake, a crucial nerve is cut, it would be a major problem.

The monitoring equipment soon emitted an alarm.

This time, both Director Xue Yan and the anesthesiologist panicked, with Director Xue Yan's face even showing signs of distress. These are human instincts, which cannot be concealed in emergencies.

"It should be caused by cerebral hypoxia!"

After careful examination, Zhou Can provided a diagnosis.

While speaking, he tried flexing the patient's lower limbs, changing to a knee-chest position.

"Administer morphine via subcutaneous injection at 0.05mg/kg!"

Under these circumstances, the patient might face death in an extremely short time, requiring Zhou Can to quickly provide an appropriate rescue plan.

He wasn't invited over just to stand aside and watch.

The patient's weight was clear to the circulating nurse, anesthesiologist, and chief surgeon. Even the bed managing intern could grasp the key data if attentive.

After subcutaneous morphine injection, the anesthesiologist showed a hint of joy on her face.

"It's improving, it's improving!"

Getting the stern-faced, no-nonsense anesthesiologist to visibly express delight like a little girl wasn't easy.

Many people say the circulating nurse is intimidating as hell, often yelling without restraint.

In reality, circulating nurses smile quite often.

Most of the time, they only show sternness toward low-ranking doctors, such as interns, residents-in-training, and low-level resident doctors. When they litter the operating room or perform operations non-standardly, the circulating nurse will scold.

Under normal conditions, they can be quite gentle.

"With improvement, administer intravenous sodium bicarbonate to correct acidosis."

Zhou Can at this moment seemed more like the departed Director Hu Kan, becoming the pillar of strength for the surgical team at a crucial juncture.

"How is the patient's blood pressure? Has it risen?"

He continued to inquire of the anesthesiologist.

"The blood pressure is still very low and is rising slowly," she replied.

"Miss Circulating Nurse, fetch a bottle of New Folin for intravenous drip."

Zhou Can calmly issued the third rescue directive.

Finally, through everyone's concerted efforts, the patient's vital signs gradually stabilized.

Director Xue Yan's complexion appeared somewhat pale; evidently, she was quite frightened.

Not only her, but even the anesthesiologist had been quite scared. The circulating nurse seemed to be the most composed.

"That was terrifying just now, but, thankfully, the person was saved. Can the surgery continue?"

"Don't worry too much; there shouldn't be any immediate issues. Without the surgery, the patient still won't survive. It's better to press on, maybe it will go smoothly?" Zhou Can also let out a relieved sigh.

"Dr. Zhou, you were the calmest. I think you really emerged as the stabilizing force for our surgical team. Your composed command during the rescue made me faintly feel from you the stability that only Director Hu Kan could provide."

Accolades showered upon Zhou Can, yet he dared not accept them.

"If I achieve even a tenth of what my teacher could do, it would be like lighting incense sticks for blessings. Faced with an urgent situation, it's unavoidable, and I just had to bite the bullet and step up!"

To claim he wasn't nervous would be deceitful.

Zhou Can is human too, and may not have experienced as many dangerous situations as Director Le and the others.