My Medical Skills Give Me Experience Points

Chapter 1127: Chapter 444: Highly Efficient Surgical Services, Watch Closely_2

However, it is not possible for there to be so many patients undergoing surgery.

Even if there are, specialized departments will find ways to stagger the surgery times.

For example, elective surgeries are the most common.

We can tell the patients that we currently don’t have any available beds, and they will have to wait a day or two. Or keep the patients in the hospital for observation or send them home to wait, which are common practices.

Zhou Can had long ago suggested an idea to Dr. Xu and Director Lou regarding the surgical methods in the Emergency Department.

Try to make the patients feel the high efficiency.

It’s like when we buy something online; after purchasing, we certainly expect to receive it promptly. Normally, receiving goods within three days is considered normal, but if it takes over a week, we might feel a bit disappointed. If we place an order today and receive it tomorrow, we would be pleasantly surprised.

The mentality of patients seeking treatment is quite similar to that of online shopping.

Because of the pain they are enduring, patients who arrive at the hospital certainly wish to undergo surgery as soon as possible.

Zhou Can fully understands the patients’ anxiety and therefore boldly proposed a suggestion. Patients who are admitted should have their surgeries completed within twenty-four hours at the latest.

In most cases, patients admitted to the emergency department in the morning can have their surgeries completed that day.

Some individual Level 3 surgery patients, because they need to wait for examination results, might need to have their surgical plans finalized on the second day. But basically, surgeries can be arranged within twenty-four hours.

This high-efficiency treatment approach has also built a high reputation rating for the Emergency Department.

Throughout the entire province, I’m afraid there isn’t another hospital’s surgical department that can offer such high-efficiency surgical service guarantees.

But with Zhou Can, the expeditious surgeon, in the Emergency Department at Tu Ya, high-efficiency surgical treatment services have continuously been provided. Moreover, the speed is getting even faster.

This specialty has added greatly to Tu Ya’s Emergency Department in the intense competition.

In the past, for the emergency department to retain patients, the initial attending doctors and nurses needed to use certain phrasing to persuade patients. Nowadays, many patients come because of the reputation and even actively request to have surgery done in the emergency department.

Some patients coming because of the reputation, due to the high difficulty of the surgery or strict requirements on equipment, surgery room environment, or the surgical team, have to be sent to specialized departments for treatment. In such cases, patients and their families might still disagree.

Zhou Can’s increasingly indispensable position in the Emergency Department is not without reason.

He now resembles more of the ’engine’, the ’heart’ of the Emergency Department.

Ma Xiaolan quickly brought in the first patient.

The patient was a young woman, estimated to be about twenty-five or twenty-six years old, with a fairly slim figure. Her condition was a large lump on the front of her left arm, near the wrist joint.

According to her, the tumor was initially just a tiny point but grew bigger and bigger, now reaching the size of an egg.

It looked very prominent and quite frightening.

"Where’s the scan? Let me have a look."

Since surgery is to be done, a scan is surely needed; in such situations, a CT scan at the very least should be done.

Many old doctors are accustomed to referring to X-ray imaging data.

It has to be noted that X-ray is one of the earliest developed scanning methods, and is not as accurate as CT. If it’s a fracture, an X-ray is completely applicable.

However, with tumors, those detectable by X-ray are generally quite large already.

So, when checking for internal tumors, do not place blind faith in X-rays.

For instance, with the common liver or lung tumors, an X-ray might show results that seem perfectly normal. But then a chest CT might reveal small tumor foci present.

Doctors now have been trained more on this aspect, which might be somewhat better.

Previously, it caused many tragedies.

When a patient reported discomfort in the lungs, after the X-ray, the doctor told the patient there was nothing wrong.

The patient, upon hearing this, was very pleased and was prescribed a bit of cough and pain relievers to take at home.

Time passed nearly a year like this.

The patient’s cough gradually worsened, leading to a reexamination at the hospital.

This time, they still sought the same doctor as before, feeling a certain trust had been established with him from the first visit!

So, they again sought this doctor for diagnosis the second time.

The doctor again ordered an X-ray examination.

This time, upon seeing the results, the doctor’s expression turned serious. He informed the patient of a large tumor in the lungs and advised immediate further examinations.

After multiple examinations, the devastated patient found out it was already late-stage lung cancer.

The patient, upon realizing the chance for surgery had been lost, was filled with despair. At the same time, there was an overwhelming anger.

If, during the first examination, the doctor had been a bit more meticulous, the issue would have surely been detected while it was still in the early stages of lung cancer. There would have still been a chance for surgical cure.

But now, upon discovery, it directly is late-stage lung cancer, with limited time left, who can accept such a situation?

There are elderly above, children below; the whole family relies on him as the main support to earn a living.

He dared not imagine how his family would survive after his demise.

The longer he mulled over it, the angrier he got, and finally, he bought a butcher’s sharp knife. Using the opportunity to consult with that doctor about his condition, he suddenly drew the sharp blade and fiercely stabbed it into the doctor’s abdomen.

After stabbing twenty-seven times, the patient was covered in blood, and the doctor lay in a pool of blood without any chance of rescue.

This doctor murder case caused a nationwide sensation in those days.

Since then, experienced doctors always reminded new doctors during training that whenever suspecting a possible tumor situation, never base references solely on X-ray results.

A CT must be supplemented.

If necessary, even an enhanced CT or an MRI can be done.

Here, it is necessary to speak highly of MRI, which is indeed a monumental invention in the history of human medicine. MRI can detect lesions as small as 5mm.

With it, many tumors that could not be discovered early can now be detected when they are still very small.

However, for many types of tumors, even if detected, if the size is too small, doctors might not recommend immediate surgery. Instead, observe whether it continues to grow or shows signs of malignancy.

Moreover, even when a tumor shows a blood flow signal or has unclear boundaries, it does not necessarily indicate a malignant tumor.

Many patients, upon discovering potentially malignant tumors, feel extremely terrified.

This is utterly unnecessary.

It’s better to relax, eat well, sleep well, and maintain a cheerful mood, as its therapeutic effect can even rival good medicine.

Zhou Can looked over the scan of the woman patient carefully, his brows were furrowed the entire time, and his expression was particularly grave.

Although the woman couldn’t see his expression due to the mask, she still could sense an invisible oppressive atmosphere.

"Doctor, is this tumor of mine very bad? Is it cancer?"

Her inquiry was marked with evident anxiety.

Whether in the operating room or the ward, doctors and nurses generally avoid uttering the word cancer in front of the patient. Instead, they use terms like CA or unfavorable.

"Does it hurt when you touch it?"

Zhou Can asked the woman patient.

"It does hurt a bit! It seems like a dull pain."

The attending doctor probably had asked her similar questions.

So, she could respond relatively professionally as dull pain.

One characteristic of cancer tumors is that they generally don’t hurt when touched, or it is a dull pain.

The actual cancer pain is typically the later-stage metastatic pain. For instance, with bone metastasis, it would hurt to the bone marrow.

"Doctor Yang, come take a look."

Zhou Can called Yang Zhi over to examine it together.

Of course, he also intended to assess Yang Zhi’s diagnostic capabilities and surgical experience.

"Luo Shishen, you can come have a look too."

In guiding Luo Shishen, although Zhou Can was unwilling to be his mentor, he imparted knowledge earnestly in daily guidance, even more devoted than a real mentor.

"Let me feel it!"

Luo Shishen attempted to feel the tumor on the woman’s arm.

"It’s quite hard, and it seems movable. Is this a myoma?"

He asked Zhou Can.

The latter didn’t answer, waiting instead for Yang Zhi’s diagnostic result.

"It does seem like a myoma."

Yang Zhi’s answer was basically the same as Luo Shishen’s.

"Watch closely!"

Zhou Can lifted the woman’s hand and used both thumbs to palpate the tumor.

PS: (Thank you to all dear readers for accompanying and supporting through countless days and nights! On the last day of the Year of the Tiger, I wish everyone a happy New Year’s Eve and family reunion. Wishing everyone a happy New Year in advance and extending early greetings! Deeply grateful for all your support!)