My Medical Skills Give Me Experience Points

Chapter 1169: Chapter 462: Accumulation Over Time, Xue Yan’s Desire to Hold Her Head High

After Zhou Can incised the abscess wall, he carefully and meticulously scraped off the rotten tissue on the abscess wall with a curette until fresh tissue was exposed. He gained 11 points of Wound Cleaning Skill.

When performing such chest wall tuberculosis lesion removal surgery, it seems that the most earned would be the Experience Points from Wound Cleaning Skill.

After cleaning the abscess thoroughly, he switched to a scalpel to slowly excise the abscess wall and necrotic muscle tissue.

This process, which seems simple, actually tests the skills of excision and the Separation Skill.

Because the abscess is irregular in shape, and when excising necrotic muscle tissue, it is necessary to carefully locate the sinus and any possible deep abscesses.

The operation tests not only the technical skills of the chief surgeon but also requires the chief surgeon to have rich surgical experience.

It also requires flexibility and adaptability during the surgery.

Moreover, when excising the lesion tissue, extra caution is needed to avoid damaging surrounding important blood vessels, nerves, and organs.

At this level of surgery, even experienced deputy chief physicians would feel weak at the knees.

Director Xue Yan and Director Le, among others, unanimously let Zhou Can be the chief surgeon, considering the complexity of the surgery and the technical requirements across various aspects.

"I’ll be darned, the sinus is actually here!"

Modern high-tech inspection equipment certainly brings many conveniences to doctors, but the specific surgical process is not something one can easily complete just by referring to the imaging.

When looking at the imaging, one can clearly understand the size of the abscess and the approximate location of the sinus.

If contrast imaging is done, one can clearly know the direction and path of the sinus.

But when the abscess is actually incised, one finds that it is not as straightforward.

There are too many variables, and too many things to pay attention to.

After discovering the sinus, Zhou Can cut it open little by little and cleaned it thoroughly.

"This sinus is truly annoying, why has it penetrated to the back of the rib?"

He dares to say this is definitely one of the most complex surgeries he has ever performed.

"So what to do?"

Director Le definitely knows some ways to handle this, but out of respect for Zhou Can, he used an inquiring tone.

"There’s no other way, we can only cut the rib to expose the bottom of the sinus and completely clean the lesion. Otherwise, this surgery would be equivalent to a waste."

Zhou Can is considered skilled and courageous, an experienced veteran on the operating table.

He deals with challenges as they come.

Discovering that the sinus had penetrated behind the rib, he was determined to tackle the tough bone.

This is also a key principle taught to him by Director Hu, Dr. Xu, and others during surgery training. With a heart of compassion, when treating patients, one must not just muddle through.

One must think about the surgical plan from the patient’s benefit perspective.

Some doctors with less robust medical ethics, when faced with such major troubles during surgery, tend to consider their own interests first.

Cutting a rib not only increases the difficulty and time of the surgery but also greatly increases the unknown risks.

Explaining it to the family afterward might lead to disputes, or even complaints.

Rather than doing a good deed and ending up in a heap of trouble,

it would be easier to sew up the wound, tell the patient the surgery is done. If the patient experiences recurrence post-operation, it’s their misfortune, and they can undergo the surgery a second time.

In major hospital operating rooms, such repeat surgeries are not uncommon.

Not every repeat surgery patient is due to unethical doctors not performing thorough surgeries, but at least more than forty percent are indeed like this.

Sometimes it might not be that the doctor is unethical, but rather that the doctor’s skill level is just not high enough.

You ask him to perform this kind of surgery ten times, and all ten times he would ensure the patient requires a second surgery.

In general, the current tense doctor-patient relationship is also a major reason forcing doctors to opt for defensive medical practices.

He rarely engages in bone sawing, especially when it comes to the patient’s ribs and skull.

This time, he took the opportunity to practice.

If surgical skills are unused for a long time, they tend to rust, even become unfamiliar, and regress.

Which is also not conducive to skill upgrading.

Carefully sawing through the rib, the sinus became exposed. He cut it open, all the way to the bottom of the sinus. Then he cleaned it thoroughly with a curette.

"Sister Yan, could you please check if this rib is damaged?"

For patients whose sinuses invade the back of the rib like this, if treatment is delayed, the rib can easily become necrotic.

"The situation is relatively good, I didn’t find any signs of necrosis."

After examining it, Director Xue Yan gave her opinion.

Women are meticulous, having a female doctor check some detailed pathological changes is often a good choice.

This patient was lucky to have encountered Zhou Can, as he was willing to spare no effort and cost to cure this person’s disease.

He began to cut the sinus.

The Separation Skill and excision techniques were continuously improving.

The surgery itself was not easy, so gaining some Experience Points as rewards is very normal.

"Huh, there seems to be another abscess here! Give me an empty needle with a tube." Zhou Can felt that there might be a significant amount of pus in the newly discovered deep abscess.

The difficulty of puncturing was almost zero.

He attempted to extract the pus, surprisingly drawing out about seventy to eighty milliliters in total.

This deep abscess was much larger than imagined.

"No wonder, when looking at the CT scan, I always felt there was an issue in this area! It seems in the future when faced with such patients, one shouldn’t blindly trust CT results, and should be cautious of overlapping abscesses, which might lead to missed diagnoses in scans."

At that moment, Director Xue Yan had a revelation.

Not only did she gain insight, but Zhou Can also acquired considerable knowledge.