Read Novel Full Chapter 1177 - 465: Poor Surgical Skills, The Gap Between People Is Too Great (Part 2)
Chapter 1177: Chapter 465: Poor Surgical Skills, The Gap Between People Is Too Great (Part 2)
At this moment, emergency intervention thrombolysis can save the patient’s life.
If we must wait until after the CT or even imaging exams to determine the surgical protocol, the patient is certain to die.
Is it based on the attending physician’s experience to proceed with surgery to save lives, or should we insist on waiting for the test results?
Unfortunately, knowing that the patient will die waiting for the test results, we still have to wait.
It’s not that doctors see death and do nothing, but no doctor dares to gamble their future and their house on this. If the patient isn’t saved and the family sues, the doctor is almost certain ruined.
To protect themselves, doctors can only wait for the test results.
During the wait, they can only perform basic rescue measures, definitely not daring to do surgery or interventional procedures.
Even medication use is extremely cautious.
This is the cruel reality.
It’s not that doctors lack humanity or compassion, but they must strictly follow the relevant procedures.
"This patient underwent jejunum and esophagus anastomosis, and based on her symptoms and surgical protocol, I boldly deduce her cause of illness is likely a severe postoperative complication with bile and pancreatic juice reflux."
Zhou Can gave the diagnostic conclusion.
Director Le fell into thought after listening.
"Reflux fluid is mostly alkaline, lacking neutralization and buffering from gastric acid, thus its invasiveness to the esophageal mucosa is stronger. Each time reflux occurs, the patient feels unbearable pain behind the sternum, appetite naturally diminishes, and over time, the body constitution will severely decline."
He made a further analysis based on Zhou Can’s conclusion.
Zhou Can just nodded and smiled, indicating it is indeed true.
"So how do we resolve this issue?"
Director Le humbly sought his advice.
The cause of illness was found, and it’s not the immediately fatal kind, granting doctors ample time for treatment.
Now what needs to be done is figuring out a treatment to change the patient’s condition.
"This has already been done, it might be a bit troublesome. If it was before the surgery, there would be a solution."
Zhou Can’s expression became serious.
He’s not a god; some postoperative complications are almost unsolvable.
A skilled woman can’t cook without rice.
The previous surgeon has already removed some of the patient’s tissue; even if he knew how to treat, there’s no way.
"Did I botch the surgery?"
Director Le is also a smart person, understanding more even though Zhou Can did not explicitly say it.
Competent doctors generally don’t criticize other doctors’ surgeries as poorly done.
Most they would do, like Zhou Can, is hint a little.
Basically, they don’t pursue the responsibility of the previous surgeon because before surgery, the family signed the consent. Full awareness and agreement were the prerequisite for the surgery.
Even knowing the pre-surgery signature poses significant risk, it is essentially unsolvable.
When it’s time to sign, they have to sign.
If the family doesn’t sign, then there’s no way to operate.
They would have to switch hospitals.
Moreover, the professional level of the family is certainly inferior to the attending physician’s, trying to use medical knowledge from online sources like Baidu and Zhihu to teach the doctor how to set the surgical protocol? Don’t be ridiculous.
If any family dares to do this, after the attending physician fails to explain, they would directly give up and let the family find someone better.
Nowadays, some smart patients and families like to consult several hospitals before surgery, daring to compare various surgical protocols designed by doctors. This is actually a fairly stable approach.
Of course, the prerequisite for doing this must be chronic illness, with sufficient time, money, and energy to visit several hospitals.
If the chosen hospitals are large, it can generally avoid some potential risks.
As for Director Le’s inquiry, Zhou Can indeed has no way to answer directly.
Even though the relationship between the two is good, acknowledging in front of Director Le that he botched the surgery is extremely foolish.
Even if there is no apparent opinion at the moment, there will definitely be some thoughts behind backs.
Encountering those egotistical doctors, it could lead directly to a rupture in relationships.
"Dr. Zhou, is there any way to resolve this patient’s postoperative complication?"
Director Le switched to another way of asking.
"Let me take a look at your surgical protocol and records, and then, if possible during this period, perform a 24-hour bilirubin monitoring test on the patient, supplemented ideally with gastroscopy to mainly observe the bile reflux situation to clarify the cause of illness."
Zhou Can did not rashly ’point fingers.’
It can be seen that as his practice time lengthened, his medical skills heightened, ironically making his actions and words more cautious.
This is a common evolution of all doctors.
The higher the level of the expert, the more cautious they are during diagnosis and treatment.
It’s not entirely fear of getting it wrong, but issues are viewed more comprehensively, deep integrated assessment and judgment slowly infused into their diagnostic habits. Thus, they become increasingly cautious in their practice.
By doing so, the chance of overturning is reduced accordingly.
Director Le handed over the surgical records and the previously discussed surgical protocol for Zhou Can to examine and study.
On the other side, he’s already started arranging for the patient to undergo a second check-up to observe the patient’s reflux situation for clarifying the cause of illness.
Half an hour later, Zhou Can had finished his examination and had a surgical improvement proposal ready.
Director Le’s examination results are estimated to be available only by tomorrow.
Zhou Can called Director Le to inform him and said he’d consult together after tomorrow’s test results are out. Then he headed to the pediatric department.