My Medical Skills Give Me Experience Points

Chapter 1265: Chapter 498: Reverse Surgery, Encountering Congenital Heart Disease Again

Sometimes, having too much experience isn’t necessarily a good thing.

When doctors have too much diagnostic experience, it can easily lead to blind confidence. In the process of diagnosis, it is prone to subjective assumptions, thus leading to situations where they get embarrassed.

Xue Yan, as a director, is considered very lucky this time. After all, it was just a premature treatment plan given in the diagnosis.

If it weren’t for the patient secretly broadcasting live during the consultation, she could have directly told the patient that the previous treatment plan was unsuitable and needed to be changed.

This conforms to medical procedure, and no one could pick faults with it.

Now feeling stuck, it ultimately boils down to worries about damaging the department’s image.

There were at least tens of thousands of viewers online during the patient’s diagnosis, a publicity level already comparable to ordinary local TV station interviews.

"With the patient suffering from coronary heart disease, myocardial infarction, and physical frailty, cardiovascular intervention to unclog the blood vessels remains the first choice. As for how to proceed with the surgery, I believe we can try reverse thinking."

Zhou Can is most adept at reverse thinking.

"What do you mean?"

She was somewhat puzzled.

"Under normal circumstances, cardiovascular interventional surgery starts from the femoral artery. If the blockage is too severe, even calcified, the guide wire might fail to pass through. Then we can consider entering from the other end of the blood vessel; reverse penetration achieves the same treatment effect."

Zhou Can spoke eloquently.

From the patient’s images, it can be basically determined that the blocked arterial vessels have at least several calcified spots. This is the most common situation in severe cardiovascular lesions.

Calcification and blockage of the vascular wall can significantly increase the difficulty for the guide wire to pass through.

"Reverse penetration?"

Xue Yan was extremely shocked after hearing Zhou Can’s surgical plan.

"When the teacher was alive, it seemed they didn’t teach us such a treatment plan, did they?"

She believed she had studied diligently, leaving little room for major omissions.

However, every time they encountered complex cases, Zhou Can would always provide treatments or pathological dialectic thoughts she hadn’t grasped.

The cardiovascular intervention plan he proposed this time was especially refreshing to her.

"During my residency in Cardiovascular Internal Medicine, I once read an article in a medical journal about Academician Ge performing a similar surgery. His success makes it worth at least trying. Even if it fails, the trauma from vascular intervention surgery is very minimal for the patient, unlikely to lead to severe consequences like death."

Zhou Can was filled with anticipation for this highly challenging cardiovascular intervention surgery.

Challenges often signify a self-breakthrough.

"Wonderful! At last, we have a good plan. Come, let’s continue discussing the feasibility and preparation of the surgical plan."

Xue Yan showed a relieved smile for the first time after hearing this.

As the head of the department, the pressure she bears is far greater than others.

...

After over half an hour of discussion, the two eventually finalized the surgical plan and specified Zhou Can to be the chief surgeon.

With intervention surgery and endoscopic surgery, Zhou Can indeed possesses an extraordinary talent beyond ordinary people’s reach.

Moreover, his current capability is already very strong.

The implantation technique and injection skill are both at Level 5, reaching deputy director levels. Performing an intervention surgery of average difficulty would be more than sufficient.

However, this time he faces a highly challenging cardiovascular intervention surgery. If the injection skill and implantation technique could be raised one level to Level 6, confidence would be greater.

Patients cannot wait until he advances before treatment.

The only way is to tough it out.

Luckily, the risk of such intervention surgery is relatively low; at most, he might just lose face due to failure.

He and Xue Yan agreed to start the surgery around seven in the evening.

The evening surgery was mainly arranged to accommodate Zhou Can’s work schedule.

When returning to the Emergency Department, Zhou Can immediately plunged into a frenzy of surgeries, needless to say.

By now, it was already past two in the afternoon.

Yang Zhi and Pu Dingdong had already begun handling some small surgeries they were capable of.

Normally, Zhou Can would conduct consultations in the morning, and around one in the afternoon, surgical team members would arrive in the operating room on time.

"Dr. Zhou, please take over!"

Yang Zhi was dealing with a subcutaneous abscess, in need of cleaning, and Pu Dingdong was assisting beside him.

Qiao Yu and Ma Xiaolan were providing instruments and assisting below the operating table.

Seeing Zhou Can enter, they were all delighted.

Zhou Can is the absolute core of this surgical team.

"No problem, no problem, carry on!"

Zhou Can stood by, watching Yang Zhi operate.

"Your skills are more refined, and you work faster. Many surgical patients outside are waiting for you specifically to operate; I can’t afford to waste time anymore. It’s best if you take over. When we’re not busy next time, I’ll slowly practice again."

Yang Zhi’s surgical speed is far inferior to Zhou Can’s.

He wouldn’t dare occupy the place without delivering.

When Zhou Can walked in earlier, he indeed saw many surgical patients waiting outside. The pre-anesthesia room was already full, and the corridor outside was no exception.

"Alright then, assist me from here."

After taking over, Zhou Can swiftly emptied the undrained pus completely and then began cleaning the patient’s wound.

The purpose of abscess cavity cleaning is to remove the necrotic tissue causing infection and to enable the patient to recover quickly.

With Level 6 Wound Cleaning Skill, combined with Level 6 Incision Skill and Level 6 Separation Skill, clearing this abscess cavity was a mere trifle for Zhou Can.

In his hands, the scalpel transformed into a magic wand for performing magic.