My Medical Skills Give Me Experience Points

Chapter 1290: Chapter 509: The Dangers of Rapid Infusion and Unbreakable Hidden Rules

Such presence is valuable for any department, as it is always beneficial.

Doctors are humans too; they need to eat and earn money.

When treating patients without medical insurance or only rural insurance, doctors try their best to save costs for them. Even for patients with employee medical insurance, costs need to be controlled.

Only these god-like old cadres require no concerns; the treatment is done in the most optimal manner.

Zhou Can arrived at the special care ward and noticed an elderly man, slightly cyanotic and frail, lying on the hospital bed.

This type of ward is quite expensive, with at most two beds and an independent restroom.

Dedicated nurses and doctors manage it, offering the best possible service to patients.

Common people generally cannot afford it.

"Is this Mr. Bai Dongyang?"

"Yes, he is my husband!"

Accompanied by the bedside was an elderly lady with remarkable poise, her hair completely white yet displaying excellent vigor.

Many old cadres and their spouses are senior intellectuals.

"How is the situation now? Still experiencing respiratory difficulty?"

"Yes, still having difficulty breathing, and the chest feels congested."

Hearing this, Zhou Can nodded and gently said to the patient, "I’ll listen to your lung sounds. Does lying sideways like this feel uncomfortable?"

The patient had just undergone complete left lung resection surgery; lying on either side would affect the internal incision.

"Lying flat is uncomfortable..."

The patient’s speech seemed to require an effort as if using all their strength.

Struggling hard to speak.

The voice was very weak, with noticeable insufficiency in vital energy.

Currently, he was not placed on a ventilator, only unilateral nasal high-concentration oxygen was administered.

It must be mentioned, easily resorting to ventilators for patients is a very irresponsible approach. Especially invasive ventilators, usually used only for life-saving situations.

For patients able to breathe independently, experiencing only some difficulty but not life-threatening, sometimes even oxygen supplementation is unnecessary.

Doctors in clinical practice decide on respiratory improvement measures for patients based on actual needs.

Before auscultating the patient’s lung sounds, Zhou Can performed a detail by warming the stethoscope’s probe before use.

This was to reduce stimulation to the patient.

A cold metal probe on a weak patient’s chest must be quite uncomfortable.

He listened attentively to the patient’s lung sounds.

Quite distinct wet rales and bubbling sounds were present in the lungs.

The left lung had been completely removed, leaving only the right lung functioning.

The unpleasant noises indicated a significant problem in the right lung as well; no wonder the patient experienced respiratory difficulty and chest tightness.

This person’s condition was already quite dangerous, and they might suddenly fail to breathe at any moment.

Zhou Can checked the patient’s post-admission measurements, a blood pressure of 162/100mmHg, which was considered hypertension, with systolic pressure over 140 qualifying as hypertension.

However, sometimes pseudo-hypertension occurs.

For example, if the patient is emotionally agitated or has consumed stimulatory substances, usually the blood pressure returns to normal after a while.

The ECG indicated the patient had sinus tachycardia.

Currently experiencing hypertension and unable to lie flat.

"Pulmonary edema" directly emerged in Zhou Can’s mind.

Determining the cause of the patient’s illness wasn’t very difficult.

After the consultation, Vice Director Tu Ya and another doctor co-diagnosed the patient, agreeing it was pulmonary edema.

But the specifics of the pathogenic cause and its precise pathology were indeed the genuinely challenging aspects.

Without identifying the pathogenic cause, treatment cannot be discussed.

If it’s only treated as a postoperative complication, it might be overly crude and superficial, unable to solve the problem.

Zhou Can, after assessing the patient’s actual physical condition, did not leave.

Instead, holding the patient’s examination results and postoperative medication, he carefully examined them.

Investigating item by item.

The surgery was performed very successfully.

Preoperative examinations were also thoroughly conducted.

Given the patient’s insurance reimbursement ratio was nearly 100%, naturally, the most secure precautions were taken.

Nothing necessary for the examination was overlooked.

This provided Zhou Can favorable conditions to understand the patient’s disease cause.

Complete left lung resection surgery was something he could perform himself, having done several such surgeries.

When identifying causes, for each diagnostic procedure of the patient, he could accurately provide corresponding judgments.

Multiple preoperative examination results indicated the patient had malignant tumors only on the left lung, with the right lung normal. There were no other hidden diseases.

The surgical process was very detailed and thorough.

At least from the surgical record, this operation was very successful.

It also showcased the Provincial People’s Hospital’s impressive surgical capabilities.

Since there were no issues in the preoperative check, and the surgery proceeded smoothly, then there was only one possibility, the patient’s pathological cause was postoperative.

The probability of a postoperative complication is very high.

During the surgical process, unresolved issues or neglect causing right lung edema are possible.

But Zhou can, judging from some cases transferred from the Provincial People’s Hospital, indicated their strict surgical procedures, with each step strictly standardized and accountable.

This patient being an old cadre, considered a special patient.

His treatment would only receive more meticulous care.

The possibility of postoperative right lung edema due to surgical negligence or left lung resection is extremely low.

Then there’s only one possibility, an issue in postoperative care.

This situation didn’t occur only once.