My Medical Skills Give Me Experience Points

Chapter 1311: Chapter 517: Zhou Can the Madman, Catastrophe Triggered by Venous Cannulation (2)

That is to unravel complexities, identify the true cause of the patient’s illness, and then treat it accordingly.

For instance, Deputy Director Lu has currently discovered intracranial bleeding, which certainly requires efforts to stop the bleeding, lower intracranial pressure, etc. Simply helping the patient raise blood pressure or increasing the ventilator’s support seems somewhat futile.

Zhou Can stood nearby, about five or six meters away, watching. His diagnostic thinking has directly focused on Deputy Director Lu’s coma.

Relying on his rescue experience and unique reverse diagnostic thinking, he instinctively believes the cause of the coma is the key to solving all the problems.

The mechanisms causing coma mainly have three aspects.

First, normal consciousness state disorder caused by pathophysiology. Second, changes in microstructure and neurotransmitters of the normal consciousness state. Third, main neurological structure of the normal consciousness state.

The cause of Deputy Director Lu’s coma is most likely related to the main neurological structure of the consciousness state.

For example, brain trauma, brainstem severely affected due to intracranial bleeding, etc.

Even problems with blood supply to important intracranial tissues can lead to coma.

The main neurological structure is divided into three parts: cerebral cortex, thalamic diffuse projection system, and brainstem ascending reticular activating system.

Among them, damage to the cerebral cortex due to impact is the first diagnostic direction to suspect.

The cerebral cortex is divided by brain fissures and grooves into dozens of gyri or five lobes.

They are connected by white matter nerve fibers, with the corpus callosum linking the two brain hemispheres.

If it’s a diffuse lesion, it’s very likely to cause various degrees of consciousness impairment.

Therefore, Zhou Can feels the first thing to check is the cerebral cortex.

Unfortunately, he is currently here only as a visiting friend or relative, making it impossible for him to access the patient’s examination reports and supplementary test results.

So he can only see the obvious data.

For example, blood oxygen index, heart rate, blood pressure, central venous pressure, etc.

Even ordinary family members can’t understand those instrument screens and dials here. Zhou Can belongs to the professionals, so he can grasp it all instantly.

"Sir, your visiting time is up, please leave! According to the regulations, the family visit time cannot be too long. Because it’s under sterile management here, staying too long can easily increase the risk of bacterial contamination in the ward. Please understand."

The nurse’s attitude was very polite to him.

Through her interaction with Zhou Can, she can certainly feel that Zhou Can is not an ordinary person.

"Director Xiang, may I ask when the patient underwent central venous pressure monitoring?"

Zhou Can was about to leave, and at this moment, he reached a surprising conclusion based on some of Deputy Director Lu’s vital sign fluctuations and the most direct visual results after a quick comprehensive diagnosis.

Deputy Director Lu’s coma is likely caused by multiple factors.

An emergency rescue is required now, which might be related to some minor negligence or error by the doctors during the operation.

The nurse was shocked by Zhou Can’s audacity, directly questioning Director Xiang, the highest authority present.

She was so terrified her face went white.

She didn’t know why Zhou Can could recognize Director Xiang, and the question he asked was quite professional.

At this moment, her greatest wish was to quickly escort this ’gentleman’ out.

"Sir, please leave immediately, do not interfere with the medical staff’s efforts to save the patient."

The nurse’s voice carried a hint of anger.

She was probably angry but didn’t dare to express it.

She had already explained everything to this family member beforehand, why is he being so inconsiderate?

Isn’t he causing trouble for her?

Director Xiang Fei, who was directing the rescue, was somewhat annoyed at this moment. He found out that the usual rescue methods seemed to be failing with this patient. He secretly speculated that the patient’s injuries might be too severe.

Rescuing high-fall victims is inherently fraught with challenges.

Various internal bleeding and organ damage cannot be investigated in a short time.

Not to mention a series of complications due to internal bleeding and organ damage.

The rescue situation was dire, and at this moment, the visiting family member openly posed a question to him, interrupting his ongoing thought process. A surge of anger flared within him.

However, after years of experience, he was a battle-hardened veteran.

After many years of clinical work, reason told him not to easily conflict with family members.

He merely looked up at Zhou Can with a cool glance and then replied in a cold tone, "You can directly ask the nurse if you have any questions; the visiting time is over, please leave promptly!"

Clearly, he did not take Zhou Can seriously.

In clinical diagnosis and treatment, he often encountered some ’Google warriors,’ ’education enthusiasts,’ who challenge the doctors’ operations with some medical knowledge they’ve read online or in medical books.

No medical staff enjoys facing such family members.

In many cases, when encountering such family members, everyone does their best to push the patient away to another department. If they really can’t push away, they mostly resort to defensive medicine to protect themselves.

Of course, towards such family members, the medical staff’s attitude will generally become increasingly cold.

"Director Xiang, I’m not trying to cause trouble. I’m merely offering a diagnostic possibility; could the patient’s vital signs be comprehensively declining because of thrombosis in the veins? Especially central venous thrombosis, which could be a key issue to investigate."

Zhou Can could only brace himself to offer another suggestion.

Those who do not understand may think he’s a lunatic.