My Medical Skills Give Me Experience Points

Chapter 1346: Chapter 533: Visiting the Dean’s Office, Dean Zhu’s Pride

"Your treatment plan involves managing the lung infection and addressing the severe narrowing and blockage of the arterial vessels, correct?"

Director Xue Yan asked.

"Yes! I believe that although the patient’s abdominal aorta and other areas also have vascular stenosis lesions, the condition is relatively mild and has not shown obvious symptoms, so surgical intervention is not necessary for now."

Zhou Can nodded in confirmation.

As his skills advanced, he became more cautious when devising surgical plans for patients.

The aim is to avoid surgery wherever possible.

Surgery inevitably causes harm to the body, a principle he has elevated to an unprecedented level.

Previously, when treating patients, he focused more on the treatment outcomes and the benefits patients would gain post-surgery.

This is a surgical principle followed by most surgeons.

Surgery is generally considered if the harm it causes is less than the benefits the patient can gain.

Now, in addition to considering the harm and benefits, Zhou Can tries to avoid surgeries for patients whenever possible. If treatment through medication or physiotherapy is not viable, and surgery is essential, he opts for the least harmful surgical approach.

For example, in the previous case of the aortic dissection patient, instead of replacing the aorta, he chose a more complex surgery involving bypasses and vascular stents.

Even though the patient’s aorta had a long arterial dissection tear, it was, after all, the patient’s ’original’ vessel, so he avoided replacing it if possible.

This approach, which emphasizes preserving the patient’s original body tissues and organs, is evidently more advanced than before.

It represents an evolution in surgical awareness.

Despite being a surgeon, he strives to avoid surgeries for patients.

On the surface, it appears to compromise his own practice.

In reality, it elevates the level of surgery to a higher tier.

It’s akin to transitioning from street vending to owning a store and a brand.

"Furthermore, atherosclerotic occlusion is often a systemic disease, and the treatment principle is that as long as there are no obvious symptoms or severe life threats, non-surgical treatment should be the primary option."

Zhou Can emphasized another point.

This systemic disease is particularly tricky; if a doctor’s obsession leads to addressing all lesions,

it might necessitate replacing all the patient’s vessels.

Even so, it might not solve the problem.

It’s somewhat similar to governing a country. When issues like war and corruption have battered the nation, a newly appointed ruler who wants to stabilize the throne and govern well must adopt a gradual approach.

Attempting to resolve everything all at once is unrealistic.

If the populace struggles for food, forcing them to study classics every day would be unrealistic.

"Your surgical plan is correct and reasonable. I’ll personally communicate with the patient and their family tomorrow, and if they agree, we’ll schedule the surgery. The lung infection has already been medicated today and is expected to be controlled soon."

Director Xue Yan agreed with Zhou Can’s surgical plan.

When the patient was admitted, a lung infection was already detected, and infusion treatment had begun long before.

The patient seemed to have multiple vascular lesions, but only a portion required treatment.

"Sister Yan, this patient’s condition clearly isn’t suitable for endovascular stent angioplasty, and if the family insists on stent placement, don’t agree. Bypass with synthetic grafts is straightforward, direct, and reasonably priced. A stent won’t fundamentally solve the problem. In a few months, other blockages might occur, and the family will accuse us of being incompetent."

Zhou Can worried that the family might insist on a stent treatment plan.

"Don’t worry, the patient will handle their family for this sort of matter."

Director Xue Yan smiled confidently.

...

The next morning, after Zhou Can finished the ward rounds in the emergency department and greeted Dr. Xu, he headed directly to the dean’s office.

The Provincial People’s Hospital intends to conduct a medical exchange with Tuya Hospital, and discussing this with Director Lou wouldn’t be effective. The conversation should be directly with the dean.

As he approached the dean’s office, Zhou Can felt a bit nervous.

Bracing himself, he knocked on the door.

"Please come in!"

A steady voice called out.

It wasn’t Dean Zhu’s voice, but that of a magnetic-sounding middle-aged man.

Upon entering, Zhou Can saw a very ordinary desk, behind which sat a middle-aged man in his forties. With hawk-like eyebrows and piercing eyes, he was intimidating to look at directly.

The side of the desk had four workstations for regular office use.

Only two young female staff members were working there.

Leaders typically don’t handle trivial matters themselves but instead delegate them to their subordinates. The leaders themselves are responsible for directing, signing off, and providing input.

"Dean Qin, hello, I have a matter I’d like to report to Dean Zhu."

Zhou Can addressed the assistant dean appropriately.

He naturally referred to the assistant as Dean Qin.

The assistant dean may sound like someone running errands for the dean, but in reality, it is a legitimate executive position, wielding significant power.

When the dean is on a business trip or attending courses at places like political schools, the assistant dean acts in their stead.

Usually, when the hospital needs the dean’s signature and approval for various matters, they are first presented to the assistant dean.

"Oh, Dr. Zhou, it’s a pleasure! Dean Zhu will be a bit late arriving at the hospital, so have a seat and enjoy a cup of tea while you wait a little."