My Medical Skills Give Me Experience Points

Chapter 1366: Chapter 542: Tragic Amputation—The Consequences of Inadequate Preoperative Examination

“Even the speed of the chief surgeon can’t compare to our big boss!”

Yang Zhi laughed beside him.

Because a group leader is at least required to be at the Deputy Chief Physician level and must also hold a professorship. Zhou Can has the real power of a group leader but doesn’t have the title.

Everyone now habitually calls him the big boss.

This title was first shouted out by Luo Shishen.

At that time, intern Luo Shishen was eager to become Zhou Can’s apprentice. Unfortunately, Zhou Can found his talent too ordinary and did not agree.

So, Luo Shishen began calling Zhou Can the big boss.

The kid is currently undergoing residency training and, once completed, is very likely to seek to join Zhou Can’s team.

It’s said he’s doing quite well and has already gained the favor of two chief surgeons, making him part of the key cultivation sequence.

Even though he was forced to leave Zhou Can’s team for residency training, he still frequently consults Zhou Can on medical issues via WeChat. Zhou Can treats him well, and the kid is quite grateful.

He makes sure to call Zhou Can during holidays to send his blessings and often speaks well of Zhou Can to outsiders.

“It seems leaving my job to join Dr. Zhou is an extremely wise decision! Now I’m just hoping Dr. Zhou will let me stay, everyone help me speak good words, I’ll treat you after work.”

When she mentioned treating, she was very confident.

With an annual salary of at least three hundred thousand, treating for a meal or two isn’t much at all.

“You’re so outstanding, Dr. Zhou probably already approved of you in his mind!” Qiao Yu laughed and spoke for her.

“Sister Qiao Yu is right, I saw the words ‘satisfaction’ in the big boss’s eyes!”

Ma Xiaolan also had a favorable impression of Jiang Wei.

No one knew what kind of persuasive talk Jiang Wei gave them yesterday that made them so willing to speak for her.

Especially Ma Xiaolan, who was like an old-time evil mother-in-law, showing new team members a tough time regardless of whether they’re doctors or nurses. This time, it was like a change of personality.

“Hurry up and get to the surgery! Jiang Wei is indeed very excellent, but we still have to see her future performance.” Zhou Can didn’t easily give in, as a gentleman doesn’t make careless remarks. As the big boss, he naturally needed to speak cautiously.

“Jiang Wei, there are three Level 3 surgeries today. Judging by your previous performance, you should be able to handle them, so perform well. However, in the surgery room, my word isn’t the final say; Dr. Xu has to be satisfied for you to pass.”

No matter how talented Zhou Can is, he remains a junior.

For Level 2 and Level 3 surgeries, he needs to rely on Dr. Xu’s name since he doesn’t have the independent authority to host such surgeries.

According to the surgery task system, at least Chief Level is required to host Level 2 surgeries and begin participating in Level 3 surgeries. Senior chief doctors can complete Level 3 surgeries under the guidance of a Chief or Deputy Chief Physician.

…

Approaching 11 a.m., a male patient in his forties was pushed into the operating room.

This patient had been diagnosed with varicose veins in his right lower limb six years ago, accompanied by a certain degree of swelling. However, due to being busy at work and low income, the heavy family financial burden was almost solely supported by him working.

Afraid of spending money, he never had the surgery.

Until recently, when the pain became unbearable and walking became difficult, he finally came to the hospital for treatment.

The local City Center Hospital performed a high-position great saphenous vein ligation and stripping surgery on the patient.

This type of surgery is also the most commonly used method to treat superficial venous varicose veins in the lower limbs with patent deep veins. Most varicose veins in the lower limbs occur in the superficial veins, with very few patients having varicose deep veins.

After examination, if surgical conditions are met, a high-position great saphenous vein ligation and stripping can be performed.

The treatment effect is often quite good, significantly improving the swelling and pain in the lower limbs.

After the surgery at the local City Center Hospital, doctors applied a pressure bandage from the patient’s dorsum foot up to the groin.

This is also a commonly used post-operational method.

After all, superficial vein stripping had been done, and pressure was needed.

As a result, the patient soon noticed significant swelling in the toes of the affected limb and intense pain.

The family quickly rang the bell and called a nurse for an examination.

After checking, the nurse didn’t dare handle it on her own and invited the chief doctor over.

Upon examination, the chief doctor believed the issue was likely caused by the pressure bandage being too tight.

When performing this pressure bandaging, Zhou Can remembered Director Liu saying the higher it is, the greater the pressure should be.

Thus, the chief doctor immediately loosened the pressure bandage and raised the affected limb.

Since the circulatory distance of blood in the lower limbs is farthest from the heart, the blood delivery difficulty is the highest. In cases of severe lower limb swelling due to circulation obstruction, elevating the limb is beneficial to blood return to the heart.

Thus reducing the swelling and quickly alleviating foot pain.

After loosening the bandage, the patient continued to scream in severe pain in the affected limb, leading the chief doctor to prescribe painkillers for relief.

Moreover, the patient was informed to observe for forty-eight hours before determining the next treatment plan.

This is standard processing flow.

At least it complies with treatment protocols.

But who knew, after observing for over thirty hours, the patient’s right leg skin turned dark purple, the dorsum foot artery pulses had disappeared, and skin temperature was extremely low. Put plainly, it’s akin to how a dead body cools rapidly.