My Medical Skills Give Me Experience Points

Chapter 1390 552: Level 6 Pharmacological Differentiation—Calamity Caused by the Child’s Summer Relief Patch (Part 2)

Performing an echocardiography indeed provides great assistance in diagnosing the aorta.

Considering the child's extremely critical condition, an immediate echocardiography was arranged for the child.

Upon examination, the child was found to have aortic valve stenosis over quite a lengthy section. The blood flow signal in this section was very poor.

"It's very likely aortic coarctation type disease."

Zhou Can said after viewing the results.

"It can basically be confirmed that there is a narrowing of a segment of the aorta, leading to severe weakening of the aortic blood flow." Director Le agreed with Zhou Can's diagnosis.

"The child is only three days old, so if surgery can be avoided, I think it should be. We can first try internal medical treatments to control heart failure, and schedule surgery based on subsequent observations."

After getting support for his diagnosis, Zhou Can provided further treatment recommendations.

Director Le appears scholarly and refined in demeanor but decides on treatment plans with the forceful precision of a fierce general.

It would be better for Zhou Can to take the lead in deciding the treatment plan for the newborn.

"Dr. Zhou, what internal medical methods do you plan to use?" Director Tang Fei also believed it was safer to use internal medical treatment for the newborn whenever possible.

"Using Prostaglandin E1 to keep the ductus arteriosus open is a good option. It can effectively alleviate the child's hypoxia condition."

After careful consideration, Zhou Can provided his answer.

[Pharmacological differentiation Experience Points +1, Bonus Experience Points +10.]

[Congratulations, your pharmacological differentiation has been promoted to Level 6. Current Experience Points 1/1000000, Attending Physician Initial Level.]

His pharmacological differentiation was already at the critical point for a level-up.

This medical skill is extremely important, but its upgrade speed cannot be compared to other medical skills. It is even slower than the upgrade speed of pathological diagnosis skills. Now having reached the attending physician level as desired, Zhou Can has finally remedied a substantial shortcoming.

The situation where he was outstripped by his subordinate nurse Jiang Wei has also changed.

Now with both pharmacology and pathology at Level 6, his clinical level truly meets the standard of an attending physician.

Whether in consultations, surgeries, or ward rounds, and even in rescuing critically ill patients, it provides Zhou Can with immense help.

He carefully feels the changes brought about by the level-up in pharmacological differentiation.

He noticeably finds the clinical use of various drugs more flexible and precise, and he is well able to grasp the subtle differences among them. What astonishes Zhou Can the most is that he can now naturally form a preliminary judgment in his mind about the exact effects of drug usage and how much might be absorbed by the patient.

For instance, when administering drugs to this child in front of him and using Prostaglandin E1, he can perform a comprehensive assessment based on some examination reports of the child, forming a map in his mind. What drugs cannot be used, what drugs can be tried in emergencies, after using Prostaglandin E1, within how much time certain medications cannot be used, and whether it will interfere with the child's upcoming emergency surgery, etc.

He can form such a medication map in his mind.

This level of capability was not possessed at Level 5.

It is akin to the realm of "channeling effects through meridians," as often mentioned by eminent figures in traditional Chinese medicine.

When his Injection Skill was advanced last time, he could determine whether the drug absorption in certain areas of the patient's skin, muscles, etc., was saturated during injections. This ability was already subtly touching upon the "channeling effects through meridians" realm.

If the Injection Skill can further advance to Intermediate Attending Physician Level or even Senior Level, this ability may be enhanced.

At present, it is only possible to determine whether the skin and muscle of that piece have reached drug absorption saturation.

Going further, maybe it will be possible to determine whether a specific organ has reached drug absorption saturation.

Now, being promoted to Level 6 in pharmacological differentiation is practically equivalent to having one foot directly into the threshold of channeling effects through meridians.

"Director Tang, Director Le, Director Zhuang, I suggest carrying out a cardiac catheterization and retrograde aortic root angiography once the child's condition stabilizes somewhat. In cases where the aortic coarctation is relatively long, surgical intervention is often needed in the end. Investigating the lesion site and the corresponding conditions in advance is very necessary to eliminate potential preoperative hazards. It can also provide a very good basis for formulating the surgical plan."

Zhou Can felt that the examinations conducted on the child were still not complete enough.

According to his surgical experience, treating this child with internal medical methods can only alleviate the condition, not cure it.

The best approach is still to perform surgery when the child's physical condition permits.

"Alright! If the family consents, I will choose the most appropriate time to arrange it."

Director Tang Fei nodded in agreement.

"Indeed, conducting an aortic root angiography is very necessary."

Director Le was also a strong proponent of Zhou Can's proposal.

The Pediatric department does not possess the capability to perform cardiothoracic surgeries, so the child will inevitably need to be transferred to Cardiothoracic Surgery for the operation. Completing preoperative checks on the child can significantly lower surgical risks and thoroughly prepare the doctor before the surgery.

Virtually all major surgeries require preoperative preparations.

To perform cardiac aortic surgery, especially on a newborn, preoperative preparations are only greater.

"We have no objections at all. With so many directors and experts assisting in diagnosing and treating my child, our family has nothing but gratitude for the hospital, and what remains should only be trust. We, the family, are willing to fully cooperate with the hospital's treatment and examination plans."

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