My Medical Skills Give Me Experience Points

Chapter 1394 554: The Quiet Rise of the Emergency Department, Choosing One Person to Love and Spend a Lifetime With

The patient tore a 6cm gash in the esophagus during vomiting, which is quite a terrifying thing.

If normal vomiting could damage the esophagus like this, most people in the world might die from unnatural causes. Humanity wouldn't have proliferated to such an astonishing number.

This indicates that there were likely pre-existing issues with the patient's esophagus before it tore.

For example, the esophagus becoming hard or brittle, these are all possibilities.

Related to the patient's long-term alcohol abuse.

When alcohol enters the body, it doesn't just damage the liver and kidneys, but it can also harm multiple tissues and organs in the digestive tract. Drinking once or twice doesn't matter much.

But drinking for over ten years, the cumulative damage can be quite frightening.

Every time the body is hurt, it may take two to three days to recover, or even longer. But before recovery, new damage caused by drinking happens again.

This continuous accumulation step by step ultimately leads to serious problems for the body.

This is also why almost all doctors advise patients to quit smoking and drinking.

Following this line of thought, Zhou Can boldly speculates that the postoperative esophageal leak of the patient is likely not due to poor surgical skills, but because there was a pre-existing problem with the esophagus itself.

Of course, this still has something to do with the doctor's skill.

If the doctor's skill is high enough, they can still make some adjustments based on the patient's esophageal condition.

For example, during suturing, if it's discovered that the esophagus is very brittle and lacks toughness, then the tension the esophagus will face while working can be taken into account during suturing. Also, whether the wound heals slowly after suturing and so on.

With these considerations, some preventive measures can be taken during suturing.

This makes it less likely for an esophageal leak to occur.

At least if Zhou Can performs this surgery, given his current surgical level, he is fully capable of avoiding the formation of an esophageal leak.

"Boss, there's no problem if you perform this surgery, right?"

Jiang Wei asked at the right moment when she saw Zhou Can had finished looking through the patient's data.

"No one dares to guarantee, but if they trust us, we can give it a try."

Zhou Can's answer was very conservative.

After looking it over, he actually had more than ninety percent confidence.

Anastomosis, repair, and suturing are all his strong points.

Some fistulas are hard to locate.

But finding the fistula of this esophageal leak is relatively easy. The patient's surgery was done not long ago, just five days past, so with Zhou Can's surgical skills, he is fully confident he can resolve it through endoscopic surgery.

"I'll give my old classmate a definitive answer right away!"

Jiang Wei directly sent a voice message in front of Zhou Can.

"Old classmate, our boss agreed to take this private case. However, all surgeries carry risks, we can't guarantee absolute success. If it's okay with you, I'll ask the boss what preparations need to be made before the surgery, you prepare on your end, so we can perform the surgery directly when we go over."

You can tell from her conversation, Jiang Wei's stance is on Zhou Can's side.

Although Zhou Can didn't say it, he was very satisfied in his heart.

"Alright, alright! Thank you, Weiwei, thank Dr. Zhou too. This troublesome patient problem is finally solved, and I can report back to the hospital leaders. I'll treat you to dinner another day!"

Jiang Wei's old classmate is a woman.

From her voice, she doesn't seem very old, at most under thirty.

The troublesome patient needs her to handle, according to Zhou Can's speculation, this woman is likely in an administrative position at the hospital. For example, a deputy director in the Medical Department or head of the Digestive Surgery Department.

Leaders earn more salaries than ordinary staff, hold power, and have prestigious status.

But when a department has issues, leaders are usually the first to step forward to put out the fire.

Power and responsibility are inherently one.

...

This matter was settled just like that.

Zhou Can began his busy afternoon work in the Emergency Department's operating room without mentioning it.

Thanks to Zhou Can's hard work, the Emergency Department is now vastly different compared to two years ago. The current Emergency Department's total inpatient bed count has increased to sixty. This bed number is just the approved official patient beds.

Actually, when there are too many patients, surgical beds can increase to about seventy, while Internal Medicine's total bed count can increase to fifty.

Equating to a total of one hundred and twenty beds.

You should know, one important standard for a top-tier hospital is to have over five hundred inpatient beds.

Two years ago, the Emergency Department only had a single-digit number of inpatient beds in the ICU, not even one ordinary bed. Yet in less than two years, the number of regular beds has developed to one hundred and twenty, which is an astonishing growth rate.

At the same time, the number of doctors and nurses in the Emergency Department has increased significantly.

Compared to before, when they could only salvage 'less desirable employees' discarded by other departments, the current Emergency Department is much more confident. Due to its substantial revenue growth, rapid strength expansion, it can ensure doctors and nurses receive relatively high levels of treatment.

Additionally, they can now openly compete for permanent positions, senior positions, and annual bonuses with the hospital.

Previously, the Emergency Department had nothing; apart from endless work, they truly had nothing else.

Many talented individuals actively avoided this department.

Even those recruited quickly left.

They couldn't keep anyone.