My Medical Skills Give Me Experience Points

Chapter 1402 - 557: Destruction Isn’t the Same as Harm—An Anesthesiologist Who Brings Ease (2)

Tan Shengli asked Zhou Can for the cause of the patient’s esophageal fistula and seemed to give up on his own ideas, ready to fully listen to Zhou Can.

"As everyone knows, if spontaneous esophageal rupture is not treated surgically in time, the patient will quickly die due to severe infection, nutritional deficiency, and systemic failure. However, after esophageal repair surgery, due to various reasons, it’s very easy for a rupture to occur again three to seven days post-operation. If the second rupture is small, enhance nutrition, keep drainage smooth, apply antibiotics rationally, inflate the lungs with a bottle, and maintain gastrointestinal decompression smooth. If handled properly, the fistula can heal on its own."

Zhou Can proposed a series of rescue measures.

His idea was simple: since repair surgery could no longer be performed on the esophageal fistula, let it heal by itself.

As long as nutrition is adequate and infection is strictly controlled, this goal can be fully achieved.

The treatment time might be longer at most.

"The series of measures proposed by Dr. Zhou are all excellent. But the patient’s esophagus now has a fistula, and the food eaten will leak into the chest cavity, so how can nutrition be enhanced?"

Tan Shengli thought if this issue wasn’t resolved, it would be nothing more than empty talk.

"Simple, performing a jejunostomy on the patient can solve this."

Zhou Can replied confidently.

"Jejunostomy?"

Director Tan’s eyes suddenly widened, and everyone else’s expressions were equally shocked.

Already having an esophageal fistula is tricky enough, and now artificially creating another fistula on the jejunum is indeed a bold and reckless idea.

Someone as conservative as Tan Shengli would never have thought of this solution.

Because in his view, this idea is too crazy.

Any surgery will harm the patient’s body, suffering from a postoperative esophageal fistula is already unlucky enough, and now the doctor wants to cut a hole in the jejunum, what kind of sin is this?

"Yes, it’s jejunostomy. Although creating a fistula on the jejunum causes certain harm to the patient’s body, the benefits the patient gains far outweigh the harm. Firstly, after jejunostomy, food can directly enter the stomach from here, without passing through the esophagus, reducing continuous infection and even further expansion of the esophageal fistula. This creates a prerequisite condition for the gradual healing of the esophageal fistula."

Wounds fear water and infection.

For the patient to survive, they must eat and drink water daily, which will cause continuous infection of the esophageal fistula, and even suppuration.

Antibiotics can control infections but are not omnipotent.

The best treatment is always prevention.

Preventing infection is far more intelligent than controlling infection.

The former ensures the wound doesn’t have opportunities for deterioration and worsening; the latter is waiting for a problem to arise before trying to treat and control it.

The logic here is equivalent to superior physicians treating undiseased diseases, preventing before occurrence.

Inferior physicians treat diseased diseases, only trying to save the patient after they’ve fallen ill.

The distinction between the two is instantly clear.

Zhou Can’s surgical mentality already has the rudiments of superior physician thinking, while Director Tan, if not changing his mode of thinking, might only be an inferior physician for a lifetime.

"Secondly, providing various foods directly to the patient through the jejunal fistula ensures sufficient nutritional supply. With nutrition ensured, the patient’s self-healing and immune ability will be greatly enhanced. You can see now, because of poor nutrition, the patient’s body has already shown considerable problems, and there are signs of exhaustion."

The patient’s complexion was extremely bad, although vital signs were stable, they were in a continuous state of high fever.

At this time, the entire person’s state was extremely poor.

For ordinary people, having a severe cold with a high fever and runny nose already feels like dying. The patient just underwent major surgery, and being in such a state is really adding insult to injury.

If not resolved timely, the patient will soon die.

Believing that the doctors and leaders of First Hospital have noticed the danger, they urgently sought help from outside hospitals.

"The surgical suggestion proposed by Dr. Zhou is very scientific and reasonable. I believe it is much stronger than our previous idea of implementing secondary repair on the fistula through thoracoscopic surgery. Whether for postoperative recovery or future quality of life — it is greatly beneficial. It seems to implement secondary damage on the patient’s body but is actually a cure by scraping the bones to eradicate venom, creating favorable conditions for thorough healing."

Anesthetist Director Hei at this time spoke in support of Zhou Can’s new plan.

With the support of the anesthetist, the possibility of implementation increased N-fold.

No surgery can proceed without the oversight of an anesthetist.

If she says this surgery can be done, it can be done.

If she opposes, even if the lead surgeon thinks the surgical plan is perfect, it cannot be implemented. At this time, it’s often when the lead surgeon and the anesthetist get into heated arguments in the office, red-faced, which is common.

Like quarrels between spouses, fighting at one end and reconciling at the other end.

They quickly become harmonious again, so there’s no need to worry.

After all, everyone is for the work, there’s no need to escalate to personal grudges at this height.

"Dr. Zhou’s solution seems... destructive, but after careful consideration, I also believe this treatment plan is safer and has better efficacy." Tan Shengli did not say the words to agree to let Zhou Can perform this surgery.

Because having Zhou Can play the role of the lead surgeon, the decision-making power must be given to Zhou Can.

If they still cling to decision-making power here, they are not asking Zhou Can to be the lead surgeon, but rather to act as an assistant.

"Since Director Hei has agreed with Dr. Zhou’s surgical plan, then hurry up and start! We will fully support and cooperate with what’s needed."

Song Qian’s identity has always been unclear, and she did not introduce herself.

Including Jiang Wei, who did not tell Zhou Can what position this old classmate of theirs currently holds at First Hospital. Just based on feeling, her status should not be low.

Otherwise, she wouldn’t be able to speak in such a calm tone with Director Tan and Director Hei, the two attending physicians.

Moreover, in various decisions, she acts as a high-level leader, having the authority to make final decisions.

So deducing her position should not be low.

"There are no other requests, my colleague can assist me as a medical aide, and Jiang Wei as an instrument nurse."

Zhou Can only had this small request, to use his own people during surgery.

"Absolutely possible."

Song Qian subtly signalled the instrument nurse and the original medical aide to step aside.

The surgery soon began.

Zhou Can gave these First Hospital individuals a great demonstration of what top surgical skill means. The entire surgery was completed in less than forty minutes.

At the moment the surgery ended, he received a reward of 1000 pathologic diagnostic experience points.

It should be related to his proposal of a new surgical plan.

Not exactly an innovative surgical plan, but having certain novelty. It also flexibly utilized various surgical knowledge and medical knowledge.

This skill is hard to learn just from reading books.

Books can teach ordinary knowledge, various theories. To put knowledge into practice during diagnosis and treatment requires continuous practice and accumulation.

After the surgery was completed, Zhou Can checked the patient again to ensure there were no issues.

Only then did he take off the gloves and throw them into the trash.

"Alright, push into the recovery room to wake up anesthesia, observe for around thirty minutes; if nothing unusual arises, can be sent back to the ward for nursing. Starting tomorrow, feeding through the jejunal fistula can begin, preferably handled by a more experienced nurse. Estimate the patient’s hospital stay will be quite long, the esophageal fistula to heal might take at least a month."

Zhou Can reported to Tan Shengli and Song Qian.

"Nothing else, I’ll withdraw my people first."

"I’ll see you off. Today really took effort from the three of you."

Song Qian was very happy to see the surgery was completed smoothly.

Before leaving, Zhou Can looked at anesthetist Director Hei.

"It was a pleasure working with you; your in-surgery management was particularly excellent, among the anesthetists I’ve collaborated with, this was the most relaxing surgery."

Zhou Can did not say this was the most relaxing anesthetist he’s been with.

Only said it was the most relaxing surgery.

"Thank you for the compliment!"

She smiled modestly, and this was the first time Zhou Can saw her smile.

"Goodbye!"

He, Jiang Wei, and Zhong Ming walked outside.

This Director Hei is indeed the best skilled anesthetist Zhou Can has seen, professional, meticulous, and perfectly collaborates with the lead surgeon. Even she can anticipate what Zhou Can needs to do next, then provide corresponding life support or preparatory work.

In short, during the entire surgical process, Zhou Can felt as if things were effortlessly smooth.

Even Director Feng of Tuya Hospital never let Zhou Can feel so relaxed during surgery.

It’s not to say Director Feng’s professional level is inferior to this Director Hei, but rather lacks her wholehearted dedication to the lead surgeon.

What she did during surgery always put Zhou Can first, providing the best service for the lead surgeon.