My Medical Skills Give Me Experience Points

Chapter 919: Chapter 365: The New Cardiac Surgery Team Takes Shape, Merits Earned Yet Still Reprimanded

The directors and deputy directors managed to remain calm, at least keeping their cool and maintaining composure. Everyone was striving to find the cause of the ventricular tachycardia.

The mortality risk of open-heart surgery is already extremely high.

A procedure involving atrial resection, ventricular folding, and tricuspid valve replacement has an even higher mortality rate.

Any minor accident can easily lead to irreversible consequences.

“Could it be that the tricuspid valve is too narrow?”

Director Xue Yan was so anxious she was almost smoking.

Having finally led a high-difficulty Level 4 major surgery, the entire process went smoothly, who would have thought such an accident would occur during intraoperative testing.

First, it can be confirmed that the emergence of ventricular tachycardia is not directly related to the hydraulic test of the tricuspid valve’s opening and closing.

Even if this test is not performed, as long as the heart resumes beating, the issue of ventricular tachycardia would have surfaced.

“It shouldn’t be the tricuspid valve’s problem. This is truly a headache, where could the problem lie?”

Director Hu Kan, in his anxiety, felt his heart burden increase, instinctively clutching his chest.

His breathing also became much heavier and more rapid.

Heart patients and hypertension patients both fear excitement.

Especially for someone like Director Hu Kan, who has had multiple heart disease occurrences, extra caution is warranted.

“Why don’t we quickly seek help from the Cardiovascular Internal Medicine department! When it comes to surgery, we’re strong. Diagnosing the cause of ventricular tachycardia, they are more adept.”

Deputy Director Lu always spoke straightforwardly.

However, he wasn’t wrong; there is a significant difference between surgery and internal medicine.

Don’t be fooled; although Cardiovascular Internal Medicine and Cardiothoracic Surgery both excel in treating thoracic and cardiac diseases, the two departments each have their strengths. Cardiothoracic Surgery is better at operations, excising lung tumors, heart bypasses, myocardial infarction…

Cardiovascular Internal Medicine, on the other hand, is more skilled at treating non-surgical heart and vascular diseases.

For instance, cardiac arrest, ventricular tachycardia, arrhythmia, insufficient cardiac blood supply, cardiovascular embolism, etc. The diagnosis and medication treatment for these diseases are within the ‘manual’ of Cardiovascular Internal Medicine.

“Teacher, what do you think…” Director Xue Yan looked worriedly at Hu Kan, not because she wanted to provoke Director Hu, but truly there was no other way.

“Immediately contact Cardiovascular Internal Medicine and request them to send a chief physician over for a joint consultation to save the patient.”

Director Hu Kan decided promptly.

Facing disgrace is minor; the patient’s life is more important than anything.

“Director Dongfang, could you contact some other chief physicians from the anesthesiology department to brainstorm some solutions as well?”

Director Hu Kan looked at Dongfang Luoxue.

As an anesthesiologist, there’s a duty to ensure the patient’s safety during surgery.

The heart cannot be exposed to the air for an extended period, or else many severe complications will arise, leading to even more trouble later.

Even at this point, Dongfang Luoxue remained composed.

Her gaze was calm, appearing very collected.

She didn’t speak but already took out her phone and dialed someone’s number directly.

Zhou Can almost didn’t need to guess to know that this call for help was likely made to Dr. Feng.

“Director Feng, something’s happened here. The patient underwent atrial folding surgery…”

She briefly relayed the patient’s situation.

As for what Dr. Feng said on the other end, no one knew.

Dongfang Luoxue soon hung up the phone.

Without a trace of emotion in her gaze, she looked at Zhou Can.

“Director Feng is rushing over from home and will need more than half an hour. He asked me to consult… with you first.”

She seemed naturally adverse to interacting with anyone.

So much so that in her forties, whether dealing with Zhou Can or other doctors, she maintained the same unpleasant attitude and tone.

The first half of her sentence was directed at everyone, but the latter half of her words was specifically directed towards Zhou Can.

Many in Cardiothoracic Surgery were well aware of the close relationship between Zhou Can and the anesthesiology department’s Director Feng, having received much guidance from him. Now that something unexpected happened, Director Feng having her consult Zhou Can first wasn’t surprising.

Zhou Can had no reaction, his eyes focused on the patient’s bloody pericardium, a puzzled expression on his face.

“Hey, didn’t you hear me talking to you?”

Dongfang Luoxue assumed he was deliberately reciprocating her previous lack of response, thinking Zhou Can was being petty.

Zhou Can still did not react.

This time, there was an evident trace of anger in her eyes.

“Dr. Zhou is thinking, do not interrupt him.”

Director Xue Yan, having worked most frequently with Zhou Can and having spent a significant amount of time with him, understood him quite well.

Upon hearing Director Xue Yan’s explanation, Dongfang Luoxue said no more.

She too was actively searching for the cause of the ventricular tachycardia.

In the midst of everyone’s search for the cause, the patient’s pericardium began to quiver. Like someone scantily dressed, shivering in ice-cold conditions. “Not good, it’s ventricular fibrillation! Quickly prepare for resuscitation!”

Everyone felt their hearts tighten, their nerves taut like a drawn string.

If ventricular fibrillation is not promptly addressed, it will quickly evolve into cardiac arrest.

The dangers during surgery always come unexpectedly, which is also why it’s necessary to have family members sign beforehand. If something truly goes wrong, the doctors and nurses can’t sweat and cry.

They can only regretfully inform the family that they have given their best effort.

“Quick, bring the mapping rod and mapping ring!”

At this moment, Zhou Can seemed to finally understand where the problem lay.

He possessed the special medical skill of emergency intelligence, which could achieve twice the result with half the effort in saving the patient. This medical skill has now advanced to the intermediate level, with remarkably enhanced effects.