My Medical Skills Give Me Experience Points-Chapter 1208 - 477: Medical Ethics—Turns Out It’s Pneumothorax (2)

Chapter 1208: Chapter 477: Medical Ethics—Turns Out It’s Pneumothorax (2)

Her question was very direct.

The tone suggested that she was considering causing trouble for the first hospital.

This is also the instinctive reaction of most family members when postoperative complications arise.

The hospital didn’t perform the surgery well, so they naturally think the hospital should be responsible.

"Postoperative complications are situations that all medical staff don’t want to occur, but no one can avoid them. I believe the doctors and nurses at the previous hospital certainly did their utmost in treating your father. Using artificial materials to reconstruct the chest wall is entirely feasible and conforms to medical standards. However, every patient’s recovery condition and immune level are different. Before using artificial materials, no one knows whether it will cause postoperative infection."

Zhou Can’s response was of high integrity.

He didn’t say anything to discredit Xinxiang Hospital and even defended the medical staff who conducted the initial surgery.

That’s actually the truth.

Who knows if there will be an infection before the surgery?

Now that problems have arisen, family members wanting to trouble the medical staff is certainly unacceptable.

"Thank you for your explanation. When can my dad have the surgery?"

The family member didn’t pursue the matter further.

"Sister Yan, can you schedule it for tomorrow?"

"I’ll coordinate with the operating room and try to get him scheduled for surgery. It might have to be after 7 PM. Ms. Zhao, would that be okay?"

Director Xue Yan scheduled the surgery for the evening, definitely hoping that Zhou Can would assist with the procedure.

There are many things inconvenient to say in front of family members.

Zhou Can could only grasp the subtext.

"That’s fine, thank you, Director Xue, thank you, Dr. Zhou!"

The family member nodded repeatedly in agreement.

Being able to arrange surgery so quickly was a complete surprise for the family.

She understood that the young Dr. Zhou deserved much credit for this.

"Alright, let’s leave it at that then! If there are no changes, nurses will inform you in the morning, and a doctor will ask you to sign. The anesthesiologist will evaluate the patient and speak with you, so please cooperate fully."

Director Xue Yan indicated that the family could leave.

"Okay, I will definitely cooperate fully. I’ll leave now, and if there is anything, you can always find me in the ward." The family member left in a clearly good mood.

For many families, they hope to schedule the surgery sooner.

Especially for patients with difficult conditions who have undergone ineffective treatment elsewhere and whose families are under immense pressure.

After the family member left, Xue Yan looked at Zhou Can.

"You must come to assist tomorrow!"

"No problem!"

Zhou Can readily agreed.

"Sister Yan, there’s something I need your help with. Director Lou told me today there’s an in-service graduate study opportunity, and he’s already signed me up. I tried to take the graduate exams in my fourth year but failed. Honestly, even now, I don’t feel confident in retaking the exams."

Despite his skills having improved dramatically since his fourth year.

The failure of the graduate exam still cast a long-lasting psychological shadow on him.

"Haha, you’re so capable, why are you so lacking in confidence about taking graduate exams? Typically, the success rate for graduate exams is one in three; on average, one of three students taking the exams will succeed. The competition has become fiercer recently, nearly reaching one in four last year. But I believe you have no problem at all."

Director Xue Yan laughed as she spoke to him.

"Besides, since the hospital arranged this for you, as long as you pass the written and oral exams, your success rate is nearly one hundred percent."

She was well aware of some unspoken rules in the hospital.

"The problem is, I’m worried I won’t pass the written and oral exams!"

Zhou Can lacked success experience in this area and still felt unsure internally.

"Who’s the tutor you applied for? Considering your special circumstances, the hospital will certainly arrange for a tutor with relatively flexible study time, making it easier to obtain the degree."

"According to Director Lou, it’s a tutor in the field of orthopedic trauma."

"Then it’s most likely Professor Wu Xuesheng, who mainly does research and teaching and seldom engages in clinical work. Studying under him would help improve your academic capabilities and research level. There are two important surgeries today, I’ll conduct an initial knowledge assessment after the surgeries if time allows, then set a study direction for you. Actually, I think you might want to consult with the orthopedic chief physician. The graduate entrance exam questions are usually set by the admissions unit, and they certainly know the direction of the questions better than I do."

Although Director Xue Yan is undoubtedly a top academic achiever, she is not omnipotent.

In the field of orthopedic trauma, which she is not proficient in, she’s certainly not as knowledgeable as the orthopedic chief physician.

"I’m quite familiar with orthopedics, once you set a study direction for me, I will consult with the orthopedic chief physician for more surety. Asking them directly for exam questions might not be appropriate, right?"

Zhou Can was worried that such actions might be illegal.

"Haha... Last time, you led a protest against the hospital’s security department for not ensuring medical staff’s personal safety, showing great courage. Why are you timid now? Rest assured, the graduate exams are highly confidential, and there’s no risk of the orthopedic chief physician leaking questions. It’s just they have richer experience in this area; some chief physicians even participate directly in the question setting each year. Letting them define the scope of the exam questions for you will be more precise."

Seeing her laughing openly, Zhou Can felt embarrassed and scratched his head.

"Haha, I see! I was worried their assistance might constitute a violation and get them into trouble. Sister Yan hasn’t laughed much lately; actually, being like this is quite good."

Time will smooth everything out and dilute everything.

She gradually emerged from the shadow of her divorce.

...

"Dr. Zhou, the test results for that patient are back. Please take a look."

An intern approached Zhou Can with the test results of the patient suffering from chest pain and difficulty breathing.

"Let me see!"

Zhou Can took the patient’s test report.

Xue Yan was curious and asked, "Xiao Chen, who’s the patient?"

"A patient received in emergency, whom we were notified to transfer to our department. My instructor was in surgery at the time, so luckily Dr. Zhou came, and we asked him to assist with the case."

After Zhou Can preliminarily reviewed the patient’s blood count and chest X-ray, he handed the examination report to Director Xue Yan.

"The patient indeed has left pneumothorax. The chest X-ray shows severe compression of the left lung, a small amount of hemothorax, blunted left costophrenic angle, and displacement of the trachea and mediastinum to the right side. Fortunately, there’s no rib fracture. I think we can try needle thoracentesis to evacuate air first."

For him, handling these symptoms was a simple matter.

The higher the level, the easier it is to resolve various illnesses deemed difficult by other doctors.

"The patient is only 28 years old, quite young! How could pneumothorax happen?" Director Xue Yan reviewed it and did not object to Zhou Can’s treatment suggestion.

Women, by nature, love gossip and have strong curiosity.

Even as a department director, she’s no exception.

She, too, is quite young.

In her forties, she certainly lacks the indifference of those sixty or older.

"While the patient was having dinner at home, his mother urged him to marry and criticized his work effort. In reality, the work is extremely demanding, requiring night shifts daily, and likely involves laborious tasks. With work being strenuous and pressures to marry, he was also nagged by his mother, becoming exceedingly angry and shouting twice, which resulted in pneumothorax."

Zhou Can felt quite sympathetic towards this patient.

Men in their twenties face a lot of difficulties.

No one to consult about things. If married, at least one could confide in a wife about work and life troubles.

"Oh, I see! Your puncture technique is recognized as the best in our department, so please assist him with thoracentesis!"

Director Xue Yan nodded after hearing, delegating the treatment task to Zhou Can.

...

After performing needle thoracentesis on the patient, the results were unsatisfactory.

It proved that even with excellent puncture skills, sometimes problems cannot be resolved.

In such situations, further treatment is inevitably required.

Zhou Can realized the pneumothorax might be more severe than anticipated.

Considering the patient’s family circumstances, he felt he should endeavor to avoid surgery.