My Medical Skills Give Me Experience Points Chapter 1210 - 478: Closed Thoracic Drainage, The Incorrigible Pedant (Part 2)

"Keep it up, take more deep breaths; things are looking positive!"

Zhou Can directed the patient to maintain those deep inhalations, with all indicators appearing steady.

The diagnostic findings held true without error.

Once back in the inpatient area, the attending physician and nurse received orders to vigilantly track the patient's life signs and promptly deliver oxygen support, infection-fighting treatments, bronchial relaxants, and mucus-clearing remedies.

Director Xue Yan, observing Zhou Can's successful management of the case at last, grew increasingly eager.

She dispatched a nurse to press him into hurrying to the surgical suite for assistance.

For those challenging operations, Zhou Can's presence acted like a protective charm. In tough segments of complex procedures or when time pressed urgently, he could step in as the lead operator in her place.

Should crises arise mid-surgery—like heart stoppage, irregular heart rhythms, or abrupt declines in oxygen saturation—Zhou Can stood ready to intervene swiftly for recovery efforts.

When it came to preserving lives, Zhou Can possessed remarkable expertise.

His two years shadowing Director Feng in Anesthesiology had sharpened his abilities in this domain to exceptional levels.

There had been instances during operations where surprises struck, compelling even Dongfang Xuexue, a top-tier specialist, to seek Zhou Can's aid.

...

On the following morning, concerns over the pneumothorax case lingered for Zhou Can. After completing his rounds in Emergency, he made a point to visit the Cardiothoracic Surgery unit and assess the patient's status.

Through careful checks and questioning, the left-side chest discomfort had lessened notably, while shortness of breath had diminished substantially, marking clear progress.

The relatives expressed deep thanks to Zhou Can, thrilled by the marked recovery post-treatment; the patient's mother and sister beamed with joy, their faces much more at ease.

The nurse informed Zhou Can of the patient's mild fever at present.

Such a slight temperature rise qualified as a typical response.

Zhou Can borrowed the nurse's stethoscope to thoroughly auscultate the chest area.

"The left lung's breath sounds remain somewhat muffled, but fortunately, no crackles—dry or moist—are present, so encourage deeper breaths. Also, avoid disturbing this drain tube; if it shifts at all, alert the nurse or doctor right away."

Managing pneumothorax treatment inherently involves some hazards.

Back in his Cardiothoracic Surgery residency, Zhou Can had witnessed a drainage patient's fatal outcome.

That incident delivered harsh teachings, stemming from the nurse's oversight, the doctor's lapse, and crucially, the relatives' and patient's disregard for instructions by meddling with the sealed water bottle.

Laypeople like family and patients often overlook subtle threats due to lacking expertise.

Even certain healthcare workers deficient in knowledge or vigilance might miss brewing troubles in time.

Years later, Zhou Can still approached pneumothorax cases with heightened wariness.

He persistently urged the on-duty team to stay alert and avoid complacency.

Following over ten hours of drainage, gas continued bubbling moderately in the sealed bottle, while the reddish fluid output exceeded 900 milliliters, vivid crimson in hue.

This pointed to ongoing hemorrhage.

Though the attending hadn't summoned him, appropriate interventions were already underway.

These encompassed transfusions to restore volume, along with IV cefradine to combat infection.

Furthermore, aminocaproic acid was infused intravenously to promote clotting and halt bleeding.

The prompt and apt deployment of such steps earned Zhou Can's respect for the attending doctor's competence.

Since over twenty veteran staff left the Cardiothoracic Surgery team, fresh young recruits had infused the unit with renewed energy and prospects.

As a vital specialty in the esteemed Tuya Hospital with its rich legacy,

Ambitious post-training doctors holding full certifications queued up to enter this elite provincial top-tier facility.

A good number hailed from broad clinical medicine backgrounds.

Today, med students selecting specialties lean toward comprehensive medicine, ignoring advisors' warnings against overreaching.

Those views come from educators' elevated vantage.

For everyday students, priorities lie in securing jobs readily and accessing prime sections in major centers.

Broad medicine grads boast superior edges and openings in grand institutions.

Even elites like Du Leng, armed with foreign PhDs from elite global academies, must begin humbly and build anew in hospital settings.

Persistent haughtiness risks overwhelming them, allowing domestic undergrads like Zhou Can to surpass and eclipse them.

"Apologies, apologies—the bed 55 patient just hit arrhythmia, so I dashed to manage it. Dr. Zhou, any directives? I'll jot them down!"

This attending differed from yesterday's emergency transfer intern.

He was a youngish man named Pu.

Nearing thirty, sporting a close crop, frameless specs, a plump face, broad lofty brow, and firm jawline, he projected reliability, honesty, and warmth on first glance.

"Did you oversee the transfusion, bleeding control, and infection prevention for the patient last night, Dr. Pu?"

Zhou Can held high regard for this colleague.

"Indeed, that was me. Given it was past 1 a.m. and you'd just wrapped surgery near midnight, I chose not to wake you. Any problems?"

Though a fellow resident like Zhou Can, Dr. Pu carried more years.

Right then, he addressed Zhou Can as a junior would a senior.

Such respect shone through clearly.