My Medical Skills Give Me Experience Points Chapter 1252: 493: The Skill Gap Between Director and Deputy Director, Interventional Angiography to Resolve It_3

Zhou Can suggested an improved approach.

Conducting abdominal artery angiography requires spot-on timing.

Should the patient's bleeding pause momentarily during the exam, finding the exact bleeding spot would prove extremely challenging.

That's where Zhou Can's Level 6 Hemostasis Skill shines.

Just by checking the patient's skin tone, face color, looks, and overall state, he can pretty much tell if bleeding is happening right now.

Plus, the patient had recently passed bloody stool twice, showing heavy bleeding.

Missed chances won't come back.

Zhou Can promptly told Ali to inform Deputy Director Han and reached out to the intervention room for urgent selective abdominal artery angiography on the patient.

Intervention room doctors, noting the patient's dire state, feared he might die mid-procedure and reluctantly asked Zhou Can to come help.

By now, Zhou Can had gained solid recognition, with plenty of Tuya Hospital doctors aware of his expertise in endoscopic surgery and interventional techniques.

From time to time, folks call him in for support.

Here, the intervention room's invitation seemed like assistance, but really aimed to dodge liability.

Zhou Can let it slide and headed there straight away.

The idea of abdominal artery angiography for the patient originated from him anyway.

Somebody must bear the burden of protecting the patient's life.

Naturally, the family-signed consent form has to be completed.

He's all for working hard to save lives, yet he won't shoulder every risk alone.

If relatives demand the patient's rescue without accepting any danger, pushing all blame onto the doctor, that won't fly. Zhou Can isn't some holy figure; when required, he gets tough.

Luckily, the patient's folks acted sensibly and signed without delay.

Inside the intervention room, Zhou Can suited up in thick lead gear and meticulously steered the angiographic catheter from the patient's femoral artery up to the abdominal aorta, then onward to key branches like the celiac trunk, superior mesenteric artery, and inferior mesenteric artery.

He stayed utterly concentrated the whole time.

Video captured the opacified celiac trunk and inferior mesenteric artery branches, revealing nothing unusual.

His spirits dropped.

Was the angiography timing off?

On the video, the superior mesenteric artery looked mostly narrowed, and contrast leaked out at the ileocolic artery's far end.

Zhou Can felt a surge of delight.

At last, he'd pinpointed the bleed's origin.

“Quick, quick, it’s this location.”

Zhou Can rapidly marked the bleeding site's spot on the patient.

Contrast leaking from the celiac artery branch's distal end showed up clearly, pooling into a dense blob.

Once the bleed was identified, 20U of pituitary posterior hormone got injected slowly via the catheter, after which it was pulled back.

Active bleeding from the ileocolic artery explained the massive blood loss.

Nearly all major arterial bleeds strike fear.

And they rarely halt by themselves.

Now it was clear why combining two hemostatic meds failed to stop it.

“This patient needs emergency surgical hemostasis immediately, push them back first! I’m going to discuss with Dr. Xu to see if we can perform this surgery directly in the ER.”

Zhou Can had the operation strategy ready.

Still, coordinating with Dr. Xu came first.

Since Zhou Can would handle the surgery, Dr. Xu carried the accountability.

Post-talk, Dr. Xu checked the angiography video and consented to handle the operation.

To Zhou Can, it offered prime training.