My Medical Skills Give Me Experience Points Chapter 1253 - 494: Using the Scalpel as Footing, Doctors Must Do More Than Treat Disease

~3 minute read · 871 words
Previously on My Medical Skills Give Me Experience Points...
Zhou Can identifies a critical opportunity to locate a patient's source of massive bleeding through urgent abdominal artery angiography. Despite the intervention room team's hesitation and risk-aversion, he steps in to lead the procedure and successfully pinpoints the extravasation site in the ileocolic artery. With the bleeding source confirmed, he coordinates with Dr. Xu to organize an immediate emergency surgical intervention. This plan offers Zhou Can a significant opportunity for professional growth while requiring careful coordination regarding medical responsibility.

Inside the operating room, anesthesiologist Qu Zi and the anesthesia nurse were giving general anesthesia to the patient.

Ever since her previous discussion with Zhou Can, she had begun showing up more often in emergency department operations. Every time an operation needed general anesthesia or spinal anesthesia, Zhou Can would always seek her opinion.

At times, she believed the operation's risks were excessively high and refused to proceed.

Zhou Can then had to do his utmost to convince her.

Thank goodness, she placed great faith in Zhou Can's operation skills, and after numerous joint efforts, a solid trust had formed between them. Therefore, Zhou Can typically managed to persuade her successfully.

With the patient fully under general anesthesia, Zhou Can commenced the abdominal operation.

Given the patient's terribly frail body, comparable to a dim lamp amid a stormy night on the verge of extinguishing, Qu Zi grew tense the moment the surgery began.

Fortuitously, Zhou Can's operation pace was remarkably swift yet incredibly steady.

In making the abdominal cut, bolstered by Level 6 Incision Skill along with Fast Knife Skill and Stable Knife Technique enhancements, the process flowed seamlessly like running water.

Accessing the abdominal cavity, he proceeded directly to the ileocecal region's bleeding origin.

A massive lump over 9cm in diameter appeared in the ileocecal region.

The lump's walls proved extraordinarily thick.

"Wow, how did such a big mass grow?"

Dr. Xu, positioned next to his apprentice, expressed shock upon spotting the huge mass.

"Feels like it’s not a tumor, but likely filled with blood!"

Zhou Can’s Level 6 Wound Cleaning Skill proved truly valuable.

Fixing his gaze on the mass, he observed it briefly before lightly pressing it with a finger, gaining preliminary understanding.

"Instructor, should we aspirate the fluid from the mass first?"

"No worries! This mass is also not easy to aspirate, it might break with just a touch."

Dr. Xu’s operation experience far outstripped Zhou Can’s.

His assurance of safety carried no error.

Regarding caution in surgery, Dr. Xu held the top spot unchallenged.

He had suffered a past incident that shattered his career and existence entirely. Once bitten by a snake, he feared ropes for a decade.

In operations, Dr. Xu enforced strictness on junior doctors while demanding even greater rigor from himself.

No matter his high regard for Zhou Can, any surgical carelessness would earn a scolding so fierce he'd hang his head in shame.

Zhou Can sought to shift the mass manually, detaching its adhesions from adjacent tissues.

Swish!

To his surprise, it ruptured instantly upon movement.

Blood surged forth immediately.

"Yang Zhi, aspirate the blood!"

"Okay!"

In fact, Yang Zhi stood ready even before Zhou Can's command.

"Your team would be more complete with another scrub nurse,"

Anesthesia nurse Qin Yue commented from nearby.

She used to speak little, yet after Qu Zi voiced interest in joining Zhou Can’s team, she greeted him with smiles and nods each encounter. In surgery, spotting problems or shortages, she pointed them out eagerly.

"Well, I do want to hire another surgical nurse to alleviate Qiao Yu’s work pressure, but you know, the surgeries I currently perform are mainly Level 1 and Level 2, not enough to sustain that many people!"

Zhou Can offered a humble justification.

His surgical team's daunting daily operation load made adding a scrub nurse entirely viable.

Still, it would inevitably diminish Qiao Yu and Ma Xiaolan’s earnings.

Neither enjoyed favorable family circumstances and sought to maximize their income.

Though the workload fatigued them somewhat, complaints never escaped their lips.

Thus, Zhou Can refrained from recruiting an extra surgical nurse for the time being.

As conversation flowed, Yang Zhi fully suctioned the mass's contents.

"Feels like inside the mass there isn’t just accumulated blood, but also necrotic tissue resembling deteriorating flesh. I’m afraid we have to remove this entire section of the intestine."

Inspecting the suctioned material, Zhou Can grasped that the patient’s ileum condition exceeded expectations in severity.

Had it been detected sooner, resection might have spared more intestine.

Treatment via medication alone, sans surgery, could have sufficed.

A thorough check revealed necrosis not just at the mass but also prominently swollen mesenteric lymph nodes.

"Let’s excise it!"

Post-assessment, Dr. Xu consented to resecting the intestinal segment and mesenteric lymph nodes.

Upon meticulously removing the ileum section and mesenteric lymph nodes, Zhou Can experienced profound relief. Not stemming from obsessive-compulsive tendencies, but the act of excising diseased tissue for patients always filled him with achievement.

[Fast Knife Skill Experience Points +1, Stable Knife Technique Experience Points +1.]

Here, a major advancement struck his knife skills. Hard to articulate the precise mechanism, it unfolded naturally.

Formerly, employing Stable Knife Technique rendered the scalpel weighty.

Now, novel comprehension and progress in Stable Knife Technique emerged.

Gripping the scalpel against any patient body part yielded a profoundly delicate equilibrium feel.

The knife's tip or edge, keenly honed, severed tissue upon contacting skin or organ.

Employing the scalpel as a 'balance point' struck as wildly audacious.

Scarce would any surgeon venture using the scalpel as a fulcrum mid-procedure.

Merely 0.1 kilograms of pressure risked lethal damage to the patient.

Balancing the scalpel demanded knife mastery and handling beyond ordinary surgeons' reach.