My Medical Skills Give Me Experience Points Chapter 1265 - 498: Reverse Surgery, Encountering Congenital Heart Disease Again

Having an excess of experience doesn't always prove beneficial.

Excessive diagnostic know-how among physicians often breeds overconfidence. During assessments, this fosters biased presumptions, resulting in embarrassing mishaps.

Xue Yan, serving as director, counts herself fortunate on this occasion. Ultimately, it was merely an early treatment proposal issued amid the diagnosis.

Without the patient's covert live stream amid the exam, she could've straightforwardly informed him that the prior plan didn't fit and required revision.

Such an approach aligns perfectly with standard medical protocols, leaving no room for criticism.

Her current dilemma stems chiefly from concerns over tarnishing the department's reputation.

The patient's diagnosis drew no fewer than tens of thousands of online spectators, rivaling the exposure of typical local TV features.

"Given the patient's coronary heart disease, myocardial infarction, and frail physique, cardiovascular intervention to clear the vessels stands as the top option. Regarding the surgical method, perhaps we should employ reverse thinking."

Reverse thinking ranks as Zhou Can's greatest strength.

"What are you suggesting?"

Puzzlement clouded her expression.

"Typically, cardiovascular interventional procedures access via the femoral artery. Should the obstruction prove excessively tight or calcified, the guide wire may not advance. In that case, accessing from the vessel's opposite end via reverse penetration yields identical results."

Zhou Can explained with fluent assurance.

The patient's scans clearly reveal multiple calcified areas in the obstructed arteries. This represents a frequent challenge in advanced cardiovascular conditions.

Vascular wall calcification and occlusion greatly heighten the challenge of guide wire passage.

"Reverse penetration?"

Xue Yan reeled in astonishment upon absorbing Zhou Can's proposed procedure.

"Back when the teacher lived, I don't recall them covering this kind of approach, right?"

She prided herself on thorough studies, minimizing chances of glaring oversights.

Yet, in tough cases, Zhou Can invariably offered therapies or analytical insights into pathologies that eluded her.

His latest cardiovascular intervention strategy struck her as particularly innovative.

"In my Cardiovascular Internal Medicine residency, I came across a journal piece detailing Academician Ge's execution of a comparable operation. His triumph justifies giving it a shot. Should it falter, the minimal invasiveness of vascular intervention poses little risk to the patient, far from fatal outcomes."

Eager excitement surged through Zhou Can for this demanding cardiovascular intervention.

Challenges frequently herald personal breakthroughs.

"Brilliant! Finally, a solid strategy. Now, let's delve into its practicality and prep details."

A genuine smile of relief lit Xue Yan's face for the first time upon hearing it.

Shouldering the department head role amplifies her burdens beyond her colleagues'.

…

Following more than thirty minutes of deliberation, they settled on the surgical blueprint, designating Zhou Can as lead operator.

In intervention and endoscopic procedures, Zhou Can boasts a prodigious aptitude unmatched by most.

His present proficiency stands impressively high.

Both implantation technique and injection skill sit at Level 5, equivalent to deputy director caliber. They'd handle routine intervention surgeries with ease.

Yet this demands top-tier cardiovascular intervention prowess. Elevating injection skill and implantation technique to Level 6 would bolster assurance.

Treatment can't be postponed for his upgrade.

They must push forward regardless.

Fortuitously, intervention risks remain modest; failure at worst brings embarrassment.

Zhou Can and Xue Yan set the operation for roughly 7 PM.

Scheduling it evening-ward primarily fit Zhou Can's demanding routine.

Back at Emergency, Zhou Can dove straight into a whirlwind of operations, as expected.

Time had advanced beyond 2 PM by then.

Yang Zhi and Pu Dingdong were tackling minor procedures within their scope.

Usually, Zhou Can handles morning consults, with the team hitting the OR punctually by 1 PM.

"Dr. Zhou, take the reins!"

Yang Zhi managed a subcutaneous abscess requiring debridement, Pu Dingdong aiding at his side.

Qiao Yu and Ma Xiaolan supplied tools and supported from beneath the table.

Zhou Can's arrival sparked universal joy.

He forms the unbreakable heart of their surgical squad.

"Sure thing, keep going!"

Zhou Can observed from nearby as Yang Zhi proceeded.

"Yours are sharper, quicker too. Loads of patients out there await your hands; I won't hog the slot. You handle it. Next lull, I'll hone mine leisurely."

Yang Zhi trails Zhou Can vastly in operating pace.

He refuses to linger without strong performance.

Earlier entry revealed throngs of surgery patients backed up outside—the pre-op area packed, corridors overflowing.

"Fine, lend a hand here onward."

Assuming control, Zhou Can rapidly evacuated all residual pus before commencing wound irrigation.

Abscess cleaning aims to excise infection-spurring dead tissue, hastening patient healing.

Leveraging Level 6 Wound Cleaning Skill alongside Level 6 Incision and Separation Skills rendered the abscess purge effortless for Zhou Can.

His scalpel danced like a sorcerer's wand weaving spells.