My Medical Skills Give Me Experience Points Chapter 1279: 504: The Thorny Aortic Dissection and Revelations

Zhou Can didn’t wrap up the urgent operations and the patients scheduled for surgery from the day before until 12:43.

Trauma cases and emergencies in the ER require instant handling.

Such conditions won’t wait.

When these patients arrive, tests get done in a hurry. After pinpointing the problem, the on-duty physician decides if it can be managed right there in the emergency area. If not, they summon the appropriate specialist team to take over.

Often, even if it’s beyond their scope, basic lifesaving steps must be performed first.

Like stemming blood loss, shocking the heart back to rhythm, or clearing breathing passages.

For those suitable for immediate surgery in the ER, they’re queued up straight into the emergency OR without delay.

Lately, Zhou Can has deliberately cut back on Level 1 and Level 2 standard procedures, passing them to fellow surgeons in the OR.

He focuses on the tough ones.

His Level 3 cases have jumped from roughly two to three or even four per shift.

In simpler Level 1 and 2 ops, any tricky ones the others feel sure about go to them; the rest get handed to Zhou Can and Dr. Xu.

This setup helps both Zhou Can and the ER OR team.

Zhou Can’s turned into the fresh star of the emergency operating theater. Wasting time on basic cuts hampers progress, so the bosses want him to level up fast.

How can a feeble leader charge the ER into the fray?

Easy ops go to others for their practice.

Skilled surgeons then tackle harder challenges.

This builds a positive loop over time.

Stepping from the OR, he glanced up and spotted a forty-something man on the opposite bench in the hallway. Short hair, sharp attire, composed face, but his vitality looked drained.

“Are you Dr. Zhou?”

The man rose as Zhou Can emerged and inquired.

“Yes, that’s me!”

Zhou Can headed straight over.

“You’re the one who came looking for me specifically?”

“Yes, yes, I am!”

The man bobbed his head eagerly, but mid-chat, he grabbed his chest, coughing hard. A subtle crackle sounded amid the coughs, twisting his features in agony.

“Where’s the discomfort? Come on, take a seat and explain bit by bit—no need to hurry.”

Despite being much younger, Zhou Can fussed over the man like a senior.

“It’s fine! I underwent heart surgery before, and coughing’s been constant since. Recently, palpitations, breathlessness, and sudden stabs in the upper belly. I’ve seen top hospitals; all diagnose severe aortic dissection.”

While talking, he grabbed his folder from the seat.

He passed Zhou Can the imaging from those other clinics.

Zhou Can’s face shifted the moment he viewed them.

“Wow, this is really bad. The whole stretch shows dissection. Honestly, I’ve never encountered one this massive. And it’s the aorta—if it bursts, rescue might not even start in time. You need treatment now; no more waiting.”

Zhou Can had assisted Director Hu Kan in countless big ops.

He’d managed some perilously risky aortic dissections.

Yet none matched this man’s extremity. The key problem was how extensively the vessel wall had torn.

The dissected blood had ballooned into a lengthy, sac-like shadow across the chest-abdomen space.

A dissection this vast and extended carries massive rupture danger.

Even giants like Tu Ya Hospital slap a critical notice on aortic dissection patients right away, angina or not.

Only physicians grasp the terror of aortic dissection.

“I asked around at big hospitals; they all say I need full artificial aorta replacement via cardiovascular surgery, swapping out the whole damaged part. The cut runs from chest to leg. Risks abound: paralysis, death on the table.”

The man laid it out precisely, fully aware of the procedure and perils.

This proved he’d grilled other docs on every detail.

For an aortic dissection this elongated, stenting’s barely feasible.

This aorta feeds numerous branches to vital chest-abdomen organs.

A stent might close the tear entry but would clog those branches too, starving organs of blood. That’s not saving a life—it’s ending one.

Whole-aorta swap is daunting, yet doable with top-tier surgical prowess.

Once Zhou Can boosts Ligation Skill to Level 6, he’ll be primed for these ops.

“The procedure’s invasive with huge risks; neither during nor after can hazards be foreseen. Plenty of problems indeed. But your dissection’s at a critical stage—ignore it, and it’s worse than a ticking bomb on your body.”

The patient’s state allows no further postponement.

Any surge of emotion or pressure jump might trigger the rupture.