My Medical Skills Give Me Experience Points Chapter 1290: 509: The Dangers of Rapid Infusion and Unbreakable Hidden Rules

Any department treasures such a presence, since it always brings advantages.

Physicians are people as well; they must eat and make a living.

Treating those without medical insurance or just rural coverage, doctors strive to minimize expenses for them. Costs even get controlled for folks with employee medical insurance.

Just these divine old cadres demand zero worries; their care follows the absolute best protocol.

Zhou Can reached the special care ward, spotting an old man with faint cyanosis and frailty on the bed.

These wards cost a fortune, holding no more than two beds plus a private bathroom.

Specialized nurses and physicians oversee them, delivering top-tier service to those inside.

Ordinary folks rarely can foot the bill.

“Is this Mr. Bai Dongyang?”

“Yes, that's my husband!”

Sitting beside the bed stood an elegant old woman, her hair all silver but brimming with vitality.

Plenty of old cadres and their partners rank as veteran scholars.

“How's the condition right now? Still struggling to breathe?”

“Yes, breathing's tough, and the chest feels stuffy.”

Zhou Can nodded upon hearing this, then softly told the patient, “Let me check your lung sounds. Is lying on your side like that painful?”

The patient had fresh complete left lung resection; side-lying pressed on the inner wound.

“Lying flat hurts too…”

Every word from the patient took great effort, like expending all remaining power.

Forcing out each syllable with hardship.

The voice came out faint, showing clear vital energy depletion.

Right now, no ventilator hooked him up—just high-flow oxygen via one nostril.

One must note that rushing to use ventilators on patients shows grave irresponsibility. Invasive ones especially save for dire emergencies only.

Those who breathe on their own, facing mere breathing trouble without mortal risk, might skip even extra oxygen at times.

Clinicians pick patients' breathing aids by real necessities.

Prior to listening to lung sounds, Zhou Can warmed the stethoscope head first.

This cut down irritation for the patient.

Icy metal against a frail chest would sting badly.

He focused intently on the lung sounds.

Clear wet rales and gurgling echoed loudly in the lungs.

Left lung fully gone, solely the right one worked now.

Those nasty sounds signaled big trouble in the right lung too; small wonder breathing faltered and chest clogged.

The man's state teetered on the edge, liable to stop breathing abruptly.

Zhou Can reviewed post-admission vitals: blood pressure hit 162/100mmHg, marking hypertension since systolic topped 140.

Yet pseudo-hypertension can happen sometimes.

Say, from emotional upset or stimulants; pressure often normalizes soon after.

ECG showed sinus tachycardia.

Hypertension raged now, flat-lying impossible.

“Pulmonary edema” flashed instantly in Zhou Can’s thoughts.

Pinning down the illness root proved not too hard.

Vice Director Tu Ya and a colleague had consulted post-exam, confirming pulmonary edema.

Yet nailing the exact trigger and pathology posed the real tough nut.

No root cause found, no treatment talk possible.

Tackling it merely as surgery fallout risks shallow fixes, failing the core issue.

After gauging the patient's true state, Zhou Can stayed put.

Rather, he clutched exam reports and post-op meds, scrutinizing every detail.

Probing each point carefully.

The operation went off flawlessly.

Pre-op checks got done exhaustively too.

With near-full insurance coverage, utmost safety steps were standard.

No key test skipped.

This gave Zhou Can prime ground to trace the disease origin.

He himself handled complete left lung resections before, multiple times.

In cause-hunting, he judged each patient test with pinpoint accuracy.

Various pre-op scans showed tumors confined to left lung, right lung clean, no sneaky comorbidities.

Surgery unfolded meticulously and completely.

Surgical notes alone screamed success.

They highlighted Provincial People’s Hospital's stellar surgical prowess.

No pre-op flaws, smooth surgery—thus one lone suspect: post-op pathology.

Post-op complication odds loomed huge.

Surgery oversights or misses sparking right lung edema could occur.

But from Provincial People’s Hospital transfers, Zhou Can knew their ironclad protocols, every phase standardized and tracked.

As an old cadre, this patient rated ultra-special.

His care got extra fine-tuning.

Right lung edema from surgery slip or resection? Near-zero chance.

Leaves just one culprit: post-op management glitch.

Such cases cropped up more than once.