My Medical Skills Give Me Experience Points Chapter 1311: 517: Zhou Can the Madman, Catastrophe Triggered by Venous Cannulation (2)

Essentially, this means dissecting the intricacies, pinpointing the actual root of the patient's condition, and providing targeted treatment.

For example, Deputy Director Lu has now identified intracranial hemorrhage, demanding urgent measures to halt the bleeding, reduce intracranial pressure, and more. Merely elevating the patient's blood pressure or boosting ventilator support appears largely ineffective.

Standing a few meters away, roughly five or six, Zhou Can observed closely. His diagnostic approach zeroed in straight on Deputy Director Lu’s unconscious state.

Drawing from his vast rescue expertise and distinctive reverse-diagnosis mindset, he sensed intuitively that the coma’s origin held the key to resolving every issue.

Coma mechanisms primarily fall into three categories.

First, disruptions in normal consciousness from physiological issues. Second, alterations in the microstructure and neurotransmitters of normal consciousness. Third, core neurological frameworks supporting normal consciousness.

Deputy Director Lu’s coma most probably stems from damage to the primary neurological architecture of consciousness.

Such as brain injuries, severe brainstem involvement from intracranial hemorrhage, and so forth.

Even disruptions in blood flow to critical brain areas can induce coma.

This core neurological setup consists of three components: the cerebral cortex, the thalamic diffuse projection system, and the brainstem's ascending reticular activating system.

Of these, trauma-induced harm to the cerebral cortex ranks as the top initial suspicion.

The cerebral cortex gets segmented by fissures and sulci into numerous gyri or five lobes.

White matter nerve fibers interconnect them, while the corpus callosum bridges the two hemispheres.

Diffuse lesions here often result in varying levels of consciousness disturbance.

Thus, Zhou Can believes inspecting the cerebral cortex should come first.

Regrettably, positioned merely as a visiting acquaintance or kin, he lacks access to the patient’s exam reports or auxiliary test outcomes.

He’s limited to the visible data.

Like blood oxygen levels, heart rate, blood pressure, central venous pressure, and such.

Even typical relatives struggle to decipher these monitor screens and gauges. As a specialist, Zhou Can comprehends them at a glance.

“Sir, your visit time has ended, kindly exit! Per the rules, family visits must stay brief. This area follows strict sterile protocols, and prolonged stays heighten the ward’s bacterial contamination risk. We appreciate your cooperation.”

The nurse spoke to him courteously.

From her exchanges with Zhou Can, she clearly sensed he wasn’t just any ordinary visitor.

“Director Xiang, could you tell me when the central venous pressure monitoring was performed on the patient?”

Zhou Can prepared to depart, yet in that instant, a startling deduction hit him from analyzing Deputy Director Lu’s vital sign shifts and the most straightforward visual cues via rapid overall assessment.

Deputy Director Lu’s coma probably arises from several intertwined factors.

An immediate intervention is crucial now, potentially linked to slight oversights or mistakes by the surgeons.

The nurse reeled from Zhou Can’s boldness, daring to challenge Director Xiang, the top expert on site.

Terror drained the color from her face.

She couldn’t fathom how Zhou Can identified Director Xiang, and his query sounded highly technical.

Right then, her biggest hope was hustling this ‘gentleman’ outside fast.

“Sir, exit right away, don’t disrupt the medical team’s life-saving work.”

A trace of fury laced the nurse’s tone.

She seethed inwardly but held back.

She’d already briefed this relative fully earlier—why wouldn’t he comply?

Wasn’t he just making her job harder?

Director Xiang Fei, overseeing the rescue, felt irritation building. Standard protocols weren’t working on this patient. He privately wondered if the injuries proved too grave.

Saving someone from a high fall brims with difficulties.

Multiple internal bleeds and organ traumas defy quick probing.

Not to mention the cascade of complications from such bleeding and damage.

The rescue teetered on the edge, and now this visiting relative publicly questioned him, shattering his concentration. Rage boiled up inside.

Yet, tempered by years in the trenches, he was no novice.

Decades of hands-on practice urged him to avoid clashing with relatives lightly.

With only a chilly glance thrown at Zhou Can, he shot back in an icy voice, “Ask the nurse straight away if you’ve got questions; visiting hours are done, so get out now!”

It was obvious he held no regard for Zhou Can at all.

During his work in diagnosing and treating patients, he regularly dealt with those ‘Google warriors’ and ‘education enthusiasts’ who dared to question doctors’ methods based on scraps of medical info from the internet or books.

No healthcare worker likes running into family like that.

Quite often, when faced with such relatives, the team tries hard to shift the patient to a different department. If pushing them off fails, defensive medicine becomes the go-to shield for protection.

Naturally, medical staff grow colder and colder in their attitude toward these kinds of family members.

“Director Xiang, I’m not here to stir up problems. Just floating a diagnosis idea: what if the patient’s vital signs are plummeting due to venous thrombosis? Central venous thrombosis in particular might be the crucial thing to probe.”

Zhou Can had no option but to steel himself and voice yet another proposal.

To anyone clueless about it, he’d come off as a total madman.