My Medical Skills Give Me Experience Points Chapter 1314: 518: Guided, and Not Unjustly

The individual responsible for the patient's venous puncture is certain to face reprimand.

 “It was Xiao Chen who handled the venous puncture, but he's already off duty.”

Air introduced into the blood vessel fails to create a thrombosis instantly; a certain duration is required. To inflict major damage, considerably more time may pass.

Central venous thrombosis represents a terrifying complication.

Without timely detection and correct management, it can swiftly result in the patient's death.

Thrombosis even in the extremities poses massive risks. In particular, clots drifting freely through vessels act like hidden assassins.

 “This incident must act as a lesson: always stay vigilant during catheterization. Make sure to inform Xiao Chen about it tomorrow.”

 “Got it.”

Doctor He, at the chief physician level, gave the response.

Venous catheterization greatly simplifies drug delivery. Thrombolytic agents reach and attack the thrombus site directly and rapidly.

 “It doesn't seem very effective. The patient's state might not last until thrombolysis completes. Plus, with such a large clot, it could break loose post-treatment and wreak more havoc.”

Director Zhao kept a sharp watch on the patient's blood flow, especially the blockage area.

Ultrasound or CT scans help diagnose venous thrombosis well, yet angiography remains the ultimate gold standard.

Tests like plasma D-dimer levels offer useful clues but can't confirm the diagnosis outright.

They merely point toward possible causes.

Superficial venous thrombosis can often get a preliminary diagnosis via touch.

A firm sensation appears under pressure, sometimes with limb swelling.

Lower limbs suffer this most frequently.

Moreover, elderly patients commonly develop lower limb varicose veins.

This ties straight into venous thrombosis development.

Feeling lumps in the lower leg, particularly the calf, often signals varicose veins.

 “The thrombus may have been there for ages, stuck firmly to the vessel wall. If drugs can't break it down, interventional removal could be the sole option.”

Director Xiang understood the urgency of time.

Never dismiss a tiny clot; delay in dissolving or extracting it can prove deadly.

Thanks to ongoing medical progress, various techniques now tackle deep vein thrombosis effectively.

Interventional clot removal stands out as one of the most straightforward and potent approaches recognized today.

Still, it requires top-tier operator expertise and solid patient stamina.

Back in the day, thrombus extraction was intimidating, often involving vessel incision for total clot removal and subsequent anastomosis.

Interventional methods inflict far less trauma on patients.

They're quicker, more efficient, and safer overall.

Had they not distrusted Zhou Can so much and let him remain, Zhou Can might have proposed clot removal via intervention sooner.

And had they trusted him with the chance, Zhou Can could've handled the procedure himself.

His interventional abilities, though not the absolute best, rank among the province's elite now.

After all, his Advanced Medical Skill has reached Level 6 across the board, encompassing Injection Skill and implantation techniques—the key elements in most interventional work.

Reality avoids endless what-ifs; Provincial People’s Hospital doctors would never let an unfamiliar physician conduct their interventional surgery.

…

Thirty minutes later, Provincial People’s Hospital physicians poured in maximum effort and at last cleared the thrombus. The patient's blocked vein now flowed normally again.

But this sparked a fresh issue—the prior thrombolytic drugs.

They barely touched the main clot, yet circulating through the blood, they might reopen bleeding from old clot sites in the patient's body.

A cascade of complex challenges lingered.

 “Blood pressure and oxygen saturation are climbing; that thrombosis likely triggered the patient's sharp decline earlier.”

The entire medical team rejoiced at snatching the patient back from death's grip.

Still, Director Xiang smarted from embarrassment, since young Doctor Zhou had identified the problem first.

They'd simply trailed his guidance.

The true savior was that youth.

 “Director Zhao, are you acquainted with the young doctor who examined the patient earlier?”

Director Xiang asked Director Zhao, who hadn't reached fifty yet.

Unlike regular outpatient or inpatient areas, the ICU demands not just medical expertise but also grueling physical stamina.

Elderly physicians just can't handle the pace here.

Therefore, most doctors in this unit range from twenty-seven or twenty-eight up to a bit over fifty.

Fresh graduates lack the emergency handling experience needed, making them unfit for this environment too. Doctors in their thirties form the essential workforce in the ICU, whereas those nearing forty serve as the core strength and top talents.

Individuals in their fifties essentially dominate as the major authorities here.

They grasp the ultimate control.

“No, I don’t recognize him. He does look a bit familiar, though I can’t quite recall where I’ve seen him before.”

Director Zhao shook his head.

“I also think he looks familiar!”

A young doctor piped up.

“He did give me a sense of déjà vu; could he be a doctor from our hospital?”

Another nurse chimed in.

“No, he probably isn’t from our hospital. I mostly remember the promising young doctors in our hospital. This young doctor didn’t even look at the patient’s test reports or thoroughly understand her condition and injuries; he just glanced at the monitoring equipment and the patient’s body and could accurately point out that the real cause of the patient’s critical condition was thrombosis. His capability is truly astonishing.”

Doubts filled Director Xiang; he deemed this young doctor's skills exceptionally deep.

Furthermore, his words and actions displayed perfect decorum.

To exaggerate slightly, he radiated a regal aura from top to bottom.

“Oh my… I know who he is!”

The nurse who found Zhou Can familiar suddenly shouted.

“Teacher Hu, please mind the volume; this is the ICU.”

“SORRY! My emotions got the better of me; I couldn’t control it.” She quickly apologized. “That young doctor called himself Zhou. Don’t you think he looks very similar to Dr. Zhou, who recently live-streamed a cardiothoracic surgery online?”

Thanks to this nurse's prompt, others recalled as well.

“Yeah, yeah! It’s him, Dr. Zhou Can – no wonder he looked so familiar!”

Director Zhao confirmed it.

“So, it was Tuya Hospital’s outstanding young doctor. It seems we weren’t wronged at all to be guided by him today!” Director Xiang still harbored some resentment about being instructed by Zhou Can.

Those of his stature struggle most to swallow their pride.

Fame and wealth corrupt the spirit!

Yet, learning Zhou Can's real background eased Director Xiang's mind a little.

He gained valuable lessons today as well.

He had firsthand proof of how exceptional Tuya Hospital's young doctors truly are.

“Ru Yaji, Pang Houzhong, you both ought to learn from him. Usually, you both tend to act superior, but now you see the vast gap with a truly skilled young doctor?”

Stern criticism stems from profound care.

Director Xiang clearly held great concern for these two protégés.

He hoped they'd advance swiftly to become the department's mainstays.

“He indeed is very strong.”

Ru Yaji conceded aloud that Zhou Can was formidable, even as resentment lingered inside her.

She lacked cunning, and her feelings showed plainly.

“If there’s a chance, I’d really like to have a good exchange with him.” Pang Houzhong refused to yield either; nobody likes admitting inferiority.

“In recent years, Tuya Hospital has been rising vigorously; it’s not without reason! The caliber of even their young doctors is astonishing. It’s no wonder that the Director-level doctors behind them are probably even more remarkable.”

Director Zhao voiced his deep respect.

“Director Zhao, Director Xiang, there’s something I’m unsure whether to say or not?”

Doctor He, a chief physician, spoke hesitantly.

While a chief doctor outranks regular ones, they appear a notch below in front of directors and deputy chiefs.

“Just speak your mind! In this on-call room, there are no outsiders anyway.”

Director Xiang urged.

“After Doctor Zhou Can mentioned the venous thrombosis earlier, when he was leaving, he seemed to want to say something but hesitated. I wonder if he had other diagnostic opinions he wanted to provide to us, but worried it might cause a misunderstanding, he ultimately didn’t speak out?”

Different people notice varied details.

Doctor He had casually caught some nuanced looks from Zhou Can back then.

“What do you mean?”

Director Zhao's eyes sharpened slightly.