My Medical Skills Give Me Experience Points Chapter 1318 - 520: Discussion with Director Xiang—Man Proposes, God Disposes_2

"Well, pretty much! As a fellow doctor, you know full well the patient can’t hit the operating table in his present state."

Director Xiang nodded in agreement.

"May I take a look at his exam report? Alas! We were once colleagues, and watching him reach such an advanced age only to wind up in this tragic condition from a single misstep—it really tugs at my heart. I won’t mind if you chuckle at my bold assumption, but I simply wish to extend a gesture of kindness."

Zhou Can understood perfectly that convincing Director Xiang hinged on awakening the man’s sympathy.

Achieving that wasn’t overly challenging.

Tugging at heartstrings proves the simplest path to success.

He truly grieved deeply for Deputy Director Lu’s dire plight.

"I’ve got the patient’s exam report and all the biochemical test outcomes here—go ahead and check them out."

Director Xiang promptly passed the file folder over to Zhou Can.

Taking hold of it, Zhou Can mused inwardly that Director Xiang had clearly arrived ready to hash out the patient’s emergency treatment strategy. The preparations were impressively solid.

This worked out even better.

He began meticulously poring over Deputy Director Lu’s test findings.

Once done, he sank into contemplation.

The damage was horrifically grave, with the exam data pointing to brain injury. Bleeding had also occurred in vessels close to the intracranial brainstem.

With advancing years, folks inevitably develop vascular sclerosis and arterial plaques.

Medicine ranks as a high-stakes field, filled with all-nighters and erratic hours.

Such demands heighten the risk of complications.

At over fifty, Deputy Director Lu faced elevated odds of pre-existing flaws in his brain’s blood vessels.

Judging solely by the available tests, Zhou Can concluded that certain intracranial vessels in Deputy Director Lu had long been compromised. The tumble and brutal head trauma finally triggered the burst of those arterial structures.

This marked his initial judgment drawn from scrutinizing the scans.

His Level 6 Hemostasis Skill and pathological diagnosis enabled this sharp assessment.

Top-tier diagnostics stem from blending rich experience, deep medical insight, keen observation, and solid reasoning—all must shine brightly.

Pinpointing the precise bleed origin demands angiography for accurate pinpointing.

So far, just head ultrasound and CT imaging had been performed.

Angiography demands weighing patient endurance, so hospitals naturally skip such risky procedures.

Those two scans sufficed for Zhou Can.

He’d zeroed in on the hemorrhage spot.

The main bleed stemmed from a brainstem-adjacent artery, possibly joined by three or four minor leaks.

Nothing endangers more than a sizable artery’s tear, particularly with concealed aneurysms or atherosclerotic bursts that resist natural clotting.

Lacking surgery, self-recovery seems nearly impossible for the patient.

The illness would steadily deteriorate, fluid buildup in the skull would mount, spiking intracranial pressure and unleashing horrifying syndrome clusters.

For Deputy Director Lu’s brain trauma, Zhou Can outlined a salvage approach: bore holes to extract the fluid, followed by endoscopic repair of the torn artery.

Though fiendishly tough, it stood as the sole straightforward, potent lifesaving tactic.

Having probed the cranial scans, he shifted to the chest and belly regions.

Crani um, thorax, and abdomen house life-sustaining organs in ultra-vulnerable zones. Trauma anywhere among them spells potential doom.

Limb wounds can kill too, of course, yet their threat level lags far behind.

Rescuers at least gain precious moments to act.

Fluid accumulation in thorax and abdomen screamed heavy hemorrhage. The bleed site hinted at spleen laceration.

The spleen, that peculiar organ, shatters readily under heavy blows.

Zhou Can’s brow creased faintly following his thorough probe.

"This doesn’t look like a straightforward spleen rupture!"

He muttered under his breath.

"Has Dr. Zhou spotted an issue?"

Director Xiang had stayed quiet at his desk, loath to disrupt Zhou Can’s deliberation.

Fellow physicians grasp that dissecting patient data calls for serene reflection, meticulous breakdown, and balanced evaluation.

"Based on the scans and tests, I’m afraid the spleen isn’t the only rupture. Pancreatitis might be involved too, and the left kidney could have taken major harm."

Zhou Can shared his diagnosis.

Since it was only a casual discussion, they didn't hold anything back. Findings were shared without reservation.

"I spotted the left kidney injury too. Yet, the pancreas is just a gland, and blunt force injuries to it are extremely uncommon. Should it get damaged, the injury would probably be slight with strong self-repair ability."

Director Xiang explained.

"True, it's highly unusual, but we should inspect the pancreas anyway. Without prompt treatment, it might trigger acute pancreatitis or worse, pancreatic necrosis. If..."

Zhou Can cut himself short mid-sentence.

"If what?"

Director Xiang pressed on.

"Never mind, the odds are practically zero."

Zhou Can brushed it aside, refusing to say more.

"That's not like Dr. Zhou at all. I hurried here for a private chat on the patient's status—no need to hold back, just say what's on your mind."

Director Xiang appeared somewhat annoyed.

He despised indecisive types.

"Fine! Should patient in bed 13 undergo surgery, count me in as a volunteer. The splenic rupture must be fixed. Standard abdominal or thoracic cuts won't work, though endoscopic surgery could be an option. The family seems ready to gamble on it too."

As an outside doctor, Zhou Can's odds of joining a surgery at Provincial People's Hospital were slim to none.

Without knowing his skills, no attending director would readily approve.

Director Xiang heard him out without revealing much feeling.

"Suppose you handled this patient—what's your approach? Lay out your strategy freely."

Zhou Can detected true earnestness in Director Xiang's eyes.

This profound sincerity stemmed purely from the urge to rescue a life.

Duty-bound people frequently feel compassion amid tough scenarios.

Physicians may appear detached, yet most possess compassionate souls brimming with pity for sufferers. They quietly tackle patient woes behind a tough exterior.

No thanks from patients or kin is sought, so long as complaints stay absent.

"I'd bore two holes right here in the skull to drain the intracranial fluid and mend the burst vessels. Next, via endoscopic surgery, I'd access the left abdominal cavity to fix the spleen, while also examining the pancreas. Any problems there could get handled on the spot."

Scans can't reveal every issue.

Endoscopic entry into the abdomen for probing is a standard method in modern clinics.

Take tiny tumor spots undetectable by regular tools, for example.

These operations frequently deliver great outcomes.

Director Xiang nodded faintly upon hearing this.

Gripping the sketches Zhou Can had used for his explanation, he inquired with deep intent, "Dr. Zhou, you appear highly skilled in endoscopic procedures!"

"It's decent enough!"

Zhou Can refrained from downplaying himself this time, eager to save Deputy Director Lu himself.

Should Provincial People's Hospital lack top surgeons in this specialty, Zhou Can stood ready to assist immediately.

"Can I get your contact info? I'll pitch your treatment scheme to other departments and the higher-ups. Should they greenlight it, you could join the operation."

Director Xiang proposed.

"Saving lives demands speed. I'll stick around at Provincial People's Hospital. Prolonged delays would sharply reduce the surgery's value."

Zhou Can's debut dealings with Provincial People's Hospital were unfolding now.

The presence of red tape in their operations was yet unknown.

With rigidly bureaucratic leaders, success might prove tough, be it under an hour or a few hours' wait.