My Medical Skills Give Me Experience Points Chapter 1328: 524: Taking Charge Personally, Lingering Fear (Part 2)

Chapter 1328: Chapter 524: Taking Charge Personally, Lingering Fear (Part 2)

Since that time, its nursing arts have been passed down through the ages, constantly evolving and expanding, drawing in numerous patients of similar character. Through continuous accumulation, it has reached its current level of care.

Furthermore, Tuya’s General Internal Medicine possesses a notable national reputation. This stems from an accomplished traditional Chinese medicine practitioner who, upon returning from abroad years ago, established the General Internal Medicine department at Tuya. Initially a unit specializing in respiratory internal medicine, it gradually broadened its scope until it now encompasses various sub-specialties within internal medicine.

Even presently, Tuya’s Respiratory Internal Medicine maintains its position as a premier division.

What sets Tuya’s internal medicine apart is a distinct characteristic: the majority of its director-level physicians have a penchant for researching traditional Chinese medicine, favoring the integration of Eastern and Western medical approaches in their patient treatments.

This practice can be seen as a form of legacy.

Any major hospital that endures and prospers over an extended period owes its success to this generational transmission of skills, the accumulation of knowledge, and its eventual blossoming.

Should a hospital possess expertise in only one or two medical fields, it would appear quite vulnerable and susceptible to collapse amidst competition.

Consider, for example, the Xinxiang Women and Children’s Hospital, a medical institution with a history spanning over seventy years.

It has exclusively inherited expertise in obstetrics and childbirth; other areas such as Pediatrics and Gynecology have remained undeveloped. Consequently, a single unfortunate incident nearly led to its bankruptcy.

In stark contrast, Tuya Hospital’s Cardiothoracic Surgery also stands as a leading department. However, it encountered dire straits upon the passing of Director Hu Kan.

The department teetered on the brink of falling from a top-tier status to a mere third-tier one.

Nevertheless, Tuya Hospital did not suffer a significant overall impact.

This resilience is attributed to Tuya Hospital’s multitude of other robust departments that provide substantial support, beyond just Cardiothoracic Surgery.

This represents the genuine foundation of a long-standing, formidable hospital.

It is by no means comparable to the Third Hospital, which attempts to compensate by hiring Japanese experts at a high cost and acquiring a complete set of imported equipment. Even Xinxiang Hospital, which may appear to be rapidly advancing and outwardly strong.

It is, in reality, merely superficially inflated.

Lacking decades, if not centuries, of accumulated heritage, it possesses no true foundation, much like a tree without deeply embedded roots.

There exists a severe peril of it crumbling.

“Understood.”

The circulating nurse acknowledged Director Gou Qiong’s directives, meticulously documenting them to ensure their precise execution post-operation.

Zhou Can, naturally, paid no mind to the nurse’s perfunctory demeanor.

Respect, after all, is earned through demonstrated capability.

Some circulating nurses, believing they possess seniority and extensive knowledge from witnessing countless eminent surgeons operate, have grown desensitized to all manner of cutting-edge procedures and complex major surgeries.

As such, they exhibited little particular interest in Zhou Can’s skillful performance just moments ago.

It could only be said that her assessment was somewhat short-sighted.

While Zhou Can might not rank among the absolute elite, his recent repair of the spleen was undeniably masterful.

Physicians possessing this caliber of skill are few in number nationwide, and within the province, they are likely exceedingly rare.

This rarity is due to the inherent elevated difficulty of endoscopic surgery compared to traditional surgical methods.

Following Zhou Can’s successful spleen repair, Deputy Director Lu’s vital signs exhibited a marked improvement.

“The rate of blood pressure decrease has practically stabilized, indicating that the surgical duration can be extended significantly. The patient’s heart rate is also gradually lowering; both are encouraging indicators.”

A seemingly minor organ like the spleen holds the potential to impact the entire body.

Ultimately, the primary concern stemmed from the rupture of the spleen’s blood vessels, leading to considerable internal hemorrhage. This presented a direct and grave threat to the patient’s life.

Director Ming Xin’s pronouncements served as a vital morale boost for Director Gou Qiong and the rest of the surgical team.

Witnessing the patient’s condition trending positively, everyone felt a significant surge of encouragement.

This was regarded as a minor victory since the commencement of the operation.

Zhou Can remained silent, his focus solely on manipulating the endoscope to probe the pancreatic region, which he suspected might also be injured.

As his endoscope explored the pancreas, he detected a small accumulation of fluid. This suggested bleeding, albeit potentially minor and having undergone rapid spontaneous hemostasis.

“Director Gou, please assist me by gently lifting the pancreas upwards. I suspect the bleeding point is located underneath, towards the left side. Exercise extreme caution to avoid aggravating the existing wound.”

He conveyed his instructions to Director Gou Qiong.

The act of lifting pancreatic tissue carries the risk of reopening the wound from which bleeding had ceased, causing it to bleed anew.

Considering Deputy Director Lu’s delicate vascular condition, even without pre-existing wounds, the possibility of vessel rupture is considerable.

Director Gou Qiong's endoscopic surgical skills were quite adept as he carefully maneuvered around the pancreas.

“My goodness, what is that?”

“It appears to be a tumor!”

“What a peculiar-looking tumor, its borders are indistinct. It would be best to conduct an intraoperative pathology examination.”

All eyes were glued to the monitor; as Director Gou manipulated the pancreas, several voices murmured in hushed surprise.

Eyes widened in astonishment.

No one had anticipated a growth behind the patient’s pancreas, and it certainly possessed an ominous appearance.

Much like human countenances, benevolent individuals often project an amiable and serene demeanor, whereas those harboring dark, malevolent hearts frequently bear frightening visages.

Even without extensive social experience, encountering certain individuals can elicit a primal fear and an instinctual urge to withdraw, signaling that the person is likely not of good character.

An individual's aura and outward appearance are intricately linked to their internal landscape.

A man devoted to reading cultivates an air of elegance, while a woman develops profound insight.

Conversely, a person harboring wicked intentions often sports murky, sinister eyes, radiating almost no discernible aura.

Zhou Can intently observed the screen, subtly adjusting the endoscope's angle, and continued his examination.

“I didn't expect it to be a pancreatic tumor, and it doesn't appear benign. Director Gou, could you procure a sample for intraoperative pathology? We can then formulate the subsequent surgical strategy.”

This is precisely the benefit of having colleagues assist during surgical procedures.

They prioritize the patient's welfare without reservation.

Pancreatic cancer, notoriously dubbed the 'king of cancers,' stands as one of the most formidable malignancies. Its prognosis is notoriously grim, with a shockingly low three-year survival rate.

The most effective treatment strategy involves early detection followed by complete surgical resection.

Provided the tumor's diameter remains within 2cm, it is typically classified as early-stage. In such instances, successful removal offers a considerable chance for a complete recovery.

Zhou Can, after a thorough inspection and drawing upon his experience, surmised that Deputy Director Lu's condition was likely in its early stages.

No overt signs of metastasis were visible to the naked eye.

Adjacent lymph nodes and vital blood vessels showed no apparent signs of compromise.

These were all encouraging indicators.

“Quickly liaise with the family, secure their consent after signing, and then proceed with the biopsy!”

Director Gou Qiong acquiesced with a hint of reluctance.

The current surgical undertaking was primarily focused on preserving the patient's life; addressing the pancreatic tumor was not originally part of the planned operation.

Considering the tumor's considerable size and the pancreatic injury, if left untreated, it risked uncontrolled proliferation and rapid dissemination upon stimulation.

In such a scenario, Deputy Director Lu would still ultimately face a fatal outcome.

At best, a marginally extended period of survival might be achieved.

While the family communication was underway, Zhou Can remained diligently engaged, continuing his exploration.

He ultimately identified a rupture and hemorrhage within the pancreas directly linked to the tumor. All other regions appeared unaffected.

Furthermore, he conducted an examination of the left kidney.

The damage was minimal, suggesting a strong potential for full self-regeneration. However, it was prudent to issue a warning regarding the possibility of developing nephritis.

Soon, confirmation arrived from outside: the family had granted permission for the extended procedure and duly signed the consent forms.

Further delays were out of the question.

Zhou Can proceeded to meticulously detach the entire tumor from the surrounding tissues and excise it.

His flawless separation from the vascular structures left every attending director-level physician in sheer admiration.

They couldn't help but wonder, none among them could have achieved such a clean dissection of the tumor as Zhou Can demonstrated.

“I never imagined Dr. Zhou possessed not only exceptional vascular anastomosis skills and remarkable ligation techniques but that his ability to separate diseased tissue was equally astounding!”

“You are too kind, truly too kind!”

Zhou Can continued the meticulous work of cleansing the surgical site, followed by precise suturing and hemostasis. He conducted repeated examinations of the surrounding lymph nodes and other areas for any signs of spread, confirmed the absence of any such concerns, and formally concluded the surgery.

Thus, the laparoscopic procedure was essentially brought to a close.

The results of the intraoperative pathology examination were returned swiftly, revealing a malignancy probability exceeding 90%. Upon witnessing this outcome, many in attendance undoubtedly felt profound anxiety for the patient's prospects.