My Medical Skills Give Me Experience Points Chapter 1329: 525: Advanced Pharmacology, Director Ming Checks the Roster
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Chapter 1329: Advanced Pharmacology, Director Ming Checks the Roster
Had it not been for Zhou Can's persistent examination of the pancreas, this minuscule tumor might have remained undetected.
Why is pancreatic cancer such a dreaded disease?
It's notoriously difficult to diagnose early due to its non-specific symptoms and the absence of highly accurate detection methods. Consequently, most patients are diagnosed at advanced stages, missing the window for curative surgery.
Its high mortality rate, with a five-year survival rate below 5%, earns it the grim title of 'king of cancers'.
While other senior physicians noted potential pancreatic damage on imaging, they didn't prioritize it. The bleeding wasn't severe and had ceased. Given the patient's frail condition, avoiding unnecessary surgeries was paramount.
Even the patient's current fractures—both legs and the right arm—were deferred for later treatment.
This aligns with standard emergency care protocols: address life-threatening conditions first, then schedule treatments for general trauma.
Limb fractures typically pose a lesser risk to life and can be managed subsequently.
Immediate intervention is only required in cases like femoral artery rupture or deep vein thrombosis in the lower limbs.
The other chief physicians' decision to forgo pancreatic surgery implies they found no significant issue. But Zhou Can's insistence on investigating—was it mere chance, or did he truly uncover something?
Director Gou Qiong found herself contemplating this very question.
If Zhou Can could indeed identify a pancreatic tumor simply by reviewing images and auxiliary test results, it would be extraordinarily impressive.
Such a high caliber of diagnostic acumen was something even Director Gou Qiong did not possess.
“Director Gou, may we retract the laparoscope now?”
Zhou Can posed the question.
Zhou Can's surgical skill, exhibiting almost miraculous proficiency, had captivated all the medical staff present.
Even the circulating nurse, initially dismissive of him, was undergoing a subtle shift in her perception.
The discovery of the pancreatic tumor had left her utterly astonished.
She couldn't help but view the young doctor from Tu Ya in a new light.
“The procedure was executed with utmost precision. You may remove the scope,” Director Gou Qiong conceded.
Following the successful retrieval of the endoscope, fluid accumulation within the abdominal cavity necessitated the placement of drainage tubes. One tube would serve to drain any newly formed fluid, while the other would enable monitoring of internal bleeding.
Should the repaired blood vessel rupture again, the drained fluid's volume would increase, potentially turning into pure blood.
Even the seemingly simple placement of a drainage tube involves considerable complexity.
It is crucial that the drainage tube does not become a pathway for bacteria or viruses.
This adds a layer of challenge to post-operative care and management.
With the laparoscopic surgery concluded successfully, the focus shifted to the more perilous intracranial hemostasis procedure.
The bleeding within the skull was not excessively aggressive but showed no signs of stopping independently, posing a certain fatality risk.
“Director Ming, can the patient withstand a craniotomy?”
Director Wu Yongming, despite any reservations, had to confront this daunting task.
The patient required intracranial hemostasis surgery.
“The patient’s vital signs remain relatively stable, and respiration has improved slightly. I believe enduring intracranial endoscopic surgery should not be a significant issue,”
Director Ming Xin stated after a thorough evaluation of the patient's condition.
It was deemed quite favorable.
Multiple vital signs had shown improvement.
Moreover, crucial indicators like blood pressure and heart rate had stabilized, even surpassing their pre-operative levels. This was highly encouraging.
It provided a solid foundation for proceeding with the upcoming intracranial endoscopic surgery.
“Very well, I shall commence. Director Gou and Dr. Zhou have already achieved such a significant victory; I have no excuse to fail.” With those words, Wu Yongming began making an incision on the patient’s scalp at the designated location, creating a crucial cross-shaped cut…
Soon, the moment arrived to drill into the patient's skull.
The human skull acts as a robust protective shell, safeguarding the brain and vital cranial structures such as nerves, the brainstem, and the cerebellum.
To perform surgery within the cranial cavity, the skull must be breached. Traditional methods involved lifting off a section of the skull, a complex procedure. However, with technological advancements, surgeons can now create a small opening to insert an endoscope for intracranial operations.
Scarce moments after the drilling operation commenced, a piercing alarm erupted from the life monitoring equipment. The patient's blood pressure experienced a sharp decline, and their heart rate plummeted, signaling extreme bradycardia. Director Wu Yongming, seized by panic, immediately halted the procedure. "Could the drilling have caused damage to the brain tissue?" Director Ming Xin inquired with evident anxiety. A ripple of doubt spread among the others regarding Wu Yongming's surgical technique. Cranial drilling, a procedure fraught with peril, demands exceptional surgical prowess. "No, we haven't even breached the skull yet!" Wu Yongming exclaimed, feeling unjustly accused. While performing intracranial endoscopic surgeries was not a novel experience for him, and the operation had proceeded routinely, he was perplexed by this sudden turn of events. Unexpected situations that leave a surgeon baffled, without any clear indication of the cause, are often their greatest fear. "The drop in heart rate is likely a result of bradycardia stemming from hypotensive syndrome. We could attempt an intravenous push of 0.5mg Atropine to assess its effect," Zhou Can diagnosed, after meticulously analyzing the patient's vitals and current condition. Although his experience in emergency rescues might not rival Director Xiang Fei's seasoned expertise, nor match the proficiency of anesthesiologist Director Ming Xin, Zhou Can possessed an advantage that few could attain in a lifetime: his multiple medical skills had reached Level 6, denoting an exceptional mastery in both internal and external medicine.