My Medical Skills Give Me Experience Points Chapter 1350: 535: Accident Caused by Anesthesia—One Person's Power Is Ultimately Limited

Capítulo 1350: Chapter 535: Accident Caused by Anesthesia—One Person’s Power Is Ultimately Limited

Within the hospital's confines, medical personnel undeniably possess advantages in terms of location and collective action.

Numerous methods exist for encouraging patients to seek treatment elsewhere.

Furthermore, as members of the same professional circle, they often require no explicit instruction; when confronted with such circumstances, nearly everyone intuitively understands the appropriate course of action.

“Following the doctor's advice is usually wise. Tuya Hospital boasts such a significant reputation; their medical integrity can't possibly be questionable. We should hastily arrange for Xie Chao's transfer to the Provincial People's Hospital.”

“I concur that relocating him to the Provincial People's Hospital is the better choice, as it is a major public institution offering more comprehensive safety measures.”

“Before the ambulance departs, expedite the necessary arrangements.”

After a brief exchange of opinions, the patient's family swiftly reached a consensus.

The patient was subsequently conveyed away by the ambulance's assigned doctor and nurse.

For patient transportation, medical facilities typically engage private ambulances, also referred to as external ambulance services. Ambulances directly owned by hospitals seldom accept such transport requests.

At this juncture, the ambulance operator customarily recruits a doctor and nurse to accompany the journey.

While the transportation fee generally encompasses this cost, the family is expected to provide an additional gratuity to the medical attendants.

Should the family be unaware of this custom, or if the tip is insufficient, the accompanying medical staff might consequently neglect their duties.

Observing the patient's departure, both Zhou Can and Director Lou privately experienced a sense of relief.

On any given day, one inevitably encounters several patients who require gentle persuasion to leave.

Outright refusal of diagnosis is a rare occurrence for major hospitals; they typically employ subtle tactics to encourage patients to seek care elsewhere.

“Xiao Zhou, what was the prognosis for the patient we just examined?”

Director Lou inquired casually.

“Without a miraculous intervention, demise is certain.”

Zhou Can replied with conviction.

“That certain?”

Director Lou, though experienced, found his diagnostic acumen surpassed by Zhou Can.

“That assessment is already quite conservative. I can assert with confidence that even if the patient's urine remains dark yellow for now, within two days at the absolute maximum, it will inevitably turn the color of soy sauce. Acute renal failure has set in. Following the resection of the upper right lung lobe, respiratory failure has also been induced. Do not be deceived by the patient's current less-than-critical appearance; he is beyond saving.”

In prior times, Zhou Can would never have dared to offer such definitive diagnostic pronouncements.

Even when dealing with his own family, he would hesitate to be so resolute.

Currently, his proficiency in pathological diagnostics has ascended to the level of a Director. Coupled with his prior intensive study of renal diagnosis and treatment for Su Qianqian, he has diligently delved into nephrology and even reviewed urology.

When faced with diagnosing such patients now, he can generally achieve a high degree of certainty.

“How could the resection of the upper right lung lobe have also compromised the patient's kidneys? The Third Hospital truly seems to be in a perpetual state of crisis!” Director Lou had indeed heard accounts concerning the Third Hospital.

Most of these narratives were negative.

Particularly of late, the Third Hospital has been experiencing financial difficulties, lacking the resources to effectively manage adverse publicity.

A continuous stream of scandals has been disseminated online by aggrieved parties.

The institution is verging on collapse, with everyone seeming eager to contribute to its downfall.

“It is unlikely to be a direct consequence of the upper right lung lobe resection; I suspect it is most probably attributable to anesthesia. Earlier, I had assumed that the Third Hospital's recruitment of Japanese cardiac specialists indicated a high level of expertise. Now, it appears a hospital's overall strength cannot be solely reliant on one or two exceptional physicians. The Third Hospital lacks fundamental stability and exhibits numerous deficiencies. This medical mishap was very likely precipitated by the anesthesia. Let us observe how the family chooses to proceed.”

Zhou Can's gaze shifted.

He had previously held an overly optimistic view of the Third Hospital's capabilities.

It remained uncertain whether the family would instigate a disruptive incident amidst the patient's eventual demise.

Some families exhibit greater understanding, believing that the medical team exerted their utmost effort throughout the surgery and subsequent passing. Such families often refrain from creating complications for the hospital.

For families inclined to confront the hospital, the process is far from simple.

When contrasted with an individual or a family unit, a hospital presents as an immense, monolithic entity.

The family and the patient themselves are comparatively the weaker parties.

“Anesthesia complications? Elaborate on the potential issues for us.”

Director Lou, despite his considerable experience and skill, frequently felt powerless when faced with certain complex medical situations. This limitation stems from inherent aptitude, specialized areas of focus, and distinct cognitive approaches.

Whether he readily admits it or not, Zhou Can, although young, benefits from the guidance of numerous esteemed mentors across various departments. Combined with his exceptional natural talent and continuous dedication to learning, his capacity for diagnosing intricate cases has now surpassed that of Director Lou.

“It is my belief that the patient underwent thoracic surgery, an operation usually performed while the patient is in a lateral position. This positioning would inevitably lead to the limbs on the side pressed against the operating table enduring weight-bearing and susceptible to compression injuries. In this case, the patient's left shoulder, arm, hip, and thigh exhibit clear signs of soft tissue compression trauma. They are swollen and discolored, strongly suggesting that a hard under-pad used during surgery, following the induction of general anesthesia, severely compressed the left limbs. This compression likely caused ischemic necrosis and fragmentation of the muscles.”

“The capillaries would rupture, leading to blockages and altered permeability. Upon returning the patient to a supine position after the surgery, the pressure on the compressed limbs is relieved. This release then triggers localized bleeding, and a significant amount of plasma fluid rapidly leaks into the interstitial spaces, resulting in muscle swelling. If this condition is not treated promptly, the increased interstitial pressure further exacerbates local blood obstruction and ischemia. Ultimately, this culminates in swelling, induration, and coldness at the site of compression.”

Zhou Can meticulously dissected the entire injury progression experienced by the patient.

Compression injuries sustained during surgery are often neglected by medical facilities.

Such incidents demand extreme caution and awareness.