My Medical Skills Give Me Experience Points Chapter 1366: 542: Tragic Amputation—The Consequences of Inadequate Preoperative Examination

Chapter 1366: Chapter 542: Tragic Amputation—The Consequences of Inadequate Preoperative Examination

“Even the chief surgeon’s speed is no match for our big boss!”

Yang Zhi chuckled by his side.

A group leader position necessitates at least the rank of Deputy Chief Physician along with a professorship. Zhou Can, while possessing the actual authority of a group leader, lacks the formal title.

Consequently, everyone has taken to habitually referring to him as the big boss.

This particular moniker was first coined by Luo Shishen.

At that time, intern Luo Shishen was extremely keen on becoming Zhou Can’s disciple. Regrettably, Zhou Can deemed his aptitude too mediocre and declined his request.

From that point on, Luo Shishen began referring to Zhou Can as the big boss.

The young man is presently undertaking his residency training, and upon its conclusion, it is highly probable that he will seek to join Zhou Can’s medical team.

Reports indicate he is performing commendably, having already garnered the favor of two chief surgeons, placing him within the critical cultivation pathway.

Despite being necessitated to depart Zhou Can’s team for his residency, he maintains frequent contact with Zhou Can for medical consultations via WeChat. Zhou Can treats him with kindness, and the young doctor expresses considerable gratitude.

He ensures to contact Zhou Can on holidays to convey his well wishes and frequently speaks highly of Zhou Can to others.

“It appears that leaving my previous position to join Dr. Zhou’s team was an exceptionally wise decision! Now, my sole hope is that Dr. Zhou will permit me to remain; everyone, please put in a good word for me, and I will treat you all after work.”

When she mentioned treating, her confidence was palpable.

With an annual salary exceeding three hundred thousand, extending invitations for a meal or two in exchange for treatment was hardly a significant expense.

“You are so accomplished; Dr. Zhou likely already holds you in high regard!” Qiao Yu remarked with a smile, vouching for her.

“Sister Qiao Yu is correct; I observed the expression of ‘satisfaction’ in the big boss’s eyes!”

Ma Xiaolan also held a favorable view of Jiang Wei.

No one was aware of the specific persuasive arguments Jiang Wei employed yesterday that resulted in such strong support from them.

Especially Ma Xiaolan, who typically acted like a formidable, old-fashioned mother-in-law, presenting new team members with significant challenges regardless of their professional standing as doctors or nurses. This time, her demeanor seemed to have undergone a complete transformation.

“Let’s proceed with the surgery promptly! Jiang Wei is indeed exceptionally skilled, but we must still evaluate her future performance.” Zhou Can did not readily concede, adhering to the principle that a true gentleman does not make hasty promises. As the “big boss,” he naturally felt obligated to speak with careful consideration.

“Jiang Wei, there are three Level 3 surgeries scheduled for today. Based on your prior performance, you should be capable of handling them, so execute them with excellence. However, within the operating theater, my decision is not absolute; Dr. Xu’s approval is necessary for you to pass.”

Regardless of his exceptional talent, Zhou Can remained a junior physician.

For surgeries classified as Level 2 and Level 3, he required the endorsement of Dr. Xu, as he did not possess the independent authority to lead such procedures himself.

According to the surgical task system, one must attain at least the Chief Level to lead Level 2 surgeries and commence participation in Level 3 surgeries. Senior chief physicians are permitted to complete Level 3 surgeries under the supervision of a Chief or Deputy Chief Physician.

…

As it approached 11 a.m., a male patient in his forties was brought into the operating room.

This patient had been diagnosed with varicose veins in his right lower limb six years prior, accompanied by a notable degree of swelling. However, due to his demanding work schedule and limited income, the substantial financial obligations of his family rested almost exclusively upon his shoulders.

Reluctant to incur expenses, he had continuously postponed undergoing surgery.

It was only recently, when the pain became unbearable and impeded his ability to walk, that he finally sought medical attention at the hospital.

The local City Center Hospital had performed a high-ligation and stripping surgery of the great saphenous vein on the patient’s affected limb.

This particular surgical procedure is a widely adopted method for addressing superficial venous varicose veins in the lower extremities, particularly when the deep veins remain patent. The majority of lower limb varicose veins manifest in the superficial veins, with instances of varicose deep veins being comparatively rare.

Upon examination, should the patient meet the criteria for surgical intervention, a high-ligation and stripping of the great saphenous vein can be undertaken.

The therapeutic outcomes are frequently quite favorable, leading to significant alleviation of swelling and pain in the lower limbs.

Following the procedure at the local City Center Hospital, the medical staff applied a pressure bandage, extending from the patient's foot dorsum up to the groin area.

This is also a standard post-operative practice.

After all, the superficial veins had undergone stripping, necessitating the application of pressure.

Consequently, the patient soon experienced pronounced swelling in the toes of his affected limb, accompanied by severe pain.

The family promptly summoned a nurse to assess the situation.

Upon examination, the attending nurse hesitated to manage the issue independently and promptly requested the chief physician’s presence.

After a thorough examination, the chief physician concluded that the problem was most likely attributable to the pressure bandage being excessively tight.

While applying the pressure bandage, Zhou Can recalled Director Liu's instructions: the higher the bandaging point, the greater the pressure needed.

Consequently, the attending physician promptly loosened the pressure bandage and elevated the injured limb.

Given that the lower limbs are furthest from the heart, their circulatory blood path faces the greatest challenge. For severe limb edema caused by obstructed circulation, raising the limb aids the blood's return journey to the heart.

This action helps reduce swelling and quickly ease the foot's pain.

Following the bandage's loosening, the patient's cries of agony from the affected limb persisted, prompting the attending physician to prescribe painkillers for respite.

Furthermore, the patient was instructed to undergo a forty-eight-hour observation period before a definitive treatment plan could be established.

This represented the standard procedure.

At minimum, it adhered to established medical protocols.

However, unexpectedly, after more than thirty hours of observation, the skin on the patient's right leg had turned a dark purple hue. The arterial pulses on the top of the foot vanished, and the skin temperature dropped drastically—essentially, it was cooling as rapidly as a deceased body.