My Medical Skills Give Me Experience Points Chapter 1367: 542: Tragic Amputation—The Consequences of Inadequate Preoperative Examination (Part 2)
Previously on My Medical Skills Give Me Experience Points...
The patient's right leg was noticeably more swollen than before.
In their distress and anger, the family members declared their intention to kill the doctor responsible for the patient's treatment.
The attending physician was terrified and concealed himself.
Hospital management urgently implored the family to allow the patient to be transferred to a provincial capital hospital for immediate care, emphasizing that saving the patient's life was the utmost priority.
The family, fearing further delay would jeopardize the patient's survival, agreed.
At this critical juncture, they could only set aside their grief and consent to the City Center Hospital's ambulance transferring the patient to the top-tier hospital in the provincial capital.
It is worth noting that the City Center Hospital itself was also designated as a Level 3 facility.
However, a discernible disparity in medical expertise existed when compared to provincial-level Level 3 institutions such as Tuya Hospital and the Provincial People's Hospital.
The patient's son, having heard of Tuya Hospital's esteemed reputation, vehemently insisted on the transfer to that specific facility. The accompanying medical staff, fearing retribution, complied without hesitation.
Upon the patient's arrival at Tuya Hospital, the accompanying doctors and nurses reportedly vanished from the scene.
As employees of the hospital, they were understandably intimidated by the sight of over a dozen furious and menacing family members. Who wouldn't be afraid?
They preferred facing disciplinary action from their superiors to enduring a violent assault from the family.
Consequently, after leaving the patient, they made a swift escape.
After admitting the patient, Tuya Hospital's examination revealed the patient was in shock and had developed wet gangrene in the lower extremities.
The medical team promptly informed the family that an urgent amputation surgery was necessary to preserve the patient's life.
The news of the impending amputation plunged the family into profound sorrow. Facing the loss of a leg for a man in his forties, the primary breadwinner, how would they possibly cope?
Their attempts to locate the City Center Hospital's medical personnel proved futile, as the accompanying staff had already disappeared.
It was fortunate that the doctors and nurses had fled promptly; otherwise, they would have certainly become the targets of the family's rage.
When medical disputes arise, especially in cases of patient death or severe injury, families can become highly volatile, prone to extreme and impulsive actions.
Occasionally, doctors have suffered debilitating injuries, almost invariably under such circumstances.
Another perilous scenario involves retribution that occurs after the fact.
While immediate confrontations during a medical dispute allow doctors and nurses to maintain some level of vigilance, some family members and patients suppress their anger outwardly, only to later arm themselves, typically with sharp knives, and seek out the responsible doctor to inflict brutal stabbings.
In these situations, doctors and nurses, completely unprepared, are frequently subjected to severe injury or even death.
Why do medical professionals often exhibit apprehension when they observe individuals carrying long, slender packages?
The reason is the uncertainty of whether a concealed knife will be revealed upon opening the package.
Having failed to locate the City Center Hospital's medical team, the family had no recourse but to tearfully consent to the amputation, recognizing that saving a life was paramount.
Ultimately, the responsibility for this amputation surgery fell to Zhou Can.
Hospitals receiving patients involved in disputes typically exercise heightened caution.
Entrusting Zhou Can with the amputation indicated a significant level of confidence in his surgical capabilities, highlighting their high regard for his skills.
Dr. Xu was personally present to supervise the procedure.
Jiang Wei's slightly nervous demeanor in Dr. Xu's presence suggested her strong influence.
This indicated that Dr. Xu's authority was quite potent.
At the very least, within Zhou Can's sphere, her presence certainly did not diminish.
The entire amputation process was undeniably graphic and exceedingly bloody.
Jiang Wei executed her role with her usual exceptional skill.
“Xiao Zhou, do you happen to know the reason that necessitated the patient's amputation?” Dr. Xu inquired casually.
“Jiang Wei, what is your assessment?” Zhou Can bypassed Dr. Xu's question, instead directing his inquiry to Jiang Wei.
He sought to gauge the true extent of this nurse's capabilities.
Thus far, he perceived her as possessing an almost unfathomable depth, with her displayed abilities likely representing only a fraction of her true potential.
“Considering the patient's postoperative condition, it is highly probable that deep vein thrombosis was the underlying cause.”
Her response was immediate and certain, indicating that this diagnostic conclusion was already firmly established in her mind.
“Qiao Yu, what are your thoughts?”
“I… I am not entirely certain,” Qiao Yu replied, blushing deeply.
It was evident that her expertise and experience in diagnosing illnesses required enhancement; she was significantly behind prodigies like Jiang Wei.
"Jiang Wei, in your estimation, did the patient's blood clot form prior to the operation or afterward?" Zhou Can inquired once more.
"I'm not entirely certain myself. My feeling is that it likely developed post-surgery!" Jiang Wei confessed.
Jiang Wei possessed the ability to pinpoint the general reason but lacked the precision for a specific diagnosis. This limitation stemmed from the distinct training focus for nurses.
It would be unthinkable if nurses were capable of diagnosing specific causes with the same accuracy as physicians.
Much like Zhou Can, who had attained a profound mastery in pathological diagnosis and surgical procedures, his understanding of nursing was merely superficial, falling far short of the proficiency demonstrated by Qiao Yu and Jiang Wei.
"Teacher, my assessment is that the patient necessitated amputation because the preoperative examinations were insufficient, failing to detect the thrombosis, which ultimately resulted in the current dire situation." Zhou Can presented his findings to Dr. Xu.
Earlier, he had managed to glean some information about Jiang Wei's background.
"That is certainly a plausible explanation. Even with suboptimal preoperative checks, if complications arise after the surgery, there's still a window for intervention and rescue. The attending physician exhibited complacency, mistakenly attributing the issue to overly tight elastic bandages, a misjudgment that led to this unfortunate outcome. You must all exercise extreme caution in your medical practice and consistently place the patient's life above all else," Dr. Xu sternly advised the group.
Following the amputation, during the subsequent surgical procedure, evidence of thrombosis was indeed discovered within the patient's iliac and femoral veins.