My Medical Skills Give Me Experience Points Chapter 1390 552: Level 6 Pharmacological Differentiation—Calamity Caused by the Child’s Summer Relief Patch (Part 2)

An echocardiography indeed offers significant aid in diagnosing the aorta.

Given the child's extremely critical condition, an immediate echocardiography was promptly arranged.

Upon examination, the child was discovered to have aortic valve stenosis spanning a considerable section, with very poor blood flow signals in that area.

"It's highly suggestive of aortic coarctation type disease," Zhou Can stated after reviewing the results.

"It can essentially be confirmed: there's a narrowing in a segment of the aorta, causing severe weakening of the aortic blood flow," Director Le concurred with Zhou Can's diagnosis.

"The child is merely three days old. If surgery can be avoided, I believe it should be. We can initially attempt internal medical treatments to manage heart failure, and then schedule surgery based on subsequent observations."

Having gained support for his diagnosis, Zhou Can proceeded to outline further treatment recommendations.

Director Le, possessing a scholarly and refined demeanor, nevertheless decides on treatment plans with the decisive precision of a seasoned general.

It would be best for Zhou Can to spearhead the decision-making process for the newborn's treatment plan.

"Dr. Zhou, what internal medical methods do you intend to employ?" Director Tang Fei, too, considered it safer to utilize internal medical treatment for the newborn whenever feasible.

"Employing Prostaglandin E1 to maintain the patency of the ductus arteriosus is an excellent option. It can effectively alleviate the child's hypoxia condition."

After careful deliberation, Zhou Can provided his response.

[Pharmacological Differentiation: Experience Points +1, Bonus Experience Points +10.]

[Congratulations, your Pharmacological Differentiation has been promoted to Level 6. Current Experience Points: 1/1000000. Attending Physician Initial Level.]

His pharmacological differentiation had already been on the cusp of a level-up.

This medical skill is exceedingly important, yet its upgrade speed is incomparable to other medical skills, even slower than pathological diagnosis skills. Now that he has reached the attending physician level as desired, Zhou Can has finally addressed a significant deficiency.

The situation where he was surpassed by his subordinate, Nurse Jiang Wei, has also been rectified.

With both pharmacology and pathology now at Level 6, his clinical level truly meets the standard of an attending physician.

Whether in consultations, surgeries, ward rounds, or even in rescuing critically ill patients, it offers immense assistance to Zhou Can.

He meticulously perceives the changes brought about by the level-up in pharmacological differentiation.

He distinctly notices that the clinical application of various drugs has become more flexible and precise, and he is now adept at grasping the subtle distinctions among them. What astonishes Zhou Can the most is his newfound ability to naturally form a preliminary judgment in his mind regarding the exact effects of drug usage and the extent of absorption by the patient.

For instance, when administering medication to this child and using Prostaglandin E1, he can conduct a comprehensive assessment based on the child's examination reports, creating a mental map. This map details which drugs are unsuitable, which can be attempted in emergencies, the timeframe post-Prostaglandin E1 administration during which certain medications cannot be used, and potential interference with the child's upcoming emergency surgery, among other considerations.

He can construct such a medication map within his mind.

This level of capability was not present at Level 5.

It is akin to the realm of "channeling effects through meridians," a concept frequently mentioned by venerable figures in traditional Chinese medicine.

When his Injection Skill was advanced previously, he gained the ability to ascertain the saturation level of drug absorption in specific areas of a patient's skin and muscles during injections. This ability subtly brushed against the "channeling effects through meridians" domain.

Should the Injection Skill progress further, perhaps to the Intermediate Attending Physician Level or even Senior Level, this capacity might be enhanced.

At present, it is only possible to determine if the skin and muscle of a particular area have reached drug absorption saturation.

Perhaps in the future, it will become possible to determine if a specific organ has reached drug absorption saturation.

Now, achieving Level 6 in pharmacological differentiation is practically equivalent to placing one foot directly across the threshold of channeling effects through meridians.

"Director Tang, Director Le, Director Zhuang, I propose we perform a cardiac catheterization and retrograde aortic root angiography once the child's condition sees some stabilization. When the aortic coarctation is extensive, surgical intervention is frequently the ultimate solution. Thoroughly examining the lesion's location and associated conditions beforehand is crucial to mitigate any potential preoperative risks. This will also establish a solid foundation for crafting the surgical strategy."

Zhou Can considered the examinations already performed on the child to be insufficient.

Drawing upon his surgical expertise, he understood that internal medical treatments for this child would only manage the symptoms, not eradicate the underlying issue.

The optimal course of action remained surgical intervention, contingent on the child's physical readiness.

"Very well! Should the family grant their consent, I will select the most opportune moment to schedule it," Director Tang Fei concurred with a nod.

"Indeed, an aortic root angiography is highly advisable,"

Director Le also strongly supported Zhou Can's suggestion.

The Pediatric department lacked the proficiency for cardiothoracic surgeries, meaning the child would inevitably be transferred to Cardiothoracic Surgery for the procedure. Completing comprehensive preoperative assessments for the child would significantly diminish the surgical risks and ensure the surgical team was thoroughly prepared.

Practically all major surgical procedures necessitate meticulous preoperative preparations.

When it comes to cardiac aortic surgery, particularly on a newborn infant, the preoperative preparations are even more extensive.

"We have absolutely no objections. With so many esteemed directors and specialists contributing to my child's diagnosis and treatment, our family is filled with nothing but gratitude towards the hospital. What remains is simply trust. We, as the family, are fully prepared to cooperate with all of the hospital's treatment and examination plans."

```