My Medical Skills Give Me Experience Points Chapter 1394 554: The Quiet Rise of the Emergency Department, Choosing One Person to Love and Spend a Lifetime With

A staggering 6cm esophageal tear, sustained from mere vomiting, presents a truly alarming medical scenario. Were such damage common from ordinary vomiting, humanity's population could hardly have reached its current astonishing scale; indeed, most would perish from unusual causes.

This suggests a pre-existing condition in the patient's esophagus, perhaps rendering it rigid or fragile. Such issues are frequently linked to prolonged, excessive alcohol consumption.

Alcohol's detrimental effects extend far beyond the liver and kidneys, systematically harming numerous tissues and organs within the digestive tract. While occasional indulgence might pose little threat, a decade or more of heavy drinking inflicts cumulative, frightening damage.

Each instance of bodily injury necessitates a recovery period of several days, often longer. However, if new damage from alcohol consumption occurs before full recovery, the body's ability to heal is perpetually undermined.

This relentless assault ultimately culminates in severe health complications, underscoring why virtually all medical professionals strongly advise against smoking and drinking.

Following this reasoning, Zhou Can confidently posits that the patient's postoperative esophageal leak likely stems not from surgical incompetence, but from an intrinsic weakness in the esophagus itself.

Nevertheless, the surgeon's skill remains a crucial factor. A highly adept surgeon can still make necessary adjustments based on the patient's esophageal condition.

For instance, during the suturing process, if the esophagus is noted to be particularly brittle and lacking elasticity, the surgeon can account for the tension the tissue will endure. They can also anticipate potential delays in wound healing post-suturing.

By implementing such precautionary measures during suturing, the likelihood of an esophageal leak can be significantly diminished.

At the very least, Zhou Can believes that with his current surgical proficiency, he is fully equipped to prevent such a complication should he perform the procedure.

"Boss, you can handle this surgery, right?" Jiang Wei inquired precisely when Zhou Can concluded his review of the patient's medical records.

"No one can offer an absolute guarantee, but if they place their trust in our capabilities, we can certainly attempt it," Zhou Can responded with professional caution.

Internally, however, his confidence exceeded ninety percent. Anastomosis, repair, and suturing are indeed his forte.

While certain fistulas can be notoriously difficult to pinpoint, identifying the source of this esophageal leak is comparatively straightforward. The patient's prior surgery was recent, occurring only five days ago. Given Zhou Can's surgical expertise, he is highly confident in his ability to address this issue using endoscopic techniques.

"I'll give my old classmate an immediate confirmation!" Jiang Wei declared, sending a voice message directly in front of Zhou Can.

"Old classmate, our boss has agreed to take on this private case. However, as with all surgeries, risks are involved, and we cannot promise absolute success. If that's acceptable to you, I'll consult the boss regarding necessary pre-operative preparations. You can then make arrangements on your end so we can proceed directly with the surgery upon our arrival," she conveyed.

Jiang Wei's message clearly indicated her unwavering support for Zhou Can's decision.

Though unvoiced, Zhou Can felt a deep sense of satisfaction.

"Indeed, thank you, Weiwei. And my thanks to Dr. Zhou as well. This challenging patient issue is finally being addressed, and I can report back to the hospital administration. I'll treat you both to dinner soon!"

Jiang Wei's old classmate, as her response revealed, was a woman. Her voice suggested she was likely under thirty years old.

The fact that this difficult patient case fell under her purview led Zhou Can to speculate that she held a position of authority within the hospital, perhaps as a deputy director in the Medical Affairs Department or the head of Digestive Surgery. Such leadership roles typically command higher salaries, wield significant influence, and carry considerable prestige.

However, when departmental issues arise, it is often these leaders who are tasked with crisis management. Authority and accountability are intrinsically linked.

...

With the matter concluded, Zhou Can returned to his demanding schedule in the Emergency Department's operating room without further delay.

Thanks to Zhou Can's dedicated efforts, the Emergency Department has undergone a remarkable transformation from its state two years prior. Its total official inpatient bed capacity has now expanded to sixty. In practice, during peak patient influx, surgical beds can accommodate up to seventy patients, while Internal Medicine beds can house fifty, bringing the total operational capacity to approximately one hundred and twenty beds.