My Medical Skills Give Me Experience Points Chapter 1423 - 567: A Special Myocardial Infarction Patient, Systemic Arterial Vascular Malformations

"Understood."

Two takeout boxes were promptly delivered by the waiter.

It's often observed that regular dining establishments offer more welcoming service compared to banks and high-end stores, where the treatment often depends on one's perceived wealth.

"Du Leng and I are planning our wedding for this year, so all of you must attend my banquet!"

Ma Xiaolan carefully placed crayfish, lamb skewers, and leeks into her box while making this announcement.

Simultaneously, she shared some quite surprising news with the group.

When her relationship with Du Leng first began, few predicted it would last.

Zhou Can himself had assumed Du Leng was merely playing around and that a breakup was imminent. He hadn't anticipated their relationship progressing to discussions of marriage.

"I will absolutely be there for Xiaolan's wedding. My only concern is securing time off," Qiao Yu was the first to voice their commitment.

"Boss, marriage is a momentous, once-in-a-lifetime event. You must grant us leave," Ma Xiaolan immediately turned her gaze towards Zhou Can.

Zhou Can responded with caution, "I certainly won't obstruct your attendance, but as doctors and nurses, we belong to a profession with unique demands, making it genuinely difficult for everyone to take leave simultaneously. If the wedding is a local affair, arranging a few hours off might be feasible."

It's inherently challenging for medical professionals to secure time off due to the critical nature of patient care, which requires immediate attention at all times.

A perennial shortage of nurses often leads to individuals performing the duties of two, with hospitals frequently expecting extended hours and overtime rather than granting leave.

This situation is particularly prevalent in larger medical facilities.

During periods of high patient volume, such as a flu outbreak, medications might stretch from one end of the treatment area to the other, requiring meticulous double-checks, pre-preparation, and timely administration for each patient.

Even if the preparation of medication for a single patient takes just a minute, the administration of an injection can range from two to ten minutes, followed by a minute or so for cleanup of syringes or IV equipment.

The complete care for one patient can easily consume five to ten minutes, or even more.

Even with extended twelve-hour shifts, the demands during peak times far exceed the available time for nurses.

The influx of patients often brings a surge of critical cases and emergencies, placing immense strain on the capabilities of multiple nurses.

Consequently, obtaining leave becomes a significant hurdle for nurses.

Doctors face an even more specialized predicament, with each focusing on distinct fields. The more senior the doctor, the less easily they can be substituted within their department.

The absence of a chief physician could potentially incapacitate a department's ability to admit certain types of patients.

While ordinary doctors may be more replaceable, they are burdened with numerous responsibilities!

Junior doctors, such as interns and residents, handle a disproportionate amount of work. The notion that interns merely observe and learn passively is a significant oversimplification.

Consider the Emergency Department where Zhou Can works: when a critical patient arrives and no senior physician is available, interns are required to step in and manage the situation.

For Ma Xiaolan's wedding, arranging a full day off for the entire surgical team is virtually impossible.

Requesting a leave of two or three hours from the department, however, stands a better chance of approval.

As everyone was engrossed in their meal, Zhou Can's phone began to ring.

He glanced at the caller ID, noting it was from the hospital's Emergency Department, and answered.

"Dr. Zhou, we urgently need you back in the Emergency Department. A patient suffering from a heart attack has just been admitted, and their condition is extremely critical."

"Understood! I'm on my way!"

Zhou Can stood up abruptly, informing the others, "I must leave now. A critical patient has arrived in the ER, and I need to respond immediately. Please, help yourselves to more food and drinks; I'll cover the expenses tomorrow."

With his apologies offered, Zhou Can departed swiftly.

Fortunately, the small alley where they were dining was conveniently close to Tuya Hospital, allowing him to jog back to the Emergency Department.

Upon his arrival, the patient had already been moved to the resuscitation room.

Prompt treatment is absolutely vital for heart attack patients; delays can be fatal.

"Xiao Zhou, quickly assess this patient's condition!"

Director Lou was visibly strained, sweat beading on his forehead.

It was apparent that he, along with the emergency nurses and doctors, had already commenced rescue efforts for the patient.

There was no indication yet of consultations being sought from the Cardiothoracic Surgery or Cardiovascular Internal Medicine departments.

Both of these specialized departments possess the capability to treat heart attack victims.

While the Emergency Department itself lacks the specialized treatment resources, they are equipped to handle basic procedures like thrombolysis and CPR.

Hurrying over to the resuscitation bed, Zhou Can was momentarily taken aback upon seeing the patient's face.

How could it possibly be him?

The individual lying on the resuscitation bed was none other than Zhang Qilian, the director from Third Hospital whom they had encountered on two prior occasions.

Currently, his face was ashen, his eyes lacked luster, his breathing was shallow, and his heart rate was perilously unstable.

"Has an angiography been performed?"

"Not yet. The patient was transferred from Third Hospital, and the biochemical test results reveal a significant elevation in myocardial enzymes. The ECG confirms a myocardial infarction."

Director Lou presented the patient's examination report for Zhou Can's perusal.

"Considering his blood pressure, pulse, complexion, and the ST-T wave changes on the ECG, the infarction affects a considerable area of the myocardium. It would have been advantageous if he had arrived sooner; however, at this juncture, it is likely imperative to rush him to the cath lab for immediate interventional therapy."

Having thoroughly evaluated the patient's critical state, Zhou Can swiftly offered a recommendation for the rescue.

This distinction highlights the gap between advanced and standard medical skills.

Director Lou and his colleagues, despite recognizing the heart attack, could only manage some routine emergency measures to first stabilize the patient's vital signs.