My Medical Skills Give Me Experience Points Chapter 1431 - 571: Sensory Feedback of a Special Physique, Major Hospital Reform

~4 minute read · 916 words
Previously on My Medical Skills Give Me Experience Points...
Doctors discuss the rare case of infant hypertension, its potential causes including consanguineous marriage, and the challenges of treating such conditions domestically. Zhang Qilian's long history with the illness is revealed, alongside a discussion of the current state of Chinese and Western medicine in the country. The team prepares for a high-risk surgery on Zhang Qilian, with the hospital viewing the case as a significant opportunity for publicity.

The initial interviews have now concluded. While large-scale promotional campaigns have not yet commenced, preliminary testing is underway across various self-media channels and tabloids. Leading hospitals typically adopt a measured approach to public relations.

Tuya Hospital, however, has consistently prioritized publicity efforts over the years, developing considerable expertise in promotional strategies. When showcasing the hospital's typical cases and significant achievements, they often forgo dramatic announcements for a more gradual, multi-channel influence-building approach that avoids excessive attention-grabbing.

This methodology offers several advantages. Primarily, it ensures stability. A sudden surge to viral status can attract immediate attention but carries a significant risk of negative repercussions. Competitors or disgruntled patients might exploit such momentum to spread unfavorable information, easily elevating negative news that would otherwise struggle for visibility.

Such negative publicity can inflict substantial damage on a hospital's reputation. Even in the absence of actual failures, fleeting fame rises and falls rapidly, its influence waning within a fortnight.

Consequently, a more subdued and subtle promotional strategy, fostering gradual awareness and sustained memory across diverse platforms, yields more favorable long-term results.

Tuya Hospital has already initiated the promotion of Zhang Qilian's case. Should Zhang Qilian succumb to complications within days of the surgery, Tuya Hospital would face severe embarrassment, potentially triggering a desperate counter-offensive from the Third Hospital.

The hospital's administration, therefore, regards this situation with the utmost seriousness.

Within the operating theater, Zhou Can, Director Xue Yan, and the surgical team are performing a heart operation on Zhang Qilian. Despite thorough pre-operative preparations, unexpected complications arose as soon as the procedure began.

During the thoracotomy, Director Xue Yan inadvertently nicked an arterial vessel, leading to persistent bleeding. The vessel's substantial size precluded electrocautery for hemostasis, and repairing it with vascular anastomosis proved exceptionally difficult due to the patient's severe arterial sclerosis.

In this critical juncture, Zhou Can quickly intervened. Although his proficiency in anastomosis, suturing, and ligation was at Level 6, enabling him to handle even delicate nerve anastomoses, this particular vascular repair presented immense challenges.

Nevertheless, he ultimately succeeded in completing the anastomosis. Failure at this stage would have necessitated the immediate termination of the surgery.

"Sister Yan, please continue with the surgery!" Zhou Can announced after successfully managing the immediate crisis, stepping aside. Recognizing the limits of individual capacity, he intended to observe and conserve his full attention for the more demanding phases of the operation.

The removal of necrotic myocardium and subsequent heart repair indeed represented formidable tasks. The hospital's pharmaceutical and medical device departments had even been alerted, standing by to procure an artificial heart for transplantation at a moment's notice. Specialists from relevant surgical departments, along with the medical staff of the Cardiothoracic Surgery department, were fully prepared.

Ideally, a heart transplant would be avoided; however, if the situation became unmanageable, a desperate fight would be unavoidable. Preparing for the worst-case scenario was deemed prudent.

"I... I found it noticeably difficult when opening the chest earlier. His blood vessels exhibit severe atherosclerotic changes, and the tactile feedback from the surgical knife during dissection was poor, making differentiation challenging. If you could assume lead, it would be safer," Xue Yan stated, appearing somewhat abashed.

The patient's peculiar physiological condition significantly altered the tactile sensations experienced by the surgical knife during dissection compared to typical cases.

Director Xue Yan's surgical expertise has not yet reached its zenith; she continues to pursue improvement and advancement. Facing patients with such unique conditions leaves her feeling inadequate.

The earlier arterial vessel rupture had visibly shaken her. Fortunately, it was only a moderately sized artery; tearing the aorta would have resulted in catastrophic consequences.

She would not typically admit to struggling in the presence of numerous medical professionals and nurses unless absolutely necessary, as maintaining her authority as department director was paramount.

"Very well, I will proceed. However, my skill level may not match yours, and honestly, I'm not entirely confident," Zhou Can replied, compelled to step forward courageously.

As he initiated the incision, he deliberately brushed the arterial vessel wall with the blade to gauge its texture. It felt subtly rough, akin to worn leather.

Fearful of rupturing the arteries, he hesitated to apply significant pressure while discerning the knife's contact with the vessel wall, aware that even slight pressure could distort the delicate tactile feedback.Minute after minute ticked away as he persisted in his quest for the most genuine tactile sensation. No one hurried him. Zhou Can and his entire medical staff had collaborated many times before, intimately familiar with his methods. He never initiated a conflict without absolute certainty. When he did act, his movements were as decisive and forceful as a clap of thunder. Emerging from over ten minutes of intense focus, he appeared to have accumulated substantial experience, gaining a more precise sense of the patient’s blood vessels. For this entire duration, he had continuously tested his precision with the surgical scalpel. His exploration wasn't limited to arterial vessels; he was equally probing the venous ones. A rupture in the aorta meant certain death, yet a breach in the veins carried consequences just as dire. "This patient's arterial damage is more severe than initially assessed, having advanced alarmingly close to the finest terminal capillaries." After thoroughly grasping the intricate state of the patient's vascular system, Zhou Can could only articulate his findings with four grim words, painting a dire picture.