My Medical Skills Give Me Experience Points Chapter 5 5: Great Achievements Made
Previously on My Medical Skills Give Me Experience Points...
"Notice the rash appearing on the patient's skin; it showed up only after the operation began for some time. During the skin preparation in the ward, I'm sure those rashes weren't there."
The doctors' faces grew grim.
Particularly those of the chief and first assistant surgeons.
They bore primary and secondary responsibility.
"What rubbish are you talking? Are you suggesting we triggered these rashes?" the lead Resident Doctor snapped in a low, furious tone.
This wasn't a joke.
The patient abruptly entering shock on the table, with Zhou Can's words, essentially placed the blame for the mishap squarely on the main surgeons and team.
The boy was clueless and inexperienced, unaware of what to voice and what to hold back.
"Director, the patient seems to be experiencing an allergic response."
Zhou Can ignored the lead Resident Doctor and pressed on.
"An allergic response?"
Director Liu's eyes sparked with realization.
Indeed, why hadn't they considered it? They'd fixated on the patient's sudden shock, their thoughts chaotic then.
"Was a skin test done for the anesthesia?"
Director Liu asked the anesthesiologist directly.
"Yes, all results were fine. We also questioned the family and patient earlier; no prior allergic reactions to anesthetics," the anesthesiologist firmly refused to accept fault.
"I believe the patient is allergic to rubber most likely."
Zhou Can went on.
"What makes you think so?"
Director Liu saw this intern as exceptional and gave Zhou Can's view serious weight.
"When I drew the patient's blood, I bound the arm with a rubber band snugly, and he displayed clear discomfort. I didn't dwell on it then, but now, given the shock and symptoms, I confidently conclude the patient is allergic to rubber."
Zhou Can delivered his assessment steadily.
[Pathological Diagnosis Experience Points +1.]
The abrupt gain of experience points, a full one at that, seemed like a divine boon.
He felt elated.
With the points secured, his conviction in the diagnosis strengthened further.
Typically, applying medical skills to patients yielded tenfold the experience from books. It explained why doctors insisted the operating room was key for fast progress.
He at last grasped why usually haughty Resident Doctors scrambled fiercely for chances to suture skin or close cavities.
All for swift advancement.
"Begin shock treatment right away. All remove rubber gear. Circulating nurse, contact the family now to check for rubber allergy history."
Director Liu issued rapid directives.
In life-saving moments, decisiveness was essential—no hesitation allowed. Missing the prime rescue window could doom a patient.
Post-rescue, the patient's vital signs slowly stabilized.
"We're good now, everything's fine!"
The anesthesiologist rejoiced like a kid.
In operations, anesthesiologists safeguarded the patient's life.
All doctors yearned for safe patient exits from the room.
Relief washed over everyone, smiles breaking out.
Then, more positive updates arrived.
"Director Liu, I asked the family—they confirmed the patient has a rubber allergy," the circulating nurse reported after the call from below the table.
"Excellent! Shock's cause is verified; now I can operate worry-free."
Director Liu, advanced in age, had truly panicked moments before.
His reputation had nearly been ruined.
Crisis past, he recalled the key figure.
His eyes turned to distant Zhou Can, filled with unprecedented warmth and goodwill.
"Xiao Zhou, is it?"
"Student Zhou Can."
Zhou Can was at a loss; after almost a year interning, his mentor still forgot his name.
Such occurrences were commonplace.
Senior doctors in high roles seldom tutored interns directly; usually, attendings and Residents handled it.
Dr. Fang, the lead Resident Doctor, supervised Zhou Can mostly.
"You did outstandingly, staying composed amid chaos, with firm medical knowledge. In pivotal times, you used your studies well, linking patient details into a full reasoning. That's highly praiseworthy."
Director Liu showered praise: outstanding, composed in crisis, praiseworthy.
His high regard for Zhou Can's actions shone through.
"Step closer, take this spot. Henceforth, in my operations, you'll hold this place. Youth needs fostering."
Director Liu meant the lead Resident Doctor's spot.
Known as the 'Fourth Assistant's position'.
Claiming it in Director Liu's ops was tough.
Even Residents rotated there sparingly.
With Director Liu assigning it to Zhou Can personally, surrounding Residents and interns burned with jealousy.
"Thank you for the guidance, Director Liu!"
Such lavish favor stunned and honored Zhou Can.
After a year interning and countless OR entries with his mentor, this marked his first prime position.
The lead Resident Doctor, ousted from Fourth Assistant, felt deeply let down.
Seizing Director Liu's pleased mood, he grinned strainedly and remarked, "Director Liu, though I've trained under you for years, I'm just 28. I count as one of your 'young people'! Don't sideline me for my seniority age."
The persistent get favored.
Director Liu feared Zhou Can monopolizing the fourth assistant role, barring others, prompting his words.
"Ha ha, clever fellow. Rest easy, all will have turns," Director Liu chuckled, chiding lightly.
"Your assurance eases me. I aim to be your student forever." The lead Resident Doctor mastered flattery.
A few lines, and Director Liu glowed happily.
Earning leader's favor smoothed future practice grabs.
"Fine, resume the operation! Xiao Zhou, assist with retraction and observe my pathological tissue separation, particularly near major vessels and key nerves—skill and experience matter greatly."
Director Liu advanced the surgery.
He pulled Zhou Can into action directly. Though mere retraction, this was a Class 3 general procedure.
An attending handled retraction.
For an intern to help was prestigious.
The lead Resident Doctor's charm failed to budge Zhou Can's place in Director Liu's esteem. Today, he'd trail Zhou Can.
Now, Director Liu proceeded.
With precision and finesse, he separated the massive lymph node tumor from nearby tissues.
The scalpel danced under his control.
Each cut's spot, pressure, angle, length—performed flawlessly.
First Assistant synced perfectly.
Separating diseased areas sparked fresh bleeds often.
First Assistant swiftly applied the electrocautery.
Bleeding halted at once.
Their partnership flowed seamlessly.
Second Assistant supported the chief surgeon: steadying the tumor, pulling obstructive tissue for optimal views, and more.
Zhou Can realized firsthand involvement differed vastly from afar viewing.
Though Director Liu held the blade, Zhou Can felt immersed, nerves taut.
Each blade lift and drop mirrored his heartbeat.
Descent brought tension, heart pounding—what if it nicked an artery? Severed a nerve?
Only on lift, with patient safe, did relief come; his anxiety eased.
...
The procedure flowed without hitches, excising all required lymph nodes and tumors.
Zhou Can felt richly enlightened.
He deepened grasp on tumor and lymph node isolation and extraction.
Like reducing risks detaching tumors from arteries sans vessel harm, or systematically untangling tumor surroundings.
Plus, First Assistant's versatile hemostasis methods offered profound lessons.
Which vessels needed tying, which clamping for bleed stop?
Handling bleeds near nerves, etc.
Books couldn't teach this.
Practice alone sufficed.
The OR, battlefield-like, shifted constantly. Scenarios demanded tailored tactics.
Doctors must build experience and adapt nimbly.
"Good! All cleared out. Send for pathology check. From my years, malignancy odds are low," Director Liu directed, eyeing the tray's removed tumors and nodes.
"He Hansheng, Song Ze, manage site hemostasis," he ordered.
Aimed at First and Second Assistants.
In OR, they were the chief's vital aides.
Both skilled, tackling crucial op duties.
"Thanks for the effort. Rest now. Guide if we overlook," First Assistant said modestly.
Second Assistant appeared action-oriented.
Quiet worker, excelling silently.
Aiding when called, leading when vital.
Zhou Can and Third Assistant kept retracting, eyeing First and Second on vessel joins and fluid draws.
These required high skill.
Not every attending managed adeptly.
Poor site bleed control risked post-op issues like hematomas, seromas, hindering recovery.
"Director Liu, site hemostasis finished. Please inspect," someone announced.
Director Liu checked thoroughly, not casually.
He shifted for closer looks at concealed spots.
Such diligence young doctors should emulate.
"Well executed; proceed to skin suturing," Director Liu approved, nodding pleased after review.
Skin suturing fell below notice for First, Second, Third Assistants.
Zhou Can, hooked throughout, spotted his shot.
His residency suturing and ligating ranked solid. Vascular or organ work daunted him, but skin should manage.
Not solo eyeing skin sutures; trailing Residents and interns hungered too.
Chances vanished quick.
First grabber claimed it; reclaiming hard.
Zhou Can gathered nerve: "Director, may I handle the skin suturing?"