My Medical Skills Give Me Experience Points

Chapter 186: Frequent Accidents, Numerous Difficulties. The Director Suffers a Heart Attack



The thymus is already very close to the heart, and after the patient developed a tumor in the thymus, it has directly encroached upon a part of the pericardium.

The artery that was damaged is now directly ligated and obstructed.

It's as if that route for blood flow has been cut off.

The human body's entire blood supply system is very delicate. Especially the blood vessels within the thoracic cavity.

Whether veins or arteries, they all form a systemic blood circulation system centered around the heart.

Blood supplied from the thoracic cavity reaches as high as the brain and as low as the soles of the feet, supplying all of a person's limbs and internal organs.

The patient's blood oxygen level is continuously dropping; whether this is related to the severed artery is not yet clear.

But without completely separating the thymus tumor, there is no way to suture that artery now!

Director Hu Kan is facing an unprecedented challenge.

"I'll try turning up the oxygen concentration first. But by feel, the effect probably won't be great."

Doctor Feng is attempting to increase the oxygen concentration for the patient to inhale.

In the hospital, it is common to see patients who need oxygen. For example, pregnant women, those with pulmonary dysfunction or failure, chronic obstructive pulmonary disease, etc., might require oxygen.

Patients' oxygen is generally low-concentration, with occasional special circumstances requiring a slight increase in oxygen concentration.

But the oxygen concentration cannot be set too high.

Otherwise, it will backfire.

For instance, common issues such as carbon dioxide retention, pulmonary function suppression, oxygen toxicity, and so on.

Doctor Feng is very cautious while operating.

The patient's blood oxygen level is already compromised; if the oxygen concentration is too high and suppresses lung function, it will instantly exacerbate the situation.

Zhou Can silently watches from the side, his heartbeat slightly accelerating.

Because he knows that after nearly two months in Cardiothoracic Surgery, he has not had many opportunities to practice. Now, the opportunity has arrived.

It's true that Cardiothoracic Surgery is full of experts — these directors and associate directors are all masters among masters.

Even the attending physicians are formidable, their surgical abilities crushing those of other departments' physicians at the same level.

But they have one major weakness.

And that is slowness.

Success is Xiao He, as is failure.

Slowness, if in other surgeries, might not matter much.

Right now, accidentally damaging an artery has already sown the seeds of trouble. Coupled with the slow pace of surgery, it's akin to a leaky roof being hit by non-stop rain.

Oxygen therapy is not a panacea for low blood oxygen.

In many cases of low blood oxygen, it cannot be solved simply by inhaling oxygen.

Sure enough, as Zhou Can expected, even after increasing the oxygen concentration, the patient's blood oxygen saturation continued to decline.

It has already fallen below 90.

"Oxygen therapy is ineffective!"

Doctor Feng issued a warning.

With Director Hu Kan already speeding up the surgery, his complexion changed slightly, fearing the worst.

Today's situation seems troublesome.

"Director Le, how much time is needed to suture the ruptured artery?"

"I estimate it will also take more than three hours."

Director Le is considered a skilled and agile doctor within the surgical team.

The time to suture larger arterial vessels usually ranges from half an hour to three to four hours.

For operations of higher difficulty, it could even take eight hours.

A typical arterial ligation, under the condition of placing a vena cava filter, can usually be completed within half an hour. If it's a particularly difficult artery or vessel occlusion, then corresponding medication must be used to assist the treatment, and the surgery time will be greatly prolonged.

And even for a top surgeon like Director Hu Kan, there's no guarantee of success on the first attempt.

Failure means having to re-suture.

And there will be many risks during the surgery, with many variables.

"Doctor Feng, I don't think it's about being prepared for both possibilities! Start preparing to establish an external circulation immediately, just in case."

"Okay!"

Doctor Feng agreed directly.

"Let me help you with that!"

Today, Zhou Can has received many tips from Doctor Feng, and their relationship has been quietly changing.

It has obviously become much closer.

The biggest difference between humans and animals should be that humans have complex emotions.

Although animals also have feelings, such as the care and protection they show for their mates and offspring, these are all expressions of emotion.

Human emotions are much more complex.

In the past, when Zhou Can helped Doctor Feng, he never said thank you, and his attitude had always been cold and indifferent.

Until today, Doctor Feng suddenly imparted knowledge and skills in anesthesiology to Zhou Can.

This marks a qualitative breakthrough in their relationship.

It's like when dating, at first, one might just watch a movie together, stroll around, send messages, make phone calls. Then, as feelings warm up, one day, hands are suddenly held.

And the other party does not refuse.

This is a substantial breakthrough.

Zhou Can has established external circulation for patients many times; he is seasoned, and his speed far exceeds others.

[+1 Experience Points, +1...]

As he once again inserted a catheter into the Femoral Artery, he clearly felt the operation was somewhat easier than before.

Secretly checking properties, his implantation technique had indeed quietly reached the intermediate level of an attending physician. Current Experience Points: 6001/10000.

Others rely on hard work to get rich, but he is quickly earning experience points to upgrade his medical skills through hard work.

Even though it's somewhat akin to cultivators consuming elixirs, with some drawbacks,

This speed of advancement, outmatching others by ten or even fifteen years in a single year, still gives Zhou Can great pleasure.

Experience can be accumulated gradually.

First, improve the skills to gain more practice opportunities.


Tip: You can use left, right, A and D keyboard keys to browse between chapters.