My Medical Skills Give Me Experience Points
Chapter 368 - 176: Haste Really Could Cost Lives. Saving the Situation.

Whether a doctor really has the skills or not is hard for patients and their families to distinguish.

But among doctors themselves, everyone is an expert, and a brief interaction can reveal the other's strength.

The bit of skill Zhou Can has shown has already made the leading surgeon, Doctor Long, see him in a new light.

He would not dare treat him like an ordinary resident anymore.

"I can't say 100% certainty, but at least over 70% confidence. If you want to be 100% sure, you could bring over the endoscope to check."

Zhou Can didn't dare to make his statement too absolute.

It's always good to leave some room for error.

Using an endoscope to examine the unknown within the thoracic or cranial cavities is much safer than making a large surgical incision.

Adding an endoscopic examination during surgery means increasing the cost.

There are many types of endoscopes: electronic colonoscopy, enteroscopy, capsule endoscopy, fiber-optic bronchoscopy, etc., among which capsule endoscopy is the most expensive.

Furthermore, the proposal Zhou Can made was unconventional.

Using an endoscope for exploration after chest surgery might easily bring the family's skepticism.

Doctor Long hesitated, contemplating the feasibility of Zhou Can's suggestion.

"If the bleeding point is really under this rib, we might need to remove this rib to carry out the hemostasis surgery. Checking with the endoscope would be efficient and foolproof."

Zhou Can watched the patient's blood pressure drop rapidly and was genuinely anxious for Doctor Long.

Indecisiveness is not a trait suitable for a surgeon.

During surgery, the situation changes rapidly, and emergencies can occur at any moment.

Saving a patient's life could come down to a minute or two of golden time. Delaying your decision, and once you think of a perfect plan, sorry, but the patient may not have waited and left us.

Certainly, once the patient reaches Heaven, they must be resenting their fate, thinking they must have had terrible luck to end up with such a slow doctor.

"Check with the endoscope immediately!"

Under Zhou Can's emphatic persuasion, Doctor Long finally stopped dithering and made a firm decision.

The two assistants watching everything unfold had complicated feelings.

It was absurd; the chief surgeon was actually being directed by a resident.

And both of them thought that it was correct of the chief surgeon to follow the resident's advice.

The endoscope was brought over.

After starting up and going through a series of preparations, they quickly sought out the source of bleeding in the thoracic cavity.

Doctor Long's handling of the endoscope was obviously immature.

Compared to Zhou Can, it was far inferior.

Like a baby taking its first steps, he meticulously maneuvered the endoscope's probe within the thoracic cavity.

Zhou Can was frustrated watching this.

Fortunately, the patient had a tough life; otherwise, they would have been doomed long ago.

"The bleeding point should be right here!"

Zhou Can couldn't help but assist Doctor Long again to narrow down the search area.

Certainly, this wouldn't do Doctor Long's pride any good.

However, with the patient's life hanging by a thread and Doctor Long's nerves on edge, Zhou Can pointing out the specific bleeding area was like a beacon, guiding him forward.

He carefully moved the endoscope slowly towards the target location.

There are many vital organs in the thoracic cavity— the liver, heart, lungs—any accidental damage to an organ could lead to irreversible consequences. His caution was justified.

It was not entirely because he lacked skill.

"Whoosh!"

A curtain of red appeared on the screen.

It was as if a rain of blood had sprinkled on the endoscope's lens.

Doctor Long couldn't help but burst into joy, "Found it, found it! The bleeding point is right here!"

Other medical staff all let out a sigh of relief, their faces finally expressing a sense of relief.

Only Zhou Can was relatively indifferent to this result.

Because he had already diagnosed it, now the endoscopic examination was merely for Doctor Long's reassurance.

"The blood vessel is torn pretty badly, it might need to be re-joined."

Zhou Can fixed his eyes on the endoscopic screen, formulating a treatment plan in his mind after taking a look.

The blood vessel was as thick as this, the area it supplied was definitely not small.

Simply and brutally ligating to stop the bleeding, the area it supplied would not just be at risk of ischemic necrosis but would also be severely malnourished.

It's like cutting off a significant main root of a tree, which will undoubtedly affect the tree's growth.

In reality, the human body is more complicated, and much more fragile than trees.

In terms of tenacity of life, plants exceed humans by more than tenfold.

"Damn it, if I had known the bleeding point was here, and it needed this rib to be removed, I wouldn't have opened the incision here." Doctor Long cursed while marking the exact bleeding location.

Then, he quickly enlarged the wound and sawed off the rib.

Removing this rib isn't as easy as one might think; separating the rib from the surrounding tissue is a delicate task.

Doctor Long's Separation Skill was barely at a Chief Level, and in fact, he hadn't quite reached that level.

Seeing him clumsily and slowly dissecting the surrounding tissues with his knife, Zhou Can became anxious again.

Even with autologous blood transfusion, it takes time.

And it's not possible to have unlimited transfusions.

If bleeding is not stopped promptly, the patient will become increasingly endangered. And the risk of postoperative complications will greatly increase.

The human blood system is miraculous. For example, many non-medical people would naively think that hypertension means there's too much blood in the vessels.

By cutting an opening in the patient's body and letting out some blood, wouldn't that return to normal?

If you encounter a doctor advocating this kind of treatment, don't hesitate, just call the police. They are likely a quack, a swindler playing at being a Divine Doctor.

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