My Medical Skills Give Me Experience Points-Chapter 348 - 168: A Brilliant Move, Savoring the Heavens. Zhou Can Can Handle It_2

Chapter 348 -168: A Brilliant Move, Savoring the Heavens. Zhou Can Can Handle It_2

Because doctors have limited energy and time, striving to do one thing well is most important. The doctors and nurses of the Intensive Care Medicine Department spend their whole lives studying how to better save patients’ lives.

“You were trying hard yesterday to find a cure for patient in bed 7. From the perspective of a doctor in the Intensive Care Medicine Department, I don’t agree with doing this. Professional tasks should be left to professionals. Of course, you succeeded this time, and you might think that I’m just sour grapes because I didn’t get what I wanted. Envious of your achievements, etc.”

What Doctor Hu said makes sense.

“I absolutely didn’t think that way. Although I haven’t been working with you for long, I know that you are a very good doctor.”

Zhou Can wasn’t buttering him up, he was speaking sincerely.

Perhaps everyone has a different stance, and naturally, they have different thoughts.

“Thank you for your acknowledgment. Let me continue to explain why I don’t agree with what you did. For example, giving this patient medication now may seem simple, just an intravenous infusion, but do you know? The drug ratio, dosage, and the speed of the infusion or pump need to be calculated rigorously over and over, and continuously observed and adjusted.”

“It takes a doctor in the intensive care unit at least a dozen years to learn all the resuscitation skills and various medications and use them proficiently to reach a higher level. Our doctors here need at least two to three years to slowly be able to manage patients on their own. But those resident doctors often encounter various problems they can’t solve. Then they turn to us, the attending physicians, for help.”

“We attending physicians also have moments of uncertainty, and then we have to turn to the director physicians for help. Actually, director physicians are not Divine Doctors; they also often come across medical situations and emergencies they have never encountered before. They need to continue learning and delve deeply into this field to improve the success rate of resuscitation and strive to reduce the mortality rate even further.”

Doctor Hu opened his heart to Zhou Can and said so much, which was actually filled with goodwill.

“What I want to tell you is, to do one thing well, a lifetime of effort is still far from enough. Even director physicians need to keep learning and delve deeper into their own specialized fields. Like Director Liu, his research in the respiratory field has already reached a very high level. However, he didn’t turn to study other fields but continued to dig deeper into the respiratory field.”

“From your performance in the past two days, you have an extraordinary medical talent. But a genius like you is very prone to making a serious mistake. Ambitiously thinking you can be the best at everything, you’ll end up biting off more than you can chew, without any real achievements to speak of. If you reach that point, it would be quite a pity.”

Doctor Hu was really speaking from the heart.

He tried hard to dissuade Zhou Can from pursuing a career path as a general practitioner.

Lest he ends up with nothing in the end.

There is a principle in martial arts, to master one move, “to eat all day.”

It’s better to master one than to know a hundred moves.

“Thank you for your invaluable advice. When I choose a field to specialize in the future, I will definitely make a careful choice in one or two areas. I won’t try to be a jack-of-all-trades, Divine Doctor.”

After listening to Doctor Hu’s words, Zhou Can expressed his thanks earnestly.

Dr. Xu had also said the same to him.

“Hehe, the fact that you listened attentively to the ramblings of an old comrade like me is enough. As for your future career path, I dare not interfere at all. Consider it sharing some experiences and insights from someone who’s been there.”

Doctor Hu was pleased to see his sincere attitude, indicating that he truly took in his words.

He was satisfied with this.

He was just afraid some geniuses are too stubborn and simply can’t hear the advice of their seniors.

“Alright, I’ll explain to you the medication dosage and infusion speed for patient in bed 7!”

Following that, Doctor Hu explained the medication for critically ill patients with great patience.

Especially some contraindications to certain medications.

For instance, what problems need to be watched out for when infusing medication to a patient with asthma.

Or how to handle medication for a patient with renal failure, closely monitoring certain data, and so on.

…

Zhou Can was studying very earnestly, and even took a lot of notes.

It’s just that there’s so much to learn; it’s definitely not something that can be mastered in one day.

Now, Zhou Can has deeply understood Vice Director Ye’s foresight in having him undertake specialized training for three months in the Intensive Care Medicine Department.

Not to mention becoming proficient, even to reach a basic grasp, three months is still a very tight timeline.

Today, learning about medication from Doctor Hu is like opening a new window for him.

I never knew there was so much attention to detail when it came to administering medication.

Time flies when working here; there’s no such thing as a lunch break in the middle of the day. Even eating is done hurriedly within a few short minutes.

The medical staff in the intensive care unit are under tremendous work pressure and intensity.

By the time it was past four in the afternoon, the shift was supposed to change, but Patient No.6 once again experienced a critical emergency.

Even a deputy chief physician in his fifties came over to help with the resuscitation.

In the end, even an ice blanket was employed.

It wasn’t until after five that the patient’s condition finally stabilized.

“Judging from the patient’s symptoms and the fact that the condition was controlled after the ice blanket was used, we can infer that the internal bleeding in his skull has definitely not stopped. The emergency that just occurred must have been caused by another severe intracranial hemorrhage. Moreover, his intracranial pressure is extremely high. Whether he can survive the night is really hard to say.”

The deputy chief physician looked deeply worried.

“Director Yu, can we increase the dosage of coagulation factors and platelet infusions to help him stop the bleeding?”

Doctor Hu also wore a look of concern.

If one patient was lost yesterday and another today, it would really mean hitting the jackpot.

Even if a patient couldn’t be saved after the medical staff’s best efforts, there would be no blame.

But a high mortality rate is definitely unfavorable for the attending physicians.

“The patient’s intracranial blood pressure remains high, and increasing the coagulation factor dosage would not help, and could even lead to the formation of a brain thrombosis. Additionally, the patient definitely suffered from an acute cerebral hemorrhage, which is closely related to a sudden increase in blood pressure. His systolic pressure has already exceeded 180 mmHg. I believe we should actively use intravenous antihypertensive drugs for intervention.”

Deputy Director Yu is clearly more skilled than Doctor Hu.

The treatment plan proposed goes straight to the core of the problem.

“Do you have something to say? If you have any suggestions, feel free to speak up. Don’t worry about things like having a low professional title or lacking experience.”

Deputy Director Yu noticed Zhou Can’s hesitant expression and encouraged him to speak his mind confidently.

“I think surgery would be the most thorough solution.”

Zhou Can had a very bad feeling.

This patient probably wouldn’t make it through the next day.

For critically ill patients, the night is harder to endure than the day.

Much like many elderly people fear the winter. A lot of elderly people die in winter because the cold temperatures can be the last straw for those with weakened blood circulation.

“Surgery would indeed be the best approach. However, as you can see, the patient is not fit for surgery,” said Director Yu somewhat helplessly.

“What if we performed an endoscopic intracranial surgery?”

Zhou Can had already considered this.

He completed dozens of difficult surgeries successfully in neurosurgery, including several intracranial operations, which had given him a certain level of judgment and experience.

From the current vital signs of the patient, performing an intracranial endoscopic surgery was on the verge of being acceptable.

It was just doable, but the risk was extremely high.

“The risk of performing endoscopic surgery is still incredibly high, and there are very few doctors willing to take it on. Such an operation would at least require a chief physician from neurosurgery, and they are unlikely to agree. Moreover, if it were to take place, doing it tonight would be significant. There are only a few chief neurosurgeons, and it’s not possible to arrange major surgery for them at short notice in their schedules.”

Deputy Director Yu was very humble.

He patiently explained the multitude of difficulties associated with the operation to Zhou Can.

Mentioning the significance of having surgery tonight implied he wasn’t confident about the patient making it through the night.

Deputy Director Yu didn’t have the power to arrange this, but Zhou Can did. After two months of standardized training in neurosurgery, he had good relationships with two chief neurosurgeons. If he took the lead personally, it might be possible.