My Medical Skills Give Me Experience Points-Chapter 346 - 167: A Special Medical Technique, Turning Point for Patient 6_3

Chapter 346 -167: A Special Medical Technique, Turning Point for Patient 6_3

Zhou Can couldn’t help but think of Zhu Shenfeng, a neurosurgeon, because of a diarrhea incident that nearly caused a serious medical accident.

“You keep an eye here, I’ll go over there and help them.”

Around a nearby hospital bed surrounded by five or six doctors and nurses, they were all struggling to save a critically ill patient.

Even from a distance, one could feel the intensity of the situation.

Doctor Hu proactively went to help, which significantly improved Zhou Can’s impression of him.

At least in terms of departmental unity and the normal resuscitation process, Doctor Hu was a qualified and good doctor.

He was reluctant to take risks with medications, which stemmed from his own concerns and worries.

Not every doctor is willing to risk their career and hard-earned job.

Any mishap could cost them their livelihood, or even lead to lawsuits.

Convictions are generally rare.

Even if a doctor is clearly at fault, as long as there is no malicious intent, the worst punishments are usually a suspension, loss of prescribing rights, or loss of surgical privileges. More severe cases might involve revocation of medical licenses or even a lifetime ban from the profession.

Meaning they would never be allowed to practice medicine again.

Zhou Can picked up the medical records for patient in Bed 6. The examination report showed severe intracranial hemorrhage; compared to the leg fractures, the brain injuries were far more serious.

“The bleeding is near the brainstem, and it’s a large hemorrhage accompanied by subarachnoid bleeding. There are fractures in the skull. The patient is in a deep coma.”

No wonder no doctor dared to operate on this patient.

The risk was too great.

The only option was to stay in the ICU for a few days to see if the bleeding would stop on its own.

Once the patient got through this difficult period and their condition stabilized, the next step in the treatment plan could be formulated.

“If surgical hemostasis can be performed and intracranial hematoma can be removed, at least the patient’s life could be saved.”

After reading the examination report, Zhou Can quickly contemplated the potential treatment plan for the patient in his mind.

His considered plan might not actually be implemented.

But it could help him accumulate experience in treatment and expand his thinking.

The patient’s chest CT showed no particularly severe injuries. The recent ventricular fibrillation was likely caused by a problem in the brain.

Intracranial hemorrhage most commonly leads to a phenomenon known as increased intracranial pressure.

Or it could cause a hematoma, putting pressure on crucial brain tissues.

Or in more severe cases, the hemorrhage itself may occur in vital brain tissues, generally accompanied by damage to these tissues. freёnovelkiss.com

“If the patient’s condition could stabilize, perhaps an endoscopic intracranial surgery could be attempted, primarily to stop the bleeding, aspirate the hematoma, and reduce intracranial pressure.”

After careful consideration, the only treatment Zhou Can could think of was surgery.

Traditional craniotomy might require a longer wait and higher physical endurance from the patient. Performing minimally invasive endoscopic surgery could meet surgical criteria by tomorrow at the latest.

Zhou Can realized that after two months of specialized training in neurosurgery, he had really learned a lot.

At this moment, diagnosing this patient, he felt quite confident in formulating some reliable surgical plans.

Having participated in so many Level 3 and Level 4 major surgeries in neurosurgery, his knowledge, experience, and ability to estimate and predict the entire perioperative period were incomparable.

“Brother, if you can hear me, hang in there today. Once your condition stabilizes, I’ll propose a surgical plan to the senior doctor,” Zhou Can said to the patient.

He thought the comatose patient certainly couldn’t hear.

However, Zhou Can found tears rolling down from the corner of the patient’s eyes.

Then he noticed the patient’s heart rate noticeably increased, and there were some high spikes in brain waves. It seemed the patient truly heard what he said, and it emotionally stirred the patient.

Being able to hear me speak and think normally, showing emotional reactions, it appeared that the patient’s brain was alert, and the level of coma had decreased.

With these findings, Zhou Can was overjoyed.

This patient, who seemed to be in extremely critical condition, could be saved. As long as he could get through this, helping him with the surgery to stop the intracranial bleeding and remove the hematoma, he could survive.

While examining the patient in Bed 6, Zhou Can noted various conditions such as central venous pressure and urine output.

Patients staying in the ICU have catheters not only to prevent them from urinating on themselves or frequently going to the bathroom but also for very precise monitoring of the amount and color of the urine.

The presence of blood in the urine or proteinuria could be identified immediately.

If a patient has no urine output for more than two days, even if other vital signs are stable, the outlook is not optimistic.

Essentially, prolonged anuria means that the internal circulation is failing.

This type of organ failure is generally irreversible.

It’s not just about doing dialysis or other supportive treatments to bring the patient back.

Thus, for ordinary people, the mundane daily activities of eating, drinking, and excreting are indeed critical for critically ill patients.

Some key data are usually recorded every fifteen minutes.

After Zhou Can finished recording, the patient in Bed 7 started making loud rattling noises, scaring him into rushing over to suction the patient.

The nurse was helping the patient in Bed 8 turn over and checking if they had soiled themselves.

Nurses working in the ICU are truly courageous.

Because suctioning phlegm, cleaning feces, washing the perineum, lips, and carefully feeding crushed medications to patients are just the simplest of daily tasks.

The horrible stench emitted by some patients with sepsis is enough to make many young nurses lose their appetite for the day.

However, those who work here longer gradually adapt and their mental resilience becomes incredibly strong.

After suctioning for the patient in Bed 7, Zhou Can checked the blood pressure, respiratory rate, and urinary output, among other data, and noticed a significant improvement. This was the most gratifying thing for him.