My Medical Skills Give Me Experience Points

Chapter 122: Conspicuous Hemostasis and Suture, Status Soars Rapidly



"You two can actually be more confident, because your diagnosis is correct; the patient has indeed suffered a rupture of the extensor tendons. As for the Rheumatoid Arthritis you mentioned, it is still in the early stages, showing unique symptoms of synovitis with minor cartilage damage. Who can suggest a treatment plan?"

Dr. Shan already had a general understanding of the diagnostic abilities of these interns.

Zhou Can and another trainee performed excellently, while the others were average.

Both the pathology and the etiology had been diagnosed.

Next comes treatment.

Diagnosis and treatment are equally important.

The clearer the therapeutic approach, the better the treatment plan, the greater the potential of that trainee.

"I think the patient should be directly operated on, and the ruptured tendon should be sutured."

"In addition to suturing the tendon, I believe Rheumatoid Arthritis should also be treated."

Several interns expressed their treatment opinions in turn.

Zhou Can, however, remained silent.

His several competitors sighed in relief.

Thankfully, this prodigy finally had a weakness. It seemed that he was not very skilled in treatment.

Dr. Shan was a bit puzzled, looking at him and asking, "Everyone has given their treatment opinions, why aren't you speaking? Are you unfamiliar with the treatment of this disease?"

Everyone has their areas of expertise.

However, providing some basic treatment plans should not be difficult.

"I can't provide a treatment plan because the patient information is too limited. Only by considering the patient's age, physical condition, underlying diseases, the patient's tolerance, and the patient's own willingness can an optimal treatment plan be formulated. Creating treatment plans based solely on a few test reports is too one-sided."

Zhou Can had his personal opinions.

Medicine must be rigorous and cautious.

It is highly irresponsible to rush into creating treatment plans without thoroughly understanding the patient's condition.

After listening, Dr. Shan's facial expression became somewhat stiff.

She had indeed overlooked this aspect.

Being publicly lectured on safety issues by a trainee slightly irritated her.

"Dr. Zhou has a point, indeed we should incorporate all the patient's information to design the most appropriate treatment plan. However, Dr. Shan only intended to test your therapeutic thinking by purposely letting you provide treatment plans based solely on the diagnostic results."

Dr. Tang made excuses for Dr. Shan.

Such a personable young man, he certainly has a promising future.

"Bring the patient to the operating room and prepare for the surgery!"

Dr. Shan no longer wanted to continue this conversation.

The patient was quickly taken into the operating room.

She was a woman in her fifties, with weather-beaten, dark skin and a face covered with wrinkles. Both of her hands showed signs of bending due to Rheumatoid Arthritis.

Ordinary people's fingers can bend or straighten freely.

Her fingers, however, could only remain bent and could no longer be straightened.

Her right hand was even suspended by a bandage hanging around her neck.

Judging by her dress and demeanor, she appeared to be a rural woman. After the tendon rupture, she likely had an initial consultation at a local township health center.

Township health centers certainly have no capacity to treat such conditions, forcing patients to seek treatment at county-level hospitals or major hospitals like Tu Ya.

For doctors at Tu Ya Hospital, this was just a minor surgery.

The difficulty was not high.

"In this situation, general anesthesia is generally not needed, only brachial plexus anesthesia suffices."

Dr. Shan explained to the interns while instructing Dr. Tang to administer the anesthesia to the patient.

Zhou Can looked envious; it was a pity to lose four points of Injection Experience Points.

If he administered the anesthetic, he would give the patient at least four injections.

At this moment, the trainee who had gone outside to cast plaster returned with Dr. Hee.

Dr. Shan had already directed Dr. Tang to clean the patient's surgical site again.

Then they marked the position of the incision and identified the location of the ruptured tendon with a red line before carefully cutting the skin on the hand.

Blood immediately gushed out.

"Stop the bleeding!"

she shouted to Dr. Tang.

Zhou Can stood by, rubbing his hands eagerly as he watched the surgery.

Stopping bleeding was his forte.

Dr. Tang's hemostasis skills really left much to be desired, barely at the level of a lower-ranking Resident Doctor. Far below his own supervisory lower level.

On the other hand, Dr. Shan's surgical skills were quite impressive.

When incising the patient's hand skin, she was methodical, steady, and precise. She skillfully avoided larger blood vessels and nerves.

It was like peeling the bark off a large tree.

Her Incision Skill had definitely reached the supervisory lower level.

No wonder the orthopedic department confidently allowed her to lead Level 1 and Level 2 surgeries. She really was up to the task.

Dr. Tang's speed in stopping the blood was indeed slow.

The patient's wound bleeding had already blocked the subcutaneous tissue.

Zhou Can took the suction device and cleared the accumulated blood.

Dr. Tang looked at him gratefully, and Dr. Shan showed a look of appreciation.

The operating room needed proactive people like Zhou Can.

The other trainees could only watch foolishly.

"This bleeding point is tricky! Why can't it be stopped?"

Dr. Tang used electrocoagulation on one of the bleeding points several times, but it was very ineffective.

"It might be that the blood vessel has retracted; coincidentally, I have experience in this area. May I perform the operation?"

Zhou Can had been eager to volunteer.

Seizing the opportunity, he immediately spoke up.

"Can you... handle it?"

Dr. Tang was hesitant.

The difficulty of this bleeding point was quite high. Even he couldn't handle it; could Zhou Can, a trainee, manage it?

Thinking of Zhou Can's previous excellent performance in knee joint cavity puncture, he finally decided to trust Zhou Can once.


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