My Medical Skills Give Me Experience Points-Chapter 319 - 158: The terminally ill patient might be waiting for an accident, listen to Zhou Can’s_2

Tracheal intubation for extended periods of time can easily lead to inflammation and infection.

The patient already had a lung infection, so it was not unusual for them to experience wheezing and rapid breathing. Moreover, the blood oxygen level hadn’t decreased, leading most doctors to think it wasn’t a serious issue.

Comparatively, with other critical conditions in the ICU, a bit of rapid breathing really didn’t seem like much.

"I instructed the nurse to perform suctioning for the patient, and to manage them with positions like side-lying and back-patting. If there was still some wheezing, airway nebulization could be administered."

Deputy Chief Physician Kuang Shenfeng gave a brief overview of the situation at that time.

Although the management seemed a bit hasty, it was by the book and didn’t seem incorrect.

"Later the nurse didn’t call me again. So, I wasn’t that worried. I went to the restroom peacefully, and after coming out, I felt my legs were numb, so I sat outside for a while before heading back to the ICU. When I went in, I checked on that patient and noticed he was still breathing rapidly but didn’t see any other unusual signs."

"Just then, another patient showed signs of ventricular fibrillation, and I rushed to handle it. Less than an hour had passed when the monitor of this patient suddenly issued an alarm, and I saw his blood pressure dropping sharply. Heart rate and respiration were all abnormal. That’s when I realized that the course of action prescribed by the nurse might have been too hasty."

Kuang Shenfeng still felt remorseful when mentioning the incident.

In Zhou Can’s memory, Kuang Shenfeng was notably skilled in surgery. Among all the doctors under Wu Baihe, he firmly held the top spot.

His attainment of a senior professional title spoke volumes.

Hence, sometimes mishaps truly happen in a split second.

Doctors or nurses, a moment of negligence can mean the dissipation of a life.

"Why didn’t you immediately perform resuscitation in the ICU?"

Director Wen believed Kuang Shenfeng would understand the implication of his words.

"Since the patient had been bedridden for a long time, I seriously suspected pulmonary embolism. It’s a very dangerous condition, and due to my misdiagnosis and negligence, over an hour had already been lost. I thought about rushing him to the operating room for emergency care. At least, this proactive rescue approach might make it easier for the family to accept, and if something went wrong, the family’s complaint might be milder."

Kuang Shenfeng said these words hesitantly.

Clearly, there were some things he did not say outright.

If something went wrong, and the family created a commotion, then an investigation into the cause of the patient’s death would surely follow. Misdiagnosis, dereliction of duty, and delaying rescue could be serious accusations against Kuang Shenfeng.

Having a proactive rescue attitude would certainly be much better.

"Pulmonary embolism is indeed quite likely. Have any tests been done yet?"

"We’ve only done an ECG so far. I’ve sent it to Director Wu, and he also thinks a pulmonary embolism is very likely. We are about to take him to the CT room for a contrast examination. After confirming the diagnosis, we’ll see whether to administer thrombolysis directly or if surgical intervention is necessary to remove the clot," Kuang Shenfeng replied.

It seemed Zhou Can had misunderstood, thinking that Kuang Shenfeng had directly taken the patient to the operating room. frёewebηovel.cѳm

It was quite an alarming thought.

After all, having reached the level of a deputy chief physician, no matter how frantic the emergency, he was able to distinguish priorities. His actions were still measured.

taking him for tests first was absolutely the correct approach.

"I’ve also reviewed the ECG, and it’s almost certain that it’s pulmonary embolism."

Du Leng was also present at the scene, participating in the emergency response.

Members of most medical teams are particularly united.

Facing various sudden medical situations, they must be united to urgently save the patient’s life.

His words carried weight.

At least from his confident tone, it was evident he saw himself as a figure of authority.

Other doctors and nurses also treated him with considerable respect.

"Dr. Zhou, what do you think?"

After hearing the details, Director Wen did not rush to express his opinion but turned to Zhou Can instead.

Everyone’s eyes suddenly turned to Zhou Can’s face.

Some people were even secretly comparing Zhou Can to Du Leng.

Both were outstanding among this batch of trainees, showing excellent performance.

Zhou Can hadn’t met Du Leng many times during the two months of his surgical training.

Sometimes, when there were consultations in the same department or joint surgeries by Wu Baihe and Director Wen, Zhou Can and Du Leng would be at the same event.

During consultations, Zhou Can usually didn’t easily give his opinion.

Du Leng, on the other hand, was quite ostentatious.

He often engaged in debates with several directors.

As for performing surgeries, Du Leng’s surgical capability was quite average. For Level 3 and 4 surgeries, he pretty much only watched.

Critical parts of some endoscopic surgeries were often handled by Zhou Can instead.

That was also why Zhou Can and Du Leng were jokingly referred to by the medical staff in the same department as the ’surgical genius’ and the ’theoretical genius’.

Now, with Director Wen publicly asking for Zhou Can’s diagnostic opinion, especially after Wu Baihe and Du Leng had already given theirs, it clearly showed where Zhou Can stood in Director Wen’s estimation.

"I remember when I first joined the Emergency Department for training, my teacher once told me this, ’Chronically bedridden patients with terminal illnesses who come to the hospital for treatment may not be awaiting a medical miracle but the arrival of a medical incident.’"

Zhou Can did not immediately provide a diagnostic opinion, but instead made a very controversial statement that could potentially worsen the doctor-patient relationship.

Many doctors and nurses gave him looks of disdain.

And now, when it was crucial to rush the patient to treatment, he was here accusing the patient of harboring ulterior motives, deliberately waiting for a medical incident to happen.