My Medical Skills Give Me Experience Points

Chapter 88: Jade Must Be Carved to Make a Tool, Many Sect Leaders are Chief Level in Medicine



Everyone was watching Zhou Can perform the advanced medical techniques that weren't supposed to belong to a rule-based training doctor.

The blood vessels on that tumor were being successfully peeled away by him bit by bit.

Finally, the separation was almost complete.

"Teacher, I'm ready to sever these capillaries growing inside the tumor, then perform electrocoagulation for hemostasis. Finally, I will completely separate and excise the tumor from the muscle tissue. What do you think?"

Out of respect and caution, Zhou Can did not rush to finish up.

Instead, he consulted Dr. Xu first.

"This plan is very good!"

In front of the patient, Dr. Xu was never stingy with his praise.

With his teacher's affirmation, Zhou Can felt reassured.

Step by step, he completed the remaining surgical work.

Severing the tiny blood vessels growing inside the tumor, then performing electrocoagulation for hemostasis.

Actually, the root of that main blood vessel had been clamped by Dr. Xu; when severing these capillary vessels, the bleeding amount was minuscule.

During surgery, it is crucial to minimize blood loss.

Not just due to the psychological pressure the bloodiness brings. The blood can obscure the surgical field, causing considerable trouble.

The correct procedure for excising a tumor generally involves cutting off the blood supply first, then proceeding with subsequent steps.

Doctor Fu had witnessed Zhou Can's Hemostasis Skill before, and upon seeing it again, he was still amazed.

Not to mention Dr. Lu, Doctor Lin, and Jin Mingxi.

Seeing how exquisite Zhou Can's Hemostasis Skill was, besides feeling envious, they also felt a significant pressure.

But this was also a good thing.

Pressure brings motivation after all!

Walking with tigers mostly results in fierce beasts, flying with phoenixes certainly makes you a fine bird.

Only by keeping company with the strong can one become stronger.

Zhou Can had finished handling the blood vessels and successfully separated the tumor from the surrounding tissue; now, only the final step remained.

That was to excise.

He did not hesitate, swiftly and decisively cutting off the tumor entirely.

"Xiao Zhou, you excised this tumor very well. Remember, whether benign or malignant, it is okay to excise a bit more normal tissue during removal. This ensures a clean removal in one go, preventing recurrence."

"Understood!"

Zhou Can nodded and noted it down.

If malignant tumors are not completely removed, the consequences can be very severe.

It can cause cancer cells to spread, ultimately losing any chance for surgery.

This is quite common.

For instance, in cases like breast cancer, uterine fibroids, stomach cancer... it's often the case that less skilled doctors do not cut completely clean.

Tumors have one major characteristic.

If you don't provoke them, they might just grow normally.

But once stimulated, it truly becomes like fighting fire with fire.

To survive, it will enter a frantic 'population explosion' mode.

Not only does it replicate at twice the speed, but it also quickly metastasizes to surrounding tissues.

At that point, for the patient, it is definitely a catastrophe.

"Teacher, do you think it's okay to proceed with wound cleaning and suturing now?"

The tumor was successfully excised, and the patient's previously swollen cheek had essentially subsided.

Dr. Xu carefully checked once more and found no issues.

He signaled that it was okay to proceed with cleaning and suturing.

Twenty minutes later, Zhou Can smoothly completed cleaning and skin suturing.

The patient's right cheek now appeared smooth.

"Alright, the surgery went very well, and the subcutaneous tumor in your facial area has been successfully removed. If there is anything abnormal with the wound, be sure to report to our medical staff in time."

Dr. Xu instructed the patient.

While Zhou Can was suturing, he had already prepared the medical orders.

He asked Qiao Yu to take the patient to the infusion area for an IV drip.

After the patient left, Dr. Xu turned to Zhou Can, and then his gaze swept over Dr. Lu, Jin Mingxi, and Doctor Lin.

"Postoperative care for this type of surgery must be taken seriously. If the wound shows signs of infection or puss, it must be handled promptly and decisively. Ideally, antibiotics should be administrated via IV infusion, and oral anti-inflammatory medications should be prescribed. For the first three days, you can ask the patient to come for an infusion daily for easy monitoring of the wound condition."

Dr. Xu shared his experience in postoperative care with them.

"Xiao Zhou, when you practice independently in the future, for patients with significant postoperative risks, make sure to instruct the nurses in the infusion area carefully to keep a close eye on the patient's condition. Thus, occasionally treating them to a cup of milk tea is actually quite a good idea. They will pay more attention to the tasks you assign."

Doctors and nurses are two separate systems.

They are interdependent.

A doctor's position is higher than a nurse's, but if relationships aren't managed well, it can be disadvantageous for doctors.

They are only responsible for their regular duties, and no one can criticize them.

If something goes wrong, the unfortunate one will definitely be the doctor involved.

Among the doctors here, only Zhou Can is a newcomer; Dr. Xu taught him these unwritten rules fearing he might not know them.

"Overall, you performed this surgery quite well. However, you should also be aware of some shortcomings. For example, when peeling off the tumor, the cutting edge was not neat. Also, the wound cleaning wasn't particularly thorough. The suturing was not exceptional either, just above average. These are areas that need improvement."

In front of everyone, Dr. Xu pointed out several of Zhou Can's shortcomings.

The Wound Cleaning Skill had now become one of Zhou Can's weak points.

Because it was only at the lower level of standardized training.

There was no helping it; his working time was too short.

His foundation was still considerably weak.

You can't eat yourself into being overweight in one go.

Improving in every medical field requires time and opportunities for practice; things must progress slowly.

Being able to independently excise the tumor smoothly without causing any severe problems was already significant progress for him.


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