My Medical Skills Give Me Experience Points-Chapter 49 - 43 Director Tan Gets Jealous

Director Yin of Neurology also looked at the films and nodded slightly, "It is indeed a cerebral arteriovenous malformation. It's not large, but it has infiltrated the brainstem area."

After he finished speaking, he showed the ultrasound images to Director Tan.

"Director Tan, what is your opinion?"

"I support your diagnostic conclusion. However, concerning how to remove this brain arteriovenous malformation, I'm afraid we still need to consult with surgery to discuss the treatment plan."

Director Tan looked toward Director Xie from surgery.

The most uptodate nove𝙡s are published on frёewebnoѵel.ƈo๓.

Only by combining internal medicine and surgery can we conquer formidable diseases.

While the two major departments were discussing the surgical plan, Zhou Can felt that he couldn't wait any longer.

The brainstem area is the central nervous system of the human body, known as the 'forbidden zone of life.'

The risk of operating in this area is extremely high.

Even for an experienced chief neurosurgeon, it is terrifying. A slight carelessness, even just a minor error, could lead to irreversible consequences.

If the patient really took the wrong medication, causing uncontrolled blood pressure, as long as targeted treatment is administered and the blood pressure is reduced, the 'arteriovenous malformation' might disappear on its own.

At least that's what Zhou Can believes.

He had seen similar cases in medical books.

The intracranial pressure of this pregnant woman was far higher than normal, which is more likely to cause a 'temporary arteriovenous malformation'. This is closely related to her over fifteen years of hypertension history.

Because long term hypertension can cause atherosclerotic changes in the blood vessels.

"Director Lou, could we arrange for the patient to undergo a specialized blood and urine test?"

Zhou Can asked courageously.

"Hasn't the diagnosis been made already? Stop fussing and cherish this learning opportunity by observing from the side."

Director Lou rejected Zhou Can's suggestion.

The Emergency Department, having failed to diagnose the cause of the pregnant woman's illness, had already lost enough face.

Now that both Internal Medicine and Surgery had agreed on the diagnosis and were discussing the surgical plan, the Emergency Department's role was to support fully, not create chaos.

Competition can exist between hospital departments, but they mustn't undercut each other and should consider the overall situation.

Zhou Can looked at the unconscious pregnant woman, sighing to himself.

He was just a resident doctor; in a consultation of this level, being allowed to watch and learn was already quite favorable. His diagnostic opinion was unlikely to be regarded.

After discussing, several directors from Internal Medicine and Surgery decided to proceed with craniotomy for the patient.

But since the lesion was located in a special area and the surgery carried extremely high risks, even Wu Baihe, known as the 'summit surgical blade,' wasn't very confident.

A misstep might result in one death and two lives lost.

Seeing the 'summit surgical blade' of surgery with his eyebrows tightly furrowed, admitting the surgery had less than a fifty percent chance of success.

Zhou Can decided to make another attempt.

"Dr. Xu, I suspect that the pregnant woman's cerebral arteriovenous malformation might merely be an illusion. It's too risky to rush into surgery. Her unborn child is the only legacy of a fallen narcotics officer. I request a specialist blood test for the pregnant woman to check if she has taken any medication that could have elevated her blood pressure."

There was no other way.

Zhou Can had to approach Dr. Xu.

If Dr. Xu still disagreed, the pregnant woman could only leave it to fate.

After all, his status was too low; if the senior doctors didn't listen to him, he really had no other recourse.

"This..."

Dr. Xu was also in a difficult position.

In this consultation, his status wasn't much higher than Zhou Can's.

"Director Xie, Director Tan, could we arrange a specialized blood test for the pregnant woman?" Faced with Zhou Can's pleading eyes, Dr. Xu ultimately decided to brave it out and put forward the request to the two main consulting doctors.

"Old Xu, Old Xu, Zhou Can is causing trouble, why are you joining in the chaos too? The blood has already been tested, there's no need to test it again. The most important thing now is to arrange the surgery immediately."

Director Xie flatly refused.

Director Tan remained silent, essentially agreeing with Director Xie's view by default.

Dr. Xu, after being scolded, gave Zhou Can a helpless look and said no more.

Yang Chan observed all of this.

"Teacher, I've been classmates with Zhou Can for five years, and I've never seen him this anxious. If he wasn't absolutely sure, he definitely wouldn't ask twice to give the pregnant woman a specialized blood test. Could you please help him out?"

She actually pleaded with Director Zhang Bihua in a coquettish, cutesy manner at this time.

There were only a few people present who had authority in the situation.

All it would take was a nod from Zhang Bihua, and Directors Xie and Tan would no longer object.

Zhou Can's previously dashed hopes were ignited once again.

In a critical moment, it was the old classmates speaking up, willing to help.

"Xiao Zhou, explain your diagnostic reasoning!"

Zhang Bihua's gaze turned to Zhou Can.

This was an opportunity she was giving Zhou Can, all because of Yang Chan's earnest pleading. After all, rescuing the patient was a race against time, and there was no time to waste.

"Thank you, Director Zhang, for this opportunity. Everyone, please look at the pregnant woman's eyebrows."

Zhou Can clung to this last lifeline.

The crowd was puzzled; what did the pregnant woman's illness have to do with her eyebrows?

"Ah, the patient's eyebrows are drawn messily, and the tails are skewed," Nurse Ye Tingting exclaimed.

The doctors approached for a closer look and indeed, that was the case.

"Hypertension during pregnancy can lead to fundus lesions in the mother, blurred vision, and even blindness. Clearly, the pregnant woman has already exhibited symptoms of blurred vision. She was originally going to visit her parents and would have paid extra attention to her appearance. The fact that her eyebrows are drawn like this without her realizing indicates that she herself did not realize her vision had become blurry," Zhou Can explained his diagnosis.

After hearing this, Zhang Bihua slightly nodded, showing approval, "Continue."

The other doctors began to take Zhou Can's opinions seriously.

Even Director Yin, who had initially criticized Zhou Can, listened intently, his look towards Zhou Can subtly changing.

From initial disdain to taking it seriously.

"We know that patients with long-term hypertension need to take antihypertensive drugs daily. She was visiting her parents, which wouldn't have been a short trip; she might have stayed to eat and spend more time with them. She most certainly would have taken her antihypertensive medication before leaving. At that time, due to blurry vision, she might have picked up the wrong medication and taken it thinking it was her antihypertensive. The timeline from when she left her home to when she fell ill also matches the timing of taking the wrong medication, which caused a sudden increase in blood pressure and made her faint in the taxi."

Zhang Bihua nodded again; this possibility indeed existed.

"I once read in a medical book about a similar case recorded by a famous surgeon. That patient also had a history of long-term hypertension and fainted due to a sudden rise in blood pressure following an altercation. At the hospital, a pressurizing brain arterial aneurysm was discovered causing the unconsciousness. Due to the complexity of the operation, the hospital was wary of proceeding, and the family's opinion was very conservative. They ultimately chose to first treat with medication to lower the blood pressure. Surprisingly, after the blood pressure was lowered, the brain arterial aneurysm gradually disappeared."

Zhou Can shared the case he read about in the book.

"Similar cases, like the one Dr. Zhou mentioned, I have also seen in surgical books. These sudden arterial aneurysms appear more like 'balloons' and generally occur in patients with a history of hypertension for over ten years. When a patient's blood pressure reaches an extremely high level, the affected part of the blood vessel can balloon and enlarge, forming a temporary arterial aneurysm."

Director Yin, being an expert in internal medicine, truly had a point. Even surgical literature was not foreign to him.

"Do the specialized blood test for the pregnant woman immediately, refrain from surgery for now. Although the patient's condition is critical, with effective measures taken by Director Zhang to preserve the pregnancy, there shouldn't be immediate grave danger."

Director Yin's way of addressing Zhou Can shifted from 'superficial young guy' to Dr. Zhou.

This was respect Zhou Can earned through his competency.

It was also Zhou Can's persistence that averted a potential misdiagnosis.

He had, in essence, redeemed the reputations of all the doctors present.

"I wholeheartedly agree. Avoiding surgery is best, as the risks of surgery are too high. To be honest, I wouldn't even give a fifty percent chance of success if operating was necessary."

Wu Baihe was very aware of the identity of the pregnant woman.

If she were to die under his care, even if the family had signed a surgical risk consent form, they probably wouldn't let him off easily.

From an intern to the 'peak surgeon' of neurosurgery today, it hadn't been easy.

Several chief physicians had agreed to conduct the specialized blood test first, and from there everything became straightforward.

Blood was drawn and sent for urgent testing.

While waiting for the results of the blood test, the senior doctors' attitudes towards Zhou Can had completely transformed.

"Director Lou, when picking people yesterday, you were indeed the most insightful," Director Tan said somewhat jealously.

"Haha, those you picked are also quite outstanding! Xiao Zhou really has a gift for medicine, our Emergency Department also greatly needs such a successor," Director Lou laughed heartily, but he was more concerned about other influential department directors poaching his promising talent.

After praising Zhou Can, he did not forget to emphasize Zhou Can's importance to the Emergency Department.

Meanwhile, Du Leng, the foreign PhD holder, was quite embarrassed at the moment.

There was a high probability he would be outshone by Zhou Can.

To cover his inner embarrassment, he could only pick up the patient's documents and 'carefully' read through them, wishing he could scrutinize enough to find a few bugs.