My Medical Skills Give Me Experience Points-Chapter 72 - 66: Disaster Happens in an Instant

Dr. Lu, with the finesse of a master, took the scalpel and widened the wound.

"Xiao Zhou, hurry and help with the retractor!"

Dr. Lu called out.

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Zhou Can had no choice but to put down the film, pick up the retractor, and open up the wound.

It's worth mentioning that different retractors are used for different parts or tissues. For instance, L-shaped retractors are often used in mastectomy, abdominal wall surgery uses a large abdominal retractor, and a double-headed retractor is used for appendectomy.

When Zhou Can was an intern, he was scolded quite often by Director Liu or other doctors while assisting with retractors.

Later, as he assisted with more surgeries, he learned which retractor to use for which part and how to properly use it, and he was scolded much less frequently.

A great teacher produces outstanding students.

Director Liu's surgical skills are highly proficient, and Zhou Can has trained well in his retractor skills.

At least above standard.

After Dr. Lu enlarged the wound with his scalpel, blood gushed out even more severely.

However, with his ample surgical experience, he didn't panic.

Instead, he had Zhou Can suction the blood and then calmly continued to enlarge and further cut into the wound.

This area mainly consists of muscle and dermis.

There are only two major blood vessels.

Normally, they wouldn't be damaged if handled carefully.

At this moment, the black grinding wheel fragment became visible.

It was surprisingly a metallic grinding wheel.

The fragment was deeply embedded in the dermis and muscle layers.

"Xiao Zhou, learn from this. According to the X-rays taken of the patient, this fragment is triangular. The larger part is exposed, and there's probably just a sharp point beneath. Just clamp the end of the fragment and pull it out swiftly and stylishly."

Dr. Lu was quite exhilarated with how smoothly the surgery was going, and he became overly confident.

He clamped the fragment with forceps and pulled it out.

The motion was sleek.

"Hiss hiss!"

Fine sprays of blood gushed out.

This sudden turn of events even startled Dr. Lu.

"Did the blood vessel break?"

Doctor Fu's face changed slightly, and he quickly approached to inspect.

"It shouldn't be serious. It's possible that the fragment had already damaged the blood vessel, and pulling it out caused a small cut. It should be simple to repair."

Dr. Lu feigned calm.

At this moment, he had yet to realize the severity of the situation.

Zhou Can's expression had become exceedingly grim.

He hadn't pinpointed exactly what was abnormal with the patient all along.

Just as he was beginning to get an idea while cleaning the wound, he was abruptly interrupted by Dr. Lu's rough handling.

It was now clear that the patient likely had a coagulation disorder.

No wonder the blood wouldn't clot and continued to be bright red even after being outside the body for a while.

[Pathological Diagnosis Experience Points +1.]

The experience points confirmed—it was indeed a coagulation disorder.

Regrettably, the diagnosis came a bit too late. The tragedy had already occurred.

Dr. Lu's action of enlarging the wound had already exacerbated the bleeding.

Now that the fragment was removed and the damaged blood vessel was no longer compressed, it started bleeding profusely.

The trouble had greatly escalated.

Ironically, Dr. Lu still thought it was just ordinary bleeding and not a big deal.

He would soon regret not having time to even cry.

Of course, the first person to cry would definitely be Doctor Fu.

When something goes wrong, the first to be held accountable is the highest-ranking doctor.

This is somewhat similar to the military, where it is the general who is punished for a defeat, not the soldiers.

"Quickly stop the bleeding!"

Doctor Fu was immensely regretful.

Had he known Dr. Lu was this reckless, he never would have let Dr. Lu lead this surgery.

"This blood is going to be hard to stop."

Zhou Can had already moved to the cabinet where emergency supplies were stored, searching for hemostatic gauze.

The patient has a coagulation disorder, electrocoagulation hemostasis may hardly be effective.

First, tightly bind the proximal end of the thigh, as this is the only effective and rapid way to stop the bleeding.

Zhou Can's approach is simple, first control the bleeding, and then figure out a way to stop it.

Otherwise, at this rate of bleeding, it won't be long before the patient's life is in danger due to excessive blood loss.

"Xiao Zhou, shut your damn mouth!"

Dr. Lu's expression is somewhat fierce.

When accidents happen, no one's in a good mood.

He grabbed the electrocautery knife and went directly to those points of bleeding.

Sizzling!

The fresh blood was immediately stopped.

However, not long after it stopped, it quickly began to ooze blood again.

At this point, Dr. Lu realized how bad the situation was.

Zhou Can didn't bother arguing with this fool and just focused on doing his job.

He tightly bandaged the proximal position of the patient's thigh with a gauze bandage.

The bleeding finally stopped temporarily.

"Dr. Lu, if you keep cauterizing, you'll just char it. Then debridement will be a hassle."

Zhou Can couldn't stand it any longer.

Dr. Lu's hemostasis skills were subpar, and yet he persistently recklessly continued.

This was not stopping the bleeding but causing more harm to the patient.

Whoever has to clean up this mess later will have a headache.

"Shut up!"

Dr. Lu's eyes were red, his expression ferocious and frightening.

One could feel a terrifying murderous aura emanating.

"Dr. Zhou is right! You step down from the platform first."

Doctor Fu, with a stern face, directly sent Dr. Lu off the operating table.

The most panicked was probably the patient.

"Doctor, is my leg okay? What exactly is going on?"

Although the patient was just a young man in his early twenties, inexperienced, he sensed the danger from the doctors' conversation.

Fear rapidly spread in his heart.

"Don't worry, that fragment might have slightly punctured your blood vessel wall. We're figuring it out."

After calming the patient, Doctor Fu looked towards Zhou Can.

After the crisis arose, Zhou Can reacted swiftly, and his management plan was very commendable.

Judging accurately, his hemostasis strategy was scientifically sound.

One could tell he was really skilled.

"Dr. Zhou, why did you think earlier that it would be hard to stop the patient's bleeding?" Doctor Fu thought back to before the surgery when Zhou Can suggested to postpone the procedure.

Instead, he listened to Dr. Lu, this pig-headed fool, and even criticized Zhou Can.

Now that an accident had occurred, it was too late for regrets.

"The patient likely has a coagulation disorder, and normal hemostasis might hardly be effective."

Zhou Can reiterated his diagnostic opinion.

It would have been better if Doctor Fu had listened to him earlier.

Now it had already turned into a disaster, and it was too late.

"Explain your diagnostic basis!"

Doctor Fu's face became as pale as the patient's, with sweat breaking out on his forehead.

He also had a bad premonition.

Now that Zhou Can suspected the patient had a coagulation disorder, his last bit of hopeful thinking disappeared.

"When the patient was brought in, I felt that his complexion was paler than normal. Also, the blood around the wound looked very fresh. Logically, blood should coagulate into dark, reddish-black clumps soon after leaving the body. However, at the time, with only these two observations, I wasn't completely certain about the coagulation disorder."

Zhou Can paused, glancing at the flustered Dr. Lu.

"Only when Dr. Lu enlarged the surgical incision on the patient did I understand that the patient likely has a coagulation disorder. His use of electrocoagulation proved almost ineffective; the diagnosis became practically certain."

The most dreaded situation for a surgeon is encountering a patient with a coagulation disorder.

This patient was rushed into emergency surgery due to trauma and as it was a minor surgery, the attending doctor might not have conducted routine blood tests.

After a brief inquiry and a CT scan, the patient was directly taken for surgery.

The attending doctor had good intentions, aiming to relieve the patient's pain through quick surgery.

Unfortunately, an accident occurred.