My Medical Skills Give Me Experience Points-Chapter 77 - 71 Can I give it a try?
"Why didn't you seek medical help until now? Your condition is extremely dangerous; you could lose your life at any moment." Doctor Fu was quite angry.
Every time they encountered a patient whose delay in seeking treatment led to a fatal outcome, the doctors felt deeply distressed.
"Dr. Lu, bring over the laryngoscope."
Doctor Fu commanded with an expressionless face.
It was clear that Dr. Lu's status in the operating room was no longer on par with Zhou Can.
Everywhere, it's the actual ability that speaks.
Especially in the operating room.
No matter how well you suck up, if you go limp on the operating table, you're just a wimp.
Dr. Lu, like a bullied little wife, gave Zhou Can a resentful glance, and after getting the laryngoscope ready, she pushed it over obediently.
"We are going to perform a laryngoscopic examination on you now, to see the specific location where the fishbone has lodged, how deep it is, and whether there is any pus formation. You must cooperate, understand?"
"Mmhm!"
The patient nodded repeatedly.
After getting the patient to lie down properly on the operating table, they taught him to open his mouth wide and inserted the laryngoscope for examination.
Stimulating the throat area can easily induce swallowing and vomiting.
This requires the patient's cooperation.
Fortunately, this was an adult male with a decent tolerance level.
Doctor Fu told him to relax, and he did relax, cooperating with the entire examination process.
"Oh no, this fishbone is quite thick! And it's lodged in very deep, only a small piece is visible on the outside."
After the examination with the laryngoscope, Doctor Fu's face became very grim.
"We can only try to use the grasping technique to see if it works, if we can't pull it out, then we will have to send you to surgery for removal."
The surgical capabilities of the Emergency Department are limited.
If this patient required invasive surgery for fishbone removal, it would certainly have to be assessed and done by a specialist surgeon from the surgical department. Since an incision in the neck area is involved, the risks of surgery are extremely high.
If the surgeons, after evaluating, feel that the surgical risks are too high and the patient might not make it through the procedure.
Then surgery is not an option.
The patient is very likely to die.
It's not that doctors are unwilling to save lives; it's that they can't.
Using their professional knowledge and experience, doctors can predict that even with surgery, the patient may still die on the operating table.
So it might be better to let the patient try some conservative treatments, perhaps that would provide a glimmer of hope.
"Uh uh…"
The patient seemed to realize the severity of his condition, continuously bowing and gesturing with his hands to Doctor Fu and Zhou Can, pleading for them to save him.
In his urgency, and with his throat severely swollen, he couldn't even speak.
"Don't worry, we will definitely do our best."
Doctor Fu gently comforted the patient, stabilizing his emotions.
This is also why experienced doctors, upon discovering that a patient has a terminal illness, usually do not want to directly inform the patient but rather discreetly tell their family members.
Because once a patient's emotions collapse, it's very detrimental to the treatment.
Let me tell you a little story.
Once there were two patients, A and B, who went for medical check-ups at the hospital at the same time. However, the doctor responsible for recording the results into the computer was a careless intern who mixed up the two patients' results.
Patient A thought he was quite likely to have a serious illness since he occasionally coughed up blood.
But then he saw his medical results indicating only mild gastritis.
No big deal then.
Some medication would fix it.
Patient A lived every day cheerfully, and after that scare, he started to pay much more attention to his health.
Patient B, who didn't have any major issues, just felt a bit of stomach bloating.
When he saw his medical results.
He nearly fainted on the spot.
He was actually diagnosed with a terminal illness—advanced-stage gastric cancer.
Patient B staggered back home and cried alone in his room for a long time.
The doctor told him he had at most three months left to live.
After grieving, he started to arrange his affairs, and then waited for death to arrive.
He lived each day in extreme repression, his heart filled with fear.
He felt his body deteriorating day by day, death seemed closer and closer.
Until one day, the hospital discovered that the results for patients A and B were input into the computer incorrectly.
They immediately notified both patients to redo their examinations.
To the doctors' surprise, patient A, who was originally diagnosed with cancer, miraculously showed significant improvement, even signs of recovery.
Patient B, originally suffering only from gastritis, had his condition transform into gastric cancer due to living every day in oppression, fear, and sorrow.
Half a year later, patient B died of cancer. Patient A's gastric cancer had miraculously healed.
This is a true story that happened in France.
Later, after following up and investigating multiple cases, doctors found that patients in good spirits are more likely to recover, while those in low spirits are more prone to worsening conditions.
To this day, doctors have placed great emphasis on the psychological state of their patients as an influencing factor.
After comforting the patient, Doctor Fu began to use the laryngoscope and tweezers to extract the fishbone stuck in the patient's throat.
Once, twice...
After several attempts, Doctor Fu was drenched in sweat from the effort but ultimately failed.
"It's no good, the fishbone is lodged too deep. The part protruding on the outside is too short, and it's difficult to apply force deep in the throat to pull it out," Doctor Fu said helplessly.
Zhou Can had been acting as an assistant the whole time.
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The laryngoscope provided a clear view of the fishbone situation on the screen.
Including the process of Doctor Fu trying to remove it.
"Doctor Fu's long instrument control seems a bit off!"
He dared to entertain this thought only internally.
He wouldn't dare let the slightest hint show on his face.
Removing a fishbone stuck deep in the throat should require the grasping technique.
Zhou Can instinctively felt that his Level 3 grasping technique might be able to extract the fishbone.
"Doctor Fu, could I have a try?" he asked.
Extracting this fishbone carried certain risks.
Zhou Can could only do his best to seek permission.
Doctor Fu gave him a look, hesitating, not daring to agree immediately.
"This long-arm tweezers maneuver is very difficult. Try using it to pick up that surgical hook needle!" he challenged.
Due to his trust in Zhou Can's previous excellent performances, Doctor Fu did not immediately refuse but decided to first observe Zhou Can's grasping technique.
Dr. Lu's mouth twitched faintly, revealing a barely perceptible sneer.
As a senior doctor, although his medical skills were not remarkable, he was clear about the difficulty of certain procedures and what was easier to handle.
The grasping technique has always been regarded as a Director Level surgical skill.
It's commonly used in various advanced minimally invasive surgeries or procedures above Level 3.
Performing advanced minimally invasive surgeries, an attending doctor at that level might just be a novice, barely qualified to assist. At minimum, a deputy chief physician would be the chief surgeon.
Moreover, the grasping technique was both a fundamental skill for minimally invasive surgery and one of the most difficult skills to improve.
Zhou Can, just a junior resident, dared to challenge the Director Level grasping technique, which was incredibly presumptuous.
Dr. Lu waited to see how he would embarrass himself.
Nurse Liu Xia had already cleverly passed a long pair of tweezers to Zhou Can.
This type of tweezers, with an arm length exceeding 25 cm, was more than twice the length of ordinary straight tweezers.
You could imagine the difficulty of manipulating it to pick up a fine suture needle.
But Zhou Can calmly held the long tweezers and picked up the hook needle from the dish.
His movements were smooth and effortless, securely clamping the hook needle.
Such was the capability of a Resident Doctor's grasping ability.