My Medical Skills Give Me Experience Points

Chapter 1510 - 609: The Consequences of Concealing from the Doctor, the Class President Who Deserves a Second Look (Part 2)

This kind of good medical environment is very friendly to doctors. It lets them really let go during a resuscitation, greatly improving the success rate.Also, a doctor’s skills improve fastest during resuscitations.

Because in that state of extreme nervous tension, the doctor will involuntarily squeeze out every last bit of potential.

After listening to Zhou Can’s quick-testing plan, Tang Wannian and the other medical staff couldn’t help but brighten up.

Using a pregnancy test strip really is much faster than a blood test.

It’s just that the accuracy is hard to guarantee.

In less than five minutes, Tang Wannian had gotten hold of the pregnancy test strips.

To save his own skin, he was going all out.

He directly called a relative who ran a pharmacy right next to the hospital, and had them rush a box of pregnancy test strips over.

Under normal circumstances, this kind of connection would never be casually exposed.

But around the hospital, among the pharmacies, hotels, rehab centers, and maternity centers, at least nine out of ten have all kinds of tangled connections with doctors and nurses inside the hospital.

They’re often their acquaintances or relatives.

Without some sort of relationship, never mind anything else, just getting business would be a huge headache.

For example, if someone opens a maternity center, and their relative happens to be an attending chief in obstetrics at Tuya Hospital. After seeing patients, whenever he comes across a suitable one, he’ll rack his brains to recommend that maternity center.

Out of trust in the doctor, as long as they have that need, most patients will go to the center the doctor recommends.

Then that maternity center will tacitly give that recommending chief physician a commission.

Everyone benefits.

Only like that can the business last.

Some doctors simply jump in personally, having their spouse or themselves open a rehab center.

As long as there’s a steady stream of clients, the profits are very impressive.

The hospital also just turns a blind eye to this sort of thing.

As long as nothing blows up, no one will bother with it.

Some attending physicians earn barely ten thousand a month on paper, yet their families own several apartments and drive cars worth several hundred thousand. Their kids are even sent abroad to study. Just on their official salary, there’s no way they could live that well.

All you can say is that after working a few or a dozen years, such doctors, through their own accumulation, have found their own ways of making money.

Once the pregnancy test strips arrived, Zhou Can had already placed a Foley catheter for the patient, and now dropped some of the drained urine onto the strip’s test area.

Then it was a matter of waiting patiently.

The resuscitation work on the patient continued throughout.

It was just that the speed of transfusion couldn’t keep up with the bleeding, and the situation became extremely critical for a time.

Right now, not knowing whether the patient was pregnant, Zhou Can had a whole arsenal of hemostatic techniques but didn’t dare casually use them. For example, a common hemostatic approach: if you know it’s massive intrauterine bleeding, you can pack the cavity with gauze to stop the bleeding.

If the patient is pregnant, that method is off the table.

The test result came out quickly.

Pregnancy test positive.

To ensure the accuracy of the test, they deliberately ran it on two strips.

Both came back positive.

At this point, Zhou Can had basically guessed the cause of the patient’s massive hemorrhage. He asked obstetrics specialists to come over for a joint consultation and rescue, while also doing the explanation and communication work with the family.

The critical condition notice had also been handed to the family.

In this incident, the hospital did bear some responsibility, but the family and the patient herself, by hiding the fact of her pregnancy, also bore a major share of responsibility.

Even if it went to court, the hospital’s chances of winning were very high.

Obstetrics sent two doctors to join the rescue. One was an old acquaintance of Zhou Can’s, an old classmate, Yang Chan. The other was a deputy chief physician in obstetrics, Zhao Zhisheng. Many people think obstetrics is all female doctors, but that’s actually a misconception.

There are quite a few male doctors in obstetrics as well.

For example, this Zhao Zhisheng is one of the many male doctors in the department. Since he’s made it to chief physician, his strength and level are naturally very high.

After arriving and examining the patient, they directly confirmed that she had an ectopic pregnancy, commonly known as a pregnancy outside the uterus.

It was likely that during the surgery, some medication triggered uterine contractions, which then led to a miscarriage and massive bleeding.

An ectopic pregnancy is extremely dangerous to begin with.

This female patient hid the fact she was pregnant and let the doctors perform a subcutaneous tumor excision on her without any preparation. She was practically gambling with her life.

Hemostasis and surgery—these are both things Zhou Can is very good at.

But when it comes to doing obstetric surgeries, he really doesn’t have any knack for it.

He hadn’t seen Yang Chan for quite a while; she looked a bit thinner, but also noticeably more beautiful. From the arch of her brows and the look in her eyes, you could feel a kind of soaring self-confidence.

It seemed her medical skills had improved a lot over the past few years.

In the surgery that followed, she really showed her stuff, making Zhou Can truly look at her in a new light.

Her current surgical level was completely on par with senior attending physicians; no wonder Director Zhang from obstetrics had taken a shine to her back then and put his full effort into cultivating her.

Don’t be misled by the fact that all of Zhou Can’s many skill sets are now at chief-physician level, leaving her several streets behind—that’s only because he has the system’s bonus.

She doesn’t have any system; relying entirely on talent and hard work, to raise her surgical ability to this level in just a few years is truly astonishing.

...

Once the rescue ended, the patient’s uterus had not been removed.

In cases of postpartum hemorrhage, to save the patient’s life, doctors often have no choice but to remove the uterus.

When there is massive uterine cavity bleeding, after comprehensive consideration, doctors will usually insist on removing the uterus to save the patient.

Because uterine bleeding is very difficult to stop.

And extremely dangerous.

This patient kept her uterus, and her life was saved as well—misfortune within which there was still some luck.

Seeing the patient turn from critical to stable, Zhou Can let out a long breath and suddenly felt his back icy cold. Only then did he realize that while he’d been busy saving the patient, his back had been completely soaked with sweat.

As for Tang Wannian, when he took off his mask, the expression on his face was one of someone who had just survived a catastrophe.

The patient had almost not made it.

This feeling of having your head tied to your belt is truly hair-raising.

With this lesson, he would surely be more cautious in his practice from now on.

He had recently received fairly reliable news that the department had allocated him a quota for applying for associate chief physician.

With that quota in hand, as long as all the hard criteria were met, getting the associate chief title was basically a done deal.

Many medical students, fresh out of school, naively believe that as long as their ability is strong enough, they can be promoted to associate chief or full professor. They actually ignore the biggest influencing factor—the hospital.

Everyone knows that once a doctor registers with a hospital, that’s where they work.

Depending on the hospital’s size and comprehensive strength, the numbers of associate chief and full professor titles are all capped.

Getting a quota from the hospital will absolutely make the process half the work for twice the result.

In a big hospital like Tuya, quotas for associate chief, full professor, and permanent staff are all distributed down to specific departments.

The Emergency Department has only in the last couple of years, thanks to Zhou Can’s blessing, been able to get a small piece of the pie when those quotas are divided up.

Before that, they couldn’t even be sure of getting a sip of the soup.

Tang Wannian had gotten one associate chief quota in the Emergency Department, and it had gone somewhat to his head.

Once a person starts floating, they need to watch out for getting cut down.

In his work, he inevitably became a bit careless and negligent, and in the end almost caused a tragedy. This lesson hit him very hard.

"All right, the patient should be fine now. We’ll head out first."

Director Zhao Zhisheng took off his mask and gloves and tossed them into the trash.

"Thank you, Director Zhao, and Doctor Yang. I’ll walk you out."

Even though Zhou Can had been doing his best to avoid interacting with Yang Chan, this time he’d needed their help. He couldn’t very well burn the bridge after crossing the river, could he?

He could only bite the bullet and walk the two of them out.

This was also a sign of respect.

"That’s not how you used to address me, Director Zhou!"

Yang Chan’s bright eyes narrowed slightly, and a complex expression flickered across her stunningly beautiful face.

"Ahem... Don’t tease me, Class Monitor. Titles or no titles, you and I have always just been old classmates."

Being called out like that by her in front of the department colleagues, Zhou Can immediately felt his face heating up.

The others all wore odd smiles, tinged with a bit of schadenfreude.

They usually only saw Director Zhou being invincible in the department—whether in the OR, the resuscitation room, or the clinic, he was unbeatable. Seeing him stumble now was honestly pretty satisfying.

"So you still acknowledge me as your class monitor? I thought once you got promoted to director, you stopped hanging around with us old cronies! Every time I come to the Emergency Department, I never see you. You’ve been deliberately hiding from me, haven’t you?"

Yang Chan seemed to have held a grudge for quite some time and clearly did not plan to let him off easy today.