Chapter 203
Doctor He was examining the patient records written by an intern.
Every time a problem was found, he would immediately point it out.
The intern humbly nodded, noting down the areas needing correction.
Initially, when Zhou Can wrote patient records, he had his fair share of scolding.
Patiently waiting until Doctor He finished guiding the intern, Zhou Can then said, “Doctor He, I’ve noticed some postoperative complications in patient in bed 120.”
“What happened?”
Doctor He was startled, his face filled with tension.
“During the questioning, the patient kept complaining about leg swelling and pain, as if a huge bug was wriggling inside!”
Hearing Zhou Can’s report, Doctor He’s expression steadied, and he let out a sigh of relief.
This new trainee doctor had him scared half to death.
“His leg was crushed by a car, the damage was severe. It’s normal to experience swelling and pain after surgery. Tell the patient that it should gradually improve over the next few days.”
Doctor He explained.
“When I checked the patient, I found edema and slight purpura near the proximal end of the surgery site.”
Zhou Can continued to report his findings.
With his diagnostic skills, he could be sure that there was something abnormal with the patient.
“Let me have a look! Is the edema severe?”
Doctor He didn’t dare to take it lightly and decided to check personally.
“The edema is slight, but I predict this is just the initial stage. It’s likely to swell much more later on.”
Zhou Can had performed two replantations of severed fingers.
Although not directly comparable to the patient in bed 120, the principles were the same.
Swelling in the amputated area is a very bad sign.
It often indicates surgical failure.
Two interns, out of a learning and curious mindset, also followed to check.
The improvement of a doctor’s skills depends not only on reading more and practicing technical abilities but also on accumulating experiences dealing with such abnormal conditions.
The four arrived at bed 120, and the patient and his wife, seeing four doctors coming over, nodded gratefully at Zhou Can.
It showed that the young doctor had reported the situation to his superiors.
Patients and their families appreciate this kind of responsible doctor.
“Are you feeling okay? I heard you’ve been experiencing swelling and pain in your leg?”
Doctor He asked the man in the bed.
“It comes and goes, with a bit of a sour feeling, it’s quite uncomfortable.”
The man reported truthfully.
Doctor He nodded, pulled back the covers, and carefully examined the man’s operated leg.
The safety and accountability mechanisms of Tuya were in place; no doctor dared to shirk their duties and take them lightly.
After all, a job at Tuya Hospital was highly coveted; messing up meant ruining one’s bright future.
“There doesn’t seem to be any major problem. The upper end of the surgery looks normal, with slight edema near the lower end of the surgery site. As for the subcutaneous purpura, it’s quite common. Usually, it’s minor subcutaneous hemorrhage. Judging from the flesh color and foot temperature, the possibility of muscle necrosis seems small.”
Although Doctor He was only a resident doctor in charge of beds, his skill level was genuinely not lacking.
His experience and diagnostic capability were even stronger than the attending physicians at city-level hospitals.
The larger the reputation of a hospital, the greater the volume of diagnostic and therapeutic services, and the richer the experience and insight of the doctors.
One surgeon from a city-level hospital admitted,
He had mastered liver surgery and was fully capable of performing such operations, but there were barely a few liver surgery patients each year. Some patients, upon hearing they needed liver surgery, would even leave their hospital.
As for slightly more serious illnesses, all the patients would rush to the big hospitals.
They wouldn’t even enter their hospital.
City-level hospitals are actually quite large, belonging to major hospitals. Even hospitals of this caliber find it challenging to receive patients, let alone county-level hospitals and district hospitals.
Not receiving patients means no opportunity to practice.
Without the chance to improve surgery and diagnostic abilities or accumulate experience.
This vicious cycle eventually results in super-large hospitals becoming stronger and stronger,
And medium and small-sized hospitals growing weaker and weaker.
After listening to Doctor He’s observations, Zhou Can still felt there was more to it.
He furrowed his brows, deep in thought.
Book knowledge is never appreciated until it’s needed.
He only wished his medical knowledge was more profound, his diagnostic level stronger.
He clearly knew something was wrong with the patient, but couldn’t figure out where the problem lay.