Chapter 390
Chapter 388: Chapter 182: Uncovering Hidden Hazards, A Benevolent Notice_3
Zhou Can was filled with concern about this matter.
If the patient has taken Aspirin, then surgery cannot be performed.
With this medication, stopping for one week isn’t considered safe; stopping for at least two weeks would be somewhat more prudent.
Because Aspirin not only reduces inflammation and relieves pain, but also has an anti-coagulant effect.
Patients who have undergone heart stent surgery or cerebral vascular stent surgery need to take anti-coagulant medications for life. This is to prevent blood clots.
Some patients, possibly worried about the negative effects of long-term medication or to save money, stop taking anti-coagulant medications after one or two years. This is a very dangerous behavior.
It’s very easy for something to go wrong.
During his neurosurgery residency, Zhou Can saw a cerebral infarction patient who, after stent surgery, stopped taking anti-coagulant medication on his own in the third year. It was probably less than a year later when he suddenly fell ill one evening.
By the time he was rushed to the hospital by the ambulance, his pupils were already dilated.
However, for patients about to undergo surgery, it is imperative to inform the doctors if they are on anti-coagulant medication.
Otherwise, that would be a tragedy.
Sometimes, a blood draw for a routine test might not reveal it.
Especially for those patients who do not take it regularly, but only occasionally.
That really makes it hard for doctors to guard against.
“Let’s not worry about the patients from his team. Let’s rush to get this lung cancer patient in! Otherwise, if the anesthesiologist waits too long, their face might end up looking longer than a donkey’s.”
Dr. Wu was reluctant to meddle in others’ business.
Everyone basically just took care of their own affairs.
Getting too involved sometimes means a lot of efforts for little gratitude.
Doctors who have been working a bit longer have all learned this lesson the hard way.
At that moment, Director Le rushed over with his attending physician.
“You go ahead and send the patient in; I need to remind Dr. Le. If something happens, it would be bad for both the patient and our department.”
Zhou Can, new to the hospital and with an innocent nature, still retained the rookie’s initial kindness.
Without waiting for Dr. Wu to say anything more, Zhou Can headed towards the approaching Director Le.
“Director Le, hello!”
Zhou Can took the initiative to greet.
“Is there something you need, Dr. Zhou?”
Director Le was quite polite to him because the patient from the last chest wall muscle suture surgery belonged to his team.
Regardless, Zhou Can had cured the patient, which was somewhat of a favor to Director Le.
“That patient in Bed 54 who just went in for the heart bypass surgery, it would be best to ask clearly before performing the surgery,” Zhou Can said.
“What’s the matter?”
The surgery was already scheduled; it couldn’t just be canceled on a whim.
Director Le would certainly want to understand the situation before making a decision.
“This morning when I made my rounds in the ward, I found the patient in Bed 54 holding his cheek, so I asked if his tooth was hurting. He told me that his toothache had flared up again. It had just happened last week, and he treated it himself with medicine.”
Zhou Can recounted the events.
“Is there a problem with that?”
Director Le looked puzzled.
“There’s no issue with that, I am just worried that the patient might have taken Aspirin, which is an anti-coagulant medication. Who knows when he stopped taking it? Of course, I’m just mentioning this as a precaution, the actual arrangements are up to you to decide.”
Having said his piece, Zhou Can did not interfere any further.
He had fulfilled his duty to inform; if Director Le chose to ignore his advice, there was nothing to be done.
Zhou Can went straight into the surgery room, full of anticipation for today’s lung cancer surgery, from which he should be able to learn a lot.
The chance to take part firsthand might be slim.
Director Xue’s trust in him had not been fully established yet, but things like suturing skin and closing cavities, he was occasionally entrusted with.