My Medical Skills Give Me Experience Points-Chapter 125 - 93: Advanced Bootlicking, The First Time Opening the Abdomen_2

Just at this moment, the anesthetist arrived.

After greetings, the anesthetist inquired about the situation and patiently waited on the side for the surgical doctors to conclude their consultation.

"Dr. Chi, what's your opinion?" Doctor Ruan looked towards the attending physician from Digestive Internal Medicine.

"I support the approach of the Emergency Department. This patient has underlying conditions, is of advanced age, and is exceptionally weak, compounded by pus around the gallbladder, which makes the surgery extremely risky. Moreover, the remnants of vomit at the corners of the patient's mouth suggest that there hasn't been a long period of fasting before surgery. I propose first to drain the biliary sweat, evacuate the pus and reduce inflammation, then provide IV nutritional support and fasting. It's not too late to perform surgery once the criteria are met."

Dr. Chi's observation was meticulous, truly admirable.

"If possible, I would prefer laparoscopic surgery. It's much less invasive and could reduce some of the risk."

The reason why minimally invasive surgery has become a new trend is precisely because it is less traumatizing, greatly reducing harm to the patient and allowing for quicker postoperative recovery.

Some patients who are frail and suffer from multiple illnesses may not meet the criteria for traditional surgery, but minimally invasive surgery could be viable for them.

The only downside is that minimally invasive surgery is much more expensive.

Moreover, there are very few physicians in the country skilled in performing minimally invasive surgeries.

"The patient hasn't fasted for long enough preoperatively and has shown vomiting, which probably makes anesthesia impossible!"

Hearing about the recent vomiting, the complexion of the anesthetist immediately changed.

The hospital was currently stringent on surgical safety, and they dared not take this risk.

Everyone's gaze was fixed on Doctor Ruan, waiting for his statement.

"Alright, let's transfer the patient to the Liver and Gallbladder inpatient specialty. I'll report to the department head on my end, and after you in the Emergency Department communicate with the family, you can transfer the patient over."

Doctor Ruan had taken this 'hot potato' back to the Liver and Gallbladder specialty.

That temporarily concluded the matter.

Before departing, Doctor Ruan looked at Zhou Can and said with a chuckle, "Young man, you really stand by Dr. Xu, even snatching my salute!" In saying this, he somewhat gave himself a face-saving way out.

If he knew that the treatment proposal from the Emergency Department came from Zhou Can, a resident in training, he would have regarded Zhou Can even more highly.

"Hehe, I wouldn't dare!"

Zhou Can was not at all embarrassed to have his ulterior motives exposed.

Dr. Xu was so protective of him, and humans are not heartless creatures. Naturally, he also wanted to reciprocate the kindness of his mentor and defend his teacher.

Dr. Xu, though speaking not a word on the side, revealed a trace of undeniable gratification on his stern face.

Clearly, Zhou Can's act of defense was very much appreciated by him.

This had tenfold, even a hundredfold the effect of Dr. Lu blatantly flattering him a thousand times.

Flattery from Dr. Lu might please Dr. Xu momentarily, but it would be forgotten later. However, Zhou Can's 'sophisticated flattery,' which was about affection, could make Dr. Xu treat him directly as his own child.

"I'll be taking my leave then, and don't delay with this patient, it could lead to complications!"

Doctor Ruan cautioned once more.

Given the severity of the patient's condition, no one dared to delay.

Dr. Xu personally communicated with the family, and the discussions were settled swiftly.

The family's request was actually quite simple; they just wanted the hospital to cure their loved one.

"Dr. Lu, you and the nurse outside immediately transfer the patient to Liver and Gallbladder Surgery!"

Dr. Lu's face showed bitterness.

"Can't you send Xiao Zhou instead?" After all, he was a senior resident doctor.

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Running errands like this is usually assigned to the lowest-ranked individuals.

Jin Mingxi was in surgery, so it was understandable not to send him.

But Zhou Can wasn't in surgery either.

"You can be quite eloquent, but Xiao Zhou just isn't articulate enough; he's only good for surgery. Hurry on now!" Dr. Xu's words made Dr. Lu wish he could just bang his head against tofu and die.

If Zhou Can's mouth was considered clumsy, then probably no one in the world could be considered articulate.

Dr. Xu had made his intentions clear, openly protecting Zhou Can. Dr. Lu was clever enough not to engage in any foolish acts that might displease his superiors or leaders.

He went on to obediently escort the patient.

"Bring in the next patient!"

Soon, a new surgical patient was wheeled in, his face pale with pain, with cold sweat continuously breaking out on his forehead.

This was a patient for acute appendicitis surgery.

While the anesthetist was still there.

After reviewing the medical reports, Dr. Xu asked about the patient's condition.

The surgery could proceed.

"How long has the patient fasted?" the anesthetist asked the nurse who brought in the patient.

He had been frightened by the audacious procedures of the Emergency Department's attending physician.

The previous surgical patient's stomach clearly hadn't emptied its contents. How could they bring such a patient into the operating room without fear of complications?

"It's been over six hours."

The nurse answered honestly.

Acute appendicitis often occurs at night.

Presumably, the patient was brought in during the evening.

"I, I last ate a late-night snack around 22:00 and haven't... eaten anything since!"

The patient spoke with evident shortness of breath.

That was due to severe pain.

Acute appendicitis can truly be excruciating.

"What's the patient's name?"

"Huang Weiyuan!"

"Was it an admission from last night?"

"Yes!"

The anesthetist took out about a dozen consent forms from his box, flipped through them quickly, and found the right one.

"I'll go get the anesthetic consent form signed by the family!"

The anesthetist left.

It wasn't long before he returned.

After the usual preoperative checks without issues, the patient was hooked up to life-monitoring equipment, a non-invasive ventilator, and given inhalational anesthesia.