My Medical Skills Give Me Experience Points

Chapter 1509: Chapter 609: The Consequences of Concealing from the Doctor, and the Class Monitor Who Surprised Everyone

For young female patients like this one, experiencing sudden lower body bleeding for no apparent reason, the first suspicion is definitely a threatened miscarriage.

Ectopic pregnancies are especially prone to miscarriages.

This is why hospitals always inquire carefully before performing surgery on a patient. If a female patient is pregnant, they would try to postpone the surgery. If surgery is necessary, they would have an obstetrician join the operation.

Because if there’s any disturbance to the fetus, or if the patient miscarries during surgery, no one can bear that responsibility.

The patient’s lower abdomen is flat, but other parts of her body do show some pregnancy traits.

It’s not only the belly and thighs developing stretch marks that indicate pregnancy.

Areas of the body becoming darker, dense fine hair appearing on the lips, facial skin dulling or even breaking out in many pimples... all these are signs of pregnancy.

In early pregnancy, these signs may not be too obvious.

By the late pregnancy stage, these traits become extremely pronounced.

"We asked the patient and her family before surgery; they both said she’s not pregnant! That shouldn’t be possible!"

Tang Wannian was obviously uncertain as well.

There was even a suspicion of shirking responsibility and covering up inadequate pre-surgical checks.

Zhou Can frowned slightly; now was not the time to pursue accountability.

Saving the patient’s life is the most important thing at the moment.

"Was a blood test done before the surgery?"

"It was taken!"

Doing a blood test is almost one of the mandatory checks before surgery.

What is the patient’s blood type? Do they have any infectious diseases? Any major physical defects?

A lot of information can be obtained from a blood test.

"Quickly have the lab check this patient’s blood for hCG."

Blood hCG and progesterone are the gold standards for detecting pregnancy.

In clinical practice, hCG tests are used the most.

Theoretically, it is even more accurate than progesterone testing.

hCG, also known as human chorionic gonadotropin, becomes positive as soon as a woman becomes pregnant.

It takes some time for the lab to check hCG, but given the severe bleeding the patient is experiencing, they may not even survive until the results come out. freeweɓnovel.cøm

Massive internal bleeding, especially uterine bleeding in women, is extremely dangerous and the mortality rate is extremely high.

"Have you communicated with the family?"

Zhou Can asked Tang Wannian.

"No, I haven’t!"

Tang Wannian’s face was pale, his eyes filled with panic and fear.

The female patient was on the brink of death, and as the chief surgeon, he could not avoid blame. The consequences were unknown. The mildest would be suspension and investigation, and at worst, cancellation of surgical privileges or even revocation of his license.

Tuya Hospital experiences medical accidents every year, some of which are unavoidable.

Some medical accidents are caused by doctors or nurses not strictly following protocols. In such cases, the hospital and higher authorities often impose severe penalties on the involved medical staff.

"Director Zhou, because the reason for the massive bleeding is still unknown, communicating with the family could easily interfere and obstruct the rescue efforts. It could also lead to misunderstandings."

Nurse Tang Ling had been an old colleague of Zhou Can.

Back when Zhou Can first joined the Emergency Department’s operating room, she happened to be transferred in as a nurse.

Over the years, she became a nurse practitioner, while Zhou Can rose to the levels she could only admire, becoming a deputy director of the department, deputy leader of the operating room, and a member of the first group of the quality control department.

Behind each position is a level many doctors can hardly aspire to reach in their lifetime.

"If the patient experiences massive bleeding during surgery and the family is not informed, the trouble will be greater. The only thing to confirm now is whether the patient is pregnant." Zhou Can’s expression was as calm as water, and his attitude towards Tang Ling remained gentle.

After all, she is a lady and an old friend; he really couldn’t bring himself to be harsh over such a minor issue. ƒгeeweɓn૦vel.com

"Doctor Tang, I truly tell you, as soon as the patient showed signs of lower body bleeding, you should have thought of giving her an additional pregnancy test immediately. Failing to check for pregnancy before surgery and thinking only of shirking responsibility during a complication. If the patient dies today on the operating table, your career would be completely ruined, do you understand?"

Zhou Can couldn’t hold back his anger anymore.

He vented towards Tang Wannian.

Despite Tang Wannian being a senior attending physician, over forty years old, quite older than Zhou Can, in terms of work, Zhou Can was his superior, with the authority to oversee him.

A higher rank presses down on a subordinate, applicable everywhere.

"I, I thought the patient might have just started her menstrual period..." Tang Wannian, scolded, hung his head, explaining in a low voice.

He was actually aware that there had been negligence regarding this surgery.

His response was indeed somewhat sluggish and inadequate after the incident occurred.

"Have you ever seen a woman with a period bleeding like a fountain? And you’re a senior attending physician, lacking even this basic experience? Immediately get two pregnancy test strips here. Have the circulating teacher bring over a catheter. Waiting for the lab results to come out is too slow; we must immediately ascertain the cause and proceed with further treatment. Otherwise, this patient is difficult to save."

Zhou Can’s experience in emergency response is extraordinarily rich, and he never follows the rules.

Those constraints are just that in his eyes. When it’s time to break them, he doesn’t hesitate. Especially in saving a patient’s life, if one is tied down, a vibrant life could be lost.

As long as he gave his best, if anything were to happen, it would be up to the department and hospital to clean up.

At least currently, Tuya Hospital does quite well in protecting doctors in this regard.

Especially for a prospective top-tier doctor like him, both the hospital and department have high regard and care.