[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"origin-my-medical-skills-give-me-experience-points":3,"chapter-my-medical-skills-give-me-experience-points-my-medical-skills-give-me-experience-points-chapter-400":6},{"origin":4,"title":5},"english","My Medical Skills Give Me Experience Points",{"chapter":7,"nextChapterSlug":20,"prevChapterSlug":21,"totalChapters":22,"novelImage":23},{"id":8,"novel_id":9,"title":10,"slug":11,"index":12,"content":13,"wordcount":14,"created_at":15,"updated_at":16,"volume":17,"translator":18,"content_hash":19},527384,780,"Chapter 398 - 186: Frequent Accidents, Numerous Difficulties. The Director Suffers a Heart Attack","my-medical-skills-give-me-experience-points-chapter-400",400,"\u003Cp>The thymus is already very close to the heart, and after the patient developed a tumor in the thymus, it has directly encroached upon a part of the pericardium.\u003C\u002Fp>\n\u003Cp>The artery that was damaged is now directly ligated and obstructed.\u003C\u002Fp>\n\u003Cp>It's as if that route for blood flow has been cut off.\u003C\u002Fp>\n\u003Cp>The human body's entire blood supply system is very delicate. Especially the blood vessels within the thoracic cavity.\u003C\u002Fp>\n\u003Cp>Whether veins or arteries, they all form a systemic blood circulation system centered around the heart.\u003C\u002Fp>\n\u003Cp>Blood supplied from the thoracic cavity reaches as high as the brain and as low as the soles of the feet, supplying all of a person's limbs and internal organs.\u003C\u002Fp>\n\u003Cp>The patient's blood oxygen level is continuously dropping; whether this is related to the severed artery is not yet clear.\u003C\u002Fp>\n\u003Cp>But without completely separating the thymus tumor, there is no way to suture that artery now!\u003C\u002Fp>\n\u003Cp>Director Hu Kan is facing an unprecedented challenge.\u003C\u002Fp>\n\u003Cp>\"I'll try turning up the oxygen concentration first. But by feel, the effect probably won't be great.\"\u003C\u002Fp>\n\u003Cp>Doctor Feng is attempting to increase the oxygen concentration for the patient to inhale.\u003C\u002Fp>\n\u003Cp>In the hospital, it is common to see patients who need oxygen. For example, pregnant women, those with pulmonary dysfunction or failure, chronic obstructive pulmonary disease, etc., might require oxygen.\u003C\u002Fp>\n\u003Cp>Patients' oxygen is generally low-concentration, with occasional special circumstances requiring a slight increase in oxygen concentration.\u003C\u002Fp>\n\u003Cp>But the oxygen concentration cannot be set too high.\u003C\u002Fp>\n\u003Cp>Otherwise, it will backfire.\u003C\u002Fp>\n\u003Cp>For instance, common issues such as carbon dioxide retention, pulmonary function suppression, oxygen toxicity, and so on.\u003C\u002Fp>\n\u003Cp>Doctor Feng is very cautious while operating.\u003C\u002Fp>\n\u003Cp>The patient's blood oxygen level is already compromised; if the oxygen concentration is too high and suppresses lung function, it will instantly exacerbate the situation.\u003C\u002Fp>\n\u003Cp>Zhou Can silently watches from the side, his heartbeat slightly accelerating.\u003C\u002Fp>\n\u003Cp>Because he knows that after nearly two months in Cardiothoracic Surgery, he has not had many opportunities to practice. Now, the opportunity has arrived.\u003C\u002Fp>\n\u003Cp>It's true that Cardiothoracic Surgery is full of experts — these directors and associate directors are all masters among masters.\u003C\u002Fp>\n\u003Cp>Even the attending physicians are formidable, their surgical abilities crushing those of other departments' physicians at the same level.\u003C\u002Fp>\n\u003Cp>But they have one major weakness.\u003C\u002Fp>\n\u003Cp>And that is slowness.\u003C\u002Fp>\n\u003Cp>Success is Xiao He, as is failure.\u003C\u002Fp>\n\u003Cp>Slowness, if in other surgeries, might not matter much.\u003C\u002Fp>\n\u003Cp>Right now, accidentally damaging an artery has already sown the seeds of trouble. Coupled with the slow pace of surgery, it's akin to a leaky roof being hit by non-stop rain.\u003C\u002Fp>\n\u003Cp>Oxygen therapy is not a panacea for low blood oxygen.\u003C\u002Fp>\n\u003Cp>In many cases of low blood oxygen, it cannot be solved simply by inhaling oxygen.\u003C\u002Fp>\n\u003Cp>Sure enough, as Zhou Can expected, even after increasing the oxygen concentration, the patient's blood oxygen saturation continued to decline.\u003C\u002Fp>\n\u003Cp>It has already fallen below 90.\u003C\u002Fp>\n\u003Cp>\"Oxygen therapy is ineffective!\"\u003C\u002Fp>\n\u003Cp>Doctor Feng issued a warning.\u003C\u002Fp>\n\u003Cp>With Director Hu Kan already speeding up the surgery, his complexion changed slightly, fearing the worst.\u003C\u002Fp>\n\u003Cp>Today's situation seems troublesome.\u003C\u002Fp>\n\u003Cp>\"Director Le, how much time is needed to suture the ruptured artery?\"\u003C\u002Fp>\n\u003Cp>\"I estimate it will also take more than three hours.\"\u003C\u002Fp>\n\u003Cp>Director Le is considered a skilled and agile doctor within the surgical team.\u003C\u002Fp>\n\u003Cp>The time to suture larger arterial vessels usually ranges from half an hour to three to four hours.\u003C\u002Fp>\n\u003Cp>For operations of higher difficulty, it could even take eight hours.\u003C\u002Fp>\n\u003Cp>A typical arterial ligation, under the condition of placing a vena cava filter, can usually be completed within half an hour. If it's a particularly difficult artery or vessel occlusion, then corresponding medication must be used to assist the treatment, and the surgery time will be greatly prolonged.\u003C\u002Fp>\n\u003Cp>And even for a top surgeon like Director Hu Kan, there's no guarantee of success on the first attempt.\u003C\u002Fp>\n\u003Cp>Failure means having to re-suture.\u003C\u002Fp>\n\u003Cp>And there will be many risks during the surgery, with many variables.\u003C\u002Fp>\n\u003Cp>\"Doctor Feng, I don't think it's about being prepared for both possibilities! Start preparing to establish an external circulation immediately, just in case.\"\u003C\u002Fp>\n\u003Cp>\"Okay!\"\u003C\u002Fp>\n\u003Cp>Doctor Feng agreed directly.\u003C\u002Fp>\n\u003Cp>\"Let me help you with that!\"\u003C\u002Fp>\n\u003Cp>Today, Zhou Can has received many tips from Doctor Feng, and their relationship has been quietly changing.\u003C\u002Fp>\n\u003Cp>It has obviously become much closer.\u003C\u002Fp>\n\u003Cp>The biggest difference between humans and animals should be that humans have complex emotions.\u003C\u002Fp>\n\u003Cp>Although animals also have feelings, such as the care and protection they show for their mates and offspring, these are all expressions of emotion.\u003C\u002Fp>\n\u003Cp>Human emotions are much more complex.\u003C\u002Fp>\n\u003Cp>In the past, when Zhou Can helped Doctor Feng, he never said thank you, and his attitude had always been cold and indifferent.\u003C\u002Fp>\n\u003Cp>Until today, Doctor Feng suddenly imparted knowledge and skills in anesthesiology to Zhou Can.\u003C\u002Fp>\n\u003Cp>This marks a qualitative breakthrough in their relationship.\u003C\u002Fp>\n\u003Cp>It's like when dating, at first, one might just watch a movie together, stroll around, send messages, make phone calls. Then, as feelings warm up, one day, hands are suddenly held.\u003C\u002Fp>\n\u003Cp>And the other party does not refuse.\u003C\u002Fp>\n\u003Cp>This is a substantial breakthrough.\u003C\u002Fp>\n\u003Cp>Zhou Can has established external circulation for patients many times; he is seasoned, and his speed far exceeds others.\u003C\u002Fp>\n\u003Cp>[+1 Experience Points, +1...]\u003C\u002Fp>\n\u003Cp>As he once again inserted a catheter into the Femoral Artery, he clearly felt the operation was somewhat easier than before.\u003C\u002Fp>\n\u003Cp>Secretly checking properties, his implantation technique had indeed quietly reached the intermediate level of an attending physician. Current Experience Points: 6001\u002F10000.\u003C\u002Fp>\n\u003Cp>Others rely on hard work to get rich, but he is quickly earning experience points to upgrade his medical skills through hard work.\u003C\u002Fp>\n\u003Cp>Even though it's somewhat akin to cultivators consuming elixirs, with some drawbacks,\u003C\u002Fp>\n\u003Cp>This speed of advancement, outmatching others by ten or even fifteen years in a single year, still gives Zhou Can great pleasure.\u003C\u002Fp>\n\u003Cp>Experience can be accumulated gradually.\u003C\u002Fp>\n\u003Cp>First, improve the skills to gain more practice opportunities.\u003C\u002Fp>",983,"2026-05-30T13:34:00.854Z","2026-06-01T04:31:21.203Z",1,"novelbin.me","67ef86732f4092e150d0d4b92b2ab1249908e302048684699d7e4c51a3a9fa1d","my-medical-skills-give-me-experience-points-chapter-151","my-medical-skills-give-me-experience-points-chapter-399",1424,"https:\u002F\u002Fnovelzhen.com\u002Fimages\u002Fcovers\u002Fmy-medical-skills-give-me-experience-points-cover.jpg"]