My Medical Skills Give Me Experience Points

Before long, he rushed to the Neurosurgery emergency room at lightning speed.

He saw that around a bed in the emergency room, there were already over a dozen doctors and nurses gathered.

There was also a blond man, who looked like a family member, standing worriedly by the bedside.

"So it's an international patient, no wonder the Neurosurgery department is giving this much priority."

I must explain that this is not any form of blind foreign worship.

Allowing international friends to experience the beauty of China can attract more of them to invest or work here. This is a form of insightful vision.

Zhou Can used to feel it was too servile when he saw international friends receiving preferential treatment in China.

He always looked down upon this.

However, as his experience grew and his thinking broadened, he slowly understood the profound intentions behind treating international friends well.

Treating international friends well can earn their friendship and recognition. They will also be more willing to come to such a kind, peaceful, and enthusiastic country to work or invest, which can drive the development of the economy, technology, and other areas.

"Dr. Zhou is here!"

This nurse must be the one who called Zhou Can just now.

Zhou Can has some impression of her; her name is Shu Qian.

"Director Wen, Director Wu..."

Zhou Can walked over to greet these Neurosurgery bigwigs.

There were four chief physicians alone, and seven or eight attending and resident doctors present. The hospital was giving extreme importance to this patient.

Otherwise, it wouldn't be possible to mobilize so many medical resources.

"Dr. Zhou, you can first look at the scans and medical records. The patient has a cerebral hemorrhage and was just brought in. We have taken a cranial CT."

Wu Baihe said a few words to Zhou Can before bending down again to examine the patient's condition carefully.

Zhou Can picked up the CT scans to review, and saw multiple white spots, with one area showing a particularly large white spot.

On a brain CT, white spots typically indicate calcification in the brain, hemorrhage, or tumors.

The patient was currently in a deep coma, unresponsive to calling out or tapping on the shoulder.

When lifting the eyelids, the eyes were lifeless, with a scattered gaze.

This indicated that her condition was extremely critical.

Those smaller white spots are likely just pineal or choroid plexus calcifications. This physiological type of calcification would not significantly impact the patient and does not require treatment.

The key lesion site should be that large white spot.

White spots on a brain CT usually refer to high-density lesions. The specific cause is determined by considering a comprehensive judgment of lesion size, location, CT value, mass effect, and the degree of compression on the surrounding brain tissues.

Zhou Can had been training in Neurosurgery for several months and had already learned how to read brain CTs, ultrasounds, X-rays, and other scans.

Diagnosing this patient's condition was actually quite straightforward.

Intracranial pressure was very high, brain tissue was compressed and shifted, leading to brain herniation with extremely high rates of mortality and severe disability.

The site of hemorrhage could likely be localized beneath the falx cerebri.

When a herniation at this location exceeds a certain degree, it is far more dangerous than the average brain herniation. For instance, a foramen magnum herniation typically causes respiratory failure or cessation of breath. Before the onset, symptoms like neck stiffness, fluctuating pupil size, and brainstem hypoxia may occur.

Overall, the onset of foramen magnum herniation is progressive, giving doctors a window of opportunity for rescue.

The patient at hand may very well be suffering from a subfalcial herniation with an extremely high rate of death and disability. This would cause a significant amount of neural tissue to shift or be sheared, with the vast majority of nerves undergoing necrosis, leaving an extremely short window of time for rescue by physicians.

Many patients may not even survive long enough for a craniotomy to be performed.

"Xiao Zhou, after looking at it, how do you evaluate the patient's condition?"

Director Wen must be testing Zhou Can.

Several chief physicians were at the scene, and diagnosing the cause would certainly not be an issue.

It was not any rare disease either.

"It's likely subfalcial herniation accompanied by intracranial hemorrhage and high intracranial pressure. The patient's condition is very dangerous. With mild subfalcial herniation, it only causes paralysis of the opposite lower limb and difficulty urinating, but this patient is in deep coma, indicating the brain herniation has caused extremely severe brain tissue displacement. The best approach is to perform immediate craniotomy. Considering her current condition, a traditional craniotomy may not be fast enough, and performing an immediate burr hole endoscopic surgery might offer a chance of survival."

In such a situation, Zhou Can naturally would not play any games of hiding his skills.

Instead, he relayed all of his diagnostic opinions truthfully.

Whether the chief physicians accepted his suggestion was up to them.

"It seems that inviting Dr. Zhou to join the rescue was an exceedingly correct decision! Your diagnostic conclusion is nearly identical to ours."

Listening carefully, you could hear that Wu Baihe was saying he had invited Zhou Can over, not just called him to participate in the rescue.

Having such courtesy from the chief of Neurosurgery indicated Zhou Can's status in the eyes of these chief physicians in Neurosurgery.

"Issue a critical condition notice immediately! Then talk with the family. If they agree, have them sign the surgery consent form right away and rush the patient to the operating room for emergency surgery."

Wu Baihe made a decisive arrangement of actions.

Any type of brain herniation is extremely dangerous. This patient was already half-stepped through the gates of death, and emergency surgery was her only chance at life.

"But the exact location of the intracranial hemorrhage has not been identified. Rashly operating is full of uncertainties. This surgery is already extremely risky, I'm worried..."

One chief physician raised his concerns with a worried expression.

"We simply don't have time to wait for angiography in the patient's current condition. I've done cranial surgery for many years and know the structure of the brain like the back of my hand; we can only rely on experience to take the chances now. Let's move!"