When the Doctor Uses A Hack-Chapter 898 - 899 Xiao Qin Your Thoughts (Extra 2 for
Chapter 898 -899: Xiao Qin, Your Thoughts (Extra 2 for Alliance Hierarch Xiao Lang Lang Lang Lang)
Chapter 898 -899: Xiao Qin, Your Thoughts (Extra 2 for Alliance Hierarch Xiao Lang Lang Lang Lang)
Chen Cang watched Qin Yue sprint away and suddenly froze.
He felt… it was a bit too early to say!
Thinking about this, Chen Cang suddenly regretted—had he known earlier to coerce and tempt her, perhaps he could have gotten some benefits…
Instead of now, having to wash the dishes himself.
Sigh…
Since there was nothing to do in the afternoon, Chen Cang could also rest,
Humming a song from who knows where called “Eight Consecutive Kills,” he found washing dishes somewhat more joyful.
Just as Chen Cang was washing the dishes, he suddenly thought of something and was immediately stunned.
The diagnosis earlier!
Holy cow?
Chen Cang suddenly realized how incredible the special award he had just received was!
A perfect-level digestive system diagnosis!
Wasn’t that too strong?
He had only listened a few times, and his logical thinking kept processing in his mind, with various signs, examinations, and tests all serving the diagnosis.
Just like a high-speed operating computer!
At this thought, Chen Cang suddenly felt exhilarated.
This perfect-level digestive system diagnosis was truly divine…
…
…
Xiehe General Surgery office.
It was a little past three in the afternoon.
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At the moment, about a dozen medical staff from the gastrointestinal team of general surgery were engaged in a case discussion.
These case discussions were quite frequent, held every now and then; sometimes they discussed complicated cases, or cases of patient deaths; discussions were actually part of the daily work of the medical staff.
Tomorrow was Wednesday, the chief’s major ward-rounds, and everyone needed to thoroughly understand all the patients before then, or else Director Sun would get angry.
Zhuang Yueming from the gastrointestinal surgery team saw that everyone had arrived and nodded, saying, “Qin, please start!”
Xiehe General Surgery was a key national specialty!
It even had an indelible glory and achievements in the history of Chinese medicine, producing many national and even world-leading medical experts.
Under the leadership of various academic leaders, Xiehe General Surgery was the first in the country to meticulously establish specialized groups based on the characteristics of general surgery: including pancreas, biliary, gastrointestinal, vascular, breast, liver, surgical nutrition, intensive care, and related clinical experimental labs.
Qin Yue’s mentor, Sun Guangyu, was the chief of general surgery, who had made significant contributions in the field of the digestive system, researching the pancreas, liver, gallbladder, and gastrointestinal tract.
And now, Qin Yue was following her senior sister in the gastrointestinal team, where the professors, associate professors, and attending physicians were all distributed in a perfect equilateral triangle.
This allowed each team to independently tackle difficult diseases.
Hearing Director Zhuang’s words, Qin Yue quickly stood up, displayed the patient’s situation on the big screen, and began explaining the patient’s condition.
Speaking of which, Qin Yue was curious—she wasn’t nervous at all today!
Even with so many expert professors, a group of doctoral and master’s advisors, and the director present… her heart was as steady as Mount Tai, not flustered at all.
Inside, she rejoiced. “My husband had already announced the answer!”
“You guys aren’t even close to my husband!”
“Girls shouldn’t swear, otherwise their husbands won’t like it.”
When she thought of Chen Cang, Qin Yue felt extremely satisfied; he was indeed a top-tier boyfriend.
He had the looks and the talent, and even the indicators and data of his private life were very satisfying!
Thinking about this, Qin Yue felt like she had struck gold.
After preparing her manuscript, Qin Yue began to read it out loud.
“Female patient, 34 years old, suffering from ‘intermittent right abdominal pain, diarrhea accompanied by fever for more than a month… accompanied by abdominal distension, diarrhea, cough… Initially treated with penicillin and dexamethasone at a local hospital, with no significant improvement. Four days ago, she visited our hospital…”
After Chen Cang’s analysis and deduction, Qin Yue had a clear understanding of the patient’s condition, keeping each indicator and piece of data in mind.
Qin Yue’s impromptu introduction of the patient’s situation caught Zhuang Yueming’s eye and he nodded in approval.
“Good! It seems that Qin truly understands the patient. Xu Rui, you took on this patient; what are your thoughts now?” asked Zhuang Yueming.
Xu Rui was Qin Yue’s senior sister, a student of Sun Guangyu.
Seeing that Qin Yue had memorized the medical records, Xu Rui was taken aback for a moment, and couldn’t help but nod and say, “This patient’s case is quite complex. Since being admitted yesterday, we’ve completed various tests!
An ultrasound showed abdominal effusion, entanglement of the intestines, and thickening of the omentum; an abdominal X-ray showed multiple adhesions and wrapped fluids. I admitted her with a diagnosis of ‘gastric perforation, peritonitis.'”
“However, her body temperature is still difficult to control, and she has severe headaches, showing signs of mental dullness, and the drainage fluid has thickened, with the overall condition continuing to deteriorate, making it severe.”
Xu Rui was genuinely worried. This patient had a history of four gastrointestinal surgeries, including two gastrectomies, and at only 34 years old, now exhibited murky mucous fluid on the right side beneath the liver, near the gallbladder, and drainage of murky fluid—80ml—from the space between the uterus and rectum. Moreover, the most critical issue was that she had coughed all night yesterday, the fever wouldn’t stop, and it was entirely out of control—relapsing fever!
For a moment, the office fell into a silence.
The case was lengthy, and the results of the examinations and tests were numerous, making it strenuous for everyone involved.
After ten… or even twenty minutes, they finally finished analyzing the patient’s condition and gradually began to speak.
Zhuang Yueming then looked up, his thoughts on the diagnosis gradually becoming clearer.
The more he thought, the more he realized it was a unique and valuable case!
This case was undoubtedly a complex and tricky disease, requiring consideration of many factors; a slight oversight could lead one into the pitfalls of the disease.
It was highly discussion-worthy and intriguing!
The more he looked, the more pleasantly surprised Zhuang Yueming became.
This case was a rare opportunity for everyone to test and hone their clinical thinking.
Indeed, for doctors, these rare cases were like coveted objects, compelling one to take a closer look. If one could successfully treat such a patient, it would definitely be a highly rewarding accomplishment.
Of course, the cases that remained unresolved and untreated were better left undiscovered…
Then, everyone began discussing fervently.
One remark after another, it was quite lively.
This kind of discussion was not an argument; every point had to be analytically sound, not nonsense.
Everyone was enthusiastic, expressing freely—it was a lively discussion!
Soon, more and more opinions emerged!
“I feel this is more like a purulent peritonitis. We observed perforation of the digestive tract during the surgery, but… What’s unclear here is: the placement of the drainage tube post-surgery was correct, the continued rise in temperature indicates that the peritonitis was not controlled, and the non-healing of the incision shows that the surgery was unsuccessful. The issue might be that there’s still a leak in the upper digestive tract!”
“Hmm, that’s a reasonable point. But then, what could be causing the cough? The digestive system wouldn’t cause coughing and chest tightness. If considering a central venous catheter infection, after removing the catheter, cutting the tip for bacterial culture showed no growth. Treating with levofloxacin, ceftriaxone, and metronidazole did not improve her condition, which is quite baffling!”