When the Doctor Uses A Hack

Chapter 874: Chapter 875: The Illness Caused by Playing Mahjong (Part 2)

Discovering an image result with higher specificity like the “cable sign” at this time was a surprise!

Basically, the clinical discovery of the “cable sign” generally indicates acute vasa recta ischemia!

But… the crux is, it has long been challenging to make an accurate preoperative imaging diagnosis of acute mesenteric vascular ischemia, with most results being nonspecific.

Therefore, it is often overlooked by doctors, which then leads to the worsening of the disease.

The mortality rate reaches sixty percent!

That is a terrifying figure.

In fact, sometimes, the diagnosis of a patient has a lot to do with their luck.

For the same disease, some might not get detected, which leads to the untimely discovery of the disease, further worsening it, and even causing death!

Seeing the “cable sign,” the imaging doctor couldn’t help but feel a bit of surprise; how many detours had this saved?

He immediately saved the film!

This was a typical case.

Encountering a typical one clinically really is something neither lucky nor unlucky.

Chen Cang now knew why the patient had experienced a mesenteric vascular embolism!

Once an embolism occurs, the range of diseases to consider really widens.

Chen Cang was not daring to relax at all now.

Could it be some kind of intra-abdominal infectious disease?

Or possibly a deep vein thrombosis?

None of these were simple matters.

Once the radiologist delivered the results, Chen Cang hurried back to the emergency room with the patient.

“Xiao Ke, quickly get an ECG and measure the blood pressure! Call Group Leader Ma Yuehui right away.”

As Chen Cang saw the patient’s condition getting increasingly worse, he picked up his phone to contact the operating theatre; after all… he didn’t know how to perform this kind of surgery.

If acute intestinal obstruction happens, surgery needs to be performed as soon as possible.

There simply was no time to delay!

At this moment, the middle-aged woman’s condition became even more unstable; her face turned pale, seemingly from bleeding!

Inside Chen Cang’s four-dimensional model, various possibilities continuously simulated!

At this time, another nurse, Zhao Na, ran in, holding a blood test report in her hand.

“Dr. Chen, the complete blood count results are out!”

Chen Cang was instantly overjoyed; the complete blood count was one of the faster results to come out in tests.

White blood cells 26?

Xiao Ke had just completed the ECG and suddenly cried out after seeing the patient, “Dr. Chen, the patient has lost consciousness!”

Chen Cang, calm and composed, said: “Administer fluids, contact the transfusion department to arrange blood immediately.”

He took a look at the ECG, it was all normal, no cardiac issues.

Chen Cang took a deep breath, then quickly started another abdominal palpation on the patient!

His mind kept refining the possibilities for the four-dimensional image based on his intuition.

It was not intussusception!

It was not intestinal adhesion either!

Nor was it an embolism.

The young nurse looked at Chen Cang, who was continuously feeling the abdomen, even with closed eyes, and was instantly bewildered.

Actually, at this time, the unconscious state was not a bad thing; just now, due to the intense pain the patient was feeling, Chen Cang couldn’t perform an abdominal palpation.

Now it was different, Chen Cang was gently palpating the abdomen, feeling his intuition forming a complete four-dimensional image in his mind.

At this time, Ma Yuehui hurried into the room.

Seeing Chen Cang with his eyes closed, touching the patient’s stomach.

He was taken aback!

“Xiao Chen, why are you closing your eyes?”

Chen Cang couldn’t help but say, “Can you see inside the stomach with your eyes open?”

With that remark, old Ma was left speechless!

It seemed… that really was the case!

But why did it feel so strange?

At this moment, Chen Cang had already formed a comprehensive and systematic diagnosis within the four-dimensional map based on the patient’s abdominal CT scans, examination results, palpation, auscultation, etc.

A hernia!

That’s right!

Chen Cang felt it was a type of acute, special hernia.

Thinking of this, Chen Cang quickly said, “Chief Ma, it might be an intestinal hernia, prepare for surgery!”

Old Ma was immediately taken aback.

“Intestinal hernia?”

“How did you know?”

Chen Cang turned around after throwing away the plastic gloves: “I felt it; hurry and contact the operating room, quickly complete the surgery preparations. Has the family arrived yet?”

Old Ma was dumbfounded, thinking Chen Cang was playing him for a fool, as if an internal hernia could be felt by the hand?

The card-playing friends were startled to see their old friend suddenly collapse!

They swore in their hearts, if she recovered today, they would win less from her a few times…

At this time, a young man rushed over in a panic, his face dripping with sweat: “Doctor, what’s going on? How is my mother?”

Chen Cang directly said, “Acute abdomen, leading to intra-abdominal hemorrhage. The patient is now in a coma, the situation is very urgent, and immediate surgery is necessary.”

“Nana, prepare the critical condition notice and the informed consent form.”

After hearing about the critical condition notice, the man became anxious.

The man was not old, about twenty-five or twenty-six years old, and was utterly bewildered after hearing Chen Cang’s words!

“Critical condition notice?”

“Doctor, isn’t this an exaggeration? She was fine this morning, wasn’t she?”

Chen Cang shook his head, “This condition is progressive, and I now suspect ischemic necrosis of the intestines. The risk is quite high; without exploratory surgery, nobody can guarantee anything!”

The young man found it difficult to accept that his mother, who was always a shrewd and able middle-aged woman capable of carrying rice upstairs and had a healthy and even somewhat feisty image in his mind, had now become this feeble on the hospital bed.

Seeing his mother lying there, barely clinging to life, the man panicked.

Standing by the bed in the emergency room, he watched his mother in agony; his mouth moved, but no words came out.

He hastily picked up the pen: “Doctor, you must save her, please! I’ll pay whatever it takes.”

After the man signed, Chen Cang asked, “Has your mother had any illnesses in the past? What medication is she currently taking?”

The man was completely stunned and, after thinking it over, could not recall anything: “I… I don’t know…”

He truly didn’t know what medication his mother was taking!

He didn’t even know what illnesses his mother had had!

Chen Cang sighed and continued, “How many times has your mother been pregnant? How many children does she have, any miscarriages…”

The man fell silent again: “I’m sorry, I… I don’t know…”

Chen Cang nodded, as it seemed many people didn’t know the answer to this question, so he asked another, “Has your mother had any surgeries in recent years? What were the surgeries for?”

The man’s voice was now choked with sobs, as he realized that he knew nothing!

He knew absolutely nothing!

He was unaware of any illnesses his mother had, whether she took medication, or even if she had ever had surgery!

Thinking this, the man could no longer hold back his tears, and they burst forth.

What did he know?

He knew nothing!

He found that, when his mother needed him, he knew absolutely nothing about it all.

He was scared!

He felt guilty!

A strong sense of remorse and shame washed over him.

All these years, he suddenly realized that the mother he thought he knew so well had become a stranger to him… He really didn’t know his mother at all…

Guilt-ridden tears continued to surge as the man suddenly fell to his knees beside his mother’s bed, hands touching her hands, his heart filled with guilt and unease.

He had always thought he knew his mother best, but in the end, he realized… that he really didn’t understand her.

It seemed he hadn’t even tried to understand her over all these years…

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