Famous Among Top Surgeons in the 90s
Chapter 451 - Chapter 451 Fatal reasons were presented

Chapter 451: Fatal reasons were presented. Chapter 451: Fatal reasons were presented. How should she answer this question? Xie Wanying thought about it and decided to remain silent for a moment, her eyes fixed on the surgical field.

Teacher Tan was standing half a step behind her.

Her senior sister had warned her not to flirt with any teachers other than her mentor; that would be courting death.

Observing her slightly stiff and motionless stance, Tao Zhijie smiled and turned to Tan Kelin behind him, saying with a grin, “Dr. Tan, I’ve always thought that she’s learning from the right person by following you.”

Tan Kelin was always indifferent, unmoved by rumors or conjecture.

Seeing this, Tao Zhijie turned back to his junior sister and said, “It’s okay, just say it. You’re well aware of Teacher Tan’s personality. If he didn’t want you to speak, he would either not bring you along or would have already forbidden you to speak by now. I think he must have told you when he was planning to return. Was it about half an hour?”

This Senior Tao was like a fortune teller, guessing Teacher Tan’s words as if he was a mind reader. Could it be that Senior Tao and Teacher Tan were close? Of course, that was not the case; one could tell just by looking at Teacher Tan’s stoic expression.

Xie Wanying thought to herself that she should hurry to complete the tasks set by her teacher. Senior Tao had just arrived and was not very clear about the patient’s condition. If she could be of help and thereby shorten the surgery time, it would benefit the patient and everyone involved. Perhaps for this reason, Teacher Tan’s silence amounted to tacit consent.

“The situation is this, Teacher Tao. I suspect that this patient either has viral hepatitis or, possibly, congenital hepatic artery-portal vein fistula, but it’s up to you to determine the specifics,” Xie Wanying said quickly, highlighting the main points during the procedure.

“Why do you think he has a hepatic artery-portal vein fistula?” Tao Zhijie asked, his question reflecting the doubt of the others as well.

Normally, cirrhosis caused by viral hepatitis leading to a rupture of varices at the bottom of the stomach is the most common clinical case. The first suspicion should certainly be this cause. Otherwise, Doctor Pan wouldn’t have been rendered speechless by Tao Zhijie’s question in an instant.

“Because he didn’t mention a history of viral hepatitis, nor did he inform Doctor Pan about any cirrhosis. Whether it’s cirrhosis should be questioned. We should consider if the patient was lying, and on another note, observe if he has jaundice. A significant symptom of cirrhosis is frequent jaundice. He doesn’t have it. Plus, the rupture of varices at the bottom of the stomach is a late-stage symptom of cirrhosis; it’s impossible that he hasn’t been to the hospital before. Anyone who has visited the hospital should have told their doctor about their frequent digestive issues. Wouldn’t informing the doctor allow them to discern whether the issues were due to a car accident or a digestive disease?”

Upon hearing this, Doctor Pan thought: Hey, that makes some sense. If a patient comes to the emergency room, and if they usually have abdominal pain or other digestive discomfort, they would definitely mention it to the doctor, especially when suspecting a car accident since it occurred the day after the accident.

What if it was another scenario?

“Congenital hepatic artery-portal vein fistulas are much more secretive than cirrhosis and require angiography for detection. Furthermore, the patient might have no clinical symptoms and could go untreated. Perhaps this time, the car accident triggered it? Because variceal rupture and bleeding is the first symptom.” Xie Wanying continued with her judgment.

The doctors around her listened attentively, their brows tightly furrowed.

This was especially true for Tao Zhijie, who had more to consider: because the surgical approach would differ depending on whether the cause was one condition or the other.

“Could you please pull the retractor a bit further out?” Tao Zhijie turned to the person handling the retractor, ready to confirm the diagnosis.

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