Famous Among Top Surgeons in the 90s
Chapter 495 - Chapter 495 【495】The examination results came out and the

Chapter 495: [(495)] The examination results came out and the diagnosis was correct Chapter 495: [(495)] The examination results came out and the diagnosis was correct “You write the medical orders, I’ve checked and there’s nothing wrong, so I’m going to sleep. You fill out the medical records yourself. I’ll review them when I get up. Once you’ve finished the medical records, you and that young man should go to sleep too,” Sun Yubo instructed her.

It’s midnight, those who can sleep should sleep right away, don’t wait until the middle of the night when there’s an emergency and you don’t have the energy.

She took out her pen and quickly made medical orders for the extra bed and bed 49, then she let Teacher Sun review them. Everything was fine, so Sun Yubo went to the resting room to sleep first, giving the student a chance to practice independence. If there were other issues, Xie Wanying could call him again to handle them.

After the teacher had left, Xie Wanying walked into the doctor’s office to write up the electronic medical record. Click clack click, her fingers rapidly struck the keyboard keys. The completed records wouldn’t be printed yet; she would wait for Teacher Sun to review them in the morning.

The patient from the added bed returned from the examination. In the hallway, the patient’s sister was heard complaining incessantly, “Right, three young doctors. I thought the ones arranged by Director Shen would be better. Who would have thought upon arriving at the ward, the doctors here are even younger than those in the emergency room. I told them to relieve my brother’s pain first, but they disagreed. My brother was in so much pain, yet they insisted on sending him for tests, claiming they could do nothing until the test results were out. My goodness, isn’t this asking for my brother to die waiting?”

Arranging for a patient to undergo a test is considered letting the patient wait to die?

The family’s understanding is truly such: “If this test doesn’t reveal any illness, isn’t it letting my brother die in pain?”

Seeing the patient had returned, Xie Wanying got up from the office and went to the nurse station to call the CT room to inquire about the situation since the CT room was slow to produce written reports. Meanwhile, since some of the patient’s blood had been drawn at emergency earlier and partial lab results that could be quickly processed were brought back by the orderly from the laboratory department. After making the call and reviewing the lab results, Xie Wanying confirmed that her and Teacher Sun’s initial judgement was correct–it was an esophageal hiatal hernia.

In a normal human body, there is a thin layer of muscle separating the thoracic and abdominal cavities, called the diaphragm. However, since the esophagus needs to go from the thoracic to the abdominal cavity and connect to the stomach, there is a physiological opening in the diaphragm for the esophagus to pass through, known as the esophageal hiatus.

As the name suggests, an esophageal hiatal hernia occurs when there is an issue with the esophageal hiatus, generally involving the stomach moving upwards through the hiatus from the abdominal to the thoracic cavity, pressing against other organs in the thoracic cavity and causing pain. More alarmingly, if the stomach gets stuck in the hiatus along with the esophagus, both become compromised, which is known as incarceration. In severe cases, when the esophagus, stomach, and duodenum become obstructed, the patient may vomit, and necrosis of some organ parts is possible.

However, all the indicators suggested that this patient was not in danger of needing surgery. Most patients with an esophageal hiatal hernia can be treated non-surgically. This patient was one of them.

The medical orders she had previously discussed with Teacher Sun could now be carried out.

The patient’s sister stood in front of the nurse station and asked the doctor, “What’s the verdict? Does my brother need surgery? I heard from the CT room’s doctor that it’s quite serious.”

“No need for surgery, it’s fasting, gastrointestinal decompression, some IV injections, and correcting any electrolyte imbalance,” Xie Wanying said confidently.

“My brother was brought to your surgical department and he doesn’t need surgery?” the patient’s sister questioned skeptically, “Surgery would speed up the recovery, he’s in so much pain, doctor.”

“As I explained to you before, once we’ve identified the cause of the pain and started the correct treatment, he won’t be in pain anymore,” Xie Wanying reassured the patient’s family member, “Coming to the surgical department doesn’t necessarily mean he must undergo surgery. If some patients are clearly not in need of surgery after careful examination, we definitely won’t perform it.”

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