When the Doctor Uses A Hack
Chapter 1077 - 1080: I Believe in You! (Please Subscribe)

Tian Zhengkai's father was bewildered by this unfamiliar term!

"Doctor, what is... Marfan Syndrome?"

Chen Cang explained: "Currently, the patient's sudden aortic dissection has no known cause or inducing factors, and also exhibits typical 'spider fingers,' making me suspect the patient has Marfan Syndrome."

"Marfan Syndrome is a congenital genetic disease primarily characterized by malnutrition in peripheral connective tissues, skeletal abnormalities, internal ocular diseases, and cardiovascular abnormalities. It is a genetic disorder fundamentally caused by a connective tissue defect."

"Simply put, this disease is an autosomal dominant genetic disorder, with a very evident probability of inheritance!

Once affected by this disease, chondroitin sulfate A or C and other mucopolysaccharides accumulate in the body, thereby affecting the structure and function of elastin fibers and other connective tissue fibers, leading to maldevelopment and dysfunction in corresponding organs."

"In terms of impacts, it mainly manifests as cardiovascular diseases involving heart valves and major blood vessels, showing primarily as aortic and valvular diseases!"

"It can also lead to diseases like retinal detachment when affecting the eyes..."

After Chen Cang finished speaking, Tian's father suddenly frowned.

He raised his hands and looked at them: "Do... do I have this too?"

Then, Tian Zhengkai's mother suddenly said: "Didn't you say your uncle's son died suddenly from heart disease? And that cousin of yours, who developed heart problems early on and only improved slightly after surgery... They were all so young, none of them even 40 yet, and it wasn't like they had high blood pressure or any of those disorders!"

These words reminded Tian's father!

Frowning, he said: "Dr. Chen, is it really that mysterious? Are these all genetic diseases?"

After hearing this, Chen Cang took a deep breath. If that's the case, then it's almost certainly Marfan Syndrome!

Seeing Tian's father's confusion, Chen Cang confidently nodded and said: "Yes, there should be no mistake, this disease has a high hereditary probability!"

Chen Cang was telling the truth; this was also the first time he had seen this disease, no, to be precise, the first time he had confirmed this diagnosis.

Because this disease is known as "the Grim Reaper's synonym" in cardiothoracic surgery— a very rare yet extremely deadly condition, and even when symptoms begin to show, without intervention and treatment, survival beyond 30 years old is difficult!

There is always the threat that the aorta could suddenly burst like a balloon!

This news shocked the entire family in an instant.

Tian Zhengkai's wife was now buzzing in her head, she had lost the ability to think!

She thought of her husband, thought of their child...

"Dr. Chen, are you saying that... my husband's condition is just starting slowly and gradually his aorta will keep getting damaged?"

Chen Cang let out a sigh: "Theoretically, that's the case."

"Can surgery be performed? You must save him!" The woman was now in tears, tears falling and dripping onto her child's face...

Chen Cang nodded: "We will definitely try our best. Considering Tian Zhengkai's condition, we're looking at replacing the ascending aorta and aortic arch with the surgery, replacing all the damaged major blood vessels with artificial ones."

"If we look to the future, we may need to replace the abdominal aorta as well. In other words, we intend to replace all major blood vessels!"

This kind of surgery is done in stages; its difficulty is extremely high, beyond the capability of ordinary surgeons.

Moreover, the number of chief surgeons in the country who can successfully perform a complete set of surgery for Marfan Syndrome is less than double digits!

This is a nationwide statistic.

Including Chen Cang himself, he is not yet capable of performing it entirely!

Because there are many branches of the thoracoabdominal aorta to be replaced, such as intercostal arteries supplying the spinal cord, bilateral renal arteries, celiac trunk, superior and inferior mesenteric arteries, etc.

At this moment, even Chen Cang honestly felt uncertain!

The surgery absolutely does not have a hundred percent chance of success.

Even if Chen Cang's cardiac surgery has skill sets, the master-level surgeries definitely aren't enough to provide Chen Cang with the confidence to give a firm answer.

At this moment, facing the hopeful eyes of three people and a curious little baby staring wide-eyed at the world, Chen Cang really wants to tell them: "Don't worry, there's no problem!"

But he can't!

Before surgery, the patient can easily suffer from a ruptured aortic or dissecting aneurysm leading to death; during the surgery, there could be severe embolism and obstruction caused by blood clots detaching. Post-surgery issues like lung infections and renal impairment are common!

How could Chen Cang have the courage to guarantee!

The sudden appearance of Marfan syndrome has thrown Chen Cang, who's just secured the position of the president of the World Society of Digestive Surgery, back into mundanity!

Life is probably like this, and so is medical treatment.

When issue after issue arises, all your confidence, at this moment, will seem insufficient!

At this time, the attending doctor, He Chao, brought the consent forms.

Chen Cang handed them to the family members: "Sign it as soon as possible, so we can start the surgery right away."

The Tian family, already aware of the difficulty level, did not dare to delay even a moment!

Yet, even so, as they lift their right hand to hold the pen, they feel... this pen is really heavy!

So heavy that it leaves them breathless!

But, they also dare not delay!

They hurriedly sign, and Chen Cang turns to leave.

At this moment, Chen Cang suddenly hears a call.

"Dr. Chen!"

Chen Cang turns around and sees Tian Zhengkai's mother crying like rain, clenching her fists to encourage: "Dr. Chen, you can do this!"

Chen Cang is stunned for a moment then nods and turns to leave.

After Chen Cang leaves, Tian's mother says: "Now, Dr. Chen feels more pressure than even us, I can see it, he's also very nervous!"

"We should support him! Encourage him! Trust him!"

Her words sparked a response from the others: "Dr. Chen, we believe in you!"

This time, Chen Cang doesn't turn back and heads straight to the emergency room.

The attending physician closely follows behind Chen Cang, also moved by this scene.

He couldn't help but follow behind Chen Cang: "Sometimes, facing distrust, I feel helpless, but... I didn't expect that facing trust, the pressure would feel even greater."

Chen Cang nods and takes a deep breath.

In this world, only hope and trust must not be betrayed...

The attending physician gathers his courage and says: "Dr. Chen... I..."

"I want to perform surgery with you!"

Chen Cang nods: "Good, go get ready for the surgery!"

Upon hearing this, He Chao becomes immediately energized, excitedly saying: "Thank you, Dr. Chen, I will certainly do my best!"

Chen Cang couldn't help but give a bitter smile: "You see, the pressure we face is immense!"

The young He Chao looks at Chen Cang: "I believe in you!"

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