When the Doctor Uses A Hack
Chapter 1199 - 1203: I've Got Everything Under Control!

Perhaps everyone thinks, aren't X-rays, CTs, and MRIs all similar as examinations?

Just moving through a machine, isn't it quite fast?

Actually, this is not the case!

For X-ray patients, there's basically no fuss and results come out very quickly.

But CT and MRI require more preparation time and involve positioning the body, finding the films, and so on... Running back and forth is much more of a bother, and if the patient is in an urgent condition, there's simply not enough time to complete the test before the condition worsens or new issues arise.

At this point, the patient is also in a very dangerous state of arterial dissection, already predisposed due to Kawasaki disease where the blood vessels are on the brink of dissection.

Now that an arterial dissection has formed, the situation could deteriorate at any moment, leading to rupture of the vessel wall.

So now is definitely not the time for examinations!

Perhaps many are not very familiar with CTA, which is actually an arterial vascular imaging technique that enables three-dimensional reconstruction of blood vessels through the injection of a contrast agent.

This contrast agent can reveal narrowing of vessels, vessel expansion, aneurysms, dissection aneurysms, pseudoaneurysms, and various other types of arterial vascular diseases.

It is a CT-enhanced method for arterial imaging.

The effects, to say the least, are definitely very good!

But it also requires a significant amount of time!

Accurately diagnosing the precise location and progression of the patient's dissection is thus extremely important.

Yet, Chen Cang is actually able to locate the dissection by looking at the X-rays?

This obviously surprises and even delights everyone!

Interpreting films is a very important skill in clinical practice, and it's a technique that's easy to start with but difficult to advance, with a peak that is even harder to achieve!

Comparatively, internal medicine doctors possess this ability much more so than surgeons.

At this moment, the director of the Health Commission, Wei Zhuhua, is truly somewhat stunned!

Those who know the ins and outs can't help but sigh: this patient... surely has a fate fraught with misfortune!

From a volunteer to the discovery of a strange and dangerous disease, then receiving personal comfort from the leadership, and now suddenly falling ill again...

Where does one even begin to make sense of this?

Li Hui hurriedly makes a phone call to contact the head of the radiology department, Yue Tao.

"Director Yue, the patient...is now in a very critical condition, we must get an X-ray done as soon as possible for the surgical decision."

Upon hearing Li Hui's words, Yue Tao quickly nods in agreement.

"Alright, Dean, I understand, but... let me be honest, making judgments about the patient's vascular situation through X-rays is very difficult, I... cannot guarantee it!"

Li Hui is momentarily taken aback after hearing this.

Is this a joke?

Hearing Li Hui's silence, Yue Tao couldn't help but explain: "Dean Li, you might not understand, the difficulty of using X-rays to determine vascular angiography is very high. Not to mention myself, I estimate that there are not even three people in the whole Dongyang who can do it!"

After Yue Tao finished speaking, Li Hui was at a loss for words.

Not even three people!

Is Chen Cang really that impressive?

I can understand being skilled at surgery, that's what he specializes in.

But...

Reading films is your bread and butter, isn't it?

You can't even match Chen Cang, a surgeon?

Thinking this, Li Hui felt an incessant noise inside: "Fine, just take the X-rays, someone can understand them!"

After hearing this, Yue Tao is naturally shocked, wondering who it could be?

The X-ray of patient Wang was produced very quickly.

Yue Tao personally accompanies the patient and the films to the operating room.

The patient simply doesn't have the luxury of time now, surgery must be completed as quickly as possible.

Director Wei and Li Hui are different; he has great respect for Chen Cang!

When Chen Cang last firmly supported Leader Kong's decision to establish the headquarters of the World Society of Gastrointestinal Surgery in Anyang, Wei Zhuhua realized the relationship between Chen Cang and Leader Kong.

And the most important was still the message conveyed by the National Health Commission.

With Wei Zhuhua stepping in, Chen Cang followed the consultation procedure.

That is, from the second provincial hospital to invite the provincial people's hospital to perform the consultative surgery.

This kind of surgery is by invitation, and the consultation fee is very affordable, but it represents a form of cooperation and exchange.

Compared to quick surgeries, consultative surgeries carry a more precious sense of human touch.

At this moment, Chen Cang stood inside the operating room, gazing at the angiography CT, ordinary CT, and MRI images previously taken of patient Wang.

Zhang Peiyi and Hou Liang among others who were behind him didn't dare to speak either.

Of course... they didn't understand what Chen Cang was looking at.

It wasn't until several minutes later that Chen Cang suddenly took out a marker pen and drew a circle on the angiographic film, then after frowning, he continued, "The patient's dissection should be here! And here... here!"

Everyone was momentarily stunned!

The X-ray results haven't even come out yet!

You already know?

You don't even need to look at films to make a diagnosis?

Seeing the multiple circles, everyone couldn't help but sigh - could this be the legendary "Eight Guesses of Summer" method?

After Chen Cang drew the circles, he couldn't help but take a deep breath.

It seems he had been overly optimistic about the patient's condition.

He should have thought of this earlier.

Long-term in a high-risk hypertension state, coupled with the patient's Kawasaki disease leading to vascular damage, plus the adverse reactions from aspirin medication, acute liver function damage...

In this way, the patient's condition is very dangerous!

Surgery?

Can it be completed?

The difficulty is simply too high!

This is at least a lord-level BOSS!

With this thought, Chen Cang took a deep breath and then sighed slowly.

Hopefully, the patient isn't in such a critical state!

After all, this is not the capital where one could rely on others; he could only depend on himself.

Just at this moment, the patient was hastily wheeled in by the nurses, with Yue Tao following closely behind, holding an X-ray film.

Li Hui and Wei Zhuhua saw Yue Tao coming and immediately showed a look of joy.

"Dr. Chen, this is our director of radiology, Director Yue Tao!"

"Director Yue, how is the condition of the patient?"

Chen Cang looked up to see the film in Yue Tao's hand: "Give me the film."

After speaking, Chen Cang directly held up the film for comparison, not having time to reminisce with these leaders or directors.

Right now, his mind was occupied with only the patient.

Chen Cang immediately began to examine the film; after looking it over, he couldn't help but frown, drawing another circle in the area of the aortic arch!

The already challenging surgery had its risk factors skyrocket at this moment.

The surgery is no less difficult than the aortic replacement surgery for Marfan patients.

Varying degrees of vascular damage present some commonalities during suturing and repair replacements.

That is where the difficulty of the surgery lies!

After looking at the film, Chen Cang said to Hou Liang and Zhang Peiyi, "Today, the three of us will perform the surgery."

"I hope you will not be nervous, no pressure!"

"Everything is on me, let's do this!"

Afterwards, Chen Cang turned around and said: "Prepare for surgery!"

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