When the Doctor Uses A Hack

“Chen Cang, come over right after you get off work at noon! Take a taxi!”

At eleven in the morning, Chen Cang received a call from Meng Xi.

Just out of the operating room, Chen Cang immediately nodded in agreement before asking, “What’s the matter, Teacher Meng?”

Meng Xi said, “The culture results of yesterday’s patient came back. It’s a pneumococcal infection that has turned into staphylococcus, likely due to direct infection spread within the chest.”

Chen Cang let out a sigh of relief. Now that the infection had been identified so quickly, the next step was simple: to treat it with targeted antibiotics.

Such symptomatic treatment was indeed the most appropriate measure.

After saying this, Meng Xi added, “There’s pus in the culture of the pericardial effusion.”

Chen Cang responded with an “Oh,” but then suddenly felt stunned!

“Purulent fluid in the pericardial effusion?”

Chen Cang got nervous immediately.

Thinking of the casual way Meng Xi had just stated that fact, Chen Cang nearly choked on his saliva.

After all, to mention such a critical issue so nonchalantly, probably only Meng Xi could pull that off, right?

Because neither systemic antibiotic treatment nor pericardial injections of antibiotics could prevent the formation of pus within the cavity!

Even the massive accumulation of pericardial effusion could lead to cardiac tamponade, or the formation of constrictive pericarditis due to the enclosure of purulent effusion.

Therefore, as soon as pus was confirmed, an immediate pericardiectomy should be performed for debridement and then to prevent drainage tubes.

Chen Cang’s understanding of the theoretical knowledge had been spot-on these days, with every surgical risk crystal clear.

So, with this in mind, Chen Cang felt an inexplicable nervousness: “Maybe… Teacher Meng, you should perform the surgery quickly?”

Meng Xi paused slightly and said faintly, “What’s the panic?”

With a light “What’s the panic,” Chen Cang was immediately dumbfounded, and when he checked the phone again, the call had already been disconnected.

Chen Cang was somewhat speechless…

This “What’s the panic” made Chen Cang feel like he was completely out of his depth in the field of cardiac surgery.

Why do I say that?

The growth of any clinical doctor goes through three stages.

The first stage is that of a medical greenhorn, confused by everything, not understanding the severity or urgency of situations, or even unable to discern their seriousness!

The second stage is that of a theory fanatic, with a command over theoretical knowledge. Those who excel at this stage can recite theory fluently and comprehend the dangers of diseases deeply, feeling anxious about everything, always sensing the gravity of the situation.

The third stage is that of an experienced clinician, with years of clinical experience and a firm grasp on various data, they have a clear understanding of patients’ conditions and statuses, and a high degree of mastery over diseases.

While Chen Cang was not a novice in the field of cardiac surgery, knowing nothing at all,

he was merely at the second stage, anxious about everything he encountered, always perceiving danger in every situation.

In fact, it was not Chen Cang’s fault, because bacterial pericarditis is usually an acute and explosive illness, with precursor symptoms averaging only three days! ṚἈ₦ȱΒËṩ

The symptoms are also very obvious, with high fever, chills, systemic toxicity, and dyspnea commonly present. Most patients do not experience the typical chest pain, and the occurrence of chest pain might indicate an escalation in the severity of the condition, making the disease more dangerous.

And as Meng Xi mentioned, the physiological and biochemical findings, as well as the presence of purulent pericardial effusion, meant that the level of crisis had risen.

Because purulent pericardial effusion can develop into constrictive pericarditis!

The risks of constrictive pericarditis are significantly increased!

This condition is by no means beneficial to the patient’s recovery!

Even the surgery for constrictive pericarditis is much more difficult than ordinary pericardial surgery, and thinking of this, Chen Cang still felt nervous.

Most importantly, he could not allow Teacher Meng to wait for him and delay the patient’s condition.

He felt that Teacher Meng was actually waiting for him, and the more he felt that way, the more worried Chen Cang became.

Chen Cang was very grateful for this kindness.

Actually…

No matter how carefree Meng Xi might have been, she would never delay a patient’s optimal treatment time. The reason she had made such an arrangement was that she was very familiar with the patient’s various indicators and had a clear understanding of the disease’s progression.

That’s why she could speak to Chen Cang with such certainty!

To put it plainly, a doctor’s judgment of a disease is usually the result of their own experience.

Meng Xi was confident, but Chen Cang wouldn’t dare be so self-assured.

A junior doctor should have the awareness of a junior doctor, and a newbie should play by the rules of the newbie village.

At the moment, with nothing much going on in the hospital, Chen Cang said goodbye and took off!

Ever since Yuan Fan left, the department had quieted down quite a bit, and Chen Cang had become increasingly unrestrained.

After all, under his relentless boba tea offensive, Qin Yue had already become a proper simp.

Director An was now being tormented to death and brought back to life by his own “Chen”.

Wang Yong, as his junior apprentice, was diligently cultivating and working hard.

In the department, Chen Cang felt like he was the boss now!

Hmm, perhaps he should be called Brother Chen!

…

Taking a taxi to Dongda First Hospital cost only the starting fare of eight yuan.

Upon hastily arriving at the Cardiothoracic Surgery Department, Meng Xi was just preparing the medical records at the nurse’s station.

Chen Cang hurried over, “Thank you, Teacher Meng, for waiting!”

Meng Xi was slightly startled, then looked at her watch, “You’re early.”

After saying that, she handed the surgical consent forms and other documents to Chen Cang:

“All the consent forms have been signed, let’s start the surgery as soon as possible.”

Chen Cang offered a grateful smile.

Although Teacher Meng was strict and worked tirelessly day and night, letting students come after work to follow the surgeries,

ordinary students would certainly have their complaints.

But Chen Cang understood that he was here to learn skills. If the teacher wasn’t complaining, what right did he have to complain?

When Ge Huai saw Chen Cang arrive, he surprisingly smiled, “Little Chen, don’t be nervous, I’m here for you.”

Chen Cang was startled; had Teacher Ge… changed his nature?

He was showing so much care and concern.

Chen Cang quickly responded, “Thank you, Teacher Ge, for your help today.”

Ge Huai shook his head, “Starting is always the hardest part. Learn more, do it a few more times, and you’ll be fine.”

After everyone was ready, they entered the thousand-handled operating room.

On the way there, Meng Xi emphasized the importance of the pericardiotomy drainage surgery to Chen Cang.

As they talked, Chen Cang and the other two entered the operating room.

Meng Xi was actually very curious about Chen Cang. Although she hardly let Chen Cang perform surgeries, every time he did partake, he stood out.

Especially his diagnostic skills, which twice had impressed Meng Xi, and his surgical abilities were formidable. Whether it was vascular suturing technique or pericardiocentesis, his operations… were hard to achieve without decades of experience!

So, although Meng Xi didn’t say it out loud, she was well aware of Chen Cang’s talents.

She also wanted to see how Chen Cang would perform in surgery.

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