WHEN THE DOCTOR USES A HACK

Chapter 795: Chapter 795: Director, your little darling has arrived! (Bonus chapter 3 for Alliance Hierarch “小时候可瘦了”)

Ma Yuehui stood there, staring at the images, listening to the doctor next to him presenting the case, frowning at the chest CT.

“Patient, female, 33 years old, has experienced several episodes of dyspnea, cyanosis, coughing, occasionally accompanied by nausea and vomiting over the past two months, with a past medical history of good health, two pregnancies, two live births, no miscarriages…”

At that moment, Chen Cang also noticed a young couple standing nearby.

This must be the patient.

Ma Yuehui pondered continuously, what could cause such sudden breathing difficulties without any cardiac or pulmonary lesions?

Infection!

Blood disorders!

Both could lead to respiratory failure.

If it were an infectious disease…

Suddenly, Ma Yuehui asked, “Have you had any fevers?”

At this time, the woman shook her head, then suddenly as if remembering something, she hastily added, “No, I suspect it’s an allergy because one time during an episode there was urticaria, and it went away after applying some ointment.”

He directly asked, “Were the allergens tested for?”

The young doctor nodded, “Tests were done, but no significant allergic reactions were found.”

Ma Yuehui said to the doctor beside him, “Give me the lab report.”

The doctor quickly handed it over, and Chen Cang, being tall, could see it clearly from behind.

After reviewing it, Chen Cang suddenly paused.

Taking this lab result into account, it probably wasn’t an infection, nor respiratory allergy symptoms. If that’s the case, what could it be?

At this point, even Ma Yuehui started to feel perplexed.

Chen Cang looked at the chest CT, examining it layer by layer.

He hoped to find some inadequacy, but… this image was ordinary, indistinguishable from a normal one.

Could it be an abdominal lesion causing it?

At that moment, Chen Cang couldn’t help but say, “His left diaphragm… seems to be elevated, and the white cell count is somewhat increased, with a significant rise in monocytes. With these findings, could we consider a hepatobiliary system lesion?”

Hepatobiliary system lesion?

At this thought, Ma Yuehui hesitated briefly without turning around, while a doctor at his side did turn to look at the casually dressed Chen Cang, frowning and remarking indifferently, “The abdominal CT is normal.”

Ma Yuehui demanded, “Show me the abdominal CT!”

An assistant immediately placed the images in the viewer. The picture of the abdominal cavity appeared at once.

Indeed, this image seemed no different from a normal one.

The only difference was a thick-walled cystic lesion in the liver and an inconspicuous hepatic cyst, which should be unrelated.

The liver wall thickening could be related to the patient’s fatty liver, and a mere thickened wall has no clinical significance.

And the hepatic cyst is an even more insignificant detail, a congenital condition. As long as it doesn’t affect normal liver function, its cause is generally not considered, especially since… it’s so small it’s essentially negligible.

Ma Yuehui began contemplating further.

After flipping through the lab reports once more, he too fell silent.

No identifiable cause?

This could not be so!

At that time, Chen Cang, looking at the thick-walled cystic liver lesion and that somewhat cheeky hepatic cyst, suddenly found it somewhat familiar!

Right!

This was the familiar sight.

An old friend, indeed!

At this realization, Chen Cang felt a surge of unexpected pleasure, having encountered an old friend upon his first arrival in the capital!

Chen Cang hesitated, wondering whether to speak up or not.

Watching the atmosphere grow increasingly tense, Chen Cang suddenly asked, “Have you ever been to Inner Mongolia, Gansu, Xinjiang, or regions like that?”

The woman was startled, and right away the man interjected, “We spent the New Year in Inner Mongolia.”

Hearing this, Chen Cang became even more convinced.

Meanwhile, Ma Yuehui turned around, staring at Chen Cang, and suddenly seemed surprised.

He had initially thought it was a doctor, but it turned out to be a young man in plain clothes, yet… somewhat familiar!

And Chen Cang went on to say, “Did you have any swelling in the upper abdomen? Appearing occasionally, then disappearing after a while?”

The woman was immediately shocked, nodding at Chen Cang repeatedly, “Yes, yes, yes! That’s right, I was puzzled at first, wondering what it was! Young man, have you had it too?”

The husband, wide-eyed, reflected on how his wife’s belly was too fatty for anyone to notice an extra bump…

Now, this young man before him seemed to know more about his wife’s condition than he did himself, which left him with some inner doubts…

Chen Cang, seeing the reaction of the couple, could not help but feel a mix of laughter and tears. He turned to Ma Yuehui and said, “I think it might be a hepatic echinococcal cyst. It’s just that it hasn’t progressed to the point where the specific lesions are visible.”

“And because the patient was obese, there was a presence of fatty liver, and moreover, a thick-walled cystic lesion within the liver expertly concealed the true culprit!”

“Furthermore, only 65% of liver hydatid cysts display some of the typical signs on B-ultrasound and CT scans. When these typical signs are lacking, it needs to be differentiated from a liver cyst.

Liver cysts are a congenital disease, but if you look carefully at this cyst, you’ll find it’s different from ordinary cysts!

The cyst wall is usually thin, not clear on B-ultrasound, CT, or MRI scans, and there are no daughter cysts inside. But… this one is clearly different!”

At this point, Chen Cang said, “I suggest we do a B-ultrasound now and take a look, we might get lucky and see it clearly.”

Ma Yuehui looked at Chen Cang speaking confidently and reasonably, and couldn’t help but believe him quite a bit. Most importantly… he found the face somewhat familiar!

Suddenly, Ma Yuehui asked, “Are you… the one who did the out-of-hospital REBOA in the ambulance this morning?”

Chen Cang was stunned for a moment, “You… how did you know?”

Ma Yuehui immediately turned to the department’s B-ultrasound doctor next to him and said, “Do an abdominal Doppler ultrasound, focus on the liver!”

The B-ultrasound doctor nodded, stood up, and took the patient to the next room.

Ma Yuehui and a few others followed!

It wasn’t long before the results appeared!

“Team Leader Ma, it’s a liver hydatid cyst, but… I didn’t expect it to be hidden so well! And, this thickened wall could be due to the initial inner cyst rupturing, leading to blood infection!”

All at once, everything seemed clear.

Ma Yuehui referred the woman to another department and sent her to the department of hepatobiliary surgery.

Before leaving, the plump woman looked at Chen Cang with attachment, “Young man, thank you. When I’m discharged, I’ll treat you to a meal!”

The woman’s husband glared fiercely!

At this moment, the liver fluke larva inside the liver hydatid cyst couldn’t help but curse: mmp! It’s you again!

Chen Cang gave an awkward smile.

Liver hydatid cyst is a disease with a very high safety margin; accidents are basically unlikely and the success rate of surgery is very high!

Ma Yuehui, looking at Chen Cang, asked, “What are you doing at our hospital?”

Chen Cang handed over his registration certificate, “I’m a doctor here for further training, Chen Cang!”

Ma Yuehui was stunned for a moment, “You’re Chen Cang?”

Chen Cang coughed, “I suppose so…”

Ma Yuehui immediately became excited, thinking Director Yu Yonggang had invited Chen Cang to the hospital!

The director’s capabilities were too great, wasn’t it? He found someone in the morning and got him in the afternoon?

The director is impressive!

Ma Yuehui was delighted and hurriedly sent a message to the director, “Director, your protégé has arrived, he’s reporting in! And I’ve tested him already, really awesome! Super awesome!”

In the operating room, Yu Yonggang, hearing the message, said to the nurse, “Whose message is that?”

The nurse, used to this job, replied, “It’s from Team Leader Ma.”

Yu Yonggang was startled, “Read it.”

The nurse hesitated, to read or not to read?

Yu Yonggang was startled, “Why don’t you speak?”

The nurse bit the bullet, “Director, your protégé has come… I’ve tested him… super awesome!”

Suddenly, the office fell into a deathly silence!

Yu Yonggang’s scalp tingled.

The hand holding the surgical knife even faltered. What… was wrong with Ma Yuehui?

…

…

PS: Sorry for the late update, but… writing this book is a bit like writing a thesis, please forgive me, and I’m trying my best to make it interesting as well.

Thanks to “Qingyan Xiaoguan” Alliance Hierarch and “Mingyue Banjun Xing” for their 100,000 rewards! For extra chapters, there’s nothing to say, just more chapters it is!

Thanks to “Alliance Hierarch who Wants Ice Cola” for the 60,000 reward, and thanks to “hushengayi” Alliance Hierarch and “Soft Fairy” for their 20,000 rewards!

Thanks to “Hehe Xixi HaHa Hou” and “Xiao Cha vivi” for their 10,000 rewards!

Seven chapters delivered, seeking your support!

…

…

By the way, I’m promoting a book that I find quite impressive, “The Remarkably Ordinary Big Brother.” I’ve been following it for a long time, and whenever I don’t know what to write, I look at how he shows off, which is why when I was writing the middle chapters, I sometimes get the feeling of being possessed by idiocy! In short, it’s a very leisurely book that you can check out.

I dare not read it now; I’m afraid it will shake my resolve.

Source: .com, updated on N𝘰vgo.co

Visit and read more novel to help us update chapter quickly. Thank you so much!