When the Doctor Uses A Hack

Chapter 883: Chapter 884: You Made Up That Disease, Right? (Extra 2 for Alliance Hierarch Tian Shang You Keng)

Upon hearing Li Yue’s words, Chen Cang was also stunned for a moment.

“That five-year-old little boy?” Chen Cang questioned back, “He seemed to be recovering quite well, didn’t he?”

Li Yue also frowned, pushing his glasses up as he couldn’t help but ponder, “Hmm, the surgery went very smoothly!”

There were no anomalies during or after the surgery, no infection at the incision site, this sudden fever was clearly unusual.

What exactly was going on?

Just then, Chen Cang suddenly received a system prompt:

[Ding! Trigger a mission, help Li Yue out of the tight spot, and after a successful surgery, obtain one random skill from Li Yue!]

Chen Cang was momentarily stunned, realizing this was not a simple matter…

He was well aware of Li Yue’s abilities, with impeccable clinical skills and solid theoretical foundation, this was a man who liked to always keep a few papers in his pocket.

Li Yue had a habit of reading an article every day, a habit he had maintained since he started working.

Now, the mission displayed meant that it was a problem even Li Yue couldn’t solve, which certainly signified it was no minor issue!

In the midst of conversation, the car finally stopped at the entrance of the emergency room.

Li Yue got out, followed closely by Chen Cang.

Nurse Xiao Ke saw everyone and quickly said, “Doctor Li, Doctor Chen, the patient is in the resuscitation room.”

“Be careful, this… the little boy’s mother is a journalist, and his father seems to be a lawyer!” Xiao Ke cautiously warned.

Li Yue nodded, understanding the unspoken message in her words, telling him to be careful with what he said.

Once in the resuscitation room, the little boy was already on the monitor.

Zhang Yuan and Yang Hui were already busy.

Seeing Li Yue and Chen Cang enter, they hurriedly greeted, “Teacher Li.”

However, the couple, He Lan and the man, anxiously asked upon seeing Li Yue, “Doctor Li, was there any accident during the surgery?”

Li Yue shook his head, adamantly stating, “There were no accidents, the surgery went smoothly, and the surgery video is preserved, which can be checked at any time!”

Hearing Li Yue’s words, He Lan and her husband exchanged glances, “Doctor Li, we are not here to make trouble; we are genuinely worried, the child suddenly developed a fever.”

Li Yue nodded, looked at the restless little boy lying on the bed, who was crying and fussing, then turned to He Lan’s family and remarked, “Well, please wait outside the resuscitation room, I’ll call you if needed, I need to see what’s wrong with the child.”

Upon hearing this, He Lan was reluctant, but seeing Li Yue’s stern expression, decided to leave.

The man, however, was more persistent, “No, I can’t understand the cause, and I won’t leave. I’ll be here, not interfering with your treatment, but I hope you won’t hide anything from us.”

Clearly, the man already believed that this was a medical dispute caused by Li Yue’s negligence, leading to the child’s recurring illness!

Seeing this, Li Yue couldn’t help but shake his head, and the two nurses at the front desk of the resuscitative room began to tense up.

Li Yue thought for a moment and walked directly to the patient, speaking to the child:

“Let me touch your stomach, relax. Tell me if it hurts when I press.”

As soon as Li Yue pressed lightly, the little boy immediately howled in pain, “Ouch, ouch, ouch, I’m in so much pain, save me…”

“Please stop pressing! It hurts so much…”

Li Yue frowned, noticing that the abdominal pain was very apparent, accompanied by muscular tension in the abdomen.

“What’s the body temperature?”

Zhang Yuan: “39.5 degrees Celsius!”

Could it be peritonitis?

This possibility occurred to everyone.

Chen Cang was also observing all this.

Generalized abdominal pain, tense abdominal muscles, rebound tenderness, nausea, vomiting, high fever!

Signs of peritoneal irritation were very clear!

This almost met all the presentations of peritonitis.

Li Yue asked, “Is the complete blood count done?”

Zhang Yuan nodded, “Blood was drawn and abdominal paracentesis was done, both sent for urgent examination, probably about 10 minutes.”

Li Yue nodded.

Now, everyone highly suspected it was peritonitis.

At that moment, Yang Hui handed over an X-ray, “The X-ray shows no abnormalities.”

Li Yue took a look, no free air, not a perforation, no obstructions, and not an intestinal twist…

Now, all signs pointed to peritonitis.

The room fell into a silence.

The man, unable to hold back, demanded, “What’s going on?”

Li Yue calmly replied, “Wait for the results! Keep it down.”

The man was momentarily lost for words, “What kind of attitude, I am a lawyer! Be careful…”

Li Yue responded, “I am a doctor; if it’s my fault, feel free to sue!”

This statement immediately heightened the tension in the room.

No one wanted to deal with the media and lawyers because they tend to be quite sensitive.

But Li Yue was confident in his treatment plan and didn’t believe it had anything to do with him.

“After you were discharged, what did you feed the child? Did he drink anything?”

He Lan took a deep breath, trying to ease the atmosphere, “Doctor, don’t be upset, my spouse is a bit agitated and anxious.”

“After being discharged, the child has been on a bland diet, all easy-to-digest foods.”

At that moment, the results came back!

White blood cell count increased, indicating a definite infection, yet no abnormality was found in the ascitic fluid.

Now, the clue was abruptly lost!

Zhang Yuan couldn’t help suggesting, “Dr. Li, should we open the abdomen for further investigation again?”

The man behind him immediately nodded. “I suspect there definitely was a problem with your surgery!”

Li Yue was deep in thought at that moment.

Suddenly, Chen Cang’s eyes lit up. “It’s neither peritonitis nor an intra-abdominal complication, and there was no accident during the operation.”

“The patient has Fifth-Day Syndrome!”

Upon hearing this, Li Yue was suddenly taken aback.

The patient’s father was also startled by the term. “What does that mean?”

Chen Cang couldn’t help but say, “This is the Fifth-Day Syndrome following pediatric appendectomy. The surgery typically proceeds very smoothly, but on the fifth day, the child suddenly experiences abdominal pain, high fever, which, within a few hours, manifest signs resembling diffuse peritonitis!”

After he spoke, the patient’s family members were taken aback and couldn’t help but scoff coldly, “Are you joking with me?”

“Everything went smoothly, and there’s high fever and abdominal pain? Do you think we don’t understand medicine? There must be some cause for everything, right?”

“Fifth-Day Syndrome, does my son have to develop a fever tomorrow for you to come up with a Sixth-Day Syndrome?”

“The appendix is removed; unexplained fever must definitely indicate some mishap during the operation!”

Chen Cang couldn’t help shaking his head; does the appendix really have no use at all?

Of course not, it certainly has its uses, it’s just that modern medicine hasn’t figured them out yet.

And as for Fifth-Day Syndrome, it’s real!

But the cause is still unclear; it’s thought perhaps to be due to an immune deficiency, leading to weakened defense mechanisms.

At this moment, He Lan quickly grabbed the man, whispering, “It might be true!”

The man was startled, only to see He Lan passing him a phone. After seeing it, he was bewildered!

Is there really such a disease?

For a moment, the man was immensely ashamed and didn’t know what to say.

It took a while before he managed to say, “Fifth-Day Syndrome…is it going to be okay by the sixth day?”

He Lan couldn’t help but cover her face; so much for a law school graduate, how could he be so confused?

“Alright, wait outside, I’ll discuss this with the doctor!”

“Doctor, I’m truly sorry, my spouse got confused in anger; we weren’t mistrustful, just momentarily anxious! Please don’t mind, treat as you deem fit, we’ll cooperate fully!”

Li Yue nodded, “Yes, don’t worry, it’s our duty.”

Once the family had left, everyone focused on Chen Cang with great admiration!

“Dr. Chen is so awesome!”

“Absolutely, my idol…you’re too skilled!”

Li Yue couldn’t help but gaze at Chen Cang and smiled, “Thank you.”

Being a doctor, no one could guarantee remaining composed in all situations, for diseases themselves vary so greatly, even though one continues to learn and strive, gaps in knowledge always exist.

That’s why medical practice is a collaborative job, not a solitary fight.

Chen Cang couldn’t help but smile, “I just happened to be researching this condition, so it came to mind.”

Indeed, Chen Cang’s skills in appendectomy were perfect, his specialized training card hadn’t gone to waste.

Unexpectedly, what was thought to be a trivial appendectomy, presumably wasting the training card, suddenly proved its worth.

However, even so, Chen Cang still felt regretful; after all, who could have anticipated Fifth-Day Syndrome?

Seeing Chen Cang being so modest, everyone couldn’t help but laugh, “Come on, Dr. Chen, don’t be so humble.”

“Really, is there anything you don’t know?”

“Exactly, exactly, I think you don’t need further studies; why don’t you just come here and be the chief?”

The jesting duo stirred up more laughter.

Now that the diagnosis was clear, treatment had to follow.

Yang Hui couldn’t help but ask, “Dr. Chen, how should we manage this? Is surgery needed?”

Chen Cang shook his head, “Conservative treatment is primary, no surgery necessary.

Using fasting, intravenous fluid supplementation, continuous nasogastric suction, and antibiotics are necessary and effective for this condition.”

After finishing his advice, Chen Cang cautioned, “But importantly, after treating pediatric appendicitis in the future, make sure the child isn’t discharged before the sixth day to avoid missing the Fifth-Day Syndrome and delaying treatment.”

Li Yue couldn’t help but sigh; he had been overly confident.

Being confident as a doctor is good, but one must not be blindly confident!

The patient was readmitted and observed.

After the drama concluded, everyone also breathed a sigh of relief.

Emergency departments are truly places that don’t allow for peace of mind.

Zhang Yuan and Yang Hui followed Chen Cang, “Dr. Chen, does the appendix really have no use at all?”

Chen Cang pondered for a long while and couldn’t help but say, “Perhaps it’s your genius! Who knows, it might lead to enlightenment and ascension!”

Zhang Yuan was taken aback, “Are you kidding me?”

Chen Cang rolled his eyes, “How would I know? I come from the year 2088, and even then, the function of the appendix hadn’t been discovered; you can’t blame me!”

Upon hearing this, Zhang Yuan burst into laughter, “Who’s my wife, by the way?”

Yang Hui, “You having a wife? No way, can you even live until 2088?”

…

ps: To finish this story, I’ve dragged on until now.

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