When the Doctor Uses A Hack

What is medicine?

Chen Cang felt that medicine is the science of the human body.

It is a discipline that is closely related to every aspect of human life—food, clothing, shelter, daily necessities, oils, sauces, vinegar, and tea.

Chen Cang loved medicine, not just because he enjoyed performing surgeries, but because he liked uncovering the secrets of life.

For instance, choosing the right cooking oil won't dramatically improve your life, but it can affect your health to some extent.

The human body is inherently a process of subtle, imperceptible change.

Although Chen Cang often joked around, he would never mislead patients on serious matters. (Hint: all the information above is based on paper research, no need to question its authenticity, feel free to use it!)

Take the cooking oil theory mentioned earlier, for example—this conclusion was drawn after Chen Cang reviewed over a dozen research papers.

Initially, this was meant to be a future birthday gift for Qin Xiaotian...

But unexpectedly, it came in handy today.

Chen Cang had actually prepared many gifts for Qin Yue, who was about to become a mother.

For example: tips on using seasonings to reduce the purine impact of luxurious gout-inducing feasts, how different laundry detergents could minimize damage to hand skin...

Uh-huh!

Chen Cang believed that Qin Yue would surely enjoy receiving these thoughtful gifts of his.

Sigh.

The life of a doctor is just so dull and monotonous.

...

...

In the morning, inside the cardiovascular surgery operating room of the Emergency Center Hospital,

after promising last time to teach Xu Ziming the elephant trunk stent technique, Chen Cang had performed three surgeries up to this point today.

But, Chen Cang realized that Xu Ziming's progress was seriously lacking!

Watching Xu Ziming's clumsy handling, Chen Cang was so frustrated that he broke out in a sweat.

Xu Ziming, noticing this, quickly shot a meaningful glance at a young nurse.

The young nurse caught the "help me" look from the department director and nodded quickly, taking the initiative to step toward Professor Chen.

Chen Cang, too busy with the situation at hand, briefly wiped his sweat on the young nurse's shoulder but didn't dare stop his work.

However, in that brief moment of wiping his sweat, Chen Cang caught a faint scent of mint mixed with a soothing fragrance from the nurse. It made him feel unexpectedly calm and happy.

During those few seconds, Chen Cang's mood visibly improved.

Seeing Chen Cang's knitted brows relax, Xu Ziming let out a sigh of relief—looks like that perfume gift wasn't a waste!

"You! Honestly, what should I say about you!"

"This is a classic Type Chen-A aortic dissection surgery! The elephant trunk stent technique is perfectly suited for this—look at the stent..."

Chen Cang shook his head in frustration, though his tone softened considerably.

Hearing the term "Type Chen-A aortic dissection," Li Baoshan and Meng Xi were momentarily stunned.

"Professor Chen, uh… what is this Type Chen-A thing?"

"Yeah, we know 'Chen Yifa,' but… we've never heard of Type Chen-A!"

Chen Cang froze for a moment!

"Chen Yifa?!"

Only then did he remember—yesterday, he had originally planned to give a lecture on the classification of aortic dissections, but ended up delayed because of a trip to the police station.

He let out a breath of relief and said, "Oh, it's a new classification standard. Let's find some time this week to discuss it in detail."

At this moment, a phone started ringing.

Chen Cang's designated "phone nurse" announced, "Professor Chen, it's Director He calling. Should I answer it?"

Chen Cang nodded. "Put it on speaker!"

The phone nurse was a young intern, but... the nurses in Chen Cang's operating room were always vying for the chance to assist in surgeries—even the head nurse wanted to join in on the fun.

As a result, the current group of interns, whether male or female, hardly got any operating room time.

This young intern, with her sweet voice, had managed to become Chen Cang's designated phone handler and part-time "customer service assistant"!

At first, the young nurse had mixed feelings about this.

After all, she wasn't here to take calls; she came to learn skills and had her temper, too.

But…

After answering a few days' worth of calls, she found that the attitude of many doctors toward her had done a complete 180—even department heads occasionally dropped by to curry favor!

All of this just so Chen Cang would take their calls.

After all, during surgery, Chen Cang was fully engrossed and often couldn't hear the phone ringing at all.

In times like that, the value of the "phone nurse" became apparent.

After answering the call, the young nurse spoke in her sweet and gentle voice: "Director He, Professor Chen is currently in surgery. It's on speaker now; please proceed."

Hearing the phone nurse's voice, He Zhiqian quickly responded, "Professor Chen, we've found a liver donor!"

Chen Cang's face lit up with joy. "Oh? That fast?"

Liver donors are incredibly hard to come by!

There's always a huge waiting list.

In China, the demand for liver donors far exceeds the supply, and the official process definitely involves a wait.

Which brings up another issue.

Liver cancer patients who need treatment must first undergo liver resection, followed by a liver transplant.

But with so many people waiting for liver transplants, where can you find enough donors?

This is a huge challenge!

But it hasn't even been half a month since Wang Dong's car accident.

How could they have found a donor so quickly?

Thinking of this, Chen Cang's brows knitted slightly. "Is there something wrong with the liver?"

He Zhiqian made a sound of acknowledgment, surprised at how nothing could escape Professor Chen's keen intuition.

He couldn't help but say, "Yes, the donor liver is from Hangzhou. The patient passed away yesterday. Originally, it was meant for a patient at the 302 Hospital. But after evaluating it, the liver didn't meet their standards, so they declined it."

"Now, the patient's family isn't sure what to do. What do you think—should we bring it over for evaluation?"

Saying this, He Zhiqian sighed regretfully.

To be honest, liver donors are so rare, losing even one could mean the loss of a life!

Hearing this, Chen Cang sighed as well and shook his head. He had expected as much.

Finding a suitable liver donor is an incredibly challenging task.

To find one within half a month is almost miraculous.

Of course, for the wealthy and powerful, the usual rules often don't apply. After all, sometimes money and influence can rewrite many of the rules.

"How long has the liver been in cold ischemia?" Chen Cang decided to take a step back and asked.

He Zhiqian glanced at the report.

"The liver has been in cold ischemia for 15.1 hours. It's estimated to arrive at our hospital in 30 minutes. Even if we start surgery right away, it'll likely have been ischemic for 16 hours!"

Before He Zhiqian could finish, everyone in the operating room let out a slight sigh.

To be honest, with 16 hours of cold ischemia, how high could the surgery's success rate really be?

And!

This doesn't even account for other complexities—the liver's condition, whether there are clots inside, and so on.

After all, once a liver has been in cold ischemia for more than 12 hours, prolonged hypoxia and lack of blood supply can lead to chronic changes in the liver tissue.

Livers like this are usually passed up by both doctors and families.

After all, the medical expenses are still steep, and performing surgery with such a liver might just be setting yourself up for more problems.

That said, many people who can't afford to wait might have no choice but to take the risk and try it anyway.

...