When the Doctor Uses A Hack

Chen Cang's casual "I'll give it a try" left several department heads completely stunned!

Exactly!

These seemingly unassuming words were anything but timid.

After all, globally, no one would dare claim they can cure spontaneous iliac vein rupture with certainty.

That "I'll give it a try" actually came with a measure of confidence.

To be truthful, Chen Cang wasn't entirely confident deep down!

But he couldn't avoid trying.

The situation was clear and right before their eyes.

Spontaneous iliac vein rupture is an exceptionally rare and life-threatening condition, often catching the first physician completely off guard!

On top of that, this disease is particularly prone to misdiagnosis.

Its infrequency makes it extremely difficult to diagnose.

Frequently, by the time an accurate diagnosis is made, the patient's life is already lost.

Chen Cang thought to himself that he just might be the most knowledgeable person here on this disease.

If he didn't try, was he supposed to just watch the patient die?

If that were the case, then what would be the point of having this system at all?

By now, Chen Cang had come to a realization—medicine is by no means a foolproof discipline; it's about using the skills and techniques you've mastered to tackle diseases you're uncertain about!

Alongside medical advancements, one startling truth becomes clear:

The progression of diseases far outpaces the progress of medicine!

Of course, it's also possible these diseases have always existed.

We've simply been unaware of them!

As we keep uncovering the mysteries of the world and accumulating medical knowledge, we also realize there are more and more diseases out there.

If we follow the law of the 5% knowledge rule,

then our current understanding of the human body is less than 5%!

But this doesn't mean we should dismiss science altogether.

Precisely because of this 5% of knowledge, we've managed to transform the trajectory of human health.

Progress, after all, requires a process.

Medicine is no different.

Many unknown diseases exist, and we must proceed cautiously in exploring and mastering them!

With this thought, Chen Cang had already taken out a "simulation stone"!

If he felt uncertain about the surgery, Chen Cang wouldn't hesitate for even a second to use it!

A doctor, when facing a patient, should never act dismissively just because the one lying on the hospital bed is a humble farmer's wife. Likewise, they should never grovel simply because the one in bed is a high-ranking official or wealthy elite.

...

Huang Qiuying, hearing Chen Cang agree, felt genuinely relieved and happy!

"Great! Thank you so much, Professor Chen! Sorry to trouble you this time!"

Chen Cang waved his hand nonchalantly: "It's part of the job!"

Seeing Chen Cang show no sign of arrogance, Huang Qiuying's impression of him immediately improved!

But at this moment, there was still another pressing matter to deal with.

For Huang Qiuying, it was a headache of its own.

That was the task of speaking with the patient's family.

Initially, before the disease was identified, the family members had already started accusing the hospital of causing the patient's injury with ultrasound!

Now that the real dangers of the condition were evident, who knew how they might react?!

The question was, how to explain everything?

Huang Qiuying had only heard of spontaneous iliac vein rupture before but didn't understand it thoroughly.

At this thought, she couldn't help but ask, "Professor Chen, could you help explain why the patient experienced spontaneous iliac vein rupture?"

The department heads nearby all perked up their ears to listen attentively!

Today's case would undoubtedly become an indelible part of their medical journeys.

There are conditions you might never encounter in an entire career.

Chen Cang explained, "Actually, I didn't immediately think of this disease either."

"Being able to identify it, I have all of you to thank. Your eliminations of common diseases broadened my thinking."

The oldest trick in the book—flattery—never gets old!

This perfectly delivered compliment allowed the department heads to save face.

In an instant, their impressions of Chen Cang improved exponentially.

A young talent like him, no wonder he had such mastery!

Chen Cang continued, "A rare disease, female patient, left side, and hard-to-determine causes—these factors led me to consider this condition!"

"Here's what we know: of all documented cases of spontaneous iliac vein rupture, only two have been on the right side. Nearly all have occurred on the left side, largely due to compression of the left common iliac vein by the left common iliac artery.

"Movements like bending, coughing, or defecating can increase pressure in the left iliac vein between the right iliac artery and the inguinal ligament, making rupture more likely."

"However, in this older patient's case, it's not the left side. This suggests an unusual posture could have elevated the already fragile vascular pressure on the right side, leading to the rupture."

At this point, Chen Cang continued, "Yesterday, after her ultrasound was completed, the patient slipped and fell. Could it be that this caused a change in pressure and posture on the right side?"

Huang Qiuying quickly added, "I'll call the family in!"

In no time, Cui Jisheng hurried into the room.

Upon seeing Chen Cang, his face lit up with excitement!

He had no understanding of spontaneous iliac vein rupture.

But he knew that Chen Cang had made the diagnosis!

"Professor Chen, you're incredible! Truly grateful to you!"

The repeated expressions of gratitude made Chen Cang feel a little awkward. Faced with such sincerity, he almost felt uncomfortable delivering the harsh truth.

Sometimes, being a doctor is incredibly difficult.

We, too, wish we could only bring good news and not bad.

But…

The profession demands that we be honest and transparent.

No matter how brutal that honesty may seem.

A doctor is human, filled with emotion, but diseases themselves are devoid of it.

Sighing, Chen Cang realized that some truths couldn't be hidden. Honest communication and sincere discussion were the only ways to handle things!

Just as the patient's relatives had brought up the idea of ultrasound causing injury,

it wasn't because they wanted to be unreasonable troublemakers.

It was simply due to ignorance!

Judging them was needless!

Not everyone had experienced nine years of compulsory education, let alone more advanced schooling!

They might come from a rural setting, entirely unfamiliar with ultrasound, CT scans, or MRI machines.

At this thought, Chen Cang reached out and held Cui Jisheng's hand, guiding him to sit down.

"Uncle, let me explain your wife's condition to you."

Cui Jisheng, feeling a bit shy about holding hands, tried to pull away.

"No worries, Professor Chen! We trust you completely! You'd never harm us!" Cui Jisheng said with a sheepish smile.

Chen Cang nodded: "Alright. When your wife fell, did she land on her right side?"

After thinking it over for a moment, Cui Jisheng nodded.

"She's, uh, quite heavy. When she came down, she lost balance, and her right side sort of crumpled under her. That's how she slipped!"

After hearing this, Chen Cang sighed, "Uncle, here's the situation—your wife's right iliac vein experienced a spontaneous rupture."

Serving as a village party secretary for a few years, Cui Jisheng had seen his fair share of things, but… he had never heard of this!

Unable to suppress his concern, he asked, "Professor Chen, uh, this condition… is it serious?"