When the Doctor Uses A Hack

Chapter 1560: Mechanisms Elude in Gut Microbiota, Diagnostic Hesitation in Rheumatology and Immunology



Ward round concluded.

Wu Hui had a new impression of Chen Cang for the first time!

This is just too incredible.

While Chen Cang went to wash his hands, the group of interns and residents behind him were all frantically discussing!

"Professor Chen is just too amazing!"

"Yeah, he can remember all the test results of 51 patients! It's simply... no words!"

"He must know the patients so well and pay so much attention to them!"

"You might not know, but I heard that Professor Chen is the last to leave work and the first to arrive every day, and he reads each patient's case several times."

Listening to everyone's discussion, people were all expressing their admiration.

"Professor Chen, a true master of both ethics and skills!"

"With such ability, he actually manages to do everything personally!"

Listening to everyone praising Chen Cang, Ma felt somewhat stunned standing there!

He doubted whether these people were talking about Chen Cang.

Are you sure this person reads patient records seven or eight times a day?

Absolutely not!

This guy obviously left work earlier than me yesterday.

But...

Why can this guy remember patients' conditions and test results?

Lord Ma expressed his disbelief!

But, it must be said, a doctor who knows the patients inside out is truly charming.

Old Ma could already foresee that, in the near future, Chen Cang's plaque collection might turn into a large quilt.

...

...

In the afternoon, a patient came to the emergency department with simultaneous head and chest injuries.

The anesthesiologist was a newcomer, assisted by Zhou He on the operating table.

Seeing Chen Cang, the newcomer was very nervous, saying hello to every doctor one by one.

"Sorry, I... I'm too nervous, it's my first time!"

Zhou He couldn't help but sigh with his hand on his forehead.

The patient only had trauma, not serious, otherwise, they wouldn't have let him do it.

However, the patient still inexplicably tensed up.

Chen Cang comforted him: "It's fine."

After hearing Chen Cang's encouragement, the man felt much better.

When the anesthesia started, he was quite skilled.

Just... after administering the anesthesia, he wanted to ask if the patient felt uncomfortable?

But ended up asking "Do you feel comfortable?"

Everyone was stunned, almost bursting into laughter.

The young man, flustered: "No... I mean, are you comfortable?"

Fortunately, the anesthetic gradually took effect, otherwise the man would definitely get up and run out.

Old Ma beside him couldn't help but say: "Comfortable! Already asleep!"

Everyone chuckled, and the surgery finally began.

The patient's issue wasn't major, but at that moment, the phone rang.

The nurse sensibly helped Chen Cang answer the phone.

Seeing it was Huang Binhai, Chen Cang had the nurse put the call on speaker.

"This is Chen Cang," Chen Cang started.

"Professor Chen, this is Xiao Huang, an emergency patient came in with a rather complex situation."

"Only 19 years old, brought in for abdominal pain and seizures, with parents accompanying him, mainly presenting with overall discomfort, noticeable night sweating, and muscle aches all over. I found multiple swollen lymph nodes throughout the body upon physical examination just now."

"Currently presenting with: intermittent seizures, accompanied by body aches and weakness, confusion, fever, and multiple swollen lymph nodes throughout the body..."

After speaking, the operating room fell silent.

This patient directly stunned everyone!

What kind of patient is this?

The key is, only 19 years old, what could be the problem?

Huang Binhai added: "The boy's health suddenly deteriorated this year, easily catching colds, he used to be fine, but ever since starting university, this situation arose."

"No hereditary diseases in the family, parents are healthy."

Such a complex case directly initiated a prize Q&A among the experts in the operating room.

After all, the surgery wasn't difficult, just ordinary trauma, it wouldn't affect the procedure.

The idle staff could hear the patient's case, but...

No one spoke up for a long time!

Old Ma muttered: "When in doubt, quantum mechanics, mechanism elusive, gut microbiome, diagnosis hesitates, rheumatology immunity."

"Cang Er, do you think what I mentioned has any issues?"

Chen Cang rolled his eyes.

But this illness... might indeed not be excluded from rheumatology immunity.

Multiple swollen lymph nodes throughout the body.

Old Ma muttered: "Ah, honestly, I now find neurology truly complicated, diagnosing the condition is unclear."

Indeed, it is.

A surgeon's highest realm is not groundless being an internist.

Internists truly have an advantage in diagnosis.

They understand the mechanism of disease progression in the human body better.

After all, they earn their living from this.

This complicated 19-year-old directly gave everyone in the operating room a headache.

Too difficult!

Chen Cang said: "I'll head back right away, please wait a moment."

He finished speaking, and the nurse hung up the phone.

The surgery difficulty was already not high, Wu Hui could handle it.

Chen Cang greeted everyone briefly and then got up and left.

Returning to the ward, Chen Cang saw the patient.

He looked quite delicate.

Tall stature, fair skin, fashionably dressed, hair styled like a celebrity.

Honestly, this is the kind of look that girls like during college.

Upon entering, Huang Binhai quickly came over.

"Professor Chen, this is the EEG and EMG."

Chen Cang nodded, took it, and looked carefully, epilepsy could be diagnosed.

So young with epilepsy?

He turned to ask the family: "No history of epilepsy in the family?"

The parents were very worried, the mother looked like a teacher: "No, doctor, he was fine before."

"Just this year, his health suddenly declined."

"He frequently catches colds, making it difficult to attend school!"

Chen Cang nodded and said to the young man: "Lie down, I'll examine you."

The young man responded with an 'um,' obediently lying on the observation room bed.

When Chen Cang touched the enlarged liver and spleen, he immediately frowned!

Liver and spleen enlargement?

Epilepsy?

Abdominal pain!

Intermittent confusion.

What could it be?

After a round of examination, Chen Cang hesitated.

Diagnosis unclear.

Chen Cang suddenly said: "Get a CT scan done, check the brain condition."

Then he turned to the nurse: "Draw blood, do a blood and urine routine test, and mainly conduct a serum immunology test."

After saying that, Chen Cang suddenly remembered something: "Also, test for sexually transmitted diseases, hepatitis, and tuberculosis."

At this time, the patient's mother suddenly asked: "Doctor, why do we need to test for sexually transmitted diseases?"

Chen Cang reassured: "It's a routine screening, we need to rule out some immune deficiency diseases, including those that can cause systemic illness."

Chen Cang didn't directly specify any disease.

But...

Some things still need to be checked thoroughly.

Chen Cang suddenly thought of something and turned to look at the young man: "Any history of promiscuity?"

The young man drowsily: "No..."

Chen Cang uttered an 'oh.'

The patient's family was relatively cooperative.

...

...

ps: Today I went to practice the third driving test.

Haha, last time I passed the second driving test on the first go, 100 points, forgot to tell everyone.

Today was my first time for the third test, the crowd... so many!

I also learned my lesson, tomorrow I'll find a time to practice once and then go write, otherwise waiting all day and only practicing twice, getting tanned like a piece of coal.

No point...

Today I drove a bit, still feels pretty good.

All-powerful book friends, please recommend a car, affordable, can't afford expensive ones, once I pass, planning to consider buying a car...

Six updates tomorrow, today... not confident enough to ask for votes.


Tip: You can use left, right, A and D keyboard keys to browse between chapters.