When the Doctor Uses A Hack

```

Bo Jianming's words weren't wrong; for those patients who temporarily have unclear diagnoses but aren't facing major issues, transferring departments is indeed more appropriate.

After all, if the patient's condition is stable, it's best to quickly free up emergency resources for those who need immediate resuscitation.

Moreover, once in the specialist department, they can receive better diagnosis and treatment. The doctors there are all specialists, and the cost is generally lower, with different reimbursement rates and other benefits.

Emergency room expenses are still quite high.

However, at that moment, Chen Cang looked at the X-ray and suddenly frowned.

"Can... can I take a look at the X-ray?"

Bo Jianming glanced at Chen Cang and paused slightly, "Young Chen?"

Chen Cang smiled, "Director Bo, hello."

Bo Jianming nodded and handed over the X-ray, "Hmm, here you go."

Chen Cang took the X-ray and examined it carefully. He hadn't seen it very clearly from the back, but now, up close, he could see it much better.

Indeed, the mediastinal shadow and other signs looked normal on the chest X-ray, and there was no significant bleeding visible.

But... he spotted something different in a subtle area!

Upon seeing this, Chen Cang couldn't help but say, "Director Bo, I think... perhaps we should do a CT scan and a retrograde aortography first. I'm concerned that the patient might have a tear in the anonymous artery."

Hearing Chen Cang's words, Bo Jianming picked up the X-ray and examined it closely.

But... he didn't find any significant features.

Then he looked at Chen, not with disdain, but said evenly, "If there was damage to the anonymous artery, the X-ray would show an increase in the shadow of the mediastinum on the same side,

and there would also be disappearance or weakening of the pulse in the radial or carotid arteries on that side, and severe internal bleeding, cardiac tamponade, or tracheal compression could occur almost immediately."

While speaking, he went with Chen to the resuscitation room and, after checking, found that all pulses were normal. There was no sign of cardiac tamponade or tracheal compression.

Chen Cang hesitated, had he made a mistake in his thinking?

But his level of chest imaging examination was impeccable!

He vaguely recalled that the X-ray might indicate a possible tearing injury of the anonymous artery.

Reflecting on this, Chen Cang decided he should still raise a reminder.

"Director Bo, actually not all injuries to the anonymous artery have pronounced X-ray findings. For example, distal injuries can also have a normal pulse, and X-ray features are not obvious, making diagnosis troublesome. So, I still think we should at least take a CT scan first..."

Bo Jianming furrowed his brow slightly, apparently somewhat dissatisfied with Chen Cang's questioning.

However, he didn't respond, merely offering a faint smile, "Hmm, I understand."

Seeing that the patient's vital signs and blood pressure were normal on the monitor and that they were lucid, Chen Cang didn't press further.

Thinking this over, Chen Cang didn't say more. He had given his reminder, and that's all that was needed. If only an earlier examination could be done in the emergency room, early detection and preparation could be made.

If the process of transferring between departments caused any delay, it might unfortunately waste valuable time.

But... it likely wouldn't have too much impact.

So Chen Cang turned and left, heading straight to the cardiothoracic surgery department.

Seeing this, Wu Peng looked awkwardly at Bo Jianming and said, "Director Bo, shall we... go ahead and do a CT scan first?"

"Do the retrograde aortography later?"

Seeing Wu Peng like this and after looking at the patient, Bo Jianming thought for a moment and then shook his head, "No need..."

Just as Bo Jianming was about to speak, Wang Xiangjun walked in.

"Director!"

"Director Wang!"

They both nodded in greeting.

```

Wang Xiangjun hummed, "What's the patient's situation?"

Wu Peng briefed him, then brought out the radiographs.

After looking at the radiographs, Wang Xiangjun didn't notice anything but, recalling that Chen Cang had just left, asked, "I just saw Little Chen come by earlier. What was his suggestion?"

Wu Peng said, "Dr. Chen suggested to conduct the examination as soon as possible and then consider transferring departments. He worried about potential injuries to the distal end of the unnamed artery and said that the radiographs don't show anything..."

Bo Jianming laughed and said, "Don't worry, Director, I have it under control."

Upon hearing this, Wang Xiangjun was immediately stunned.

Although he clearly knew that there was still a significant gap between Chen Cang and Bo Jianming in terms of experience, insight, and overall level, for some reason, Wang Xiangjun still tended to believe in Chen Cang's choice.

With this thought, Wang Xiangjun said, "Little Wu, rush the patient to get a CT scan. To be safe, let's not risk anything going wrong. Show the images to Dr. Bo as soon as they're out."

Upon hearing this, Wu Peng promptly nodded and hurriedly wrote a medical order before taking the patient for the examination.

Emergency examinations are quite swift, equivalent to a green channel of sorts, basically without a need to queue.

But if sent to the inpatient department, even if it's labeled "urgent"!

It would still be much slower than emergency. Explore more stories with My Virtual Library Empire

Seeing that Wang Xiangjun had personally given instructions, Bo Jianming felt embarrassed to say more and so waited.

After about fifteen minutes, Wu Peng ran over, out of breath, carrying radiographs.

Upon seeing Wang Xiangjun and Bo Jianming, he immediately said anxiously, "There really is a problem!"

Upon hearing this, both of them suddenly changed expressions!

They hurriedly took out the images and indeed, saw something different!

After seeing it, Bo Jianming was momentarily dumbfounded. Chen Cang had guessed it all!

No!

This couldn't be just a guess; Chen Cang must have noticed something unusual on the X-ray.

But... this X-ray looks practically normal!

Could there be some detail that he had missed?

With this thought, Bo Jianming couldn't help feeling a bit frightened. It was fortunate they had conducted the examination in time. Had they waited to transfer departments, the patient might not have been in life-threatening danger, but... there would have been a lot of trouble and panic.

Now, they could handle the situation calmly!

Prepare for surgery promptly!

At this moment, although Bo Jianming was reluctant to admit it aloud, he felt a profound sense of admiration and curiosity towards Chen Cang in his heart.

This Little Chen... really has something.

Actually, the reason why Chen Cang didn't specify was because it wasn't statistically significant. The X-ray was normal, but there were some subtle differences, worth referencing. After all, Chen Cang had reviewed countless radiographs, X-rays, CTs, and understood these details thoroughly!

And Wang Xiangjun took a deep breath!

This Little Chen was too uncanny, wasn't he?

How could he have noticed that?

Seeing the expressions of the two, Wu Peng felt a storm of emotions inside. Chen Cang wasn't old, especially compared to the forty-something Director Bo. He was so much younger.

But the undeniable evidence right in front of them was thought-provoking.

Dr. Chen was really amazing, wasn't he?

The three exchanged glances, seeing the sentiment and relief in each other's eyes.

Wang Xiangjun immediately said, "Check the blood and prepare for surgery right away."