boyutpedia Chapter 35 A Sense of Familiarity!
Chapter 35 A Sense of Familiarity!
When Professor Cheng Guiying from the Department of Gastroenterology finished grading the exam papers and returned home, it was already 9:50 p.m.
I opened the door and saw my husband peeling an apple while watching TV in the living room.
She tilted her head and looked at him: "It's the weekend today, why are you so busy until now?"
Cheng Guiying changed her shoes: "I'm in charge of grading the competition papers, and the announcement has to be sent out by midnight."
"Didn't you say you bought a watermelon?"
The middle-aged man chuckled: "I just happened to see some apples and they looked pretty good, so I brought you some."
Here, take it.
Cheng Guiying: "Eating too many apples at night can easily lead to indigestion."
The middle-aged man's smile stiffened slightly: "Look at you, it's an occupational hazard, isn't it? I was planning to spend our anniversary together today."
"Let's break the rule." He handed over the apple.
Cheng Guiying blushed slightly: "We're all so old, why bother with anniversaries..."
"You can leave it here, I'll go wash my hands."
Cheng Guiying placed her phone on the living room table and walked towards the sink.
"Guiying, your phone is ringing."
"It's Xiao Lu."
Professor Cheng Guiying had just reached the sink when the middle-aged man said.
"Could you answer this for me?"
After the middle-aged woman answered the call and put it on speakerphone, Cheng Guiying asked, "Xiao Lu, what's wrong?"
A woman in her thirties spoke from the other end of the phone, her voice steady: "Teacher Cheng, the family of patient in bed 5 has suggested that she get an MRI."
"He said he suddenly felt a little dizzy."
"I reviewed the case of patient in bed 5. This patient was admitted with upper abdominal pain and underwent a gastroscopy yesterday afternoon."
"The situation is not too bad. There is an ulcer in the stomach, but the ulcer is relatively well-formed."
"It doesn't look like a major hemorrhage."
"Should we consider the possibility of an organic lesion in his brain given his sudden dizziness?"
As the professor in charge of the research group, Cheng Guiying certainly wouldn't be leading ward rounds every weekend.
These past few days she's been busy with the postgraduate skills competition, leaving all the departmental matters to the attending physicians in her group.
As Cheng Guiying wiped her hands, she approached the phone: "Is the dizziness transient or persistent?"
Xiao Lu: "It's transient, but it exists intermittently."
"Your blood pressure is fine..."
Cheng Guiying suddenly remembered something: "You said the patient has stomach ulcers, but the ulcers are quite regular?"
"Can you see the images in his gastroscopy report?"
"Send it to me?"
"Yes, Teacher Cheng, I'll send it to you via QQ." Xiao Lu added Cheng Guiying on QQ.
Cheng Guiying soon saw the gastroscopy images sent by Xiao Lu.
Upon seeing the appearance of the ulcers on the stomach lining, Cheng Guiying's expression immediately turned horrified several times—
If you want to send pictures on a 10-year-old mobile phone, you have to hang up the call before you can get a signal.
So Cheng Guiying immediately dialed the number: "What are the specific details of bed 5?"
"Has the patient had any special medical history?"
Xiao Lu: "Nothing special, just a sudden onset of dull pain in the upper abdomen. I was admitted to the outpatient clinic, and I suspect it's an acute exacerbation of chronic gastritis."
"Based on the current gastroscopy findings, it does not appear to be a chronic ulcer."
"When the patient was admitted to the hospital, he did not mention any symptoms of dizziness, and he had no special medical history."
Cheng Guiying: "What was the condition of his esophagus according to the gastroscopy?"
Xiao Lu: "Everything is fine."
Cheng Guiying: "Okay, you should have the on-duty doctor check the patient's basic information again. Make sure to confirm whether the patient has a history of transient amnesia or other similar conditions."
"Then, we performed a plain CT scan of the entire abdomen on the patient."
"It's best to go to the emergency room now."
Xiao Lu: "Shall we do it now?"
"Professor Cheng, are you still considering a bleeding disorder?"
Cheng Guiying: "It's hard to say. You should schedule one first. This patient's gastroscopy findings are very strange. We must be careful to rule out sharp instrument injury..."
Xiao Lu let out two howls.
After the call was disconnected, the middle-aged man next to her came over and patted Cheng Guiying on the shoulder: "Don't worry about these little things. Hurry up and ask for leave. Let's go out for a trip."
Cheng Guiying put down her phone and said seriously, "Boss Zhi, do you still look down on my profession?"
The middle-aged man chuckled and shook his head: "Look, you're here again."
"How could I look down on your profession? You are the strongest line of defense for our whole family's health."
"But let's be honest, I've been promoted to professor, I've led a research group, and my daughter is all grown up now."
"Shouldn't we start thinking about our personal lives?"
"Work is never-ending."
"Why don't you take a trip abroad and use your annual leave?" the middle-aged man suggested.
Cheng Guiying nodded seriously: "That works too."
After promising her husband, Cheng Guiying sent Xiao Lu another message: "After the patient finishes the CT scan, please remember to send me a message or give me a call!"
Cheng Guiying's expression appeared calm, but she was actually quite agitated inside.
Why is it that just as this original topic appeared, a similar case happened in the gastroenterology department?
A coincidence?
It must have been a coincidence.
Cheng Guiying knew about the patient in bed 5; he had a history of surgery, but there were no implants in that surgery.
Cheng Guiying thought about it carefully. If she hadn't heard about that strange case today, she wouldn't have thought about it in such an unusual and extreme way.
Having heard it before, Cheng Guiying felt an involuntary sense of familiarity upon hearing Xiao Lu mention it, and even dared not gamble!
About an hour and a half later.
Just as Cheng Guiying finished washing up and her husband, Boss Zhi, was blow-drying her hair, Xiao Lu called.
Cheng Guiying answered the phone: "Professor Cheng, you are truly amazing."
"There was an iron nail in the patient's intestines; the patient must have accidentally ingested an iron nail!"
"What if this happens in the MRI room!" Xiao Lu's voice trembled.
Cheng Guiying was also taken aback for a moment: "Well, you should first ask for a consultation with the general surgery department to determine the exact location."
"If the location is not good, it may be necessary to have a general surgeon perform an open surgery to remove it. If the location is relatively good, we can have a gastroscopy to see if it can be removed with a scope."
"What were the results of the head CT scan?"
Xiao Lu: "We are currently requesting a consultation with the neurology and psychiatry departments."
"The patient has no recollection of accidentally swallowing the nail and has no clear history of external injury, which is probably quite troublesome."
Cheng Guiying: "There's nothing we can do about this trouble!"
"Xiao Lu, in the future, for fresh, well-formed ulcers in the digestive tract, you must be careful to avoid injuries caused by irregular objects."
"If the patient has no other symptoms, it's fine to have too many tests done, but if an MRI is involved, please be extremely careful!"
Xiao Lu replied politely, "I've learned a lot, Teacher Chen!"
The call ended again, and Boss Zhi said, "It seems Dr. Cheng has saved another person?"
Cheng Guiying's voice was calm: "Actually, it wasn't really me who saved them!"
"I'm just the one who implements the specific plan..."
"I really don't know if this is a special accident, or something else entirely?"
"That's impossible; no one can predict the future."
"That young man is interesting."
The shop owner stopped the hairdryer: "Which young man deserves such praise from Professor Cheng? Your student?"
Cheng Guiying shook her head: "No, it's surgery."
Boss Zhi was quite knowledgeable about the differences between internal medicine and surgery, and was particularly surprised: "Huh?"