When the Doctor Uses A Hack

The emergency rescue room was packed with people.

Everyone was anxiously waiting for the result.

Ultrasounds had been done, CT scans had been taken, and everyone was waiting for the surgery to be scheduled.

But still, there was no clear answer!

Because when it came down to it, no one knew how to approach this disease.

The most critical aspect of pulmonary hydatid cyst surgery was to remove the inner cyst intact. It absolutely could not be ruptured because if it was, the consequences would be severe.

However, after reviewing the results of the examination, everyone fell back into discussion.

Indeed, they had a clear understanding of common diseases and even general illnesses, but when it came to such a rare hydatid cyst, the imaging examinations stumped everyone.

Unable to help himself, Qian Liang asked, “Jing Ran, what do you think?”

Jing Ran was at a loss for words. I stand here, watching…

At that moment, Chen Cang suddenly said, “I do have an idea, but I’m not sure if it’s feasible.”

Everyone was startled and turned to look at Chen Cang.

Wei Zhi’s eyes lit up. To be honest, he had high hopes for Chen Cang, but since the patient had arrived, Zhang Peiyi had placed even more trust in Jing Ran; and since Chen Cang had been silent all along, Wei Zhi didn’t say much either.

As for Zhang Peiyi, he favored and trusted Jing Ran even more; after all, he was a postdoctoral researcher from Fuwai, so without a doubt, he must be competent—there was no question about that.

Moreover, in the process of diagnosing and treating a disease, the biggest concern was inconsistency in command. It was fine for everyone to freely discuss the disease, but when facing a situation, there must be a central figure to take charge!

Throughout the entire time, everyone had immense trust in Jing Ran, and Chen Cang was very aware of his place. He didn’t utter an extra word.

The patient also underwent examinations according to Jing Ran’s arrangements, and the heads of the examination departments had also arrived to assist in diagnosis and treatment.

After all the arranged tasks were completed, there still had to be someone to draw a conclusion from this examination!

That person was Jing Ran.

But at this moment, Jing Ran felt somewhat powerless.

He suddenly realized how important the platform truly was.

At Fuwai, he could perform an amazing surgery and treat a very serious patient. He could also face life-threatening conditions without panic—it dawned on him that it was because he had a group of solid and remarkable teammates!

They were all leaders in their field, capable of providing extremely reliable suggestions.

But at this moment, Jing Ran found that his pride from before seemed somewhat false.

What should he do?

He didn’t know.

Deciding on a correct surgical plan was particularly important at that moment!

This was his first battle in Dongyang Province. He couldn’t afford any mistakes because every mistake meant the fading of a patient’s life…

Seeing the hopeful looks of those around him, Jing Ran panicked for the first time.

At that moment, hearing Chen Cang’s words, Jing Ran suddenly felt a glimmer of hope.

Maybe he could do it?

In the eyes of a doctor.

Nothing is more important than the patient’s life, not even their own pride!

At least in Chen Cang’s eyes, there was always a firm gaze.

Wei Zhi said, “Xiao Chen, what do you think?”

Chen Cang replied, “I have a small idea. Let’s all go look at the films together, starting with the X-rays.”

As he spoke, Chen Cang hung up the films.

“Everyone look here. Typically, the characteristic image will show single or multiple, well-circumscribed, clearly delineated, uniformly dense, round or ovoid, or lobulated shadows—this is undeniable.”

“But large pulmonary hydatid cysts can cause mediastinal shift and diaphragm depression. Under these circumstances, during fluoroscopy, one may observe changes in the size and shape of the hydatid cyst upon deep breathing, or an irregular deformation caused by pleural adhesion, known as the ‘hydatid cyst respiratory sign.’ This sign is often seen in moderately sized hydatid cysts of the lower pulmonary lobes.”

With these words, Yue Tao, the head of radiology, suddenly clapped his hands on his bald spot, “Right! I remember now, that’s it, the hydatid cyst respiratory sign! I was wondering why it seemed so strange!”

Chen Cang nodded and continued, “If surgery is needed, we need to assess the internal and external cysts.”

Jing Ran made a sound of agreement, “That’s right, we now need to determine the condition of the internal and external cysts. Whether there has been a rupture, from where we should begin, Doctor Chen, can you make an assessment?”

Chen Cang nodded, “More or less. Look, the B-ultrasound shows that the cyst wall is thickened with irregular infiltrative shadows surrounding it, which is obviously due to an infection. And see here, there’s a clear presence of air-containing cyst, cavity, and pneumonia-like pseudotumor shadows, which means it has already broken into the bronchial tree.”

At this point, Chen Cang turned around, “So, this precisely explains the patient’s condition: choking cough, severe coughing, and coughing up powder-like secretions are due to breaking into the bronchi, causing what’s called an allergic shock!”

Upon hearing this, everyone’s eyes lit up!

Jing Ran suddenly became excited; this was right!

These were the kind of teammates he wanted.

It was as if he were suddenly back at Fuwai.

Jing Ran couldn’t help but say, “Please, continue, Doctor Chen.”

Chen Cang nodded, put down the B-ultrasound, and picked up another X-ray, “Next, we need to map out the location. Look here, although the echinococcal cyst has ruptured into the main bronchus, notice this crescent. This is known as a crescent sign, which develops when a small amount of air enters between the internal and external cysts, creating an arc-shaped transparent band.”

“It’s clear that the internal cyst has not ruptured. If it had, so-called irregular shadows would appear, and the double arch sign would emerge when air gets in. And if it floats on the surface of the cyst fluid, we see what is called the water lily sign.”

…

After finishing his explanation, Chen Cang looked at Jing Ran, “So, that’s the situation now. My suggestion is to perform an intact endocystectomy because more than one-third of the hydatid cyst is protruding from the lung surface. If removed successfully, it would entirely prevent recurrence, making it the most ideal surgical approach.”

At this moment, Jing Ran was visibly excited, “Exactly! That’s what I was thinking, too.”

The department heads around them were dumbfounded.

They had been called in to assist with the consult, but now…

It seemed as if they had watched Chen Cang’s one-man show!

It appeared they had not played much of a role.

Chen Cang turned to Wei Zhi and Zhang Peiyi, “Directors, let’s prepare for surgery.”

Wei Zhi nodded, “I’ll take you to the operating room!”

After Chen Cang and Jing Ran left, they left a group of people staring in astonishment.

Zhang Peiyi couldn’t help but swallow, “Dean Qian, this Doctor Chen… is he talent you brought in? Such an impressive young man, and… he looks to be only in his twenties?”

Yue Tao nodded, “Indeed, Doctor Chen’s radiographic interpretation skills are truly admirable. I haven’t seen such an outstanding young man in many years. Is he from your hospital?”

Qian Liang mumbled to himself, “Ah… he’s not one of the doctors we brought in.”

Everyone was startled, “Oh? Then who is he…?”

Qian Liang said helplessly, “He is a graduate student at our hospital this year, a first-year master’s student!”

Everyone exclaimed in surprise, and Zhang Peiyi nodded, “Oh, no wonder he looks so young.”

But that’s not right!

Zhang Peiyi suddenly grasped the gravity of what he’d heard!

“He’s only a first-year graduate student? That’s impossible!”

Yue Tao was also full of shock and disbelief, “It can’t be! How could someone be so skilled as a first-year master’s student! He’s so talented I want to talk to the dean about recruiting him to work directly; what a waste to have him as a graduate student!”

Zhang Peiyi too, had an all too familiar look in his eyes – a look of longing. He had felt it himself…

Seeing this, Qian Liang shook his head, “Director Zhang, don’t even think about it. Chen Cang is Li Baoshan’s prized protégé!”

Zhang Peiyi smiled awkwardly, “Which Li Baoshan?”

Qian Liang replied, “Li Baoshan, Li Heitan from the Provincial Second Hospital.”

Upon hearing this, Zhang Peiyi was instantly deflated, muttering under his breath that Li Heitan had indeed lucked out…

…

Watching Chen Cang’s retreating figure, Qian Liang sighed deeply, full of regret.

If only he had made a move earlier, this could have been his disciple!

Ah… what a fine young man, so exceptional.

What use is saving face, compared to having such a genius?…

Ah…