When the Doctor Uses A Hack

This morning, when Chen Cang returned to the emergency department, he felt more relaxed than he ever had before!

He was a bit nostalgic for the lovably dense Ma Yuehui, and also missed Nurse Yang Jie, who would bring him milk.

"Doctor Chen is here!"

"Good morning, Doctor Chen!"

"Doctor Chen, you've finally come back!"

When Chen Cang entered the office, everyone nodded at him in greeting.

Everyone knew what had happened at the hospital these past few days, Chen Cang was now the hospital's golden boy.

When they thought of Yang Hongmei, they couldn't help but shake their heads. Nurse Yang was indeed very nervous these days, scared that Chen Cang would make things difficult for her.

When Chen Cang entered the office, Yang Hongmei nodded and gave an awkward smile: "Good morning, Doctor Chen, you're back, huh?"

Chen Cang nodded back with a smile, not saying much.

We're all adults here, no need to be so childish.

Upon seeing Chen Cang, Ma Yuehui's eyes widened, and he couldn't help but chuckle: "The cardiothoracic department didn't want you anymore, huh? You orphan…"

Chen Cang couldn't help but roll his eyes, how on earth was this team leader still around.

Chen Cang looked at Director Yu Yonggang with a smile: "Director Yu, I'm back to work. By the way... I saw that your coffee was taken by Team Leader Ma a few days ago."

Yu Yonggang was just about to laugh when he heard the second half of Chen Cang's sentence. He suddenly put on a stern face, staring at Ma Yuehui, his gaze lingering on him for a full ten seconds.

Ma Yuehui instantly felt a surge of panic!

Looking at Chen Cang, he wanted to vent his anger but did not dare.

"Director, it wasn't… Boss, I was worried it might expire!"

Ma Yuehui tried to explain, but... if explanations worked, why would we need punishments?

Seeing Director Yu's expression, Chen Cang felt much more vindicated.

Director Yu couldn't help but look at Chen Cang and said with a laugh: "Find time to show me how to perform that non-stop heartbeating surgery, I've been busy recently and didn't get around to it."

Chen Cang nodded with a smile, "Of course, definitely!"

That's how you lean on your connections.

After Yu Yonggang left, the office erupted into laughter.

Xu Aiqing couldn't help but teasingly look at Ma Yuehui: "Haha... If you bought the coffee, maybe there'd still be hope for you!"

Ma Yuehui clenched his teeth, feeling an immense pressure.

In the morning, Chen Cang didn't have to run any errands. After all, Chen Cang was going out to win glory for the emergency department, so he was allowed to sit in on consults that morning.

At eleven in the morning, a middle-aged woman was hurriedly brought in by an ambulance.

She looked to be in her fifties and was accompanied by three people!

Nurse Xiao Ke quickly called out to Chen Cang: "Doctor Chen, the patient is fifty-five, female, with a one-day history of worsening abdominal pain accompanied by nausea and vomiting!"

Chen Cang was initially making rounds, but upon hearing Xiao Ke's voice, he hurried out immediately.

After coming out, he looked at the three people around and, learning from experience, he quickly asked, "Who's the family member?"

All three of them shook their heads!

"We're not family members!"

Chen Cang was stunned for a moment.

"We're her card friends. She suddenly vomited while playing cards, and then she was clutching her stomach in terrible pain, so we hurriedly brought her here."

The three of them spoke fluent Beijing dialect Mandarin.

The patient had her ID card with her and she was pale with cold sweat on her face.

Seeing this, Chen Cang didn't wait any longer and said, "Xiao Ke, get the gurney, take her to the resuscitation room."

Xiao Ke immediately nodded.

Meanwhile, the card friends helped with the procedures and then contacted the family to come quickly.

"I'm in so much pain, my stomach hurts... Doctor, please save me!"

Chen Cang nodded, already having made a judgment in his mind.

Actually, a competent medical worker should have an intuitive first impression and judgment upon seeing a patient and hearing their symptoms for the first time.

At this moment, the woman was holding her abdomen, her face showing severe pain, and she was also experiencing nausea and vomiting.

The first thing he thought of was acute abdomen!

"You lie down, I'll examine you!"

The woman shook her head: "No, it hurts when I turn over."

Chen Cang helped the woman into a proper position, then lifted her shirt to reveal her abdomen!

As soon as he exposed her abdomen, Chen Cang saw that it was distended, and then he gently pressed down.

The woman began to wail in excruciating pain, "Oww, it hurts, it hurts so much!"

Several minutes later, Chen Cang had finished the examination.

Chen Cang had formed some impressions!

Tenderness throughout the abdomen, rebound pain, no muscular tension, with significant pain in the lower abdomen.

And when he tapped on the woman's swollen abdomen, Chen Cang immediately perceived a dull thud!

He frowned instantly.

"Xiaoke, prepare for an abdominal paracentesis!"

The patient needed a clear diagnosis as soon as possible since there was a large amount of fluid in her abdominal cavity, and it was currently unknown what it was.

Chen Cang also called his card-playing friends to come in.

"Did the patient suffer any injuries?"

"No!"

"There's been a lot of firecracker setting, but not enough to cause injury."

"Hmm!"

Watching the three people's responses, Chen Cang couldn't help but smile wryly; firecrackers can't possibly cause internal bleeding, can they?

At that moment, Xiaoke had already opened the paracentesis kit, and Chen Cang had the patient sign first, then proceeded with the puncture.

At this time, the patient's family had not yet arrived.

Fortunately, although the woman was in abdominal pain, she was not unconscious and was clear-headed enough to sign for herself.

Chen Cang held the puncture needle and gently inserted it into the lower abdomen.

Here, caution was actually necessary, because the bladder sits in the lower abdomen, and one must be careful not to puncture it during the procedure—something that isn't unheard of... There have been several instances of young doctors withdrawing urine during paracentesis!

When the fluid was withdrawn, Chen Cang was immediately taken aback!

"Blood is coming out!"

"What's going on?"

"Quickly, call her son!"

The three card-playing friends were panicked at this time; what was initially just an ordinary stomachache suddenly turned into blood being drawn from inside the abdomen, a terrifying event for most people.

Even Chen Cang frowned at the sight of the red bloody fluid.

"Non-coagulated blood!"

Drawing non-coagulated blood during an abdominal paracentesis is a very serious matter.

Why?

Normally, blood contains platelets, and after bleeding, it clots under the action of a complex system including platelets and clotting factors.

But!

Once the puncture fluid is found to be non-coagulated, the first consideration is a ruptured substantial organ or mesenteric vessel within the abdominal cavity, indicating the need for emergency surgery.

At this moment, Chen Cang could not help but feel a headache coming on.

Could playing mahjong result in internal bleeding?

That shouldn't be possible, right?

Chen Cang quickly said to Xiaoke, "Draw blood for a blood routine test, coagulation..."

Chen Cang's mind was a mess, as the evidence was not sufficient to support a diagnosis of ruptured internal organs within the abdominal cavity.

Then, Chen Cang hurriedly pushed the patient toward the radiology department!

Now, only an intra-abdominal CT scan could help diagnose the patient clearly.

The card-playing friends, all neighbors, grew anxious seeing blood drawn from their old friend's abdomen.

After the patient was sent to radiology, a scan was quickly carried out.

But...

There were no signs of ruptured organs in the abdominal cavity!

This left both the radiologists and Chen Cang somewhat stunned.

What could be the cause?

However, at that moment, one of the radiologists suddenly said, "Dr. Chen, look here!"

Chen Cang immediately saw an image within the abdominal cavity!

The radiologist exclaimed with surprise, "Cable sign!"

Upon hearing this, Chen Cang's expression changed drastically; the problem was serious...

...

ps: Thank you to "Uncle Owen and Uncle Drew" for the 10,000 reward, thank you!