When the Doctor Uses A Hack

Although Qin Xiaoyuan was not a gastroenterologist, his many years of clinical experience were certainly no joke.

Upon hearing Xiao He’s words, he immediately frowned.

Xiao He continued, “Dean Qin, I’m worried it’s a traumatic esophageal fistula, but… it’s difficult to guarantee if the aorta has been injured, so it’s safer to be more cautious!”

Working in oncology means dealing with a rather diverse category of diseases.

Especially for veteran oncologists like Qin Xiaoyuan, this was even more so the case.

Initially, the oncology department at the Second Provincial Hospital was called the “Internal Comprehensive Department” because tumors involved many different systems, which is why it was called a comprehensive department of internal medicine. It was only later officially renamed as the oncology department, and gradually, smaller subspecialties like tumor department one, tumor department two… evolved from it.

However, when speaking to patients, the term “Internal Comprehensive Department” is still used, rather than “oncology department.”

Many family members prefer not to let the patients know they have a tumor.

So, internally within the hospital, it’s called the oncology department, but when speaking to patients, it’s called the Internal Comprehensive Department.

Updated by NovG○.co

As soon as Qin Xiaoyuan heard about the traumatic esophageal fistula from Xiao He, he immediately realized the implications.

Traumatic esophageal fistulas are most likely to damage the aorta and can even cause an aortic fistula!

If an aortic rupture is triggered, the situation would become critical.

With this in mind, Qin Xiaoyuan quickly instructed Huang Weiyi, “Weiyi, arrange for hospitalization first, to the cardiac surgery department, let’s have a detailed examination.”

When Huang Weiyi heard how serious Qin Xiaoyuan was, he couldn’t help but take it seriously.

He had not even had a moment to breathe a sigh of relief when another seemingly grave disease had arisen!

Thinking this, Huang Weiyi didn’t dare to be lax and nodded quickly, following Qin Xiaoyuan to handle the formalities.

Ji Ruyun stayed to accompany the elderly patient.

Meanwhile, as Qin Xiaoyuan walked, he casually picked up the phone to ask Tao Zi and Chen Cang to come to the hospital quickly.

Tao Zi was in the family residence building, which wasn’t far, so she arrived at the emergency hall in less than ten minutes.

At that moment, Chen Cang was with Qin Yue, watching television on a cellphone, when he received the call from Qin Xiaoyuan, he hurriedly changed clothes and got up.

Even Qin Yue came along with him.

By the time Chen Cang arrived, Huang Yongyi had completed the hospital admission procedures and was sending the patient into the radiology department for examination.

Qin Yue saw her mother waiting outside radiology and followed her.

Seeing Xiao He, Chen Cang quickly approached and asked, “Director Xiao, what’s the situation?”

After thinking for a moment, Xiao He replied, “It could be a traumatic esophageal-aortic fistula.”

At these words, even Chen Cang was taken aback!

This was no minor disease; it could cause severe upper gastrointestinal hemorrhage, endangering life!

Basically, as soon as it’s diagnosed, surgery needs to be organized as soon as possible.

Therefore, after hearing this, Chen Cang also had to treat the situation with great concern, “Has it been confirmed?”

Xiao He shook his head, “They’ve taken him for a chest X-ray.”

Upon hearing this, Chen Cang went straight to the radiology department’s operating room.

In these days, Chen Cang was quite familiar with the radiology department since everyone was on the first floor and often saw each other.

So when Yang Lin, the radiologist, saw Chen Cang come in, he didn’t mind.

Chen Cang approached and said, “Old Yang, pay attention for any aortic injuries.”

Yang Lin nodded.

Chest X-rays are of great importance for the early detection and diagnosis of traumatic esophageal-aortic fistula injuries.

The X-ray image was taken, and Yang Lin frowned, “Damn, Cang Er, you might have really guessed right!”

“You see, there is emphysema in the mediastinum, and the density near the descending aorta on the left cardiac-diaphragmatic angle has increased, the descending aorta’s contour has disappeared…”

Chen Cang’s heart skipped a beat!

It should be roughly correct.

Create the conditions as quickly as possible, operate as soon as possible!

Thinking this, Chen Cang quickly stood up and went out, just in time to run into Ji Ruyun and her group.

Chen Cang hurriedly said, “Auntie, it’s a traumatic aortoesophageal fistula, we need to prepare for surgery immediately.”

Huang Weiyi was startled by Chen Cang’s serious demeanor and couldn’t help but ask, “Doctor, what is my dad’s condition?”

Chen Cang didn’t have time to explain and turned to glance at Qin Yue, “You explain to them, I’m going to cardiothoracic surgery to get Director Tao to arrange the surgery as soon as possible.”

After saying this, he left without further explanation.

Huang Weiyi was left in a state of shock and turned to look at Ji Ruyun, “Ji sister, is it that serious?”

Ji Ruyun, not having dealt with clinical matters for many years, naturally didn’t understand either.

But Qin Yue, who worked in emergency, knew this was a critically severe condition and quickly said, “Uncle Huang, it’s very dangerous. Every minute we delay could potentially cause an unpredictable major hemorrhage. Once bleeding occurs, the situation… becomes very dangerous.”

Ji Ruyun turned to look at Qin Yue, “What caused this?”

Qin Yue began to explain in detail, “An aortoesophageal fistula is a progressive development process. The esophagus and the aorta are very close to each other. When the esophagus is injured by a foreign object, initially it’s the local ischemia and necrosis of the esophageal mucosa, gradually penetrating the esophageal wall, which then further damages the aorta, causing the destruction of the aortic mucosal layer. At this point, blood will start to appear in the aorta.”

“In the early stages, the bleeding is less significant, signaled by minor bleeding. There might be chest discomfort or even no symptoms at all, but once the aorta ruptures, it’s fatal major hemorrhage!”

“So, at this point, we must reinforce prevention. With minor bleeding, we need to be more vigilant.”

Upon hearing these words, both of them instantly became pale and fearful!

At this very moment, they also understood why Chen Cang was so anxious and flustered.

…

…

Meanwhile, Qin Xiaoyuan was in the doctors’ office with Tao Zi, anxiously waiting.

Chen Cang rushed in with the films.

After greeting the two, he immediately brought out the films and went to Tao Zi’s side, “Director Tao, these are the chest films. It should be diagnosable as a traumatic aortoesophageal fistula. Let’s arrange the surgery as quickly as possible.”

Upon hearing Chen Cang’s words, Tao Zi’s face changed dramatically, and even Qin Xiaoyuan was instantly tense!

Hurriedly taking the films and after looking at them, he immediately frowned.

Indeed, the situation was not optimistic!

This was truly like walking on a tightrope along a cliff, gambling with one’s life!

Because no one knew when a major hemorrhage might occur.

One couldn’t even see the extent of the damage to the aorta; who could guarantee the current state of Mr. Huang’s condition?

Thinking this, Tao Zi quickly stood up as the nurses and Ji Ruyun’s group had already pushed Mr. Huang up.

After Tao Zi went out, he quickly called the on-duty doctor, Zhang Wenfu, to get ready for preoperative preparations and arrange the surgery as soon as possible.

Qin Xiaoyuan looked at Tao Zi, “Director Tao, do we need to call for other experts?”

Tao Zi paused for a moment, then understood Qin Xiaoyuan’s concern, “No need, with me and Chen here, it shouldn’t be a big problem.”

Hearing Tao Zi say this, Qin Xiaoyuan also curiously glanced at Chen Cang. This young man, he was actually so capable?

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