13: Taking pulses and treating illnesses, is he a charlatan or a miracle doctor?
Chapter 013: Taking the Pulse, Treating Illness – Charlatan or Divine Doctor!
"Dr. Lu, according to the B-ultrasound, blood tests, and all other examinations..."
"The patient's chances of appendiceal perforation are at least 90%."
"Surgery is recommended immediately."
After the expansion, the Emergency Department's medical equipment was greatly enhanced.
Basically, basic conditions like appendicitis could be diagnosed without leaving the department.
"Arrange for surgery immediately. I will be the chief surgeon."
Looking at the various examination reports in her hand, and then at Lin Yi, who was still helping the patient with pain relief nearby,
Lu Chenxi truly couldn't believe her eyes.
How did Lin Yi guess such a complex condition correctly? This was completely unscientific.
He even accurately predicted the patient's adhesions, which was even more bizarre!
There was already a large area of fluid accumulation and contamination in the patient's abdominal cavity.
Even experienced doctors might not be able to confirm the possibility of adhesive complications through imaging data...
"Fang Xiaoran, enter the operating room and be my first assistant."
"Lin Yi." Lu Chenxi looked at him with a complicated expression.
"You continue to return to the triage desk and do your job."
Lu Chenxi didn't have time to investigate why Lin Yi made such precise judgments.
But she was still a bit uneasy about letting Lin Yi go into the operating room just like that.
His performance always gave Lu Chenxi a feeling of him being a bit eccentric.
"This is my patient, after all. If not a first assistant, a second assistant would be fine too!"
Lin Yi muttered softly, reluctantly letting go and preparing for the patient to enter the operating room.
[Prompt: The patient has three-vessel coronary Heart disease, with intraoperative risk.]
"Wait!"
The moment the prompt reappeared, Lin Yi suddenly grabbed the gurney.
"What's wrong now?" Lu Chenxi and others looked at Lin Yi in confusion.
"Teacher Lu, to be safe, how about we give the patient a coronary CTA?"
He seemed to be asking for Lu Chenxi's opinion.
But Lin Yi held onto the back of the gurney tightly, with no intention of letting go.
"Coronary CTA?"
"Lin Yi, do you know what you're saying!"
Lu Chenxi frowned at Lin Yi for what felt like the umpteenth time.
"Coronary CTA is only performed when a patient has three-vessel coronary Heart disease."
"The patient is in danger at any moment, and the angiography will definitely..."
"I know it will waste some time."
Before Lu Chenxi could finish, Lin Yi interrupted forcefully again.
"But according to the patient's current pulse, there is a clear situation of insufficient blood supply."
"If this examination is not done, and there is no intraoperative emergency plan..."
"The patient might very well not make it off the operating table!"
So far, the system prompts had never made any mistakes.
For the patient's safety,
Lin Yi tried to make the risks sound as severe as possible.
"Immediately arrange for the patient to undergo a coronary CTA, and also find the Heart Center to come for a consultation."
Lu Chenxi hesitated for a moment, then immediately issued the latest directive.
It was indeed as Lin Yi said.
With a responsible attitude towards the patient's life, a doctor cannot overlook any possibility of danger.
Moreover, this guy's diagnostic methods couldn't be understood by common sense.
She was truly afraid that Lin Yi's 'crow's mouth' would prove right again.
A small appendectomy could become exceptionally complicated...
Twenty minutes later.
Lu Chenxi from the Emergency Department and Deputy Director Zhuang Shu from the Heart Center began a joint consultation.
"The patient indeed has relatively severe three-vessel coronary artery stenosis. My suggestion is to arrange for interventional therapy or bypass surgery if possible."
After reviewing the patient's films, Zhuang Shu immediately gave the Heart Center's recommendation.
"It's just that I don't know if the patient's current appendiceal perforation can be effectively contained."
But looking at the patient's increasingly distended abdomen, he still had to analyze the specific situation.
"Also, I'd like to ask how Dr. Lu discovered the possibility of the patient having three-vessel disease."
"Logically, there's no need for a coronary CTA before an appendectomy."
Seeing Lu Chenxi's cold face, as if she was displeased,
Zhuang Shu immediately explained again.
"I have no other meaning; I just feel that Dr. Lu's bold attempt this time sets a very good example for our surgical pre-operative examination procedures."
"I think it's necessary to suggest to the Hospital to include this examination in the surgical process."
"Even for a minor surgery like an appendectomy, if we don't know in advance about the possibility of the patient having three-vessel disease..."
"The possibility of fatal risk during surgery is still very high!"
As Zhuang Shu explained,
all the medical staff present looked at Lin Yi in unison, with an undeniable gaze.
Was this guy a charlatan or a divine doctor? It was truly hard to tell now.
Anyway, the situation of the patient before them was described almost perfectly!
If he hadn't spoken up, the patient would have already been on the operating table.
What kind of situation would occur during the surgery, even experienced doctors, everyone dared not imagine.
"I only have two suggestions now."
Lu Chenxi completely ignored Zhuang Shu's words.
Lin Yi's various miraculous diagnostic performances were not something that could be explained clearly in a word or two to a Western Medicine expert like him.
"First, the appendectomy is urgent. While I perform the surgery, is there any way, Dr. Zhuang, to ensure that the patient's Heart does not encounter danger?"
"Second, can the patient's Heart withstand two surgeries simultaneously?"
Lu Chenxi cleanly and efficiently presented two suggestions.
If the cardiac interventional surgery was done first, the patient's appendiceal perforation couldn't wait.
There was no need to even propose this option.
Zhuang Shu picked up the films again and carefully re-checked them.
"The first option is the safest."
"But there's a prerequisite: Dr. Lu must complete the surgery as quickly as possible."
"This way, it won't put a greater burden on the patient's Heart."
"After the patient recovers, the Heart Center will then perform the interventional surgery."
Without much deliberation, Zhuang Shu gave his surgical opinion.
The patient's coronary artery stenosis simply couldn't withstand two surgeries simultaneously.
"Okay, prepare for surgery immediately."
"Regarding the speed of the surgery, Dr. Zhuang doesn't need to worry."
"The stability of the patient's Heart still requires Dr. Zhuang to monitor it throughout."
Before Zhuang Shu came to Central Hospital, Lu Chenxi was also known as the fastest surgeon in cardiac surgery.
She was confident in her surgical speed.
"No problem, it's my duty!"
They were all doctors who performed surgeries frequently.
Once the surgical plan was determined, there was no delay whatsoever.
The patient and doctors entered the operating room at the fastest possible speed...
Lin Yi looked at the empty operating room entrance.
He could only return to the triage desk with a bitter smile, alone.
To continue his work.
Fortunately, with Fang Xiaoran's hindrance removed, his diagnostic speed increased by a few points.
"Doctor Lin, Dr. Lu wants you to enter the operating room immediately."
He hadn't even finished seeing the third patient.
Nurse Yang Yu hastily pushed open the Emergency Department door.
Shouting for Lin Yi to enter the operating room immediately...