Chapter 312: Chapter 313: ng Xi’s Test
Dongda First Hospital’s Departnt of Cardiothoracic Surgery.
9:12 PM.
Through the window, one could see the bustling city.
Chen Cang had just returned to the doctors’ office with Ge Huai and ng Xi from the operating room; they had been at it since past six in the evening. Ge Huai had assisted ng Xi with two operations, or more precisely, Ge Huai had helped ng Xi perform two surgeries. As for Chen Cang… Chen Cang couldn’t even be considered an assistant, at best, he was a pair of helping eyes.
Chen Cang realized that the more he was involved in a surgery, the more likely he was to “learn” the skills of the chief surgeon.
It’s not called stealing; it’s called learning.
A five percent chance might seem high, but Chen Cang had pondered for a long ti and concluded that this percentage could change.
If you were highly involved and committed wholeheartedly to the surgery, putting in a lot of effort, then you had a great chance of acquiring the surgery skills, just like the ti with the phalangeal fracture operation.
But this kind of eye assistance was really annoying, and the chances of gaining any skill were way too low.
The truth is Chen Cang did want to get hands-on; he very much wanted to…
But the root of the problem was mainly the distrust from ng Xi and Ge Huai.
After all, as a student who had just arrived a few days ago, it wasn’t very likely you would get to perform surgery right away; everything needs a gradual process.
This made Chen Cang feel rather helpless, for if he didn’t get hands-on, he had no way to learn the surgery; simply watching… you couldn’t learn a damn thing.
Surgeries, surgeries! Without hands-on experience, how can one learn the techniques!
And he couldn’t improve his favorability!
His favorability was stuck at 20 and couldn’t be raised.
Chen Cang felt lost; with such skills relying entirely on favorability, what could he do with a re 20 points in favorability?
In a specialized departnt like cardiothoracic surgery, starting with level two surgeries, most were already level three surgeries. Level one surgeries… that was just absurd!
Chen Cang felt increasingly like he was being deceived by life.
…
…
The three sat in the doctors’ office, Ge Huai excitedly discussed the recent surgery with ng Xi, who listened, rarely spoke, occasionally nodding or providing a brief comnt.
And… Chen Cang’s participation was minimal, his presence barely noticed…
The so-called “if you don’t know, don’t BS,” and Chen Cang perfectly embodied this principle.
Seeing that the operations were done and it was getting late, Chen Cang estimated it was ti to leave.
Just as Chen Cang was about to leave, the phone in the doctors’ office rang. Before Ge Huai could answer, the calling had stopped; the nurse station must have picked it up already.
The doctors’ office phone was connected to the nurses’ station.
A minute later, a nurse walked in, glanced around the office, spotted ng Xi and others, and curiously asked, “Director ng, who’s on call today?”
ng Xi shook his head looking at Ge Huai, “Dr. Ge, who’s on duty today?”
Ge Huai hastily walked over to the duty roster and checked, “Today is Dr. Yao’s turn; maybe he went to change so dressings.”
ng Xi shook his head, “No need.”
After that, ng Xi looked at the nurse, “What’s the matter, Xiao Li?”
Nurse Xiao Li said, “An ergency patient was just brought in, experiencing chest pain, suspected to be a heart issue. They asked for our departnt’s doctor to consult.”
ng Xi stood up and headed outside, “I’ll go.”
Chen Cang nodded and quickly followed ng Xi outside.
Ge Huai also followed Chen Cang downstairs.
At the ergency departnt, when the nurse saw ng Xi, she quickly said, “Director ng, you’re here, the patient is now in the resuscitation room.”
ng Xi nodded and walked inside.
When the on-duty doctor saw ng Xi arrive, his eyes lit up. This female doctor with a Ph.D. was now a rising star at the First Hospital of Dong University.
Not to ntion the halo of her world-renowned university background.
Since her arrival at the hospital, ng Xi’s decisive action, rigorous work ethic, precise diagnoses, and surgery skills that could be called masterful had already won over the majority.
She wasn’t only talented but also beautiful, and yet she worked so hard and was highly capable.
How could such a person not be popular?
The doctor in the ergency departnt, Wu Peng, directly said, “Director ng, you haven’t finished your shift yet!”
ng Xi did not respond to this small talk but got straight to the point, “What’s the patient’s condition?”
Wu Peng was taken aback and quickly responded, “The patient is male, 51 years old. He suddenly experienced squeezing chest pain in the front area three days ago! The pain was significant behind the sternum, with typical radiating and referential pain to the neck and back, predominantly sharp pain. He didn’t take it seriously until today when the pain worsened… it looks a bit like a myocardial infarction!”
Such symptoms obviously suggested steering the diagnosis toward acute myocardial ischemia, much like angina pectoris or myocardial infarction seen in coronary atherosclerotic heart disease.
ng Xi walked straight to the patient’s side and examined the cardiac monitor before approaching the man, seeing that he was conscious.
“Has an electrocardiogram (ECG) been done?”
Wu Peng hurriedly handed over the ECG, “Here it is, it doesn’t look like a myocardial infarction.”
“Before coming here, the patient had taken oral nitroglycerin, but the effect was diocre. The chest pain hasn’t subsided.”
Wu Peng wasn’t specialized in cardiology, he could recognize and distinguish so ergent ECG patterns, but he couldn’t accurately discern special abnormal ECGs, or even more common ones.
ng Xi took the ECG, slightly frowned, nothing was typical yet… but sothing was wrong!
ng Xi suddenly noticed a detail, the deviation of the P-R segnt.
This was a critical distinction from myocardial infarction and early repolarization syndro!
Could it be… acute myocarditis?
Upon a careful look, there were no abnormal Q waves; the ratio between ST and T was roughly one-quarter.
Onset of symptoms several days ago…
All clues were pointing to one answer!
It could be acute pericarditis.
Thinking this, ng Xi took off her stethoscope from her neck, put it on, and listened to the patient’s precordial area.
Pericardial friction rub…
Indeed, there it was!
With the rises and falls of respiration and the constant heartbeat, ng Xi heard the slow sound of pericardial friction.
It was most likely pericarditis.
Considering this, ng Xi looked at Wu Peng, “I suspect pericarditis right now, but we can’t rule out myocardial infarction. Has the patient had his cardiac enzys checked?”
On hearing myocarditis, Wu Peng imdiately reacted, “Cardiac enzys were checked as soon as he arrived at the hospital, nothing wrong.”
At that mont, the patient suddenly said, “Doctor, I feel so tightness in my chest, and it’s a bit difficult to breathe out.”
ng Xi slightly frowned, “Bring a bedside ultrasound, let’s see if there’s any effusion.”
Upon hearing this, Wu Peng nodded quickly and hurried to arrange the consultation.
At this ti, ng Xi suddenly turned and stared intently at Chen Cang, “Didn’t you spend ti in the ergency departnt? Can you identify acute myocarditis?”
Chen Cang was taken aback: Who is she looking down on?
[Ding! Triggered ng Xi’s challenge, first round, analyze the condition!]
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