I'm just a veterinarian! You've unlocked the Great Physician System!

Chapter 211 Plans can't keep up with changes, illness worsens, another surgery in a race against death!

"Current ultrasound findings indicate the presence of a fishbone-like foreign body in the hepatic artery."

When Lao Zhan arrived, he immediately and accurately located the fishbone, while also assisting the expert team.

"Our colleagues in the radiology department processed and reconstructed the patient's CT images, and CT angiography of the thoracic and abdominal aorta also revealed that the fishbone was located within the hepatic artery."

The radiology teacher also opened the 3D reconstruction and angiography images of his colleague.

There were two pictures on the big screen.

They are marked with yellow arrows.

After this marking, the location of the fishbone became very clear.

"I never imagined that in just a few hours, the fishbone would have traveled from the aortic arch to the hepatic artery!"

In the conference room, the entire medical team conducting the joint consultation exclaimed in amazement.

That's incredibly fast.

"It's possible that because the aorta has a large diameter and the blood flow within it is fast, the fishbone, after falling into the aorta, was carried by the blood flow to the distal arteries and stopped in the hepatic artery. It's also possible that the hepatic artery has a certain curvature and is not a straight line, or that the fishbone stimulated the hepatic artery, causing it to spasm and contract to a size similar to the fishbone."

Professor Wang is the director of the Department of Vascular Surgery.

He is also a doctoral supervisor at the University Medical School and a first-level expert, mainly engaged in vascular surgery and liver transplant vascular reconstruction. Therefore, he immediately conducted an analysis.

"I was worried before that the fish bone might have damaged or punctured the hepatic artery or caused liver blood supply problems, but so far it seems that such a bad result has not occurred."

And he added a sentence.

If a fishbone pierces the hepatic artery, causing impaired blood flow to the liver, the patient's condition becomes critical.

"What should we do in this situation? Should we remove it immediately or do conservative treatment? Everyone is welcome to share their opinions based on their experience. Please feel free to speak your mind."

Huang Xiangning then encouraged everyone to speak freely.

After all, she is a senior professional, but she is only familiar with the field of emergency medicine. She still maintains a learning attitude towards many things.

Especially in today's complex situation, how to proceed requires a comprehensive discussion.

"The fishbone has now been located in the hepatic artery, but it may not remain there indefinitely. If more time passes, it may puncture the artery or flow with the blood to a smaller branch of the hepatic artery that is closer in size to the fishbone. My advice is to have it surgically removed as soon as possible."

Just then, the voice of the head of hepatobiliary surgery rang out.

Even though there is no danger yet.

However, such a foreign object inside the body should be removed immediately.

"Old Wei, although the fishbone was found in the hepatic aorta, the patient just underwent a thoracotomy and is not suitable for a second surgery immediately. In any case, I do not recommend it."

"That's what the deputy director of the thoracic surgery department, who just participated in the surgery, said at this moment."

After all, it was just an open-chest procedure.

In addition, the patient is quite old and has some underlying medical conditions, so he obviously cannot withstand a second ordeal.

"Yes, the patient has just undergone surgery and all vital signs are relatively stable. I suggest we observe the patient to see if there is any discomfort such as fever, abdominal pain, or bloating, in addition to the pain from the open-chest surgery wound. If not, it means that the fishbone has not caused damage to the blood vessel wall in the hepatic artery, and the hepatic artery has a small diameter, so the possibility of it shifting again is relatively low."

The external support team, including Director Wang of the Vascular Surgery Department, nodded in agreement with what the Deputy Director of the Thoracic Surgery Department, who had just participated in the surgery, had said.

And they even started analyzing it.

"But……"

Half an hour passed quickly.

"Alright, that's settled then. Let Vice President Huang go and communicate with the patient's family."

The final decision was made.

Let Huang Xiangning handle the communication.

"Okay, no problem. I'll go out and talk to the patient's family now."

After a multidisciplinary discussion and considering the patient's actual physical condition, a conservative treatment plan was developed initially.

Because the patient had just undergone thoracotomy, he couldn't withstand any further trauma in a short period of time. Forcibly removing the fishbone that had reached the hepatic artery could potentially be dangerous.

Furthermore, there is a possibility that the fishbone could not be found again, because it is movable inside the artery.

Changes in body position during surgery could affect the patient's orientation, potentially causing them to suffer greatly.

The results of their discussions also need to be communicated to the patient's family.

And so he arrived at the ward.

"What's the result now, Vice Dean Huang? Can my husband's fish bone be removed?"

When Grandpa Niu saw Huang Xiangning walking towards their family, he figured they must have reached a conclusion, and immediately asked her what had happened.

"Here's the thing, our multidisciplinary team has discussed and finalized a rough plan, and we'd like to discuss it with you, the family."

Huang Xiangning said.

"Vice Dean Huang, please speak."

The three of them looked at each other at the same time.

"We've located the fishbone in the hepatic artery, but the patient just underwent chest surgery today and can't take another surgery. So the expert team suggests that the patient undergo conservative treatment for a week first, and then have the surgery after a week. What do you think?"

Huang Xiangning inquired.

"Indeed, I had this thought before too. My mom's body might not be able to withstand the strain."

Upon hearing this, Niu Caicai nodded.

"Vice Dean Huang, we will follow your arrangements."

Grandpa Niu also started talking.

"Okay, okay, let's stick with this plan for now. If any other changes occur later, we can discuss it further."

Hearing this, Huang Xiangning breathed a sigh of relief. It was much easier to communicate with such an understanding family member.

What I fear most is someone who knows nothing but keeps making a mess of things for you.

As doctors, they certainly want to treat patients to the greatest extent possible and try their best to save them.

No one can stand by and watch a patient die.

So even though doctors and family members have the same goal, there are always some unreasonable family members who insist on trying to cause trouble for you.

It was eleven o'clock.

In a villa community that Zhang Lingchuan was familiar with.

"Honey, why are you up so late tonight? I don't think you were on duty, were you?"

It was Shen Changming who spoke. Seeing his wife walk in looking exhausted, he immediately asked her what was wrong.

I don't recall her being in class during the Mid-Autumn Festival.

"Old Shen, Xiao Chuan, why don't you come over for the Mid-Autumn Festival?"

After hanging up the clothes, Huang Xiangning looked at her husband.

I wonder if Xiao Chuan, who gave her so much trouble today, will come to our house for the New Year.

“I invited him, but he said he couldn’t come because he was doing a live stream. I certainly couldn’t force him to come, could I?”

Shen Changming put down the magazine in his hand and explained.

An invitation was extended.

There's nothing he can do if people don't come.

"I thought he would spend the Mid-Autumn Festival here. Sigh, did you see his live stream? The first patient from Niuzhuang was brought to our hospital. He's been busy with his work until now."

Huang Xiangning sat on the edge of the bed and sighed.

"Huh? You didn't pick up that fat auntie, did you?"

At this moment, Shen Changming looked very shocked and asked a question.

I didn't watch much of the live stream today.

I've left the game running.

But I still watched the part about Aunt Pang earlier.

"Yes, they were first taken to the emergency department. It must have been our emergency department that received Aunt Pang, and she later underwent surgery."

Huang Xiangning nodded.

If the child is brought to the emergency room, then naturally the emergency room staff will take care of them.

"How is it going? I heard there were complications during the surgery?"

Shen Changming watched the lessons intermittently.

As he was about to finish, he heard something unexpected.

"There was a slight accident. The fish bone was indeed in the aorta, but we couldn't find it after the open-chest surgery. We repaired the aorta and closed the pleural cavity. We then contacted Professor Wang and his team from the Department of Vascular Surgery at the First Affiliated Hospital of Peking University for support. That's when we discovered that the fish bone had wandered into the body and had actually reached the hepatic artery. We've opted for conservative treatment and will have surgery to remove it in a week."

Huang Xiangning recounted the dramatic events of today.

Having worked in the emergency room for so many years, she has seen quite a few outrageous cases.

But something this outrageous is still quite rare.

"That's really outrageous. I guess this is the first time Professor Wang and his team have encountered such a case."

Shen Changming sighed.

It is indeed very rare for a fishbone to move around inside the body.

Although he is from the College of Veterinary Medicine.

However, he also knew about Professor Wang and his colleagues in the Department of Vascular Surgery at the First Affiliated Hospital of Peking University.

This is the top vascular surgery team in Northeast China.

"Yes, he was busy when I called, but when he heard it was a fishbone swimming in a blood vessel, he immediately became interested and brought his team over. Judging from his appearance, he might even be able to write another paper after completing this case."

Huang Xiangning shrugged.

Many team doctors like to find difficult and complicated cases to write papers on, while others just look for isolated cases.

"You know, Xiao Chuan is really something. He can even deduce that there's a fishbone in his aorta. He's like a human-shaped scanner."

Shen Changming thought this kid was going to collapse today, but unexpectedly he came back to life.

That was truly a show-off.

"It's really outrageous, you know? It's never made a mistake. Have you asked your dad if traditional Chinese medicine can really achieve this?"

Huang Xiangning looked at Shen Changming and asked.

"The old man said he didn't know. It depends on the person. Some people can connect the details and eventually arrive at a diagnosis that is close to the correct answer, while others just can't."

How could Shen Changming not ask?

The old man himself watched the live stream. "So Xiaochuan is a medical prodigy. Such a person should be allowed to delve into human medicine and save more people, but we can't take away his hobby."

Huang Xiangning said after hearing this.

Since the other person likes veterinarians, then of course they can study veterinary medicine.

However, it's also good to get to know human medicine more often.

For example, in today's case, I only realized it after the other party reminded me.

Otherwise, we don't know when this fishbone will be discovered.

"Ah."

Shen Changming nodded.

The night is getting darker.

Time quickly came to the next morning.

Eight o'clock.

"Dududu-"

Zhang Lingchuan was still sleeping.

Suddenly, a cell phone vibrated.

"Hey?"

He answered the phone in a daze.

"Senior Zhang, you're still half asleep. It's me, Ziqing."

A familiar voice came from the other end of the phone.

"Oh... Ziqing, what's up? Have you finished memorizing your vocabulary?"

Zhang Lingchuan rubbed his forehead.

I think I didn't reply to their message last night.

Could it be that the other party made such a fast progress in just one night?
So you're coming to find him?
"No, no, senior, I'm still memorizing vocabulary. I just noticed you hadn't replied to my message, so I called this morning to ask where you're going for the Mid-Autumn Festival. My family rents a place nearby, so if you don't mind... coming over for Mid-Autumn Festival dinner?"

Li Ziqing inquired.

That's what she wanted to say. Anyway, it's just her and her mother. It would be more lively if her senior wanted to come.

"Oh? I'm sorry, Ziqing, I already have plans to have dinner at a friend's house for the Mid-Autumn Festival... Thank you so much for the invitation, thank you so much."

Upon hearing what had happened, Zhang Lingchuan immediately began to speak.

I simply couldn't go.

"Oh, I see... Okay, I just wanted to ask if you could come over if you don't have anywhere to go. If you're going to a friend's house, then forget it. But you should be able to come to the party tonight, right? My performance is around 8:30 or 9:00 PM~"

Li Ziqing was a little disappointed, but she still extended an invitation.

"The Mid-Autumn Festival Gala... I don't know. I'll come to watch it if I get back early."

Zhang Lingchuan said.

He didn't know what time Wanqing's appointment ended.

"Okay! Happy Mid-Autumn Festival, Senior Zhang! Have fun!!"

Li Ziqing's eyes lit up when he heard Zhang Lingchuan say that he might go there.

She was truly grateful to Senior Zhang.

If it weren't for what he said in the cafeteria back then, she might still be addicted to TikTok now.

The other person brought her out of this situation, and now she feels filled with the power of knowledge!
"Haha, happy Mid-Autumn Festival to you too! Keep it up, you're sure to pass the CET-4 with this momentum."

Chatted for a while.

Zhang Lingchuan hung up the phone.

I only saw the message from Li Ziqing when I opened my phone.

The other party asked him if he was free during the Mid-Autumn Festival.

Do you want to go to her house for dinner and check out her school's new students and Mid-Autumn Festival gala while you're there?

Art schools usually have a great atmosphere for this kind of thing.

However, since he had already promised Song Wanqing, Zhang Lingchuan could only wait and see.

Time flew by and the Mid-Autumn Festival arrived.

At three o'clock in the afternoon, Zhang Lingchuan headed towards Song Wanqing's house.

"Xiao Chuan, you're here. Wan Qing is busy in the kitchen."

Old Song was wearing an apron and looked like he was washing vegetables.

"Teacher Zhang, please sit on the sofa and watch TV for a while."

Song Wanqing held the spatula and smiled.

"Good good..."

This was Zhang Lingchuan's first time visiting Song Wanqing's home.

The room is a four-bedroom, two-living room layout, and it's quite spacious.

He glanced around the room and saw that it was almost entirely filled with the father and daughter's belongings.

Some memories suddenly came back to me.

I remember Wanqing saying that the pet clinic was originally her maternal grandfather's, then her mother's, and then her father's. Unfortunately, her mother's hard work was destroyed and the clinic closed down.

That's what happened.

He basically understood.

Especially when she saw a small photo frame on the TV cabinet, inside which was a black and white photo of a woman who looked remarkably like Song Wanqing.

"Xiao Chuan, our family all eats spicy food, so you should be able to handle it, right?"

Old Song got some fruit for Zhang Lingchuan.

The pet clinic is now doing much better business than before.

Many people even asked him when Veterinarian Zhang would make house calls, which really revived his business.

"Haha, Dad, you don't know, when we were in Qingxian, Teacher Zhang took me to eat snail rice noodles. The chili peppers were really strong."

Song Wanqing, who was busy in the kitchen, spoke up at that moment.

"You still eat snail rice noodles? Then I'm relieved."

Old Song smiled.

"Forehead……"

Zhang Lingchuan was a little flustered. He waited in the living room for a while, intending to go and help.

It turned out that neither the father nor the daughter would let him into the kitchen.

Around 4 PM, the Mid-Autumn Festival dinner was ready, and the three of them started eating.

"How was it, Xiao Song's cooking? Not bad, right, Xiao Chuan?"

There were four or five dishes on the table.

Old Song looked at Zhang Lingchuan with a smile and asked.

"Yes, it looks, smells, and tastes amazing! The cooking skills are truly superb!"

Zhang Lingchuan gave a thumbs-up in approval.

I had already witnessed this when I was cooking at home.

"Haha, Wanqing, what are you still doing? Come and eat!"

Old Song saw that Song Wanqing, who had finished cooking, seemed to be looking for something, and called out to her.

The food is already prepared, why bother looking for anything else?

"Here it comes, Dad. You don't know, Zhang Laoshi only eats well when he has this treasure."

Song Wanqing took out two bottles of fermented bean curd from a treasure bag.

"Mr. Zhang, feel free to do as you please~"

Then it was placed on the table.

"Cough cough cough-"

Zhang Lingchuan was drinking soup when he saw two bottles of fermented bean curd and almost choked to death.

"Hehehe~"

Song Wanqing gave a mischievous smile.

Meanwhile, at the hospital on the other side.

Aunt Pang's condition began to worsen.

The treatment team discovered that the aunt had started experiencing stabbing pain and mild tenderness in her upper right abdomen.

"We suspect that the fishbone may have shifted and is very likely damaging the blood vessel wall. I recommend surgery as soon as possible."

When plans fell short of expectations, Professor Wang immediately communicated with the patient's family.

"Well... Dr. Wang, are we confident we can succeed?"

Niu Caicai asked, looking haggard.

The agreed-upon conservative treatment would last for one week.

And then this happened in just two or three days.

"It's hard to say. We might not be able to find the fishbone during this surgery, because the fishbone itself may have shifted and could have moved to other places during the operation as the doctor works."

"But if we don't have surgery now, it might be more difficult to remove it later, and there is a high possibility that it could be life-threatening."

Professor Wang said very seriously.

This is no joke.

Ultimately, the family agreed to the doctor's recommendation.

A multidisciplinary consultation and joint surgery were performed again.

The surgery, a race against death, begins.

……

(End of this chapter)