Chapter 36 - Special case, expert consultation.

Chapter 36: Special case, expert consultation. sᴇaʀᴄh thᴇ ɴøᴠel Fɪre.nᴇt website on Gøøglᴇ to access chapters of nøvels early and in the highest quality.Zhu Tao opened the chest cavity, initially not paying much attention, thinking it was just a common hydatid disease. After a thorough examination, he took a sharp breath.

“This is big trouble!”

He began to regret taking on this surgery! But now, in this situation, he could only brace himself and continue.

Fortunately, he knew how to perform surgery for this severe disease – a lung disc operation!

“Let’s begin…”

The surgery started!

One hour…

Two hours…

Three hours…

The family members’ faces gradually changed from relaxation to concern…

Four hours…

Five hours…

The family members started to feel anxious.

Inside the operating room, Doctor Zhu Tao was sweating profusely!

The surgery encountered a complication because the cyst wall was relatively thin and located deep within the lung, making exposure difficult. He accidentally punctured it. A severe allergic reaction occurred when the cyst fluid leaked into the pleural cavity, leading to shock.

After a difficult rescue, a significant amount of cyst fluid had already leaked into other lungs, liver, and bronchi, carrying viable cysts and protoscolices with strong reproductive capabilities. Dr. Zhu Tao frantically tried to remedy the situation, cleansing the area multiple times.

Finally, he sighed and said, “This is all I can do.”

He closed the abdomen, and the surgery concluded, lasting for 8 hours and 34 minutes. At the same time, he wondered, “If it were Lin Feng, could he handle this surgery? Perhaps it would be difficult for him as well?”

In the emergency department, Nurse Xiao Li received a call from the thoracic surgery department regarding a patient with unexplained syncope.

“Hello, this is the emergency department.”

“Hello, I’m a nurse from the thoracic surgery department. We have an unexplained syncope patient transferred from a lower-level hospital. The thoracic surgery department is organizing triage among various departments. Is Dr. Zhang Yuan and Dr. Lin Feng available?”

“Alright, let me go and ask Dr. Lin. As for Dr. Zhang Yuan, he went to the lower-level hospital to receive a patient.”

“Okay, thank you.”

Lin Feng was currently attending to an elderly woman with a headache.

“Dr. Lin, the thoracic surgery department is inviting you for triage. Are you available?”

“I can go.”

He promptly finished seeing the patient and left the examination room, walking quickly toward the inpatient department’s thoracic surgery area.

The interns behind him looked envious:

“Dr. Lin is going for a consultation again…”

“When can we go for consultations?”

“Probably another seven or eight years from now…”

“Forget about being invited for consultations, even entering the operating room now, doctors give us the cold shoulder, telling us to ‘stay away and don’t touch me.’ It’s miserable.”

“That hits hard!”

The interns cried in the corner, embracing each other for warmth.

……

In the inpatient department, thoracic surgery ward.

Lin Feng entered the conference room, greeted by numerous gazes. Many doctors had interacted with Lin Feng before and greeted him.

Soon, the meeting began. The head of thoracic surgery, Director Chen Changming, opened the slides.

“The patient is a 64-year-old female farmer. She was brought to our emergency department by her family due to ‘repeated syncope episodes over the past two weeks.'”

“Half a month ago, the patient felt dizzy and blacked out while riding a bicycle to work in the fields. She lost consciousness and fell to the ground. After a few minutes, she regained consciousness but felt chest tightness afterward…”

“At that time, she was taken to the local hospital by her family for examination, including blood tests, biochemistry, CT scans of the head, and electrocardiograms, but no obvious abnormalities were found…”

“Just three hours ago, she fainted again and was brought to our hospital…”

A series of introductions followed:

Physical examination upon admission:…

Electrocardiogram:…

Blood routine findings:…

Tumor markers:…

Pulmonary artery CTA:…

(Several more items were omitted…)

It took a full 40 minutes to present all the results.

Lin Feng read and contemplated, incorporating his vast world-class experience to interpret various reports. The patient’s echocardiography showed filling defects in the main pulmonary artery and the origins of the left and right pulmonary arteries. Lin Feng suspected it was a thrombus formation, especially given the thrombus size.

Director Chen Changming clapped his hands, signaling the doctors to share their opinions.

Director Qian believed it might be a thrombus. The thoracic surgeon suggested an intraluminal sarcoma of the pulmonary artery. The hepatobiliary surgeon leaned toward pulmonary artery sarcoma but did not exclude thrombus. Based on various symptoms and test results, the cardiovascular specialist thought it was a thrombus.

Finally, Lin Feng was asked for his opinion.

Lin Feng agreed that it was a thrombus. However, he suggested being prepared for anticoagulation and thrombolysis due to the thrombus’s size and the risk of recurrent syncope or sudden cardiac arrest. He even considered direct thrombolysis as an option.

The other doctors found his idea intriguing and couldn’t help but look at Lin Feng with greater respect. They realized Lin Feng had skills and a reputation for a reason.