Doctor: Picking Up Attributes in the Hospital

Chapter 93: The Truth Revealed—An Even Tougher Problem


Looking at Zhao Heng, who had heroically turned the tide yet remained so humble, Gao Jun felt even more satisfied.

In this world, there is no shortage of talented people, but those who have both talent and character are truly rare.

Originally, Zhao Heng could have claimed credit for saving Wen Shen's career this time, but he didn't show the slightest arrogance. Just this alone, among the young doctors Gao Jun knew, was something no one else could achieve.

Before long, a nurse came hurriedly towards Wen Shen with a test result.

"Dr. Wen, the results are out!"

ICU nurse Bai Jing said excitedly as she ran over with the test report.

Wen Shen usually got along well with everyone in various departments, so no one wanted to see him in trouble.

Most crucially, no one knew if such a thing might happen to them in the future.

Upon hearing the nurse's words, Wen Shen immediately stood up, took a few quick steps forward, and took the test report from nurse Bai Jing's hand.

"Positive, it's positive!"

Looking at the word "positive" on the test report, Wen Shen couldn't suppress his excitement as he spoke.

Everyone knew just how much pressure he had been under since the surgery ended.

To be honest, before Zhao Heng came to him, even he himself had started to doubt—had he really made such a low-level mistake?

This is how people are. Even if they've done nothing wrong, when all the pressure points towards them, they can fall into self-doubt.

But now it's clear. They've found the culprit causing the cerebral edema; the truth has come to light.

At this moment, Wen Shen felt a mix of emotions.

"The cause of the cerebral edema has finally been clarified."

Gao Jun also said with some emotion.

Seeing Wen Shen's excitement, Gao Jun couldn't help but reflect inwardly—who says anesthetists only play with their phones in the OR?

Sometimes the risk of anesthesia exceeds that of the surgery itself.

"Contact the neurosurgery department and have them send someone for a consultation."

After a pause, Gao Jun said to ICU nurse Bai Jing, who was standing by.

"Okay."

Bai Jing nodded and turned around to arrange for the consultation.

"Teacher, do we need to open the cranial cavity to directly remove the parasite eggs from the brain tissue?"

Zhao Heng asked Gao Jun, looking at the comatose female internet celebrity lying on the hospital bed.

"It's hard to say. Let's see the results of the neurosurgery consultation."

Gao Jun shook his head slightly. The patient was already in a deep coma, making a craniotomy to remove parasites exceptionally challenging.

Not to mention, the patient was already unconscious, so determining the dosage of anesthetics poses an excruciatingly difficult question for all anesthesiologists.

If the patient wakes up post-surgery, it would be a cause for celebration for everyone. But if the patient does not fully regain consciousness and becomes brain dead or a vegetative state, questions arise whether the anesthesia for the surgery adversely affected the patient's brain tissue, indirectly leading to their vegetative state. Such complex issues likely cannot be clearly explained by any doctor in the world.

Didn't Wen Shen just face this very issue before?

Fortunately, Zhao Heng found the true cause of the patient's cerebral edema and coma, but if it were to happen again, it would just be a gamble—hoping the patient wakes up after the craniotomy to remove the parasites.

The human body is incredibly complex and intricate, meaning that, often, even the attending physician is just doing their best and leaving the results to fate, in other words, gambling on luck.

Upon hearing Gao Jun's words, Zhao Heng couldn't help but glance at Wen Shen.

If the neurosurgeons after their consultation decide surgery is feasible, then who should handle the anesthesia?

This surgery and its anesthesia probably have already cast a shadow upon Wen Shen. Now, facing another anesthesia with unknown outcomes, would Wen Shen be willing to take it on?

Thinking of this, Zhao Heng couldn't help but slightly shake his head.

No matter the choice, whether to take it or leave it, it's an extremely tough decision for Wen Shen.

Such difficult moments are not rare throughout a doctor's career.

Or perhaps, the medical profession exists precisely to handle these difficult situations.

Soon after, the deputy director of neurosurgery, Liu Ziang, arrived in the ICU with two resident doctors, Xiao Liu and Xiao Wang.

The incident with Wen Shen was now known throughout the entire hospital, so as soon as a consultation was requested, Liu Ziang, as a crucial figure in neurosurgery and the top expert at Eastern Hospital in the field, came down with two residents.

In surgery, to be a director means, naturally, your technical prowess doesn't need to be mentioned. Your skill level must be high.

But the one with the highest surgical skill won't necessarily become the director.

Ultimately, the role of surgical director is a comprehensive position requiring not only medical and surgical expertise but also the ability to handle various complex relationships.

And Liu Ziang, in the field of neurosurgery, was undoubtedly the number one at Eastern Hospital, but precisely because of this, all his energy and interest were focused on surgery.

When Liu Ziang arrived, Bai Jing quickly handed him the test report.

Liu Ziang took the report and began looking at it carefully. After quite a while, he lifted his head and asked with some surprise, "Who discovered this?"

"It was Xiao Zhao who found that the patient had traveled in Dali and had posted photos of uncooked pork delicacies on her Weibo. From this, he associated the cerebral edema with a possible pork tapeworm infestation in the brain."

Gao Jun explained succinctly.

"This clinical thinking is very impressive. It can serve as a good clinical reasoning case study."

Liu Ziang pondered for a moment, nodded, and said to Zhao Heng.

Connecting seemingly impossible elements to discover truths hidden deep within the human body is also what excellent clinicians do.

In a way, the work of a doctor is sometimes very much like solving a mystery.

"Director Liu, with this patient's condition, should we opt for surgery or conservative treatment?"

Wen Shen asked Liu Ziang.

"The surgery is quite simple, but whether the patient will wake up post-surgery is the biggest problem."

Liu Ziang replied slowly.

To someone like Liu Ziang, a leading expert in neurosurgery, extracting parasite eggs via craniotomy presents no substantial difficulty.

However, whether the patient will regain consciousness after surgery, or if they do wake, to what degree their brain function will ultimately return, remains unknown.

Even modern medicine considers the brain an absolute frontier; human scientific research on the brain is still at a very shallow level.

Studying perioperative brain function and consciousness recovery can be regarded as a global frontier medical topic.

It's no wonder that Liu Ziang isn't skilled in this particular area.

"Moreover, since the patient is currently in a deep coma, the impact of preoperative anesthesia on consciousness and brain function might be significantly larger than other similar cases."

Liu Ziang added further.

Anesthetic drugs influence patient consciousness.

Many individuals, after surgery, while anesthesia drugs aren't fully metabolized in their bodies, experience various conditions.

Some temporarily lose their ability to speak their native language and start speaking only English; some experience hallucinations, mistaking nurses for secret love interests and confessing to them; and many more exhibit incoherent speech and unclear awareness.

But these situations usually dissipate as the anesthetic drugs metabolize out of the body.

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