Chapter 349: Acromion Injury

Ji Xiang followed Deng Chaohong into surgery every day, showing absolutely none of the legendary arrogance or tyranny. Zhao Tianjiao had rarely come by recently; at first, Deng Chaohong had wanted to persuade Zhao Tianjiao, but gradually, the more Deng Chaohong looked at Ji Xiang, the more he liked him, and Zhao Tianjiao was deliberately forgotten by him.

Deng Chaohong's primary field was Arthroscopy, and he performed quite a lot of surgeries every day, enjoying great fame within the province. If he didn't have the skills, Dean Zhao wouldn't have entrusted his own son to him.

One day, after finishing a surgery, Deng Chaohong stepped down from the operating table and saw Ji Xiang writing a Medical Record.

Ji Xiang also had an "invisible" working group in the Urology Department, equipped with an old Attending Physician from a grassroots hospital—Zhao Zhe—and Bai Chuzhang had even sent over Lu Gang, who had a strange temper but exquisite diagnostic skills.

Ji Xiang basically didn't interfere with the Medical Records of the Urology Department, but in the Orthopedics Department, he did his work dutifully.

Deng Chaohong took a notebook out of his drawer and began to make phone calls.

"Professor Deng, this is too old-fashioned; wouldn't it be better to make a document on the computer?" Xu Leyu suggested.

"I'm used to it. I started recording when I began working, and I've already gone through five notebooks."

"This is a treasure."

Although Xu Leyu said this, it was hard for a young person like him to understand Deng Chaohong's persistence.

"General Manager Xu, General Manager Xu." Lu Kai came in from outside and greeted the General Manager mysteriously.

"What is it?" General Manager Xu asked.

"Shall we go outside to talk?" Lu Kai felt a bit embarrassed, his chubby face full of ingratiating smiles.

"Did you do something wrong?" General Manager Xu asked suspiciously.

"No, really no. That... someone from my hometown is here to see a doctor," Lu Kai whispered, leaning into Xu Leyu's ear.

"Pfft, seeing a doctor? Why go outside to talk about that?" Xu Leyu laughed, but immediately felt something was wrong and stared at Lu Kai intently, "Have you started working as a medical escort?"

"Not quite a medical escort, at least not yet." Oil was already glistening on Lu Kai's face; one could see his nervousness and slight excitement.

"Small matter. What kind of Patient? Have they arrived?" Xu Leyu asked.

While Ji Xiang was breaking through obstacles all the way, Lu Kai became familiar with the Resident Chief everywhere he went; Ji Xiang thought this was also a kind of skill.

"Not yet."

"Tell me the situation. For the first order, we have to find the best professor," Xu Leyu said with a smile, "I'll choose for you. If you're too embarrassed to say it, I will."

Lu Kai was inexplicably grateful.

"Hurry up, why are you so long-winded?"

"It's the child of someone in our county, 18 years old, suffered a Rotator Cuff Injury playing basketball. He went to the First Affiliated Hospital before to find a professor for surgery. The surgery was done, and after a month of rehabilitation, they said the function had improved significantly."

"Three months after the surgery, he was originally preparing to start playing basketball again, but the pain got worse and worse."

"Did he have an examination?" Xu Leyu interjected.

"He had an MRI, which said there was increased fluid in the subacromial and glenohumeral joints," Lu Kai said, "They gave symptomatic treatment, but the effect wasn't good, and it's been like that for more than half a year. The day before yesterday, he had an X-ray and saw that some of the bone under the Acromion was gone. General Manager Xu, the kid is only 19 now, it shouldn't be like this."

"Professor Deng, Professor Deng." Xu Leyu patted Lu Kai and got up to come to Deng Chaohong's side, "Xiao Lu has a Patient; this is definitely your specialty."

Deng Chaohong heard Lu Kai's account, turned his head, and smiled slightly, "Tell the Patient to come; I'll take the case."

Although Lu Kai was only a Standardized Training Doctor, he was usually very diligent, and since Deng Chaohong was kind-hearted, he didn't make things difficult for him.

Whose surgery wasn't worth doing?

"Professor Deng, thank you." Lu Kai bowed deeply to Deng Chaohong to express his gratitude, "What do you think the problem is? How should I tell the Patient?"

"Idiot!" Xu Leyu scolded with a laugh, "Of course you say you helped contact the most capable professor in our Second Affiliated Hospital, and the surgery is exceptionally good! Even the child of our Dean was sent to Professor Deng..."

Xu Leyu spoke too much and slipped up, stopping halfway through the sentence.

Deng Chaohong glanced at Xu Leyu and smiled, "Let the Patient come first; I'll check the situation. Just listening to you, I don't know what's going on."

"Okay, okay, thank you, Professor Deng."

Lu Kai bowed again and trotted out to make a phone call.

"Professor Deng, do you think the Patient will come?" Xu Leyu felt a bit awkward and shifted the topic.

"Xiao Lu has a good way with words; he should be able to come," Deng Chaohong said indifferently, and began to call Patients for follow-ups again.

Ji Xiang asked, "Teacher Deng, bone loss, it should be Bone Dissolution, right? What do you think the problem is?"

"The Arthroscopy at the First Affiliated Hospital..." Deng Chaohong looked at the Patient's name recorded in his notebook, lost his focus for a moment, and said half of his inner thoughts, but immediately stopped, "Xiao Ji, do you know what the rare complication is after Arthroscopic Rotator Cuff Repair?"

Arthroscopy itself is a Minimally Invasive Surgery. In this month, he and Deng Chaohong had performed 7 Arthroscopic Rotator Cuff Repair surgeries, and they did indeed mention bone damage during the pre-operative briefing.

But Ji Xiang had been busy with exams recently. Although he hadn't specifically set aside large chunks of time to read, he had still delayed a lot of time, so he hadn't looked up information on this.

Holding his breath and focusing, Ji Xiang entered the System Operating Room.

Seeing that Ji Xiang didn't speak, Deng Chaohong pressed his hand on the notebook and turned his head to look at Ji Xiang seriously.

"Doctor Xiao Ji, all surgeries have complications, more or less. Be careful when explaining to Patients; talk more about the bad situations after surgery. Even if the probability is very low, you must say it."

"Professor Deng, what is the probability of a Patient having bone problems after Arthroscopic surgery?" Xu Leyu asked.

Deng Chaohong wanted to speak but forcibly held back, looking at Ji Xiang.

"Several doctors have published literature with slightly higher data in professional journals," Ji Xiang said.

"Oh, tell me about it." Deng Chaohong looked at Ji Xiang with great interest.

"Dr. Hotta found 9 cases of Subacromial Osteolysis among 434 patients after Arthroscopic Rotator Cuff Repair, a rate of about 2.1%."

"Dr. Park reported that among 118 patients, 2 cases of Subacromial Osteolysis occurred after Single-row Repair, a rate of about 1.7%."

"Among 103 patients, 1 case of Subacromial Osteolysis occurred after Double-row Repair, a rate of less than 1%."

"!!!"

Xu Leyu was stunned.

Deng Chaohong was also surprised.

"However, the literature from both doctors mentioned follow-ups conducted 6 months after surgery, not including after 6 months. I consider that as time goes on, the possibility will increase a little more."

Xu Leyu stroked his forehead. He knew Ji Xiang to some extent and knew that this guy's memory was ridiculously good; it wasn't strange that he could recite data like counting family treasures.

But for Ji Xiang to pick faults in other doctors' literature the moment he opened his mouth, he himself wouldn't dare.

Those data points have all been verified by everyone and published in top-tier journals; for a Doctor, those are the most professional data.

(End of chapter)