Chapter 19

"Possibly."

"Big Sister, when I press here, do you have any pain symptoms?" Fang Ziye had not felt any particularly obvious pulsatile vascular mass during palpation, proving the aneurysm's diameter might not be large.

But he still needed to ask clearly.

Big Sister shook her head: "No, my belly never hurts, I don't feel anything."

"Then how about this, you go downstairs first and get an abdominal emergency vascular color Doppler ultrasound. Just now during auscultation, the vessels in your abdomen here have a bit of a pulsatile bruit."

"But I don't know what it is! Is that okay? Although we have to do surgery, we also need to clarify the diagnosis and situation to minimize risk as much as possible." Fang Ziye suggested thus.

The man said: "We've all come to the hospital, naturally we listen to you, Doctor. Just this color Doppler, is it expensive?"

"Not bad, roughly one hundred fifty yuan. You originally needed bilateral lower limb vascular color Doppler ultrasounds anyway, can do them together." Fang Ziye replied.

Patients with lower limb deformities must get thrombosis checks, because patients are passively immobilized for a long time, making thrombosis very easy to occur.

"Then okay." Hearing it wasn't particularly expensive, the two were reassured.

After the two left, Lan Tianluo asked: "Senior Brother? Is there really a problem?"

"Blowing bruit. After the color Doppler is done later, you can listen too, very typical." Fang Ziye replied like this.

Abdominal aortic aneurysm. Although the patient is currently asymptomatic, the morphology of the abdominal aortic aneurysm is still very important. It's not that no symptoms means no treatment needed. If the morphology is bad, even without symptoms, surgery is definitely required to treat it.

This needs a vascular surgery doctor to evaluate.

"Tian Luo, you go to the nurse station, tell the on-duty nurse to put this patient in our group first. I'll report to my Master." Fang Ziye divided the work thus.

A small Master's student is ultimately just a bed-management doctor, just the bottom layer doing the work. Fang Ziye had no decision-making power, therefore he could only get his teacher involved, or report to the Chief Resident.

But the Chief Resident isn't from his own group. Even if he reported, they'd probably say wait for a consultation first. Fang Ziye considered whether he could pull the patient into his own group first.

Sent a message, simply and clearly telling his teacher the situation and suggestion.

Yuan Weihong called back: "Did you auscultate clearly?"

"Yes, Master. Blowing bruit. This shouldn't be wrong, very typical. I've already had the patient and family go for an abdominal aortic color Doppler."

"This situation, should we request an emergency consultation or an elective consultation?" Fang Ziye replied like this when answering the phone.

Patients coming from outpatient to the department for elective surgery are all heavy symptom cases, absolutely needing surgical treatment. Even if the patient went to vascular surgery, they'd still have to come to orthopedics later.

Otherwise the limp caused by unequal bilateral lower limbs would continue to exist.

"Request emergency consultation. I'll call the vascular surgery people. You send me the patient's medical record number, I'll have them take a look."

"You call the Chief Resident, others might not pay attention." Yuan Weihong hung up after saying this.

Asymptomatic abdominal aortic aneurysm, unruptured, doesn't fall under emergency category. But orthopedics here has to wait for evaluation on whether to transfer.

In this situation, one has to utilize one's connections. Yuan Weihong is also often pulled into emergency consultations to read films. Mutual help.

……

Then after the patient couple finished the color Doppler, before they even returned to the ward, a call from teacher Yuan Weihong rang.

"Call the vascular surgery Chief Resident, tell him to hurry over and suggest transferring the patient there."

"Although this vascular tumor isn't large, the morphology isn't good. Must be handled as emergency. Otherwise once it ruptures, it's not a matter of one more disease, it's a matter of a life."

"Just say it's Vascular Surgery's Deng Haibo who had you make the call." Yuan Weihong quickly instructed.

"Okay, Master." Fang Ziye heard this and felt a surge of joy inside.

Because, after Yuan Weihong's call ended, Fang Ziye's Knowledge Points panel jumped fiercely—

Knowledge Points +21.2!

Holy crap.

From this one can see just how life-threatening this patient's situation is. If not diagnosed in time, a whole life or half a life would truly be lost.

With Vascular Surgery's higher-up Deng Haibo's name, calling the vascular surgery Chief Resident, the other party didn't say a single "no" word. After hurriedly having Fang Ziye send the medical record number, he personally ran from Vascular Surgery to Trauma Surgery.

Bringing Fang Ziye along, after persuading the patient and family, both patient and family had dark faces but agreed to transfer for treatment.

The Vascular Surgery Chief Resident said: "Big Brother, Big Sister, don't think Doctor Fang is annoying. This disease didn't appear because of his discovery. It always existed. If not for Doctor Fang's discovery."

"It might have ruptured during surgery, life-threatening."

"Vascular tumor treatment is simple now, reimbursable. Cost after reimbursement isn't high either. Understand?"

"Covering one's ears while stealing a bell, concealing illness and avoiding treatment — this is unacceptable."

"If not discovered, when the time comes the person is gone, isn't that losing more than gaining?"

Hearing the Chief Resident say this, the patient couple finally sighed, nodded: "Thank you, Doctor Fang."

Fang Ziye stopped all the admission medical orders he had written, told the on-duty nurse. The on-duty nurse also stopped all long-term medical orders within the undergraduate scope, then opened a transfer to vascular surgery medical order. The patient couple then hurried to Vascular Surgery……

Lan Tianluo, who witnessed this whole turn of events, instantly turned pale as stone, tone solemn: "Senior Brother Fang, if you hadn't done a routine physical examination on this patient, and something went wrong in the end, what then?"

"Then Chief Resident Jin Hongzhou would be in huge trouble!"

"I just need to do the work of timely discovery and timely reporting. Because this patient's physical signs, not a single sign pointed to abdominal aortic aneurysm."

"If I didn't do abdominal auscultation, maybe on the operating table it still wouldn't be discovered." Fang Ziye smiled.

Heart still pounding with fear, yet also feeling unbearable pity for this patient couple.

Could see their family circumstances weren't good. Coming for trauma surgery's osteotomy correction surgery was already biting the bullet. Now another vascular tumor branching out unexpectedly? Would definitely make their wallet even more strained.

But what can Fang Ziye do?

Just as the Vascular Surgery Chief Resident said, this disease didn't appear because of Fang Ziye's discovery, but existed inherently.

If Fang Ziye hadn't discovered in time, on the operating table, expecting surgery to enable normal walking, result would be entering the operating room and never coming out—

【Knowledge Points Balance: 26.9.】

Just then, Jin Hongzhou, knowing what happened in the department, also hurried to the department. After reconfirming the color Doppler results, he was both shaken and full of relief.

"Little Fang, you're truly my Fortune Star." The Chief Resident manages all patients in the ward. Whether you're negligent or fail to discover in time, he bears certain responsibility.

"Zhou Ge……"

"No need to say more. Rewarding you each a cup of coffee."

Jin Hongzhou said, then added: "Zhou Ge, I just started a family and have a little brat now, I dare not spend extravagantly. Ziye, don't say your Zhou Ge is stingy."

Fang Ziye and Lan Tianluo both shook their heads.

Jin Hongzhou hadn't even started making coffee when the emergency consultation call rang; Jin Hongzhou hurriedly put away his mobile phone: "You order, I'll reimburse you later, I have to run to an emergency consultation again……"

Jin Hongzhou's steps were hasty, as if trapped in an endless circulation; at that moment, from the direction of the nurse station, a new patient came again……

(Chapter End)