Chapter 1772: with translation of chapter title

12 hours ago, United States, Boston.

WestRoxbury district, a house started smoking.

The basement wiring was old and deteriorated, causing an electrical fire. The female homeowner quickly discovered the accident, First Time pulled the circuit breaker, then grabbed a bucket and extinguished the fire that had not spread.

It was just the strong smell of rubber, which made people feel extremely Uncomfortable.

After extinguishing the fire, she felt Fatigue all over; the recent high Tension state made her body unable to bear the load.

The basement was full of smoke; taking a breath made her cough straight away.

She used all her strength to walk out of the basement; finally her body was weak and powerless, and she almost fainted on the basement steps.

However, the strong will to survive made her Persistence walk out.

She sat at the doorway, breathing fresh air, feeling very happy. Although the basement needed a thorough cleaning, she seemed to have something to do these days, but being able to walk out alive was truly the best thing.

But sitting at the doorway, her lower abdomen began to hurt.

The severe pain drained the last bit of energy from her whole body; endless Fatigue surged like a tide, engulfing her completely.

She did not panic.

Two or three months ago, she had also experienced this situation, severe abdominal pain. She was sent by 120 Emergency to Massachusetts General Hospital for inpatient treatment; the doctor said it was abdominal pain caused by cyclic vomiting syndrome.

Damn cyclic vomiting syndrome, damn insurance!

She sat at the doorway, with no intention of calling an ambulance, but prepared to let time smooth everything over. An ambulance visit would result in a bill that would make her heart pound with fear.

That wasn't a bill, it was a ticket to hell.

As long as she still had strength, she didn't want to take an ambulance to the hospital; that experience was terrible.

But after enduring through the night with no improvement, she had no choice but to contact her previous attending physician the next day and go to Massachusetts General Hospital for a visit.

She didn't make an appointment, because Mark doctor, who had diagnosed her cyclic vomiting syndrome last time, thought this case was interesting, so he told her to come directly to him if any problems arose.

Soon, Mark doctor began to regret this decision.

During the previous hospitalization, he gave the female patient ondansetron, hydroxyzine and Vein infusion. After medication, the patient's nausea, vomiting and abdominal pain were relieved. On the second day of hospitalization, the patient could eat normally and was discharged home.

Mark was merely interested in cyclic vomiting syndrome; he planned to conduct a long-term follow-up investigation.

But when the female patient was hospitalized again and underwent the corresponding examinations, Mark discovered that the patient's condition was not right.

She was conscious and oriented, but her emotions were unstable, alternating between laughter and tears.

The patient's stare intensified, speech rapid, utterances urgent and sometimes incoherent. Moreover, as time passed, her emotions became heightened; someone saw her thrashing violently on the bed, pulling at equipment and clothing.

Cyclic vomiting syndrome does not present such problems; Mark doctor, as the attending physician, began to feel embarrassed.

A consultation was requested; after the neurology consultation, it was deemed unrelated to neurological disease.

Soon, the patient's condition worsened further.

Mark doctor gave her Vein infusion and administered ondansetron, pantoprazole, fentanyl, and lorazepam. The patient was admitted to the intensive care unit for diagnostic examination.

The doctors in the intensive care unit were unhappy; at dawn, they admitted a patient with a strange condition.

This wasn't the key; what angered him most was that he was about to watch a Surgery live broadcast—a liver abscess surgery on a patient with no trauma or surgical history, yet an abnormal object was seen on the liver.

"Damn it!" the ICU doctor muttered; the Surgery live broadcast was about to start, and the female patient had also been brought in.

He could only regretfully put down his phone, hoping that this surgeon's Shou Bing could be a little slower. He performed a physical examination on the female patient as quickly as possible, gave symptomatic treatment, then returned to his room.

Indeed, Shou Bing had already been finished.

Really damn it, he could only watch the Shou Bing recording. But he felt that watching the Shou Bing recording had no soul at all; it was just an ordinary teaching video.

"Jason, this patient I previously diagnosed as cyclic vomiting…" Mark doctor said his judgment, but was rudely interrupted by ICU's Jason doctor.

"I don't want to know what you diagnosed; I'm about to watch the Shou Bing recording, and because of your stupidity, it's affecting my viewing of a wonderful Shou Bing!" Jason doctor roared.

"Surgery live broadcast? Is it the surgery of that young doctor who just became a lifelong professor at our hospital?" Mark doctor asked.

"Yes!" Jason doctor's face turned iron-blue, and he began to watch the "soulless" Shou Bing recording.

"Liver abscess? What's there to see about this Shou Bing?" Mark doctor leaned over, and on Jason's doctor phone he saw the Shou Bing footage.

It was just a liver abscess; Mark doctor had never seen a Surgery live broadcast from overseas, because the broadcast mainly featured Interventional surgery, and he was not a doctor in the Intervention Department.

There were also some external Shou Bing, but Mark doctor did not think that interdisciplinary doing Shou Bing would be very impressive.

"Shut your stinking mouth! This is the lifelong professor's Shou Bing; if you don't want to be fired by the board, you'd better watch it with a devout heart." Jason doctor's expression was splendid, the Shou Bing proceeded quite quickly, meeting his expectations.

His point of curiosity lay in why, with no trauma or surgical history, an abnormal object would appear on the liver.

Where did this abnormal object come from?

Soon, Jason doctor saw the grasping forceps skillfully maneuvering the free-floating abscess; after sucking out some of the pus, he accurately clamped the foreign object and directly removed it.

"Jason, what is that?" Mark doctor asked, "How did it end up there?"

"Who knows! No surgical history, no trauma history, yet an abnormal object appears in the body causing a liver abscess!" Jason doctor stared at the screen without blinking; subsequently, the surgeon did not immediately continue the surgery, but instead used Hemostatic Forceps to begin cleaning the pus-covered foreign object on a piece of gauze.

A toothpick, partially corroded, appeared on the screen.

"It's actually a toothpick!" Mark doctor raised both hands, expressing his astonishment with an exaggerated gesture.

Although Jason doctor was also surprised, he tried to stay calm and said: "Mark doctor, our newly hired lifelong professor is actually quite capable."

"Just him?" Mark doctor said, "I've heard…"

"Please maintain respect for the lifelong professor; if you don't want to be fired." Jason doctor attentively watched the Shou Bing; after the surgeon changed into sterile gloves, he continued cleaning the abscess.

The Shou Bing's focus was the removal of the foreign object; nevertheless, Jason doctor remained interested in every maneuver of the surgeon.

After watching the Shou Bing, Jason doctor felt that the experience was not yet satisfying.

Suddenly, a strange idea appeared in his mind.

Could he, via email, let him take a look at the condition of the cyclic vomiting syndrome patient?

……

……

Note: This case comes from Massachusetts General Hospital, well, it's real, not fabricated.