Chapter 565: with translation of chapter title

Inner Mongolia, Khorchin Right Wing Middle Banner.

"Inner Mongolia" means Inner Mongolia, and "Khorchin Right Wing Middle Banner" means Khorchin Right Wing Middle Banner.

A certain secondary Hospital's Xiao Hua Nei Ke was conducting a hospital-wide consultation.

The directors, deputy chiefs, and Inpatient Chiefs of the relevant departments sat in the office, boredly flipping through patients' medical records and films, with no one speaking.

The deputy chief of the Medical Affairs Department, presiding over the hospital-wide consultation, glanced at everyone, then at the time, and said, "Let's stop here."

"Chief, should we...?"

"The patient's diagnosis is clear: end-stage liver cirrhosis; we can only advise the patient to go to a higher-level Hospital for treatment. In our Hospital..." As he spoke, he glanced at the many silent doctors and shook his head.

Afterwards, he stood up, and the deputy chief of the Medical Affairs Department announced the meeting adjourned.

The Intervention Department doctor sat in the corner, head down, feeling discouraged.

He did not think the patient was untreatable, but it was not something he could treat.

Severe ascites, limbs thin as firewood, the whole person looked like a four-legged spider lying on the bed, even breathing was not smooth.

Listening to the patient's bellows-like breathing, the Intervention Department Doctor felt his own airway begin to spasm.

He really wanted to go and learn from the operator in the Surgery Livestream Room, but he knew it was just an unrealistic idea.

With his head down, he left the Xiao Hua Internal Medicine, feeling a bit wistful. In this secondary hospital in Khorchin, what seemed like an incurable disease might, in the surgery livestream room, be nothing more than an ordinary ailment.

While thinking of various random thoughts, he walked back to his own department.

Just as he was pondering, his phone rang with the sound of an Emergency Rescue Service ambulance.

He immediately perked up, as if he had been intravenously injected with adrenaline in an invisible way.

He hurried to the Zhibanshi, took out a PAD from the locker, then rushed to a small room, opened his phone and PAD, and began watching the Surgery Livestream Room.

In a vague sense, the Intervention Department Doctor felt that today's Surgery live broadcast was very important to him.

The PAD was playing the Surgery live broadcast of the patient's surgery, while he used his phone to view the patient's information.

When a few words entered his field of vision, he was stunned.

His premonition was correct!

Spider man! Boot-shaped sign! These symptoms completely match!

It turned out to be Budd-Chiari syndrome, not end-stage liver cirrhosis with refractory ascites!

His hand trembled slightly, but then immediately calmed down.

The operator in the Surgery Livestream Room had already begun the Shou Bing.

The filming equipment had already been put away, and a feeling of regret welled up from his heart. But he had no time to regret, to ponder what-if possibilities.

Fully focused on watching the Surgery live broadcast on the PAD, he tried to use his memory, which had begun to decline with age, to remember every detail.

Although he also knew it was impossible, he still had to do something.

The guidewire entered the inferior vena cava—wrong! The Intervention Department Doctor stared for a moment; the guidewire looked the wrong shape!

It was familiar, yet looking at it just didn't seem right.

Perhaps... the Intervention Department Doctor had a guess, but the operator in the Surgery Livestream Room had not explained from the start, and this time would not make an exception just because he didn't understand.

Countless thoughts gathered in the Intervention Department Doctor's mind, swirling into a huge vortex.

The operator was not using a Microguidewire, but the most ordinary guidewire, merely with a somewhat strange shape… as if it had been turned upside down…

When the guidewire entered the inferior vena cava, it ignored the numerous venous branches and went to the spot where the contrast agent was blocked.

The Intervention Department Doctor's right wrist seemed like a puppet on strings, moving slightly.

He wasn't even aware that his wrist had moved a bit; this was a subconscious action. In his subconscious, when the guidewire reached this position, the problem should be solved next.

He didn't know where the problem lay, but he felt that the inferior vena cava was blocked by something unknown, which was the source of the problem.

Sure enough, the oddly shaped guidewire twitched slightly and directly pierced the obstruction.

Was the inferior vena cava opened?

Immediately, the stent entered along the guidewire.

The stent opened, contrast imaging showed, and the inferior vena cava was completely unobstructed.

The Shou Bing ended, and the broadcast room closed.

How simple…… the Intervention Department Doctor felt a sense of awe, but immediately, a current flowed through his whole body.

This Shou Bing, such a simple Shou Bing, I can do it!

Recalling that 'spider man' inpatient from the Xiao Hua Nei Ke, the Intervention Department Doctor seemed to have some insight.

He began to search for various materials on Budd-Chiari syndrome.

As for the Shou Bing in the broadcast room? Such a simple Shou Bing, even if one wanted to forget, there's nothing worth forgetting.

Just open it, place the stent, do contrast imaging, and the Shou Bing ends.

Damn, it's even simpler than appendicitis, simple by an order of magnitude!

I can do it, absolutely can do it!

The Intervention Department Doctor excitedly realized. But he immediately suppressed this excitement, calmed down, and began to search for various literature on Budd-Chiari syndrome.

He knew, watching someone else carry a load is easy, but carrying it himself would break his shoulders.

TIPS Surgery, the operator performed it extremely simply, completed with just a needle puncture. But the Intervention Department Doctor, after days of research, ultimately had to give up reluctantly.

Only having the surgery video is absolutely not enough.

He could not grasp how the operator determined the key point for puncture at what position.

Hope that the Interventional surgery treatment for Budd-Chiari syndrome does not have that kind of point that is easy to overlook yet crucially important!

Searching, pondering, after a few hours, the Intervention Department Doctor excitedly walked back and forth in the small storage room.

The library of the Inner Mongolia Khorchin Right Wing Middle Banner secondary hospital had no resources; he searched the provincial library's network.

The provincial library also didn't have much, but he managed to find two articles on Budd-Chiari syndrome.

Cross-referencing, overlapping the operator's Shou Bing process with the patient from the Xiao Hua Nei Ke, the Intervention Department Doctor believed he could do it!

It's just an extremely simple Shou Bing!

Sometimes, it's just a layer of window paper; once pierced, there's no secret left.

Over a hundred years ago, pulmonary tuberculosis was like this; twenty-odd years ago, when there was no Interventional surgery, Budd-Chiari syndrome was an incurable disease. Even if one underwent surgical operation, the problem of the second hepatic portal position existed, and the mortality rate was extremely high.

Moreover, the condition…… is also quite simple. A membranous growth has formed in the inferior vena cava; initially it was open, but with age it gradually closes.

This closure is pathological.

When the inferior vena cava is completely occluded in youth, venous blood return is obstructed, and it can only be accomplished via collateral circulation. To establish a venous return pathway, tortuous veins appear on the surface of the patient's abdominal skin, like crawling creatures.

So, everything can now be explained.

This is not ascites caused by portal hypertension due to end-stage liver cirrhosis, but ascites caused by occlusion of the inferior vena cava!

Furthermore, after interventional treatment, it can be cured!

The Intervention Department Doctor was excited, having mentally simulated the surgery countless times, with not the slightest difficulty!

Go to Xiao Hua Nei Ke, find the director, find the patient's family.

The Intervention Department Doctor printed out the retrieved information, prepared thoroughly, full of confidence, and went to Xiao Hua Nei Ke.