Chapter 546: A Complete Collection of Surgical Idioms (Two in One)
By the time he returned to the hospital, it was already noon. Wang Shou wanted to have Chen Cang stay for a meal, but Chen Cang declined.
Wang Shou was currently overwhelmed with issues, and Chen Cang didn't want to trouble him further.
Instead, he simply said, "Director Wang, please come and visit the Provincial Second Hospital sometime."
After saying that, he stood up and left.
Wang Shou nodded in relief, appreciating the doctor's kindness, "Thank you for your trouble, Dr. Chen, for making this trip for nothing."
Chen Cang waved his hand and nodded before leaving.
This time, the matter had indeed gotten quite serious.
However, there were many witnesses on the scene, and there were surveillance cameras inside and outside the operating room that recorded the procedure, so gathering evidence was relatively simple.
What was troublesome was the family dispute involving Wang Shou.
The hospital took a firm and steady stance this time, assuring Wang Shou that no matter how the situation was handled, it would not affect him in any way. The hospital supported Wang Shou's actions, regardless of political or moral stance!
Qian Liang didn't leave; he stayed to support Wang Shou as well.
Colleagues for several decades, working in the same department for over ten years, the two were competitors, yes, but also colleagues.
Wang Shou hadn't expected Qian Liang to be the one to stay and help him and was somewhat surprised.
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After eating at Liu Mama's Restaurant in front of the Provincial Second Hospital, Chen Cang went straight back to the emergency department's duty room. Too lazy to go home, he lay on the bed, lost in thought.
After a while, Chen Cang sighed deeply.
As a doctor, one really needs to manage their emotions and not be swayed by patients or all sorts of incidents.
Chen Cang shook his head, deciding not to think about these things anymore.
He casually opened the reward he received after completing the surgery yesterday at Jinyang City People's Hospital.
Ding! Successful treatment completed, successfully repaired the injured hepatic vein near the liver, sutured the liver injury... Comprehensive assessment, reward obtained: 1. Level +1; 2. Aortic Coarctation Surgery Skill Book; 3. Stamina Potion +2; 4.
Lucky Bag.
Seeing the system prompt, Chen Cang felt a burst of happiness.
The harvest was quite rich!
However... isn't the Aortic Coarctation Surgery a level four operation?
Aortic Coarctation Surgery, Master level, learning requirement: Level above 40 or Cardiothoracic Surgery professional score over 50, requirements not yet met.
Chen Cang shrugged; he had expected as much.
But, he was getting closer. The surgery reward bumped him up a level directly, truly befitting the rare creature of level 80. The thrill of defeating something beyond his level was exhilarating, bringing him straight to level 36.
Upon opening the lucky bag, Chen Cang once again gained +2 skill points.
All in all, yesterday's surgery was highly rewarding!
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The entire afternoon was hectic at the emergency center, with two patients needing urgent surgery sent in, both from car accidents. Chen Cang, leading his team, immediately began the rescue operations.
Unfortunately, the first patient had already suffered massive hemorrhaging and shock on the way to the hospital and was gone before they could even begin treatment.
That's how it is in emergency medicine; before you even have time to react, another patient is rushed in urgently.
The whole afternoon, the team of five was so tightly wound up that there was no chance for any rest.
Perhaps He Tong had realized the importance of Chen Cang, for every time before sending over a patient, he would first inquire at the nurses' station if Chen Cang was present. If he was, some patients would be brought over.
If not, they would naturally be taken to other hospitals.
Such targeted training resulted in great progress for Chen Cang!
He became increasingly proficient in understanding and performing surgeries on the heart and major blood vessels.
In about a week's time, he completed more than thirty major surgeries, improving every day. This high-intensity emergency work was iron-blooded training for everyone involved.
At night, around eleven o'clock, five people sat on the floor of the operating room, leaning against the wall.
Each one of them had a bag of glucose IV.
Wang Qian felt that this period was the time he had improved and grown the most since becoming a doctor.
Being originally from general surgery, where had he seen surgeries like these?
Wang Qian smiled and said, "Hey... today I finally understood what 'a shredded liver and guts' really means. Teacher Chen, you're too awesome, fixing even that!"
Chen Cang shook his head with a smile and remained silent.
Zhou Xiaodong picked up the thread, "Not just 'a shredded liver and guts', I bet Teacher Chen could handle 'spilling your guts on the ground' without any problem!"
Zhang Wenfu laughed heartily, "Then add another one... 'rending one's heart and splitting one's lungs', how about that?"
Chen Cang was speechless; these people were incredible, using idioms in such ways!
Zhou Xiaodong got excited too, "And there's that one... right, 'livers and gallbladders tearing apart'... 'stabbing the heart and splitting the liver'!"
Wang Qian shook his head, "You guys don't know, Teacher Chen's specialty is 'cutting open intestines and stomach', his favorite thing to handle is 'skin flayed and flesh exploded', his current level is 'examining the heart and dissecting the liver', and his direction of effort is 'holding cards close to the chest'."
The group of people broke into laughter.
Men's happiness is just that simple!
A young nurse on the side, tidying up surgical instruments, couldn't help but burst into laughter at their conversation.
Yuan Yuan said with a smile, "How can you guys be so cruel? You're making these idioms sound so gory, I bet I'll be too scared to use them in the future."
Wang Qian laughed heartily, "Yuan Yuan, you don't get it, do you? This is what you call 'practical application'. I didn't fully grasp these idioms before, but after these few days of surgeries... well, I truly feel more enlightened."
"Just like that surgery yesterday, remember the 'worrying sick' one? Think about it. When the intestines are knotted up, wouldn't it be painful? So much anxiety, right?"
Zhou Xiaodong couldn't help covering his face, "Brother Qian'er, that was an intestinal obstruction."
Wang Qian nodded, "Exactly, right? Intestinal obstruction, you'd be worried sick if you weren't concerned, right? It got me thinking how incredible our ancestors were, so vivid in their use of words, unbeatable at forming phrases and sentences!"
Listening to everyone joking around, Chen Cang also felt very happy. During this period, after their coordination and efforts, their abilities had leaped in quality.
The team had truly taken form, now tentatively possessing emergency response capabilities.
But he had also noticed something else...
His luck was definitely bad! And… Wang Qian, this guy was truly the team's mascot.
Initially, they received an emergency call about a patient with a sharp object penetrating the precordial area. Wang Qian and Zhang Wenfu went to receive the patient, only to find upon their return that the object had missed the heart by less than 1 centimeter.
Nor had it damaged any major blood vessels; it merely pierced the pleura and injured a rib!
The reason for the deviation turned out to be the broken rib, which caused the knife to shift its angle as it entered…
This situation left everyone somewhat caught between laughter and tears.
Chen Cang felt that if he had been the one to go and receive the patient, the knife might have just perfectly, precisely passed through the intercostal space, just able to damage the intercostal nerves, and even penetrate the left ventricle!
And who knows, it might even have come with a bonus of a ruptured aorta…
The difference between bad luck and good luck was indeed very clear!
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Wang Kai'an watched everyone joking and teasing, merely smiling without talking much. He had been at the Provincial Second Hospital for less than a month, yet this period had been the most comfortable time he had felt.
Even though the treatment he received at Dongda Second Hospital had been quite good, this kind of work environment and atmosphere was something he had never experienced before.
Actually, the work environment and atmosphere are even more important than the institution itself. The Provincial Second Hospital ranked five or six places lower than Dongda Second Hospital and naturally was in a different league.
Yet, when he was in thoracic surgery, the head of the department never regarded him as an associate chief physician, even often targeting him…
Indeed, the terms offered by the hospital were good, and they delivered, but the harmony of the department remained a tough problem.
This was something the hospital couldn't adjust.
So, when his contract expired, Wang Kai'an resolutely left Dongda Second Hospital and came to this Provincial Second Hospital, which didn't even have a thoracic surgery department.
The hospital promised Wang Kai'an that they would establish a thoracic surgery department within three years, asking him to set up a thoracic surgery team in the Emergency Department in the meantime, lead the team, and build his team over three years.
Qin Xiaoyuan gave Wang Kai'an enough autonomy, even including the power to build his team, which was quite thoughtful.
However, being new to the place, Wang Kai'an happened to join the emergency rescue team.
Initially, Wang Kai'an couldn't understand why Director Li Baoshan assigned Chen Cang as the head of the emergency rescue team, but now he understood.
It was because of Chen Cang's strength. This person was truly formidable; the word "genius" seemed somewhat inadequate. Being able to perform so many types of surgeries, and each at a master level, even his own proud thoracic surgeries were significantly inferior to Chen Cang's.
And furthermore… this person had a charm that could unify a team into a single force.
Therefore, even as a Ph.D. associate senior-level Wang Kai'an willingly called Chen Cang "Teacher Chen" with genuine respect.
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After tidying up, Yuan Yuan turned to Wang Qian and asked, "Qian'er, who's treating us to the six bags of dextrose today?"
Wang Qian replied offhand, "I'll treat everyone!"
However, Wang Qian suddenly paused, "Yuan Yuan, why do you always ask me who's treating?"
Yuan Yuan stopped short, awkwardly smiling, "The head nurse told me to ask you."
Wang Qian burst into laughter upon hearing this, "Oh! Does the head nurse think I'm a nice person?"
Yuan Yuan looked slightly embarrassed, "The head nurse said you're frivolous, like to treat others, and also said, don't ask Doctor Chen, Doctor Chen is too busy, and doesn't need to worry about these things. She also said to say it was covered by the operating room if Doctor Chen asks." Your next chapter awaits on My Virtual Library Empire
Another young nurse chimed in, "Right! The head nurse also said that dextrose costs money too, and we should save where we can. Doctor Wang is generous and doesn't mind this little amount of money."
"Oh, Qian'er, I've put it on your tab! Hee hee…"
Wang Qian was stunned and then baffled, "Damn, that's unfair… The big spender is right here, do you not feel guilty at all exploiting me?"
Everyone burst into resounding laughter upon hearing this.
But Wang Qian truly didn't mind—it was just a few bags of dextrose… sob sob…
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The next morning, Chen Cang came to the Emergency Department out of habit, only today he had eaten a bit too much and felt full...
There were a lot of patients in the morning, and a long line had formed at the entrance.
Director An, who had been on the night shift, said to Chen Cang, "Xiao Chen is here, go check on the outpatients. There's a special patient in the intensive care unit I need to handle."
Chen Cang nodded and instructed the triage nurse to call the next patient in.
He had just sat down when a man and a woman, both in their fifties, walked in as patients number seven and eight.
However… both were holding a plastic box.
After the man sat down, his face was somewhat panicked as he urgently said, "Doctor, I think I might be sick!"
Chen Cang was taken aback and quickly asked, "What's the matter?"
The man sighed and took out a box that looked like a lunch box from a black plastic bag, "It's a bit shabby, doctor… you don't mind, do you?"
Chen Cang nodded, "Hmm, it's all right. Could you first tell me what discomfort you're feeling?"
The man shook his head, "I don't feel uncomfortable... It's just that this morning when I got up to use the bathroom, I found... my urine was green!"
After speaking, the man took out a transparent box, which, through the box, displayed a deep green liquid inside.
Chen Cang frowned slightly, "Open it, let me have a look."
The man nodded and opened the lid.
After seeing the dark green urine, Chen Cang slightly furrowed his brows and looked up to ask, "Have you eaten anything lately? Something with coloring in it?"
The man shook his head quickly, "No! It's as usual."
Chen Cang nodded, typically, normal urine color is light yellow, clear, and without any sediment or turbidity.
But when it comes to urine, the colors can be truly bizarre—red, white, blue, yellow...
For this deep green color... such colored urine is often related to medication rather than disease.
Of course, if someone has cholera or suffers from spotted fever, similar symptoms may appear, but that's almost impossible.
With this in mind, Chen Cang asked, "Do you have any illnesses, have you taken any medicine? What are you currently taking?"
The man said, "I have hypertension, chronic heart failure, I've been taking Beijing Blood Pressure Reducer No. 0 and that Shihuida, nothing else."
After hearing this, Chen Cang seemed to have an epiphany and said, "Beijing Blood Pressure Reducer No. 0? How long have you been taking it?"
The man thought for a moment, "I've been taking it for several years, but I've stopped and started it. Recently my feet swelled up, and the doctor told me to take a bit more."
"Doctor... I haven't contracted some strange illness, have I?"
Chen Cang couldn't help but smile and said, "I suspect there's nothing wrong with you, but I can't come to a conclusion right now. How about this, go get a urinalysis and microscopic examination done, and we'll see."
"It may be related to the Nifedipine, also known as Beijing Blood Pressure Reducer No. 0, that you've been taking recently."
The man was stunned, "Beijing Blood Pressure Reducer No. 0 can turn urine green?"
Chen Cang nodded, "Yes, if you don't have any other special illnesses right now, this deep green urine is very likely caused by the Compound Nifedipine Aminophylline Tablets. Go get your urine tested."
After hearing this, the man breathed a sigh of relief and got up hurriedly to walk outside.
As long as it's not some serious disease...
At this moment, a woman from behind approached, looking a bit embarrassed.
"Doctor, why is my stool sort of gray and white..."
Chen Cang was startled, What's going on this morning?
Is it... because I ate too much for breakfast?
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ps: After I finished writing last night's chapter, I hesitated for a very long time, and in the end, I decided to leave it as it was. I was particularly worried that you all wouldn't like it, as it is that kind of resolution, according to the plot outline, actually, it was supposed to be a story about the protagonist showing off and saving the day, but...
after thinking it over, I felt it would be meaningless, so I modified it based on an event from the past.
I'm glad it's still acceptable to everyone, and lastly, thank you all for your support!
This chapter is a two-in-one.
Yep, Compound Nifedipine (Beijing Blood Pressure Reducer No. 0) as a common antihypertensive and diuretic medication can cause the urine to turn green. If any friends encounter this issue, don't worry, stopping the medication should resolve it.