Healing Doctor

Chapter 315 My and Dr. Xiao Ji's Opinions

"Spinal stenosis is very common in our orthopedics department. Most patients do not need treatment because vertebral body surgery is quite difficult, and no one wants to do it without being absolutely certain." Seeing that Ji Xiang was easy to communicate with and not stubborn, Deng Chaohong began his earnest teaching mode.

His teaching style is different from that of the system NPCs; he is not verbose, which may be related to his age and Deng Chaohong's personality.

Ji Xiang listened attentively, and Deng Chaohong took advantage of the time while the patient went to pick up the films to explain more to Ji Xiang.

He has solid basic skills and performs surgeries well; otherwise, Dean Zhao Jixiang would not have entrusted his son to Deng Chaohong.

Ji Xiang listened with great interest.

About ten minutes later, the patient returned, limping, carrying the X-ray films.

"Professor, I'm back. Here are the films, please take a look." The patient returned carrying the film bag and handed it to Deng Chaohong.

"You'll know what spinal stenosis is once you see the images," Deng Chaohong said with a smile, exuding the fullest of teacherly demeanor.

"Click~"

Insert the film into the viewer.

Deng Chaohong glanced at it and froze.

I was wrong! The patient didn't have a spinal canal problem!

There is a cord-like, tortuous abnormal mass in front of the dura mater in the spinal canal. It shows low signal on both T1 and T2 weighted images and is distributed behind the L4 to S1 vertebral bodies, with the L4/5 intervertebral space being the most prominent. The two longitudinal arches of the anterior venous plexus in the spinal canal are dilated and located on the ventral side of the dura mater, forming the distinctive imaging feature of "spectacles sign".

The very typical "glasses" sign appeared. Professor Deng stared blankly at the "glasses" on the film, and after a few seconds of stunned silence, he tried hard to recall what he had seen during the physical examination.

The physical examination was not difficult. The patient had joint pain but no other neurological symptoms in the limbs, which was consistent with the clinical signs of spinal stenosis.

but!

Deng Chaohong thought of the question that he had just "scolded" Ji Xiang over.

"It's not spinal stenosis, it's a problem with the blood vessels." Although Deng Chaohong didn't want to admit it, there was no point in stubbornly holding on until he died.

Deng Chaohong never considered the choice between saving face and getting a proper diagnosis and treatment.

Isn't it clear how to choose?

"The local doctors couldn't understand it," the patient said hopefully. "They told me to come to the provincial capital to get some help."

"You sit down."

Deng Chaohong could hear what Ji Xiang had said to the patient a dozen minutes earlier.

He felt his face turn a little red.

What can I do if the diagnosis is wrong?

It must be a rare disease. Following Ji Xiang's line of thought and continuing the physical examination is a good option, Deng Chaohong comforted himself.

The patient took off his socks.

Just as he was taking off his socks, Deng Chaohong's eyes widened in astonishment.

The patient was wearing black socks, but there was almost no difference between taking them off and not taking them off.

Even when the patient took off his socks, Deng Chaohong had the illusion that the patient was wearing another pair of socks inside his socks!

wrong!

As a doctor, Deng Chaohong immediately sensed that something was wrong.

But he couldn't quite put his finger on what was wrong. As for the color bleeding from his underwear and socks, that was even rarer than a rare disease; he rarely saw patients who were that mentally challenged.

"I wash my feet every day, I don't know what socks are bleeding color from, really," the patient said nonchalantly. "Professor, do you need me to lie down?"

"Hmm." Deng Chaohong nodded absentmindedly.

Seeing that Ji Xiang didn't speak, he began to examine him.

A few minutes later, Deng Chaohong went to wash his hands. "Is your blood sugar normal?"

"It's normal, I don't have diabetes."

According to the book, the patient's condition is called pigmentation in the boot area, which is extremely rare. Deng Chaohong himself has only seen it once or twice.

What was the diagnosis again? Deng Chaohong tried hard to find any remaining fragments of memory in his mind.

"Doesn't your stomach hurt?" Ji Xiang suddenly asked.

Stomach, abdomen...

Ji Xiang's question struck Deng Chaohong like a bolt of lightning, and he immediately thought of a patient he had encountered several years ago during a consultation.

Ultimately, the patient was referred to the vascular department.

"It doesn't hurt." The patient grinned.

Although Ji Xiang was a young doctor, he still treated him with ample politeness and respect.

"Xiao Ji, what are you considering?" Deng Chaohong, like the patient, also gave Ji Xiang full respect.

He never thought Ji Xiang was just a resident physician; what resident could break so many records for tying knots? So this time, Deng Chaohong readily agreed and immediately knelt down, ready to hear what Ji Xiang had to say.

"I feel like it might be Bugatti Syndrome." Ji Xiang said, recounting the diagnosis given by the NPC when he went to the system's operating room for advice.

"Uh..." Deng Chaohong was taken aback, then said, "You, lie down, and show your belly."

The patient was somewhat surprised, but still lay down as Deng Chaohong instructed.

Lifting the patient's clothes, several thick veins on his abdomen snaked like worms, and seemed to move with the flow of blood.

Distended veins and pigmentation in the foot and boot area—these keywords, along with the MRI images, all pointed to Deng Chaohong—that the patient definitely did not have simple spinal stenosis!

"I'm going to make a phone call." Deng Chaohong patted the patient, gesturing for him to get up.

"Professor, what call do you want?" the patient asked.

"We need to get other doctors to consult. Based on your current condition, it shouldn't be an orthopedic issue for us." Deng Chaohong tried to control his emotions and gently explained to the patient, "Don't worry, you'll most likely get a clear diagnosis once you come to the Second Affiliated Hospital."

The patient was very relieved.

After traveling hundreds of miles and spending dozens of days, all for the sake of a correct diagnosis.

Deng Chaohong turned and left, glancing back at Ji Xiang as he went out.

A few minutes later, Deng Chaohong came in with Director Wang from the Vascular Department and Director Zhao Xiangming from the Interventional Department.

"I... and Dr. Xiao Ji suspect it's Bugatti syndrome," Deng Chaohong said.

"Your stomach doesn't hurt? Why did you have to come to your orthopedics department? Does the patient have any Spider-Man-like physical characteristics?" Zhao Xiangming asked.

After entering the room and glancing at the patient, Zhao Xiangming smiled and said, "It shouldn't be. More than ten years ago, I watched the NBA draft. There was a tall guy, a Spider-Man with long arms and legs. I thought if his belly was a little bulging, he would definitely have Budd-Chiari syndrome."

KD? Ji Xiang smiled. What Director Zhao said did sound quite plausible.

Despite saying that, Zhao Xiangming immediately went for a physical examination.

The patient's symptoms, except for the absence of abdominal pain and chronic ulcers, were consistent with those of large, meandering, distended veins in the chest and abdominal walls, pigmentation in the foot and boot area, and a small amount of fluid upon percussion of the abdominal cavity.

"I'm taking the patient with me. Budd-Chiari syndrome is quite rare, but the surgery is very simple," Zhao Xiangming reassured the patient.

"That……"

"Go with Director Zhao." Deng Chaohong personally saw the patient and Zhao Xiangming off.

This disease was treated by the interventional radiology department, and Deng Chaohong was very pleased that the patient had been found a suitable department for treatment.

(End of this chapter)