Healing Doctor

Chapter 498 A Rare Act of Understanding

Zhai Yuhan was slightly taken aback upon hearing this, and her hand went a little numb.

But for some reason, she felt that this was bound to happen sooner or later, and she wasn't too surprised. Instead, the anxiety she had been feeling finally subsided.

It was a very strange feeling, and Ji Xiang's image kept flashing before her eyes, refusing to leave.

Zhai Yuhan didn't rush to ask what happened, but instead glanced at Ji Xiang beside her.

Ji Xiang was explaining clinical diagnosis to Zhao Mengmeng. His logic was clear and his presentation was well-organized. He was doing a better job than Zhao Mengmeng and didn't notice that Zhao Mengmeng was looking at him.

"Xiao Zhai?"

"Sister Cui, I'm here. What happened?"

Zhai Yuhan asked.

"You remember the post-operative patient who was brought in last night, right?"

"I remember." Zhai Yuhan looked at Ji Xiang with even deeper and more intense gaze.

"I had an endoscopy this morning and they saw a perforation in my duodenum and a foreign object inside."

"Foreign object?!" Zhai Yuhan was taken aback.

"It seems to be a titanium clip. I tried to clamp it when I was making the mirror, but I found that I couldn't hold it, so I didn't dare to pull it off forcefully and quickly took it off to tell you."

Titanium clips?

Titanium clips!

Memories of last night began to flash through Zhai Yuhan's mind; her hands were numb and cold, as if they didn't belong to her.

"I'll go take a look. Sister Cui, have you explained things to the patient?"

"No, I'm just letting you know first. You can talk to Director Yang."

The voice on the other end of the phone was serious and earnest, as if afraid that Zhai Yuhan lacked experience or wanted to gloss over the matter.

If there's a problem, and it's not someone else's problem, I will absolutely not hide it.

Being able to make time difference and let her know in advance if something comes up is already very generous, and Zhai Yuhan understands this.

She gave Ji Xiang a deep look, and seeing that he seemed unaware of the matter, she went to find Director Yang with a belly full of suspicion.

"Boss." Zhai Yuhan walked into Director Yang's office and recounted what had happened last night.

The more Director Yang listened, the more his brows furrowed.

"Boss, what should we do?" Zhai Yuhan finally shook off her previous unease and began to panic.

This was definitely an accident, though not a fault-based one, but there was still something wrong with it. If it had happened to be a patient and their family who were extremely unreasonable, the consequences could have been unimaginable.

Zhai Yuhan dared not think about what would happen next.

"One possibility is that the titanium clips used to clamp the cystic duct or cystic artery after cholecystectomy may come loose and become lodged with intestinal peristalsis."

When one end of the titanium clip presses against the duodenal bulb wall, local tissue is compressed. After a certain period of time, the tissue gradually necroses, leading to intestinal perforation. The titanium clip then enters the digestive tract and irritates the surrounding intestinal mucosa, causing ulcers to form around it.

However, because this process is very slow, adhesions have already formed around the perforation, so the symptoms and signs of peritonitis will not appear.

"Another possibility is that the cystic duct joins the common hepatic duct at a low position, or there are anatomical variations in the cystic artery. The titanium clips used to clamp the cystic duct or cystic artery may directly press against the duodenal bulb, leading to perforation."

"The cystic artery...during the operation, the patient's cystic artery was indeed low..." Zhai Yuhan recalled the surgical process following her boss's words, and she found the problem.

"That was caused by the clamps used to clamp the cystic artery hitting the duodenal bulb, resulting in a perforation."

After clarifying the situation, Director Yang suddenly stood up and asked with a serious expression, "The gastroenterology department didn't tell the patient, did they?"

"no."

"I'll go tell them."

Zhai Yuhan was moved to tears.

It's best to keep your own boss in check when it comes to these kinds of things. If you were to ask your boss to do it, there's a high chance of something going wrong.

But the boss didn't hesitate to take on this difficult problem.

It's lucky to have a boss who can help his junior doctors and students with their problems.

Zhai Yuhan followed Director Yang cautiously all the way to the Department of Gastroenterology.

Upon entering the ward, the chief resident from the gastroenterology department followed.

Director Yang was slightly relieved to see that the patient was half-lying on the bed and looked alright, without being pale or weak.

"How is it? Is your stool still black?" Director Yang tried to make his words sound gentler.

"Director Yang, what brings you here?"

The patient tried to sit up in bed, but Director Yang quickly stopped him.

"I came to see you."

"No, no, Director," the patient's family member said. After saying that, he realized his words seemed a bit off, scratched his head, and said, "Thank you, Director."

"I heard there's rectal bleeding?" Director Yang asked indirectly.

"Oh, it's probably about the titanium clips. I just had a look in the mirror, but I haven't had a chance to ask Dr. Cui yet."

Director Yang and Zhai Yuhan's hearts sank.

The patient even knew about the titanium clips...

The chief resident of the gastroenterology department was also taken aback; she rarely saw such an educated patient.

It has nothing to do with culture, but with profession.

In previous years, Mr. Cui would have assumed they were causing trouble for medical staff, having researched the possibility beforehand. Or perhaps a doctor in the industry had secretly informed the patient beforehand.

But there have been far fewer medical disputes in recent years, and patients are very kind and humble towards Director Yang... She was a little confused.

"Cholecystectomy requires the use of titanium clips to close blood vessels, and there is indeed a small chance that problems may occur," Director Yang began to communicate with the patient's family.

He has his own judgment on this matter and hopes to minimize the damage.

Even if he were to take the lead himself, Director Yang wasn't very confident.

"It's alright, it's alright. Dr. Zhai told us before the surgery that similar complications might occur," the patient's family said repeatedly. "But we couldn't leave it untreated, so we were prepared. We feel relieved now that we're at the hospital. Director Yang even came in person. It's all alright, it's all alright."

The patient's family members were a bit nervous and spoke incoherently, but the doctors could understand what they were saying.

They looked at each other, none of them expecting such a situation to occur.

Whether it was Director Yang, Zhai Yuhan, or the chief resident of the gastroenterology department, they all considered this a major, extremely important matter. Any mishandling of it would inevitably lead to irreparable consequences.

but!

The patient and their family know everything, and seem to understand.

Director Yang had a lot to say, but when faced with such an "understanding" patient, he didn't need to say a word.

No explanation is needed. Although it saves him trouble, the emotions that Director Yang had been building up all the way were like a heavy punch thrown into the air, leaving him feeling empty and uncomfortable.

"My spouse's condition is rare because their anatomical structure is different from normal people, I know that," the patient's family member said. "Dr. Yang, please rest assured, I will definitely cooperate with the treatment."

Director Yang glanced at the chief resident of the gastroenterology department. Chief Resident Cui shrugged, indicating that he knew nothing and that he definitely hadn't told the patient in advance.

(End of this chapter)