Healing Doctor

Chapter 551 Spring has arrived, and all things are reviving.

On the screen, the seasons changed and another day passed.

The words "The Second Day" appeared on the screen, with the sun rising in the east, bringing warmth to people's hearts.

Especially after the previous sudden conflict, this shot of the rising sun makes people feel even more at peace and joyful.

Like Ji Xiang's smile.

The scene shifts to the office of Director Li of the Interventional Radiology Department, where he is explaining the procedure to a patient.

Because it involved a lot of medical terms and dry theories, the production team only provided one scene before moving on to the more enjoyable animated segment.

This time, even Director Bai and Director Liu were watching the animation intently.

A voice-over provides a brief introduction to endometriosis; the voice belongs to Director Li, who is acting as the voice-over artist for this episode.

Just like explaining a patient's condition, Director Li's voice was calm yet soothing, bringing peace to the listener.

A young woman appeared in the CBD, her legs crossed gracefully, her posture perfect and charming.

The images converge, gradually shrink, and penetrate layer by layer into the skin and muscles, reaching the pelvic cavity.

In the animation, the young woman's prolonged leg-crossing posture caused the pelvic blood vessels to be compressed, resulting in insufficient blood supply and the appearance of a shed endometrial cell.

It is the villainous protagonist of the animation.

As Director Li explained, the endometrial cells, which should grow inside the uterine cavity and shed and be expelled from the body during the menstrual cycle when not pregnant, coincidentally entered the pelvic cavity through the fallopian tubes and began to grow ectopically.

Here, Director Li's voice-over emphasizes that the retrograde entry of endometrial cells into the pelvic cavity or other locations is just one of many theories, and that the leg-crossing action is only one of the causes that the medical community highly suspects.

The phrase "The doctor's damn obsessive-compulsive disorder" seemed a bit abrupt in the explanation, but Director Bai and Director Liu both smiled knowingly.

Every sentence tries to plug all the loopholes, but medicine itself is a flawed discipline, and nothing is 100% certain.

on the screen.

After entering the pelvic cavity, the endometrial cells begin to take root and settle between the ovaries, pelvis, and uterine smooth muscle.

Although it is not in a normal physiological and anatomical position, this endometrial cell still has the properties it should have, and it changes as its hormone levels change with the menstrual cycle, just like before.

Thickening, peeling, bleeding—a series of symptoms will appear.

Symptoms such as swelling and severe pain appear in patients, all caused by endometriotic cells that act as the main culprits.

Meanwhile, the patient experienced severe abdominal pain during her menstrual period.

The endometrial cells inside the pelvic cavity are fine, but the animation focuses on showing the changes in the endometrial cells that fall on the outer wall of the uterus.

During menstruation, it grows, thickens, sheds, and bleeds within the smooth muscle of the uterus.

Because the gaps between the smooth muscles of the uterus are narrow, bleeding can cause increased local pressure, which, combined with the inflammatory response, can cause the pain to suddenly intensify.

At the same time, the increased secretion of prostaglandins by endometriosis lesions leads to uterine muscle contractions, making menstrual cramps more pronounced than before.

Several factors combined to cause severe pain for the patient, and oral painkillers were ineffective.

The woman in the animation was in excruciating pain and quickly became haggard, leaving many viewers with lingering fear.

"Old Bai, that's quite an image..." Director Liu scratched his head, "Is it really like that?"

Although Director Liu is the head of the Department of Urology, he doesn't really know much about endometriosis.

"Probably," Director Bai said, "but the internationally popular treatment options don't seem to involve interventional surgery."

The two exchanged a brief conversation, and then Director Li's voice-over came through the animation again.

"It is generally believed that chocolate cysts on the ovary are often large in size, or endometriotic nodules in other parts of the uterus with a diameter of more than 2 centimeters are difficult to control with medication and require surgical treatment..."

Director Li's voice was gentle, just like the classic line from Teacher Zhao's voiceover of Animal World—"Spring is here, all things are reviving, it's that time of year again."

I never expected that Director Li would even have a broadcasting voice.

He explained for several minutes, and as he explained, the effects of various drugs and the surgical procedure were introduced.

"In recent years, the widespread use of laparoscopy has provided a new option for the treatment of endometriosis. Especially abroad, the combination of laparoscopic surgery and GnRHa drugs has become an increasingly popular treatment option."

"But GnRHa drugs have significant side effects."

Director Li then changed the subject.

The damned OCD flared up again, and instead of giving the patient any hope without assumptions, he listed a whole bunch of aftereffects.

GnRHa drugs are a form of pseudomenopausal treatment and have some impact on the endocrine system.

However, Director Li spoke relatively little during this part; he quickly began to explain the interventional surgical treatment method.

Director Li was very frank and did not exaggerate the interventional surgery. Instead, he explained the situation directly, stating that the female patient's condition was that endometriotic cells were attached to the outer wall of the uterus and inside the uterine smooth muscle.

This type of endometriosis can be treated with interventional surgery.

He then began to explain the process of interventional surgery.

Embolization of both uterine arteries suddenly eliminates blood supply to the major uterine vessels, and blood is supplied by the dense capillary network in the pelvic cavity.

The blood supply is insufficient, but not to the point of necrosis, and the endometriotic cells begin to die off.

The entire animation lasted about 5 minutes, during which Director Li clearly explained the cause and effect, as well as the indications for interventional surgery.

Even laymen can see and understand it clearly, so the many doctors on the show naturally understand it as well.

Liu Zhi frowned. "Old Bai, is it okay to embolize the uterine artery? What if the uterus becomes necrotic?"

Director Bai looked at Liu Zhi with disdain, and after a few seconds said dismissively, "Patients who experience postpartum hemorrhage and require emergency surgery in the interventional department all have their uterine artery embolized."

"..." Director Liu was speechless.

I honestly don't know much about this field.

"This animation is five minutes long, and even I can't find any fault with it. No wonder it was taken off for a while," Director Bai praised.

"I think the production team has found a solution," Director Liu said with a smile. "I thought a long time ago that there was nothing left to film, but they were lucky and actually found endometriosis."

"It's not unusual to find a few patients in the clinic, the key is how to persuade the patients to agree," Director Bai said. "I guess the patient was in a lot of pain, and since he is a person of good character, he thought that if more people knew about it, there might be fewer tragedies, so he agreed."

……

……

They were chatting idly, while Director Fan watched the steadily rising data in the control room. He should have been happy, but he seemed a little absent-minded.

The troubles of happiness have returned.

(End of this chapter)