Healing Doctor

Chapter 583 He was right

"Mr. Miao, why don't you go in and take a look yourself?" Director Liang said angrily, not even bothering to enter the consultation room.

"Director Liang, what's wrong?" General Manager Miao was a little confused, and seeing the camera, he was afraid of making a mistake, so he asked in a low voice beforehand.

"The production team found someone... You should ask Director Fan for details."

Director Fan rubbed his hands together. "President Miao, where's Dr. Ji Xiang?"

"He's writing medical records. You should look for him," Mr. Miao asked.

"No, no, we need you for a consultation," Director Fan said after briefly introducing Lin Jiuze's identity. "He seems very gentle and doesn't talk much, but he seems particularly determined when it comes to medical matters."

"What a load of rubbish! It's complete nonsense!" Director Liang cursed. "The scans are right there, a classic case of intestinal obstruction, yet they insist on doing a 64-slice CT scan. I know the American Medical Association; they're willing to do all sorts of tests."

"I'll go take a look." Mr. Miao said curiously, striding into the consultation room.

Director Fan ignored Director Liang and walked to the door to scrutinize Lin Jiuze once more.

He was gentle and calm, the oppressive aura from before gone from his brow. Director Fan wasn't sure if it was just his imagination or if the argument had left a deep impression on him, but looking at Lin Jiuze now, he could sense the deep-seated pride in his bones.

Standing at the door and watching, Director Fan soon saw President Miao and Lin Jiu arguing.

"In cases of MVT complicated with intestinal obstruction, most patients will present with two stages of symptoms."

The patient was initially diagnosed with MVT due to abdominal pain and started anticoagulation therapy, which subsequently manifested as intestinal obstruction.

In this case, the intestinal obstruction was the initial manifestation of mesenteric vein thrombosis. The patient showed no obvious symptoms in the early acute phase, possibly due to persistent mild intestinal ischemia, which eventually led to intestinal fibrosis, stenosis, and obstruction.

"In addition, the clinical manifestations of MVT are usually nonspecific. Abdominal color Doppler ultrasound examination of mesenteric blood flow, ascites volume, and intestinal wall thickness can be helpful in diagnosis."

This test is quite difficult; I don't know if you are capable of performing it.

Compared to CECT, which has a sensitivity of over 90% in diagnosing MVT, CECT can also assess intestinal ischemia, helping to select patients who meet the criteria for conservative treatment.

The presence or absence of collateral circulation detected by the scan helps differentiate between acute and chronic MVT. Although this patient underwent screening for common thrombotic conditions, the cause of the MVT remained unclear.

When Lin Jiu talked about professional issues, he was still like a transparent person. President Miao was a little confused, and it seemed that he would not know who was talking to him after ten seconds.

But the series of technical terms and the habit of calling enhanced CT CECT made Mr. Miao feel like he was in a horror movie scene, with a mysterious force talking to him nearby.

"But..." Mr. Miao wanted to explain.

"There's no 'but,' let's follow the doctor's orders," Lin Jiu said firmly.

"All right."

Mr. Miao didn't even struggle and was immediately defeated.

Director Fan was completely bewildered. Was it really over? Shouldn't it have been a fierce battle? How come President Miao surrendered so easily after just a few words?

Mr. Miao contacted the CT room and booked an emergency 64-slice CT scan, then took the patient for the examination. Lin Jiu did not accompany them. Director Liang refused to be filmed, so he said goodbye to the crew and left to rest, acting as carefree as an old man.

Director Fan noticed that Lin Jiu seemed to hesitate for a moment, looked around, and finally tore the paper into pieces, crumpled it up, and threw it into the wastebasket.

He picked out the waste paper and hid it like a thief.

A few hours later, the results came back, and just as Lin Jiuze had said, the patient's condition was not simply intestinal obstruction, but rather intestinal obstruction caused by embolism of the superior mesenteric artery.

As General Manager Miao led his team into the operating room, Director Fan fell into deep thought.

The newcomer Lin Jiu had many strange features, which he genuinely found odd.

"Director, please take a look," Director Fan's assistant whispered as he leaned closer.

"What's wrong?" Director Fan asked, looking uneasy.

"There seem to be some issues with the video footage left by the film crew."

"Another disaster! Another disaster! From now on, I'll just stick to attending weddings! What's the point of keeping him around? He can't even do a proper job!!"

Director Fan was furious and started swearing.

He approached the cameraman, who looked terrified and repeatedly apologized.

The camera crew that worked with Director Fan on the hit variety show is renowned in the industry, with top-notch skills. Director Fan is very discerning and doesn't tolerate any mistakes.

But today, for some reason, something keeps going wrong.

"Didn't it get recorded again?" Director Fan asked with a stern face.

"It's recorded, but the quality isn't good." The cameraman was almost in tears. He said with a mournful face, "Director, it's all my fault, all my fault. But I tried my best, I don't know what happened."

"Take a look."

Director Fan knew the situation was rather unusual, and he sighed deeply after watching the footage recorded in post-production.

He didn't criticize the cameraman too much because the footage he recorded basically matched his own impression.

Director Fan didn't say anything, but went back to his car and said he needed some peace and quiet.

After unpacking and piecing together the paper that Lin Jiu had torn into pieces and thrown into the trash can, Director Fan saw that it had very messy writing on it.

It was available in both Chinese and English, but Director Fan watched it for several minutes and still couldn't understand a thing.

He recalled a joke—years ago, when doctors wrote prescriptions by hand, the pharmacists couldn't understand them. When patients took them home to ask, the doctors would say, "Why didn't you come back sooner? I've forgotten what I wrote."

Director Fan always thought this joke was mocking doctors, but he never expected to encounter it in real life.

He flattened the paper as much as possible, took a picture, and sent it to a doctor he knew.

A dozen minutes later, Director Fan received a phone call.

"Director Fan, is this a quiz segment from your variety show?" the doctor on the other end of the line asked with a smile after answering the phone.

"Old Sun, don't joke around. What does it say here?"

"In my opinion, it's a differential diagnosis, and it's done very meticulously," Dr. Sun said. "When they started diagnosing intestinal obstruction, they had all the diagnostic criteria, although a lot of it was in English and the words weren't very coherent, but I could understand it."

"And then?"

"Let's continue with the identification. Besides intestinal obstruction, we also did..."

Dr. Sun talked at length about six related diseases.

"The last one, superior mesenteric artery embolism, is a diagnosis that seems like a gift from heaven!" Dr. Sun exclaimed. "We don't encounter many cases of intestinal obstruction caused by this disease in clinical practice, but when we do, it's almost always misdiagnosed."

"Well……"

"I see the paper is crumpled up. Which department head at the First Affiliated Hospital was unhappy? What was the final diagnosis?"

Dr. Sun pressed for an answer.

Director Fan gave a brief, perfunctory reply and then fell into deep thought.

He tried hard to recall the scene in his mind.

(End of this chapter)