Super Doctor - Chapter 219

“Old Qian… sorry to trouble you again. Could you take a look at this patient? Perhaps transfer him to your Respiratory Medicine department? This isn’t exactly our specialty…” Li Huaming greeted Qian Zhixun with a wide smile. The two were quite familiar with each other.

Standing behind Qian Zhixun, Xu Ze sighed inwardly. It seemed he couldn’t avoid this today. With a soft sigh, he offered a wry smile and said, “Hello, Director Li…”

Li Huaming hadn’t initially noticed Xu Ze behind Qian Zhixun. Hearing the somewhat familiar voice, he was momentarily taken aback. He didn’t immediately recognize whose voice it was, but it gave him an uncomfortable feeling.

Frowning in puzzlement, he looked in the direction of the voice and finally spotted Xu Ze behind Qian Zhixun.

“Huh… It’s this kid…” Seeing Xu Ze, Li Huaming was reminded of that previous incident and the research topic he had lost. His face turned slightly pale. He glared for a moment before his expression finally eased a little, though he still seemed to be gritting his teeth. “Xu Ze… you little… You actually have the nerve to show up here…”

“Ah… Director Li, please, calm down, calm down…” Seeing Li Huaming’s deeply resentful expression, Xu Ze knew he was still holding a grudge about the last incident where Xu Ze helped the Emergency Department snatch that research topic. He could only offer an apologetic, wry smile. “Director Li, you really shouldn’t dwell on that matter. It wasn’t really my fault…”

“Hmph… You little brat, you hid your skills well… No wonder Director Zhang called you a monster…” Li Huaming also knew it was hard to assign blame for that past incident. He could only huff, “Alright, alright… you kid… I can’t be bothered to argue with you…”

Watching these two glare at each other with apparent resentment, Qian Zhixun and the other two doctors were stunned. Qian Zhixun was slightly better off, having some idea of the background, but the other two doctors were utterly dumbfounded. Who was this kid? He looked like an intern. How dare he speak to Director Li like that? And oddly enough, although Director Li seemed displeased, he also appeared to be quite familiar with the guy.

“Let’s go… take a look at the patient…” Li Huaming didn’t want to keep tangling with Xu Ze. With a sigh, he nodded to Qian Zhixun and the other two doctors.

Hearing their director, the two doctors snapped back to attention and quickly led everyone toward the ward.

As soon as they entered the ward, they were met with a series of coughing sounds. The doctor pushed the door open and led the group inside.

Hearing that an expert from Respiratory Medicine had been called in for a consultation, the patient was quite pleased and cooperative. Qian Zhixun meticulously inquired about the medical history and performed a thorough examination. After finishing, however, he also frowned. The patient’s lung condition wasn’t very obvious now, yet the coughing persisted. It was indeed troublesome.

Nevertheless, Qian Zhixun was quite responsible. Since he had brought Xu Ze along for the consultation, he gestured for Xu Ze to take a look as well.

Seeing the signal, Xu Ze stepped forward with his stethoscope to examine the patient. After listening carefully, he understood why Qian Zhixun had frowned. Currently, aside from slightly coarse breath sounds, there were no other abnormalities in the patient’s lungs. So, the reason for this cough required further investigation.

While Xu Ze was examining the patient, Qian Zhixun took the opportunity to think. This case was indeed odd. Initially, the chest X-ray suggested a lung infection. Now the infection had clearly improved, so why wasn’t the cough getting better? Could it be a new Mycoplasma infection? Mycoplasma infections don’t respond well to cephalosporins, which Neurology typically uses. That was a strong possibility.

Meanwhile, as Xu Ze listened to the patient’s lungs, he also activated the X-ray perspective function to examine the lungs directly. Even though the lungs sounded fine, nothing beat a direct visual inspection via X-ray perspective.

With the activation of X-ray perspective, the patient’s lung fields became semi-transparent in Xu Ze’s vision. In the slightly dim view, Xu Ze carefully scanned the lungs, finding only slightly thickened lung markings and no other abnormalities.

Xu Ze was always confident in what he saw directly. Now he was certain there shouldn’t be any major issues with the patient’s lungs. But the cause of the cough remained puzzling.

However, his mind was racing, conducting a detailed analysis of the patient’s condition.

The patient was admitted to the hospital because of dizziness. The neurology department considered it to be caused by cerebral arteriosclerosis and insufficient blood supply. Is it possible that it is a problem with the cerebral blood vessels and nerves?

Xu Ze suddenly realized this was quite possible. Although the patient initially presented with symptoms of a lung infection, since antibiotics had been used and the lung condition had significantly improved, yet the cough persisted, the possibility of a reinfection was relatively small. However, if the infection was due to an abnormality in the patient’s cerebral blood vessels or nerves, then that was certainly a possibility…

Thinking of this, Xu Ze quickly looked up toward the patient’s head.

By now, Xu Ze had been examining for quite a while. Li Huaming and the other two doctors were growing impatient, but seeing Qian Zhixun also deep in thought, they didn’t feel right urging him.

Qian Zhixun, meanwhile, was leaning toward the possibility of a new Mycoplasma infection. But since Xu Ze was still examining, he remained silent, waiting for Xu Ze to finish. After all, Xu Ze was under his guidance; he should give the student enough time to complete the examination.

Xu Ze also knew he was taking too long. He quickly focused and, looking at the patient’s head, commanded internally, “Activate color B-mode ultrasound examination…”

Xu Ze wasn’t really confident about starting this examination, because while modern color Doppler ultrasound can indeed detect some blood vessels, it’s generally difficult to see through blood vessels deep in the brain. A CT scan or cerebral angiography is usually necessary to make them visible.

However, Xu Ze hoped that the color ultrasound function of this futuristic super system would be more powerful than modern versions.

With his command, the system’s automatic response system quickly replied, “Color B-mode ultrasound activated…”

As the color ultrasound activated, the patient’s head also gradually became semi-transparent in Xu Ze’s vision. Colored lines began to flow slowly within.

Xu Ze knew these colored lines represented blood vessel and blood flow.

He took a light breath and observed carefully. These blood vessel were currently from the neck and superficial head. What he needed to see were the blood vessel inside the head. He could only wait and see if this color ultrasound was effective enough to penetrate deep into the head.

Holding his breath, Xu Ze watched as layer after layer of colored lines appeared in his field of view. He finally relaxed. It seemed this futuristic color ultrasound was indeed better, capable of showing deep blood vessel.

He carefully observed each blood vessel one by one, also noting the direction of blood flow. After a while, his gaze suddenly fixed. Near the patient’s cerebellum, he saw a colored vortex on a blood vessel, about one centimeter in size.

Seeing this small colored vortex, Xu Ze’s heart skipped a beat: A hemangioma?

“It must be a hemangioma. This hemangioma likely appeared recently, compressing a nerve, which is causing the patient’s severe cough…” Xu Ze now fully understood and had found the cause of the cough. However, his mood didn’t lighten at all. He estimated this hemangioma had probably appeared only in the last few days, meaning it was highly unstable and could very likely continue to grow or even rupture.

This is a major blood vessel. If it ruptures, the patient will suffer a cerebral hemorrhage or stroke. Moreover, the cerebellum is in a very unfavorable position, and there is a risk of brain herniation at any time, which could endanger the patient’s life.

“Ahem… Xu Ze, are you finished?” Just as Xu Ze was deep in thought, Qian Zhixun’s somewhat strange voice sounded in his ear, snapping him out of his reverie.

Seeing Li Huaming and the other two doctors looking at him with odd expressions, Xu Ze felt his face grow slightly warm. He knew he had taken far too long with the examination. He quickly offered an awkward chuckle. “Done, I’m done…”

“Alright… Since you’re finished, let’s return to the office and discuss the case together…” Qian Zhixun also felt somewhat embarrassed. This Xu Ze was really odd. Taking extra time to examine the patient was one thing, but actually zoning out… It was utterly embarrassing, making him, as the supervising teacher, lose face as well.

Everyone returned to the office and took their seats. Li Huaming cleared his throat and looked at Qian Zhixun with a smile. “So? Old Qian… Did you find anything unusual?”

“Hmm…” Qian Zhixun nodded. “This patient is indeed peculiar. Compared to the situation you described from a few days ago, the lung condition has clearly improved significantly. Yet the patient still has a severe cough. So I’m considering… the possibility of a new infection…”

“A new infection?” Li Huaming nodded thoughtfully, then looked at Qian Zhixun. “Old Qian, are you suggesting it might be a Mycoplasma infection?”

“Yes… A Mycoplasma infection is quite likely. Only in such cases would the patient have such a severe cough even when the signs of lung infection aren’t obvious…” Qian Zhixun agreed.

Since Qian Zhixun suspected a Mycoplasma infection, Li Huaming smiled and said, “Old Qian, if it’s a Mycoplasma infection, and the patient’s dizziness has significantly improved, how about transferring this patient to your Respiratory Medicine department?”

Upon hearing Li Huaming’s words, Xu Ze was shocked. Transfer to another department? If this patient were transferred to another department, it would cause a lot of trouble. Such a large hemangioma could rupture at any time. He must be transferred to neurosurgery as soon as possible. If he is transferred to the respiratory medicine department, and it is delayed for even a day or two, then he will be finished…