When the Doctor Uses A Hack
Chapter 1441 - 1444: You’re Awesome, You Have the Final Say! (Additional 72/113 for Alliance Hierarch Deng Zhaohong)

Chapter 1441: Chapter 1444: You’re Awesome, You Have the Final Say! (Additional 72/113 for Alliance Hierarch Deng Zhaohong)

Among everyone present, the most proficient in the nervous system might just be Xue Zhengren!

At this moment, he was furrowing his brows, contemplating Chen Cang’s words, as if something was dawning on him, but he couldn’t quite grasp the clue!

After all, there is a distinction between neurology and neurosurgery.

If neurosurgeons were better than neurologists, then what would the latter do?

The complexity of the nervous system dictates that the challenge of diagnosis is very high!

Compared to the difficulty of neurosurgery operations, it is not inferior!

Perhaps many people still haven’t figured out the difference between internal and external medicine.

To put it bluntly, in clinical practice, the difference between internal and external medicine is whether the patient needs surgical treatment.

A surgeon might spend their entire life aiming to perfect their surgical skills, to perform operations that others cannot!

However, the epitome of an internist is to possess a discerning eye, to find the needed clues amidst the complexity of diseases, and then successfully diagnose and prescribe a treatment plan!

Some say, the highest realm of a surgeon is to become an internist!

This underscores the importance of diagnosis and conservative treatment!

Just as everyone was curious and puzzled, Chen Cang finally spoke!

"I have seen Mr. Sidis’s initial condition. It was indeed a comatose state, but... during the morning ward rounds, I noticed something amiss because I observed some changes!"

"And just as the professor said, the patient suddenly opened his eyes, which led me to the final diagnosis. Actually, this eye-opening... is a manifestation of the sleep-wake cycle!"

As soon as he said this, the scene erupted into discussions!

"Sleep-wake cycle?!"

"So that’s it!"

Instantly, many people began to understand the situation.

Normal people have a sleep-wake cycle!

It is even one of the body’s endogenous rhythms, also known as the circadian rhythm.

But what is a coma?

A coma is an unstable state, with life signs very unstable, a pathologically dangerous state!

In this state, it’s impossible to have a sleep-wake cycle.

Coma patients are always in a state of closed eyes!

So, in this case, although Sidis opened his eyes, he didn’t respond to external stimuli, with no speech, movement, or emotion!

This is not a good sign!

Chen Cang continued: "This actually indicates that the patient has entered a state known as a persistent vegetative state!"

"Persistent vegetative state differs somewhat from the ordinary vegetative state, and manifests similarly to a coma, even easily confused with a coma!

Moreover, patients initially comatose can, after varying lengths of time, gradually develop into these states.

Therefore, once a patient exhibits a sleep-wake cycle, true coma no longer exists, but has entered a persistent vegetative state!"

With this explanation, Chen Cang made everything clear.

Upon hearing "persistent vegetative state," everyone understood why Chen Cang sighed!

Anything that involves being a vegetative patient, how many can be treated effectively?!

In a coma, adjustments and rescue can be made according to the situation.

But once in a persistent vegetative state, it becomes all the more difficult!

Furthermore, this aligns perfectly with the patient’s onset conditions!

In general, acute trauma is the most common cause of persistent vegetative states, which aligns with the patient’s diagnosis!

Upon hearing this, Abatte gradually understood the situation.

Although he didn’t know what a persistent vegetative state was, he realized the situation was possibly dangerous by observing everyone’s expressions!

"Professor Chen, persistent vegetative state... what’s the situation, and how should it be treated?"

Chen Cang said: "This is a relatively rare condition, with an incidence of only four per million, but... currently, there is a lack of effective treatment methods for persistent vegetative states, primarily depending on causal treatment! And the cause is the hardest clue to find!"

At this point, Chen Cang did not continue to dampen spirits, instead saying: "But it’s not hopeless either; there have been reports of patients recovering in journals."

"The most important thing now is to find the cause. Since it’s trauma-induced, our primary focus should be on identifying the key factors!"

After listening, Abatte was instantly overjoyed. He pulled Chen Cang aside and earnestly said to him:

"Professor Chen, Minister Sidis is too important! We have to entrust this matter to you!"

Chen Cang nodded: "Rest assured, Mr. President, I will do my utmost!"

After returning to the ward, Chen Cang immediately began the diagnosis and discussion of this complex case with everyone!

"Now, Mr. Sidis’s only hope of survival lies in the cause. After the trauma, we should be looking for pathological products, we need to find the cause... now prepare to recheck the cranial CT, MRI, and EEG..."

Xue Zhengren stood there, watching Chen Cang directing like a commander over the situation, feeling rather moved!

He hadn’t expected Chen Cang to have such a formidable diagnostic ability in neurology.

Indeed... Xue Zhengren felt this was surpassing him!

Thinking of this, he even felt a little afraid!

Afraid that Chen Cang would soon surpass him...

This was not out of the realm of possibility!

As a neurosurgeon, Xue Zhengren knew well the advantage doctors with a strong neurology base would have on this path!

Especially when the other party is also an extremely talented surgeon.

Quickly, Chen Cang set out various plans.

What needs to be done now is to identify the cause of the patient’s condition and strive for a resolution.

However, a vegetative state won’t result in immediate death.

While waiting for Sidis’s test results, it would be impossible to sit idle.

Another liver donor for a Foreign Ministry official has arrived!

In the face of national power, there is an abundance of donor sources!

Chen Cang decided to proceed with a liver transplant surgery.

Upon seeing Chen Cang, Zhou Hongguang voluntarily stepped aside from the main surgeon position.

Chen Cang is now at a master level in liver transplantation, just one surgery shy of perfectly mastering the liver transplant task.

The surrounding doctors from Pakistan watched as Chen Cang entered the liver transplant operating room and began to discuss enthusiastically.

"What specialty is Professor Chen from, actually?"

"Cardiothoracic surgery, right? After all, Professor Chen just attended the AATS meeting..."

"No, it’s digestive surgery. I just checked the information; Professor Chen is the president of the World Society of Digestive Surgery."

"But... why is he so skilled in the nervous system?"

"Because he’s Professor Chen, after all!" Chen Cang’s little fan girl, Suyika, said.

This answer seemed to leave everyone with no grounds for refutation!

During the liver transplantation, Chen Cang instructed the head nurse: "Establish a video call with Professor Wang Tong!"

The head nurse nodded blankly!

Dean Xiba had no objections.

After all, whatever you say counts, you’re the expert, you have the final say!

...

ps: There will be two more Chapters tonight, begging for monthly votes...