Chapter 72: Chapter 72 - 0070 The Charm of the Professor

Director Miao was deeply moved by Director Tian’s dedication and professionalism. Without saying much, he led everyone to the department.

Shipo County People’s Hospital might not be able to compete with big city hospitals, but it is definitely leading in this region.

The new hospital building is notably impressive, and the old building has also been renovated and looked as good as new. There are many patients in the hospital area, people keep coming and going.

We took the elevator to the orthopedics office, where many doctors were still on duty.

Some were talking to patients, some were writing medical records, and others were gathered around a computer looking at X-rays.

Upon hearsay that the professors had arrived, they all wanted to see for themselves, so they purposely postponed their lunch.

“Everyone’s here, these three professors are from Sanbo Hospital in G City, Professor Tian, Dr. Song, and Dr. Yang.”

Everyone stood up and applauded to welcome them.

At first, Director Miao had intended to introduce them as Professor Song and Professor Yang, but considering they were very young, he referred to them as doctors instead.

“This is our doctors’ office, it’s a bit rudimentary.” Director Miao said with an inviting gesture.

Director Tian casually glanced around the room and said, “Director Miao, your hospital is changing for the better every year. Not only is the building environment beautiful, but each doctor also brings a powerful energy that can’t help but make people feel trusted and secure. No wonder patients from all three provinces are flocking here.”

Older doctors who had met Director Tian before came over to shake hands and exchange greetings.

These doctors were secretly observing them. Generally, they occasionally invited professors to perform surgeries, but none of them have had such strong auras.

Director Tian has a graceful demeanor, a refined speech, and an aura of a well-read man, giving a sense of maturity and stability.

Song Zimo is tall and handsome, full of vigor, with a single shoulder bag slung across his body, is holding Director Tian’s document bag in his hands, and has a somewhat wavy thick hair, giving him a unique blend of Eastern and Western charm.

Although Yang Ping couldn’t be described as handsome, he does have a comparatively pleasing look, and his eyes were full of confidence.

The doctors marveled at how different they seemed to be from those from big hospitals.

“Would you like to come and sit in my office?” Director Miao suggested.

“No need, we’ll stay here and look at the x-rays first,” said Director Tian.

Although these films have been viewed countless times, they still had to go through the motions. This was done to reassure the host, otherwise, it would seem a bit flippish to start operating as soon as they arrived.

“Xiao Tao, hang up the films.” Director Tian called the ward doctor.

Xiao Tao, who in fact wasn’t young, and looked older than Director Tian, immediately responded, “Director, they’re already hung up.”

A few films were already hung up on the light for viewing.

Director Tian walked up to the light, Director Miao accompanied him, and Yang Ping and Song Zimo stood on either side. Everyone else gathered around.

Director Tian adjusted his gold-rimmed glasses and said, “Hmm, the anterior and posterior pillars of the acetabulum are fractured, displacement is obvious, the sciatic nerve behind must be affected by compression or tension, are there any neurological symptoms?”

“Yes, the muscle strength on the injured side of the lower limb is at level 3.” Dr. Tao said.

Dr. Tao, who was also in his thirties, had thin sparse hair, and could see his scalp clearly.

He looked older than Director Tian, which made him feel somewhat ashamed. He was just a newly promoted attending doctor at such an age, working day and night shifts while Director Tian, a professor in his thirties, was performing surgeries all around at major hospitals. He was filled with mixed feelings about the contrast.

“The ala of the ilium and the sacrum are also fractured, and the sacroiliac joint is clearly separated. Let’s go and see the patient.”

Director Tian succinctly summed up the condition accurately. He didn’t show off with English words or specialized vocabulary, but still demonstrated his high-level proficiency, without making people feel he was condescending.

Dr. Tao led the way, Director Miao guided, and they all went to the ward to see the patient.

The relatives became excited when they learned that the professor had arrived.

The patient, a 35-year-old man, was injured in a car accident. He was lying on the bed, with his right lower limb in skeletal traction from the femoral epicondyle.

One of the several relatives by the bed was holding a document bag, who seemed to be making the decisions. He looked a bit older than the patient. His black shirt was smooth and shiny like silk, and they looked similar, so he was probably the patient’s brother.

The man with the document bag immediately stood up. Director Miao introduced, “This is Professor Tian that we invited. He just got here and wanted to see the patient right away. It took a lot of effort to get Professor Tian here as he is very busy.”

The man shook hands with Director Tian, “Thank you, Professor Tian, we are extremely grateful!”

The patient himself didn’t say much, just looked around.

“I’m going to examine you now, please let me know if you feel any pain,” Director Tian said in a soft voice.

After obtaining the patient’s agreement, Director Tian pulled the patient’s clothes up to the chest to expose the abdomen and chest, and began to examine him very seriously.

They had only seen the x-rays before, and this was the first time they saw the patient.

Often at this time, new information can be found, things that the x-ray might not have captured, or things that may not match the initial assessment.

Following the strict orthopedic examination procedure of inspection, palpation, motion, and measurement, he examined from the healthy side to the affected side, from local to systemic.

First, look for any deformities in the pelvis, shortening of lower limbs, muscle atrophy, and the color of the cornea and lips.

Then check the sensitivity of the skin, the movement of the toes and perform palpations on the abdomen and chest, finally asking about the color of stool and urine.

The examination is comprehensive, thorough, with highlighted key points, reflecting excellent professional competence.

Director Tian picks up the patient’s wrist and counts the pulse.

“Do you have a stethoscope?” Director Tian asks.

Surgeons seldom carry stethoscopes, everyone glances at each other.

Director Miao loudly asks: “Who brought a stethoscope?”

There is no answer, no one brought it! A versatile doctor, runs and returns huffing and puffing with a stethoscope in hand, gives it to Dr. Tao and then to Director Tian.

Director Tian pulls up the patient’s clothing a bit more and bends over to begin auscultating.

First, he listens to the lungs, there are no problems.

Next is the heart. After listening to the five standard auscultation areas, he focuses on certain special parts.

“Murmurs can be heard in the third and fourth intercostal spaces on the left edge of the sternum, from grades four to six with palpable thrills, indicating a small ventricular septal defect,” Director Tian stands up.

“Yes, he has congenital heart disease.” The patient’s family immediately responds.

The doctors observing are privately amazed, a professor is a professor, even the auscultation of the heart by a internist is this proficient, big hospitals are truly different.

Director Tian continues to listen to the abdomen and says, “The bowel movements are rather slow, you often have bloating, right?”

“Yes, Professor, my stomach has been uncomfortable, like it’s filled with gas,” the patient answers himself.

The professor hits the nail on the head each time.

Director Tian says: “The hematoma behind the peritoneum stimulates the abdominal nerve plexus, leading to slower intestinal motility and difficulties with bowel movement and gas discharge, let me check the medical record.”

Dr. Tao passes the medical record, Director Tian carefully checks the course of the disease record and examines the inspection items one by one.

“The hemoglobin is a bit low, only 90.”

“Well, you’re lucky. No injury to the rectum or urethra,” Director Tian says while looking.

When he gets to the page with the electrocardiogram, he unfolds the EKG paper, reading as he goes along, “There is an rSr wave in the V1 lead, indeed indicating a small ventricular septal defect.”

The electrocardiogram report indicates: sinus rhythm, 80 beats/min, and generally normal EKG.

When the patient hears this, he realizes he indeed has this condition. Because he didn’t feel significantly uncomfortable, he didn’t pay much attention. This time after getting injured, he didn’t mention it to the doctor. The professor is incredible, he figured it out just like that.

“Yes, Professor Tian, I do have this condition. I had a heart ultrasound during every physical check-up, I visited several hospitals, the doctors said it was congenital and the defect is very small, no need for surgery,” The patient and family members are sincerely convinced.

The doctors in the room are also completely won over, he can even read EKGs, more accurately than cardiologists and the EKG department. You can’t help but respect him.

“Please ask the cardiology department to come for a consultation for the heart issue, and ask the surface ultrasound office to do a bedside surface ultrasound, and quickly!” Director Miao commands.

This professionalism is different. Director Miao’s face is filled with confidence, the person was invited by him, of course he looks good.

Director Tian, holding the patient’s hand says, “The surgery is challenging and risky, but don’t be too nervous. We will do our best, aiming for perfection.”

The patient continuously nods his head.

After seeing the patient, they return to the doctor’s office. Director Miao says: “The operation is scheduled for two o’clock in the afternoon, we’ll first go to the office for a cup of tea and take a short break, then go for lunch.”

“Okay!” Although Director Tian is young and not very famous, he’s not doing a swift surgery for the first time, he knows the ropes.

Director Miao leads them to the director’s office and pours a few cups of tea.

Director Miao says: “Professor Tian, this patient’s family is wealthy in Shipo County, a respected local family, I entrust them to you.”

Director Tian laughs and replies: “Director Han has briefed me in detail, I will do my best. See, Director Han is thoughtful. He asked me to bring two more people. We perform surgeries together often, so we work well together.”

Director Miao refills the tea: “Director Han is really considerate. Oh, the patient’s family, the one present just now, his brother, wants to understand the operation situation in person again, is it convenient for him to come over?”

Director Tian, who is looking at the calligraphy and painting on the wall, says, “Fine, let him come, I’ll talk to him again.”

Director Miao immediately goes out and brings in the patient’s brother who was there just now.

The family member, holding a black document bag, has a smile on his face: “We’re troubling Professor Tian, we’re troubling all of you!”

“You chat, I’ll go and see the situation with the sterilization of surgery room equipment.”

Director Miao closes the door behind him.