When the Doctor Uses A Hack

Lu Xiaojun couldn’t be described as anything but an experienced senior doctor.

His experience with endoscopies was extensive, and his clinical expertise even more remarkable. Upon seeing the situation, he made a snap decision to stop Chen Cang from attempting to remove the fishbone.

The patient clearly didn’t understand—wasn’t it just a fishbone? Wouldn’t it be fine just to pull it out?

So the man directly asked, “Doctor, why can’t you just pull it out?”

Reminded by Lu Xiaojun, Chen Cang also instantly realized what was at stake!

Quite simply, you don’t know what’s outside the esophagus!

The intricate network of blood vessels inside the chest cavity, along with various organ tissues, and the position and direction… To put it bluntly, should the fishbone pierce a blood vessel… the consequences would be unthinkable.

With this in mind, Chen Cang looked at the man and earnestly explained, “This location is very special, and… you haven’t even determined the size or length of the fishbone. It’s very risky to pull it out rashly!”

The man was stunned for a moment, obviously somewhat incredulous.

Indeed, that’s the folk remedy—when a fishbone gets stuck in the throat, you follow that remedy, swallow down a mouthful of food, and then forcibly press the fishbone down.

But!

Hearing this, both Lu Xiaojun and Chen Cang’s faces changed color again.

Because a fishbone is not like any other thing—if the fishbone is tiny, indeed it could be pressed down with the food, moving with the esophagus’s peristalsis.

But, have you considered another possibility?

What if the fishbone had already penetrated the esophageal wall, and as you press down with the food, the fishbone, like a nail, is driven deeper into the esophageal wall by the food!

Even worse, what if this “nail” might penetrate into a neighboring “neighbor,” such as the trachea or a major blood vessel!

All these are problems.

With these issues in mind, Lu Xiaojun quickly pulled the patient aside, pointing to the X-ray and said, “Look, this is your fishbone X-ray. The part of the fishbone visible inside the esophagus is less than 4 millimeters long. Do you understand what this means?”

Lu Xiaojun’s expression was grave as he seriously continued, “This means a long part might have already pierced through the esophageal wall and entered the chest cavity!”

“The reason I don’t want to pull it out is because the part of the fishbone that’s gone deep in is near the thoracic aorta! In other words, if, hypothetically, the fishbone has entered the thoracic aorta, as soon as it’s pulled out, blood will shoot out like a fountain, and there might not even be a chance for emergency treatment!”

Upon hearing this, the man’s complexion instantly changed.

He looked at Chen Cang and Lu Xiaojun’s serious faces, realizing they were clearly not joking.

“What’s the thoracic aorta?” the man asked, still somewhat unwilling to accept the situation.

He knew what a CT scan was—that it cost several hundred yuan!

Lu Xiaojun couldn’t help saying, “Let me put it this way, the thoracic aorta is the largest and thickest artery in the human body. The pressure there is the highest, like a high-pressure water gun. Once it bursts, the blood will spray out, just like a dam bursting; you wouldn’t be able to do anything about it!”

Although Lu Xiaojun might have exaggerated a bit, what he said was all true.

Chen Cang also understood that this situation definitely couldn’t be delayed!

After thanking Lu Xiaojun, he immediately left.

…

…

By this point, the man had also been frightened by Lu Xiaojun’s words.

Upon arriving at the emergency room, they quickly started preparing to run tests.

The man’s wife, upon seeing this, hurriedly asked, “Doctor… will this be okay? My husband… he won’t have any problems, right?”

Chen Cang shook his head: “Right now, nobody can guarantee anything, let’s complete the examinations first and then see what the situation is.”

After saying that, he took the man to the Radiology Department, where they immediately prepared to conduct the tests upon learning of the man’s condition.

Chen Cang, to be honest, was also unsure, because as a doctor, he wasn’t a god, he didn’t have X-ray vision!

He had no idea what the outcome might be!

They could only wait for the results of the tests.

Indeed, just a few minutes later, the radiologist called Chen Cang in.

“Doctor Chen, the situation… does not look good!”

With a single sentence, Chen Cang was taken aback.

“What exactly is going on?”

At this time, the film had not yet come out!

The radiologist, pointing at the screen of the computer and with a grave, even stern expression, said, “Do you see that? This is the fishbone. It has already pierced through the esophageal wall and one end has penetrated the thoracic aorta!”

Chen Cang’s skill in interpreting chest imaging was perfect!

He could clearly see and understand it completely!

“Next level, I’ll take a look!”

After looking through several layers of images one after another, Chen Cang was suddenly dumbfounded.

The situation was more dangerous than he had anticipated!

One could even call it greatly perilous.

Chen Cang’s perfect-level image reading ability instantly conjured up a mental image of the fishbone piercing the patient’s chest cavity.

At this moment, the fishbone was no longer simply an innocuous, harmless fishbone as seen on the imaging results.

Chen Cang felt it was more like a deadly weapon!

Just like a crescent blade, it was inserted horizontally near the esophagus and thoracic aorta!

If removed blindly!

It would inevitably create an aortic rupture and absolutely result in massive hemorrhage.

By then, even rushing to save the patient might not be timely enough!

Chen Cang suddenly found himself breathing rapidly.

Rush to get a hospital admission, and not just any room but to the ICU for intensive care, closely monitor the vital signs, urgently organize a panel of experts, prepare for surgery!

The current situation was no longer as simple as Chen Cang had imagined.

Because the condition could still escalate, with the fishbone already piercing the thoracic aorta, who knew if it would shift due to the strong arterial blood pressure?

Who knew if it would move together with the internal peristalsis of the esophagus!

Should it shift.

The consequences…

Need not even be considered.

They were absolutely very dangerous.

At this time, the man had already emerged from the CT room.

Chen Cang approached him, explained the situation, and then said, “Have your wife handle the hospital admission; you go rest in the observation room!”

The man’s face instantly turned the color of ash.

Honestly, he was already scared stiff at this point.

He could not have imagined that a simple fishbone could be so dangerous!

Even life-threatening?

This seemed improbable even in novels, yet it was happening in real life!

He really wanted to ask Chen Cang if this was a joke.

But, looking at Chen Cang’s serious face, how could he not understand what had happened!

After arriving at the emergency room, Chen Cang instructed the man’s wife to go through the procedures, and then he hurried off to prepare medical orders.

After a flurry of activity, it was already past three o’clock, and the doctors in the office had started arriving one after another.

It was then that Chen Cang suddenly realized!

Why would the system give such a large reward for a small fishbone?

Chen Cang couldn’t help shaking his head!

He had almost misjudged the situation.

Emergency room, oh emergency room!

There really are no small matters.

Not a bit of carelessness is permitted!

Who could have thought a small fishbone could be life-threatening?

…

…

ps: For now, three updates. It’s almost winter, and those who eat fish should be mindful: this story is not a joke; it is adapted from a real case. Fishbones can indeed pose a danger to life.

Remember this saying: Don’t eat fish with bones when you’re hungry!

Also, although this novel is a work of fiction, more than ninety percent of the cases are real, as is the scientific knowledge, including many life common sense facts like not washing socks and underwear together. This is why the book is taking a while to write; I basically spend a whole day writing just five chapters, unable to do anything else!

I will also continue to share medical knowledge with everyone in the later stages, hoping that after you finish this book, you’re not just thrilled but also enriched!

Finally, as usual, I humbly beg for your support.

Visit and read more novel to help us update chapter quickly. Thank you so much!