Doctor: I Can Synthesize Infinite Entries

Chapter 252: Chapter 201: Wu Ting, Are You Trying to Seize Power?

Wu Ting was widely known for his vast knowledge and extensive reading of various academic and cutting-edge journals. This image was now firmly established in everyone’s mind.

”Yasui, please go get him.”

Yasui nodded and immediately went to find Wu Ting. To be honest, Wu Ting had truly gained significant prestige among the junior doctors recently.

Wu Ting arrived quickly.

”Director Jin, Director Cai, Director Qin...”

After entering, Wu Ting gave a nod to the directors before he began reviewing the patient’s files.

Using his Diagnosis Skill, he actually managed to find a clue.

Wu Ting carefully examined the patient’s abdominal imaging files and asked Cai Qi,

”Director Cai, does the patient have a multi-year history of liver cirrhosis?”

Cai Qi readily shared everything he knew.

Watching Cai Qi’s deferential attitude, Lu Xuejun, who was standing to the side, couldn’t help but feel a wave of emotion. It was as if Wu Ting were the real director of hepatobiliary surgery.

At the same time, he felt a bit bitter and frustrated. After all, it wasn’t exactly a proud moment when your own department director couldn’t hold his own.

Lately, the Laparoscopic Diagnosis and Treatment Technology Research Center had been developing at a fiery pace. In certain Surgical Techniques, it had clearly far surpassed the Department of Hepatobiliary Surgery, leaving the department’s doctors feeling both envious and deeply frustrated.

Looking from Wu Ting to Cai Qi, Lu Xuejun couldn’t help the bitter feeling in his heart.

”Director Cai, I think I’m onto something. How about this: I’ll go to the ward one more time to check on the patient and perform a palpation.”

Before, in front of directors like Cai Qi, Wu Ting had to be cautious and hold back, carefully considering the proper decorum—what he should and shouldn’t say.

However, after his recent advanced studies at Jinggang University Medical College and the publication of several of his own top-tier research papers, Wu Ting had gained a growing confidence. His actions now carried the aura of an expert.

Recently, both Qin Donglai and Cai Qi had followed Wu Ting on multiple occasions to learn new Surgical Techniques, so they had grown accustomed to his arrangements and instructions.

So when Wu Ting requested to go to the ward, neither Director Cai nor Director Qin saw any issue with it. Director Jin, on the other hand, was a little surprised, but it wasn’t his place to say anything.

Once in the ward, Wu Ting carefully performed another palpation of the patient’s abdomen. Just as he suspected, he found that the patient’s spleen was enlarged!

Wu Ting palpated the patient’s abdomen again and detected the presence of ascites...

He basically had a clear answer. Now, he just needed to confirm the diagnosis beyond the physical signs.

”Yasui, arrange a cranial MRI for the patient. Pay special attention to the basal ganglia, looking for high signal intensity on symmetrical T1-weighted images of the globus pallidus...”

Watching Wu Ting give his calm and collected instructions, Qin Donglai and Cai Qi weren’t the least bit annoyed that he was being mysterious. On the contrary, they both breathed a sigh of relief.

”Dr. Wu, have you figured out what’s wrong with the patient?”

Cai Qi asked expectantly.

Seeing a department director asking for his opinion so earnestly, Wu Ting nodded confidently, though he couldn’t help but sigh inwardly.

’The standard of City First Hospital’s hepatobiliary surgery department really can’t compare to the one at Jinggang University Affiliated First Hospital.’

’If this case were at Jinggang University Affiliated First Hospital, I doubt even Director Fu or Director Shen would need to get involved. Liu Xingye alone could probably solve it.’

’Then again,’ he thought, ’hepatic encephalopathy is inherently difficult to diagnose. It’s often accompanied by other complex liver diseases, making it easy to misdiagnose, and City First Hospital lacks the relevant experience in treating it.’

This only strengthened Wu Ting’s resolve to help push City First Hospital’s development forward.

”Directors, let’s go to the conference room. I’ve basically determined the patient’s condition: it’s hepatic encephalopathy, caused by long-term liver cirrhosis!”

”Hepatic encephalopathy is a neuropsychiatric syndrome characterized by central nervous system dysfunction, caused by a metabolic disorder resulting from severe liver failure or impairment...”

Wu Ting explained in detail as he led the three directors down the hall.

Meanwhile, the two junior doctors, Lu Xuejun and Yasui, followed behind, carrying all the test results.

They watched the scene, Wu Ting looking every bit like a senior department director conducting a teaching round, and they were filled with a mixture of admiration and shock.

”Diagnosing a typical case of hepatic encephalopathy isn’t difficult; I’m sure Director Cai could identify one easily. However, this patient’s case isn’t typical. He has no obvious clinical manifestations, and his liver function tests show only minor abnormalities, pointing to subclinical hepatic encephalopathy. Furthermore, the patient suddenly quit drinking a while ago, which led to a coincidental misdiagnosis of alcohol withdrawal syndrome. That’s why it seemed so difficult to find the cause of his illness.”

Listening to Wu Ting’s explanation, Cai Qi became pensive, still somewhat skeptical.

”It’s not that I didn’t consider hepatic encephalopathy,” he said. ”But according to its pathogenesis, it’s caused by ammonia toxicity. When the body’s ammonia production increases and its clearance is impaired, the excess ammonia crosses the blood-brain barrier and acts as a neurotoxin, inducing hepatic encephalopathy...”

”But I carefully checked the patient’s transaminase levels, and they weren’t high. I also reviewed his head CT, as well as the liver ultrasound and CT...”

Director Cai, of course, had his own judgment and reasoning.

Lu Xuejun didn’t have a deep understanding of hepatic encephalopathy, but ’what Director Cai is saying seems to make sense, too.’

Wu Ting suddenly stopped walking and turned to look at Director Cai.

He understood, of course, that the doctors at City First Hospital lacked the high caliber of those at Jinggang University Affiliated First Hospital, but ’their Diagnosis Skill seems a bit too crude and arbitrary.’