When the Doctor Uses A Hack-Chapter 884 - 885 Listeria

Chapter 884: Chapter 885: Listeria

Chapter 884 -885: Listeria

No sooner had Chen Cang settled into his office chair than he heard the system’s notification ding!

[Ding! Congratulations, you have obtained Gastroduodenal Anastomosis: Master-level.]

Seeing the system prompt, Chen Cang was genuinely surprised.

Compared to colon surgeries, the difficulty of gastroduodenal surgeries was relatively much higher.

Moreover, the critical point was the technical difficulty and characteristics which offered a greater research prospect for gastroduodenal!

Gastroduodenal anastomosis was a commonly researched surgery in gastrointestinal surgery, but it had always been one of the challenging issues that gastrointestinal surgery continuously aimed to overcome.

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Why say so?

Compared to the generally more difficult cardiac surgeries, not many top-tier hospitals across the country carry them out.

But gastroduodenal surgery was different; nowadays, many county hospitals could carry out significant gastrectomies followed by gastroduodenal anastomosis. The key, however, lay in the anastomosis itself.

The success of the anastomosis directly influenced the surgery’s success rate and the potential for complications, like the relatively common postoperative complication of an anastomotic fistula.

So it’s said that duodenal surgery is easy to begin, but mastery is exceedingly difficult.

Know this, once complications like fistulas occur, the trouble is not a trifle.

Without any hesitation, Chen Cang immediately chose to learn.

Li Yue was inherently a general surgeon with a good grasp of gastrointestinal surgery, so obtaining such a surgical skill pleased Chen Cang immensely!

…

…

Tonight was Chen Cang’s night shift, after making a call to Qin Yue in the duty room, Chen Cang took a short break.

After six in the evening, Chen Cang was ready to get up for dinner when Nurse Yang Jie brought him takeout—quite a feast.

“Dr. Chen, thank you so much, my friend’s child is much better!” Yang Jie said excitedly, “It really was a Listeria infection. I looked it up, and it’s truly frightening. If it had been delayed, the child could have been in danger!”

Chen Cang smiled slightly, “No need to thank me, I did what I should, besides, it was just a helping hand.”

Before Yang Jie had a chance to reply, several other young nurses also hurried in.

“Dr. Chen, lately Sister Yang has scared us to the point we’re afraid to use the fridge. What’s the deal with this Listeria bacterium?”

“Yeah, these past few days, I almost shut down my fridge. Back when I had an abundant supply of breast milk, I stored it in the fridge, and now the thought of it makes me shudder!”

“That’s right, that’s right, I had quite a bit too…”

Chen Cang couldn’t help but swallow, not because he was hungry or greedy, but simply because he felt that these young nurses were teasing him—although he had no evidence!

At that moment, Chen Cang missed Old Ma tremendously; though the man was a bit shameless, he had… substantial deterrence. At least then he wouldn’t be surrounded by these young nurses…

Chen Cang quickly changed the subject; otherwise, these people would take the topic of who had more or less further and further.

“Actually, it’s not just about the fridge; Listeria bacteria can survive and multiply in abundance at room temperature too.”

“But how should I say this, generally, bacteria aren’t supposed to survive in low temperatures, which gives Listeria an opportunity to thrive and leads people to overlook the possibility of bacterial presence inside refrigerators.”

“Listeria, this kind of bacterium, how should I put it? That’s right! This killer doesn’t fear the cold!”

After Chen Cang said this, the young nurses began to laugh, pretending to find it very humorous.

Chen Cang chuckled coldly—it was too fake, clearly nothing more than coveting his looks!

“Listeria can multiply between 2-42 degrees, regardless of pH levels, and even survive at sub-zero temperatures. So, it really is something we should be cautious of!”

Hearing Chen Cang say this, to be honest, made everyone somewhat worried!

“Yes, I’ve seen that even in the United States there are patients infected with Listeria. What should we do?”

Chen Cang laughed, “Actually, it’s not too bad here at home. It’s related to eating habits. Foreigners like to eat fruit and vegetable salads, but our domestic cuisine is mostly cooked. Listeria bacteria are basically killed after heating above 70 degrees Celsius for two minutes, so there’s no need to worry!”

“Regularly disinfecting the refrigerator can reduce the possibility of bacterial growth. Moreover, for people with low immunity, they should avoid eating unpasteurized milk, cheese, sushi, sashimi, and the like. Make sure to wash fruits thoroughly.”

The young nurse saw Chen Cang quickly and succinctly clear up the issue, leaving her with no excuse to bother him and had to go back and think of another way!

While at that moment, Chen Cang sighed in relief, finally able to have a meal.

The night shift in the emergency department always made one feel uneasy, virtually no patients around, but one always had to remind oneself not to let the mind wander, because as soon as it did, a case could come in at any moment.

Around ten-thirty that evening, a young girl came into the emergency department.

She was quite young and dressed very… provocatively. Despite it being March in the capital, she wore a skin-tight dress with silk stockings and clicked her high heels, carrying a Donkey brand purse.

“I’d like to register.” The woman was very calm, showing no signs of illness.

Xiao Ke nodded and quickly ran to call Chen Cang.

Standing beside the woman, Xiao Ke’s plain attire made him seem like an ugly duckling in comparison.

Flaunting her wealth, the woman carelessly placed a Ferrari key on the nurse’s desk, then proceeded to take out her money and ID to register.

Chen Cang hastily asked, “What’s making you feel unwell?”

The woman sighed and said with a frown, “My abdomen hurts, on both sides. It hurt so much earlier I couldn’t bend over. It’s better now, but still painful.”

Chen Cang nodded, “Can you walk on your own?”

The woman nodded.

Chen Cang motioned for Xiao Ke to join him in the resuscitation room and had the woman lie down on the bed.

“Have you had any illnesses before?” Chen Cang casually asked.

“None, I’ve been pretty healthy.”

Chen Cang nodded, positioning the woman properly to begin the abdominal palpation. However, it was inconvenient through her clothes, and lifting her dress created a rather awkward situation.

Fortunately, Xiao Ke was present, and there was no trouble.

Chen Cang gently touched her abdomen.

“Ouch!”

“Ay… it hurts, it hurts!”

Chen Cang immediately frowned. Signs of peritoneal irritation were very evident, with abdominal tenderness upon palpation, mainly in the lower or lower right abdomen, with rebound tenderness and significant abdominal muscle tension.

Could it be peritonitis?

No, that didn’t seem right.

Could it be a gynecological disease?

With that thought, Chen Cang said, “Bear with me for a moment, it might hurt a bit.”

The woman braced herself, nodding and gritting her teeth.

When Chen Cang palpated the lower abdomen, he felt the posterior cul-de-sac was full, the cervix was immobile, and there were inflammatory masses in the adnexa, more noticeable on the right side.

This made him furrow his brows, “Have you been pregnant before? Had any miscarriages?”

On hearing this, the woman seemed somewhat displeased but still answered, “Been pregnant five times, all ended in miscarriage.”

When she spoke, she sounded so calm, as if she were saying, “I ate five buns for lunch,” without a hint of pride or emotional fluctuation.