"Itâs clear that this is definitely not tuberculosis. Tuberculosis would show an asymmetrical pattern in the intervertebral disc, but this does not."
This comment came from the medical student Feng Yicong, indicating that as an internal medicine student, Feng Yicong was more willing to draw a negative conclusion compared to spinal surgeon Doctor Guo. Being a doctor involves a process: as a medical student, one might be bold and fearless due to a lack of experience, while as a resident, having had some experience yet not enough, one tends to become overly cautious and hesitant.
"If itâs a tumor, why did they choose to do a cranial CT?" Li Qiâanâs thoughts matched those of the advisor, feeling that only adding a cranial scan was not as precise as doing a full-body CT scan.
Chang Jiawei, that playboy, made a rather odd decision. The male students once again sensed signs that this playboy was unreliable.
Fortunately, Geng Yongzhe wasnât present, as he was dragged outside by the class monitor. Otherwise, hearing all this would have been even more overwhelming for him.
"Yingying, what do you think?" Pan Shihua turned to ask Student Xie, remembering clearly that Student Xie hadnât mentioned the issue of metastatic tumors. But at the time, it was hard to say anything, as the patient hadnât undergone any tests yet, so it was normal if Student Xieâs previous suspicions were off.
"The patientâs typical heart symptoms couldnât detect an organic heart disease, so Doctor Chang had to consider factors related to the cranial area," Xie Wanying said. Yesterday, she couldnât see the scans clearly to draw a conclusion, but now, having a clear view helped her grasp the thought process of her senior. The connection between the heart and brain isnât just random talk; theyâre almost intertwined. As someone with half the expertise of a neurosurgeon and having learned from old classmates about cardiac surgery, Chang Jiawei is completely different from an average orthopedic doctor, more keenly associating heart and cranial factors, with the technical term being brain-heart syndrome.
The group of male students was initially surprised: could that Master Playboy be capable of thinking so thoroughly? After pondering her words, they exclaimed, "Itâs a brain infarction!"
Her classmates, all top students, once the differing opinions were cleared, needed only a small hint to swiftly arrive at the correct standard answer.
Ren Chongda was the most astonished: since when had these kids in his class become so outstanding, their reaction speed far outpacing that of their advisor, perfectly demonstrating the saying âthe younger generation will surpass the old.â
"Isnât that right, Senior Cao?" Lin Hao, feeling somewhat enthusiastic, wanted to ask Cao Yong whether their guess was correct.
Cao Yongâs dimples already showed a hint of a smile. Among the fastest thinkers, it was none other than the little junior sister, always quick and accurate in her guesses.
Song Xueling glanced back at this group of Guoxie boys: worthless bunch, if not for Dr. Xie, theyâd likely still be lost, wandering endlessly in the labyrinth.
"Why is it a brain infarction?" Huang Zhilei adjusted his glasses, deliberately testing the junior brothers further.
A brain infarction requires a reason; it canât be speculated upon by only observing cardiac manifestations.
"Fracture."
"Itâs the fracture that wasnât handled well."
"The patient previously had a fracture, and the fractured leg has been in pain; they should further examine the fractured calf area."
"The issue is, heâs had the fracture for many years. Did the cerebral thrombosis just break out now?"
"There must be other reasons."
"Prolonged bed restâ"
Everyoneâs eyes darted over, seeing that it was Pan Shihua who gave the final answer.
Even without tapping the brains of Xie Wanying, Pan Shihuaâs own strength is top-notch.
A fracture plus prolonged bed rest could indeed lead to a brain infarction. Moreover, the patientâs increased heart rate wasnât a recent symptom; based on retrospective estimation, it was likely for this reason.