Chapter 681: [681] Help check for a classmate Chapter 681: [681] Help check for a classmate Xie Wanying walked over and said to her classmate, “I’ve finished writing your study and daily life schedule, and I’ve given it to Senior Tao for review. You should have the results by this afternoon. The group will discuss your treatment plan again this afternoon, so you don’t need to worry.”
Speaking of this ‘Buddha,’ Zhao Zhaowei had always had a general level of trust in him, but he felt more trust in the class’s female top student, Student Xie.
“Yingying, can you perform a palpation for me?” Zhao Zhaowei invited her to examine him.
Xie Wanying understood that her classmate was still not quite at ease and nodded in agreement.
Lying back on the hospital bed, Zhao Zhaowei pulled open his patient gown and bent his knees, relaxing his abdomen, and said, “Feel my liver. I think it’s starting to hurt a bit in the back.”
“Does your back hurt?” Xie Wanying asked.
“I’ll feel it, relax a bit,” Xie Wanying said to her classmate, putting on gloves according to the department’s regulations before palpating him.
Her four fingers closed together, placed under the lower edge of her classmate’s right rib cage, in parallel with the liver’s lower edge, observing her classmate’s breathing. Just before her classmate’s abdomen sagged during his exhale, Xie Wanying pressed her fingers downward, preferring to use the sides of her fingertips rather than the tips. By delaying lifting her hand during her classmate’s inhale, she could feel the liver once more.
“It hurts,” Zhao Zhaowei responded, exhaling. He felt disheartened by the obvious tenderness because it indicated that there was indeed something wrong with his liver.
In addition to palpation, the liver could also be percussed. Xie Wanying then percussed her classmate, and the pain became even more pronounced. Fortunately, the preliminary results from the palpation and percussion did not show the liver to be particularly enlarged. What now needed attention was the back pain Student Zhao mentioned.
Right-side back pain could be caused by many things. If internal organs were to be suspected in this area, it would be necessary to rule out the possibility of lung and renal ureteral pathology.
During his stay at the hospital, the classmate had his other body parts examined. Imaging and ultrasound reports showed no abnormalities in his lungs or renal ureters. The focus returned to the possibility of back pain caused by gallstones and cholecystitis, which was one of the definitive causes mentioned in the ultrasound report.
Xie Wanying carefully tried to pinpoint where exactly the back pain was and said to her classmate, “During the meeting this afternoon, I’ll tell Senior Tao and the others about your condition.”
Zhao Zhaowei talked to her about his concerns, “Yingying, I trust you more. I know what kind of person that ‘Buddha’ is; he is too cautious in his approach. I don’t really trust that he’s willing to take the risk to diagnose my condition thoroughly. I want a cure, which might require exploratory surgery.”
The thought of surgery had crossed her classmate’s mind? Xie Wanying was taken aback for a moment and then fell into deep thought.
It wasn’t out of the question that a stone was blocking the liver or bile ducts inside her classmate, as some stones were so tricky that an ultrasound might not detect them. That would explain why her classmate’s jaundice and pain were worse now.
The problem, though, was that her classmate’s condition wasn’t critical, a bit like her maternal grandfather’s. Doctors were likely reluctant to accept the suggestion of surgery.
“Yingying?” Zhao Zhaowei glanced at her expression, his heart pounding, fearing that she too would be afraid to speak up. Previously, when a group of boys from Li Qi’an’s class visited him, they all urged him to follow the doctor’s advice, and no one was willing to give suggestions to the doctors on his behalf. Surely, it was because they were medical students who didn’t want to accidentally offend clinical teachers, fearing they wouldn’t be able to continue in the clinical field. Would she do the same?
After thinking it through, Xie Wanying concluded that her classmate’s condition was a lot better than her grandfather’s and that it wasn’t completely without surgical indication; it was a choice between doing it or not. If the discussion concluded that her classmate needed surgery, she would do her utmost to help, no matter what.