Chapter 690: She is truly a top student. Chapter 690: She is truly a top student. “No, that’s not it!” He Guangyou was so anxious he almost broke his voice, and when he glanced at Song Xueling’s unruffled expression, his patience as a senior was wearing thin. He glared at the face of his junior and demanded, “Who told you it’s like that?”
“Everybody thinks it isn’t; that’s good,” Song Xueling opened his mouth slowly, speaking deliberately as if setting the pace for everyone to carefully consider.
The group of seniors fell silent upon hearing his words.
In the silence, everyone realized where the problem lay: the jaundice had not subsided, and conservative treatment was limited to injections without any other methods available. Perhaps surgery was the only option left to explore. The two newcomers were right; the result was evident.
“Perhaps , we can try performing an ERCP for him?” Qiu Ruiyun stroked her chin, suggesting a new approach that could avoid surgical intervention after pondering deeply.
ERCP, short for Endoscopic Retrograde Cholangiopancreatography, involves inserting a duodenoscope into the duodenum’s descending part and then entering the common bile duct through the opening at the duodenal papilla to remove stones. Similar to a gastroscopy, it involves scope insertion through the patient’s mouth rather than cutting the skin with a surgical knife. Therefore, in Guoxie, it was performed by internal medicine doctors who were skilled in endoscopic procedures.
“Should we contact Ward Five?” The doctors began to discuss.
Upon hearing this, Xie Wanying became anxious and addressed the seniors, “No, that won’t do. If ERCP is performed to remove stones, it will require a sphincterotomy EST, which will damage the sphincter muscle.”
Wait, had she been to Ward Five? How did she seem so familiar with this examination? Had someone from General Surgery Department Two explained it to her? The group of doctors was surprised when she, an intern, spoke directly to the critical point of the ERCP procedure.
“Do you even know what the sphincter muscle is?” Gong Xiangbin asked her skeptically.
“The duodenal sphincter acts as a one-way valve, allowing bile to enter the intestines while preventing intestinal contents from getting into the bile duct. If the sphincter is damaged, it’s as if that natural barrier is gone. He has symptoms of gallstones, and after the surgery, it’s easier for intestinal contents to backflow and contaminate the bile duct, which would only make future biliary infections worse,” Xie Wanying explained concisely and clearly, without missing a beat.
Gong Xiangbin was silenced and dared not question the intern so hastily again.
She was a true scholar.
“Laparoscopic surgery allows us to examine meticulously, avoiding damage to the sphincter muscle by cutting open the common bile duct for direct insertion of the bile ductoscope. It is more convenient and efficient. We are surgeons with a major advantage in direct visual inspection within the patient’s body. There’s no need to let internal medicine doctors do it, right?” Xie Wanying addressed the seniors.
Indeed, why should they let internal medicine doctors handle such matters, as if handing over their bread and butter? The surgeons were dallying. The seniors present couldn’t help but suppress their chuckles, nearly bursting into laughter.
A subtle smile appeared on the corners of Song Xueling’s dainty lips.
When Tao Zhijie spoke up, the others held their comments.
Being called by her nickname by Senior Tao, Xie Wanying turned around, quietly waiting for Senior Tao to raise another academic question.
“What do you think of your Senior Cao?” Tao Zhijie asked her, a sudden shift from academic questions.
Xie Wanying paused briefly before answering, “Senior Cao is a gentleman.”
There were many good-looking guys out there, and although Senior Cao might not be the handsomest, he was undoubtedly a gentleman of great cultivation.
The others realized what Tao Zhijie meant by asking her about Cao Yong only after hearing her answer. It turned out her previous remarks resembled those of Cao Yong.
Cao Yong, what all his peers admired most about him was his courage to act.
When others hesitated, Cao Yong dared to stand up and advocate for action. It was the confidence of a superstar doctor, deeply impressive to all.