After 100 days of signing in system, My first operation shocked the world - Chapter 10

Chapter 10: Encountering Severe Acute Pancreatitis Again

Early in the morning, Lin Feng arrived at the ICU, greeted by a chorus of “Dr. Lin!” from a group of nurses. Their faces lit up at his sight, impressed by his exceptional medical skills and good looks. Lin Feng acknowledged their greetings with a smile and nod.

They proceeded to the conference room, where many consulting doctors from various specialties had gathered. Each one respectfully addressed him as “Dr. Lin,” recognizing his growing reputation and esteemed position despite being just an intern. Some doctors were surprised by his youth, having only heard his voice before. The fact that he had successfully performed a complex life-saving operation under Director Zhou’s guidance seemed almost unbelievable to them. Nevertheless, their interactions remained polite and devoid of excessive flattery.

Finally, Dr. Qian, the head of the ICU, provided a concise overview of the obese young man’s specific condition. The patient’s condition had progressed from acute pancreatitis to severe acute pancreatitis, accompanied by septic shock and pulmonary infection. Lin Feng shook his head in acknowledgment as he listened to the worsening state of affairs. Clearly, the situation should not have been delayed, as further delays would only worsen the problems at hand.

Dr. Qian turned to Lin Feng and requested that he share the situation he had encountered during his initial contact with the patient two days ago. Lin Feng nodded and proceeded to provide a comprehensive overview to everyone present. As the doctors heard that Lin Feng had recommended the patient’s admission and that the patient had chosen to leave alone, they collectively shook their heads and sighed. Although they had witnessed similar occurrences many times, it always frustrated them.

An hour later, following the triage meeting, Lin Feng made his way to visit Director Zhou, who was recovering well and had regained consciousness. Director Zhou’s spouse repeatedly expressed their gratitude to Lin Feng, causing him to feel slightly embarrassed. Trying to deflect the attention, he swiftly excused himself and departed.

In the blink of an eye, three days had passed since then.

[Ding… Check-in on the 106th day Reward: “World-class Experience in Colon Cancer Radical Surgery”!

[Ding… Check-in on the 107th-day Reward: “World-class Experience in Gastric Cancer Extended Radical Surgery”!

[Ding… Check-in on the 108th-day Reward: “World-class Experience in Scoliosis Correction Surgery”!

During this time, Lin Feng had successfully treated nearly 60 patients, demonstrating impressive professionalism in handling each case. The managing physician, Zhang Yuan, was initially shocked by Lin Feng’s capabilities but had grown somewhat accustomed to them.

Unable to contain his curiosity, he finally asked Lin Feng, “How do you know all of this? Where did you learn it from?”

Lin Feng calmly responded, “I acquire knowledge from domestic and international journals, forums, videos, and textbooks. I understand as I read.”

Zhang Yuan was left speechless. It was the first time he had encountered someone who could gain practical expertise in their field solely through online resources, without any hands-on experience. This person was even more skilled than him—an experienced emergency doctor. The realization filled Zhang Yuan with self-doubt and deep discouragement.

Just as these thoughts plagued Zhang Yuan, something unexpected happened.

Ding Dong…

Lin Feng’s name was brought up in the internal chat group, catching his attention. Dr. Qian, the head of the ICU, relayed the news to Lin Feng, saying, “Dr. Lin, I have some news for you. Unfortunately, the patient with pancreatitis deteriorated despite the surgery, and he passed away.”

Lin Feng fell silent, absorbing the weight of the news. The past was swiftly swept away like a gust of wind. He believed he had done everything he could, but ultimately, the patient didn’t value their own life. With a heavy sigh, he composed himself and called from the door, “The next patient…”

An old woman entered the room, accompanied by her daughter. She appeared to be in her 60s, her hair white, clutching her stomach with a pale face. Taking a seat, the woman shared her concerns with Lin Feng. “Ma’am, do you have any concerns?” Lin Feng smiled kindly, trying to put her at ease.

“Doctor, I’ve been experiencing stomach pain, chest tightness, and shortness of breath in the past two days,” the elderly woman explained.

“Ma’am, do you have any past medical history?” Lin Feng inquired.

“Yes, I have gallstones,” she replied.

Lin Feng asked several more questions, to which both the old woman and her daughter truthfully responded.

Following the inquiry, Lin Feng conducted a physical examination.

Ten minutes later, Lin Feng reached a preliminary diagnosis: pancreatitis.

The woman’s daughter nervously asked, “Doctor, what’s wrong with my mother?”

Lin Feng responded reassuringly, “We still need to conduct some tests. I’ll write the necessary requisitions, and you can proceed with the tests.”

Concerned, the elderly woman asked, “Doctor, is it something serious?”

Lin Feng smiled warmly and replied, “Let’s not worry for now, Auntie. We’ll discuss everything once we have the results.”

Swipe, swipe, swipe… Lin Feng completed the requisitions, obtaining the necessary signatures from Dr. Zhang Yuan. He then handed them over to the old woman and her daughter, outlining their needed tests: abdominal CT scan, blood biochemistry, amylase in blood, urine, and more. They took the requisitions without hesitation and headed to the laboratory for the tests.

An hour later, they returned with the test results in hand. As Lin Feng reviewed the findings, shock washed over him. Abdominal CT scan: 1. Presence of gallstones in the gallbladder and bile ducts 2. Enlarged and rough-edged pancreas, indicative of pancreatitis 3. Enlarged pancreatic head with abnormalities

Blood biochemistry: Elevated C-reactive protein levels at 273 mg/L, total bilirubin at 398 mol/L, and more

Amylase in urine: Remarkably high at 21,365 U/L.

Amylase in blood: Elevated at 980 U/L.

Blood gas analysis: pH level of 7.416; PO2 at 70 mmHg, among other readings. Lin Feng was surprised by the data before him. It was evident that the patient’s condition encompassed several factors: Severe acute pancreatitis, Gallbladder stones, Bile duct stones, Pulmonary infection, and potentially more. It was a case of severe acute pancreatitis again, a coincidence that left Lin Feng astounded.