Chapter 353: Doctors are getting worried. Chapter 353: Doctors are getting worried. “Yes, she’s thirty-two years old.”
“Adult umbilical urachal diseases are rare in clinical practice, but they do exist, and reports indicate a slightly higher occurrence in males. I rember I had a female patient many years ago, also in her thirties,” recalled Professor Li, “so I was a little scared when I received this report.”
“You, you can go out first,” Shen Jinghui decisively asked the nurse to leave.
“Director Shen, may I not know?” Hearing the doctor’s tone and not letting them know, the nurse beca anxious.
“We doctors need to discuss this first and co up with a definite conclusion. Then, it’s more appropriate to inform you all,” Associate Director Liu comforted her.
The nurse looked towards Xie Wanying.
“Dr. Xie must also discuss with the other doctors before she can give you an answer,” Gao Zhaocheng covered for his junior colleague.
“Right, she’s my student. Whether she should speak to the patient and what she should say has to be approved by , her teacher,” Tan Kelin stated, with his usual aloof expression.
With no other choice, the nurse had to leave the room.
Not entirely reassured, Gao Zhaocheng then asked Yue Wentong to lock the conference room door from the inside, to prevent anyone from suddenly barging in and overhearing.
All the doctors were eagerly waiting to hear from Professor Li since such cases are extrely rare in clinical practice and required the expertise of an experienced senior.
“The patient I encountered ca in with blood in her urine, painless hematuria, and on arrival, there was a faint sign of a mass. A CT scan revealed a 2 to 3 cm tumor. She seed symptomless before that. If a colonoscopy had been done then, it probably wouldn’t have revealed anything. Typically, ultrasounds are more frequently used for gynecology and appendix issues. An ultrasound might detect it if the clinician is certain of the location and specifically scans there, otherwise, you wouldn’t find it. Nobody would think to look at the bladder because blood in the urine wouldn’t be an initial symptom. This disease can only be accurately detected with a full CT scan,” explained Professor Li.
“How is that patient now?”
“The surgical result was a malignant tumor, and she lived for about three or four more years after the excision. Because this disease is rare and highly malignant, typically patients don’t live more than one or two years after surgery; by the ti it’s discovered, it’s too late. By the ti patients co to the hospital with symptoms, the tumor has grown large and has infiltrated the peritoneum and bladder, so how much longer can they live? Plus, it can easily cause a large amount of ascites, leading to a faster death,” Professor Li said with palpable dread, tapping the report,” but we can’t say for certain this is cancer now because she reported pain, and early-stage tumors are not felt. Surgery is needed to excise and examine the pathology results.”
“So the nurse was very nervous when she got the report, probably because the doctor in the CT room said sothing to her,” the doctors speculated with nurous opinions, “She should’ve promptly gone to the senior professor for advice.”
Yet, for so reason, she insisted on finding a practicum student, not forgetting to glance at the student before leaving.
“One can’t bla her. With such secretive symptoms, there’s a good chance I’d miss the diagnosis too,” Professor Li admitted openly, adjusting his reading glasses before asking Xie Wanying, “Dr. Xie, tell , how did you spot the issue?”
With the senior professor asking, all the doctors’ eyes turned to Xie Wanying’s face.
“To be more precise, she said her stomach ached but there was no obvious rebound tenderness upon palpation. It’s normal for the previous doctors not to feel any pain during palpation. She’s sowhat overweight, with thick subcutaneous adipose tissue in the abdominal area.”
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