Chapter 100: Chapter 100: Hurry and Get Over Here

“Yiyi, do you have any objection to my judgment?”

Yan Feifan waited for a moment. When Yiyi didn’t respond, he knew he must be right.

Based on his understanding of Yiyi, if he had made the wrong judgment, it definitely would have popped up to mock him a little.

Yan Feifan looked at Mr. Wan and said, “Mr. Wan, I…”

Mr. Wan held up a hand, stopping him. “Don’t state your judgment just yet.”

He looked at Li Hao, Gao Jin, and Yu Suye and ordered, “Your turn. Be quick about it.”

This time, Yu Suye and Gao Jin stepped forward together.

However, Gao Jin gallantly made a “please go first” gesture, letting Yu Suye proceed…

Yu Suye, Gao Jin, and Li Hao each asked the pregnant woman some questions. They also primarily used palpation, at most with the help of a stethoscope, to examine her abdomen.

The pain point Yan Feifan had located by pressing was, naturally, the area the three of them focused on examining…

Mr. Wan waited until Li Hao had also finished his examination, then asked directly, “Mr. Gao, give me your diagnosis!”

“Appendicitis!” Gao Jin’s reply was crisp and direct.

“Dr. Li, what about your diagnosis?”

Li Hao hesitated for a moment, then replied softly, “Inflammation or a stone in the bladder or urethra.”

Mr. Wan looked at Yu Suye, his expression impassive, and asked, “Do you have any new ideas?”

Yu Suye bit her lip lightly and said matter-of-factly, “Mr. Wan, with the current information, I can’t reach a definitive diagnosis. I can only rule out gastrointestinal diseases and common causes of an acute surgical abdomen.”

Mr. Wan just shook his head and said with some disappointment, “Great. Three people, three different answers.”

He looked at Yan Feifan and said, “Xiaoyan, are you going to give me a fourth answer?”

Yan Feifan grunted in affirmation. “Mr. Wan, my diagnosis is torsion of a fallopian tube cyst.”

Torsion of a fallopian tube cyst is a type of gynecological acute abdomen. Approximately 10% of ovarian or fallopian tube cysts can undergo torsion.

It often occurs with a sudden change in body position, strenuous exercise, or changes in the size and position of the uterus during pregnancy and the puerperium.

Its typical symptom is the sudden onset of severe, one-sided lower abdominal pain after a change in position, often accompanied by nausea, vomiting, or even shock.

Sometimes, an incomplete torsion can spontaneously resolve, and the abdominal pain subsides along with it.

The moment Yan Feifan stated his judgment, it immediately drew a challenge from Gao Jin.

“The fallopian tubes are so deep, and they’re obscured by the uterus. How could you possibly feel them?”

“Mr. Yan, you just inferred this diagnosis, didn’t you?”

Yan Feifan explained, “It’s true that the fallopian tubes are very deep. And with the compression from the patient’s uterus, they are difficult to palpate from the abdomen.”

“However, if the cyst has reached a size of at least three by five centimeters, it’s still possible to detect something if you feel for it carefully…”

Seeing the young doctors starting a live discussion, the husband couldn’t take it anymore and said with a note of dissatisfaction, “Mr. Wan…”

Mr. Wan held up a hand, stopping Yan Feifan, Gao Jin, and the others. He explained to the couple, “In the current situation, if we do a color Doppler ultrasound of the abdomen, we could reach a conclusion quite easily…”

“No…”

The pregnant woman cut Mr. Wan off. Gritting her teeth against the pain, she said, “The radiation will harm the baby. It won’t just affect brain development; there’s a high chance it will cause a deformity.”

“Color ultrasounds, CT scans, and the like are absolutely not allowed.”

Mr. Wan had a major headache. This was a couple who had been duped by so-called experts into following pseudoscientific parenting advice.

He pointed a finger at Yan Feifan and ordered, “Xiaoyan, you have a good memory. Give them a quick science lesson.”

Yan Feifan cleared his throat and said, “B-scans, color Doppler ultrasounds, CT scans, X-rays, and MRIs are all common clinical diagnostic tools.”

“Among them, B-scans and color Doppler ultrasounds use sound wave reflection, forming an image on the device based on the different echoes.”

“Therefore, color Doppler and B-scan ultrasounds have no radiation, which is why they are safe for pregnant women.”

Yan Feifan paused briefly, then continued, “As for MRI, or magnetic resonance imaging, it mainly uses the principle of electromagnetic wave imaging. The ’nuclear’ part in its full name refers to the nucleus of a hydrogen atom.”

“An MRI machine provides a magnetic field for the human body. In this field, the hydrogen nuclei in your body begin to move in a regular pattern, which is then processed by a computer to form an image.”

“Therefore, just like an ultrasound, an MRI has no radiation and is also safe for pregnant women.”

Yan Feifan spoke concisely and quickly, “X-ray examinations do have radiation. A single X-ray exam has a radiation dose of about 0.02 to 0.1 mSv.”

“For comparison, every one of us receives nearly 2.0 to 3.0 mSv of natural background radiation every year from daily life.”

“A small number of X-ray exams will not cause harm to the body.”

“As for CT scans…”

Yan Feifan stated bluntly, “The radiation dose is higher. While the scan is more precise, the radiation dose is about ten times that of an X-ray.”

“A standard chest CT scan has a radiation dose of about 2 to 5 mSv. But even so, a CT scan is still within the safe range.”

“According to clinical standards, as long as the human body does not receive more than 100 mSv of radiation in a year, it is considered a relatively safe range.”

Yan Feifan added, “X-rays and CT scans are not recommended for pregnant women, but if absolutely necessary, the corresponding examination can be performed while taking protective measures for the fetus.”

“In such cases, the possibility of a small number of short-duration exams causing adverse effects on the fetus is very small.”

Just as he finished his science lesson, the pregnant woman propped herself up with her hands and demanded, “Mr. Yan, can you guarantee it?”

“That the B-scan and color Doppler ultrasounds will cause absolutely, positively no harm whatsoever to the baby in my belly?”

’Damn it, don’t you know this is just being argumentative?’

’You can even choke to death drinking plain water.’

Although Yan Feifan was complaining internally, he just gave a light smile and said, “I can’t guarantee that.”

The pregnant woman’s body went limp, and she lay back down on the hospital bed. “See? You don’t dare to make any guarantees either.”

She stroked her abdomen. “I can’t let my child suffer even the tiniest bit of harm. Not even the slightest possibility.”

Mr. Wan wasn’t just frustrated; he had a headache now. He had run into an overprotective, stubborn patient who would rather believe in the worst-case scenario.

He spoke slowly to the pregnant woman, “I am inclined to agree with Xiaoyan’s earlier diagnosis of a torsion of a fallopian tube cyst.”

“This is a gynecological acute abdomen case that isn’t particularly rare…”

Mr. Wan first gave a simple introduction to the condition, then warned, “Once torsion of a fallopian tube cyst is confirmed, the principle of treatment is to perform surgery as soon as possible.”

“Otherwise, because the arterial blood flow is obstructed, the cyst can become necrotic, rupture, and develop a secondary infection.”

“If the infection spreads further, the fetus in your womb could be…”

Just then, a nurse entered the diagnostic room and handed a few lab reports to Mr. Wan.

He quickly looked over the lab reports and said, “The data from the blood and urine tests do not support any kind of inflammation.”

That sentence negated the diagnoses of both Gao Jin and Li Hao.

At that moment, a cell phone began to ring from the pocket of Yan Feifan’s white coat.

The husband pointed a finger at Yan Feifan and said angrily, “How can you bring a cell phone in here?”

“Don’t you know there’s a pregnant woman here?”

Yan Feifan didn’t want to deal with this couple anymore. He pulled out his phone as he walked out of the diagnostic room.

The caller ID on the phone showed a local number.

As soon as the call connected, a familiar voice sounded in Yan Feifan’s ear. “It’s me, Chen Yu.”

“There’s an emergency patient who was just brought in. Right arm crushed by a machine’s drive chain. Come and be my assistant.”

This news made Yan Feifan let out a surprised “ah.”

He was neither Chen Yu’s student nor part of the trauma surgery department. This call was truly unexpected.

Just then, Chen Yu’s voice came through again, but this time the volume had suddenly jumped a couple of notches.

“Ah? What ’ah’? Get your ass over here now!”

Yan Feifan immediately answered in the affirmative.

He put his phone away, intending to let Mr. Wan know, only to see Yu Suye, Gao Jin, and Li Hao also coming out of the diagnostic room.

Before Yan Feifan could even ask, Yu Suye pulled a cell phone out of her white coat pocket and waved it at him with a speechless expression…

Source: Webnovel.com, updated by NovelKeep