I Am Diagnosed as a Medical Titan

Chapter 117: Chapter 114: Transformation

Zhao Yumin rushed over. "I’ll take it."

Then he asked, "Haven’t the second-line doctors come down yet?!"

"They’re all in surgery! They can’t get away!"

Listening to the shouts, Jiang He took a deep breath.

’Time is running out. The equipment isn’t working, so I’ll have to use the most basic method.’

"Give me a diagnostic paracentesis kit."

A nurse immediately tore open a sterile pack and handed it to him.

Jiang He quickly disinfected the area and laid out a sterile drape.

He took a syringe filled with local anesthetic and raised a skin wheal, then switched to a large-bore needle and decisively inserted it below the navel.

He felt the give as the needle broke through the peritoneum.

He aspirated.

The syringe instantly filled with dark red, non-clotting blood.

"Massive intra-abdominal bleeding. High probability of a ruptured spleen or liver."

Jiang He quickly withdrew the needle and pressed a gauze pad against the puncture site.

"Call the OR. Even if they have to set up a table in the hallway, this patient needs an emergency laparotomy right now. Otherwise, he’ll be dead in ten minutes."

The nurse immediately ran to make the call.

As Jiang He went to treat the next patient, a gurney was pushed in from the heavy rain by paramedics.

"Car accident, driver! Chest impacted the steering wheel!" a paramedic shouted during the handoff. "Severe respiratory distress! O2 saturation is less than eighty!"

The triage nurse shouted while registering the patient, "Red zone is full! Park him against the wall in the hallway for now! I’ll find a doctor!"

But right now, all the doctors were working non-stop; no one could break away.

Chen Hao had just finished settling a patient with a fracture.

He was leaning against a wall, catching his breath.

His gaze happened to fall on the newly arrived gurney.

A young man lay on the stretcher. He was tall and thin.

The man was clawing at his collar with both hands, his mouth wide open.

But he couldn’t seem to draw in any air at all.

His face was already turning blue, his eyes bulging.

Chen Hao had intended to call Jiang He, but he turned and saw that Jiang He was too busy to help.

So, after a moment’s hesitation, Chen Hao walked over himself.

As he got closer, he carefully observed the tall, thin man who was struggling in agony.

In that instant—

the image of the blond kid who had collapsed on the floor of the Feiyu Internet Cafe flashed through his mind.

The same body type, the same desperate struggle, the same cyanotic face.

Ever since that incident at the internet cafe, Chen Hao had been deeply affected.

He had relentlessly studied the Chapter on thoracic trauma in his *Surgery* textbook.

Pneumothorax, hemothorax, Tension Pneumothorax, open pneumothorax...

He had gone over the concepts, symptoms, and signs countless times, memorizing them completely.

He had even pestered Jiang He with endless questions about anatomical and pathological details.

Every word was now etched into his brain!

Chen Hao quickly unbuttoned the man’s bloody shirt.

There were no obvious open wounds on his chest, but the right side of his thorax was visibly fuller than the left.

As the man breathed, his left chest heaved violently, but the right side didn’t move at all.

His jugular veins were distended.

The trachea was deviated to the healthy side.

Finally, Chen Hao bent the middle finger of his right hand and, just as Jiang He had taught him, tapped twice on the man’s right chest wall.

THUMP, THUMP.

Percussion was hyperresonant.

The three signs perfectly matched the textbook description.

’Tension Pneumothorax!’

Chen Hao’s heart began to race uncontrollably.

He knew the disease, and he knew how to treat it.

The book was crystal clear: immediate chest decompression via needle thoracostomy!

But in that instant, fear flashed through him.

The scene from that night at the Feiyu Internet Cafe stabbed into his mind.

Back then, he hadn’t known anything. Blindly confident, he had almost treated that pneumothorax patient for cardiac arrest with CPR.

Afterward, Jiang He had told him the consequences:

"If you had performed chest compressions on him, the fractured ribs would have pierced his heart directly."

That wasn’t saving a life; it was committing murder on the spot.

’What if I’m wrong again this time?’

’If my misdiagnosis misleads the doctors and causes this man to miss his window for true life-saving treatment, what will the consequences be?’

Chen Hao’s breathing grew ragged, his fingertips trembled uncontrollably, and he subconsciously wanted to take half a step back.

But on the gurney, the man was looking at him, just looking...

Chen Hao clenched his jaw hard, his hands tightening into fists.

’No, I can’t just ignore this!’

’I’ve spent all this time flipping through the thoracic trauma pages of *Surgery* until the edges were frayed. It can’t possibly be any other condition!’

’I’m not that same ignorant fool from the internet cafe anymore!’

More importantly, he couldn’t stand to watch a living person suffocate to death right before his eyes.

He just couldn’t stand by and do nothing!

Even facing this situation again, even knowing full well the risks of a misdiagnosis, Chen Hao still made his decision.

’I have to save him, right now!’

But he couldn’t perform the needle insertion himself.

Theory was one thing, but he’d barely even made a few cuts on a cadaver in the anatomy lab, let alone performed a procedure on a living person.

The insertion point was the second intercostal space on the midclavicular line. If he accidentally inserted the needle too close to the lower edge of the upper rib, he could puncture an intercostal artery, causing massive bleeding, or even pierce one of the great vessels below.

He was 100% confident in his diagnosis.

But he absolutely couldn’t handle the practical application. He couldn’t use a person’s life as practice.

He had to find a doctor who could perform the procedure immediately!

Chen Hao snapped his head up, searching rapidly through the chaotic crowd. His eyes locked onto a young resident who had just finished suturing a minor injury.

He rushed over. "Doctor! Extra bed in the hallway! Critical!"

The resident, taken aback by being grabbed, said, "Who are you? Family members wait outside!"

"I’m not family! I’m a clinical student from Southern Medical University, here to help! There’s a tall, thin man in the hallway, just brought in from a car accident. Closed chest trauma, severe respiratory distress, with circumoral cyanosis!"

Hearing this professional, technical description, the resident’s impatient expression vanished. He strode quickly down the hallway with Chen Hao.