21st Century Necromancer-Chapter 802 - 798 Ignorance

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802: Chapter 798 Ignorance

802 -798 Ignorance

The patient with the brain abscess was admitted for treatment shortly after her medical records were transferred.

Thanks to Japan’s advanced triage system, medical records often arrive even before the patient, allowing doctors to gain a preliminary understanding of the case and conduct targeted examinations to devise a treatment plan.

Some patients have already undergone examinations at community hospitals or private clinics before being referred to higher-level hospitals, their condition confirmed but lacking the necessary facilities for treatment at smaller institutions.

The patient with the brain abscess in this case was referred because the smaller hospital discovered the problem but lacked the capability and confidence to perform a craniotomy.

However, this patient got lucky, as the doctor who initially handled her referral had connections with the Eastern University Affiliated Hospital.

They wrote a recommendation letter to send her here, and she was even luckier to be transferred into Daimon Michiko’s care.

Daimon Michiko, of course, had already prepared for the patient’s arrival.

Once the scheduled patient checked in, she conducted a simple examination and some questioning, then directed the patient to undergo more detailed tests.

While the patient proceeded with further tests, Michiko instructed a nurse to inform Chen Yu.

“Are the test results out yet?

What’s the patient’s condition?” Chen Yu entered the examination room, glanced at the patient undergoing tests, and asked Daimon Michiko.

“The current tests show the chest X-ray indicates the heart is severely enlarged.

Now, we’re conducting a cardiac ultrasound,” Daimon Michiko updated Chen Yu on the situation and added her own assessment.

“Earlier, I asked the patient, and she mentioned having had a heart condition since childhood but wasn’t clear on the specifics.”

“Heart disease?” Chen Yu, hearing this, aligned the assessment with their earlier speculation and instructed the attending doctor performing the ultrasound, “Be thorough in your examination.

The patient most likely has an atrial septal defect.”

“Yes, Professor,” the attending physician responded while continuing the examination without pause, focusing on the patient’s heart.

However, the images on the monitor caused both Chen Yu and Daimon Michiko to momentarily widen their eyes in surprise.

“Is this a single ventricle with an atrial septal defect?” The attending doctor studied the monitor intently.

As someone who worked with cardiac cases daily, they too recognized the condition.

Grimacing slightly as he rubbed his chin, Chen Yu concluded aloud, “It seems in addition to the craniotomy, we’ll also need to perform open-heart surgery.”

————————————————————

In a consultation room, Chen Yu and Daimon Michiko met with the patient and her family, who had completed all the tests.

“Based on the tests, you’ve been diagnosed with a brain abscess, which has already caused localized brain swelling and increased intracranial pressure.

That’s why you’ve been experiencing frequent fainting and headaches,” Daimon Michiko explained the diagnosis while reassuring the patient, “But there’s no need to worry.

It’s just a brain abscess.

A simple craniotomy to remove the abscess will cure it.”

“Really?

Just surgery, and it can be cured?” The patient and her family looked both excited and apprehensive.

While relieved that treatment was possible, the mention of a craniotomy unnerved them.

“But a craniotomy… Does it mean opening up the skull?”

“Not opening your skull, exactly.

It’s more like drilling a hole in your head to remove the abscess from your brain,” Chen Yu interjected, offering a simple explanation of the procedure but inadvertently frightening the patient and her family even more.

Exchanging worried glances, the patient’s family member asked hesitantly, “Doctor, is there any way to avoid surgery?

Opening up the skull sounds way too scary!”

The patient and her family, dressed in rustic and slightly outdated clothing, spoke with a pronounced rural accent, indicating they came from a remote area.

Their fear of the craniotomy was understandable.

Just as Chen Yu was preparing to reassure and further explain, Daimon Michiko abruptly stated, “But if you don’t have the surgery, you’ll die!”

Such bluntness instantly startled both the patient and her family, leaving them pale and trembling.

Chen Yu sighed, shaking his head as he attempted damage control, “If the craniotomy isn’t performed, the abscess could rupture, severely damaging the brain.

Death is indeed a real risk, and even if survival were possible, there would be serious complications.

Right now, while circumstances are still favorable, a craniotomy is the best treatment option.”

“But doctor, isn’t there any way to avoid opening up the head?

It’s just too terrifying!” The patient, clearly shaken, pleaded, while the family member chimed in with a question that left Chen Yu at a loss for words.

“Haven’t I already said?

Not doing the craniotomy will lead to death.

Don’t worry, this surgery is not difficult.

Just leave it to me.

I don’t fail!” Daimon Michiko looked at the family member with evident irritation.

While Chen Yu found the obstinacy of the patient’s family frustrating as well, he suppressed his annoyance and patiently explained, “Please rest assured, as professionals, we’ve performed this kind of craniotomy countless times with minimal risk.

Other treatment methods would have far inferior outcomes.

Furthermore, I need to inform you that the cause of this brain abscess is related to her heart condition.

Even if we cure it now, without addressing the heart problem, there will still be future risks.

I strongly recommend performing a heart repair surgery simultaneously, to resolve everything in one go.”

“What?

A heart condition?” The patient’s family member now looked at Chen Yu and Daimon Michiko with increasing suspicion.

“Are you scammers or what?

First, you say you want to open her head, and now it’s about the heart.

Are you here to treat or to kill people?

Someone come quick!

The doctors are trying to murder us!”

The family member then broke into loud yelling and chaotic accusations right there in the consultation room.

Frowning deeply, Chen Yu, clearly at his wits’ end, slammed the table and shouted, “Enough!

Are you ignorant or just being ridiculous?

Is it not common knowledge that surgery involves cutting into the body?

Are you really going to let your irrational fears jeopardize a life?”

“What’s with the shouting?

Do doctors think they’re so great?

Do you believe slamming the table makes you right?

I’m telling you, you’re all frauds!

Trying to con us into surgery just to harvest organs for profit!” The family member refused to back down, doubling down on their accusations with even greater theatrics.