Chapter 561: Handling Patients with Poor Medical Compliance with Caution

It was clear that all five patients had been screened; they weren't just sent to be operated on by Zou Fuzhuren because their colon polyps were relatively large.

Auxiliary examinations indicated that the probability of these patients' intestinal polyps being malignant was not high, and Zou Fuzhuren's skill level was also very high; his search for blood vessels under the endoscope was clean and efficient, and the titanium clip was clamped perfectly, leaving Ji Xiang unable to find any issues.

The five surgeries were finished before twelve o'clock, and Zou Fuzhuren performed them quickly and steadily, which was a delight for Ji Xiang to watch.

Although his standard was far behind the System NPC, Ji Xiang knew that in the realm of domestic first-tier experts, Zou Fuzhuren belonged to the type with very strong clinical surgical skills.

"Zou Fuzhuren, could you please take a look at a patient for me?"

A person walked in and said to Zou Fuzhuren.

"Oh, what kind of patient?"

Zou Fuzhuren was chatting and laughing with Ji Xiang, and upon hearing someone ask him to "take a look," he asked casually.

In fact, even without asking, he knew what it was about.

"A patient I just saw has a 1cm polyp. I heard from the nurse that you just finished up here, so could you take a look and help me remove it while you're at it?"

"Xiao Ji, this is the Chief Resident of the Digestive Medicine Department," Zou Fuzhuren introduced.

The Digestive Medicine Department was very familiar with the Hepatobiliary, Pancreatic, and Gastrointestinal departments of General Surgery, especially Gastrointestinal, which were basically upstream and downstream departments.

Seeking consultations and communicating with each other was the norm, especially since the downstream Surgery Department was at a certain disadvantage compared to the upstream Internal Medicine Department; Zou Fuzhuren did not refuse, but instead turned and led Ji Xiang to the adjacent operating room.

A 1cm polyp wasn't large, so it was easy enough to just remove it while he was at it. It wouldn't be an exaggeration to say that this kind of work was a mere lift of the hand for Zou Fuzhuren.

Arriving at the adjacent operating room, Zou Fuzhuren took a look at the endoscope, took the gloves handed to him by Ji Xiang, and began the procedure.

It had to be said that Ji Xiang was truly useful; this could be seen just from the detail of him handing over the gloves.

Others rarely handed the gloves directly to him, but the timing of Ji Xiang's delivery was perfectly locked onto the exact moment he was about to put on the gloves for surgery.

Not a second too early, not a second too late.

Zou Fuzhuren took a deep breath, feeling so comfortable that he got goosebumps all over.

It wasn't that he lacked people to flatter him, but there weren't many people who could coordinate with him perfectly while working; one could even say that apart from Ji Xiang, there was no one else like him.

Ji Xiang had grasped his habits after just five endoscopic polyp removal surgeries; if only he could stay, how wonderful that would be, Zou Fuzhuren thought to himself.

However, Ji Xiang had made it very clear early on, so Zou Fuzhuren didn't dwell on it.

Feeling regretful, Zou Fuzhuren tried to distract himself, and while making preparations, he asked, "Chief Resident Wang, you shouldn't have any problem removing a 1cm polyp, why come to me?"

"Zou Fuzhuren, don't even mention it," the Digestive Medicine Department's Chief Resident Wang sighed. "The patient and their family member said that removing a polyp is a minor surgery, that even their district-level hospital could do it, and that there's no need for observation in the hospital."

"Heh heh," Zou Fuzhuren chuckled.

"Originally, this patient should have been done yesterday, but it was delayed for too long because of the pre-operative communication. The family insisted that they would go back after a short observation, and I..."

As he spoke, Chief Resident Wang hesitated.

Ji Xiang observed his words and expressions, guessing that he must have been under some pressure, which was why he had to do it.

"There are plenty of disobedient patients and family members; you get used to it," Zou Fuzhuren began operating the intestinal endoscope, with Ji Xiang assisting.

Although they had only cooperated for five surgeries, the two of them worked as if they had been a team for a lifetime; they didn't even need to exchange glances, their tacit understanding was incredible.

"I once saw the most outrageous patient; they went for rehabilitation in a hyperbaric oxygen chamber and smoked inside."

"Holy shit!" Chief Resident Wang hadn't expected Zou Fuzhuren to bring up such an outrageous example, and a curse word slipped out.

A hyperbaric oxygen chamber, smoking—what the hell, that was absurd.

"What was the result, Zou Fuzhuren?" the nurse asked curiously.

"They were burned so miserably!" Zou Fuzhuren continued, "A few years ago, there was a fire in our Economic Development Zone, and there were several burn patients. None of them were burned as badly as the patient who smoked in the hyperbaric oxygen chamber; they had severe full-body burns, with no good skin left."

"Did they survive?"

"There wasn't even a place to graft skin, do you think they could survive?" Zou Fuzhuren said. "Another outrageous one I heard from Old Pei in the Vascular Department. We were young back then, and he was sick for a while."

"I went to his house to see him and saw he was thin as a rail. I asked for a long time before he told me what happened."

"A patient with an abdominal aortic dissection was preparing for surgery. The doctor's orders were strict bed rest, and all necessary medications were used, waiting for them to stabilize before going on the table. Whether they could survive, no one could say for sure. But the patient felt there was nothing wrong; even after the catheter was inserted, they insisted on going to the restroom themselves."

"In the middle of the night, the patient's family was asleep, and Old Pei was groggily going to the restroom. He opened the door and saw a face that was deathly pale, somewhat familiar yet somewhat strange. The person was sitting on the floor inside the restroom stall, eyes staring blankly at him..."

"Zou Fuzhuren, stop talking!" the nurse scolded sharply. "I feel a chill down my back just hearing you tell this in broad daylight."

"Sigh, why else do you think Old Pei got sick?" Zou Fuzhuren began removing the polyp. "He was so bold, always saying that if a male ghost came, he'd fight him, and if a female ghost came, he'd sleep with her. But he was scared to death that day; I suspect he might have..."

As Zou Fuzhuren spoke, he sucked in a breath, *slurp*, but perhaps he didn't say anything.

Ji Xiang guessed that Professor Pei must have been scared into wetting his pants, but that couldn't be said out loud.

In the dead of night, groggy with sleep, opening the restroom door to see a dead person staring fixedly at you.

Just that image alone was terrifying.

It was perfectly normal to be scared into wetting one's pants.

"Patients in their department are considered quite obedient. Generally, as long as you tell the patient and their family not to move, that moving means death, they will be quite cooperative. But there are stubborn people in this world, don't you think?"

"I imagine the Gastrointestinal department isn't worry-free, right?" Ji Xiang asked with a smile.

"Patients in Gastrointestinal Surgery are the most troublesome. You tell them to fast from food and water, you say it so many times, but often when you open their belly, it's a mess inside with all sorts of things. You just have to use the suction device, but many solid substances can't be washed clean, and you have to reach in and scoop them out."

"Actually, elective surgeries are fine, since there's fasting. It's emergency surgeries that are scary. The patient doesn't know, and you never know what they ate before surgery. If they really ate a stomach full of durian, after fermentation, that smell! Tsk tsk."

As he spoke, Zou Fuzhuren had already removed the polyp. He checked that there was no active bleeding, the titanium clip was closed well, and he turned to step down from the table.

"I must have committed sins in my past life to not only be a doctor in this life, but a surgeon; and not only a surgeon, but a gastrointestinal surgeon. This isn't being a doctor, it's clearly being a dung-scooper!"

Zou Fuzhuren complained habitually.

(End of chapter)