Chapter 569: The Night Watchman

"How so?" the Guangtou Zhuchiren asked immediately.

"If I'm not mistaken, the Patient had hot pot for dinner, and some of the food wasn't chewed thoroughly. After entering the intestinal tract, these food items continuously exerted force on the Titanium Clip clamping the blood vessel as the intestines moved, eventually causing the clip to dislodge, leading to bleeding from the clamped artery."

"I'm just speaking simply; it's not necessarily the only reason. But summarizing my many years of Clinical experience, the more difficult the Patient and Family Member are, and the worse their medical compliance, the easier it is for accidents to happen."

After Professor Shen finished these words, Bai Chuzhang and Liu Zhuren in front of the screen nodded repeatedly.

Both of them had similar thoughts, but because their relationship with Ji Xiang was too close, they hadn't thought of it at the time.

"Indeed, many patients do not follow medical advice; it really is a headache."

"When the Four Great Vajras of the Interventional Department were still there, an accident happened once," Bai Chuzhang said indifferently. "Most of their Liver Cancer patients have hepatitis, Liver Cirrhosis, and gastric varices."

"The surgery was the next day, and the medical order was for a soft diet. As it turned out, the Patient's son, for whatever reason, wrapped celery and meat dumplings and sent them to his old man. Think about it, celery is so hard, and if it's not chewed well, it directly scrapes the gastric varices. That same night, there was massive hematemesis; he didn't even wait for the Liver Cancer to take his life."

"I also heard about a case from Zhao Zhuren," Liu Zhuren added. "It was also a Liver Cancer patient with portal vein tumor thrombus. The Patient knew their condition was extremely severe and didn't want to be treated anymore."

"Later, Zhao Zhuren did some psychological work with the Patient, and they decided to try once or twice; if the results weren't good, they would give up."

"The Patient was quite lucky; Lipiodol drifted into the portal vein tumor thrombus, and the tumor thrombus had already disappeared by the time of the follow-up before the third surgery. You could say they snatched their life back."

"It is indeed rare," Bai Chuzhang nodded, acknowledging that Liu Zhuren's statement was correct.

"After three surgeries, the Patient could be said to have recovered. She was very happy and came to handle the discharge procedures herself on the fifteenth day of the eighth month. But less than a week after discharge, she was hospitalized again due to hematemesis."

"Did she eat nuts?"

"Mm, playing mahjong, cracking melon seeds. The melon seeds scraped the gastric varices, and she sprayed a mouthful of blood directly onto the mahjong table. Two of the people playing mahjong with her had a Myocardial Infarction..."

This is all fate. The Cancer didn't take her life, but she died because of something else; who can you reason with about that?

The two chatted briefly, and on the screen, Professor Shen began his concluding remarks.

"The example I gave earlier wasn't off-topic. I've thought about similar things many times, always wishing how good it would be if all the diseases seen in Clinical practice could be avoided, prevented, and cured. Unfortunately, almost 90% of diseases in Clinical practice cannot be cured."

"There is a saying that goes well—the world is silent, for these sad names, and for the thousands of years of lonely time behind these sad names."

"Perhaps it looks like metaphysics, but that is only because our current theoretical foundation is not solid or firm, and many things cannot be explained. In my imagination, Doctor Ji Xiang should have already stepped onto that path of pursuing truth."

The more Professor Shen spoke, the more literary and emotional he became. His speech was slightly incoherent, and it looked like he had already immersed himself in his own world and couldn't pull himself out.

Many people couldn't understand his words, but the program was still broadcast and wasn't cut.

"Heh, I guess this segment of the program touched Professor Shen's heart," Liu Zhuren understood. He smiled and shook his head as he spoke.

"As a doctor, who doesn't have regrets? You tell the Patient not to eat nuts, not to eat raw, cold, or hard things, but the Patient doesn't listen. What can you do? This is all fate."

Bai Chuzhang said.

"A high school classmate of mine discovered a uterine fibroid. At first, she could take medicine, but she refused. After the uterine fibroid grew larger and could be treated with Minimally Invasive Surgery, she still refused. When it grew even larger and could be treated with Surgical Resection, she still refused."

"She was superstitious about taking folk remedies; I introduced her to the Guang'anmen Hospital of Traditional Chinese Medicine, but she wouldn't go."

Liu Zhuren said in a regretful tone.

"Later, she had severe anemia. I needed to give her a Blood Transfusion to correct it before proceeding to the next step of treatment, but she still refused."

"Truly stubborn," Bai Chuzhang said.

"Later, one day she went to the bathroom and didn't come out. I guess it was cardiogenic Shock caused by orthostatic hypotension; she fainted directly in the bathroom. It was a long time, and by the time she was discovered, she was already cold."

"The vast majority of the time, what a doctor says should be respected."

"What's the use of saying that? If the Patient doesn't listen, do you have a way?" Liu Zhuren said. "I encountered a patient with osteosarcoma who wouldn't do surgery, Radiotherapy and Chemotherapy, but insisted on acupuncture. Acupuncture is fine, I don't oppose it, but you have to find someone reliable."

"Couldn't find a good traditional Chinese doctor, so they just found some 'miracle doctor' who stuck acupuncture needles directly into the tumor and other places. Six months later, at the follow-up, the whole body was densely covered with seeding metastases."

"You have to say this is all fate."

Bai Chuzhang suddenly remembered something.

"A few years ago, when the big epidemic was raging, you couldn't do strenuous exercise after testing negative. You remember that, right?"

"I remember."

"Doctor Wang from the Neurosurgery department started running 10 kilometers every day just 5 days after his fever."

"There's such a thing?!" Liu Zhuren was surprised.

"He was so stubborn; he wouldn't listen to anyone. I even specifically made a phone call to persuade him a few times. At the time, I felt he would inevitably have an acute myocarditis outbreak, but look, Doctor Wang is still alive and kicking now."

"Lao Bai, the things you talk about all have good endings," Liu Zhuren said with a smile. "Is it that the older you get, the softer your heart becomes, and you can't bear to see those miserable things?"

"The older I get, the more numb I become; whether I see them or not is no longer important. There are plenty of similar cases of not following medical advice. To put it simply, the drip rate," Bai Chuzhang said. "When I was still in Clinical practice, I would patrol the wards."

"You like to use the word 'patrol'; do you think you're a lion?" Liu Zhuren asked with a smile.

"A lion? I'm just a night watchman," Bai Chuzhang said. "One day, I saw that a post-operative Patient's drip rate was fast, so I adjusted it down to about fifty drops per minute and instructed the Patient and Family Member that it must not be fast, otherwise there would be such and such complications."

"The Patient and Family Member said they understood perfectly. As it turned out, less than an hour later, after a 500ml bottle of liquid went in, the Patient went directly into acute left heart failure accompanied by cerebral edema."

"After a day of emergency rescue, the person finally came to. I really don't understand; if the drip is slow, let it be slow. Why the rush?"

Liu Zhuren laughed as he listened to Lao Bai recall his various experiences in Clinical practice back in the day.

On the screen, the scene changed, and the program had switched to the ward.

The Patient's complexion had recovered a lot and didn't look so pale. Zou Zhuren was standing in front of him wearing a White Uniform.

At this moment, the Patient looked like a child who had made a mistake, with an embarrassed expression on his face.

He didn't dare to look Zou Zhuren in the eye and almost covered his head with the quilt.

(End of chapter)