Chapter 106: with translation of chapter title
Days passed one by one, the Emergency Department became busier and busier.
In one week, Zheng Ren performed sixteen appendectomies and seven acute cholecystectomies Shou Bing, also rescued a stab wound patient, and performed a splenectomy.
That's how days in the Emergency Department are, busy and fulfilling.
With Director Pan's efforts and a fortunate coincidence, the department now gradually has surplus staff.
Director Liu was discharged after recovery, and the General Surgery Department underwent a major reshuffle.
Cen Meng resigned and went to Eryuan in the provincial capital. At that time, Yang Lei, the friend who had tipped off Zheng Ren, voluntarily applied to leave the General Surgery Department and came to Jizhenbingfang.
Only one doctor was added, but the nursing side became much livelier.
It is said that recently the Nursing Department has been in an uproar.
At least dozens of people have applied, requesting to be transferred to Jizhenbingfang.
Zheng Ren knows, this is all thanks to Su Yun; that guy is like a walking citric acid sildenafil…… wrong, should be the kind given to women.
In short, Jizhenbingfang quickly got on the right track.
As an Inpatient Chief who is miserable, Zheng Ren finds the more patients, the harder it gets.
Fortunately, the Shou Bing provided a safety net, postoperative complications were almost nonexistent; otherwise, he couldn't even get an uninterrupted sleep.
The weather gradually turned cold, each day overcast with clouds, yet it never snowed, making people feel somewhat depressed.
Zheng Ren didn't mind; the System's Big Pig Trotter had been unusually quiet lately, issuing no new tasks, and Zheng Ren merely relied on completing five rounds of Main Line Quest to gain 50 Skill points and 5000 experience points.
General Surgery Department Skill rose from 3161 points to 3185 points, with a stock of 1789 Skill points. There were also 88620 Experience Points and three silver treasure boxes.
Zheng Ren felt that if this continued, with another month's time, relying on ordinary Shou Bing and reading, he could enhance his General Surgery Department Skill to master level.
In the ward, all matters big and small were kept in orderly fashion thanks to Chang Yue and Yang Lei.
Zheng Ren only needed to do Shou Bing and read each day; such days were also pleasant. However, Su Yun followed him like a shadow day after day, attracting countless looks full of hostility.
Gradually, Zheng Ren became accustomed to it; after all, he wasn't gay, so he didn't care what others thought.
That day, while reading, he had already reached the last hundred pages of the thick volume 'Hepatobiliary and Pancreatic Surgery'; Jizhenbingfang received a call saying the Urology Department needed a consultation.
Urology Department? Upon hearing the department's name, Zheng Ren didn't want to go.
It wasn't because the Urology Department deals with lower-three-pathway issues, but because he had only rotated there for a month as an intern many years ago and basically knew nothing about that side.
There were two Skill books, but even at an expert level they were barely adequate, likely still inferior to the Urology Department chief. Experience points were absolutely insufficient to cultivate proficiency in Urology Department Shou Bing, so Zheng Ren felt going or not made no difference.
But since there was a consultation, and an urgent one at that, he had to arrive within five Minutes.
No choice; he closed the book and hurried to the Urology Department.
"What kind of patient do you think it is?" Su Yun said with a chuckle, still trailing behind Zheng Ren.
"I'm not a god." Zheng Ren replied to Su Yun, his answers becoming increasingly simple and blunt, a change he himself didn't even notice.
"Your IQ is the weakness." Su Yun sighed, "You're not from the Urology Department; having you consult and possibly perform Shou Bing? No, they just like your interventional level."
Zheng Ren had of course already guessed this; he just couldn't stand Su Yun's handsome look. Walking together, the heads-turn rate was nearly eighty percent, making him become the ugly sidekick beside the beautiful woman.
Coincidentally, Su Yun was like a piece of sticky candy that couldn't be shaken off.
All the way in silence, he arrived at the Urology Department.
A Deputy Chief surnamed Shen stood anxiously in the hallway, constantly checking the time on his phone and then glancing at the entrance.
Only when Zheng Ren and Su Yun appeared did he feel somewhat relieved.
"Chief Zheng, there's a patient you need to look at." Deputy Chief Shen said urgently.
"What kind of patient?"
"A young male patient, diagnosed with left kidney cancer. Twenty-nine days ago, at Di Du Hospital he underwent a kidney cancer resection, removing the upper pole segment of the left kidney. This morning he developed hematuria and was admitted from the Emergency Department to the ward. He has had hematuria for five hours; hemostatic drugs are ineffective, suggesting bleeding from the left kidney resection margin." Deputy Chief Shen related the medical history professionally.
The medical history was very clear, with no doubts.
Because the patient is young, they considered preserving the left kidney.
But the kidney is fragile; ligation, suturing devices, and various methods cannot guarantee no postoperative bleeding.
Especially when placed on other organs, twenty-nine days would have been enough for healing; but with the kidney…… look, sudden massive bleeding, probably some Blood Vessel opened again.
"The patient's family called the operating doctor, who said there were two Solutions: if bleeding could be stopped via Interventional surgery, simple hemostasis would suffice; if Interventional support were lacking, only left kidney removal would be possible." After Deputy Chief Shen finished, he finally exhaled.
Zheng Ren recalled that, in Interventional surgery, stopping this kind of bleeding was not difficult.
"Chief Zheng, can you do it? You know the hospital's situation; I heard you performed two emergency hemostasis Shou Bing a few days ago, which is why I'm asking." Seeing Zheng Ren hesitate for a second, Deputy Chief Shen eagerly inquired.
This is also the kind of person who can't fit two liang of sesame oil in a dog's belly.
But given the issue involves a patient's kidney, it's no wonder he's anxious.
"Let's go take a look at the patient." Zheng Ren didn't immediately take on everything, but suggested just examining the patient.
Upon reaching the monitoring ward, the System Panel prompted a simple diagnosis: hemorrhagic shock. The cause was indeed bleeding from the left kidney resection margin; it seemed that interventional hemostasis alone would suffice.
"Is the fasting time sufficient?" Zheng Ren asked.
"Sufficient!" Deputy Chief Shen brightened.
Let the family follow me for the preoperative briefing; you push the patient to the Emergency Department Interventional Surgery Operating Room. Have the blood bank prepare another 10 units of red blood cells and also get some plasma.
A crowd of relatives, suppressing their anxiety and nervousness, waited aside; hearing Zheng Ren say that, hope ignited instantly.
"Immediate family members who can sign, come with me." Zheng Ren also said bluntly.
A young woman in her twenties, presumably the patient's partner, along with two people under sixty, followed Zheng Ren in a light jog all the way to Jizhenbingfang.
Zheng Ren briefly communicated with the patient's family, because before the Shou Bing at Du Du Hospital, all postoperative complications had been explained clearly, especially postoperative bleeding, which had been reiterated countless times.
Thus the relatives were practically half‑doctors, having some understanding of the disease's progression, so no need for detailed explanation.
They had opted for kidney segment resection, thus already prepared for postoperative bleeding.
They just didn't expect the bleeding to come so late.
After finishing the briefing, Zheng Ren handed the matter to Chang Yue, asking her to conduct the preoperative briefing, especially emphasizing ectopic embolism necrosis that could lead to kidney removal.
While doing the preoperative briefing, Zheng Ren and Su Yun went to the Operating Room to change clothes and prepare for Shou Bing.
Having changed clothes, Zheng Ren prepared to tidy up the Shou Bing supplies a bit.
Su Yun's voice came over: "The supplies are ready, Chief Zheng, you can go ahead with the Shou Bing."
Huh?
End of Chapter
