Chapter 1139: 1110 Using an Outside Hospital's Director Just Like My Own Little Doctor

"What tests does the patient have?" Zheng Ren asked.

"Head and chest CT, abdominal ultrasound, and X-rays of both lower limbs." Yuan Li replied instinctively, but regretted it as soon as he spoke.

Is he the inpatient chief of Haicheng City First Hospital?

No!

If not, what right do I have to answer his question? But seeing Zheng Ren's solemn expression, Yuan Li didn't provoke anything. Countless past cases told Yuan Li it's best not to question Zheng Lao Ban's diagnosis.

Moreover, if the patient really had a problem, sending him to another hospital based on my judgment could lead to trouble en route, and I'd still be the one harassed, sued, threatened, or even beaten by the patient's family.

Just then, the ultrasound technician came in pushing the bedside ultrasound machine, yawning.

After a night of tossing, only this time could one possibly sleep well; if you run into a doctor who has trouble falling asleep, they might not sleep well all night.

At thirty or forty years old, going a night without sleep does great harm to the body.

She came in, saw Zheng Ren, rubbed her eyes, and exclaimed in surprise: "Chief Zheng? Weren't you supposed to go to the capital?"

"I came back to see the director." Zheng Ren said while pulling the bedside ultrasound machine over, turning it on, applying coupling gel to the patient's abdomen, and beginning the ultrasound exam.

"Boss Zheng, you can even do this?"

"I know a little."

"……" Wang Zong muttered inwardly, "Know a little? Know a little damn it! P-J syndrome is 'know a little,' and even bedside ultrasound is 'know a little' damn it!"

Is there anything else you old-timer don't understand?

"Chief Zheng, I've checked the abdomen—no free fluid in the peritoneal cavity, no subcapsular hematoma in solid organs, so I'm not considering delayed bleeding," the ultrasound doctor said softly.

The patient's family had already come in, so communication still needed to be cautious.

"Consider a combined abdominal and thoracic aortic aneurysm dissection." Zheng Ren said, then pressed the ultrasound probe against the patient's abdomen and began to examine carefully.

Chief Zheng is still as awesome as ever, the ultrasound technician sighed. The bedside ultrasound has extremely low resolution—just enough to get a rough idea; anything more really can't be seen.

The patient's family looked bewildered, watching so many doctors in the resuscitation room, the air filled with a tense atmosphere. Didn't Doctor Yuan say there was nothing wrong? What's going on?

Soon, Zheng Ren put the probe back and called to Yuan Li: "Explain the condition to the patient's family, diagnose thoracic and abdominal aortic dissection. Contact ICU, send him over immediately to control blood pressure, give pain relief, and await surgery."

After saying that, he turned and asked Director Wang: "After I leave, will anyone still be doing stent placements?"

Director Wang shook his head, bewildered.

Zheng Ren had anticipated this, but in his rush back, Feng Xu Hui didn't bring along that large, somewhat exaggerated rolling suitcase.

When he's around, you don't notice anything, but once you need him and there are no supplies, you realize how important Feng Xu Hui is.

Zheng Ren also had no better option; he picked up his phone, glanced at the time, hesitated a moment, and still made the call.

"Director Wang, hello."

"Yeah, I'm Zheng Ren. Do you have aortic stents there?"

"Please help send them over; I have an emergency on my end."

"Not the capital, it's City First Hospital. Yeah, I came back to see the old director—this just happened to be a patient I ran into. So please help, I'm in a hurry, hurry up."

After saying that, Zheng Ren hung up.

"Boss Zheng, who are you calling?" Director Wang wondered.

"Director Wang Qiang of the Intervention Department at the Second Hospital." Zheng Ren said.

"Damn……" Director Wang cursed inwardly. Calling another hospital's director is like ordering around one's own little doctor.

Chief Zheng really leaves people speechless. Moreover, it's five a. m., asking someone to come directly deliver stents… what kind of face does that require?

But Boss Zheng saying he needs a stent is so simple and direct, not even a polite word.

Really damn it!

People really can't be compared; if you do, you'll be pissed off to death.

Yuan Li sat there stunned; all his previous instructions were nullified, and he had to re-explain to the family. Explain what? That his diagnosis was wrong? He cursed inwardly, then felt a bit lost.

How did Chief Zheng know there was a dissection?

To be honest, he doesn't hate Zheng Ren; although this is a slap in the face, it's also life-saving. Between life and face, the choice is clear.

If he must hate something, he can only hate his bad luck—just a simple fracture, how did a dissection show up?

Speaking of this kind of dissection, it's not that common; if you say it's rare, the whole emergency department sees maybe three to five cases a year. Every emergency doctor treats dissection like a formidable enemy, yet cannot predict it in advance.

You can't have every patient get a vascular CTA just for a check-up; otherwise, you'd slap on a big hat of over-treatment—who could bear that?

But making a definite diagnosis is a tough point, so every emergency doctor is extra careful, treading on thin ice.

Previously, in the thoracic department, there was a patient with a simple rib fracture who was fine after admission, finished his IV drip and walked around. Then the next day he suddenly died, causing a huge uproar.

The patient's family refused to take the corpse away, demanding the hospital give an explanation.

Actually, nobody could accept this— a perfectly healthy person just dies like that, with no buffer, how could one accept it?

But doctors can't do anything— you can't give every incoming patient a full battery of tests.

In such cases, it's really just a matter of fate, damn it.

His own fate seemed not bad— one foot had already stepped off the cliff, but Chief Zheng literally pulled him back. While Yuan Li explained to the family, he thought to himself.

During the surgery, if I go take a look, and it really is… the old grudge… MD, they basically don't have me in their eyelids at all, Yuan Li sighed.

This isn't the Chief Zheng from last year; in half a year he's already become a dragon, soaring nine heavens. Coming back just to simply save himself and the patient, I bet Chief Zheng won't even remember this in a day or two.

People, they really are different.

Zheng Ren didn't know Yuan Li's inner turmoil; he and Director Wang walked back. The surgical patient had already been sent up—if they didn't hurry back, the patient lying on the operating table would be very scared.

"Boss Zheng, is the diagnosis accurate?" Director Wang asked. Even now he still couldn't quite believe Zheng Ren's diagnosis, but he couldn't question it either.

"Huh?" Zheng Ren blinked.

Director Wang glanced at Zheng Ren, also not knowing why he spaced out.

"Diagnosis?"

"Yeah."

"You're not doing a B-ultrasound? The dissection blood flow is quite obvious; didn't you notice?"

"……" Wang Zong finally understood why Zheng Lao Ban was confused.

"Oh oh, you're a general surgery doctor. The diagnosis is clear, it's a dissection; just send the stent to perform surgery and send to the Orthopedics Department to treat Bone fascial compartment syndrome." Zheng Ren said lightly.

Wang Zong's Inner Mind tears flowed like a river.