Chapter 1268: 1230 Boss Zheng Also Has Moments of Mistake

Er, I forgot... Zheng Ren said, suddenly slapping his head.

What's wrong? Zhu Liangchen asked.

It's not to send to the lab for testing, but to send to pathology for slicing. Looking with a 1000x oil lens, you can see the 2-3mm diameter gastric cocci. Zheng Ren smiled embarrassedly: "Whenever I mention bacteria, I blurt out that we need to culture them out of habit—sorry about that."

Zhu Liangchen said nothing, silently taking a pen from Director Kong's desk, then pulling out a sheet of A4 paper from the printer, and noting down Zheng Ren's words.

Gastroscopy, biopsy, pathology, and also a 1000x oil lens.

When you go back, give the patient a set of fluoroquinolone antibiotics, a set of metronidazole, and a set of proton pump inhibitors. Also, hemostatic medicine... oral Yunnan Baiyao works, or an intravenous or intramuscular set can be given. Zheng Ren said.

Zhu Liangchen recorded it meticulously.

Not a single word was off. Speaking of which, Boss Zheng also makes mistakes sometimes, which made Zhu Liangchen feel better. Although it was just a trivial slip of the tongue, it was still a mistake.

Hearing Zheng Ren stop speaking, he then put the pen tip back, lifted his head, and said, "Zheng..."

Before he could speak, Director Kong made a move, snatching the pen back with a gust of wind.

Doctors' pens—if you don't keep them on yourself, they're guaranteed to vanish in the blink of an eye. No matter where you put them, they disappear without a trace.

But that's fine; when you need one, just ask someone for a pen. After using it, casually clip it into your white coat pocket, and you'll have a pen again.

Zhu Liangchen stared for a moment, then gave a wry smile and said, "Boss, you're still so petty."

"This is the fifth pen this month!" Director Kong said angrily: "So it's you!"

"Cut it out, I've only come here twice this month." Zhu Liangchen said.

Zheng Ren chuckled; fortunately, he doesn't have to write medical records now, and he doesn't need to worry about the senior doctor's signature section.

"Boss Zheng, sorry about that." Zhu Liangchen smiled; after Director Kong's outburst, he felt less embarrassed than before, and asked, "According to this treatment, how long will the patient take to recover?"

"Take medication for two weeks, then likely another three to four weeks for relief." Zheng Ren said: "However, Director Zhu, this surgical approach is still immature; we need to be cautious."

Zhu Liangchen nodded repeatedly.

Since we've already knelt, we might as well go all the way. Being shy and embarrassed is pointless; one should be a bachelor.

"Then I'll go arrange the examination." Zhu Liangchen said, "Boss Zheng, I was wrong about the past; I apologize here. Once the patient improves and my mind is less troubled, please let me treat you to a drink."

"Sure, sure." Zheng Ren laughed.

"Hurry back; I'm still waiting to see you off." Director Kong said, holding that pen.

Zhu Liangchen exchanged a few more jokes, then left.

After he left, Director Kong asked seriously, "Boss Zheng, I noticed something off with your expression when you were speaking—what's going on?"

Zheng Ren froze for a moment, then laughed.

"I think Director Zhu was too aggressive with the arterial embolization; the patient's delayed gastric emptying symptoms are also severe, so there's a chance drug treatment won't work well, possibly leading to gastric perforation complications." Zheng Ren said, slightly worried.

"Director, don't listen to him." Su Yun said: "With gastric banding, one perforation per hundred cases is already good. I'm telling you, boss, stop scaring yourself."

"Haven't you seen the intraoperative angiogram?" Zheng Ren sighed, saying: "But looking at the CT, the blood vessels in the gastric fundus artery area are already closed off—if..."

Having said that, he stopped speaking and just shook his head.

Director Kong knew that Zheng Ren's reluctance to immediately launch gastric fundus and left gastric artery embolization was truly because this procedure is genuinely immature.

It's not that the surgery can't be done; it's about how to do it just right.

The four words "just right" are easy to say but hard to achieve. Moreover, due to patient variability, wanting to be just right is no easy feat.

"Boss Zheng, you're always told to be cautious, cautious. It's because we fear your youthful vigor, but you're being overly cautious." Director Kong said with a chuckle.

"After all, it's a new technique; few have performed it, and there aren't many cases to reference. I've recently been referring to post-gastric banding patient conditions, pondering how the embolization should be done."

"Hmm, thinking more is definitely good. Lin JiaoJiao has come to pester me several times; next time I'll just tell her directly. No rush—if something happens, nobody can escape."

"Director, may I leave first?" Zheng Ren said.

"Go ahead; you need to pay more attention to Dr. Mehari's side." Director Kong said.

Zheng Ren and Su Yun exited Director Kong's office; Su Yun laughed, saying, "This side of Zhu Liangchen counts as having knelt, right?"

"Oh, just asking about the condition—don't put it so harshly." Zheng Ren said.

"Tch, in half a year you won't even find the door to kneel at." Su Yun said: "Boss, believe it or not, Director Zhu will call you tomorrow to invite you to a meal."

"Well, if you're in a hurry, tomorrow under the microscope we might see the gastric cocci, and the call would probably come then." Zheng Ren said, "But the treatment is really difficult; I'm worried about insufficient blood supply to the gastric wall, prolonged slowing of peristalsis leading to perforation."

"Let's talk about it if it happens; there's nothing you can do by worrying." Su Yun patted Zheng Ren and said.

That's what was said; moreover, the embolizing agent is in the blood vessels, and restoring blood flow takes time. Even if perforation occurs, it can't be prevented in advance. Zheng Ren's treatment, including proton pump inhibitors, is the best we can do with current means.

As for that patient, hopefully nothing happens.

Back in the office, Liu Zewei was reviewing medical records. Since the previous patient pen‑error incident, he checks each record four or five times carefully.

Zheng Ren thought this was a waste of time; Liu Zewei won't write records when he goes back anyway. But there's no way to say it—being idle is being idle; if you want to be a trainee, just be one.

Seeing Zheng Ren enter, Liu Zewei set down his work and said with a smile, "Boss Zheng, your Swedish is really standard."

"Hehe." Zheng Ren gave a dry laugh, a standard gesture to end the topic.

"Old Liu, it's obvious you haven't studied Swedish." Su Yun laughed: "Boss's Swedish carries Mehari's hometown dialect, so it can't be called standard."

Liu Zewei gave a hehe laugh; in his heart he already revered Boss Zheng and his monstrous assistant as heavenly beings. No matter how outrageous the matter, he also considered it normal.

"Boss Zheng, I've heard Dr. Mehari wants to perform surgery while explaining the procedure to you—is that true?" Liu Zewei asked.

Such a thing sounds especially strange; to this day he still doesn't really believe it.

"Hmm." Zheng Ren brought this up, also feeling heavy-hearted and somewhat apprehensive. How could a patient guide the surgeon during surgery? What if a disagreement truly arose?

"No, this matter needs to be clarified with Dr. Mehari."

"Look, it's possible."

"But, don't beep."