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Chapter 1725

~10 min read 1,933 words

When one gets old, they'll surely find a place to enjoy mountains and waters, sit in a chair all day dazed, and definitely won't pursue this feeling of 'control'.

"Certainly." Zheng Ren had all sorts of messy thoughts in his mind, and he Directly Say.

""Really..." Director Yan also felt somewhat moved."

Section Chief Mao post-op both lower limbs paralyzed, upon hearing this news he also felt a flurry of panic and helplessness. In his forties, how could he just become paralyzed like that?

But who could have imagined that the final diagnosis would actually be endometriosis!

Although this disease is not uncommon, it invading the spine and compressing the central nervous system is still something I've never heard of.

Director Yan, while feeling moved, took off his flower glasses and smiled at Zheng Ren.

"If it weren't for you saying that, there could really be a misdiagnosis." Director Yan said.

""..." Zheng Ren didn't know how to continue the conversation.

The scene was a bit awkward; Su Yun softly sighed behind.

"Little Zheng, tell me how you made the diagnosis?" Director Yan seemed not to notice the awkwardness, and naturally steered the topic toward Zheng Ren's forte, the dimension.

As soon as diagnosis was mentioned, Zheng Ren immediately perked up.

"This is it, Director." Zheng Ren said: "I looked at the CT scans, feeling that the continuous epidural puncture site was at thoracic 12–lumbar 1 vertebrae, somewhat distant from the hematoma location, making anesthetic side injury unlikely, which would cause patient paralysis."

Director Yan nodded, looking at Zheng Ren with interest.

But there was indeed bleeding there; I looked at the images for a long time before noticing there was no deposition of hemosiderin.

Can hemosiderin deposits be seen?

"It's not clear, but the performance on the images differs somewhat." Zheng Ren said: "Nuclear Magnetic Resonance can see it a bit more clearly, but it's also difficult; it requires rich clinical experience."

"You just based on this guess, at the hospital-wide consultation, directly asserted it was endometriosis?" Director Yan asked.

"Hmm." Zheng Ren also showed no fear, facing Director Yan's gaze, he said candidly: "First, I trust that anesthesiologist. We have worked together; his technical skill is high, so he shouldn't make such a basic mistake."

Before Director Yan could refute, Zheng Ren continued: "That's why I started looking for the cause."

"Before surgery, Section Chief Mao refused the operation and had not menstruated. Because of appendiceal perforation, the body produced a stress reaction, causing early menstruation, which is also possible. Although I didn't ask, combining the CT images, I am 80% sure of this."

Director Yan laughed helplessly.

Indeed, he's still a young man; for what he believes and for the people around him, he acted so impulsively. If it were me, I would absolutely not do that, and would choose a comparatively 'safer' approach.

Even with full confidence, one must still sneakily ask about the medical history first.

"The facts prove I was right. So the surgery and postoperative pathology were as expected." Zheng Ren said.

"What if your judgment was wrong?" Director Yan asked.

"Director." Zheng Ren gave a hehe smile and said: "I'm just a small doctor; if I make a mistake, I make a mistake—after all, there are still department directors helping to oversee things."

Su Yun's eyes lit up upon hearing Zheng Ren say that.

High skill, indeed impressive, but absolutely not the most impressive.

The most impressive people not only need high skill, but also need to be ruthless and thick-skinned!

When did the boss evolve to this extent?

Director Yan was taken aback by Zheng Ren's antics; this isn't the fixed impression he had in his mind of Zheng Lao Ban—he shouldn't be that kind of stern doctor, right?

When something goes wrong, one insists on getting to the bottom of it; for the sake of academic disputes, one doesn't hesitate to argue until red-faced.

How could one talk like a rascal, saying "wrong is wrong," and say things like "what can you do to me"?

"Actually, endometriosis doesn't only metastasize within oneself; there are reports saying it can transfer to others." Zheng Ren said: "I also based my decision on those case reports, and finally decided to give it a try."

"Uh..." Director Yan was speechless.

"A gynecologist in Spain, during surgery, got a drop of blood splashed into his eye. After wiping it clean, since the patient had no infectious diseases, he didn't pay attention."

"Then what happened?"

"After more than half a year, he discovered his eyes bled every month and also suffered severe pain." Zheng Ren said: "He recorded the timing, but at the time found no cause. After a consultation, they decided on surgical removal. Postoperative pathology showed it was endometriosis."

"..." Director Yan was speechless.

Hearing this medical gossip made his heart pound; fortunately, when he graduated years ago, he hadn't worked in obstetrics and gynecology.

"Director, this is a medical risk; count it as an occupational injury." Su Yun joked on the side.

Director Yan glanced at Su Yun, smiling without speaking.

"After surgery, that doctor found his former female patient, checked her menstrual timing, and finally confirmed it was like this." Zheng Ren laughed: "Because of this, I'm even more convinced that Section Chief Mao's issue is endometriosis. Menstrual blood does not clot; ordinary bleeding does clot—this is one of the differential diagnoses, and indeed the most important one."

Director Yan also felt quite moved.

Such matters, when laid bare, feel simple.

But in that situation, aside from this person right in front of us, who would dare stand up and shout loudly—this isn't Lao He's doing!

"Director, when are you planning to be discharged?" Zheng Ren, after explaining Section Chief Mao's matter, brought the topic back to Director Yan.

"Ming after tomorrow, if the check-up is fine, I'll be discharged." Director Yan said with a smile: "Any medical advice?"

"No, no." Zheng Ren just wanted to go along with the conversation, and by the way remind Director Yan that your life was saved by me; with this hint, the following matters will be much easier.

As for this insincere concern, Zheng Ren truly isn't good at it; he completely lacks the aura he had when he previously pressed Director Yan onto the bed to do an ECG.

"Director Yan, the isolation task at the Community Hospital has been completed successfully." Zheng Ren wanted to beat around the bush, but this isn't surgery; he really isn't good at it, so he chose a simple, direct, brutal approach.

"Hmm, I know. The whole process went smoothly; thanks for your hard work." Director Yan smiled and said.

"Because the condition is unclear and we don't know if the outbreak will happen… could the nursing team temporarily not disband and continue staying at the Community Hospital for a while?" Zheng Ren probed.

"Huh? I recall you said it was mass hysteria, right?" Director Yan furrowed his brows, looking at Zheng Ren as if looking at a monster.

"Director, the difficulties on my side…" Zheng Ren thought it better to play the rogue; if not given, he won't leave.

If this can't be settled, the Community Hospital would struggle to handle the treatment of 100 patients.

"Director Kong didn't tell you?" Director Yan strangely asked: "Last night, he came to my place and haggled for a long time; wasn't it agreed to leave half the staff for you?"

"..." Zheng Ren was taken aback; Director Kong had already settled it?

This matter has caused a stir.

Director, we attended Section Chief Mao's consultation and surgery early this morning, but we still haven't had time to communicate with Director Kong." Zheng Ren said helplessly.

Director Yan was both amused and exasperated, and jokingly scolded Zheng Ren with a couple of remarks.

In Director Yan's ward, Zheng Ren felt as if sitting on pins and needles.

When he finally left, Zheng Ren stuffed the red envelope under the bedsheet and went out. Afterwards, Su Yun mocked him again, saying how he should have done this and that.

Zheng Ren didn't take it to heart; after leaving the special care ward, he took out his phone and called Lao He.

"Lao He, Section Chief Mao's surgery is finished, you know that, right? The pathology is endometriosis, so it's nothing to do with you."

"Come out and sit for a while."

"Sure, it's the Mei Mei Coffee right outside the hospital."

After hanging up, Su Yun laughed and said: "Boss, you're not really planning to drag Lao He into the Medical Team, are you?"

"It's just that we get along better; I can't stand seeing him suffer an unjust accusation. As for whether he joins the Medical Team, I have no opinion." Zheng Ren said.

"If Lao He were a bit more worldly, he'd just kowtow and be done with it—what would you do?" Su Yun, also having no strong opinion, asked with a smile.

"His skill is still not bad; from now on, just call him for any surgeries." Zheng Ren laughed, "Besides, I think Lao He hasn't recovered his strength yet; he'll need at least three to five days to get back to normal. Kowtowing... is not likely."

Su Yun recalled Lao He's bent waist resembling a shrimp, and how he had nearly turned white-haired overnight, and she couldn't bring herself to tease him.

Arriving at the café, Zheng Ren found a spot in the smoking area and told Lao He where he was.

Lao He, this guy, probably has sore limbs and won't get here that quickly.

Indeed, after about twenty minutes, he arrived late, swaying slightly.

And his face still showed a somewhat wooden expression.

His hair was half gray, looking quite pitiful.

The blow of a medical accident to a doctor is so huge that even a seasoned old hand like Lao He was caught off guard, and after a string of critical hits he was left with barely any health.

This is still under the premise that it's proven to be endometriosis.

If it were judged that Lao He's operational error caused the patient... Section Chief Mao to be paralyzed, then Lao He would likely suffer a serious illness.

Being a doctor is truly not easy.

In a profession where mistakes cannot be made, it's never easy to work.

Even if Zheng Ren were given another chance to choose, even with the support of a big pig trotter, he estimates he wouldn't choose the medical profession.

Not being able to make mistakes, the pressure is truly too great.

Back when taking the college entrance exam, still young and ignorant, naive and immature, he boarded this pirate ship.

Lao He found Zheng Ren; he didn't sit down, but instead bowed deeply and sincerely.

"Lao He, we're our own people, don't stand on ceremony." Zheng Ren quickly pulled Lao He up and seated him in a nearby chair, saying, "Doing this, I always feel like I'm bidding farewell to a corpse."

"Boss Zheng, no need for many thanks." Lao He's voice was a little hoarse; although the matter had been settled and Section Chief Mao should have no aftereffects, he was still angry and literally lost his voice.

This is the Chinese medicine explanation; the Western medicine explanation is that excessive secretion of various hormones in the body causes the muscle groups near the vocal cords to spasm.

"Look at you, what would you like to drink?" Su Yun laughed and said.

"Just water." Lao He sighed and said: "A chest full of fire—drink some water to put it out."

◈

End of Chapter

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