Chapter 1771: with translation of chapter title

"Good!" Zheng Ren replied.

This is a very interesting case; Zheng Ren didn't think much and directly agreed.

"Take the film, this patient should be a surgical matter." Director Luo took the film down, put it in the film bag, and handed it to Zheng Ren: "Zheng Lao Ban, thank you for your hard work."

"Director Luo, you're too polite." Zheng Ren smiled: "I'll contact the patient and quickly arrange the surgery."

After the matter was finished, Director Luo stood up, patted Zheng Ren's shoulder, and said: "Don't forget to call me during the surgery."

"All right!" Zheng Ren readily agreed.

"Go on, get busy." Director Luo sent Zheng Ren and Su Yun off, adding a few more reminders.

After leaving the gastroenterology department, Su Yun asked: "Boss, what do you think it is?"

"I can't be certain, but I've seen cases where toothpicks pierced the duodenum and lodged in the liver." Zheng Ren said, "It could be a toothpick, or maybe… no, looking at the density, it's probably not a metallic object."

"I actually saw a case report from New England about someone who ate five catties of nails. If he swallowed that many nails, maybe one could end up lodged in the liver." Su Yun laughed and spoke nonsense.

Actually he also knew it was impossible to be an iron nail; a plain CT scan doesn't show it, but after reconstruction you can see that the density of the liver abscess area is slightly lower.

"Admit the patient and ask if we can do a live broadcast." Zheng Ren picked up his phone, opened Director Luo's WeChat, and started calling the patient.

Seeing Zheng Ren so eager, Su Yun also felt somewhat helpless.

In the early hours of today, Lin Ge had just told him about the dispute with the liver cancer patient; how could he not accept the lesson at all?

Usually doctors at this point would be a bit hesitant, carefully selecting patients, fearing any oversight.

But seeing his own boss, full of confidence, Su Yun truly admired Zheng Ren's such confidence.

Su Yun muttered, hoping this guy would never have any trouble in his life; this guy's surgeries go well, and his luck is indeed good. A disputing patient was actually resolved without his knowledge.

Anyway, Su Yun has been in medical school for ten years and has never heard of such a thing.

After contacting the patient, Zheng Ren rushed back to the Intervention Department.

"Chang Yue, later we'll admit a patient with a liver abscess suspected to be a foreign body." Zheng Ren entered the room and instructed Chang Yue.

"An abscess? A foreign object?" Chang Yue said: "Trauma patients should go to hepatobiliary; why are you admitting them here?"

"It's not trauma; it just appeared out of nowhere." Zheng Ren said.

"Are you okay? Feverish? Why are you talking nonsense?" Chang Yue gave Zheng Ren a disdainful glance and said: "No trauma, you tell me how a liver foreign body got in."

"Doctor Chang, the Medical University Affiliated Hospital performed an emergency surgery two years ago similar to what Zheng Lao Ban said." Liu Zewei said: "The patient was admitted with signs of acute peritonitis; an enhanced CT of the liver showed a foreign object; hepatobiliary staff were baffled and started a hospital-wide consultation."

"Old Liu, come look at the film." Seeing that Liu Zewei had encountered this before, Zheng Ren felt pleased and directly placed the film on the viewer.

Liu Zewei walked over, rubbing his bald head, and after viewing the film laughed: "Zheng Lao Ban, it's roughly like that. The previous patient was older, the toothpick spanned between the duodenum and liver, the intestine was also perforated, the liver perforated, and the emergency surgery was performed."

"Really, a toothpick lodged in the liver?" Su Yun also felt surprised.

"If Old Liu has seen it, then this case is no surprise." Zheng Ren laughed: "There was a similar record in the 2012 British Medical Journal; I said it looked familiar, but at the time I read it, the case report didn't say where it came from."

Liu Zewei froze for a moment.

Is Zheng Lao Ban just pulling cases out of thin air, able to find similar reports in the vast sea of medical records?

This memory is too good, isn't it?

"From that 2012 case report to now, journals with impact factor above 10 have reported a total of 17 cases." Zheng Ren said: "I never expected to actually encounter one."

As Zheng Ren spoke, he began to tap the viewer lightly with a little excitement.

The thumping sound was like his heartbeat.

"Boss, be careful, don't get too pleased." Su Yun reminded from the side: "Caution brings safety for ten thousand years."

"I know, the surgery poses no difficulty; the patient is only 41, his body will be fine." Zheng Ren had obviously considered this and immediately said.

"Should I contact Xiao Hu?"

"Sure, let her know first, then when the patient arrives, communicate with them; if they agree to the surgery live broadcast, we'll have the Legal Department of Xinglin Yuan sign the contract." Zheng Ren said: "Would the earliest be tomorrow for the surgery?"

"……" Su Yun was speechless, looking at Zheng Ren like he was an idiot, and said: "Liver abscess, if you're in a hurry, you can just treat it as an emergency case."

"Uh……" Zheng Ren hesitated, then laughed: "Right, this is actually an emergency. Director Luo saw it in the outpatient clinic, I subconsciously thought it was a scheduled patient."

Hearing Zheng Ren's explanation, Su Yun was also speechless.

But he was equally curious; it's just that for an unfamiliar case and a patient he hasn't seen, he instinctively adopts a cautious attitude.

Soon, a middle-aged man timidly walked into the Intervention Department corridor, found the doctors' office, knocked and asked: "Is Doctor Zheng in?"

"That's me." Zheng Ren saw he was a healthy person and asked: "You are…"

"I am Li Liang's younger brother; we saw Director Luo this morning about the illness." The man said softly.

"Where is your brother?" Zheng Ren asked.

"He's at the hotel, can't get up. Every day at this time he runs a fever; when I came out, his fever was 41 degrees."

"Should we call 120 emergency to bring him over?" Zheng Ren said: "The patient's condition is very urgent, needs emergency surgery."

"Doctor, is it really a foreign object?" the man asked.

"Hmm, we're currently considering it's a wooden or bamboo object like a toothpick lodged in the liver." Zheng Ren said.

"Uh…… that can't be possible."

"Nothing is impossible." Zheng Ren said: "Hurry up and bring your brother to the hospital for admission; is he alone in the hotel?"

The man nodded.

"Also, no need to worry about accidents." Zheng Ren said: "What about your sister-in-law?"

"They've been divorced for years; my brother lives alone. Uh… doctor, how much will the surgery cost?" The man asked a bit embarrassed: "We've prepared 20,000 yuan; during this period waiting for treatment, we've spent over 1,000."

"The money matter can be set aside for now; first we need to get the patient here." Zheng Ren said: "He's all muddled from fever, alone in the hotel, with no one to look after him."

"Chang Yue, when he comes, first admit him for half a day and explain the fees."