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Chapter 1837: with translation of chapter title

~6 min read 1,106 words

Su Yun was speechless.

Is our Boss an idiot?

Such stupid remarks might fly when you're arguing with yourself, but in this setting, you're actually saying them to the Emergency Department Director Cheng?!

If there were reason and evidence, a slap would shut everyone up; the key is that there's nothing—just saying there's a problem without knowing what it is. In this situation, boasting rich clinical experience is just asking for a scolding.

"I've eaten more salt than you've eaten rice!" Indeed, Director Cheng roared, "You're talking to me about clinical experience?"

Zheng Ren Jiu Gong repeatedly, apologizing carefully, and said: "Director Cheng, I genuinely feel there's a problem, I'm not messing around. This morning, didn't Cui Lao also say we should consider there's a problem?"

"You..."

"Director Cheng, give me a few more hours, I'll finish reviewing the records, okay?" Zheng Ren whispered.

Su Yun found it hard to watch.

After being at 912 for so long, this is the first time I've passed a note, apologizing.

Usually no one dares to question Zheng Lao Ban's diagnosis; besides, it's not for my own sake—just a bunch of patients with gastroenteritis...

Sigh!

Su Yun let out a heavy sigh.

Seeing Zheng Ren adopt a posture of not fighting back or talking back, Director Cheng felt a surge of anger with nowhere to vent.

He sighed and said: "Little Zheng... Boss, it's 11:36 now; I'll give you two hours—enough?"

"Three, maybe." Zheng Ren smiled and pushed his luck.

"Two!" Director Cheng Wangfa's coughing grew louder; after a dozen seconds it eased a bit, and he said: "I'll be in my office; in two hours I want an accurate diagnosis."

"Okay, okay." Zheng Ren saw Director Cheng out.

Watching Director Cheng storm back to his office, Su Yun said: "Boss, what about that?"

"Hurry up and get the films, have Zhou Litao calm the patients." Zheng Ren said.

Su Yun sighed, didn't argue, and jogged to fetch the films.

Zheng Ren trusted this guy to handle things; he didn't even give extra instructions. He turned back to Zhou Litao's Zhibanshi, sat at the desk, and continued reviewing the records.

Two hours!

Although he could override Director Cheng's wishes, even summon Lin Ge, Zheng Ren didn't want to do that.

This is 912, this is the Emergency Department.

If there's no diagnosis and he still forces himself to save face for a big shot, that's outright arrogance.

But...

The patients have a problem, yet all lab tests offer no clues.

Damn it, why won't the Big Pig Trotter give a diagnosis, yet the System Panel is bright red?

Zheng Ren felt a bit Tension, his legs a little stiff, his body a bit cold.

The System Panels of 17 patients are all red, a deep red. Though not immediately fatal, as the condition progresses, who knows what will happen!

Hurrying, Zheng Ren knew he had only one hour fifty-eight Minute left.

Soon, Su Yun ran back first, holding a stack of films. The film bags were marked with a black marker, labeling the patients' names, very noticeable.

Zhou Litao and another doctor brought the viewbox into the Zhibanshi.

Zheng Ren, without moving, picked up a record he'd reviewed and said: "Xu Sheng."

Su Yun quickly found that patient's film and inserted it into the viewbox.

Chest CT shows emphysema, coarse lung markings, but that indicates nothing. No nodules, no bronchiectasis.

The key is there are no signs of pneumonia, nor pleural effusion.

In other words, the patient has no upper respiratory inflammation.

Zheng Ren glanced at the date—it was yesterday's test. The timing should be fine; the patient was rechecked 36 hours after admission, and still nothing.

"Boss, CRP isn't high, so we shouldn't consider inflammation." Su Yun glanced at the film, knew what Zheng Ren was pondering, and immediately said.

Zheng Ren nodded, but kept looking at the film.

Reconstruction still showed nothing new.

He picked up the patient's ECG, also found nothing wrong: sinus rhythm, ST segment not elevated. Such ST elevation would be meaningless.

"Routine stool test, hurry it up." Zheng Ren said.

"Okay." Su Yun knew Zheng Ren meant the routine stool test done this morning; such tests usually come out around 4 Afternoon.

He immediately contacted the lab.

Soon, Su Yun whispered: "The lab says they'll rush the results, but preliminarily there's nothing wrong."

Zheng Ren's brows furrowed even tighter.

This patient had headache, dizziness, heat intolerance, irritability, palpitations, sweating, etc. After admission, during this morning's rounds, the symptoms hadn't eased; he felt fatigued, saying he hadn't rested well last night.

Zheng Ren remembered his System Panel, just like the others, glowing red, yet there was no diagnosis!

MD! He cursed fiercely in his heart.

Where is the problem?

He picked up the B-ultrasound report; the images showed nothing abnormal, quite normal.

"No abdominal CT done, right?" Zheng Ren asked.

"Mm, not done." Zhou Litao said from the side.

It's just gastroenteritis; we've already done plenty of tests—if we did more, the patients might outright refuse.

We avoid excessive testing to prevent so‑called over‑medicalization.

Many patients proudly say, "The doctor told me to get some test, but I didn't. Look, I'm fine, aren't I?"

"Manager Zhou, work on the patients, get an abdominal CT." Zheng Ren said, squinting at the B-ultrasound report.

"......" Zhou Litao was speechless; this is literally going to kill me.

No diagnosis needed, still need to do tests? Alright, Zheng Lao Ban said so, then let's go get checked.

Zhou Litao gave Zheng Ren a "resentful" look, then turned and went out to do the patient's work.

"Boss, what are you considering as the problem?" Su Yun asked.

"I haven't considered it yet." Zheng Ren said, "Just a feeling; there's definitely something big going on!"

"......" Su Yun felt that today was not a good day.

Clearly, just sitting quietly at home waiting for the mission would have been enough, but instead we had to come to the Emergency Department for a consultation. And the consultation isn't even enough; the patient, Boss, who had no problem, actually made a mountain out of a molehill.

Is he crazy?

Su Yun glanced at Zheng Ren, seeing his expression extremely solemn, without the usual fake smile on his face; clearly, there was no thought of just getting by.

What he said was true; Su Yun First Time judged.

But the ultrasound showed no problem with the liver, gallbladder, or spleen; as for the kidneys and ureters, they weren't examined. The patient had diarrhea symptoms; doing an ultrasound already counts as medical overkill— a full-body check? The medical insurance center will come knocking soon.

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End of Chapter

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