Chapter 1867: 1801 Ectopic Pregnancy (Monthly Ticket 18000 Bonus ×36)

Don't make a fuss. Zheng Ren took out his phone, glanced at it, "Zhou Litao's call."

Why are you calling me at this hour instead of the second line? Su Yun muttered.

Su Yun saw the note on the phone, and her heart felt dirty again.

Did you label someone else as Zhou Litao? This little trick won't fool me. Su Yun scoffed.

Zheng Ren raised his eyebrows; Su Yun was still excited about placing an order with Professor Zhang, so ignoring him was fine.

Manager Zhou, what's up?

Oh, nothing, I just finished a rescue on my end.

Oh? Okay, I'll go take a look right away.

After saying that, Zheng Ren hung up. His actions proved Su Yun's guess was baseless.

What's up? Su Yun seemed to have forgotten what she just said, turned her head and asked.

They say a patient has high HCG but no gestational sac was seen. Zheng Ren said.

HCG is also called human chorionic gonadotropin.

During pregnancy, HCG enters maternal blood and rises rapidly until week 8, then slowly declines until weeks 18–20, after which it stabilizes.

Normally, total human chorionic gonadotropin levels need to rise at least to 2.5 MoM to be associated with Down syndrome.

But that is also pregnancy; a gestational sac can be seen in the uterus.

Seeing nothing, yet HCG was high, Zheng Ren had his pants half on and began to ponder.

Put your pants on first. Su Yun said: "Are you showing off your perfect figure? Or mocking Director Lin?"

Lin Ge was speechless; Su Yun's mouth could sweet-talk people into giving her pocket money, but when she wanted to hurt someone, she was utterly shameless, with nowhere to escape her words.

I guess the ultrasound room has already checked the uterus, ovaries, and surrounding areas. Zheng Ren ignored Su Yun's words, automatically blocking out what he didn't want to hear, "What other conditions can cause elevated HCG?"

Nothing, anyway I can't think of anything. Su Yun said.

Go take a look. Zheng Ren said, "Tonight is really busy."

If you didn't meddle, you wouldn't be busy. Su Yun said.

Zheng Ren smiled, still ignoring him.

While Zheng Ren and Su Yun were talking, Lin Ge hid his private money, fixed the insole, and hid his private money again.

He had rushed in so much that his private money had spilled out.

Details determine everything; fortunately this happened in the hospital, otherwise at home… Lin Ge could imagine his misery for the coming week.

Such a miserable thing, in Su Yun's mouth could become a life winner; what a mouth she has. Lin Ge still admires this about her—if he wants, he can cheer people up.

Who knows how many girls served as sparring partners when he mastered this profound martial art.

Boss Zheng, what are you considering? Lin Ge changed his shoes, feeling much more at ease, then asked casually.

I don't know how the doctors in the ultrasound room performed the ultrasound; I can't say for sure now. Zheng Ren said solemnly.

Director Lin, you find this person boring, huh? Su Yun said, "When he speaks offhand, he actually takes it seriously. You didn't see earlier when he made a big rescue, directly diagnosed a possible cerebral hemorrhage without hesitation."

The facts prove I'm right. Zheng Ren walked out expressionlessly, "This is rich clinical experience."

Tch. Su Yun sneered, "I have no interest in looking at an ectopic pregnancy patient; you go."

Where are you going? Zheng Ren asked.

I'm going to organize some Massachusetts cases. Su Yun said, "Director Lin, interested?"

Lin Ge was certainly interested; although it was already late, this concerned whether he could achieve something in his temporary position at the Science and Education Department.

If there were a chance to stay in the Science and Education Department… Lin Ge felt a little anticipation.

As for going home, we'll talk about that later.

Feeling a bit tired, better grit his teeth and push through.

The three went their separate ways; Zheng Ren left a message for Xie Yiren, saying he still had things to do on his end and letting her go home first.

Arriving at the Emergency Department, Zhou Litao stood in the hallway looking around.

It was already after midnight; there weren't many emergency patients, Zhou Litao should have been asleep.

But when faced with a problematic patient, he simply couldn't sleep. That's just the nature of work in the Emergency Department; there's no way around it.

Wanting to be responsible and do flawless work inevitably comes at a cost.

Boss Zheng… Director Lin, you two have come. Zhou Litao went up to meet them, not seeing Su Yun, he seemed a bit regretful.

How's the patient?

And Yun Ge'er?

Zheng Ren and Zhou Litao asked at the same time.

Su Yun went to work on a courseware; if you have something, give him a call. Zheng Ren said: "How is the patient?"

Female patient, 21 years old, chief complaint: missed period for 50 days, vaginal bleeding for 3 days. Physical exam: obvious abdominal tenderness and rebound tenderness; cervix no motion tenderness, bilateral adnexa no obvious tenderness. Lab tests: human chorionic gonadotropin 16669 mIU/ml, progesterone 11.52 ng/ml.

Zhou Litao briefly recounted the patient's history, concise and to the point, his level surpassing that of the doctors in Xilin Town by more than one notch.

How was the ultrasound done? Zheng Ren immediately followed up.

We checked the pelvis, uterus, and adnexa; it's not a tubal ectopic pregnancy. Zhou Litao said.

Let me check the patient. Zheng Ren said: "Is the blood pressure still stable?"

It's fairly stable; estimated blood loss isn't large. Zhou Litao said, "Obstetrics and general surgery will come for a consultation shortly."

Okay. Zheng Ren said, then strode into the resuscitation room.

A young girl lay on the bed, her face somewhat pale. The system panel glowed red; the system's diagnosis was—ectopic pregnancy.

Zheng Ren cursed inwardly.

High HCG—everyone knows that means ectopic pregnancy; give a clear location, can you die?!

But that's just the nature of a big pig trotter; Zheng Ren also felt helpless.

"B-ultrasound report." Zheng Ren said.

"The uterus is normal in size and shape, no gestational sac seen in the uterine cavity, no obvious abnormality in both adnexa. Pelvic fluid accumulation, depth 4.5 cm." Zhou Litao said.

The uterine adnexa are fine; there is pelvic fluid accumulation, indicating a ruptured ectopic pregnancy bleeding.

"Is the blood ready?"

"Sent to the Blood Bank/Department." Zhou Litao said: "Now I don't know whether to send it to the Obstetrics and Gynecology Department or the General Surgery Department; Zheng Lao Ban, please take a look."

"B-ultrasound machine." Zheng Ren said.

"I'll go make a call." Zhou Litao knew Zheng Lao Ban was good at B-ultrasound; this person seemed to have nothing they couldn't do, truly having no weakness.

But Zhou Litao didn't actually go make a call; that was just a saying. He directly ran to the emergency B-ultrasound room and started knocking on the door.

Inside, a patient was having a B-ultrasound; Zhou Litao greeted them, pushing the bedside B-ultrasound machine over to the Emergency Resuscitation Room.

When he returned, Zheng Ren began the physical examination, his expression very solemn.

Signs of peritonitis were quite obvious, requiring emergency Shou Bing.

But not knowing the location, we can't just open the abdomen and search everywhere for where the ectopic pregnancy is.