Chapter 20: 0020 The child's trouble will cost you your life
Zheng Ren paid no attention to the malice hidden in Cen Meng's words, took the cart and went to the disposal room.
In the upper right corner of his field of view, the patient's condition summary and all report details had appeared; Zheng Ren found it troublesome.
But he still performed a simple physical examination on the patient, not to confirm diagnosis, but to find an entry point for the Shou Bing.
The patient is a 19-year-old young woman, 28 weeks pregnant, with a small amount of dark red blood flowing from the lower body. Abdominal tenderness is located near the right mid-abdomen, tender, without rebound pain or muscle tension.
The appendix inflammation is not severe; the seriousness lies in the patient's other conditions.
While arranging to leave a venous line, he also sought the Inpatient Chief of Obstetrics for a consultation. Zheng Ren's brows furrowed; such a thorny condition could not be perfectly resolved, and he would have to rely on luck.
The Inpatient Chief of Obstetrics quickly ran over to the General Surgery Department; for an urgent consultation concerning life and death, no one would dawdle.
The Inpatient Chief examined the pregnant woman, and Zheng Ren summoned the patient's family to the doctor's office for a preoperative briefing.
"The pregnant woman's threatened miscarriage is clear; we must quickly resolve the triggering factor." The Inpatient Chief of Obstetrics said: "Only by promptly removing the appendix can we save the child."
"Will performing an appendectomy Shou Bing affect the child?" a middle-aged man asked anxiously.
Zheng Ren felt helpless; in their eyes, the child outweighed heaven. As for the poor pregnant woman… besides the doctor, no one considered her feelings.
Even, no one considered her life or death; she was merely a machine for bearing children.
"Generally speaking, there won't be any." Zheng Ren soothed.
But after hearing Zheng Ren's explanation, the patient's family member, a middle-aged woman, went weak in the legs, slid down the wall to sit on the ground, and began to wail loudly.
Just dry heaving, no tears.
While dry heaving, she also muttered something.
Zheng Ren had no mind to watch her act, put on a stern face, and told the patient's family to leave only the person who could make decisions; everyone else left the office. Those who should go dry heave, go dry heave; those who should handle admission procedures, go handle them.
At this moment, one must absolutely not show weakness, otherwise it would delay the patient's diagnosis and treatment.
The patient is the doctor's target; the patient's family, in a certain sense, has no direct relation to the doctor.
After things quieted down, Zheng Ren began to earnestly explain the surgery to the patient's husband—that is, the young guy—and also to the patient's parents and parents-in-law.
With each preoperative instruction given, the patient's husband and parents-in-law would ask whether it would affect the child. Meanwhile, the patient's parents hid in the corner, their expressions grim, silent.
The situation is as follows: City First Hospital is the strongest in medical technology among surrounding hospitals, and the patient's family has no better option. The patient's condition also requires Shou Bing; otherwise, the child cannot be saved at all.
When it came time to sign, the patient's family absolutely did not want to sign, kept making excuses, and not a single person in the family was willing to take responsibility.
Zheng Ren snapped: "Do you still want to save the child or not!"
Under the wrathful gaze of the Vajra, under the threat of the child's life and death, the patient's family reluctantly signed on the preoperative briefing.
At this point, the admission procedures were completed; Zheng Ren began to give medical orders, contacted the Operating Room, and then went to change clothes.
If an ordinary person faced such cold-hearted familial affection, they would surely feel chilled. Even Xie Yiren, an Operating Room nurse who does not interact with patients' families, is the same.
But Zheng Ren had seen so much that he became numb.
Zheng Ren dared not say whether the child could be saved; what he most wanted in his heart was to save the adult.
Whether to save the child or the adult—does this even need to be thought about?
As for the days to come… they have nothing to do with Zheng Ren either.
All the way to the Operating Room, he pondered the patient's tender point and the incision site.
Because of uterine compression during pregnancy, all pregnancy-related appendicitis are ectopic appendicitis, making the situation far more complex than the ectopic appendicitis performed in the Afternoon.
Just after changing clothes, the on-duty anesthesiologist, puffing with anger, shoved open the door, which slammed into the wall with a loud bang.
He shouted at Zheng Ren: "How did you handle the briefing? The patient's family refuses anesthesia; you go explain it yourself."
"……" Zheng Ren was stunned.
"No anesthesia? What situation is this? Are they expecting a conscious cut?"
Are they here to treat illness, or to cause trouble?
Zheng Ren donned an Isolation Gown, grabbed a White Coat and threw it on, changed his shoes, and strode swiftly toward the Operating Room entrance.
"Doctor, we know that if anesthesia is used, even if the child is saved, it will be born stupid; please, don't use anesthesia." Seeing Zheng Ren rushing over, the patient's husband hurriedly grabbed his sleeve and pleaded.
"Damn it, if you don't use anesthesia, I'll give you a cut and see how you like it!" Zheng Ren flew into a rage.
"Who are you cursing at!" a family member shouted angrily.
"Will you do the surgery or not? If you don't, the child cannot be saved!" Zheng Ren knew that at this moment he could only overwhelm the opposition with his aura.
As for these people before him, the unborn child is their most important bargaining chip.
"If you can't save the child, you'll pay with your life!" the patient's father, who had been silent, standing behind the crowd, suddenly roared.
Looking at his face, roughened by wind and sun, and at that expression—once honest and simple, now somewhat ferocious—Zheng Ren's heart went numb, as if struck by an electric current and suddenly stopped.
Zheng Ren had seen many such society people in the Emergency Room before; no matter what, he had to stand from the doctor's perspective to safeguard the patient's interests.
But now, facing such accusations and threats, Zheng Ren felt powerless. Even their parents don't care—what does he count as?
Even with the system attached to him, some things are still hard to change.
"Doctor……" At that moment, a hand grabbed Zheng Ren's hand.
His palm was sweaty, somewhat trembling. Zheng Ren turned his head and saw it was the nineteen-year-old pregnant woman who had been silent and mute, lying on the cart enduring pain.
"Doctor, I don't need anesthesia; I can endure it."
Her bangs were soaked with sweat, weakly sticking to her forehead. Because of the pain, her face had an unhealthy flush, but her eyes were bright, making Zheng Ren wonder if it was the last flicker of life.
"Why don't we leave and not do it at City First Hospital?" a family member said.
"Exactly, even in the countryside they can do local anesthesia for appendicitis; here they can't—what a low standard."
"Change hospitals, change hospitals."
Several relatives, near or far, were bustling about in a genuine or feigned manner.
Zheng Ren felt a chill in his heart; the pregnant woman already showed signs of threatened miscarriage, and if they continued to toss her about, the child might truly not be saved.
Moral blackmail, sometimes it really works.
Zheng Ren gritted his teeth, furrowed his brows, and sighed in his heart.
Using the system to identify the patient's condition, he repeatedly confirmed several times, but Zheng Renye also didn't find the patient had a mental disorder. He furrowed his brow and asked: "If there is severe pain, it will trigger a bodily reaction, causing uterine contractions, worsening the miscarriage."
"I can persist, I definitely can." Two streams of tears flowed from the corners of his eyes, "Please, doctor."
Local anesthesia, that's all we can do.
"Then let's go with local anesthesia."
Zheng Ren wanted to glare fiercely at the patient's family, but felt it was pointless.
Wanting to comfort the pregnant woman, but not knowing what to say.
He let out a deep sigh, then shoved aside the patient's family and pushed the patient into the operating room.
"Chief Zheng, we agreed on that?" The anesthesiologist saw Zheng Ren pushing the patient's family in and asked.
"Local anesthesia will do." Zheng Ren said.
"How crazy!" the anesthesiologist exclaimed, "Who takes responsibility if something goes wrong with local anesthesia?"
"No anesthesia, delaying the Shou Bing, if a miscarriage really happens, who takes responsibility?" Zheng Ren countered.
That's a fallacy, with no answer.
The anesthesiologist remained silent, seeing Zheng Ren's determination, knowing he was prepared to take on all responsibility, felt some admiration, and came over to help push the patient.
"How come there's no assistant?" the anesthesiologist chatted.
"There's no way, the Emergency Department has no staff."
"You... sigh." In the end, thousands of words turned into a single sigh.
Cen Meng had been following alongside; the moment he learned that Zheng Ren was going to perform an appendectomy under local anesthesia, he immediately left the crowd. He didn't even take the elevator, just ran downstairs.
Arriving at the door of the demonstration classroom, he feigned composure and called Director Liu out. Unable to wait to go far, he leaned close to Director Liu's ear and said: "Director, Zheng Ren is going to do it under local anesthesia."
Director Liu's face sank, but he then realized that Zheng Ren was now the Inpatient Chief of the Emergency Department, a hint of a smile appearing at the corner of his mouth: "Courting death."
End of Chapter
