Chapter 2094: with translation of chapter title

Zheng Ren understood Su Yun's meaning.

To determine whether it is a floating liver, the patient needs to change position, do a CT in left lateral decubitus and a CT in right lateral decubitus.

With the change in position, if it is a floating liver, there will be a characteristic change on imaging, thus allowing direct diagnosis.

Although looking at the film now I am almost 100% certain, it is not rigorous.

Zheng Ren could also think of several diseases that would produce similar images, although the possibility is smaller, they do indeed exist.

He nodded and immediately sent a message to Liang Boshi.

"Boss, do you say this disease belongs to hepatobiliary or gastroenterology?" Su Yun suddenly asked with a smile.

"Hepatobiliary. Go up and take a look; if there is no intestinal obstruction, then reduce and fix the liver."

"Reduction is also a gastroenterology task."

Su Yun raised an objection, that is ISO9002 certified.

"Then let's go up together." Zheng Ren didn't mind, casually saying: "Laparoscopic surgery will do, just take the shift."

"Boss, you say Lin Yuan went to find external help to diagnose green urine, how long until we have results?" Su Yun changed the topic quickly.

"I don't know; domestically it depends on luck. Abroad… it mainly depends on whether anyone has seen a similar patient, which has some randomness." Zheng Ren said, "But looking at the current situation, the Tumor Hospital probably hasn't seen a similar case."

"This probability is too small; I have previously read the propofol instructions, never noticing those six characters."

"I also hadn't noticed; just this morning I looked at the medical orders, recalling various drug instructions, feeling that place might have something missing." Zheng Ren said, "If this case were given to pharmacology and physiology researchers, it might have some significance. For clinical doctors, the significance is not great."

"Hmm, clinical significance is not great." Su Yun said, "I have seen many patients with liver failure using propofol for sedation and ventilator-assisted breathing, and none have exhibited green urine."

"Don't talk about this; it's just a drug side effect, why are you studying it so meticulously?" Zheng Ren said.

"Boss, that's not like your character." Su Yun laughed.

"Originally it's also like that, having nothing to do with clinical work, so it's not worth spending too much effort."

"If the ICU doesn't come looking for you, what do you think will happen?" Su Yun asked.

"The patient's condition is fine; then just observe. If you're bold, try stopping the medication and extubating. As long as you stop the medication, it'll be fine. Even without me looking, they'll recover, that's certain." Zheng Ren guessed casually.

Speaking, the two arrived at the EmergencyDepartment.

From the main entrance walking in, voices of arguing came from the hallway.

Calling it an argument is a bit of an exaggeration; the sound should be one-sided expression of dissatisfaction.

"On what basis does one organ require us to do three CT scans!"

"Do you even know how to treat illness, and still claim to be 912! Have the nerve to say you're a doctor of 912!"

"Still want to keep face? Extorting money isn't that extreme!"

Zheng Ren heard and immediately knew what had happened.

This is the patient's family refusing to comply.

For one position, doing three CT scans normally requires issuing three examination slips.

Is the patient's family's doubt wrong?

No.

How could someone who doesn't understand medicine comprehend the significance of doing three CT scans for one position?

Not to mention those who don't understand medicine; even ordinary doctors who don't know about floating liver probably wouldn't fully grasp the purpose of doing this.

This is still considered good; I recall many years ago, a hospital encountered an old deadbeat.

The patient was critically ill and died in the ICU of a certain large tertiary hospital.

Finally the patient's family began demanding compensation, found media, and displayed daily medical expense receipts.

One of those receipts showed a large charge for normal saline; at that time Zheng Ren was young, still in school, in a naive period.

Considering himself knowledgeable about medicine, upon seeing the media report he became even more indignant than ordinary onlookers.

But only after contacting clinical practice did he realize that a critically ill patient has many places needing normal saline.

Dialysis, various tube flushing, IV drips, etc. Almost every conduit needs flushing with sterile normal saline.

Also, suctioning sputum; if there is no normal saline, the viscous sputum sucked out would clog the suction tube.

Even when I was a medical student I didn't understand these things, let alone ordinary patient families.

Seeing Su Yun raise his eyebrows, Zheng Ren patted his shoulder and smiled, asking: "Are you angry?"

"They don't know shit!" Su Yun angrily said.

"Don't swear." Zheng Ren said, "Being angry is bad for the liver, and you still drink alcohol."

"Don't blame everything on drinking!" Su Yun, hearing Zheng Ren say that, became even angrier.

"Hehe."

"Then what do you say we do? The colon lies between the liver and diaphragm; who knows when it might twist. Once necrotic, the amount of intestine that needs to be cut can be huge."

Speaking, Su Yun laughed and said: "You say, is this courting death?"

"Don't say that; they also don't understand, right." Zheng Ren said, "It's fine, watch me."

"You?" Su Yun gave Zheng Ren a surprised glance.

If Chang Yue said this, Su Yun would immediately believe it. But the boss's words… his communication ability with patients is not bad either, but it definitely hasn't reached Chang Yue's top-notch level.

"No need for communication." Zheng Ren smiled.

In the System Operating Room, Autologous Fat Transplantation was performed, filling the wrinkles at the corners of the eyes; Zheng Ren's mood was great, much more lively than usual.

Zheng Ren chest out, head up, strode in.

"Doctor, quickly write a prescription for my old father!"

Su Yun, seeing that guy's appearance, instantly understood what the boss wanted to do.

Really… still a lifelong professor at Massachusetts General Hospital, have you no shame!

The patient's family still grabbed the Emergency Department doctor questioning, while Zhou Litao explained on the side, his face full of freckles almost bursting from anxiety.

Seeing Zheng Lao Ban walk in head high and chest out, saying whatever to get a prescription for his old man, everyone was stunned.

The patient's family was still complaining when Zheng Ren stepped forward and shouted, "What's all the fuss! Delaying my old man's seeing a doctor—can you afford to compensate?"

Zheng Ren was wearing casual clothes; to Zhou Litao he was Zheng Lao Ban, but to an ordinary patient's family he was just another patient's family member.

Although he looked kind, his speech was utterly impolite; he glared, looking quite fierce.

The patient's family was stunned for a moment.

The Emergency Department hallway instantly fell silent.

Taking this opportunity, Zhou Litao hurriedly explained to the patient's family why they needed three CT scans.

Zheng Ren, full of drama, his face full of impatience, said, "Doctor, is it ever going to end? Hurry up and give me the prescription—there's quite a lot!"

The patient's family's sense of urgency came immediately.

Facing doctors, they can argue and make a fuss, because they know the other side won't talk back or fight back.

When encountering a soft persimmon, who wouldn't squeeze it?

But when they encounter a patient's family like themselves, they immediately get anxious.

"We were here first!"