Chapter 278: 0272 Floating Gallbladder (1/5)

The surgery went very smoothly; Zheng Ren, with Yang Lei assisting, finished and left the stage in twenty minutes.

On stage, Zheng Ren tirelessly explained the key steps to Yang Lei. Although it was just a laparoscopic appendectomy, given Zheng Ren's level, he cited widely and drew analogies to other surgeries, and Yang Lei benefited greatly.

After stepping down, Zheng Ren was bored.

Just returned from Di Du, it seemed as if life had lost its direction.

No, it's not because of that, but because Xie Yiren didn't go up to perform surgery.

Zheng Ren just wasn't aware of this.

The General Surgery Department's skill points were slowly grinding away, still far from the master level.

Zheng Ren actually wanted to train in the System Operating Room on a pancreaticoduodenectomy, estimating that one surgery could gain over a hundred skill points.

But when he saw his remaining experience points and surgery time, Zheng Ren dismissed the idea.

If they were all spent, the chance of promotion to master would be minuscule, and if an emergency arose, he'd be at a loss.

Better to keep grinding slowly; the long-term main quest—being the best surgeon—has already been completed many rounds, though the rewards are meager, even a tiny bit is still meat.

"What are you spacing out about?" Su Yun's familiar voice came from behind.

"Spaced out."

"Are you thinking about Xiao Yi Ren? You're too timid; the domineering CEO loves me—have you seen it? What's needed is that domineering aura." Su Yun goaded.

"Liu Zong is very domineering in the United States, lost a lot of money, how embarrassing." Zheng Ren retorted without hesitation.

"I'm talking about you; just get the spirit." Su Yun didn't mind Zheng Ren's retort, which showed he felt guilty, and she smiled faintly.

"How's the patient?" Zheng Ren asked.

"Condition stable, just removed the tube; looking now, he can live." When speaking of the patient's condition, Su Yun stopped being long-winded and gave a brief summary.

Zheng Ren knew the score; the surgery was 100% complete, and as long as nothing went wrong on the ICU side and it was handled properly, the patient would find it hard to die.

"By the way, the paper on small nodule liver cancer has arrived in the mail; I just got a call asking if there are more cases."

"Probably not for now." Zheng Ren said: "Can't it be published as a case report?"

"It's possible, but hard to get recognition quickly." Su Yun said, "Anyway, you don't care—you're just a salted fish; you might as well stay in Hai Cheng as the Inpatient Chief."

"Wherever you are, it's for a lifetime; you also came back from Di Du, didn't you?"

"Boss, are you interested in a pet hospital? I'm not asking you to go; if there's a surgery needing you, it's just to save a case."

"..." The words "save a case" and "go to a pet hospital" were unfamiliar to Zheng Ren.

"Basically, it's golden retrievers, Alaskans, etc., eating socks, causing intestinal obstruction from foreign bodies. At your level, twenty minutes per case, no exaggeration." Su Yun said: "Money, easy to talk about."

"I..."

"Don't say you're not short of money; I asked yesterday, Xie Yiren's parents will be back in a month or two for New Year." Su Yun said slyly.

"..." Zheng Ren hesitated, "Okay. But I don't have a veterinary license; is that okay?"

"No problem; which vet can do surgery? They're all just guessing. Doing a neuter is fine, but if they really had to cut open the abdomen or chest, they couldn't handle it." Su Yun said.

"Look for an opportunity." Zheng Ren finally lowered his head before reality.

Just thinking about Xie Yiren's parents coming back, Zheng Ren felt a little uneasy. As for why he was uneasy and how to resolve it, Zheng Ren had no clue.

As he was thinking, his phone rang.

"Chief Zheng, I have an aunt with right upper abdominal pain; please come take a look." It was Chu Yanran.

It was said very simply, not even mentioning the place. Moreover, no politeness—among our own, why be formal? Being overly distant.

Since no place was given, it must be in the Emergency Department.

Zheng Ren immediately strode to the Emergency Department; Su Yun, as usual, lowered her head slightly and followed behind.

The Emergency Department wasn't very busy; it was deep winter, with hardly anyone fighting after drinking, the roads were all ice and snow, and everyone drove carefully, so the Emergency Department was rather quiet.

But this was fine.

In the Emergency Department, Chu Yanran stood by the resuscitation bed; beside it was the Emergency Department ultrasound cart, and a doctor was performing an abdominal ultrasound on the patient.

Family members anxiously waited on one side; Zheng Ren ignored them and glanced at the System Panel's prompt—acute gallbladder torsion, acute gangrenous cholecystitis.

Huh? This is a rare disease.

Gallbladder torsion is a rare condition; since Wendel first described it in 1898 as a "floating gallbladder," over a hundred years have passed, and Zheng Ren searched his memory of literature, estimating only a few hundred cases have been reported.

Adding those he doesn't know of, the total reported cases would be at most three to five hundred.

Let's prepare for surgery; there's no other way.

Any organ, once twisted, means necrosis will follow. The System Panel has already given the prompt—acute gangrenous cholecystitis.

Seeing Zheng Ren arrive, Chu Yanran said: "Mrs. Lin had abdominal pain after breakfast this morning, which was not treated at the time. Three hours ago, the pain worsened; she took anti-inflammatory cholagogue tablets, but saw no improvement. One hour ago, the pain became severe, unbearable, and she came to our hospital for consultation. During the course, there was no chills or fever, no nausea or vomiting; the Emergency Department blood count and liver function have been sent for testing, and the results should be back soon."

"Gallbladder inflammation requires surgical treatment." Zheng Ren said.

"Are you Doctor Zheng?" a man in his thirties asked.

He wore gold-rimmed glasses, had a scholarly air, and an anxious, uneasy demeanor.

"Yeah, that's me." Zheng Ren replied.

"Hello, I'm Zhou Wenxiang." The middle-aged man, although anxious, hadn't lost his composure, and he reached out to shake Zheng Ren's hand.

"Doctor Zheng, do you think my mother needs surgery? Can we avoid surgery?" Zhou Wenxiang asked.

"I consider it gallbladder torsion with local necrosis leading to acute gangrenous cholecystitis. There are two surgical methods: removing the gallbladder or repositioning it. I recommend direct removal to prevent recurrence. As for conservative treatment, it cannot relieve the symptoms, so I do not recommend it."

Zheng Ren laid out his diagnosis in full detail.

Zhou Wenxiang hesitated, then left perfunctorily.

Zheng Ren looked at Chu Yanran; she leaned in and whispered: "His dad is a colleague of my father, heading back from Sheng Cheng. Chief Zheng, gallbladder torsion is a rare disease—can we confirm it?"

"Here." Zheng Ren pointed to the bedside ultrasound and said: "Imaging supports the diagnosis of gallbladder torsion."

"When did you start looking at ultrasounds? I recall you never had opinions on them before." Chu Yanran keenly noticed the anomaly.

"That's because before, ultrasounds were never problematic; this isn't encountering a rare case in the Emergency Department, so I just said it."

Chu Yanran tilted her head, thought for a moment, what Zheng Ren said seemed reasonable, so she didn't say anything more.

"Director Xia, please help take a look, my mom is in so much pain she can't bear it, and she doesn't want Shou Bing." Zhou Wenxiang's voice came in.