Chapter 279

Zhou Wenxiang held a phone in his hand and walked in with two people.

He was Director Xia of Xiao Hua Nei Ke and Director Sun of the Department of General Surgery II.

Director Sun saw Zheng Ren, nodded in greeting, polite and modest, showing no airs of a senior director.

Director Xia of Xiao Hua Nei Ke was a woman in her fifties, about 1.5 meters tall, thin and frail, with a long narrow face, short hair, exuding a capable demeanor.

"Doctors, my mother felt stomach pain after finishing breakfast this morning," Zhou Wenxiang recounted the medical history again.

As they spoke, several people passed by Zheng Ren; Director Xia ignored his presence and went straight to the patient to prepare for a physical examination.

Chu Yanran felt a little embarrassed; this was her second time seeing Zheng Ren for treatment, but her acquaintances had contacted various hospital directors and department heads on their own, leaving Zheng Ren sidelined.

This time it was the same again!

Among the Chu family sisters, Chu Yanran is quieter than Chu Yan zhi, but the gentler a person seems, the more severe the consequences when they lose their temper.

Seeing something wrong, Zheng Ren quickly grabbed Chu Yanran's White Coat and lifted her back like a chick.

"What are you doing?!" Chu Yanran glared at Zheng Ren.

Zheng Ren released his grip, smiling softly, and said, "It's nothing."

Chu Yanran furrowed her brows, stamped her foot, and said, "From now on, I won't meddle in other people's affairs anymore."

"Hehe." Zheng Ren laughed.

"You're carrying on with Xie Yiren and flirting with Chu Yanran—I've noted this down," Su Yun said coldly from behind.

"……" Zheng Ren froze for a moment; although he knew Su Yun was joking, cold sweat instantly broke out on his back.

"Don't mess around!" Chu Yanran kicked Su Yun's shin with her foot, "Chief Zheng, I trust your diagnosis."

"I don't know why, although his diagnosis sounds unreliable, I inexplicably believe it." Su Yun nodded, her black hair fluttering above her forehead.

After being kicked by Chu Yan zhi, he stopped joking and said, "The patient has right upper quadrant abdominal pain; diagnosing acute cholecystitis is appropriate. I don't know where you, Zheng Lao Ban, saw signs of gallbladder torsion."

"The abdominal ultrasound shows gallbladder dilation, no gallstones visible. There is an 8mm segmental gallbladder wall thickening, suggesting possible segmental adenomyomatosis." Zheng Ren pointed to the bedside ultrasound and said, "This is a routine exam, but when we first arrived, we happened to do a tilted scan; at that time I saw no dilated septa inside the gallbladder and the gallbladder wall was not thickened."

"Hey, nice eyesight." Su Yun stared at the ultrasound, but lacking expertise in this area, looking was pointless.

After spending a long time with Zheng Ren, Su Yun felt mentally exhausted.

Interventional surgery and general surgery haven't even caught up, yet this guy keeps talking about tilted ultrasound scans… Clinicians might understand CT and Nuclear Magnetic Resonance images, but they know little about ultrasound, which demands more operational skill as an auxiliary examination.

Most doctors just read the ultrasound report.

Because ultrasound places higher demands on the examiner's technique, skilled ultrasound doctors are in high demand, with people queuing every day to get an ultrasound.

After saying a few sentences, Director Xia had already begun the physical examination.

She conducted the physical exam professionally, her history-taking and differential diagnosis were systematic; at a glance she was an experienced senior clinician.

After the physical exam, she glanced at the ultrasound report again.

"Acute cholecystitis—the diagnosis is clear. We can choose conservative treatment or surgery; it depends on what you prefer." Director Xia said firmly, "What do you think, Director Sun?"

"Me?" Director Sun chuckled, waved his hand, and said, "Little Zheng, what's your take?"

This…… Zheng Ren really didn't know what to say to Director Sun.

Probably after years of coasting, he's reluctant to assert anything in public.

"I suspect the patient has gangrenous cholecystitis and needs emergency surgery." Zheng Ren stated his diagnosis frankly.

"How did you figure that out?" Director Xia said with a hint of reproach; it wasn't a discussion of the condition but a condescending reprimand.

Clinically, senior directors have their own dignity, like the alpha wolf of a prairie pack—its authority cannot be challenged.

Even our own wolf cubs won't do, let alone others' wolf cubs!

Since Zheng Ren is the Inpatient Chief of Jizhenbingfang, Director Xia's tone is relatively mild. If it were our own Inpatient Chief or a junior doctor daring to question a senior director, they'd be courting death.

Actually, Director Pan's attitude toward Zheng Ren is merely an exception.

That was based on when Zheng Ren livestreamed a Shou Bing, during which a single person completed a pancreaticoduodenectomy at peak proficiency.

Otherwise, Director Pan would have slammed the table and cursed at the dean to have Zheng Ren brought in; after he arrived, Zheng Ren would say what he meant, and Director Pan would only handle logistics.

"During the tilted ultrasound scan, I saw a similar image." Zheng Ren explained, his temperament mild, with no trace of anger.

Director Xia's face fell, she looked at Zheng Ren sternly, but did not directly challenge him.

After pondering for over ten seconds, Director Xia said in a low voice, "Urge the emergency lab tests."

A clinical medic beside her immediately responded, asked for the patient's information, then turned and ran to the emergency lab.

Director Xia had her hands in the pockets of her White Coat, shoulders bearing a red stethoscope, and Zheng Ren thought of Fang Lin.

I don't know if that guy Fang Lin has been discharged. In Di Du, when he was about to leave, Fang Lin didn't say thank you; he just said he would go to Hai Cheng to have fun after discharge.

Regarding Fang Lin's words, Zheng Ren felt troubled.

Fun—Zheng Ren truly didn't know where to go for fun. Although he was born and raised in Hai Cheng, he'd spent his life scrambling, working hard to earn a living; where would he find time to play?

Not to mention Hai Cheng, when Zheng Ren was in university in Chengdu, he hadn't even been to the Wuhou Shrine. He had only been to the Wide and Narrow Alley once, and that was because classmates dragged him there. Having not been to those places, let alone scenic spots like Dujiangyan and Mount Emei.

Really worrying, if Fang Lin really comes all the way from Di Du, he wouldn't just be eating and drinking in Haicheng, would he? Even if it's just eating and drinking, Zheng Ren has no idea. Would he have to drag Fang Lin to work a shift in the Emergency Department?

Zheng Ren would be willing, but that's not the way to treat a guest.

Seeing Zheng Ren silent, Chu Yanran and Su Yun both showed a rare worried expression on their faces, feeling quite surprised.

Chief Zheng, what's wrong with you? After being scolded a few sentences by Director Xia, you don't dare to answer? No way, Zheng Ren's temperament is to speak up when there's something; I've never seen him usually afraid of anyone.

Or is it that he's not very confident in his own diagnosis?

Soon, the clinical doctor under Director Xia came running back holding the emergency lab report.

Director Xia picked up the lab report, glanced at it, and said coldly: "Serum C-reactive protein is normal, white blood cell count is 7.5, neutrophil segmentation is normal, and the clinical lab results do not support gangrenous cholecystitis."