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Chapter 3153: with translation of chapter title

~7 min read 1,260 words

You guess whether he truly doesn't know or he doesn't want his daughter to celebrate Christmas?

I don't know, lately it seems there are a few more videos of people talking nonsense. It's the kind that sounds reasonable but is actually nonsense. Zheng Ren watched the father and daughter's departing figures, his mind not thinking about Christmas, but imagining that several years later he would have one hand holding Yi Ren and the other holding a child, strolling down the street.

Such a life seems wonderful, just that he hasn't experienced it; Zheng Ren can only imagine it a bit. But just thinking about it makes him feel happy.

How boring. Su Yun said, then started fiddling with her phone.

When will the car arrive? Zheng Ren asked.

Are you cold?

Not cold, Yi Ren put long underwear on me.

It's almost the coldest period, and you're only putting on long underwear now, still here spreading dog food? Do you have any shame? Su Yun asked, puzzled.

It's better than just wearing a single pair of pants; even when I'm alone I often forget to change clothes.

I'm done! Su Yun said contemptuously.

Back at the hospital, Zheng Ren continued weaving the red string, while Su Yun, bored, fiddled with her notebook.

Chang Yue, Gao Shaojie, Lin Yuan, and Gu Xiao Ran were all busy.

Having returned to the country, work must continue. The Nobel Prize is neither a starting point nor an endpoint, just an insignificant dot.

After a while, Yi Ren called, saying she had brought the specimen back.

Su Yun went to deliver the sample, waited about an hour, and then the result came out.

Sure enough, the test result reported K: 2.40 mmol/L, the diagnosis of hypokalemia is quite clear.

When Lingzi saw this result, she was still a bit dazed; Zheng Ren knew it was obvious she didn't understand what this result meant.

You have several options now. Zheng Ren sat in his seat and said seriously, "First, the patient should be transferred to a higher-level hospital as soon as possible; 912 works, or other hospitals are fine. The condition isn't serious and will improve quickly, but if treatment is delayed there, something serious could happen."

Second, go back and find your lab department to clarify the matter.

Third, give the patient oral potassium chloride or flavored potassium, then check again tomorrow morning. I'm just saying this; I don't recommend it.

Doctor Zheng, the danger isn't great, is it? Lingzi asked.

Heh. Zheng Ren felt especially helpless; being stuck with an irresponsible newbie doctor who doesn't know the seriousness of the situation, the outcome is truly frustrating.

Mild cases show sinus tachycardia, atrial or ventricular premature contractions, and atrioventricular block; severe cases develop paroxysmal atrial or ventricular tachycardia, even ventricular fibrillation, and hypokalemia can worsen digoxin and antimony poisoning, possibly leading to death.

Peripheral blood vessels dilate, blood pressure may drop; reduced myocardial tension can lead to cardiac enlargement, severe cases may develop heart failure, and ECG changes show U waves. Look at the ECG your hospital pulled—it already shows signs of tachycardia; if you don't give proper treatment, the risk of danger is high.

Are you competent at emergency resuscitation for cardiac arrest? Su Yun interrupted the boss's lecture-like scolding and asked directly.

... Lingzi was a bit dazed.

I suggest you tell the patient's family that you have friends at 912, go ahead and discharge them to come to 912 for treatment. Zheng Ren said seriously, "Treat them well, they can be discharged in two or three days, it's no big deal. But if you keep delaying and a true arrhythmia occurs, that's a life."

What are you hesitating for? Xie Yiren said, grabbing Lingzi's arm, "Hurry up and mobilize the patient to come to 912."

But... the director just gave her another prescription. Lingzi said with a mournful face, "If I urge her to be discharged, I'm afraid the director will scold me."

Zheng Ren felt like cursing at such behavior, which is completely clueless about the situation.

This is too inexperienced, or rather, they can't sort out the matter, can't grasp the key point. Now someone is willing to take on all the trouble and wipe her bottom, yet they don't feel grateful and still worry about the director's opinion.

This girl's head is full of paste; Zheng Ren reached his own conclusion.

Yi Ren, you... take her out and persuade her properly. Zheng Ren gave Yi Ren a look.

Xie Yiren understood, took Lingzi's hand and went out.

Zheng Lao Ban, is it a private hospital? Gao Shaojie asked.

Hmm. Zheng Ren nodded.

It probably isn't; private hospitals are usually very refined. Gao Shaojie said, "Stir up a trouble, and you might have wasted half a year for nothing. Why hesitate to transfer to a higher-level hospital?"

Old Gao, what's the situation in the provincial capital? Su Yun asked.

Our interventional department has no one to rely on; private hospitals haven't evolved enough to have interventional equipment... Saying this, Old Gao laughed.

It's just a generation. In the capital, Yimei is a blatant example.

Keep going. Su Yun also knew what Gao Shaojie was thinking and urged him on.

Usually they have their own on-call staff, but they pull in professors from public hospitals or surgeons with good skills to do operations there. They share the profits, and if something goes wrong, can't they just transfer the patient? Gao Shaojie said, "That little doctor just now looked a bit simple-minded."

Totally clueless, hasn't been roughed up by society yet. Su Yun said, "I guess the boss told her to send the patient to 912, but she probably doesn't even know what that means."

Probably, but we should say it quickly; I bet their director, upon hearing this, would immediately send the patient over. Gao Shaojie laughed, "There are also truly capable people who run private hospitals; a classmate of my classmate opened a trauma hospital in the provincial industrial area after graduation, specializing in finger replantation, and business is quite good."

Accidents happen more often in factories; as long as the skill is sufficient, reputation good, fees reasonable, plus geographical advantage, it can definitely stand firm. Zheng Ren said.

Yes, he's done at most four fingers so far, which is already pretty impressive. Gao Shaojie said, "He approached me, but he's not good at reading films in this area, and wants to rope me in."

Then what happened?

That's not because last year I caught up with seeing Boss Zheng do a TIPS procedure in Hai Cheng, so I didn't agree. Then I kept delaying and came to the capital. Gao Shaojie laughed, "Now insurance fraud is being cracked down hard, some private hospital bosses have been criminally detained, causing chaos. Private hospitals without real ability can't stay open."

At this time many hospitals want to increase revenue and cut costs; I think the lab is just a piece of that.

Don't talk about others; the fake physical examination scandal at the Medical University Affiliated Hospital in the northern provincial capital is a public hospital. Su Yun said.

Gao Shaojie smiled and said nothing.

The physical examination center is often outsourced; even if it belongs to the hospital, its status is quite detached and has little to do with clinical work.

His idea is similar to Zheng Ren's; true or false, it's just that much. I'm just a doctor, can't manage everything; being able to cure and discharge the patients at hand is already an SSS-level task, requiring full focus.

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End of Chapter

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