Chapter 370: with translation of chapter title

363 Flying Knife 14.8 Kilometers Away

Zheng Ren sneaked away.

That girl should be fine, but tonight my date with Xie Yiren got ruined again……

What a pity, Zheng Ren walked while pulling out his phone.

There was a message from Xie Yiren on WeChat; she had already packed up and was waiting for Zheng Ren in the car.

The ward was quiet; Zheng Ren hurried back to the Emergency Department, changed clothes, then went to the underground parking lot.

Life is constant repetition, but when repeated too many times, it becomes boring.

It's already past ten; if it were in Di Du, Chengdu, Modu, or Pengcheng, this time would be just when nightlife starts.

However, for an Emergency Department inpatient chief on a flexible shift, going out to play at this time would be somewhat inappropriate.

Xie Yiren wasn't interested in nightclubs either; she drove, chatting and laughing with Zheng Ren, and each went back to their 'home'.

They chatted on the phone for a while, then each fell asleep on two beds not far apart.

The night passed without words.

The sun rose as usual, and life continued its endless repetition.

Breakfast, go to the hospital, hand over rounds, make rounds.

When Zheng Ren came to the Emergency Department ward to make rounds, he discovered a strange patient.

He was an elderly man in his eighties, very healthy, with clear vision and good hearing. The System Panel showed only a few geriatric diagnoses, none of them acute.

But the old man kept saying he felt uncomfortable all over.

Director Pan led the rounds, mentioning some principle examinations and treatments, and left the rest to Zheng Ren.

Having experienced the previous incident where a young couple feigned illness, Zheng Ren wasn't in a rush; he examined the patient, checked the test reports, and after his judgment matched the System's, he let the Emergency Department doctors put it aside for now, to be dealt with after his surgery.

Today two outpatient surgeries were scheduled: one was a secondary retrieval of a removable stent, the other was a genuine TIPS surgery to treat refractory ascites.

Leaving the Emergency Department ward, Zheng Ren first went to the Department of Gastroenterology.

Preoperatively examining the patient to avoid basic mistakes is what a surgeon should do.

Although the matter is minor, it is indeed important.

Entering the Department of Gastroenterology, two people came out of the director's office: one was Director Xia, the other a middle-aged man with graying temples whom Zheng Ren did not know.

"Little Zheng, let me introduce someone; this is my classmate surnamed Zhang, who is a vice president at the Infectious Disease Hospital, overseeing clinical work." Director Xia introduced.

"Director Zhang, hello." Zheng Ren's attitude was somewhat perfunctory; today he had many things to do, needed to pre-op check the patient, and also go to the ICU to see Yang Lili's condition. Whether he could even get lunch was uncertain, let alone have time to chat with an outside hospital's director.

Even if he had time, Zheng Ren would certainly be unwilling.

Director Zhang looked at Zheng Ren with a smile, warmly extended his hand, shook Zheng Ren's hand, and said, "Chief Zheng, I'm here today to observe the surgery."

Observe the surgery?

Zheng Ren didn't understand, looking toward Director Xia.

"TIPS surgery hasn't been started yet at the Infectious Disease Hospital, but they have the most relevant patients there." Director Xia said with a smile: "The patient you just operated on is a classmate of ours; Old Zhang got the news and rushed over to take a look."

"Chief Zheng, if you have time, come to our Second Hospital (note 1) to do a few TIPS surgeries? Consider it freelance work; you set the price." Seeing Zheng Ren in a hurry, with wandering eyes and not even looking at him, Director Zhang said.

Clinical doctors are mostly like this.

If you discuss the patient's condition with him, he will surely pay full attention; but if you talk about something else, especially preoperatively, him standing here pretending to listen counts as giving face.

Upon hearing that TIPS surgeries could be done, Zheng Ren's eyes lit up.

Freelance fees, I really don't care. In a few days I'll go to Di Du to do freelance work; I believe Director Kong won't shortchange me.

But no matter how much freelance pay there is, it seems not closely related to life.

Could Xie Yiren's parents care about an income of eighty thousand?

However, the second-stage task of the System's 'Pearl on the Crown' offers rich rewards, especially the experience of 3,000 radiofrequency ablations, making Zheng Ren's mouth water.

Zheng Ren pondered how to complete the task.

He never expected it would fall to this gray‑templed Director Zhang right before his eyes.

"Alright, how many patients do you have over there?" Zheng Ren asked.

"As many as you need, we have that many." Director Zhang said with a smile.

People like Zheng Ren, in Director Zhang's view, are the easiest to deal with. Such a young doctor, striving to improve his technical skills, as long as you provide patients, he won't mind if the Second Hospital isn't interested.

The surgery fee isn't a problem; an expert consultation of 1,000–2,000 would probably satisfy this young doctor.

After all, we're in the city; saying he's going out to do freelance work, does he really think he's actually going to do freelance work?

The main thing is to feed him surgeries; he has to be able to handle them.

TIPS surgery isn't like removing an appendix; after a year or two in a hospital anyone can do it. A doctor lacking talent or solid foundations wouldn't dare attempt it even in a lifetime.

Director Zhang guessed that back then the situation was urgent, they'd just shoved anyone into the role, and Chief Zheng of the Emergency Department got lucky to complete one TIPS surgery.

That's also why I came personally to watch his surgery; if he can really manage it, I won't be stingy about giving him an 'opportunity'.

Feeding him with surgeries also solves many patients' problems, killing two birds with one stone.

Director Zhang's little abacus clacked away, mainly because Zheng Ren is young; if it were Director Pan standing here, he'd probably have already knelt.

Those who can perform TIPS surgery are all divine beings.

After saying a few words, Zheng Ren requested to go see the patient preoperatively.

The patient who underwent the Emergency Department TIPS surgery is recovering well; vomiting blood has disappeared, and no hepatic encephalopathy complications have appeared.

This morning, an emergency blood ammonia test showed normal values; even without removing the retrievable stent, the current treatment is satisfactory.

Another patient with decompensated cirrhosis and refractory ascites has seen some correction of ionic imbalances and other complications, and there is no absolute contraindication to surgery.

The family is also relatively cooperative, because refractory ascites has already been deemed a death sentence in other hospitals and Haicheng City First Hospital.

Unless a TIPS surgery is performed.

But the high cost of TIPS Surgery, plus going to a foreign place, they are completely in the dark, the cost is even more unbearable, so they can only wait for death to come.

Director Xia said that Haicheng Shi Yiyuan could perform it, but the risk was relatively high; the patient's family didn't even hear the latter part and directly agreed to the Shou Bing.

Anyway, they were going to die; trying it was always an Opportunity.

Especially since the hematemesis patients recovered well, it gave the families of patients with refractory ascites infinite hope.

The Shou Bing consent forms were already ready; Zheng Ren saw that the patient's condition was still fine and could undergo the Shou Bing, so he finished seeing the patients.

He greeted Director Xia, had the Xiao Hua Nei Ke send the hematemesis patient to the Operating Room, and then he himself went to the ICU to see Yang Lili.

……

Note 1: In many cities, the First Hospital is a comprehensive hospital like People's Hospital, while Eryuan is an Infectious Disease hospital that treats tuberculosis, hepatitis B, and other Infectious Diseases.