Chapter 414: with translation of chapter title

406 Boss, you bumped me

The phone rang; it was the department's landline.

Zheng Ren answered; it was a doctor from the emergency internal medicine department. A young female patient had been diagnosed with acute appendicitis, already admitted, and was on her way up.

Zheng Ren called to Su Yun, 'We have an appendicitis case; in a moment, take Yang Lei and do the surgery.'

'Oh.' Su Yun was messing with her phone, head down, unsure whether she was chatting or playing a game, her black hair drifting over her forehead.

The emergency ward averages two appendectomies a day; after Yang Lei joined the emergency ward, he got plenty of surgical experience.

Although his talent is limited, he gets plenty of surgical practice, and his skill steadily improves.

Soon, the patient arrived.

Zheng Ren carefully examined the patient himself and made a diagnosis.

The patient is a young female, 16 years old, right in the prime of her youth.

She had lower right abdominal pain for two days, accompanied by a low fever; emergency blood tests showed elevated white blood cells and neutrophils, indicating infection.

The ultrasound ruled out ovarian issues; the symptoms were classic, the diagnosis clear—whether it was Zheng Ren's own assessment or the system's 'Big Pig Trotter' output.

Then let's prepare for surgery.

'The patient's diagnosis is clear—acute appendicitis. When was the last time she ate or drank?' Zheng Ren asked.

The patient's father is a man in his thirties, dressed as if he came from a rural area under a county-level jurisdiction.

'Upon hearing Zheng Ren's question, he immediately became wary, looking at Zheng Ren, and replied cautiously, 'This morning, around 6 a. m.''

Zheng Ren wondered why the man was so wary of him.

He glanced at the time; it was still before 10 a. m., leaving 2–3 hours before the six-hour fasting period required for surgery.

'From now on, no eating or drinking.' Zheng Ren said, 'At 1 p. m., prepare for surgery.'

'Surgery?' the man immediately said, 'Doctor, we don't want surgery.'

'Huh?' Zheng Ren then realized the problem had arisen.

Perhaps his earlier confusion was related to the surgery.

Sure enough, the patient's father said, 'No surgery needed; just give my daughter some anti-inflammatory medicine.'

'With acute appendicitis, conservative treatment could lead to a ruptured appendix, which could seriously endanger the patient's life.' Zheng Ren wasn't trying to scare the family; he was stating a fact.

Leaving aside distant examples, Fan Tian Shui, at that time, had undergone no treatment; a tough man, he barely clung to life.

As for far away cases…

Born in Tokyo, Riben, a star and model named Masaki Wataru, fearing scars, refused an appendectomy, leading to a ruptured appendix, peritonitis, and his death at age 20.

It's a minor ailment; wait a bit, it might get better, but it could also turn fatal.

Surgeons tend to be somewhat aggressive by nature.

The appendix is useless sitting there; once it starts hurting, it's better to remove it outright than to treat it conservatively.

'It's fine, just a stomach ache; nothing will happen.' The man was adamant.

Beside him, the girl curled up on the exam table, clutching her stomach; his resolve seemed especially cold.

'Is it a lack of money?' Zheng Ren asked, understanding and sympathetic.

… His response was silence.

'Removing the appendix doesn't cost much. If the family's finances are tight, we can skip laparoscopic surgery and just do an open procedure—over a thousand yuan is enough.' Zheng Ren tried to convince the father, pressing the cost lower and lower.

… Silence persisted.

'Even intravenous antibiotic anti-inflammatory treatment isn't cheap and carries risks.' Zheng Ren added.

'Doctor, we don't want surgery; just give some anti-inflammatory medicine.' The patient's father showed irritation, looking at Zheng Ren with disdain as he spoke.

This time, Zheng Ren was left speechless.

Sighing inwardly, Zheng Ren nodded, took the patient's father to the office, had Chang Yue issue an admission notice, and then completed the hospitalization procedures.

After the father left, Zheng Ren said, 'Chang Yue, later find out why the patient's family refuses surgical treatment.'

'Refuse surgery?' Chang Yue exclaimed in surprise.

It's just an appendectomy; who would still refuse it?

'Well, I asked. Even after reducing some medical fees and lowering the surgery hospitalization cost to around a thousand yuan, they still refused without hesitation.' Zheng Ren said helplessly.

'Hmm, I'll ask.' Chang Yue said, 'Chief Zheng, when will Zheng Sister's surgery be done?'

'Tomorrow I'm going to Eryuan for surgery, and the day after I'll do Zheng Sister's surgery.' Zheng Ren said, 'Tell Zheng Sister she might need radiofrequency ablation.'

'Do you have a pre-op briefing template?'

'No.'

'You don't even have a pre-op briefing template—are you really going to perform radiofrequency ablation?' Chang Yue wondered.

'It should be fine; I can't do it, but isn't there Fugui'er?' Zheng Ren laughed, 'Fugui'er, you say so, right?'

'Boss, you're putting me on the spot.' Professor Rudolf Wagner smirked, saying, 'Your interventional surgery skills could outshine all intervention department doctors. Stop picking on Chang Yue for not doing surgery, you nonsense.'

… Zheng Ren remained speechless.

The professor's Northeastern dialect is getting smoother; phrases like 'nonsense' are things Zheng Ren himself wouldn't say.

If it weren't for the professor saying so, Zheng Ren would have probably forgotten by now.

'Chief Zheng, you need to keep an honest heart toward your inpatient doctors.' Chang Yue said solemnly and seriously.

'Good, good, good.' Zheng Ren said 'good' three times in a row.

'Exactly, you go to Eryuan for surgery without taking me. It's really a case of new people making you forget the old. Boss, I think you're being cold-hearted.' Su Yun chimed in from behind.

They chatted and laughed as the patient completed admission procedures; Chang Yue then checked her vitals, gave orders, and communicated with the family.

Half an hour later, Chang Yue walked in with a grim face.

"Chang Yue, you can't be a little happier?" Su Yun looked up, saw Chang Yue's expression, and knew what had happened

Chang Yue's thoughts are all written on her face.

"The patient's family refuses Shou Bing—what do you guys think the reason is?" Chang Yue closed the office door and asked.

"Need to guess?" Su Yun curled the corner of his mouth into that kind of smile that makes people want to go up and punch him, saying: "A 16-year-old girl, in the countryside she'll soon be married. A scar on her belly will be thought as having had an abortion or having suffered from an Obstetrics Department disease. In short, the bride price must undergo a Reduction from 300,000 to around 200,000."

"……" Zheng Ren had heard of similar things before, but just now didn't think it would happen here.

Chang Yue sighed, indicating that Su Yun's guess was correct.

"Then let's first do anti-inflammation, hoping there won't be a perforation." Zheng Ren sighed deeply.

This is also unavoidable; the patient's parents all refuse Shou Bing—do I have the right to pull onto Operating table and have Shou Bing done?

Uh...... as long as you don't want to die, better not do that.