Chapter 465: with translation of chapter title
Returning to Jizhenbingfang, Zheng Ren pulled up the patient's slice CT three-dimensional reconstruction images on the computer and began to look at them frame by frame.
Actually, Zheng Ren himself didn't need to examine it in such detail, but Professor Rudolf Wagner and Gao Shaojie were beside him, and they had a hundred thousand questions in their minds, so he still needed to explain.
Jizhenbingfang's office instantly filled with the fragrant scent of books from a lush campus.
Zheng Ren sat in the middle like an old professor, with a Heidelberg University professor on one side and a Sheng Cheng Medical University Affiliated Hospital professor on the other.
The two took turns asking questions, arguing with each other, and looking down on each other.
At this moment, there was only a pure discussion of the patient's condition, without any regard for martial world status or academic standing.
Although Chang Yue was unhappy about this quarrel, she could only go along with it, spending more time in the ward communicating with the patient's family.
Su Yun sat in the back, holding her phone, occasionally glancing up at the images.
As they were discussing, Zheng Ren's phone rang.
Director Pan, what's the matter?
All right, I'm in the ward; let the patient come up.
Having said that, Zheng Ren hung up the phone.
"What patient?" Su Yun asked, looking up.
"Appendicitis." Zheng Ren said casually.
"Oh, then you're busy; I'll take Yang Lei and perform the surgery." Su Yun said, "Oh, no, you need to perform it."
It's just an appendicitis; Su Yun's skill is more than enough—there's no need for Zheng Ren to step in.
Moreover, there were two people staring intently at the computer screen; even if Zheng Ren wanted to leave, he probably couldn't get away.
However, this patient was called in by Old Director Pan; surely someone had given a heads-up.
In this case, it would be better for Zheng Ren to perform the surgery himself—out of respect for Old Director Pan and to give the patient's family an explanation.
Lead surgeons, especially those who have gained fame, always face this kind of problem.
Soon, someone appeared at the doorway.
A young married woman, accompanied by a girl about eighteen or nineteen.
After knocking, the young woman spoke gently: "Is Chief Zheng in?"
"That's me." Zheng Ren stood up, put on a professional smile, and walked away from the computer.
Professor Rudolf Wagner was somewhat irritated, thinking Zheng Ren was wasting his life. Yet he didn't dare complain to Zheng Ren; deep down, the professor had already come to regard Zheng Ren as his senior doctor.
Although this feeling hadn't surfaced in many years, Professor Rudolf Wagner was almost forgetting it, as if it had drifted to the banks of the Danube.
"Doctor Zheng, greetings. Director Pan sent me." The young woman was graceful and refined, pleasing to behold.
Her actual age was likely much older than she appeared; her daughter was already eighteen or nineteen, yet she looked to be only in her early thirties.
This was the rhythm of transforming from mother and daughter to sisters.
The girl stood behind her, one hand clutching her stomach, the other holding her phone.
Zheng Ren nodded and said, "First go to the dressing room; I'll examine you…"
Speaking, Zheng Ren concluded.
"I've already had it checked; here's the lab report." The young woman didn't notice Zheng Ren's expression or movement, gave a slight smile, and took out a stack of lab reports from her handbag.
"All the pre‑operative tests that should have been done have been done." The young woman continued.
Zheng Ren frowned, took the lab report from the young woman's hand, and flipped through it.
Actually, this was just a process; in the upper‑right corner of Zheng Ren's System Panel, the patient's condition had already been marked—tubal pregnancy.
Clinically, it is simply called ectopic pregnancy.
The abnormal pregnancy process in which the fertilized egg implants and develops outside the uterine cavity. Also called ectopic pregnancy, with tubal pregnancy being the most common.
The cause is often inflammation of the fallopian tube lumen or its surroundings, which impedes patency, hinders normal transport of the egg, causing it to linger, implant, and develop in the tube, leading to tubal pregnancy miscarriage or rupture. Before miscarriage or rupture, there are often no obvious symptoms, though there may be missed periods, abdominal pain, and slight bleeding.
Once the fallopian tube ruptures and bleeds, it can lead to a disease that may cause the patient's death.
Moreover, the most troublesome aspect is that the pain from right‑sided tubal pregnancy closely resembles McBurney's point, so acute appendicitis in women must rule out the possibility of ectopic pregnancy.
This young patient…
Zheng Ren's mind raced, considering many possibilities on one hand while pondering how to explain the condition to the patient's family on the other.
"Su Yun, come here." Zheng Ren said.
"Oh." Su Yun blew a breath; the black hair in front of her forehead fluttered. The girl playing with her phone seemed to sense a hormonal aura, her eyes brightening as she fixed her gaze on Su Yun.
"Go get examined; some tests aren't complete and need to be redone." Zheng Ren tried to downplay the diagnosis and testing for ectopic pregnancy.
But unexpectedly, upon hearing this, the young woman flew into a rage.
"Are you going to do a urine early pregnancy test?!" the young woman's voice sounded sharp.
"…" Zheng Ren stared for a moment.
What's going on?
Generally speaking, whether in outpatient or emergency settings, when doing a physical exam and checking blood counts, a urine early pregnancy test and a lower‑abdominal ultrasound are usually performed as well.
The patient's outpatient tests had even checked for hepatitis B, syphilis, and HIV—these less common exams—but lacked a urine early pregnancy test, so Zheng Ren's original doubt now fell on the young woman.
It was the family refusing the test!
Moreover, it was a stubborn refusal, with an air of being ready to turn hostile at any moment… as if they had already turned hostile.
"It's just the normal procedure." Zheng Ren didn't raise his voice, merely using a flat tone to try to downplay the implied meaning of the urine early pregnancy test.
Only then did Su Yun realize that this damned Zheng Ren was again trying to have her use her charms to calm the young girl, so he could take the young woman aside to talk about this.
Such incidents had happened again and again, over and over. The cross‑dressing big shot from a few days ago still made Su Yun feel a bit nauseous when she recalled it.
"What do you mean?! Ruo Ning has always been well‑behaved, and I've been studying with her in Sheng Cheng all along. You all want to give her a urine early pregnancy test—what's your intention?!" The young woman raised her eyebrows angrily, pressing forward aggressively.
If Zheng Ren didn't have this System Panel, the Big Pig Trotter, he would probably have already chickened out.
After all, ectopic pregnancy isn't as common as appendicitis. Generally speaking, encountering even one case a month is considered quite rare.
But Zheng Ren didn't Doubt the Big Pig Trotter this time.
But this patient, you can't just casually Compromise with the patient's family and directly pull them onto the stage.
Obstetrics Department Shou Bing, Zheng Ren actually could do it. After all, there are still three Master Level Skill Books unused in the System Space.
But, following acute appendicitis onto the stage, opening it up revealed an ectopic pregnancy—this blunder is a responsibility no one can bear!
Facing the young married woman's anger and reproach, Zheng Ren shook their head, "Just the normal procedure—I hope you can Understanding!"
"Normal procedure?!" the young married woman snorted, "Doctors in Sheng Cheng all say it's acute appendicitis!"
……
……
(In this situation, I've observed one case like this, heard a classmate mention another, wondering what the patient's parents are thinking. Of course there are various speculations, but I'm not sure, so I won't say it—otherwise if someone slaps me in the face, it wouldn't be fun.)
End of Chapter
