Chapter 515: 507 Patient Sentenced to Death
After breakfast, arriving at City First Hospital, Zheng Ren transferred a thousand yuan to Feng Xu Hui on the way, letting him accept it before explaining the purpose.
Go to a nearby Sinopec gas station to get a fuel card, which is intended as a gift for Sister Zhao. Su Yun is right; always bothering Sister Zhao makes me feel embarrassed. Although I don't like socializing, these relationships still need to be maintained.
Arriving at the department, Zheng Ren, as usual, made a round of the wards before Director Pan's rounds.
Professor Rudolf Wagner lay clothed in the ward, continuously recording various values and indicators, professional data. When tired, he rested a while on the bed beside.
When Zheng Ren entered, the professor was asleep, snoring like thunder.
The patient blinked his eyes, looking at Zheng Ren innocently and pitifully.
If the professor weren't there, the patient's recovery speed might be even faster, Zheng Ren thought to himself.
Leaving the ward, preparing to hand over, Zheng Ren saw a couple in the hallway, cautiously looking around.
"Who are you looking for?" Zheng Ren walked over, attitude gentle, smiling as he inquired.
"May I ask, Teacher Zheng, who are you?" the man asked.
The man was not tall, about 1.65 meters, stocky, with a face full of flesh, a faint black aura shrouding his visage.
Zheng Ren's first impression was that he had a liver disease.
Looking at the system panel in the upper right of his field of view, the diagnosis displayed was—— hepatitis B cirrhosis, after resection of malignant liver tumor, malignant liver tumor.
"That's me." Zheng Ren continued to keep his smile.
"You?" the man said, somewhat surprised, he sized Zheng Ren up and down.
"Well, who sent you to see me?"
"Director Wang of the Second Hospital." The man finally chose to believe Zheng Ren's words, wearing an apologetic smile, saying: "Teacher Zheng, half a year ago my workplace physical discovered a growth in the left lobe of my liver, and later I went to the Second Hospital to have it removed."
"And then?"
"I thought I was cured, and since the New Year is coming, I went for a re‑check. Now a tumor has grown in the right lobe of my liver; the director of hepatobiliary surgery at the Second Hospital said there's nothing that can be done." The man said: "Please let me go see Director Wang of the Intervention Department. Director Wang took a look and immediately shook his head, saying that if there were any chance of treatment, I could only come to you, Teacher Zheng."
This is… this is a patient sentenced to death.
Zheng Ren knew that hepatitis B cirrhosis produces many small nodules on the liver, each of which could become cancerous.
After surgical removal of a liver lobe, if the remaining liver develops another tumor, further surgery cannot be performed. The chance of this happening is almost over 50%.
The patient before us and Zheng Yunxia are both like this.
"Let me look at your films." Zheng Ren said.
The patient hurriedly handed over the films he was carrying.
Entering the office, with ten or so minutes left before handover, Zheng Ren inserted the patient's films into the viewer and began reading them.
Left lobe removed, a huge 15‑centimeter tumor has grown on the right lobe!
In other words, the patient now basically has no normal liver.
No wonder the Second Hospital's surgery and intervention departments refuse treatment; under conventional measures, the patient before us has no point in continuing.
This is exactly the situation portrayed in TV dramas where the doctor says, "Go home, eat whatever you want, desire whatever you want."
Zheng Ren rested his chin on his hand and pondered.
The patient's expression wavered between agitation, fear, and hope, all kinds of thoughts converging. However, Zheng Ren did not, upon seeing the enhanced MRI, immediately say it was untreatable; this gave the patient a certain hope.
A few minutes later, Zheng Ren said: "What kind of medical insurance do you have?"
"Urban employee!" the patient's hope greatly increased.
"Well, we can try." Zheng Ren said: "But whether it will succeed is hard to say."
"Okay, okay!" the patient instantly became excited, the flesh on his face trembling slightly.
"First, complete the admission procedures." Zheng Ren said, "Then do the pre‑operative checks; if there are no surgical contraindications, proceed with surgery as soon as possible."
The patient grabbed Zheng Ren's hand tightly, gripping hard, like a handshake, or like a drowning person clutching a piece of wood.
"Teacher Zheng, what medicine is good? Give me what medicine you can! As long as it's reimbursable!" the patient said.
Zheng Ren nodded, letting Chang Yue admit the patient.
After the handover, Zheng Ren took the patient, who had just completed admission formalities, to the ward to communicate.
This patient worries Zheng Ren a little. His communication differs from Chang Yue's; he mainly tells the patient things the patient himself can do that greatly help the condition.
The patient is named Li Chen, 52 years old, a local worker from Hai Cheng.
Arriving at the ward, Zheng Ren got straight to the point, saying: "Old Li, there are a few requirements you must meet. Otherwise, no matter how hard I try on my end, the final chance of success won't be large."
"Mm‑hm." Li Chen nodded hastily, listening carefully.
"First, control your temper, don't be impatient, don't get angry. This is important; remember it. To stay alive, you must control yourself." Zheng Ren said seriously.
Li Chen hesitated a bit, but still nodded.
"Old Li, to be blunt, liver disease patients tend to be irritable." Zheng Ren said: "Before you could be hasty, but now you absolutely must not rush! No matter what you do, you must slow down, understand?"
"Understood, understood." Li Chen promptly replied.
"Second, no alcohol, and eat food that is warm, cooked, soft, and in small amounts."
Zheng Ren nagged for nearly ten minutes before finally leaving the ward.
This patient's condition is worse than Zheng Yunxia's; aside from a somewhat dark complexion, his movements and consciousness are normal, just like an ordinary person, showing no outward sign of illness.
This is also why many liver cancer patients, once discovered, are already at an untreatable stage.
No pain, no itch—who would go to the hospital and spend several thousand yuan on a checkup?
That isn't having a disease, is it?
Many hepatitis B patients don't even bother with careful examination and treatment.
Zheng Ren left the ward, not rushing to the office, and began to ponder.
He felt that lately his attitude toward patients seemed to have changed, becoming more proactive—or perhaps he had simply grown softer.
Like Li Chen, before I would have thought surgery alone was enough. Personally going to do a 64‑slice CT three‑dimensional reconstruction was already doing my best.
But this morning, I actually explained the condition to him, talking for over ten minutes.
What on earth is going on?
Zheng Ren thought for a long time, but still couldn't figure it out.
While he was pondering, the professor's voice came from behind: "Boss, good…… ah."
While speaking, the professor let out a big yawn.
"Good morning, Fugui'er."
"Boss, I want to remove the patient's urinary catheter today—do you think that's okay?" Professor Rudolf Wagner asked.
Actually, for this kind of thing, the professor could decide on his own.
But out of respect for Zheng Ren, the professor repeatedly reported to him, letting him make the decision.
……
……
One of my patients once joked, "If I ever write a book myself, I'll put you in it." He laughed and said, "Okay." The names are all real; it's been three years now, and nothing has happened. Let's just keep it that way—it's fine.
End of Chapter
