Chapter 552: line with translation of title
"Zheng Lao Ban, you really see all kinds of diseases here." Director Kong sincerely sighed.
"Not really." Zheng Ren smiled: "Generally speaking, difficult and miscellaneous diseases are sent to Di Du and Modu for treatment. After all, the experience of doctors at grassroots hospitals is not very rich, and they can solve few problems." Zheng Ren smiled.
Director Kong nodded; what Zheng Ren said was true.
"But since I saw it, I'll just take care of it. If it can be treated, let's do it in Hai Cheng to save the patient the trouble."
Speaking of which, the two went to the emergency observation room and found the female patient who felt she was pregnant.
The patient sat on the bed, happily eating an apple, no longer showing the deathly appearance from yesterday's violent vomiting.
"How do you feel?" Zheng Ren asked with a smile.
"Very good." The young female patient said: "I don't feel any pain at all; I think I can be discharged today. Doctor, your skill is truly high."
"Um, go home and rest well." Zheng Ren glanced at the family members, gave a slight smile, and turned to leave.
Walking down the corridor, Director Kong joked: "Your way of explaining the condition and communicating with patients is really simple."
"Not bad." Zheng Ren said: "Mainly, this patient doesn't dare to say too much to her, and she is overly susceptible to psychological suggestion."
Generally speaking, being overly susceptible to psychological suggestion can also be exploited by doctors under certain conditions.
Zheng Ren used it once, merely telling the patient she had a miscarriage, and her nausea and vomiting symptoms eased. Moreover, the most amazing thing is that her serum HCG indicator dropped.
But Zheng Ren was afraid, afraid that this little patient would overthink, her thoughts would run wild, and who knows what trouble she might stir up.
Actually, the most puzzling thing about this is—the patient had no intimate behavior, not even a boyfriend, so how did she just feel she was pregnant?
Zheng Ren didn't have time to delve into the patient's mental journey, nor was he researching this aspect, so he could only resolve the issue with a quick fix.
I believe the patient's family, after experiencing this incident, will pay attention to this problem.
Also hope that such problems won't happen again in the future.
After making a round of the wards, Zheng Ren detailed to Director Kong the observation group in the emergency ward.
They were all senior doctors; saying more wasn't necessary. Director Kong just nodded, indicating he had taken note.
Just after stepping out of the emergency observation room, a doctor from Jizhen Wai Ke shouted from the other side of the corridor: "Chief Zheng, come here."
Zheng Ren glanced at Director Kong, feeling a wry smile inside.
It wasn't blaming Director Kong for forcing him to speak nonsense; Zheng Ren seemed to see a miserable day approaching, and a cardiac tamponade had just began.
The two approached, and the doctor from Jizhen Wai Ke said: "Chief Zheng, we happen to have a patient with simple appendicitis; just take them along."
Zheng Ren glanced at the patient—a woman in her forties, somewhat overweight.
He took her for a physical exam, glanced at the emergency lab results, and they matched the diagnosis shown on the system panel in the upper right of his view.
Acute simple appendicitis, because the patient's pain is severe, requires surgical treatment.
Zheng Ren then took the patient and Director Kong upstairs to complete admission for surgery. Along the way, he asked the patient's family; fasting time was sufficient, so they could proceed with emergency surgery right away.
Originally, it wasn't that urgent.
But Zheng Ren feared something else might come up, so he told the on-duty Chang Yue to hurry up the procedures and the surgery.
After a hectic Afternoon, it was nearly time to get off work.
Over there, preparations for surgery were underway, while Director Kong wandered around the emergency ward.
He exchanged experiences with Professor Rudolf Wagner on the recovery of patients with prostate embolism, which was not idle either.
Just as they were about to start surgery here, Zheng Ren received a call from Director Sun saying there was a difficult case he wanted him to consult on.
Zheng Ren was especially speechless—truly, whatever he feared would happen.
He wanted to refuse, but Director Sun's tone was urgent, completely lacking the former hypocritical politeness.
From the tone of speech, Zheng Ren could tell this matter was especially urgent.
He could only let the patient wait a moment and discuss it later.
That bastard Su Yun insisted on having two drinks with Director Kong at noon. Although three or four hours have passed, and he has a high alcohol tolerance, Zheng Ren still dared not risk letting him perform surgery alone.
Even twenty years ago, incidents of performing a left-sided appendectomy after drinking too much were not unheard of. Zheng Ren rejects such nonsense from the depths of his heart.
Soon, Director Sun rushed over holding a crying baby.
"Chief Zheng, Chief Zheng, please help me look… look." Director Sun was almost in tears, his bewildered state obvious to anyone.
Zheng Ren was stunned; treating patients like kin didn't go this far—surely it was someone related to Director Sun.
"Who is it?" Zheng Ren asked first.
"My grandson, eleven months old, has intussusception. I tried to give him an air enema, but I couldn't get it open." Director Sun's hand trembled involuntarily as he spoke, old tears streaming down.
"Hurry, this way." Zheng Ren ushered Director Sun into the office and began asking about the medical history.
A whole crowd of people stood in the hallway, the atmosphere somewhat oppressive.
The lab results were limited—just a blood count and an X-ray taken before the failed air enema. Director Sun said the clotting blood sample had been sent to the testing department, but no report yet.
Upon onset, Director Sun, relying on years of clinical experience, immediately diagnosed intussusception. He then brought the child to the hospital, checked a blood count, and proceeded to the Radiology Department for an air enema.
But…
Director Sun had performed over a thousand air enemas in his career, resolving countless cases of childhood intussusception. Yet when he performed an air enema on his own grandson, he found the intussusception in the cecum simply would not yield.
Being able to treat others but not oneself… this is a most helpless situation.
The doctors under him? Director Sun didn't believe them. Without hesitation, he held his little grandson and rushed straight to the emergency ward.
Speaking of Haicheng Shi Yiyuan, or even the whole province, who could be trusted? Only Zheng Ren.
The child's belly was swollen like a balloon, crying and fussing had drained his strength. Yet the diagnosis shown on the system panel in the upper right of Zheng Ren's view was extremely Strange—intussusception, acute appendicitis, intestinal parasitic disease.
This…
Are there similar cases? Zheng Ren stared blankly for a moment, then began to search his memory.
Seeing Zheng Ren's solemn expression, Director Sun felt almost hopeless inside.
"Chief… Chief Zheng, how… how is it?" Director Sun could hardly form a sentence.
"Surgery is needed." Zheng Ren directly gave the answer.
What exactly is it, let's talk about surgery later.
For this kind of intussusception, an air enema cannot open it, thus there is Shou Bing's indication.
Haicheng Shi Yiyuan lacks pediatric surgery, but Director Sun himself could try it, after all he's done clinical work for many years.
But can Zheng Ren do it? This is a child...
End of Chapter
