Chapter 81: 0079 Still Let the Old Director Do It

The middle-aged man remained silent; the emergency department bedside ultrasound doctor pushed a small cart over hurriedly, examined the elderly patient, and confirmed the diagnosis of cholecystitis.

After opening the admission slip and completing the formalities, when Chang Yue entered the patient's information, Zheng Ren learned that the middle-aged man was named Lin Yuan Shan, who worked in the province.

Just after finishing the paperwork, before Chang Yue and Lin Yuan Shan could give a briefing on the condition and pre-operative communication, the president and vice president of City First Hospital, Director Sun of the General Surgery Department's second section, and some administrative staff rushed over.

"Director Lin, you came to City First Hospital—why didn't you say hello?" Xiao Keming said enthusiastically from afar, extending his right hand and walking over ten steps before shaking Lin Yuan Shan's hand.

"Isn't there a little brat from the Chu family? They said the doctor in the emergency ward, Doctor Zheng, is highly skilled, so they came straight here." Lin Yuan Shan spoke in a somewhat indifferent tone, giving off an aloof, condescending air.

But President Xiao and the others didn't think anything of it; they seemed to feel this was appropriate.

"This is Director Pan of the Emergency Department, and this is Director Sun of the General Surgery Department; let the experienced veterans oversee things." President Xiao introduced them one by one.

Lin Yuan Shan nodded, a hint of irritation showing between his brows.

After a brief exchange of pleasantries, Director Sun of the General Surgery Department's second section hurried to the resuscitation room and began a detailed physical examination.

Zheng Ren also mastered the physical examination, but since he had system support, he merely went through the motions out of habit; in fact, skipping the exam would be fine, given how detailed the system's diagnosis and case progression were.

After seeing Director Sun's professional technique and thorough examination, Lin Yuan Shan's displeasure eased slightly.

"Acute cholecystitis; the ultrasound shows a large amount of gas around the gallbladder, likely due to intestinal irritation from inflammation—surgical treatment can be considered." Director Sun also gave his assessment.

"The patient is elderly; first check for any complications," President Xiao instructed.

"The patient's ECG shows sinus bradycardia. Lung auscultation reveals clear breath sounds bilaterally, with no signs of hypostatic pneumonia. Preoperative blood draws have been sent to the lab; results will be available in half an hour." Chang Yue reported everything in detail.

The ward nurses had already begun inserting urinary and gastric catheters, shaving the operative site, and other preoperative preparations.

"Is the surgical trauma significant?" Lin Yuan Shan asked, somewhat worried.

The elderly patient is over seventy and has suffered a cerebral infarction; his condition is not what it used to be. Recovery will inevitably be slow.

Lin Yuan Shan's concern is justified.

"Laparoscopic cholecystectomy—patients recover quickly," Director Sun soothed.

"Laparoscopy? Doctor Zheng said an open incision is needed." Lin Yuan Shan raised an objection.

When a patient's family faces a roughly fifty-year-old experienced doctor versus a teenager under thirty, their leaning is obvious at a glance.

President Xiao, hearing that Zheng Ren had already made a diagnosis, also felt a bit worried and asked, "Zheng Ren, your laparoscopic skills are excellent—why aren't you doing laparoscopy?"

"The patient has an acute flare of chronic cholecystitis; I worry that intra-abdominal adhesions are fairly severe." Zheng Ren answered candidly, completely ignoring the official aura emanating from Lin Yuan Shan.

To a tech otaku, those things don't exist at all.

Lin Yuan Shan furrowed his brows.

Wizards who predict bad events are always tied to the stake and burned. Whether medieval Westerners, modern people, or modern Easterners, they all share this mindset.

Especially when the person claiming the condition might be complex is still a youngster, it's even less convincing.

Lin Yuan Shan decided to ignore Zheng Ren and directly asked Director Sun of the General Surgery Department's second section, "Director Sun, do you think you can perform a laparoscopic surgery with minimal trauma?"

The Chu family sisters had already gone to prepare general anesthesia; even if they were present, they probably couldn't change Lin Yuan Shan's decision.

"There are difficulties." Director Sun also spoke frankly; after saying that, he quickly blinked, wore an innocent expression, and glanced at Director Pan to apologize.

"If surgery is necessary, I'd like Director Sun to perform laparoscopy; if laparoscopy isn't feasible, we'll switch to open surgery." Lin Yuan Shan decided swiftly.

"Is the emergency operating room fully equipped?" President Xiao asked.

He also leaned toward having Director Sun as the lead surgeon, after all, he's a veteran with impeccable skill and a higher chance of success.

As for Zheng Ren... for a special patient, just let him stand aside for now.

"We have them; I've recently done a few laparoscopic cholecystectomies." Zheng Ren didn't mind, saying, "Director Sun will take a look later to see if any instruments don't fit, so we can fetch them from General Surgery."

"There shouldn't be a problem." Director Sun felt he had stepped into a pit; he genuinely didn't want to provoke the emergency department's two veterans, and he yielded completely.

But he hadn't expected that a special-needs patient would drag him in as well.

"Wait for the blood test results; if there are no surgical contraindications, let's prepare." President Xiao forced a smile and said lightly, "Laparoscopic cholecystectomy—City First Hospital does about a thousand cases a year. Last year we operated on a 108-year-old elder, who was out of bed the day after surgery. Director Li, don't worry."

Lin Yuan Shan gave a nasal hum, wore a worried look, and the atmosphere grew heavy.

While waiting for the preoperative examination, Chang Yue began writing the admission and preoperative communication notes; the clacking of the keyboard broke the office's silence.

Zheng Ren then went to the resuscitation room; he disliked the office atmosphere, so he slipped out.

"You're so sneaky." Su Yun hovered like a shadow beside Zheng Ren, following him wherever he went.

"Sneaky?" Zheng Ren didn't understand.

"You've judged that the patient has severe intra-abdominal adhesions; if your judgment is correct, I estimate laparoscopic surgery simply can't be performed." Su Yun said, "Why don't you stop it?"

"Would anyone listen to what I say?" Zheng Ren was just a straightforward guy, but not stupid.

After years of clinical work, I still have these basic judgments. Mainly, the patient's family makes the choice themselves; if Zheng Ren rushed forward, it would cause many conflicts.

"Mm, no saintly complex—this puts me more at ease." Su Yun chuckled slightly; the little nurse in the resuscitation room preparing the patient for surgery stiffened her movements a bit.

Zheng Ren felt that having this guy around in the resuscitation room was a huge distraction.

"Let Old Sun go first; I'm curious—what gives you the confidence to judge that the patient's intra-abdominal adhesions are severe?"

"On the ultrasound image, there is a gas-like band in the gallbladder area. Ordinary patients might interpret it as gas interference, but the band shows no obvious movement; I judge it to be the transverse colon displaced upward, fixed by fibrous material beneath the liver."

When talking about unexpected diagnoses, Zheng Ren activates his invincible mode.

A reckless guess is one thing; with the system panel's final diagnosis, tracing back becomes much simpler.

Su Yun's eyebrows are very fine; even when he frowns they remain fine, not solemn, instead making him appear more steady, full of charm that dazzles many envious eyes.

He struggled to recall the image from the bedside ultrasound in the emergency department.

Could Zheng Ren be telling the truth? How does he understand ultrasound so thoroughly and deeply?