Chapter 457: Standard Procedure
Returning to the emergency ward, Zheng Ren brought up the patients 64-slice CT scan with 3D-image reconstruction films on the computer and started to look at them frame by frame.
The truth was that Zheng Ren did not need to look at them in such detail anymore. However, Professor Rudolf Wagner and Gao Shaojie were by his side. They had a million questions in their hearts, so he still had to explain it to them.
The emergency wards office was suddenly felt like a university campus.
Zheng Ren was like an old professor who sat in the middle of the room. Next to him was a professor from Heidelberg University and a professor from The First Affiliated Hospital of Provincial Capital Medical University.
The two took turns to ask questions, arguing and mocking each other.
At the moment, they only cared about discussing the patients condition. There was no care for formalities or academic status.
Although Chang Yue was very unhappy with this kind of argument happening in front of her, she could only accommodate it and go to the ward to inform the patients family.
Su Yun sat at the back, holding his phone in his hands. From time to time, he would raise his head and glance at the scans.
While they were discussing, Zheng Rens cellphone rang.
Chief Physician Pan, whats the matter?
Okay, Im in the ward. You can let the patient come in.
After saying that, Zheng Ren hung up.
Which patient is this? Su Yun raised his head and asked.
Appendicitis, Zheng Ren said casually.
Oh, then you do your thing. Ill bring Yang Lei to perform the surgery, Su Yun said. I should be able to handle it without you.
It was only an appendicitis. Su Yuns skills were enough. There was no need for Zheng Ren to be there.
Moreover, there were two people staring at the computer screen. Zheng Ren would not be able to leave even if he wanted to.
However, this patient was a call from Chief Physician Pan. Someone must have informed him about the incident.
It was better for Zheng Ren to do the surgery as a form of respect for Chief Physician Pan. Furthermore, he could also give the patients family an explanation.
Chief surgeons, especially those who were already famous, would face this kind of problem.
Soon, someone appeared at the door.
It was a very young woman who came in with a girl who looked around the age of eighteen to nineteen years old.
She knocked on the door and asked gently, Is Chief Zheng here?
Thats me. Zheng Ren stood up and left the computer, a professional smile on his face.
Professor Rudolf Wagner was a little annoyed and thought that Zheng Ren was wasting his talents. However, he did not dare complain to Zheng Ren. Subconsciously, the professor had already regarded Zheng Ren as his superior.
Although this feeling had not appeared for many years, it was almost forgotten by Professor Rudolf Wagner to the banks of the Danube River.
h.e.l.lo, Doctor Zheng. Chief Physician Pan asked me to come over. The young woman was graceful, gentle, and elegant, warming peoples hearts at the sight of her.
Her actual age should be much older than she looked. Her daughter was already eighteen or nineteen years old, while she herself looked like she was only in her early 30s.
The mother and daughter duo looked like each others siblings.
The girl behind her was holding her stomach with one hand and her cell phone with the other.
Zheng Ren nodded and said, You should head to the pharmacy first. Ill do a physical examination
As he spoke, Zheng Ren prepared to start the physical examination.
Theres no need for that. Here are the test results. The young woman did not notice Zheng Rens expression and actions. She smiled slightly and took out a stack of test results from her handbag.
The preoperative examination has been done. Everything that needs to be done has already been settled, the young woman continued.
Zheng Ren frowned. He took the test results from the young womans hand and flipped through them.
The fact was that this was just a process. The Systems panel in the upper right corner of Zheng Rens vision had already marked the patients condition. It was a fallopian tube pregnancy.
Clinically, it was referred to as an ectopic pregnancy.
Eggs in the uterus beyond their usual position usually caused abnormal pregnancy growths. Also known as ectopic pregnancy, it was more commonly known as tubal pregnancy.
The cause is often due to the tubal cavity or surrounding inflammation, causing the lumen to not be smooth and hindering the normal operation of fertile eggs, causing it to go into the tubal, implantation and development happening there that resulted in tubal pregnancy miscarriages or ruptures. During the miscarriage or rupture, there were often no obvious symptoms beforehand. There only might have been menopause symptoms, abdominal pain, or slight v.a.g.i.n.al bleeding.
Once the tubal ruptured and bled, it could cause other complications that would lead to the patients death.
The biggest headache was the right tubal pregnancy pain and the location of the Myers point was relatively close to the womens acute appendicitis to exclude the possibility of ectopic pregnancy.
This little patient
Zheng Rens brain was working at high speed. He was figuring out all the possibilities in explaining the patients condition to her family.
Su Yun, come here for a while, Zheng Ren said.
Oh. Su Yun blew at his fringe. The girl who was playing with her phone seemed to sense Su Yuns pheromones. Her eyes lit up as she stared intently at Su Yun.
Go for a physical examination. Shes missed some of the examinations so well need to conduct them. Zheng Ren tried his best to minimize diagnosis and examination of ectopic pregnancy.
However, he did not expect the young woman to be furious when she heard what he said.
Do you want to do a urine test to check if Im pregnant? The young womans voice was a little sharp.
Zheng Ren was stunned.
What was going on?
Under normal circ.u.mstances, whether it was in the out-patient clinic or the emergency department, a urine pregnancy test and a b-scan of the right lower abdomen would be conducted during the physical examination and routine blood examination.
The out-patient had even gone through rare examinations like hepat.i.tis-B, syphilis, and AIDS. However, there was no urine pregnancy test. Zheng Rens initial suspicions were now flaring up.
It was the family who was refusing to get this checked!
Moreover, she was refusing with such a firm tone, as if about to turn hostile at any time Perhaps, she was already defensive about the whole ordeal.
Its just standard procedure. Zheng Ren did not raise his voice, using his usual tone to minimize the hidden meaning of the urine test to check for early pregnancy.
Only then did Su Yun realize that this son of a b*tch Zheng Ren was trying to make him use his charms again so that he could calm the young woman down so that she would calm down.
This kind of thing had already happened again and again. Su Yun still felt a little nauseous when he recalled the cross-dressing big shot from a few days ago.
What exactly do you mean! Ruo Ning has always been very well-behaved. Besides, Ive also been accompanying her while she was in the Provincial Capital. All of you want to give her a urine test for early pregnancy. What exactly are you trying to do!? The young womans willow-like eyebrows were furrowed. She was very aggressive.
If Zheng Ren did not have the System, he would have already given up.
After all, ectopic pregnancy was not as common as appendicitis. Under normal circ.u.mstances, it was considered quite a coincidence to encounter this case once a month.
However, Zheng Ren had no doubts about the Systems diagnosis this time.
This patient could not be so easily compromised by the patients family and just dragged onto the operating stage.
It was not that Zheng Ren could not perform gynecological surgery. After all, there were still three master-level skill books in the System that were useless.
However, if he went on stage a.s.suming it was acute appendicitis and discovered that it was an ectopic pregnancy after opening it, no one could bear the responsibility for this mistake!
Faced with the young womans anger and criticism, Zheng Ren shook his head. Its just standard procedure. I hope you can understand that.
Standard procedure?! The young woman snorted. The doctors in the Provincial Capital all say that its acute appendicitis!