Chapter 812: Let Me Go Back
Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
In the clinic, it was very rare for the liver to undergo nuclear magnetic resonance imaging (nuclear MRI). Or rather, it was not rare, but almost non-existent.
Chief Luo should have read the article in the New England Journal and knew that the location of the puncture was determined by nuclear MRI.
However, he was still not sure, so he had to listen to Zheng Ren to believe it.
“Thank you for your help, Chief Luo,” Zheng Ren said. “After today’s examination, if there are no surgical taboos, we can operate tomorrow.”
Because nuclear MRI was not a routine examination, patients usually would not bring the relevant radiographic films to 912 for treatment. Therefore, a radiographic film was needed to decide on the issue of the surgery.
Previously, all the patients who were admitted to the Department of Interventional Medicine were treated in the Outpatient Department. They were not admitted to the hospital for the time being. Instead, the patients were allowed to undergo nuclear magnetic resonance imaging in the Outpatient Department. Whoever finished it first would be admitted to the hospital first. In this way, the length of stay in the hospital could be shortened as much as possible.
Chief Luo raised his head and glanced at Zheng Ren. He asked, “You’re very familiar with Old Chu, right?”
“I met him when I first came to Imperial Capital. Chief Chu has taken very good care of me,” Zheng Ren said.
“Then go and look for Old Chu. Take the patient’s time today to perform the MRI. Remember to let me know about the surgery tomorrow. I’ll go and take a look at Chief Zheng’s skills,” Chief Luo said.
“Okay.” Zheng Ren nodded.
He did not stand on ceremony, nor did he have any reaction that he should not have just because Chief Luo asked him to take the patient for a checkup.
Chief Luo had already said this much. If Zheng Ren was still not satisfied, then he would be going too far.
“Go and look for Chief Liu to take you to see the patient,” Chief Luo said.
Zheng Ren and Chief Luo exchanged phone numbers and WeChat messages before they left the chief’s office.
Chief Resident of the Department of Gastroenterology? Her surname was Liu.
Zheng Ren thought about it and went to the door of the Doctor’s office. He knocked on the door.
“Is Chief Liu here?” Zheng Ren asked kindly.
“Yes, what’s the matter?” A short and fat female doctor in her thirties raised her head to look at Zheng Ren.
“Hello, I’m Zheng Ren from the Department of Interventional Medicine. Chief Luo asked me to look for you to see a patient with advanced cirrhosis and portal hypertension who was admitted yesterday,” Zheng Ren said.
“Oh, you’re Chief Zheng,” Chief Liu said enthusiastically. “Please come in, please come in.”
Zheng Ren walked in with a smile on his face. He appeared very gentle.
“The patient is a 60-year-old woman with a history of cirrhosis for more than 30 years. Her liver is atrophied very much now, but her liver function is still okay. Here are the various indicators. Chief Zheng, please take a look.” Chief Liu found the medical record and handed it to Zheng Ren.
According to the test results, that was indeed the case. The patient’s liver function was worse than that of a normal person, but it would not affect the surgery.
“How much ascites?”
“Here are the abdominal CT films. Take a look,” the chubby director Liu said.
Zheng Ren inserted the radiographic films into the viewer and looked at it with his chin resting on his hand.
With the passive skill [reconstruction] , Zheng Ren could determine the point of the puncture with a simple abdominal CT scan.
However, if it was not systematic, it would have a strong personal style.
In other words, other people could not determine the point of the puncture according to Zheng Ren’s method. It had a non-repeatable nature.
Non-repeatable meant that it could not be popularized.
From the radiographic films, the patient’s liver had shrunk by about a quarter of its size. The spleen was large, and the image of gastric varicose veins could be seen.
The amount of ascites was not considered large for cirrhosis of this degree. The patient controlled it very well.
“A month ago, the patient attended the local hospital due to vomiting blood and received emergency treatment. After his condition stabilized, the patient’s family came to our hospital for treatment.” Chief Liu began to introduce the patient’s medical history.
Zheng Ren just listened and carefully analyzed the patient’s condition.
In fact, Zheng Ren could have just left the late stage of cirrhosis and portal hypertension to someone else. He would only be responsible for the surgery.
But the situation had just begun. Zheng Ren did not want to leave an arrogant impression on Chief Luo.
And most importantly, Zheng Ren was worried.
After being a doctor for a long time, Zheng Ren was the kind of person who could do something halfway. As long as there was a problem with the patient that could not be solved, he could make it so that he could not sleep well at night.
For example, for those difficult and complicated diseases, the patient’s performance was one kind of illness, but in fact, it was another kind of illness. If it was a surgery, it was better to analyze it yourself first and then compare it with the System template to try to make sure that there were no mistakes.
After listening to Chief Liu’s report, she brought Zheng Ren to the ward to see the patient.
Just as they entered the ward, Zheng Ren heard an old woman say, “Son, our family doesn’t have much money. It’s expensive to see a doctor in the Imperial Capital, right?”
There was a white-haired old man on the phone. He looked to be at least ten years older than his actual age.
“Why don’t we go back? I’ll get some Chinese medicine and get better soon,” the old woman said with a trembling voice.
Just as she finished speaking, a roaring sound came from the phone beside her ear.
Zheng Ren did not hear the specific words clearly, but the old lady was obviously timid. She was not the kind of person who would be tough. She just listened to her son’s words quietly. Her head was slightly lowered, and her white hair was messy. Under the sunlight, the black and white were distinct, like withered weeds.
Doctors generally would not care about such family matters unless they encountered an extremely special situation.
Zheng Ren maintained a warm smile and stood by the bedside with Chief Liu. He waited for the old lady to hang up the phone before he began to consult her.
At the beginning, Zheng Ren did not ask her directly. Instead, he chatted with the old lady about some common things. For example, where was her hometown? How many people were there in her family.
The old lady’s emotions quickly calmed down. It was as if she had found someone to confide in and talked a lot with Zheng Ren.
Director Liu was a little anxious. There was still a lot of work to be done. If he was delayed for half an hour, all the work would have to be postponed.
Zheng Ren could sense Chief Liu’s mood. He smiled and said, “Chief Liu, you go and do your work first. I’ll talk to Auntie for a while.”
“Yes, yes.” Chief Liu nodded repeatedly. “Then I’m sorry, Chief Zheng. I really have too much work to do.”
“Go ahead and do your work. After I’m done with my interview, I’ll look for you if there’s anything I need to do.”
Director Liu apologized and quickly left.
Zheng Ren did not have anything else to do, so he continued to communicate with the patient.
When they were in Sea City, this kind of work was all Chang Yue’s. But in the beginning, when he was dealing with 912’s Department of Digestive Medicine, Zheng Ren still did it himself.
Soon, Zheng Ren understood the patient’s situation.
Her lover had passed away early, and she had raised a child by herself. The child was not good at school either. He had made his way in society early and caused a lot of trouble.
When she first found out that she had hepatitis B, she did not go to the hospital for treatment. She tried to avoid passing it to her son.
More than ten years later, she began to have cirrhosis of the liver. Because of the limitations of her family, she still did not receive treatment. She only took medicine intermittently to control the activity of hepatitis B virus.
She did not know the development of the disease. When she had ascites, she thought that she was fat and had a big belly.
Until a month ago, one day she suddenly vomited blood. She was hospitalized and had a series of tests.
The diagnosis was late cirrhosis. Portal hypertension was accompanied by a lot of ascites.
After a period of treatment, the ascites were much better. Her son began to look for medicine everywhere. Finally, he found the 912.
After waiting in line for nearly a month, he finally got in.
The old lady saw that Zheng Ren looked friendly. She held his hand and nagged, “Boy, my son is not married yet. I can’t earn much money. I have some savings, but this hospitalization is too expensive…”
“Aunty, it’s okay. I can reimburse a part of it when I go back. The details will depend on the local medical insurance policy,” Zheng Ren comforted her.
“I’m fine, Doctor. Please tell my son that I’m fine. Let me go back.” When it came to money, the old lady began to wipe away her tears again.
“Uh…” Zheng Ren had no choice. This was a social and systematic project. What could he do?
Perhaps he could save a part of the old lady’s expenses through the live broadcast of the surgery?
They could try, but many people could not accept the live broadcast of the surgery.
Lu Xun said, as soon as he saw the short sleeves, immediately thought of the white arms, then immediately thought of the naked body, immediately thinking of the body, immediately thought of the cross-breeding, then immediately thought of the illegitimate children. The Chinese imagination can only leap forward so much at this level.
This was the old man’s discussion about the qipao. Even though it had been a hundred years since the Republic of China, it still did not seem to be out of date.
People would still think like this when it came to live broadcasts of surgeries.
“Mom, I’m here.” Zheng Ren was pondering when a rough voice sounded. Zheng Ren turned around to look. The golden light almost blinded Zheng Ren.