Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
“Chief Xia, I’m back.” Zheng Ren knocked on the door and came in. Chief Xia was studying the double gallbladder deformity.
“Chief Zheng, tell me about the double gallbladder deformity.” Chief Xia did not put on airs and waved calmly.
She wanted to stand up and give Zheng Ren a seat, but Zheng Ren pressed her back down to the chair with a smile.
“Chief Xia, don’t worry about it and just sit down. It’s not difficult at all. I just need to say a few words.” Zheng Ren bent down and held the mouse in his right hand. He began to move the 3D reconstruction of the CT scans that he had just done.
Nuclear Magnetic Resonance Imaging could be done with 3D reconstruction but clinicians basically only knew about the 3D reconstruction of the CT and not that the other could be done with it as well.
The MRIs resolution could reach 0.5mm but although the MRI scans at Sea City General Hospital could go up to 3.0, the resolution was only 6mm. The 3D reconstruction that was done looked like a mosaic and was very awkward.
Zheng Ren was just trying to save her trouble and also help the patient’s wallet out.
The gold standard for diagnosis of double gallbladder deformity was ERCP but because ERCP was an invasive examination and the cost was huge, the consensus at the moment was to use MRCP to make a diagnosis.
Regarding 3D imaging, Zheng Ren did it conveniently to avoid tormenting the patient and also to avoid any uncertainties but it was difficult for Chief Xia.
Although Chief Xia did not intentionally misdiagnose… No one would purposely misdiagnose their patient. The patient seemed to be more cooperative but Zheng Ren still subconsciously eliminated all the hidden dangers in the bud.
“Chief Xia, look here. The patient’s double gallbladder has a cystic duct.” Zheng Ren used the mouse to outline the area he wanted to talk about before explaining briefly, “The double gallbladder deformity is divided into type one and type two. Harlaftis type two refers to the double gallbladder having two or more cystic ducts independently connected to the common bile duct. Type two can be further subdivided into h-shaped and trabecular shaped variants. This patient belongs to the more common Harlaftis type two. In other words, it can be treated with surgery.
“The patient doesn’t have any symptoms of pain right now. I estimate that the possibility of the patient’s family agreeing to the surgery is not high. However, you can tell the patient and their family that I can do this surgery.”
Chief Xia glanced at Zheng Ren. She was indifferent, not surprised at all by Zheng Ren’s words as she kept silent.
“In 1997, Gigot reported a case of double gallbladder deformity. At the time, the surgeon only removed one gallbladder, leaving the other one. Twenty-seven months after the initial surgery, the patient had another gallbladder complication with gallstones and acute cholecystitis. He had no choice but to remove the remaining gallbladder. If it’s a surgery, I suggest that both gallbladders be removed.
“Of course, that’s just my opinion. I think the patient should go to a few more places to get a better consultation.” Zheng Ren hesitated for a moment. He wanted to say something but in the end, he held himself back.
“Chief Zheng, your words are like a slap to the face.” Chief Xia sighed.
“Look at what you’ve said.” Zheng Ren smiled and said, “They aren’t.”
Chief Xia picked up the instruction manual from the table and waved it. “Chief Zheng, to be able to memorize the instruction manual… I’m not capable of such a thing.”
Zheng Ren smiled and did not say anything.
“Chief Zheng, how do you know all of that?” Actually, Chief Xia did not believe that Zheng Ren could memorize the medication manual.
There were at least a hundred commonly used drugs in the clinic.
The better the drug, the more detailed the side effects were.
If one looked at the manual, they would know how impractical such a thing was.
However, the more the drug cost, the better the effects were. Unlike the tattered medicine guide produced by the Pheasant Medicine Factory, the instructions practically guaranteed being able to cover the treatment of all diseases.
Therefore for Chief Zheng to know all that was a very strange thing.
Just how good was his memory?
“Chief Xia, my physician certificate shows that I specialize in general surgery.” Zheng Ren said, “A few years ago, did you hear about the medical accident at Liao Zhou People’s Hospital?”
Liao Zhou was a county under Sea City. A few years ago, they performed an emergency cholecystectomy on a patient because they had diagnosed cholecystitis and cholelithiasis.
Coincidentally, the patient’s family was very serious about the matter. They insisted on looking at the stone, saying that it was a relic and that they wanted to keep it as a souvenir.
Before the operation, they had also given a red envelope to the chief surgeon. The chief surgeon confidently said that he would keep the stone for the patient’s family. It was just a cholecystectomy. No one thought that there would be any risks.
However, after the cholecystectomy, the chief surgeon was an idiot.
There was no stone in the cholecystectomy at all.
In the end, this matter became very big. The chief surgeon firmly insisted that there was no problem with his surgery since there was a gallstone in the ultrasound scan before the surgery. However, he did not take out the stone after the surgery. He also refused to let the incident go.
In the end, his family made a fuss which caused a growing commotion in the hospital.
Later, the chief surgeon was suspended and the hospital lost a lot of money.
Zheng Ren was determined not to accept the red envelope. It was directly related to that matter.
Thinking about it, he felt that it was scary. The pre-surgery examination confirmed that there was a stone but it was not big.
However, during the surgery, the stone disappeared like a ghost.
How was he going to explain that to the patient’s family? If he did not take the money, he would be considered stubborn. If he took the money, he would be ashamed of himself.
After the incident, Zheng Ren flipped through lots of information. He had grasped the cause and effect of cholelithiasis before the System had even been introduced to him.
Therefore when he encountered it today, he judged that it was the crystalline substance left behind by the metabolism of the gallbladder’s ceftriaxone. As long as he stopped intravenous infusion, it would disappear very quickly.
In Zheng Ren’s eyes, it was a small matter but for Chief Xia, it was very magical.
When Chief Xia thought of the medical dispute, she immediately realized that the chief surgeon then had also encountered such a situation.
If she did not have Zheng Ren and met with another difficult family member, she would not have been able to explain how the gallstones came about.
Fortunately, she seemed to be quite lucky to have met young Chief Zheng.
Luck was very important for doctors who worked in the clinic.
Chief Xia nodded and understood what Zheng Ren meant. Zheng Ren did not continue to say anything. After all, when a rabbit died, the fox grieved. Things also hurt the other way around.
If they talked about the chief surgeon behind his back, both Zheng Ren and Chief Xia would feel a little awkward.
After chatting for a bit, Chief Xia had regained her confidence so Zheng Ren took his leave.
Could the surgery be done?
It definitely could.
However, Zheng Ren knew that for such a rare disease, it would be difficult for the patient’s family to choose to do the surgery at Sea City. He could only give his opinion to Chief Xia and let her explain it to the patient’s family.
People only believed you more when you had a title and authority.
Moreover, he was too young so it was difficult for the patient’s family to trust him.
If they were at the Imperial Capital or Sorcery Capital, Zheng Ren might have directly explained the situation to the patient’s family and performed the surgery.
Zheng Ren knew that to be a fact.
He was not in a hurry. Zheng Ren slowly returned to the emergency ward, looking at the patients before he sat down and continued reading.
