Zheng Ren ignored the malice in Cen Meng's words and took the flat car to the disposal room.
The patient's condition profile and all reports appeared in the upper right corner of the field of vision. Zheng Ren found it very difficult.
But he still performed a simple physical examination on the patient, not to make a diagnosis, but to find the surgical approach.
The patient is a 19-year-old young woman who is 28 weeks pregnant and has a small amount of dark red blood flowing out of her lower body. The abdominal tenderness point is close to the right midsection, tenderness, and there is no rebound pain or muscle tension.
The inflammation of the appendix is not serious, but the other conditions of the patient are serious.
While arranging for an indwelling intravenous channel, the obstetrics resident was consulted. Zheng Ren's eyebrows furrowed. It was difficult to solve this difficult condition perfectly, and he had to try his luck.
The hospital resident in the obstetrics department quickly rushed to the first department of general surgery. No one would waste time in an emergency consultation where life and death were at stake.
The hospital chief examined the pregnant woman, and Zheng Ren called the patient's family to the doctor's office for preoperative explanations.
"Threatened abortion in pregnant women is clear, and the triggering factors must be resolved as soon as possible." The obstetrics resident said: "Only by removing the appendix as soon as possible can the child be saved."
"Will appendicitis surgery have any effect on the child?" a middle-aged man asked anxiously.
Zheng Ren was helpless. In their eyes, the child was too big. As for the poor pregnant woman... no one considers her feelings except the doctor.
No one even considers her life or death, she is just a machine for giving birth.
"Generally speaking, there won't be any." Zheng Ren reassured.
But after the patient's family members heard Zheng Ren's explanation, a middle-aged woman's legs softened, she sat on the ground along the wall, and began to cry loudly.
Just howling, no tears.
While howling, he was still muttering something.
Zheng Ren had no intention of watching her act. He kept a straight face and asked the patient's family to leave the person who could make the decision while the others left the office. Those who should go and howl should do so, and those who should go through the hospitalization procedures should go through the procedures.
You must not be weak at this time, otherwise the patient's diagnosis and treatment will be delayed.
The patient is the target of the doctor. To some extent, the patient's family has no direct relationship with the doctor.
After he calmed down, Zheng Ren began to explain the operation to the patient's husband, the young man, and the patient's parents and parents-in-law in a serious and thoughtful manner.
Every time a preoperative explanation is given, the patient's husband and parents-in-law will ask whether it will affect the child. The patient's parents hid in the corner with gloomy expressions and said nothing.
The thing is, the First Hospital of the City is the hospital with the strongest medical technology in the surrounding area, and the patient's family has no better choice. The patient's condition also requires surgery, otherwise the child cannot be saved at all.
When it came time to sign, the patient's family members were very hesitant. No one wanted to sign. They were pushed back and forth, and there was no one in the family to take care of things.
Zheng Ren said angrily: "Do you still want to protect the child?"
Under King Kong's angry gaze and under the threat of the child's life and death, the patient's family reluctantly signed the pre-operative instructions.
At this time, the hospitalization procedures had been completed. Zheng Ren began to give medical orders, contact the operating room, and then went to change clothes.
If ordinary people faced such indifferent family affection, they would definitely feel cold. Even operating room nurses like Xie Yiren and medical staff who have no contact with patients' families are the same.
But Zheng Ren saw too much and became numb.
Zheng Ren didn't dare to say whether he could save the child. What he wanted most in his heart was to save the adult.
To protect the children or to protect the adults, is there any need to think about such a thing
As for the days to come...it has nothing to do with Zheng Ren.
All the way to the operating room, I mentally considered the patient's tender points and the location for the incision.
Because of uterine compression during pregnancy, all appendicitis during pregnancy is an ectopic appendix, and the situation is much more complicated than the ectopic appendix done in the afternoon.
Just after changing clothes, the anesthesiologist on duty angrily pushed open the door, and the door hit the wall with a loud bang.
He yelled at Zheng Ren: "How do you explain it? The patient's family does not agree with the anesthesia, you can say it yourself."
"..." Zheng Ren was stunned.
Don’t agree with anesthesia? What's happening here? Does it have to be cut raw
Are they here to treat illnesses, or are they here to cause trouble
Zheng Ren was wearing an isolation suit, grabbed the white suit and put it on his body, changed his shoes and strode towards the entrance of the operating room.
"Doctor, we know that even if the child is saved under anesthesia, he will be stupid when he is born. Please don't anesthetize him." When the patient's husband saw Zheng Ren coming over, he quickly pulled Zheng Ren's sleeve and begged.
"You're paralyzed. If you don't use anesthesia, I'll give you a knife and try it!" Zheng Ren was furious.
"Who are you scolding?" a patient's family member roared nearby.
"Should I do the operation? If not, the child will not be saved!" Zheng Ren knew that at this time, he could only use his momentum to overwhelm the other party.
For the group of people in front of them, the unborn child is the most important weight.
"If you can't save your child, you'll have to pay with your life!" The patient's father, who had been silent until now, stood behind the crowd and suddenly shouted.
Looking at his weathered and rough face, looking at the expression that was once honest and honest but now slightly ferocious, Zheng Ren's heart suddenly numbed, as if he had been hit by an electric current and stopped suddenly.
Zheng Ren had seen a lot of social people in the emergency room before, and he had to stand as a doctor to protect the interests of patients no matter what.
But now, facing such accusations and threats, Zheng Ren felt powerless. If you don't even care about other people's parents, who do you think you are
Even with systems in place, some things are difficult to change.
"Doctor..." At this moment, a hand took Zheng Ren's hand.
The palms of my hands were sweaty and trembling. Zheng Ren turned around and saw a 19-year-old pregnant woman who had been silent and lying on the flat car in pain.
"Doctor, I don't need anesthesia, I can bear it."
Her bangs were wet with sweat and stuck weakly to her forehead. Because of the pain, there was an unhealthy blush on my face. But her eyes were very bright, making Zheng Ren wonder if it was a flashback.
He used the system to identify the patient's status and repeatedly confirmed it several times. Zheng Ren did not find that the patient had a mental disorder. He frowned and asked, "If there is severe pain, it will induce a reaction in the body, causing the uterus to contract and aggravating the miscarriage."
"I can persist, I definitely can." Two lines of tears flowed from the corners of his eyes, "Please, doctor."
Local anesthesia, it can only be local anesthesia.
"Then let's give it local anesthesia."
Zheng Ren wanted to glare at the patient's family, but felt it was pointless.
I want to comfort a pregnant woman, but I don’t know what to say.
With a deep sigh, he pushed aside the patient's family members next to him and pushed the patient into the operating room.
"Mr. Zheng, have you agreed?" the anesthesiologist asked when he saw Zheng Ren pushing the patient's family members in.
"It will be done under local anesthesia," Zheng Ren said.
"You're crazy!" the anesthesiologist was surprised, "Who is responsible if something goes wrong under local anesthesia!"
"Without anesthesia, the operation will be delayed, and a miscarriage will occur. Who will be responsible?" Zheng Ren asked.
This is a fallacy and has no answer.
The anesthesiologist was silent. Seeing Zheng Ren's determination and knowing that he was ready to shoulder all the responsibilities, he admired him a little and came up to help push the patient.
"Why don't you even have an assistant?" the anesthesiologist chatted.
"There's nothing we can do, there's no one in the emergency department."
"You... ugh." In the end, thousands of words turned into a sigh.
Cen Meng had been following him. When he learned that Zheng Ren was going to perform an appendectomy under local anesthesia, he immediately left the crowd. He didn't even bother with the elevator and ran straight downstairs.
When he arrived at the door of the demonstration classroom, he pretended to be calm and called Director Liu out. He couldn't wait to get away, so he leaned into Director Liu's ear and said excitedly: "Director, Zheng Ren wants local anesthesia."
Director Liu's face sank, but he then remembered that Zheng Ren was now the chief resident of the emergency department, and a smile appeared on his lips, "Looking for death."