"What's wrong?" Zheng Ren asked.
"They're singing a duet at home." Chang Yue's tone was not pleasant.
"A duet?" The professor was stunned.
Even though he was talented in languages, the professor could not understand the description in a short period of time.
Neither Zheng Ren nor Chang Yue were in the mood to explain.
Zheng Ren had just completed a 64-slice CT scan with 3D-image reconstruction of the patient's liver. The patient's condition was probably under control.
However, the patient had a son and a daughter. Zheng Ren could not understand why one was playing the good cop and the other the good cop.
Chang Yue saw Zheng Ren's confusion and explained coldly, "The patient's hospitalization was arranged by the family."
That was a load of crap.
"It's to let the family and friends see that they're not unfilial. The old man was sick but he didn't go to the village health center. He was brought to Sea City and stayed in the best Sea City General Hospital. "Chang Yue's tone was getting colder and colder. Zheng Ren could feel the chill in his bones.
"After all the family and friends had seen the patient, the family started to ask for an automatic discharge.
I tried to persuade them to wait until you came back from the 64-slice CT scan to see if there was a chance of treatment, but the patient's son started to make a fuss. "
With just a few simple sentences, he had clearly outlined the entire situation.
Many people were reluctant to spend money on the elderly. When they passed away, the funeral would be extravagant.
It was for the sake of reputation.
Zheng Ren understood this.
Because he understood.
He felt even more helpless.
The patient's condition was under control. Even though liver cancer was the king of cancer, Zheng Ren felt that as long as the patient came for surgery and follow-up every two months, he could be discharged without surgery. The patient did not need to take expensive targeted drugs and could live for three to five years.
However …
He felt helpless.
"What are you doing?" Zheng Ren asked.
"Signing the discharge consent form." Chang Yue turned her head and continued to type.
Zheng Ren had no choice. He could not just press the old man on the operating table and perform the surgery.
The office was very quiet. Professor Rudolf Wagner saw that Zheng Ren and Chang Yue were in a bad mood and wanted to communicate with Zheng Ren, but he could only force himself to hold it in.
He almost suffered an internal injury.
Soon, Chang Yue sat at her desk and called the family of the patient in bed 3-8.
The cursing man didn't come in. Instead, it was the woman who had been trying to persuade the man.
She looked embarrassed and said as soon as she came in, "Doctor, I'm really sorry. My brother has a bad temper."
If not for Chang Yue's explanation, he would have believed it.
To be able to deceive an old clinical doctor, it could be said that his acting skills had reached a certain level. His expression was sincere and exquisite, filled with helplessness and sorrow.
However, with Chang Yue's explanation, her 'performance' was full of flaws in Zheng Ren's eyes.
"Sign it." The smile on Chang Yue's face when she communicated with the patient's family members was gone. She was as cold as a statue.
"Um, um." The woman quickly nodded and picked up the pen.
"Here, write that the patient has been diagnosed with liver cancer and can be treated with surgery. However, due to family and financial reasons, his immediate family members refused the surgery and strongly requested to be discharged from the hospital. You will be responsible for any consequences that arise. " Chang Yue's explanation was very harsh. She would never say something so explicit when she was discharged on her own.
Zheng Ren could sense her anger.
The daughter of the patient in Bed 3-8 was stunned.
"Don't worry, no one will see this signature," Chang Yue said. "It's just to prove that I said something like this to you. If Old Chief Physician Pan asks about it in the future, I will have something to say."
The woman was embarrassed at the mention of Old Chief Physician Pan.
She no longer hesitated and began to write the long paragraph that Chang Yue had said on the signature.
Zheng Ren silently watched the woman sign, an inexplicable feeling in his heart.
Most of it was a pity.
Even if it was just one surgery?
The patient could live for another six months to a year.
If he went back now, he would probably die within three months to six months.
He let out a long sigh.
The family member of the patient in Bed 3-8 quickly signed. She then asked about the discharge time and some other related questions.
Chang Yue impatiently said a few words to her and began to do her own work.
The patient's family had mixed feelings, but Zheng Ren was not in the mood to understand so much. Just as Chang Yue had said, he lost interest and began to pick up the General Surgery book and read it on his own.
The professor felt that everything was strange and novel. He closed his eyes and did not know what was going on in his mind.
The patient's family left the office in embarrassment. Less than half an hour later, they left the emergency ward with the patient in bags.
This was the main difficulty of being a clinician.
The human heart was unpredictable. If they were not careful, they would be crushed to pieces.
This time, because of Old Chief Physician Pan, the patient's family only wanted to leave and did not dare to insult Chang Yue and Zheng Ren.
If it were someone else, they would at least be annoyed.
Chang Yue finished the patient's discharge procedures and threw the case to the nurse's station. She changed her clothes and told Zheng Ren angrily that she was leaving.
Zheng Ren did not dare to provoke Chang Yue. Perhaps even Su Yun did not dare to provoke her.
The weather was not good today. The noon sun was weak and not warm.
As Zheng Ren read the book, he no longer felt as if the afternoon sun was shining brightly.
While reading, she chatted with Xie Yiren on WeChat. Time passed quickly, and in the blink of an eye, it was already the afternoon shift.
…
At the same time, in a second-class Grade A hospital in Horqin Right Middle Banner, Inner Mongolia.
The interventional doctor was attending an in-hospital consultation.
In the ICU ward, there was a patient with lower gastrointestinal bleeding. The entire hospital was at a loss.
He was originally forgotten by the in-hospital consultation, but after watching the hybrid surgery in Xinglin Garden, he was quite knowledgeable. He heard that there was an in-hospital consultation and came over.
He knew very well why there was an in-hospital consultation.
This disease could not be treated here.
In-hospital consultation showed the hospital's importance. It was not a medical accident, but they really had no other choice.
In the past, there was indeed no other way.
Now, however, the interventional doctor thought that the patient at least had a chance.
The deputy chief of the medical administration department presided over the in-hospital consultation and the department chiefs spoke.
Everyone thought that the patient was older and had more complications. The risk of the surgery … could not even be called risk. He would definitely die if he went on stage.
If it was treated conservatively, there was still a one percent chance of survival.
However, that depended on fate.
The interventional doctor did not look down on them. This was limited by medical conditions.
More than a hundred years ago, tuberculosis was an incurable disease. What about now?
Because it was the department at the edge of the hospital, the interventional doctor sat in the corner and waited for a long time.
After everyone had finished speaking, the deputy chief of the medical administration department packed up and prepared to end the meeting. Finally, he asked out of habit, "Who else has any opinions?"
"I would like to say a few words."
…
(Note 1. One of my patients is the director of the Horqin Right Middle Banner Grain Bureau in Inner Mongolia. He has been retired for decades. Therefore, I have always remembered this place. I think it is a little interesting.)
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