I'm just a veterinarian! You've unlocked the Great Physician System!

Chapter 364 This kid has a sharp tongue! His face is swollen from being slapped, and the black stuff is cancerous?! [Seeking monthly votes]

"The appendix isn't very severe, but there's some edema and slight pus formation, which is quite different from what the general surgery department estimated."

Just then, Dean Sun Jianguo spoke in a serious tone.

Although it's unclear whether it's the intestinal perforation that Ogawa previously speculated, it's clearly not an appendix issue, and even the laparoscopic minimally invasive surgery would have to end here.

Because it was necessary to perform open abdominal surgery to find the rupture point and investigate the cause of the large amount of pus in the patient's abdominal cavity, or even peritonitis.

"It has to be Dr. Xiao Chuan again. He truly deserves to be a star doctor in the emergency department and even in our entire provincial hospital. He's probably right again this time!"

Lin Feng's originally composed face quickly transformed into a cheerful expression.

"Dean Lin, you flatter me too much. Just like your recent diagnosis of appendicitis, my intestinal rupture is only a guess. How can we say whether it's right or wrong before we have the results? Otherwise, wouldn't we be following the same old path as Vice Dean Lin and Director Liu?"

Zhang Lingchuan smiled and replied.

"???"

"That's true, that's true!!"

Lin Feng paused for a second.

He nodded through gritted teeth.

"Speaking of which, didn't Vice President Lin Feng just agree to what Director Liu said? Was he planning to do some frog jumps while shouting that our emergency department is awesome?"

Huang Xiangning, standing next to him, maintained a professional expression, but inwardly she was secretly delighted. This kid's insults, though not using a single swear word, were absolutely scathing!

They're capable of both verbal abuse and insults, but the key is that they insult so badly that the other party has no choice but to accept it!
I love it so much!!
Who told the general surgery department to be so arrogant just now?

The key point is that Vice Dean Lin Feng actually chimed in.

They deserved it!

"No! Vice President Huang, don't talk nonsense! It was Director Liu who made the promise himself and didn't bring anyone from the general surgery department. I certainly wouldn't do something like 'jumping around while shouting how awesome the emergency department is'."

Raymond Lam quickly denied it.

If you were to actually do frog jumps while shouting "The emergency department is awesome!", where would you put your face?

As for where Director Liu will put his face.

That's not something he needs to consider.

It turns out that Lin Feng was first appointed as the vice dean, and then a position became vacant, which Huang Xiangning and Liu Wensu competed for.

His main support was for the general surgery department, although he was just supporting them.

But don't involve yourself in this kind of thing.

“Vice President Lin is very sensible and wouldn’t make such a joke. Xiao Chuan, this was originally a joint surgery plan, why don’t you participate in it later?”

Sun Jianguo looked at Zhang Lingchuan.

This kid is just like his teacher; he really knows how to be sarcastic and sarcastic.

However, Vice Dean Lin was deliberately causing trouble.

His constant praise and approval of Xiao Chuan is nothing short of malicious flattery.

What if it's not intestinal perforation?
It's understandable that Xiao Chuan would retaliate.

But the other party's counterattack was actually quite interesting. To put it more bluntly, it was like saying, "Dean Lin, look at you! You speak so absolutely. You were so confident about the appendicitis with Director Liu Wensu of the general surgery department, but it turns out you made a mistake! Look how much your face hurts! Why don't you learn your lesson at all!"

It's true that every sentence hits you right in the gut, yet it's so cleverly designed that you can't get angry; you can only swallow your anger.

After all, they had just been very confident in saying that it must be an appendiceal abscess that had perforated.

And the result?!

That's a real slap in the face.

"Xiao Chuan, you'll be there soon. I'll go with you. It's been a long time since our emergency and general surgery departments have collaborated on a surgery."

It would be inappropriate to send Ogawa alone to the general surgery department's home field.

As her teacher's wife, she definitely had to go and take a look.

If one of our own people is wronged, wouldn't we immediately seek revenge?

Although this kid's attack power is also very strong.

But as the saying goes, two fists can't beat four hands, so as the teacher's wife, she should still lend a hand.

"Row."

Zhang Lingchuan nodded.

Fortunately, the system also had a proactive assistance task available, although this time there was no penalty for failure.

But it would be best if I could do it myself.

I thought this time it was hopeless.

The system may have also determined that it was unlikely to have participated in the surgery, so it did not impose any penalties.

Normally, once a person has arrived at the general surgery department and has sought treatment there, the surgery will definitely be performed there as well.

It is indeed quite difficult for the emergency department to get involved.

In the lens.

"Director, what should we do now?"

Dr. Chai Yong began to ask questions.

"What else can we do! Go out and explain the situation!"

After a moment or two of stunned silence, Liu Wensu coldly left the operating room with a single sentence.

Don't even think about it.

The other person's face must have turned ashen.

This indicates a misdiagnosis of appendiceal perforation.

If a mistake is made, communicate with the family in a timely manner and proceed with exploratory laparotomy.

But the tone just now was too high.

He completely trapped himself in the situation of acute appendicitis with suppuration and perforation, and even assured the parents that he would not need to open the abdomen. Most importantly, he made a bet with Huang Xiangning, and if he lost, he would do a frog jump and shout that the emergency department was awesome!
Holy crap!!

Could this master and apprentice be lying to me?!
Damn it!!
To be honest, Huang Xiangning is also an expert in appendicitis surgery.

It could even be said that he is one of the few experts in the entire northeastern province.

It is precisely because the brilliance of finger reattachment surgery is so dazzling that others have not paid attention to this aspect.

The more Liu Wensu thought about it, the more suspicious he became!

"Clang-"

A large door outside the general surgery operating room opened, and Liu Wensu and Chai Yong walked out.

"Zhao Xiaoyao's parents!!"

"Where are Zhao Xiaoyao's parents?!"

Outside the operating room, Chai Yong shouted.

There were many people waiting outside the operating room of the general surgery department.

After all, it's surgery!
It's simply sewing, mending, cutting, and various needlework and knife work.

"I wonder how my daughter's surgery went."

"That Director Liu is so confident, and we also asked Vice President Lin Feng, who said it's almost certain to be a perforated appendix, so it should be fine, right?"

The couple were chatting.

They still had great faith in the two directors.

I even searched for the two directors' resumes online before I came.

"Huh—Zhao Xiaoyao!"

"Honey! They're calling us!!"

Upon hearing this, the couple immediately stood up as a reflex.

"We're here!"

"Director Liu, we're here. The child's surgery was successful, right?"

The couple then rushed to the scene.

They arrived next to Director Liu and Dr. Chai Yong.

They knew this doctor.

He spoke quite rudely back then.

They launched into a tirade of mockery at the young doctor.

But as the saying goes, geniuses are often unruly.

That's how it is on TV too.

Those geniuses were all arrogant and looked down on everyone.

"Dear parents, the surgery is currently underway."

Liu Wensu began to speak.

"In progress? Director Liu, what brings you out here?"

Zhao Xiaoyao's parents were completely stunned when they heard this.

There's no such thing as coming out halfway through surgery.

"Well, there were some issues during the surgery, and we need to discuss it with the family."

Liu Suwen spoke up.

"Situation? What situation!"

The child's father frowned slightly.

"I...I hope something went wrong with my daughter during her surgery..."

bang dong——

Zhao Xiaoyao's mother was a woman with her hair tied up and a somewhat thin face. At that moment, her legs went weak and she slammed heavily onto the chair next to her.

She searched for it.

Appendectomy can also be fatal.

But the probability is really, really small.

She never dreamed that one day such a probability would appear on her precious daughter.

"No, ma'am... it wasn't a surgical accident, but it was a kind of accident. We suspected it was appendiceal abscess perforation during the initial surgery, but after using laparoscopy to remove the pus, we found that the appendix was not perforated, only inflamed and slightly abscessed."

Liu Wensu was very reluctant to say this.

But the fact is that their general surgery department made a mistake; it wasn't an appendiceal abscess or perforation at all.

"Ah! It's not a perforated appendix!!"

The couple frowned slightly and exchanged a glance.

"But Director Liu, didn't you say before that my daughter had a 100% chance of having a perforated appendix? How come it's not a perforated appendix now?!"

The child's mother is named Luo Yiqin.

He was no longer weak, and he had regained his senses.

With a hint of anger on his face, he questioned her!

After all, they had previously sworn that their daughter had a perforated appendix.

Now they're saying it wasn't an appendiceal perforation!
So my daughter underwent surgery for nothing?!

The child's father was a round-faced man with glasses and slightly graying hair named Zhao Yi.

Although he's only in his thirties, he looks like he's under a lot of pressure, considering that half of his hair is already gray at such a young age.

He stared at the two doctors with a dark expression.

“Mr. Zhao, Ms. Luo, we are doctors, not gods. Current medical instruments have certain limitations and cannot always completely detect any cases. There may be some errors. That's how we diagnosed appendicitis before. Almost all the symptoms are the same as those of appendiceal perforation. But who would have thought that it was not appendiceal perforation in the end? To be honest, we doctors were also shocked!”

Liu Wensu patiently calmed down the two agitated parents.

seriously.

Having practiced medicine for so many years, I have actually encountered similar situations.

That is, the symptoms they diagnosed were not quite the same as the symptoms they actually encountered.

But this time, the words were spoken ahead of time, putting them in a difficult position.

Honestly, Liu Wensu was increasingly feeling that this might be a trap set for him by the emergency department.

"Director Liu, now that we can't find the cause of my daughter's illness, what are your plans?"

Zhao Yi inquired.

His daughter was lying on the operating table.

So now he's asking the important question directly.

"Mr. Zhao, we now have two options. We have cleaned the pus out of the child's abdominal cavity and confirmed that the appendix has not become infected or perforated. We can finish the surgery here..."

"It's over! We couldn't find where the stomach was ruptured. Wasn't the child going to get a fever again, or even have pus in their stomach?!"

Luo Yiqin exploded!
It's just a joke.

How could I possibly agree to such a proposal?

"Ms. Luo, please listen to me. Don't get agitated. What I just described was the first option. This is the option we would only consider if you absolutely do not wish to continue the surgery. However, if you are willing to continue the surgery, we will switch from laparoscopy to open surgery, and then search for the cause in the abdominal cavity. Once we determine that this is the right approach, we will have you sign an informed consent form, and we will immediately arrange the open surgery," Liu Wensu explained.

The child's mother really is.

My emotions suddenly surged like a flood.

Isn't it because their general surgery department is worried that patients won't want to receive treatment here, so they transfer them to the morbid surgery department?

"Will the cost include the fee for a minimally invasive surgery?"

Luo Yiqin asked.

"Ms. Luo, we definitely need it..."

After all, the hospital performed two surgeries. They invested manpower and resources in the former minimally invasive surgery. Although it did not achieve its purpose, the surgery is not something that is paid for only if the purpose is achieved.

"If I had known, I would have listened to that junior doctor and just opened the abdomen! He mocked them and slapped your general surgery department in the face, and now this is how you do things? You performed the first surgery and then the second one!"

Luo Yiqin was very angry, after all, these doctors had previously assured her that it was definitely an appendiceal perforation, which is why they believed them and performed this so-called minimally invasive surgery.

But in the end, the appendix didn't perforate at all.

Minimally invasive surgery is turning into open surgery again. If I had known this would happen, I would have just listened to that junior doctor and opted for open surgery. This way, I wouldn't be going through all this trouble for my child and my family!
"..."

Liu Wensu hesitated, as if he wanted to say something but then stopped.

But he dared not say anything.

Chai Yong, who was following behind Liu Wensu, kept his head down, his face burning with embarrassment.

After all, they did make a mistake in their judgment, so it's normal for the parents to scold them a bit!
“Ms. Huang, Mr. Zhao, I know you are feeling resentful. Actually, the reason we decided to do minimally invasive surgery first was for the good of the child. After all, if we open the abdomen directly, it will inevitably leave a larger scar. If it was an appendiceal perforation, we would definitely have solved it, right? Who would have thought that it wasn't?”

In the end, Liu Wensu came up with an excuse.

"What kind of child is good? Director Liu, this was your own misjudgment, which is why our child is now suffering twice, and our treatment costs have also increased significantly!"

Luo Yiqin was still angry.

Whether it's paying more money or making my daughter go through the ordeal twice, it's unacceptable.

"Alright, that's enough, Director Liu. If you're willing to perform open surgery, that's fine too. I hope we can find the cause of the child's illness as soon as possible and stop this unnecessary trouble. After all, the child is only three years old, and we trust you completely, which is why we entrusted him to you."

Just then, the child's father, Zhao Yi, stopped his wife.

The most important thing about coming to the hospital is to get treatment; we need to cure our daughter's illness first.

You can also complain about your doctor.

But it shouldn't be excessive.

After all, your daughter still relies on these doctors for treatment. What if you scold them too much and they get emotional?
Just like some renovation workers.

They might deliberately mess things up for you, and you won't even notice, but some things will inexplicably go wrong, even to the point of having strange smells wafting out from under the floorboards.

"Okay, okay, Mr. Zhao, don't worry, we will definitely do our best."

Upon hearing the child's parents' words, Liu Wensu immediately nodded in agreement.

In these kinds of situations, it's actually quite convenient to communicate with the male parent.

Sometimes, female parents act impulsively.

You're always nagging and whining here.

"Yes! Thank you for your help!"

Zhao Yi said.

"You're welcome! We'll get back to work now!"

Liu Wensu and Chai Yong left quickly.

"Doctor, this is really strange. There's so much pus in the abdominal cavity, and the free gas is so little. If this isn't an appendiceal perforation, what is it? It doesn't resemble intestinal perforation at all, as our previous tests showed!"

There was a corridor on the way to the operating room, and Chai Yong was really puzzled.

Free gas is a criterion for diagnosing intestinal perforation; if the intestine is perforated, a lot of free gas will appear in the abdominal cavity.

It's like a balloon that leaks air, but it's not leaking air now.

But it's not an appendiceal perforation.

What could this be?!

"Let's go back and have him perform an open abdominal examination first. Perhaps his judgment is wrong too."

Liu Wensu said that if the other party's diagnosis was also wrong, then their general surgery department could salvage their reputation today.

"That's true!!"

Chai Yong's eyes lit up.

If Zhang Lingchuan makes a mistake then, their general surgery department will be fine.

Meanwhile, outside...

"They said that junior doctor made a mistake, but look who's made a mistake now! I really want to file a complaint!"

Luo Yiqin was extremely agitated.

I originally thought they came out to tell me good news.

Who would have thought that they would come to tell me that I guessed wrong?

The second surgery will be performed next.

Isn't this just charging for two surgeries while putting his own daughter through all that trouble?

"Sigh... Don't say anything more, let's wait and see. As long as our daughter is alright, everything will be fine."

Zhao Yi gestured to his wife to wait a moment.

Even if you're thinking of complaining, don't actually do it at this time.

Because the doctor is treating his daughter.

At worst, I can appeal later to find out that the fee is unreasonable.

But ultimately, they themselves also have problems.

When the young doctor spoke earnestly to them, they chose to listen to one side of the story instead of the other, which ultimately led to the current situation.

In the operating room.

Liu Wensu and Chai Yong were pulled in.

"Everyone, prepare for abdominal surgery."

Liu Wensu made the arrangements.

"???"

However, Liu Wensu paused for a second as soon as he said that.

Because he saw several familiar figures in the operating room.

One of them was even the dean!

He was immediately stunned.

"Wen Su, you're back. Have you finished communicating with the family? I was thinking that since it's an exchange between the emergency department and the general surgery department, why don't you add some people to the emergency department as well? Otherwise, it'll just be the general surgery department that's doing all the work. What do you think?"

There are four people in total.

Sun Jianguo, Huang Xiangning, Lin Feng, Zhang Lingchuan.

They were all wearing protective suits at this time.

Sun Jianguo looked at Liu Wensu with a completely different expression.

"So, Dean Sun wants Vice Dean Huang and Dr. Xiao Chuan to participate in the surgery? I've already discussed it with the parents, and they agree to open surgery. Dr. Xiao Chuan has participated before, so it's fine to have him find the problem. We in the general surgery department can also learn from him."

Liu Wensu knew exactly what the dean was thinking at that moment, and immediately spoke up.

Fine, fine, since you're here, then come on, let's see how you manage to cause trouble!
If your own prediction turns out to be wrong, then things will get really funny.

Honestly, Liu Wensu really hoped for such a scene to happen, because then not only would he, but the entire general surgery department would regain its dignity!
"No, no, no, this is still your general surgery operating room. Our emergency department can send a representative, Dr. Xiaochuan, to participate. I will observe from the side."

Huang Xiangning said.

What kind of surgery did she participate in?

I've been through far too many surgeries like this; I'm practically sick of them. We should give these younger generations a chance.

"Dr. Xiaochuan, that's fine too. I think you performed Zhong Xingyuan's surgery in the emergency department all by yourself, right? I believe you can definitely find the cause here as well. Maybe it really is intestinal perforation, just like you said."

Liu Wensu looked at Zhang Lingchuan.

"Xiao Chuan, look at Director Liu, he's already jumping around like a frog while shouting how awesome our emergency department is! Okay, then you go ahead, don't keep him waiting!"

Huang Xiangning smiled and said.

To be honest, she didn't believe Xiaochuan had that ability before.

But ever since she witnessed the surgery that saved Zhong Xingyuan, and even now that he hasn't experienced any post-operative complications, she knew that Xiao Chuan was actually very capable.

Director Liu was trying to say the opposite of what he meant.

Then they'll take his words the opposite of what he means and make him furious!
"!!!"

It's clear that Liu Wensu's eyes widened considerably after hearing those words.

She even moved slightly toward Zhang Lingchuan.

leapfrog?

Are you saying the emergency department is awesome?
I've completely lost face! How could I have come up with such a stupid bet?!

No!

This must not be allowed to happen!
It's definitely not intestinal perforation!

As long as your intestines aren't perforated, you haven't lost!

"I'll give it a try and see if it's a problem with my gut, because I'm not really sure."

Zhang Lingchuan had already arrived at the operating table, taken out a scalpel, and selected a suitable incision.

“We had examined the intestines before and found nothing wrong, so this case is very strange.”

Chai Yong became Zhang Lingchuan's assistant, and they started talking. He wanted to see exactly where the perforation in the intestines the other person was referring to.

The images examined all appear to be without problems.

"Then let Dr. Chai Yong assist you. Xiao Chuan, let's begin the surgery. Your colleagues in general surgery all want to see it, but please don't be nervous."

Huang Xiangning smiled.

Ogawa could not possibly complete a surgery by himself; the entire surgery requires the cooperation of many people.

At this moment, he was merely the chief surgeon.

Meanwhile, the surgeon must have an assistant closely monitoring the situation.

Generally speaking, this kind of job is most suitable for someone like Dr. Chai Yong, given his rich experience.

As for whether or not it will cause trouble.

During such a surgery, anyone in that position would not have such thoughts, because if something goes wrong, it's a matter of life and death.

The dean and others were all watching from here.

He wouldn't dare even if he had ten times the courage.

There's no need to gamble away your entire career or even the rest of your life.

"Then I'll just observe it in person. Come to think of it, I've never seen an intern perform surgery in all my years at the provincial hospital. Today is my first time!"

Sun Jianguo smiled.

He had always watched Ogawa perform surgery online before; this was the first time he had seen him perform surgery in person.

The abdominal surgery began soon after.

Zhang Lingchuan's swordsmanship remained swift and decisive, and soon some areas of his abdomen were exposed.

They are even very skilled at using various tools.

Many interns have never used an electrosurgical unit before, and they need to practice for a long time just to learn how to use it!

"Just like what was shown on the big screen, the child's appendix did not perforate, only had inflammation and a small amount of pus, and most of the intestines were also fine."

Lin Feng was also observing from the side and spoke up.

"That's right! The child's symptoms were all those of an appendiceal perforation, but who would have thought that the laparoscopic surgery revealed it wasn't a perforation! Crucially, the imaging didn't show any problems with the intestines either. It's really strange!"

Liu Wensu sighed and said.

Actually, their laparoscopy just now could also reveal some of the intestinal health conditions, and there were no problems in what they could see.

"Actually, problems can also occur in the vicinity of the appendix, so I think we should search these areas."

Zhang Lingchuan began to speak as he searched around the appendix.

"Nearby areas??"

The moment everyone was pondering those words, the pupils of everyone in the operating room constricted.

Because they saw an inflamed small intestine oozing yellow pus, and it looked like something was wrapped inside the small intestine!
One of them, a black, thorn-like thing, emerged.

"What the hell is this?!"

Everyone was left with a question mark!

Is it cancerous?
……

　Guys, I only wrote 7000 words today. I was going to write 10,000, but alas, I'm a bit stuck.
　　
　
(End of this chapter)