This doctor is already middle-aged, and he's only just started practicing medicine.

Chapter 166 The Ink Stain's Emergency Room Visit!
"Dr. Zhang, is there really nothing you can do about my husband's condition?"

In the emergency surgery clinic, an elderly couple sat opposite Zhang Tiesheng, their eyes vacant.

Zhang Tiesheng and Lu Cheng huddled together to watch the film carefully. After Zhang Tiesheng pointed at the computer for a while, Lu Cheng shook his head.

Zhang Tiesheng then said, "Old man, the tumor on your liver is too large for us to treat."

"You might be able to see a general surgeon at the outpatient clinic after the holiday."

"But I still suggest you call your son or daughter as soon as possible and ask them to take you to the state hospital or Xiangya Hospital for a check-up."

The two elderly people were silent for a while. The old man, whose head was a little small and whose hair was curly and white, suddenly said, "Stop looking, let's go back."

But as he spoke, it seemed to cause a change in the pressure inside his abdomen, causing the old man's brows to furrow and his wrinkles to deepen.

The old woman said with some concern, "Doctor, even if you can't cure him, could you prescribe some medicine to stop the pain? He hasn't slept for almost two days, he's been in constant pain..."

"And my feet hurt too."

The old woman was rather plump, but the old man was exceptionally thin, and his left leg was noticeably shorter than his right leg, with his hip joint in a deformed eversion position.

Zhang Tiesheng said, "It's pointless. The painkillers I can prescribe won't stop this kind of pain."

“We can’t prescribe effective painkillers in the emergency department. You need to go to the oncology department, but there is no oncology department in our county, so we can’t prescribe these medications.”

"That's the regulation from above, and there's nothing we can do to help you."

"You should have come sooner, it's gotten this bad..."

After quickly finishing writing the medical record, Zhang Tiesheng handed it back to the two men, saying, "We can't treat this here. You should call your children right away."

"Go to a hospital in the state or province as soon as possible to find a solution."

Lu Cheng happened to be in the consultation room when the elderly couple came in for their consultation, so Lu Cheng didn't leave.

Of course, Lu Cheng didn't dare to speak.

The elderly man had a large nodule about ten centimeters in size on the lateral lobe of his liver, which was adhered to the surrounding mucosa and was clearly malignant.

In this situation, it is estimated that Professor Chen Song would not be able to handle it. This is not an emergency case; it is a huge tumor that belongs to the oncology or general surgery departments.

The old man explained, "There's no cure. You heard it yourself. I'm already so old, why would I go so far?"

"If the county can handle it, then they will. If they can't, then I'll just accept it as fate." The old man leaned on his cane, trying to stand up.

The old woman gently pressed down on the old man, then looked at Zhang Tiesheng and said, "Doctor, please help us, please think of a solution."

"It would be good if it could stop the pain."

Zhang Tiesheng flipped his hand: "I can't help it. I don't have the authority to prescribe pain relief for your condition. I can't do it."

"This painkiller is a controlled substance, and only the oncology and anesthesiology departments can prescribe it. Our hospital does not have that authority."

"I already told you, the best way is for you to call the child and I'll take you out to see him."

The highest level of pain medication that the emergency department can prescribe is tramadol hydrochloride via intramuscular injection, but tramadol is not very effective for tumor pain.

Moreover, even if it is effective, it will only be temporary and will not solve the patient's needs.

"They're all busy working away from home and can't come back. If they did, the family wouldn't have anything to eat," the old woman explained.

“My eldest son’s three children’s living expenses are barely covered.”

"Where would we get the money to go for medical treatment outside?"

The elderly couple dressed very simply; their clothes were ordinary brands, though not tattered or patched.

Judging from the style and fit, it's probably clothes worn by young people.

"Then I'm even more helpless." Zhang Tiesheng spread his hands.

Although not having money is an absolute contraindication in China, the country's medical expenses are covered by a system that combines medical insurance and out-of-pocket payments.

This is not something Zhang Tiesheng can decide.

The old woman helped the old man out the door, he limped along with a cane, his back hunched and helpless.

Zhang Tiesheng yawned: "Xiao Lu, it's getting late, why don't you go take a nap?"

"You're on a 24-hour surgery shift today. If a patient comes in later, you might not be able to rest."

Lu Cheng quickly sorted out the emotional ripples caused by the two elderly people: "Okay, Brother Zhang, I'll go check on the patients again. Call me if you need anything later."

Zhang Tiesheng glanced at Lu Cheng in surprise: "You're still going to go see it?"

"These patients are unlucky to have you as their caregiver; they probably won't even have a chance to move out overnight."

The so-called "moving overnight" just means they don't want to pay the fees and run away in the middle of the night.

Lu Cheng understood Zhang Tiesheng's sarcasm, but didn't care: "Let's take another look. That young man with the amputated limb didn't listen to orders. He couldn't resist yesterday and got one."

"It would be a shame if it got rotten."

Zhang Tiesheng could actually understand young people, but he still grumbled, "If you're courting death, you can only respect the fate of others."

A patient who underwent limb replantation surgery started smoking on the third day after the operation? Even a miracle couldn't save him!
Lu Cheng walked out of the emergency surgery clinic—

Just then, Dr. Han Rong was picking up her father from school. Her older brother also arrived.

"Good afternoon, Dr. Lu. Have you had lunch yet?" Han Rong greeted Lu Cheng as soon as she saw him.

As Lu Cheng paused, Han Rong's older brother, Han Pingxiao, stepped forward and shook hands with him: "Brother Lu, you've worked hard!"

"As expected, his reputation is well-deserved. My dad's recovery is excellent."

Lu Cheng glanced at Han Pingxiao's distinctive diamond-shaped face, balding head, and protruding forehead. Slightly surprised, he quickly replied, "Hello, Professor Han. I heard from Dr. Han that you are also a professor in our orthopedics department."

"It made me feel extremely apprehensive for a long time."

Han Rong and the others should have taken their luggage in advance, so they are traveling light now. Patient Han Yongshan's legs are fine, he is just wearing a coat.

He politely thanked Dr. Lu, then watched with a smile as Lu Cheng and Han Pingxiao talked.

"Brother Lu, you're being too polite. I'm younger than you. If you think highly of me, call me Xiao Han."

"I'm a joint surgeon, what kind of teacher am I?"

Han Pingxiao glanced at his father again and said in a low voice, "The layman sees the spectacle, the expert sees the details. Brother Lu, we've heard about your skills in our hospital."

"So, I immediately told my parents to come back and find you."

"Professional matters should be handled by professionals," Han Pingxiao replied frankly.

He is a professional, and an orthopedic surgeon at that. He doesn't care about the name of the hospital. As long as the doctor's skills are good, he will go from Jishi to Longxian.

You can only get a good treatment if you find the right person, not just a good hospital.

Han Rong is much younger than Lu Cheng, while Han Pingxiao looks several years older than Lu Cheng, perhaps because he appears older.

"Brother Han, all I can say is that I did my best."

"Fortunately, Professor Tong from the orthopedics department came to the countryside. I felt that if I couldn't handle it, Professor Tong would be there to back me up, so I just went for it."

"Of course, Uncle's recovery is going well now. The most important thing to focus on is quitting smoking!" Lu Cheng emphasized.

Han Pingxiao nodded: "I understand that, and I will definitely keep an eye on my dad..."

“If he doesn’t listen to advice, then he’ll be letting Professor Tong down…”

“Dr. Lu, you can keep busy here. When you have some free time in a couple of days, we must have a meal together… I’ll make a reservation in advance and call you…” Han Pingxiao made the decision immediately.

"Brother, is Dr. Lu's skill really that good?" From afar, Lu Cheng could still hear Han Rong's voice, faint and indistinct.

"Seeing is believing. Dad was injured in the second zone tendon, a place where sutures are very easy to fail. You've seen how well he's recovering now, haven't you?"

"If it weren't for a chance encounter, when the on-call hand surgeon at our hospital dismantled the tendon sutures that Dr. Lu had previously performed, creating a stark contrast, and the people in the operating room were all watching the drama unfold, I wouldn't have known that the county hospital had such a skilled surgeon!"

"Dr. Lu's skills and reputation are both good, and he is very patient, but his patience is a bit 'long-winded'..." Han Rong's mother summarized.

Han Pingxiao had obviously heard about Lu Cheng's 'long-winded' remarks: "Everyone has a different way of doing things. As long as you have good technical skills, that's enough."

……

After entering the observation ward, Lu Cheng looked around and confirmed that the group of patients who had returned from Wuhan had all recovered and been discharged. The recovery progress of the new batch of patients varied. However, the patient with the ruptured tendon from before Lu Cheng went to Wuhan was still here for rehabilitation treatment, trying to regain as much function as possible for him.

Lu Cheng immediately went to the young man with the missing limb, took off his mask and smelled him: "Not bad, no smell of smoke."

"You absolutely cannot smoke, and you can't even touch secondhand smoke," Lu Cheng said seriously after putting his mask back on.

The boy's father said sternly, "If he dares to disobey orders, I'll break his legs."

"Dr. Lu, how is my son's recovery going?"

Lu Cheng took another look at the patient's five fingers, the skin was rosy: "The blood supply to the fingertips is good, at least he can survive, but the dressing hasn't been changed yet, so the condition of the wound is not visible."

"As for the restoration of function, opinions will vary, so don't have too high expectations."

"The severed hand is definitely not as strong or flexible as the other hand."

"Oh, right, don't feed him too much nourishing food. Give him more lean meat and eggs, which are high in protein, and less soup and greasy food."

“I heard that the chicken soup you prepared for him had half a bowl of oil floating on top? You can’t eat it like that,” Lu Cheng said.

"It's because the child wants to eat it; he said he hasn't eaten meat in a long time," the child's mother replied.

Lu Cheng instructed, "You can't eat like that. You can't eat whatever you want. Too much fat intake will increase your metabolic burden."

After saying that, Lu Cheng looked at the young man himself and said, "Don't worry too much. What's done is done, so let's deal with it positively. At least for now, we still have our hands, right?"

"I'll try to become left-handed in the future, and learn a skill. There are many people online who have lost both hands but can still cook with their feet, so I'm not worried about the future..."

The boy nodded, the panic in his eyes lessening somewhat: "Okay, doctor, I've also seen these people's videos recently."

The boy's father tugged at his hair hard: "We just wanted him to learn carpentry so he could have a skill to make a living."

"If he had known it would turn out like this, he would have been better off coming to the construction site with me."

Lu Cheng reassured him, "This was an accident, not intentional."

"I think this guy is quite sensible. There are many people his age who never listen to their elders, and those are the ones who are hard to manage..."

"Sigh." The man sighed.

If a child can't study, it's a matter of aptitude; if he's willing to learn carpentry, it's a matter of attitude.

He didn't blame his child for not being academically successful, but he felt very guilty because his obedient son's hand had suddenly been sawed off.

……

Lu Cheng walked to bed 3 next door. Bed 3 was occupied by an appendicitis patient who had just been admitted yesterday. Zeng Huanqi had performed the appendectomy.

The patient was a 20-year-old young man, and his girlfriend was accompanying him.

However, at this moment, his girlfriend was lying in bed, while he, who had undergone surgery, was sitting beside the bed.

"Brother, you really dote on your girlfriend, huh? You even let her rest after her surgery," Lu Cheng joked while washing his hands with disinfectant.

"Dr. Lu!" The young man smiled sheepishly and tried to stand up, but his movements were not very agile. "She said her stomach is a little uncomfortable, probably because of what we ate yesterday."

"Just lie down and rest for a while."

During morning rounds, Lu Cheng heard from the young man that his girlfriend was the same age as him, but a few months older. They had been dating since school, and had been together for six or seven years since graduating from junior high school.

Upon hearing this, Lu Cheng nodded and asked casually, "Have you eaten?"

"Dr. Lu, I was supposed to have dinner, but my girlfriend is asleep, so I ordered takeout, and it hasn't arrived yet."

"I've already farted," the young man replied with a smile.

He knew that Lu Chengai used tricks on patients, such as instructing them not to eat without farting, so he directly asked what they had eaten that day.

For example, Lu Cheng would tell you not to secretly overtrain, and then suddenly ask you how many times you clenched your fist. Many patients were tricked and were criticized by Lu Cheng.

Upon hearing this, Lu Cheng's smile froze: "Try feeling your girlfriend's temperature?"

The young man was very good to his girlfriend, and Lu Cheng could also tell that the girl was nice too. They just didn't do well in school, not that they were inconsiderate of each other.

Even if the girl didn't go home to cook, it's not like she wouldn't order takeout for the boy.

The man has already been revived and had surgery yesterday, but the girl hasn't gone to help prepare the porridge yet, which is very strange.

It doesn't make sense logically.

The young man was taken aback: "What's wrong, Dr. Lu?"

"No fever." The young man touched his girlfriend's forehead and then patted her: "Zhuzhu, wake up."

The girl opened her eyes wearily, her brows furrowed, her right hand instinctively covering her lower abdomen, and her legs curled up under the covers.

Seeing this, Lu Cheng immediately drew the curtains on both sides and shouted back, "Tian Duoduo, come to the ward!"

After shouting, Lu Cheng asked the girl, "Is it pain in your lower right abdomen?"

The girl nodded, beads of sweat already forming on her forehead: "It hurts even more now."

"Dr. Lu." The young man was slightly flustered, as his own movements were quite inconvenient.

Lu Cheng quickly put on his examination gloves and said, "I need to give your girlfriend a physical exam. Her condition seems a bit strange. You just stay here and watch, and don't accuse me of taking advantage of you or anything like that."

Because the pain was in the lower right abdomen, Lu Cheng immediately pressed on McBurney's point.

The girl's face immediately contorted in pain upon palpation.

However, Lu Cheng could find that the girl also had tenderness at non-McBurney's points, and the degree of tenderness was no less than that at McBurney's points.

"Dr. Lu, what's wrong?" Tian Duoduo rushed over.

"Call for a bedside emergency ultrasound, and then an emergency blood draw!"

After giving his instructions, Lu Cheng thought for a moment and then asked the girl, "When was your last period?"

"The last time was August 15th, and they didn't come last month."

The girl panicked a little: "Doctor, what do you mean?"

The young man paused for a moment, then silently took out his phone, looking somewhat apprehensive and hesitant.

Lu Cheng turned to Tian Duoduo: "Tian Duoduo, come and help her with the registration procedures! I'll go write up some medical orders and ask for a consultation."

Then, Lu Cheng looked at the young man: "Let me help you to the doctor's office first. You're a family member. They need to ask you some basic questions..."

Although the young man was a patient, he couldn't worry about that at this moment, after all, he was just a post-appendectomy patient.

Ten minutes later, after asking about the general symptoms and quickly writing out the blood test order, Lu Cheng turned to the patient and said, "You guys have probably been infected."

"I highly suspect it's an ectopic pregnancy, which is a rather dangerous situation."

The young man wasn't shy or hesitant at this moment: "You got it on the first try?"

It's normal for two people to have a history of sexual relations. Both of them are adults and have stopped going to school. At most, they are just young people who haven't reached the legal marriage age yet.

We usually take precautions, but young people always like to try something different...

After the young man finished speaking, he asked frankly, "Dr. Lu, is she pregnant?"

Seeing that the young man was thinking too naively, Lu Cheng quickly said, "She is pregnant, but it's the kind of pregnancy that she absolutely cannot have."

"The gestational sac did not descend to the uterus but implanted in the fallopian tube. This must be dealt with, otherwise, if it ruptures, it will endanger the patient's life."

"Of course, I'm just guessing at the moment, but your girlfriend's period is almost half a month late."

"You guys never came to the hospital for a check-up before?" Lu Cheng found it unbelievable.

Even if young people are careless, won't they go to see a doctor if they don't have their period?

The young man said, "We were planning to investigate, but it was a holiday a couple of days ago, so we decided to wait until after National Day."

"Who would have thought I'd get an upset stomach from eating something yesterday?"

“Dr. Lu, I will take responsibility for her. We’ve already met each other’s parents,” the young man replied with a strong sense of masculinity.

Lu Cheng: "..."

Are we on the same wavelength?
(End of this chapter)