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

Chapter 167 Healing Doctor

"This isn't about being responsible or not. You need to call her family members over right now. No matter what your plans are for the future, we can't be sure of her specific situation right now. Only her immediate family members have the right to be entrusted with this matter."

"Have you thought about what you'd do if something happened? How would you explain it to her parents?"

The young man thought about it carefully and decided to make the call first.

……

The bedside ultrasound came quickly, and the results came quickly too.

Because it was discovered in time, the girl's abdominal pain didn't last long and didn't reach the point of rupture.

Therefore, the diagnosis of ectopic pregnancy in the fallopian tubes is very clear.

The diagnosis is clear, and the treatment is also clear.

As soon as the gynecology consultation call was made, the on-duty gynecologist came over and personally took the patient away in less than ten minutes.

However, because the young man was a post-operative patient, his situation was quite special, and it was impossible for him to go to the gynecology department to talk with the gynecologist and sign the necessary documents.

The family members were still on their way, so the gynecology department had to follow emergency procedures, reporting to the on-call supervisor and even speaking with the young woman in the emergency room to get her to sign some papers...

During the conversation, the young man quickly said, "You guys need to get the surgery done quickly, I can pay for my girlfriend's surgery."

"I can sign my name too."

"Do you have that much money?" the gynecologist asked directly.

"How much will the surgery cost?" the young man asked hesitantly.

"Pay five thousand first."

"I thought it would be much less. It's okay, I can scan it right away, but it's inconvenient for me to leave. How about this, I'll give you my phone and password, and you can scan it for me?" the young man asked the gynecologist for her opinion.

The gynecologist looked at Lu Cheng.

Lu Cheng waved his hand, "Sister, I am his attending physician, and we cannot handle his money through our phones."

If he spends too much money on this, Lu Cheng won't be able to explain himself.

"How about this, I'll transfer five thousand to you directly, and you can take this money back to pay it, okay?"

"You can record a video," the young man suggested in a moment of desperation, offering a compromise.

"That's fine." The gynecologist nodded...

After the gynecologist and his girlfriend left, Lu Cheng resumed the young man's physical examination, asking, "You're doing micro-business, is that how you make money?"

"Dr. Lu, I was lucky. I started promoting short videos on Douyin and Kuaishou a long time ago, so I have more than 50,000 friends on my eight WeChat accounts."

"I make over 100,000 a month on good days, and around 70,000 to 80,000 on bad days. My girlfriend and I each manage a few accounts, and we can stop when we don't feel like it..." The young man immediately delivered a critical blow to Lu Cheng.

Lu Cheng paused, his Adam's apple bobbing, and joked, "Hey bro, can you let me do it with you?"

The young man chuckled sheepishly, "It's not possible now. If you try to promote it now, your account will be banned. I started promoting it when Douyin first started. Back then, the rules weren't as strict as they are now..."

Lu Cheng then understood why the girl's parents didn't object to her and the boy not studying together and even living together before marriage.

"You'll be fine, just remember to eat by yourself later!"

"Don't even think about visiting your girlfriend after her surgery. Focus on getting yourself back to health first," Lu Cheng instructed.

"Can I go take a look?" the young man asked Lu Cheng, his eyes clear. "Just for a moment."

This was a lucky young couple. Lu Cheng turned his head and said firmly, "I definitely won't agree to you going!"

Lu Cheng was leaving a trace; at least everyone else in the ward heard him give this instruction.

The patient is an adult and wasn't locked up. He insisted on running out. If something happens, a witness can prove that Lu Cheng has made proper arrangements.

It would be best if nothing happened.

But Lu Cheng would definitely not allow the young man to visit his girlfriend; that was a matter of principle.

……

It was 5:40 PM.

After getting off work, Zhang Tiesheng went to the doctors' break room to chat with Han Xiaoping and Lu Cheng.

Zhang Tiesheng's tone was exaggerated: "Financially independent at twenty years old, with over a million yuan in savings? Bought two houses outright? And they're in our county! That's too comfortable!"

Lu Cheng nodded, clicking his tongue in amazement: "That's right. I just checked, and that young man's watch is worth over 200,000 yuan."

"Riding the wave of the internet boom, it really makes money."

It would be a lie to say I'm not envious, but I can't replicate that path; it's hard to repeat it.

"Da da da!~"

There was a knock on the door of the lounge.

Lu Cheng walked over and opened the door.

Surprisingly, the young man in bed 3 and a middle-aged couple were also staying there; neither of them were very old.

"Dr. Lu, these are my wife's parents. They've come specifically to thank you," Liu Zhongping introduced to Lu Cheng. His posture was slightly awkward, suggesting he had walked quite a bit that day, as his wound was throbbing.

"Liu Zhongping, you should go back and rest. You just had surgery yesterday, why are you always running around?" Lu Cheng scolded.

The middle-aged woman quickly said, "Xiao Liu, yes, you should go back and rest."

"Dr. Lu, thank you so much. We didn't do a good job and didn't educate them properly. This time, we are so grateful to you."

"Otherwise? Who knows what would happen?" The girl's father replied with a dark face, his words sounding rather unnatural.

Regardless, being pregnant out of wedlock and having to go to the operating room is a bad reputation in the county.

It's no wonder he's in a good mood, especially since his own child is a girl.

"It's alright, it's alright, the surgery went smoothly, right?" Lu Cheng asked.

"Yes, it was discovered in time and the situation is not serious. We had a minimally invasive procedure done, and the doctor there said there's nothing to worry about; it's just a minor surgery."

"But if it breaks... well, Dr. Lu, thank you so much..." The middle-aged man gripped Lu Cheng's hands tightly, his tone sincere.

“My daughter is disobedient. I used to want her to go to a vocational school for nursing and then go to a junior college…”

Lu Cheng said, "Uncle, studying isn't the only way out. They're doing quite well now."

Perhaps Liu Zhongping had made the facts clear during this period, because the middle-aged man sighed slightly: "We don't understand what those young people are doing, so we always feel uneasy about this money."

"Having a stable job provides security no matter what happens."

"Of course, young people today also have their own ideas."

"Dr. Lu, thank you so much. This time I've finally figured it out. All a person needs to do in this life is to live." The middle-aged man's tone was self-reproachful.

Just then, Lu Cheng's panel flashed with more skill point gains. [...Skill points increased by 12.]

Lu Cheng's smile grew even brighter—

Early identification and diagnosis of ectopic pregnancy provides patients with ample time for treatment, reducing their pain and the risk of blood loss, earning 7.6 skill points.

[By unexpectedly helping patients with 'depression,' 'anxiety,' and 'obsessive-compulsive disorder' to resolve their inner conflicts and alleviate their psychological anxiety and suffering, 5.2 skill points are gained.]

[Help a person with very mild anxiety disorder to calm their emotional fluctuations and gain 0.4 skill points]

The source of the skill points is unknown, but Lu Cheng speculates that these skill points may have come from the girl, the girl's father, and Liu Zhongping, respectively.

Lu Cheng watched the girl's father's departing figure, slowly sorting out his thoughts—

The girl's father was probably a rather traditional old man who felt that not having a formal job was unstable, which is why he looked down on Liu Zhongping.

Liu Zhongping, on the other hand, lacks formal education and cultural background, but that doesn't mean he lacks ability. Even when opportunities presented themselves, he seized them.

Under such circumstances, if the girl's father still doesn't approve of him, he must feel uncomfortable.

Otherwise, with his current financial strength, he would have already overwhelmed his father-in-law. A million yuan in cash flow savings wouldn't make him poor, even in a prefecture-level city...

As for Liu Zhongping's girlfriend, she's a lucky idiot.

If she had a boyfriend with blond hair, her lifestyle would be completely different.

Gaining these skill points is rarer than regular healing, as it lacks specific targeting, but once gained, the amount can be quite substantial.

Just then, Tian Zhuang called to say that a patient with a cut on his palm had arrived at the emergency surgery clinic.

Upon hearing the phone call, Lu Cheng quickly put aside his thoughts, put on a mask, and walked from the doctor's office to the emergency surgery clinic...

"Whether you have the surgery here or not is irrelevant. I'm just telling you that you need to have the surgery, not that you have to have it done here."

"You need to understand this basic point."

"If you demand higher quality surgery and feel our techniques here are inadequate, you can always go to the state level!"

"Right? You want to transfer to another hospital, right?"

"Should I call a car myself or what?" Tian Zhuang asked the patient in a cold tone.

After Tian Zhuang's tone turned cold, the father and son fell silent, exchanging bewildered glances.

The elderly man asked, "Dr. Tian, ​​if I were to have surgery at the state hospital, how much would it cost?"

Tian Zhuang wasn't angry, he just shook his head: "I don't know the specifics, and I'm not from the state hospital. I can only tell you that it's definitely more expensive than here."

After Tian Zhuang finished speaking, he saw Lu Cheng and said, "Dr. Lu, this patient needs to be transferred to another hospital, so you don't need to come."

Upon hearing this, Lu Cheng nodded and moved aside from the doorway, not going in to meet the patient.

A doctor doesn't knock on doors.

Since the patient had clearly refused, Lu Cheng could no longer try to persuade him.

Patients have the same right to informed consent and the right to refuse informed consent.

Five minutes later, Lu Cheng received another message from Tian Zhuang saying that the patient would have to stay for surgery again.

Lu Cheng had no choice but to go over and talk to the patient, get the signatures, and then lead the patient into the operating room...

At 3 p.m., the surgery was successfully completed, and Lu Cheng returned to the doctors' lounge to prepare postoperative instructions and surgical records.

Another doctor in a white coat in the doctor's office stood up upon hearing this: "You're Dr. Lu? The emergency room doctor who discovered the early signs of an ectopic pregnancy in our department's Xie Miru?"

Wearing his surgical scrubs, Lu Cheng gently rubbed his eyes, and after making out Zhao Ruifang's name tag, he smiled and said, "Dr. Zhao, I'm the one who found it."

“At the time, she was a family member of one of my patients. The patient had an appendectomy and was sitting by the bed, while Xie Miru was lying on the bed. I felt something was strange, so I did a simple physical examination.”

Xie Miru is the name of Liu Zhongping's girlfriend, and she is currently hospitalized in the gynecology department.

As Xie Mixi's attending physician, Zhao Ruifang certainly couldn't come to the emergency department to check her pre-hospitalization records immediately, but just to be on the safe side, she still came to the emergency department.

Zhao Ruifang was wearing a mask, but her eyes looked rather small. She wasn't very old, and her voice was crisp: "Her skin wasn't broken, and the pain wasn't particularly noticeable. How did you diagnose it?"

Zhao Ruifang sounded puzzled. After standing up, she leaned against the desk with a serious look in her eyes, genuinely seeking Lu Cheng's advice on the diagnostic details.

“Just a physical exam, huh?” Lu Cheng replied.

Zhao Ruifang thought for a moment and replied, "Generally, ectopic pregnancy patients only experience the triad of cervical motion tenderness, rebound tenderness, and shifting dullness after rupture!"

"Her boyfriend has appendicitis, and she and her boyfriend have a history of dining together. Dr. Lu, you immediately thought of an ectopic pregnancy?"

"This girl is not in the standard gestational age."

At this point, Zhao Ruifang noticed Lu Cheng's brow furrow slightly, so she quickly explained, "Dr. Lu, please don't misunderstand, I didn't mean to question you."

"I just find it strange that, under those circumstances, if the gestational sac hadn't been seen on the ultrasound, I wouldn't have been able to determine it was an ectopic pregnancy without asking the patient about her menstrual history."

"Moreover, I would prioritize gastroenteritis or appendicitis, since the early signs of ectopic pregnancy are not that intense."

The standard signs of ectopic pregnancy all point to one thing: rupture and bleeding.

Rebound tenderness: The patient complains of pain and peritoneal irritation after quickly raising their arm, indicating intra-abdominal bleeding, which is caused by blood irritating the peritoneum.

A positive shifting dullness is a sensitive indicator of shifting abdominal blood volume ≥500ml upon percussion of the dullness area.

Lu Cheng replied calmly, "Maybe I was just lucky, or maybe I saw something similar in popular science somewhere, which is why I thought of it immediately. There weren't many tricks involved."

Lu Cheng herself didn't care about this matter. Isn't it something that teachers have repeatedly told adult girls to consider ectopic pregnancy?

As for why he asked about her menstrual history first, Lu Cheng couldn't explain why.

Perhaps during the physical examination, my examination skills were so high that they unintentionally gave me 'inspiration' and instructions?

Of course, now that Zhao Ruifang has brought this up, if Lu Cheng analyzes it based on his professional knowledge, it seems that the girl's pain at the time should not be the first consideration for ectopic pregnancy.

"Oh!~"

Zhao Ruifang straightened up: "Thank you, Dr. Lu. This ectopic pregnancy surgery today was the smoothest one our department has ever handled."

"That's why I got the chance to operate. I thought you, Dr. Lu, had some skill that could accurately identify the early signs of ectopic pregnancy."

"As you know, if the situation is too urgent, it's usually the director who takes action..." Zhao Ruifang then explained her purpose.

This patient's condition is still stable, but early detection of ectopic pregnancy requires early treatment!
Zhao Ruifang thought she could wait for more 'prodromal patients' to accumulate surgical volume for herself.

"You're welcome. I just got lucky, Dr. Zhao."

After Lu Cheng finished speaking, he added, "I just finished my surgery and need to write some medical orders. Dr. Zhao, you're busy with your work?"

"Okay! Sorry to bother you, Dr. Lu." Zhao Ruifang left the doctor's office without asking any further questions.

(End of this chapter)