Great doctors start with pediatrics

Inside the consultation room.

Fang Qingxue quickly pushed FAST over.

The boy lay on the bed, and Zuo Zhenxing skillfully applied the coupling gel and placed the probe on it to scan.

On the black-and-white screen, dynamic images are continuously displayed.

As the probe moves, the gray organs are fully revealed.

"The spleen is still in a relatively regular shape."

"There is an echo zone here."

As the probe gradually swept downwards, Zuo Zhenxing suddenly stopped.

On the screen, a hypoechoic area is closely attached to the inner side of the spleen capsule, with blurred boundaries and uneven echoes.

Subcapsular hematoma.

Zuo Zhenxing gave his assessment, and Fang Qingxue rewrote the diagnosis on the computer.

With his fingertips gently rotating the probe, Zuo Zhenxing finally found a narrow, anechoic band.

"Spleen peritoneal free fluid!"

Zuo Zhenxing glanced back at Laurent and said in a low voice, "The membrane has started to bleed."

As soon as Zuo Zhenxing finished speaking, the nurse pushed the transfer bed in.

The radiology department is not far from the pediatric surgery department.

Zuo Zhenxing jogged quickly to help push the transfer bed.

The old lady had difficulty walking, so Zuo Zhenxing put on a lead apron and accompanied the child into the CT room. He didn't even leave the room and had the radiologist close the door to take the picture.

Wait until the child is pushed out.

Laurent and Fang Qingxue have already instructed the old lady to contact her family and offer comfort.

"Doctor, is my grandson alright?"

Upon seeing Zuo Zhenxing come out, the old lady quickly ran up to him and took his arm.

Zuo Zhenxing decisively said, "The child is fine. Fortunately, we found him early. If we had been sent to the emergency room any later, something terrible would have happened."

As a veteran doctor, Zuo Zhenxing knew that once a patient stepped out of the hospital, it would be difficult for them to go back in, given the idea that they had already received treatment.

The old lady breathed a sigh of relief upon hearing this.

No one urged her to pay the fee.

Within four or five minutes, the radiologist rushed out with the freshly printed images: "Dr. Zuo, delayed splenic rupture, subcapsular hematoma, and active bleeding! Any later, and the capsule would have ruptured, resulting in massive hemorrhage, and there would have been no chance of saving him!"

Laurent guessed that the person who landed was not only injured internally, but seriously so.

Zuo Zhenxing stared at the clearly visible images on the X-ray, his voice still tinged with fear, and said to the nurse beside him, "Contact the interventional radiology department, arrange an operating room, and prepare for a consultation."

Upon hearing the instruction, the nurse immediately sprang into action.

Zuo Zhenxing led Laurent and the old lady into the radiology department, where the radiologists kept showing them the boy's CT scans.

"Don't worry, sir. I'll perform the surgery. Nothing will go wrong, and it won't have any long-term effects on the child."

"Do you need surgery?" That was all the old lady heard.

Zuo Zhenxing nodded: "But no surgery is needed; it's like using a syringe to stop the bleeding."

"The child now has delayed splenic rupture, which is the most insidious symptom of abdominal trauma. When the injury is first caused, the membrane surrounding the spleen is still filled with blood, and the patient can run and jump without crying or making a fuss and without feeling anything."

Many children are more difficult to examine due to their special physical condition, and even adults often experience a delay or concealment of their illness for one or two weeks before it manifests.

If the blood accumulates and ruptures a blood vessel, it will cause immediate shock, leaving no chance for rescue.

The old woman's face turned pale again, and her lips trembled, unable to speak.

However, for pediatricians, patiently explaining the condition to the child's family is arguably the most important part of the medical process.

Zuo Zhenxing quickly added, "But since it was discovered early, we only need to perform an interventional procedure to stop the bleeding, and it won't have any long-term effects on the child's spleen."

The old lady calmed down considerably: "No impact?"

"Yes, the spleen has an extremely strong self-healing ability; otherwise, there wouldn't be so many spleen ruptures that have remained silent for so long."

"but……"

Zuo Zhenxing turned around and looked at Laurent, who had been listening intently to the ramblings, and made no attempt to hide his approval: "If it weren't for Laurent stopping you from leaving the hospital today, and knowing that the child's left rib had also been injured, your fate would have been uncertain once you left the hospital."

"It was his judgment that saved his grandson's life."

"Laurent, your judgment is correct; I missed the diagnosis."

Before Laurent could react to those words, the old man's tense emotions completely broke down.

Her legs went weak, and she almost knelt down in front of Laurent, but Fang Qingxue stopped her: "Thank you, classmate, thank you, doctor. I thought you were trying to rip me off. This is my daughter's only child... You are a benefactor to my whole family!"

She heard about the danger of the illness and knew how desperately Laurent had tried to stop him.

After experiencing both great sorrow and joy, the old lady wept uncontrollably.

He even started taking out a penny or two from his pocket to give to Laurent.

Laurent could only decline.

[Received the deepest gratitude from Zhang Guilan, the patient's family member]

[Unlock Skill: Simple Intermittent Suturing Technique (Master Level)]

[The skills are synchronized with neural and muscle memory, including wound cleaning, suturing, and knot tying.]

Laurent paused slightly.

A few days ago, Laurent even needed to follow online video lessons to learn the correct way to hold a needle holder. Now, everything from the angle of needle insertion, the distance between the needle and the stitch spacing to the tightness of the knot seems to be under his control, ingrained in his instincts.

I have everything I need!

After his initial excitement subsided, Laurent remembered the elderly woman in front of him and quickly helped her up, saying, "Auntie, please don't do this. It's good that the child is alright. After all, saving lives is a doctor's duty."

"Good, good, good child."

The old lady patted Laurent.

Zuo Zhenxing also stepped forward: "Preparations for the child's surgery need to begin. To make a long story short, I misunderstood you during Laurent's previous outpatient visit."

"The child's condition has clearly worsened."

"Being able to save patients means you're already a qualified doctor."

Zuo Zhenxing followed the boy's transfer bed and said before leaving, "I'll talk to you in detail later, but for now, you and Fang Qingxue should take the elderly to complete the formalities. Afterwards, I will communicate with other pediatric surgery clinics, and I will accompany this child through the surgery."

You will have your classes in the other clinics this afternoon.

"Okay, thank you, Teacher Zuo."

Zuo Zhenxing didn't say anything more and quickly left, heading towards the emergency room.

The old lady followed Laurent and Fang Qingxue.

After Fang Qingxue patiently explained the surgical procedure, the old lady nudged Laurent: "Young man, can I sign this agreement?"

Laurent glanced at it and saw it was the hospital's informed consent form: "No problem, you can take a picture and keep a copy."

The old lady had no more doubts.

In general, family members of patients with serious illnesses may not be so cooperative in such situations.

After all, the hospital has already had problems with missed diagnoses.

But as the old lady spoke on the phone, she looked at Laurent with exceptional trust and cooperation.

The nurses standing nearby were somewhat surprised as they collected the signed consent forms.

But perhaps that's the meaning behind Laurent's actions.

Although impulsive, he was sincere.