My daily work as a doctor: My treatment value is increasing.

Chapter 129 Cysts

"Let's see what you do!" Zhang Ping felt a strange sense of anticipation.

I imagined Lu Renxin searching left and right on stage, unable to find the PPT he had prepared, his face full of fear and worry.

His colleagues and superiors in the audience all looked at him with disdain, pointing and whispering.

He stared at Lu Renxin standing on the stage, a feeling of pleasure rising in his heart, as if the scene he had envisioned was about to unfold.

Director Zhao and the other medical students looked serious.

Under everyone's watchful eyes, Lu Renxin showed no sign of panic. To Zhang Ping's surprise, he remained calm and casually took a USB drive from his white coat pocket and plugged it into the computer.

Surprised? Here's a surprise for you!

He opened the folder, which contained complete and clear case data, imaging films, and treatment plans—everything was there.

Lu Renxin had long noticed Zhang Ping's targeting of him these past few days. Although the first two attempts had failed, he knew that Zhang Ping was too petty and would definitely try again.

Lu Renxin didn't just put the completed PPT and collected materials on his office computer desktop. Instead, he made a backup copy on a USB drive. This double backup saved him time and allowed him to keep a backup copy for himself.

"Hello everyone, the case I'm going to talk about today is the patient with necrotizing fasciitis in bed 23 —"

"First of all, what is necrotizing fasciitis?"

Upon receiving the notification to give a presentation, Lu Renxin's first thought was of the most complex surgical case he had recently encountered.

example.

Based on his practical experience and clinical observations of the patient, Lu Renxin explored the treatment plan and postoperative care measures for this disease from multiple perspectives.

He spoke fluently and eloquently, and what he said made Director Zhao in the audience nod frequently, seemingly very satisfied with his performance.

After the report was over, Director Zhao specifically praised Lu Renxin, commending him for his meticulous case analysis and clear, comprehensive thinking. He also subtly gave him a warning: "Some doctors are rather careless in their work and don't pay enough attention to surgery and patients. They need to learn from someone like Comrade Lu."

Although he didn't name names, everyone in the department knew who he was talking about.

Sitting in the crowd, Zhang Ping felt everyone's gaze subtly falling on him, and his cheeks burned.

He frowned and didn't say anything. After the meeting, when Lu Renxin passed by him, Zhang Ping deliberately said threateningly, "You think you can get away with it this time? There will be a next time."

But Lu Renxin's reply was very calm, his tone even, without a hint of provocation: "Teacher Zhang, I respectfully address you as teacher, but I want to remind you that everyone should just do their own job. Instead of worrying about others, you should focus on doing your own job well to avoid making the same mistake as last time."

In just a few words, he touched on Zhang Ping's deepest taboo.

"Also, bring on whatever tricks you have up your sleeve, I'm always ready to play."

Zhang Ping clenched his fists, his mind filled with thoughts of revenge, which had repeatedly failed him. After several days of effort, he had not only failed to harm Lu Ren...

Xin tried to deflect the attack with ease, but instead, he completely neutralized it, leaving Xin with no choice but to suffer a hidden loss.

It was a losing proposition, and in the end he could only leave with a belly full of resentment, never daring to plot against Lu Renxin in private again.

Thirty days passed in the blink of an eye. During this time, because of Zhang Ping, Lu Renxin did not have a close relationship with anyone except his junior.

But with the director's endorsement and his repeated setbacks, Zhang Ping finally chose to give up backstabbing and nitpicking. Lu Renxin also stopped caring about interpersonal relationships here. He ignored all the neglect, neither trying to please, nor arguing, nor deliberately trying to fit in.

These days, every day after get off work, Lu Renxin walks out of the hospital gate. The evening breeze carries the smell of ointment on his body. He walks alone under the orange, yellow, and red sunset, his shadow stretched long. There are no colleagues chatting and laughing, no invitations to dinner. He comes and goes alone, which is a rare peace and enjoyment. Life is not all about interpersonal communication. Low-quality interaction is not as good as high-quality solitude.

In the few days he did work, he didn't slack off or let the argument with Zhang Ping affect his performance. He remained silent and diligent in doing all his work. That's just the kind of person he is.

Doctors need to be meticulous and conscientious in their work and cannot give up easily. They are here to learn and improve themselves, and they cannot forget their purpose because of some trivial matters.

Finally, it was time to leave. Lu Renxin still carried his backpack with him, along with not much else. No one saw him off. He was like a gust of wind, leaving without a trace. All his gains were stored in his mind, consisting of knowledge and technical points.

Watching Lu Renxin's departing figure, Zhang Ping said coolly, "He's finally gone."

"He's just a visiting doctor, acting all high and mighty. He'll probably never have the chance to come back to our hospital."

He curled his lip in disdain, thinking to himself that it was good that it was only for a month, and that he would just have to stay in the small hospital from now on.

"Slip away."

Lu Renxin turned back to look one last time at the ancient and imposing gate of the Shanxi Provincial Hospital of Traditional Chinese Medicine, thinking: I guess I'll never see it again.

The only one who felt sorry for his departure was Director Zhao: "Such a promising talent, it's a pity he wasn't my student."

Lu Renxin had just finished his training trip and the first thing he did upon returning was to see patients at the outpatient clinic.

Sitting back in the familiar consultation room, he felt completely relaxed: "It's so comfortable to be back in my own territory," he couldn't help but sigh, his eyes slightly narrowed.

He feels like he's returned home after a month-long trip, filled with familiarity and a sense of peace.

"Dr. Lu, you're finally back!"

The old man slowly walked into the clinic, his face full of excitement and joy. He was an old patient who had relied on traditional Chinese medicine to treat his constipation.

The old man swayed and moved to the stool, groping under his buttocks with one hand. He sighed, "I only stopped taking my medicine for a week, and my bowel movements immediately became difficult. I've been struggling for several days, just waiting for you to come back and prescribe a medicine."

"I said I'd drive for four weeks, but you insisted I wouldn't go that long. Whose fault is that?"

Lu Renxin had become very close to this patient who came to see him, so he could still crack a joke with him while smiling.

"Oh, you're really hoping you won't come back to treat us old folks."

He slapped his thigh and laughed, "I hadn't heard from you for so many days since the clinic was closed. I thought you had run away. I was wondering where to find you. What am I going to do about my constipation without you?"

The old man's words sounded like a complaint that they hadn't been able to see a doctor since he left, but Lu Renxin could also clearly feel the patient's trust and support for him, and a warmth rose in his heart.

Lu Renxin pulled up a chair and sat down, placing his fingertips on the old man's pulse. He then looked up and examined the old man's tongue coating: "Don't worry, I'll prescribe you a few more weeks' worth of medicine this time, so you don't have to go through all that trouble. Your tongue coating is sticky and thick, a typical sign of spleen deficiency and dampness. I'll add more Atractylodes macrocephala to your prescription to strengthen the spleen, remove dampness, and promote bowel movement."

He opened the outpatient prescription system, which he hadn't used for a month. The interface layout was glaringly unfamiliar, and the positions of all the function buttons had changed.

"When was the system upgraded?"

Lu Renxin muttered to himself, clicking and tinkering with the mouse on the screen for two or three minutes before finally managing to adjust the dosage of the Chinese herbal medicine and submit the prescription.

He suppressed his doubts and, after seeing the constipated old man off, sent a message to Liu Yichen to ask him about it. Jiang Zhaoning had already taken over his shift and gone to the Provincial Hospital of Traditional Chinese Medicine for training, so he was currently the most convenient person to answer his question: "Brother Liu, has our pharmacy system been upgraded? I just wrote a prescription for traditional Chinese medicine and had to adjust it repeatedly before I could submit it successfully. The operation was extremely awkward."

"There are so many medicines I don't know where to find. I can't find them here or there."

On the other end of the phone, Liu Yichen, who was organizing medical records, had both hands full and could only hold the phone between his head and shoulder. Hearing his question, she put down the medical records, gripped the phone tightly in her hand, and slapped her thigh hard with her other hand. Her tone was somewhat helpless, as if she had a million grievances to tell him: "You were away for a month of further study, and I didn't have time to tell you about many new regulations. Now the whole hospital is strictly controlling the proportion of drug costs. Every month, the amount of Western medicine, traditional Chinese medicine, decoction pieces, and various treatment items are calculated and the prescription ratio is calculated. Once the prescribed threshold is exceeded, the performance bonus of everyone in the department will be deducted."

"Last month, someone in the department had a third of their performance bonus deducted, sob sob, don't ask me how I know."

Lu Renxin was speechless. It sounded like it might be Brother Liu.

He was stunned: "Why do we suddenly need to get stuck on something like this?"

Liu Yichen wailed, "This regulation was already in effect, but we're a small hospital, so the checks weren't that strict. But now, for some reason, they're suddenly going to be checking everything so extensively."

"Since the order has already been issued, we have no choice but to comply. Last month, being the first month of its implementation, I was caught in the crossfire. You're lucky, Xiao Lu, you managed to avoid this wave."

"Sigh." He had heard about it before, but as a low-level henchman, he could only follow the instructions. In order to minimize his own losses, he pressed for details.

"We are a Class II Grade A Traditional Chinese Medicine hospital. Outpatient prescriptions for Chinese medicine, including herbal decoctions and prepared Chinese medicines, must account for over 60%, while Western medicine prescriptions must be less than 40%. The system automatically calculates both the cost of Chinese and Western medicine and the prescription targets each month. Exceeding either target will result in deductions from the entire staff's pay —"

"Furthermore, the procurement quotas for imported Western medicines have been tightened, with supplies running out at the beginning of each month, leaving only generic drugs available. Only traditional Chinese medicine decoction pieces are not included in the drug ratio calculation."

No limit on proportions —

Liu Yichen meticulously explained the policies, making Lu Renxin dizzy. He then emphasized, "There are also procurement restrictions. Currently, clinical trials prioritize the centralized procurement of generic drugs, and many imported Western medicines have been directly cut off from supply. It's only the beginning of the month, and several commonly used imported drugs are already unavailable."

"Didn't it used to last until the middle or end of the month? Now it's not even at the beginning of the month." Lu Renxin couldn't help but frown.

"Yes, that's right. We can't prescribe several suppositories and anti-inflammatory drugs. There's nothing we can do in the clinic. We can only follow the rules without any flexibility."

"What kind of business is it that the proctology department can't even prescribe the simplest suppositories?" Liu Yichen complained in a low voice, full of helpless exhaustion.

Lu Renxin nodded silently, his heart heavy. Treating patients should be based on their needs, but now he was restricted in many ways when prescribing medicine, which made him feel very constrained.

After hanging up the phone, before he could calm down and process the terrible news, the door to the clinic was gently pushed open, and a slightly hesitant figure slowly walked in.

The middle-aged man stood with his legs wide apart, his upper body slightly leaning forward, taking small steps, and barely managing to sit down. He didn't dare to sit properly, with half of his buttocks resting loosely on the edge of the stool.

His complexion was alright, carrying a calmness honed by years of life experience.

Lu Renxin then followed the standard questioning procedure and asked him what questions he had.

"Dr. Lu, um—how should I put it? I have a lump on my butt. It's not too painful, and it doesn't really affect my sitting, walking, or squatting. It just hurts a little when I press on it sometimes."

"I took some anti-inflammatory medicine recommended by the pharmacy, but it didn't help at all. When I touched it, I felt a huge lump in that area."

"Perianal abscess?" was Lu Renxin's first thought.

However, the patient's description alone is not enough to determine the condition, so the process quickly moves on to the second step—a physical examination.

He gestured for the patient to relax and then examined the patient carefully.

A large area of ​​redness and swelling appeared on one side of the anus, with a significantly increased skin temperature. However, this swelling was unusual; it resembled an egg on the surface of the skin.

It was somewhat like a small hill rising up on a smooth road surface. When you gently pinched it with your fingertips, it felt soft inside, as if it were filled with liquid. The man suddenly trembled and instinctively flinched back.

"Does it hurt?" he asked with concern.

The man replied, "The pain isn't too bad, it just feels a bit strange."

"This is not an abscess; it's more like a cystic fluid, which is quite rare."

Lu Renxin could feel that his skin was extremely tense, at risk of bursting at any moment, like an inflated balloon, and he didn't know when it would burst.

It exploded with a "bang".

"This is a cyst. Conservative treatment with oral and topical medications alone will have very little effect. You must have surgery as soon as possible. If you delay and it gets infected and ruptures, the treatment will be much more painful."

Panic crossed the man's face. He wanted to delay a little longer, since it wouldn't have much impact on his life.

But the thought of sitting on something the size of an egg every day was also very uncomfortable, so after much hesitation, she gritted her teeth and nodded in agreement to be admitted to the hospital.

Lu Renxin immediately ordered a complete blood count and coagulation function test, contacted the ward to inquire about available beds, and said that if there were beds available, the patient could be admitted today; otherwise, alternative arrangements would have to be made.

Luckily, there was an empty bed. During the month he was away, he gave all his beds to other doctors. The hospital has a requirement for vacancy rates; no bed can be left vacant, and the next patient must be admitted immediately after the previous patient is discharged.

Now that he's back, he should logically return all the beds immediately, but patients can't just be discharged without any issues or requests.

Besides, we're all colleagues, and we get along quite well. It wouldn't be good for our relationship if we came up with a hard tone demanding it back right away.

Lu Renxin could only slowly move the bed back; the timing for this patient was just right.