Chapter 167: Healing Doctor
“This isn’t about responsibility now. Quickly call her family. Regardless of your future plans, her specific condition cannot be determined yet. Only immediate family members have the right to be authorized.”
“Have you thought about what you’ll tell her parents if something goes wrong?”
The youth thought seriously and decided to make a phone call first.
…
The bedside ultrasound arrived quickly, and the results followed just as fast.
Because it was discovered in time, the girl’s abdominal pain didn’t last long and hadn’t reached the point of rupture at all.
Therefore, the diagnosis of ectopic pregnancy in the fallopian tube was very clear.
The diagnosis was clear, and the treatment was also decided.
As soon as the call to gynecology was made, the on-duty gynecologist arrived within ten minutes and personally took the patient away.
However, because the youth was a postoperative patient, his situation was special, and it was impossible for him to go with the gynecologist to discuss and sign the consent.
The family members were still on their way, so gynecology had to proceed with an emergency procedure, report to the on-duty supervisor, and have the conversation and signing done with the youth in the Emergency Department.
During the discussion, the youth quickly said, “Hurry up and do the surgery. I can pay the surgery fee for my girlfriend.”
“I can sign too.”
“Do you have that much money?” the gynecologist asked directly.
“How much is the surgery fee?” the youth hesitated slightly.
“Five thousand first.”
“I thought it was more. It’s fine, I can scan it right away, but I can’t leave. How about this, I’ll give you my mobile phone and password, and you can help me scan it?” the youth asked for the gynecologist’s opinion.
The gynecologist looked at Lu Cheng.
Lu Cheng also waved his hand, “Sister, I am his attending physician. We cannot handle his money on our phones either.”
If he swiped too much, Lu Cheng wouldn’t be able to explain it.
“How about this, I’ll transfer five thousand directly to you, and you can take this money back to pay it?”
“You can record a video,” the youth came up with a compromise in his urgency.
“Alright,” the gynecologist nodded.
After the gynecologist and his girlfriend left, Lu Cheng began the physical examination on the youth again, asking, “You do e-commerce, how do you make so much money?”
“Doctor Lu, I’m lucky. I started promoting short videos on Douyin and Kuaishou a long time ago, so I have over fifty thousand friends on my eight WeChat accounts.”
“Now, some months, it’s over a hundred thousand, and less than seventy or eighty thousand in others. My girlfriend and I are responsible for a few accounts each, and we can stop whenever we want…” The youth immediately dealt a critical blow to Lu Cheng.
Lu Cheng’s hands paused, his throat bobbed, and he made a joke, “Uh, brother, can you take me with you?”
The youth smiled honestly, “I can’t do it now. If I promote now, my account will be banned. I started promoting when Douyin first launched. Management wasn’t as strict back then…”
Lu Cheng then understood why the girl’s parents didn’t object to her not going to school and living together before marriage.
“You’re fine. Remember to eat yourself later!”
“After your girlfriend’s surgery, don’t think about seeing her. Focus on your own recovery first,” Lu Cheng instructed.
“Can I just see her for a bit?” the youth asked Lu Cheng, his eyes clear, “Just for a moment.”
This was a pair of lucky young lovers. Lu Cheng turned his head and said with certainty, “I won’t agree to you going!”
Lu Cheng was creating a record. At least everyone else in the ward heard Lu Cheng give these instructions.
The patient was an adult, not confined. If he insisted on running out and something happened, there would be a witness to prove that Lu Cheng had given clear instructions.
It would be best if nothing happened, of course.
But Lu Cheng would definitely not agree to the youth seeing his girlfriend; that was a matter of principle.
…
In the afternoon, at 5:40.
After finishing work, Zhang Tiesheng came to the doctor’s lounge to chat with Han Xiaoping and Lu Cheng.
Zhang Tiesheng said dramatically, “Financial freedom at twenty, with over a million in savings? Bought two apartments outright? And in our county? That’s too…”
“…comfortable!”
Lu Cheng nodded, his voice filled with amazement, “It’s true. I just checked, and the watch that young man was wearing was over two hundred thousand.”
“Riding the wave of the internet, it really makes money.”
It would be a lie to say he wasn’t envious, but envy wouldn’t help. Such a path was hard to replicate.
“Da da da!”
There was a knock at the lounge door.
Lu Cheng walked over and opened the door.
It was the youth who was in bed 3, along with a middle-aged couple, neither of whom looked very old.
“Doctor Lu, these are my wife’s parents. They’ve come specifically to thank you.” Liu Zhongping introduced to Lu Cheng, his posture slightly awkward, likely due to walking too much today, causing his wound to ache faintly.
“Liu Zhongping, go back and rest. You just had surgery yesterday, why are you running around so much?” Lu Cheng reprimanded.
The middle-aged woman then quickly said, “Xiao Liu, yes, go back and rest.”
“Doctor Lu, thank you so much. We didn’t do a good job educating them, and it’s all thanks to you this time.”
“Otherwise? We don’t know what would have happened,” the girl’s father said, his face grim, his reply quite unnatural.
Regardless, premarital pregnancy and ending up in surgery were not good reputations in the county.
And it was their daughter, how could he be happy?
“It’s okay, it’s okay. Was the surgery all smooth?” Lu Cheng asked.
“Yes, it was discovered in time, the situation wasn’t serious, it was minimally invasive. The doctor there said there were no major issues, just a small surgery.”
“But if it had ruptured… well, Doctor Lu, thank you so much…” The middle-aged man clasped Lu Cheng’s hands, his tone sincere.
“My daughter is disobedient. I used to tell her to study nursing in vocational school and then go to junior college…”
Lu Cheng said, “Uncle, studying isn’t the only way out. They are doing quite well now.”
Perhaps Liu Zhongping had clarified the situation by then. The middle-aged man sighed slightly, “We don’t understand what young people do these days, and we always feel that this money isn’t stable.”
“Having a stable job provides security, no matter what happens.”
“Of course, young people today have their own ideas.”
“Doctor Lu, thank you so much. I’ve finally understood this time. People, as long as they are alive, that’s what matters.” the middle-aged man said self-reproachfully.
At that moment, some skill point gains flashed on Lu Cheng’s panel.
【… Skill points increased by 12.】
Lu Cheng’s smile became even brighter—
【Early identification of ‘diagnosed’ ectopic pregnancy provided ample treatment time for the patient, reducing pain and risk of blood loss, earning 7.6 skill points.】
【Unexpectedly helped patients with ‘depression’, ‘anxiety’, and ‘OCD’ resolve their inner turmoil, reducing their psychological distress and suffering, earning 5.2 skill points.】
【Helped patients with extremely mild ‘anxiety’ to calm their emotional fluctuations, earning 0.4 skill points.】
The source of the skill points was unknown, but Lu Cheng speculated they likely came from the girl, her father, and Liu Zhongping, respectively.
Lu Cheng watched the girl’s father walk away, slowly piecing things together—
The girl’s father was likely a traditional elder who believed that without a formal job, things were unstable, which was why he looked down on Liu Zhongping.
As for Liu Zhongping, he lacked academic qualifications and extensive education, but that didn’t mean he lacked ability. Even with an opportunity, he had seized it.
In such a situation, if the girl’s father still looked down on him, he must have felt uncomfortable.
Otherwise, with his current financial strength, he would have easily impressed his father-in-law. A million in cash savings wasn’t considered poor, even in a prefecture-level city…
As for Liu Zhongping’s girlfriend, she was considered lucky.
If she had a different boyfriend, her lifestyle would be completely different.
This kind of skill point acquisition was rare compared to conventional treatment. There was no specific targeting, but once obtained, the amount was quite substantial.
Just then, Tian Zhuang called, saying a patient with a hand laceration had arrived at the Emergency Surgery Clinic.
As soon as Lu Cheng heard the phone ring, he quickly put aside his thoughts, put on a mask, and walked from the doctor’s office to the Emergency Surgery Clinic.
“It doesn’t matter if you have surgery with us or not. I’m just telling you that surgery is necessary. I’m not saying you must have surgery here.”
“You need to listen carefully to this basic point.”
“If you require higher surgery quality and think our technique is insufficient, you can go to the prefecture-level hospital!”
“Right? You want to transfer hospitals?”
“Are you calling a car yourself or what?” Tian Zhuang was communicating with the patient in a cold tone.
After Tian Zhuang’s tone cooled, the father and son became silent, looking at each other.
The elder asked, “Doctor Tian, how much would it cost if I had surgery at the prefecture hospital?”
Tian Zhuang wasn’t angry, he just shook his head, “I don’t know the specifics. I’m not from the Zhou People’s Hospital. I can only tell you it will definitely be more expensive than here.”
After speaking, Tian Zhuang saw Lu Cheng and said, “Doctor Lu, this patient is transferring. You don’t need to come over.”
Lu Cheng nodded upon hearing this and moved aside from the doorway, not even entering to meet the patient.
A doctor does not force their way in.
Since the patient had clearly refused, Lu Cheng couldn’t try to persuade them further.
A patient’s informed consent and right to refuse treatment were equally important.
Five minutes later, Lu Cheng received another message from Tian Zhuang saying the patient wanted to stay for surgery after all.
Lu Cheng had no choice but to go and talk, get consent, and escort the patient to the operating room.
At 3 PM, the surgery concluded perfectly. Lu Cheng returned to the doctor’s lounge to prepare postoperative medical orders and the surgical record.
Another white coat in the doctor’s office stood up upon hearing the sound, “Are you Doctor Lu? The emergency doctor who discovered the early signs of ectopic pregnancy in our department’s Xie Mi’xuan?”
Lu Cheng, still in his surgical scrub suit, gently rubbed his eyes. After clearly seeing Zhao Ruifang’s name tag, he smiled, “Doctor Zhao, it was me.”
“At the time, she was a family member of one of my patients. The patient had just undergone an appendectomy and was sitting by the bedside. Xie Mi’xuan was lying on the bed, and I felt something was off, so I performed a simple physical examination.”
Xie Mi’xuan was Liu Zhongping’s girlfriend’s name. She had already gone to the gynecology ward for admission.
As Xie Mi’xuan’s attending physician, Zhao Ruifang couldn’t immediately review her pre-admission records in the Emergency Department. However, for the sake of caution, she still made a trip to the Emergency Department.
Zhao Ruifang was wearing a mask, but her eyes looked small and delicate. She wasn’t very old, and her voice was clear, “She didn’t rupture, and the pain wasn’t very severe. How did you diagnose it?”
Zhao Ruifang’s tone was one of confusion. She stood up, leaned against the office desk, her gaze serious, genuinely seeking Lu Cheng’s advice on the diagnostic details.
“Just from the physical examination!” Lu Cheng replied.
Zhao Ruifang thought for a moment and replied, “Generally, ectopic pregnancy patients only present with the triad of cervical motion tenderness, rebound tenderness, and shifting dullness after rupture!”
“Her boyfriend had appendicitis, and she had a history of dining with her boyfriend. Doctor Lu, you immediately thought of ectopic pregnancy?”
“And this girl isn’t within the standard age range for pregnancy.”
As she said this, Zhao Ruifang noticed Lu Cheng’s brow furrow slightly and quickly explained, “Doctor Lu, please don’t misunderstand. I’m not questioning you.”
“I just find it very strange. In that situation, if it weren’t for the ultrasound showing a gestational sac, and without asking the patient about her menstrual history, I wouldn’t have been able to determine ectopic pregnancy at all.”
“Moreover, I would have prioritized gastroenteritis or appendicitis. After all, the premonitory pain of ectopic pregnancy isn’t that intense.”
The standard signs of an ectopic pregnancy physical examination all pointed to one thing: rupture and bleeding.
Rebound tenderness: After quickly withdrawing the hand, the patient reports pain, indicating peritoneal irritation, meaning blood has stimulated the peritoneum.
Shifting dullness （+）: A sensitive indicator of intraperitoneal hemorrhage (≥500ml) when percussing the dullness area.
Lu Cheng calmly replied, “Perhaps I was lucky, or I had seen similar popular science articles somewhere, which is why I thought of it immediately. There wasn’t much technique involved.”
Lu Cheng himself hadn’t paid much attention to this matter. For an adult girl, wasn’t considering ectopic pregnancy something taught by teachers?
As for why he immediately asked about her menstrual history, Lu Cheng couldn’t quite explain.
Perhaps during the physical examination, his physical examination technique level was so high that it unintentionally gave him ‘inspiration’ and guidance?
Of course, now that Zhao Ruifang mentioned it, Lu Cheng analyzed it based on his professional knowledge system. It seemed that the girl’s pain at the time shouldn’t have prioritized ectopic pregnancy.
“Oh!”
Zhao Ruifang straightened up, “Thank you, Doctor Lu. Today’s ectopic pregnancy surgery was handled the most smoothly in our department.”
“That’s why I got the opportunity to operate. I thought Doctor Lu had some technique to accurately identify the early signs of ectopic pregnancy.”
“As you know, if the situation is too urgent, it’s usually the director who handles it…” Zhao Ruifang then explained her purpose.
The patient’s condition was still stable, but early detection of ectopic pregnancy required early intervention!
Zhao Ruifang thought she could wait for more ‘premonitory patients’ to accumulate surgical volume for herself.
“You’re welcome. I just got lucky, Doctor Zhao.”
Lu Cheng finished speaking and added, “My surgery just finished, and I still need to write some medical orders. Doctor Zhao, you’re busy with your own work?”
“Okay! Sorry to bother you, Doctor Lu.” Zhao Ruifang left the doctor’s office without further questioning.
