Chapter 1287: Done!?
Exchanging [Intussusception Enema Reduction Procedure] cost a few skill points.
Not too many, not too few, but Chen Cang felt it was very practical.
After all, wasting a bit of water is fine, just don't resort to surgery.
Not only does it cause less damage, but it's also cheaper.
Regarding the dispute between Zhou Zheng and Fat Zhu, Chen Cang didn't want to interfere too much.
Sometimes, Chen Cang felt that being a doctor was very simple.
But being a pure doctor was extremely difficult.
Then again, being a pure doctor was also the happiest thing.
No scheming, no deceit—of course, that's impossible.
Even Chen Cang himself couldn't achieve that, so he naturally wouldn't demand it of others.
The on-duty doctors around were looking at Chen Cang, puzzled about how enema techniques could solve the issue of intussusception.
If it really could be solved, this would definitely be a big opportunity for these young on-duty doctors.
For young people to rise to fame, they need a unique skill.
However, Old Ma was considering something else—the patient seemed to have other underlying conditions!
Whether it's surgery or an enema, it ultimately depends on the patient's decision.
...
Outside, Old Yang and Fat Zhu sat anxiously.
Fat Zhu was worried about what to do if the police arrived!
Old Yang, being a doctor, was sitting there considering the least expensive way to resolve this dispute.
This matter didn't involve Old Yang directly, but Fat Zhu was connected to him.
Fat Zhu looked at Old Yang, "What should I do, Old Yang?"
Old Yang glared at Fat Zhu fiercely, "You're pretty impressive, huh? Bullying a delivery guy!"
Fat Zhu let out a long sigh, "How was I supposed to know he was such a delicate glass doll?! His damn body is weaker than an old grandpa's, and yet he's out delivering food!"
Fat Zhu was genuinely speechless!
Old Yang sneered, "This one fall of his could cost you a month's work. Who knows, it might wipe out your life savings. Want to try?"
Fat Zhu was genuinely scared!
In today's society, if you act tough, the system will teach you a lesson.
Forget about hitting someone—there are cases where a single slap can lead to life imprisonment.
Fat Zhu muttered curses under his breath, feeling both frightened and annoyed inside.
"Old Yang, calculate for me. How much do I need to compensate this time?"
Old Yang sneered, "At least twenty, thirty thousand. And that's not including lost wages. Of course, it also depends on whether there are further complications. If there are, the amount will be even higher!"
After hearing this, Fat Zhu jumped in shock.
Old Yang suddenly said, "If you ask me, the situation is unpredictable right now. Just offer him thirty grand and settle it privately."
"Thirty grand!" Fat Zhu's eyes widened indignantly.
Old Yang nodded, "Seeing someone develop intussusception from a fall is a first for me. I've never encountered such a patient before. If you don't mind the hassle, go ahead and wait it out."
"Besides, if this drags on, it'll easily cost a few tens of thousands more. Do you think rare medical conditions are cheap?"
Fat Zhu hesitated for a long time, gritted his teeth, and said:
"Thirty grand it is!"
...
...
Chen Cang wasn't sure how Zhou Zheng and the other two had negotiated, but after the police arrived, they confirmed it had been settled privately.
After this commotion, it was already past three o'clock.
Zhou Zheng saw Chen Cang and gave him a grateful smile, "Doctor, thank you."
Chen Cang shook his head, "Ready for the enema?"
Zhou Zheng nodded.
Everyone began to prepare.
Intussusception enema reduction doesn't require a surgery room or anesthesia, but it does need to be done in the radiology department. Even so, the whole procedure costs very little.
Old Ma looked at Zhou Zheng with frustration, "Kid, you have other conditions too, you know. Testing costs money, and if the enema fails, won't you still need surgery? All of it is money..."
Zhou Zheng clutched his belly, gave an awkward smile, and said nothing.
Chen Cang actually felt Zhou Zheng's choice was quite reasonable.
Indeed, the diagnostic process requires a lot of expenses, but once the real problem is found, the treatment afterward isn't directly caused by Fat Zhu and the others.
Zhou Zheng has underlying conditions, which is why the fall caused intussusception.
Intussusception itself likely won't cost much to address.
If it weren't for Chen Cang's presence, finding the underlying issue would indeed involve significant expenses.
In this way, the perpetrator spends a lot on diagnostic fees, but the subsequent treatment for the underlying condition doesn't fall under their responsibility.
Similarly, Zhou Zheng still ends up self-funding a lot of costs.
Settling privately with thirty thousand seems like a win-win for everyone.
But...
Old Ma's comment about the enema failing made Chen Cang a bit dissatisfied. He couldn't resist glaring at Old Ma.
Old Ma retorted, "What are you glaring at me for? Did I say anything wrong? You're going to guarantee success with the enema for intussusception?"
Old Ma was actually somewhat intrigued. He felt letting that troublemaker off so easily was far too lenient.
Moreover, the key point was that even Chen Cang seemed to agree with Zhou Zheng's approach.
This made Old Ma suspect that Chen Cang's earlier meeting with Wang, the Chief of Cardiothoracic Surgery, was related to this matter.
Several gastroenterology doctors in the vicinity remained silent.
Chen Cang didn't bother arguing with Old Ma and instead spoke to Xiao Ke, "Schedule a gastroscopy."
The radiology department doctor was a young man, and at that moment, he was feeling pretty nervous.
It was his first time hearing about using enemas to address acute intussusception.
After calling Second-Line Supervisor Liu, the latter hurriedly made his way over and said:
"Fully cooperate with Professor Chen!"
The intussusception enema reduction procedure comes with strict limitations, only applicable to patients with a short onset time, good physical condition, and no signs of peritonitis.
Clearly, Zhou Zheng met all the criteria!
After preparing the 15% barium sulfate solution.
Chen Cang had Zhou Zheng lie on his side, then inserted the balloon catheter into the rectum. This process was not comfortable.
After completing this step, Zhou Zheng needed to switch positions.
A few young nurses, their faces flushed, adjusted Zhou Zheng to lie on his back.
Next, air was injected through the auxiliary tube, inflating the distal balloon slightly outward to block the rectum!
With this, the procedure could begin.
It could be said that this operation was carried out almost entirely by Chen Cang alone, while the others were less helpful than the nurses.
They all just stood there, dumbfounded!
Old Ma, with his grudges against Chen Cang, was intentionally being uncooperative.
Chen Cang couldn't be bothered to explain and focused on finishing the procedure first.
Air pressure was adjusted to 8 kPa.
The young radiology doctor looked tense and uneasy.
He was worried... would the intestines rupture?
This was when the operation began, and Chen Cang didn't idle. His hands started applying pressure and massaging to assist with the reduction.
Of course, this process required meticulous care; excessive pressure might lead to dangerous outcomes.
The reduction process involves using enema pressure alongside manual techniques to untangle and help the intestines reset smoothly.
"Expose the area!" Chen Cang instructed the radiology doctor.