Chapter 86: Chapter 86: A Patient or a Swindler?, Translator: 549690339 |, This was Li Baoshan’s attempt!, It was to have specialized personnel do specialized work, with Qin Yue’s job being exclusively in research., If every physician had to be involved in both research and clinical practice, it was simply beyond one’s capability., He let Qin Yue leave the ward and, while performing surgeries, also summarized surgical data and techniques, aiming to enhance the emergency department’s research capabilities. This was something Li Baoshan had always wanted to do., The times are progressing, and research and clinical practice must be combined!, This bold measure could be said to be a major reform in the emergency department of Province Hospital No. 2!, And the biggest change in this personnel shift was Chen Cang, who suddenly became a pivotal force in the emergency department., The duties of Wang Yong were clear and straightforward, which boiled down to Chen Cang and Wang Qian’s previous tasks—writing medical records, managing patients…, Chen Cang transformed into a senior physician!, And I became Chen Gang’s subordinate physician…, With a heart full of bitter tears, Wang Yong sighed., Even then, he felt inferior to Chen Cang and the others; at least they used to be senior physicians with substantial experience and superior skills and techniques, while himself… Doing clerical work and odds and ends for Chen Cang honestly made Wang Yong feel immensely frustrated!, Even if he was less capable, he did not want to fall to this point., It wasn’t just the fear of hardship and losing face that Wang Yong feared, but the lack of hope., How much stronger could Chen Cang be than him?, How much could he learn by following Chen Cang?, He knew that Chen Cang had some ability and was better than him, but this superiority was limited and would not be too far ahead of his own abilities. How much could following Chen Cang change him?, Very limited!, But such is life, you can only be influenced if you lack the ability., If you want to stay in Province Hospital No. 2, you have to comply with the arrangements., At this moment, Wang Yong was even wavering about his intention to stay in Province Hospital No. 2, as following Chen Cang wouldn’t allow him to learn much, staying would just be a waste of his youth., If he could have a contract here, that would be fine, but if he remained a temporary worker this time, Wang Yong decided he would leave., Alas…, Who can easily let go of two or three years?, In fact, Li Baoshan wasn’t targeting anyone—it was just a rational arrangement. He was redistributing based on different people’s strengths. Actually, he wanted Chen Cang to specialize in surgery, but after considering Chen Bingsheng’s words, he thought younger people still needed to see and experience more, and that’s why he decided to let Wang Yong work with Chen Cang., Wang Yong, as a temporary worker, was most suitable to assist Chen Cang and handle miscellaneous tasks., Qin Yue was quite satisfied with her job!, After all, from now on she only needed to perform surgeries, gather data, and write articles, which considerably reduced her clinical stress while increasing her research pressure., But… research work might be the area where the emergency department can achieve the most rapid results., Qin Yue was also very content!, The only dissatisfaction was… having to assist Chen Cang!, The personnel changes had to be completed within three days, and frankly, Wang Yong was the person with the most emotional response and objections. Basically, everyone else had some form of promotion., An Yanjun became the future head of orthopedic surgery, Chen Bingsheng took charge of emergency gastrointestinal surgery, Shi Na became the leader of the hospitalist group, Wang Qian and Chen Cang gained prescription rights, and Qin Yue became a research staff member plus surgical assistant., Chen Cang suddenly became busy, having to admit and manage patients independently, perform surgeries, and write medical records., Wang Yong was somewhat slack, naturally because the disparity was a bit excessive for him; becoming subordinates to peers of the same batch was unpleasant for anyone, not to mention these young men in their twenties who didn’t take well to authority., Chen Cang had no time to console Wang Yong; the emergency department wasn’t a kindergarten where you get a lollipop for comfort after crying or throwing a tantrum., On Wednesday afternoon, an incoming patient gave this group of newly appointed junior doctors a reality check!, The weather was nice in August, and just as Chen Cang had stepped out of the operating room, he heard a commotion outside., Another patient arriving?, Chen Cang, peering through the glass, saw a young couple stumble into the hospital, followed by a slightly over five-foot-three bald fat man drenched in sweat., The man supported the woman, who was clearly disoriented and lay limp in his arms, the two staggering and veering as if they were drunk., Upon witnessing this, Tian Xianglan at the nurse’s station quickly motioned for a nurse to bring a stretcher and helped the woman onto it. At that moment, Wang Yong also hurried out to assist in wheeling the patient into the emergency room., Chen Cang was now no longer the inexperienced assistant he once was; facing such situations, he was to handle patients independently!, Chen Cang said to Nurse Xiao Lin, “Get her on the monitor, check her blood pressure, and heart rate.”, After speaking, he touched the woman’s wrist and immediately felt an icy chill. Her pulse was weak, and the palms of her hands were cold., The woman’s eyes were tightly shut, her complexion pale, and she appeared to be in a serious condition., At that moment, the man who had helped the woman in grabbed the arm of the fat man and yelled, “You can’t leave! We became like this after eating at your place. You can’t go, I’ll call the police!”, The man was thin and not very tall, looking honest and meek, which gave off a sense of vulnerability., The fat man wiped his brow, “Where am I going? I’m just going to use the restroom. We’re already at the hospital, let go of me first!”, The little man clung to the fat man’s arm, his voice loud, “No! No way, I can’t let you go!”, At this juncture, Chen Cang stepped forward and asked, “Who is the family member?”, The small man, dragging the fat one, came over and said, “I am!”, Chen Cang nodded, not overthinking it, and inquired about the basic situation., The frail man, with tears welling up in his eyes, lamented, “My wife wasn’t like this before. She didn’t faint, but started vomiting endlessly after having a meal at his restaurant yesterday. Then she became disoriented and slow to respond… and today she even fainted…”, The skinny man kept emphasizing the meal at the other’s place, and combining all the symptoms, it seemed as though all clues were pointing towards food poisoning., Chen Cang frowned, pondering the cause, when Wang Yong approached. Upon seeing the patient, his eyes widened in alarm, and he started making meaningful glances at Chen Cang., At that moment, Chen Cang, preoccupied with contemplating the patient’s condition, didn’t have time to notice Wang Yong., Generally speaking, with an unconscious patient, one must consider several possibilities, the first being intracranial abnormalities, the second metabolic encephalopathy, and the third toxic encephalopathy., Let’s start with the examination!, The woman was young, perhaps in her twenties or thirties. Chen Cang asked, “Does she have any medical conditions usually?”, The man shook his head, “No! She just became like this after waking up from sleeping, following a meal at his place!”, At this time, the monitoring data was already available: HR: 120

/min, BP: 96

/55mmHg, SPO2: 99% (on medium-flow oxygen), RR: 32 breaths

/min., The patient remained unconscious. Chen Cang kept pondering the cause. Was the heart rate a bit fast? Did she have hypertension?, Before Chen Cang could speak, the man emphasized again, “My wife is usually in good health, with no illness, and has a good appetite. It’s just after the meal at his restaurant that she ended up like this!”, Chen Cang had an idea, “Xiao Lin, run a quick blood sugar check, as well as a complete blood count, liver and kidney function tests, serum electrolytes… and, right, lactate and blood gas analysis. Also, give the patient oxygen and add a bottle of balanced solution!”, After finishing, Chen Cang said to Wang Yong, “Could you go and enter those orders, and add an urgent brain CT to rule out cerebrovascular disease? I’ll continue with the physical examination.”, No sooner had Chen Cang finished speaking than Wang Yong winked at him, took him by the arm, and led him out of the room., “This person is a scam artist! I’ve seen them a couple of times; this couple makes a living off scams and extortion!” Wang Yong cautioned., “They came here a few days ago, and Old Chen treated them.”, Chen Cang froze., Emergency departments are no strangers to deceitful patients who are abundant, in all shapes and forms, without regard to age and gender – but their intentions are always straightforward!, Swindling money., Chen Cang had encountered a mother and daughter duo: the mother feigned illness while the daughter played the dutiful role. They worked in perfect tandem, often going to small clinics for IVs, followed by sudden convulsions and loss of consciousness, prompting an emergency visit to the hospital. Once there, they neither pursued blood tests nor treatments. The daughter would negotiate with the clinic doctors until they received some compensation, after which the mother’s illness would miraculously improve, and they’d vanish – maybe next time you’d see them, they’d nod and smile at you. Chen Cang preferred not to tangle with such people, nor would he cooperate. Generally, he didn’t want to attract trouble, after all, he’d seen a doctor get beaten up once, for merely making a suggestion, landing in the emergency room, this time as a patient., But-, Chen Cang felt this woman was genuinely ill!, With this in mind, Chen Cang urged, “Hurry up with the orders, let’s check it.”, Wang Yong was in disbelief, “Big brother, don’t you understand what I’m saying? He’s after money, and you…”, Chen Cang stared at Wang Yong and declared, “You’re a doctor, not Sherlock Holmes. Go check the patient’s vitals. I suspect this is a case of non-ketotic hyperosmolar coma.”, On hearing this, Wang Yong clicked his tongue, huffed discontentedly, and turned to walk away, muttering, “No good deed goes unpunished.”, Chen Cang sighed and shook his head, when suddenly a commotion erupted from inside., ps: Finally finished with the busy period. Updates will resume as normal, every day at midnight and twelve noon. Lately, I’ve been overwhelmed with too many matters, causing unstable updating times. I apologize for any inconvenience this has caused and hope for your understanding. Thank you, everyone..