"Doctor, I’m fine, and I’m not allergic. I won’t be doing any more tests; I’m leaving right now. How much do I owe?" The patient jumped off the bed.
"Dawei, listen to the doctor. It’s dangerous if you really have so other illness," Feng said, getting a little anxious.
"If you wish to leave, we can issue a docunt attesting that we have fulfilled our duty to inform you. We will also need to contact both the hospital where you had chemotherapy and the remodeling company you work for, to fulfill our informational obligations to them as well," Liu Banxia said.
"Are you guys annoying or what?! What business is it of yours? It’s my life!" the patient roared in anger.
"Your life is your own, but I don’t want your family suing us if you leave here and sothing life-threatening happens to you," Liu Banxia stated calmly, then turned to Feng.
"When you go ho, you should also check the food and products in your house. So foods, like fresh daylily buds, can be toxic if consud in excess and cause a poisoning reaction."
"His body is already weakened from chemotherapy. A dose that a normal person could withstand might be fatal for him; it would be very dangerous."
Liu Banxia’s words startled Feng; she hadn’t expected the situation to beco so grave.
"Dawei, please, have the tests done. It’s really risky. Have you been drinking again? Those cheap liquors are usually concoctions. And the doctor also said you can’t drink alcohol," Feng pleaded.
"Dr. Liang, please prepare a docunt stating that the patient refuses examination and will be responsible for any consequences after discharge," Liu Banxia spoke again, then stepped aside.
In fact, the patient’s first answer when I questioned him already made it clear to ; this patient hadn’t spoken a single word of truth since admission.
However, I couldn’t say it to their faces; I could only hint at it obliquely. As for how much Feng might understand, that was her business.
After all, many things could cause the patient’s current condition. For instance, frequent hair treatnts at a salon—excessive chemicals can also lead to hair loss.
Whether to undergo the examination was the patient’s personal right. Whether Feng could persuade him was up to her.
In any case, this was the first ti I’d t soone with such a "dauntless" spirit, not even afraid of potential poisoning. Any normal person would insist on getting tested.
This wasn’t about money; it was a matter of life and death! How could he treat it so flippantly?
The inford consent form was straightforward to prepare; they were standard templates, just needing supplentary descriptions based on each patient’s specific situation.
Liang Xiaoyun was at the side, writing it out. anwhile, the patient and his girlfriend started arguing loudly about whether or not he should undergo the examination.
When people get heated in an argunt, they’re liable to say anything. Their argunt was now quite intense, already straying from the main topic and dredging up old conflicts.
Then Liu Banxia and the other onlookers understood: the financial gap between the two was indeed quite large.
The girl had attended a prestigious university and landed a good job after graduation. The patient? He was just an ordinary man from the countryside. After attending a few of his girlfriend’s friends’ gatherings, he felt humiliated, and then later, he was diagnosed with cancer.
Others might just hear the drama, but for , it further confird my suspicions. The young man was probably worried the girl would abandon him, so he’d resorted to so crooked sche.
At this mont, Liang Xiaolin had also prepared the docunts and handed them over directly.
Her approach was even more direct; she listed the possibility of ingestion or contact with toxic substances as the primary concern.
Sotis, one thing just leads to another. As soon as the patient signed the form, he wanted to leave this place of conflict imdiately. He grabbed the backpack from the head of the bed and made to leave.
His girlfriend? Although she had quarreled with him, she was still worried about his health. So, she had to try to stop him, directly grabbing his bag.
With his girlfriend pulling one way and him the other, the backpack, which often carried tools, finally gave way. CRASH! Its contents spilled out: small work tools, cigarettes, keys, and whatnot.
What particularly caught Liu Banxia’s attention was a small plastic bag from which so mixed powdery and granular substances had spilled.
The patient saw it too and hurriedly snatched up the plastic bag, but how could he instantly gather everything that had spilled?
"Dr. Liang, add a line: ’Patient exhibits suspected suicidal ideation.’ Have him sign it again," Liu Banxia stated.
"Ah? Oh... okay," Liang Xiaolin quickly responded.
"Are you trying to kill yourself? You spent so much money to finally get your cancer treated, why would you want to commit suicide?" Feng was terrified and blurted out in panic.
"I... I..." The patient was very anxious but didn’t know how to explain himself at that mont.
Feng paused, only now beginning to grasp the situation.
"Have you been lying to all this ti? Were you doing it on purpose?" Feng looked at him and asked.
The patient said nothing, neither confirming nor denying.
Feng looked at him for a mont, then turned and walked out.
After a mont of silence, the patient shot Liu Banxia a venomous glare and started to leave.
"You still need to sign this to confirm," Liu Banxia spoke up again.
He didn’t want to cause more trouble at this ti, but he had no choice. If he didn’t get the patient to sign and the patient genuinely committed suicide after leaving, he would be held responsible.
"After all, you’ve ingested a toxic substance. Standard dical procedure requires gastric lavage and dication. Regardless of why you consud rat poison or how much, it will have a significant impact on your body," Liu Banxia continued.
"None of your damn business!" the patient retorted before directly signing the second docunt.
「DING! Consultation task completed. Earned 100 experience points, 100 dical diagnostic skill proficiency points, 2 Glory Points.」
This stunned Liu Banxia. Just one case like this yielded 100 skill proficiency points and 2 Glory Points? What was the system thinking?
Thinking it over, he began to understand. The generous reward was likely related to the specifics of the case itself.
The dical issue itself wasn’t severe, but finding the true cause was challenging. If I hadn’t delved deeper and had just accepted the patient’s story, I probably wouldn’t have received such a substantial reward.
"He’s really sothing else, actually daring to eat rat poison. By the way, how did you know it was rat poison?" Liang Xiaolin asked curiously.
"I’ve seen it before. When I was a kid, we used this stuff when we had rats at ho," Liu Banxia said with a smile.
"However, although so people still secretly produce and sell rat poison, the concentration in current products should be lower. Otherwise, he wouldn’t be in such relatively good shape."
"He probably ingested a small amount and, worried it wouldn’t be effective, kept the rest instead of discarding it. He couldn’t just leave it lying around, so he had to keep it in his backpack."
"So, it seems the whole cancer story was nonsense. He just wanted to hold onto his girlfriend. Now he’s truly ended up losing everything."
Everyone was at a loss for words. What they had assud was a true love story had ended like this. But it was genuinely hard to say who was right or wrong; the disparities between them were too vast.
Who can ever truly understand matters of the heart?
"Teacher Liu, the patient with rectal cancer would like to see you," nurse Zhou Qian ran over at this mont.
Liu Banxia frowned and sighed inwardly. It looks like Li Xue has decided to take the gamble.
When he arrived at the ward upstairs, the room was filled with a somber gloom.
"Dr. Liu, I’ve made up my mind. Let’s take the risk," Li Xue said. "At this rate, my condition will likely worsen soon. Then, like other cancer patients, I’ll suffer the tornt of cancer until I’m eventually worn down to death.
"Even if I live a few more months, it doesn’t an much to . My family is just these few people, and they’ve been suffering along with for so long."
"It seems you’ve truly made up your mind," Liu Banxia said. "This is a major operation with a very low chance of success. Even if the surgery itself is successful, the probability of complications is extrely high."
Li Xue nodded. "I’ve thought it through. Let’s leave it to fate. Maybe it’s even a good thing. I’ve seen those late-stage cancer patients; their lives are too painful."
"Alright. Since you’ve made your decision, prepare yourself well. I’ll go contact the operating room and make the surgical arrangents," Liu Banxia nodded.
Even though he wasn’t very confident and really wanted to persuade the patient to give up, he had already said everything that needed to be said and could be said. This was the patient’s own choice, and it had to be respected.
"Boss, join for this one. It’s going to be a precision job," Liu Banxia said upon returning to the Ergency Departnt.
"Alright. You contact the OR first. We’ll need intraoperative ultrasound; I’m not sure if we can get it scheduled," Shi Lei responded.
"Let take this opportunity to add: this is a major operation. We need to be prepared for a continuous battle. What about them? Who are you taking?"
Hearing Shi Lei’s words, even Liang Xiaolin looked over with eager eyes.
"Bring them all. Let them experience it firsthand," Liu Banxia said.
"A surgery like this, you might only encounter once in a lifeti. Regardless of success or failure, it will provide a wealth of experience. Let’s hope for success, and hope the patient can endure it."
This was the truth. The patient had a high probability of dying on the table. Even if transferred to the ICU post-surgery, the chance of death was still very high. In the current situation, the surgeon’s technical skill was actually less critical; the most important factor was the patient herself.
The first part of this surgery is, in fact, debrident. It needs to be cleaned out thoroughly, but this cleaning definitely doesn’t have the sa high difficulty coefficient as debriding necrotizing fasciitis.
The latter part, naturally, is tumor resection and pelvic exenteration. Relatively speaking, this part is actually more straightforward. However, it also causes imnse trauma to the patient, and she will have to rely on her own strength to pull through.
The patient, therefore, has naturally beco the key to whether this surgery can succeed.
User Comments
0 comments from readers