The Surgeon's Studio c1-799

by Black Ursa Prime

  The days passed peacefully. Zheng Ren finally found a lot of time to sneak into the System's library and read the periodicals to his heart's content.

  He realized that his memory had increased compared to before. It was difficult to determine by exactly how much since, after all, the System had not digitized his body so he could only make a rough estimate.

  The books he had read were still vivid in his mind, and he did not even need to think about any life and death emergencies.Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/domestic-violence!_51157138919194539 for visiting.

  On the 8th, the clouds were thick and the north wind was getting stronger and stronger. It blew so hard that the closed windows were rattling.

  Everyone was busy. After the terrifying night shift, the patients with appendicitis and cholecystitis had been quiet for three days after receiving antibiotics, and there were already patients who wanted to be discharged automatically.

  Zheng Ren was still reading periodicals and magazines.

  Su Yun had not been seen for the past two days. It was said that he was busy. Zheng Ren felt very helpless about that. It seemed that he was also the one who was going to be sent off.

  However, these things were not as important to Zheng Ren as reading periodicals and magazines.

  He occasionally recalled the matter of the System mission. If the research center was established, would he be able to complete the mission within a month?

  Thinking of the massive amount of surgical training time and the System that rarely issued missions, Zheng Ren remembered that if he had surgical training time, he must not waste it.

  Regarding why the System seemed to be issuing him fewer missions lately, Zheng Ren found it hard to understand.

  In the afternoon, Zheng Ren was reading in the System's library when his phone suddenly rang.

  He picked up the phone and saw that it was the emergency department. Zheng Ren's blood pressure immediately rose.

  "Hello."

  "Chief Zheng, there's a patient. Please come down and take a look."

  "What illness?" Zheng Ren heard that the voice was not very anxious, so he calmed down. However, he immediately felt puzzled. The physician who called him seemed a little...angry?

  "I suspect domestic violence! The child is covered in injuries!" The physician lowered her voice and said.

  Zheng Ren frowned as he hung up the phone and walked straight to the emergency department.

  Domestic violence, beating, and scolding children. These kinds of things became extremely rare as the situation of one child per family became normal.

  At least in the years Zheng Ren had been a doctor, he had not encountered a single case of domestic violence for the time being.

  As for a.d.u.l.ts such as the middle-aged female patient who had a few steel needles inserted into her brain, Zheng Ren had an impression that such things were cases from the past.

  Domestic violence? Abuse? Zheng Ren pondered about it for a long time as he quickly walked all the way to the emergency department.

  There were not many patients in the emergency department. It was the emergency department's 'depression' period.

  A woman in her thirties was sitting on a red hard plastic chair in the corridor. She was hugging a seven or eight-year-old child tightly in her arms.

  The child struggled with all his might. His ten fingers were covered in scars. There were old wounds and fresh ones that had not completely healed. There were even faint traces of blood.

  His face was also covered in wounds. They were densely packed, like a spider web that covered his face. His lips were bitten and a line of blood hung on from his face. It was an extremely sad sight to behold.

  Zheng Ren was stunned for a moment.

  Looking at the child's appearance, it definitely did look like a case of domestic violence.

  However, the System did not think so. The background color given by the system panel was a serious illness, bright red.

  The diagnosis was—Lesch-Nyhan syndrome.

  What the hell, how could it be that sort of illness! Zheng Ren's eyebrows furrowed unconsciously.

  The emergency physician did not sit in the consultation room. Instead, she stood coldly not far away. Her eyes were filled with hostility as she looked at the child's parents.

  When she saw Zheng Ren, she immediately trotted to Zheng Ren's side and whispered, "Chief Zheng, call the police."

  Zheng Ren shook his head and sighed.

  "Chief Zheng!" The physician was very dissatisfied with Zheng Ren's performance.

  After a few months of getting along, the doctors in the emergency department had already acknowledged Zheng Ren's skill level. They were willing to call him Chief Zheng.

  However, in the emergency physician's eyes, this matter was a sign that Zheng Ren did not want to take responsibility and was trying to avoid causing trouble.

  In the emergency department, it was very common for couples to fight and neighbors to quarrel.

  The emergency physicians also rarely went to the police.

  It was the most common thing for couples to quarrel at the patient's bedside. Zheng Ren also encountered a case where the husband used a kitchen knife to cut his wife's back, making a 20cm long wound that cut deep into the muscle.

  The victim did not call the police and was persuaded by his husband. After staying quiet for three to five days, he was automatically discharged with antibiotics.

  However, he was an a.d.u.l.t and had the ability to act on his own.

  In front of him was a seven to eight-year-old child. The child was drooling and looked like he was suffering from dementia.

  That was because the child was suffering from dementia and had low intelligence. The parents wanted to abuse the dead child so that they would not be burdened. That was the judgment of the emergency physician and she firmly believed it.

  "Chief Zheng!" She was very dissatisfied with Zheng Ren's reaction and called out again in a low voice. Her words contained endless dissatisfaction and anger.

  "It's not what you think." Zheng ren sighed and said, "I'll go and ask for the medical history. Please go and order a serum uric acid test for the child."

  "Huh?" The emergency physician was stunned.

  Serum uric acid was the basis for the diagnosis of rheumatism. The child in front of him was injured and severely abused. What did it have to do with rheumatism?

  Could it be that Chief Zheng had been too busy these few days?

  Chapter 591 - Self-disfigurement

  Although he did not understand what Zheng Ren meant, the physician still followed the doctor's instructions and went back to the examination room to make a list.

  "Hello, I'm the Chief Resident of the emergency department," Zheng Ren approached the woman who was holding the child and said gently.

  The woman tried her best to hold the child and let him do it gently.

  Because of her overexertion, traces of sweat could be seen on her forehead and temples.

  The woman looked up with her red puffy eyes. There were no tears, but it was filled with deep sadness.

  "When did the child become like this?" Zheng Ren asked.

  "Do you think I'm abusing the child?" The woman's voice was a little hoarse. "All the doctors think so! If you can't identify the problem, just say—"

  "Calm down." Zheng Ren shook his head. "I don't think these wounds are caused by you abusing the child. It's a rare illness, so I need some tests and the medical history you've provided to confirm it."

  When she heard Zheng Ren say that, her emotions stabilized.

  She looked at Zheng Ren carefully and saw that he was wearing white clothes. His body was straight, his face angular, and had black short hair. His bright eyes seemed to be showing… kindness?

  A doctor who was clearly under 30 years old actually had the temperament of an experienced chief
?

  Looking at him, she could feel that he was experienced.

  The child's mother was touched by Zheng Ren's trust. It was especially so with the temperament he showed, which gave her an inexplicable confidence.

  Whether it could be cured or not, the doctor should be able to identify the illness.

  "Doctor, the child was biting his fingers after birth. I didn't pay attention when he was young as I thought he was just like other children," the child's mother explained. "But the older he gets, the more serious his finger chewing."

  Zheng Ren nodded. It was about the same as what he had predicted.

  "He was a slow learner and only started walking when he was over two years old. However, I didn't despise him as he was my child after all," the woman said in pain. "After he learned to walk, he began to stab himself with things, especially his face."

  "We had no choice but to tie his hands, but he still bit his lips, especially when he was eating."

  "We came to Sea City and Provincial Capital for diagnosis. Everyone said that the child was fine. The doctors all thought that it was me and the father who abused the child."

  The medical history was straightforward. Right then, the doctor from the emergency department came out with the emergency medical list.

  "Here's a form for the blood test. Pay the fee and run the test," Zheng Ren said. "After the test is done, I might be able to give you an accurate diagnosis."

  Although Zheng Ren's words were still a little vague, it was a doctor's habit. There was nothing he could do.

  Seeing the patient's mother carrying him away with the father leading the way, paying the money to prepare the test, the emergency physician was disdainful.

  "Chief Zheng, you're abusing the child. I've never seen such an outrageous person like them. They're inhumane. They're sc.u.mbags. They deserve to be put down."

  "No," Zheng Ren sighed again. "Didn't you notice that the child's lips were the most severely injured part?"

  The emergency physician recalled that the child's lips were indeed the most severely injured. With the old and new injuries together, and the lips were deformed.

  So what?!

  She was still unconvinced and looked at the ground angrily.

  "If I'm not mistaken, the child should have Lesch-Nyhan Syndrome." Zheng Ren's face looked rather pale.

  "What?"

  "Lesch-Nyhan Syndrome, also known as Self-disfigurement Syndrome, is a congenital purine metabolic defect inherited from a chain of recessive X-linked genes. It originates from the deficiency of hypoxanthine-guanine phosphate ribotransferase (HGPRT)," Zheng Ren explained to the emergency physician.

  Upon hearing the words purine... xanthine... guanine… RNA, the emergency physician felt as if she had returned to university, when she was taking biochemistry classes.

  Standing before her was not the young Chief Zheng, but a white-haired old scholar.

  "The deficiency of this enzyme will prevent hypoxanthine and guanine from being converted into IMP and GMP, which will then degrade pathologically into uric acid. Therefore, the child's blood uric acid level should be on the high side. When the test results come back later, we'll be able to make a preliminary diagnosis."

  "Really?"

  "Yes." Zheng Ren nodded. "If we want to do a dual renal ureteral ultrasound, it's possible to find kidney stones. However, the patient's family is not wealthy, so we should save as much as we can."

  "Uh... " the emergency physician concluded.

  "The child has low intelligence and has typical compulsive self-destructive behavior. The diagnosis of this disease shouldn't be a problem."

  Zheng Ren was too convincing.

  The emergency physician almost believed him.Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/self-disfigurement_51157141335113678 for visiting.

  "If the diagnosis is clear, then why are you sighing?" The emergency physician asked.

  "Diagnosis isn't the same as treatment," Zheng Ren said. "This disease is incurable with the current medical means."

  The emergency physician was speechless.

  "Most importantly, these cases rarely live past 20 years old."

  Zheng Ren did not want to say that, but that was the fact. It would not change because of his own subjective wishes.

  That was something that all doctors were unwilling to face.

  It was one thing to understand the illness.

  It was another thing to be able to treat the illness.

  Regardless, most doctors would hope that the patient could walk out of the hospital healthy.

  Incurable diseases, like cancer, were common occurrences for doctors.

  This time, however, was a little different.

  The emergency physicians still had doubts, but they were already inclined to believe Zheng Ren's words.

  Untreatable…

  That outcome was too cruel.

  However…

  Nobody could do anything about it.

  They could only look forward to the advancement of medical technology.

  Life was originally a reverse journey.

  It would be better to have more time. The child was still so young. It should not turn out that way!

  The emergency physician sighed and lowered his head. The indignant expression on his face disappeared. He walked into the internal medicine department with an indifferent expression.

  Zheng Ren knew that this was a form of self-preservation for doctors.

  If one was too emotional, one would go crazy after working in the hospital for one or two years.

  There were too many ups and downs, and things beyond their control.

  He walked out of the side door and took out the Purple Cloud from his pocket. He took out the remaining half of the cigarette from last time and lit it up.

  The pungent smoke surrounded him and was immediately blown away by the north wind.

  It would be great if the System's diagnosis was wrong.

  It would be great if his diagnosis was wrong as well.

  Unfortunately, Zheng Ren could instantly find similar cases in his mind. There were at least a dozen of them.

  What a pity.

  A few minutes later, Zheng Ren finished smoking and walked in.

  He did not enter the internal medicine consultation room. Instead, he sat outside on a hard red plastic chair and waited for the results.

  It was very cold. The hard plastic chair was also very cold.

  …

  Chapter 592 - Gently Patting The Dog

  After waiting for nearly 20 minutes, the emergency physician found the test results on the computer, printed it out, and brought it to Zheng Ren.

  Blood uric acid: 1016 μmol/L.

  The normal reference value for children was low, at approximately 180-300 μmol/L. The normal value might vary according to the testing machine, but a value of 1000 μmol/L above normal has undoubtedly proved that the patient's uric acid was too high.

  Looking at the expectant eyes of the patient's family, Zheng Ren could only call them to the treatment room and tell them the cruel truth.

  10 minutes later, the parents of the patient left with the patient in their arms.Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/gently-patting-the-dog_51157142962499377 for visiting.

  Zheng Ren was very sure, but in the end, he still left a note.

  That was only a preliminary diagnosis. If it was confirmed, they would need to go to the capital for a genetic test. Due to the cost being too expensive, it was not recommended.

  To some extent, doctors were the authoritative figures in the hearts of patients and their families.

  If he said that, would the family hold onto a glimmer of hope?

  Zheng Ren was not sure.

&
nbsp; Although that glimmer of hope was meaningless, he felt uncomfortable if he did not say anything.

  After calming himself down, Zheng Ren walked out of the treatment room.

  A familiar looking middle-aged man stopped Zheng Ren.

  He seemed familiar and unfamiliar at the same time. If someone else had those completely opposite feelings at the same time, it would be a sign of split personality.

  However, for Zheng Ren, who was hopeless at differentiating faces, it was normal.

  "Doctor Zheng!" The middle-aged man greeted with a smile in a friendly manner.

  "You are?" Zheng Ren asked in confusion.

  "My surname is Qin." The man was a little embarrassed, but he hid it well. He smiled and said, "A while ago, No. 14 Weier Road, Amigo Veterinary Hospital. Do you still remember, Dr. Zheng?"

  Ugh... the golden retriever named Harry that required operation after eating socks.

  Zheng Ren suddenly remembered the beautiful owner of the veterinary hospital... 'What was her name again?'

  He had forgotten.

  "Hello, Mr. Qin." Countless thoughts flashed through Zheng Ren's mind, but he did not forget to greet him.

  'What is he doing here? Are they after me for Harry's postoperative complications?' However, judging from Mr. Qin's expression, that did not seem like it.

  "My daughter has always said that she would bring Harry over to thank you," Mr. Qin said, "but Harry is old, and his recovery is slow… Erm, your surgery is very good. There are no problems. It's just that Harry is old."

  'Oh, that's right.' The smile on Zheng Ren's face became more natural.

  "Recently, Harry has been able to take a walk, run a little, and eat well. I originally wanted to visit you on New Year's day, but I can't stand my daughter's nagging. Since I'm free today, I came over to visit you."

  "It's good that it's recovering."

  "Dr. Zheng, do you have time?" Mr. Qin asked.

  "Why?"

  "This is a hospital. It's inconvenient to bring Harry in. Many people don't like dogs. It would be bad if it scares the children. My daughter and Harry are in the car. If you have the time..."

  Zheng Ren understood his meaning.

  The little girl was already there. It seemed like it was only right for him to go out and take a look.