When the Doctor Uses A Hack

Chen Cang sighed, "This really is going to be a surprise for the husband who is away on a business trip!"

Chen Cang had also said he would give Qin Xiaotian a child, just hoping Qin Xiaotian wouldn’t give him a "surprise" in return...

The husband was away on business for three months, and the wife was two months pregnant with an ectopic pregnancy.

Whose child could be so mischievous as to run away for a month?

So, the result was unquestionable.

Extramarital affair, husband on a business trip, wife ’giving the green hat,’ it should come to this conclusion!

Zhang Yan glanced at Chen Cang, "Talk to the family as soon as possible. The patient is in critical condition and needs emergency surgery."

Chen Cang nodded and hummed in agreement.

He was just preparing to go out and explain the situation.

But... how should he explain it?

The woman was brought in not by someone else but by her mother-in-law and sister-in-law; clearly, they were the "enemy camp" to the patient.

If they knew the woman had an affair during her marriage and the child in her belly wasn’t from their family, what would they think? Would they refuse to sign the consent form?

All of this was possible.

But it wasn’t right to violate the patient’s right to know by hiding her condition.

For a doctor, this was indeed a difficult situation!

Otherwise, why would there be courses on "Medical Ethics" during undergraduate and graduate studies?

Zhang Yan looked up at the patient’s vital signs and started to contact the operating room, then glanced at Chen Cang, "Doctor Chen, hurry up."

Chen Cang, gritting his teeth, walked towards the door.

He had just reached the door when he suddenly thought of a solution.

With this idea in mind, Chen Cang quickly took out the informed consent and medical disclosure documents, and said to the aunt, "Hello, is it possible to contact the patient’s husband or a direct relative?"

The mother-in-law sighed, "We can’t contact him; my son is abroad. Even if we could reach him, he couldn’t come back in time. Doctor... can’t we sign the form?"

"We must save her, the girl is still young, only thirty years old, a poor soul. After her parents got divorced, she stopped having contact with them. Later, she married into our family; we can’t let her down either."

Chen Cang looked at this kind-hearted aunt and couldn’t help but sigh.

Aunt, you care for her, but she may not necessarily reciprocate your feelings!

With this thought, Chen Cang held out the disclosure document and said, "The patient is currently in a very critical condition, suspected of spontaneous rupture of the pelvic organs, reason undetermined! Moreover, she’s suffering from hemorrhagic shock, with a clear indication for emergency surgery. Please sign the informed consent so we can proceed with the surgery quickly!"

The aunt quickly nodded her head, "Yes, yes, I’ll sign."

At that moment, the sister-in-law suddenly said, "Doctor... it couldn’t be a pregnancy, could it?"

That statement made the aunt, who was about to sign the document, pause abruptly.

Chen Cang shook his head, "Pathological results have not come out yet."

The aunt shook her head and sighed, "Doctor, please proceed with the treatment. No matter what, let’s save the child first, then worry about anything else."

Chen Cang took the informed consent and walked back in.

The explanation he had just given was quite reliable.

The two diagnoses Chen Cang had provided were likewise:

1. Hemorrhagic shock.

2. Spontaneous rupture of pelvic organs, reason pending investigation.

He hadn’t violated the right to be informed.

But, as for the specific results, after the rescue, naturally, there will be detailed diagnostic outcomes.

A hospital admission diagnosis and a confirmed diagnosis are two different things.

As for... how to deal with an ectopic pregnancy, that would be an issue for the two families, to be resolved after her recovery.

As doctors, this wasn’t something they should concern themselves with.

Zhang Yan watched Chen Cang return so quickly, curious.

"Is it signed?"

Chen Cang nodded. "Yes, it’s done."

Zhang Yan was momentarily stunned. "That was fast. The other party agreed just like that?"

Chen Cang handed over the diagnosis from the informed consent form to Zhang Yan. "Does this look okay to you?"

Zhang Yan took a look and was immediately startled!

She couldn’t help but look up at Chen Cang. "Not bad, Dr. Chen, this diagnosis is sharp and highly reliable!"

"Impressive. Actually, the most troublesome part of this kind of surgery is explaining the condition to the patient. Otherwise, gynecology wouldn’t have so many issues with ’playing it safe’ with surgeries. Communicating with relatives is even harder than negotiating with the Grim Reaper!"

Chen Cang deeply agreed. Hadn’t Yang Yuanzhong been a vivid example just a while ago?

If the family doesn’t sign, the doctor is not qualified to perform surgery.

Zhang Danni, who was on duty in the ultrasound room, couldn’t help but give a thumbs up when she saw Chen Cang. "Dr. Chen, you’re incredible. Not everyone has your ability to deal with patients. Where did you learn it?"

Chen Cang remembered Old Chen, who was best at handling such complex ethical issues – must have been something Old Chen taught him, right?

Zhang Yan rushed the patient to the gynecological operating room.

The rescue work officially began.

Chen Cang didn’t understand gynecological surgeries and was on duty, so he didn’t go over to join the commotion.

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The mother-in-law and sister-in-law sat there, waiting anxiously, and Chen Cang did not say much.

About three hours later, Zhang Yan hurried over.

"The patient is temporarily stable now; let’s process the transfer to gynecology first. It’s easier to explain things there," Zhang Yan told Chen Cang. @@novelbin@@

Chen Cang nodded and left with Zhang Yan.

"The surgery went smoothly, and the patient is safe for now. She needs to be transferred to gynecology for further treatment."

The mother-in-law breathed a sigh of relief.

The sister-in-law, however, pursued the question. "Doctor, what exactly is the situation?"

Zhang Yan shook her head. "It’s nighttime now. We’ve sent the samples for pathology, but the pathology department has closed for the day. It’ll take some time to get the results, so we’re not quite sure of the cause just yet."

The family followed Zhang Yan to gynecology in a daze.

In fact, the specific diagnosis and other details would be disclosed to the relatives later, just not right now.

...

...

A special patient made the emergency department gossip that night.

Xiao Lin stood to the side, eyeing Chen Cang with suspicion. "Dr. Chen, what do you think will happen if the mother-in-law and sister-in-law find out?"

Chen Cang was taken aback and couldn’t help but shake his head. "I guess... it would be quite dangerous!"

Xiao Lin sighed. "Ah... it’s all too complicated."

"The mother-in-law seems so nice, yet to commit adultery... That’s too much of a betrayal, isn’t it?"

At this moment, Zhang Danni walked over. Unable to help herself, she said, "You haven’t seen much in the emergency department. Before I came to the Second Provincial Hospital, I worked at a reproductive center, then I quickly changed jobs."

Xiao Lin asked curiously, "Why is that?"

Zhang Danni said with a smile, "Every day it was affairs, extramarital relationships, paternity tests, infertility... After seeing so much of that, you start to doubt life."

Xiao Lin shivered at the thought and nodded. "I see your point!"

After spending a long time in the gastroenterology department, you always feel like you have gastritis and want to get an endoscopy.

After being in the proctology department for a while, you always suspect you need a colonoscopy.

After staying in the oncology department for too long, you see cancer patients everywhere.

Similarly...

After working at the reproductive center for a long time, you see extramarital affairs everywhere...

Actually, this is all an illusion because what you see is just this type of patient, which may only be a small proportion of the total. It’s just that they all come to your department, creating that illusion.