Chapter 904: [904] Debate whether to transfer to another hospital or not Chapter 904: [904] Debate whether to transfer to another hospital or not At Level Three, we’re looking at splenic hilum rupture, and at Level Four, the most severe, a serious splenic fragmentation where the whole spleen may need to be removed.

Doctor Zhou was so astonished because when the child had been brought into the county hospital, he had already made it clear: their surgery department was not equipped to operate on infants–there was no doctor capable of doing it.

“We’ll have to send her to a higher-level hospital,” Doctor Zhou said hurriedly to Xie Wanying and Nie Jiamin, instructing the nurses to call and contact the nearest city hospital that could take the child.

Seeing that Doctor Zhou might not have understood Teacher Nie’s intention, Xie Wanying stepped in to clarify, “Doctor Zhou, we’re not sending her to the city hospital. Teacher Nie’s thinking is that the surgery must be done here in the OR because there isn’t time to transport her to the city hospital.”

Doctor Zhou, agitated and on edge, protested, “You’re not unaware–I’ve already told you, no one here can do it. We need to start an IV and give her a blood transfusion, give her more to keep her alive until she can be transported to the city hospital, where there are doctors who can operate. It’s about a two-hour drive.”

“Two hours will be too late; she’s had a splenic hilum rupture and is severely hemorrhaging,” said Xie Wanying.

Her words caught Nie Jiamin’s attention. Turning his head, he saw a glint of understanding in her eyes: she must have also interpreted the ultrasound images herself, just like him, to have noticed the splenic hilum rupture based on the brief report from the ultrasound doctor.

“Absolutely not,” Doctor Zhou insisted on his view, betraying his fear of the child dying on the operating table here and expressing strong displeasure to Xie Wanying, “You’re just a student; you haven’t seen this type of patient before. I’ve seen many similar cases. Even more severe than hers have been safely transported for surgery in the city.”

“How much more severe? If she doesn’t have an abdominal exploration to stop the bleeding soon, the blood loss will be unimaginable. She’s an infant.”

Doctor Zhou was utterly astounded by her statement, “Where did you draw that conclusion from?”

“Splenic hilum rupture, bursting of the splenic artery and vein. If you percuss her abdomen again, you’ll find shifting dullness,” stated Xie Wanying.

In adults, shifting dullness typically suggests an intra-abdominal fluid volume close to or exceeding 1000 milliliters; certainly, the situation for infants is even worse. Doctor Zhou found himself at a loss for words, “This–” Realizing she was citing data, he would have to bring up relevant data to refute her.

Someone couldn’t help but laugh.

Doctor Zhou turned his head and saw the reserved specialist, Teacher Nie, smiling.

Some people use their eloquence for sophistry, others use it to demonstrate competence. The laughter that Nie Jiamin couldn’t suppress indicated he found genuine and straightforward advocacy from such a person, clearly of the latter kind–a delight that sprung from within.

Hearing her teacher laugh, Xie Wanying halted her explanation, reflecting that perhaps she had spoken too much in front of Teacher Nie, engaging in showing off before an expert.

With the student pausing, Nie Jiamin quickly said, “Perform an abdominal paracentesis to confirm the diagnosis, then send her to the OR.”

“But, but the Chief Surgeon–” Doctor Zhou, looking at the specialist from the Capital, blinked desperately: Boss, please don’t make things difficult for us, even if you’re from Guoxie, we mustn’t act recklessly. No one here can be forced into surgery.

Teacher Nie was humble, but Doctor Zhou didn’t seem to get the message.