Exile with Storage Space: Family Fortunes in the Barren Lands-Chapter 687 - 0640 Pregnancy Appendicitis (2)
In the early morning of early August, Zhen An Prefecture was chilly under the cloudy sky, without the oppressive heat of the late summer sun.
Only during noon to sunset would it be as hot as summer.
Li Yuzhu rubbed her cold hands and nodded slightly to Second Lady Lou, "The maid told me earlier that your younger sister-in-law’s health is not very good."
The topic change eased the embarrassment on Second Lady Lou’s face a bit.
Seeing Li Yuzhu rubbing her hands, she immediately called for the maid to brew hot tea, and upon learning that Li Yuzhu hadn’t had breakfast, she hurriedly instructed another maid to notify the kitchen to prepare some good breakfast dishes.
She took Li Yuzhu’s arm and led her into the main hall, "Let’s talk inside."
She was a person who could be flexible, proud at times, but humble when asking for help, making it convenient for others, and thus herself.
Li Yuzhu didn’t make it difficult for her either.
After sitting down, Second Lady Lou began to talk about her younger sister-in-law’s illness, in more detail than the maid had said.
Li Yuzhu frowned slightly, appendicitis during pregnancy!
This was not a good sign.
Seeing her frown without speaking, Second Lady Lou was very worried about her younger sister-in-law’s condition, "Li San Niang, is this serious?"
Of course, it’s serious, otherwise, they wouldn’t have come to her.
This was the proud Second Lady Lou!
"It’s not particularly serious, but the illness is urgent, and if left untreated, it won’t be good for both the child and the mother," Li Yuzhu said solemnly.
"What exactly is her illness?" Second Lady Lou became more anxious.
She had five sisters and only one brother. Her mother had difficulty during childbirth and the midwife at the time said she couldn’t have any more children.
Her grandfather and father were the only sons in the family, and now her brother was an only son as well; the whole family cherished the child in her sister-in-law’s womb.
The younger sister-in-law was also the only daughter of her father’s esteemed mentor, who emphasized that no matter the cost, her health must be restored.
Since the younger sister-in-law fell ill, her mother and brother hadn’t slept well for days.
Li Yuzhu said, "If I’m not mistaken, an intestine in her stomach is inflamed, causing her to vomit and have a fever. Since she has abdominal pain, it’s very much like she’s having contractions."
Second Lady Lou looked shocked, "An intestinal problem? What should we do about this? How do we treat it?"
Second Lady Lou repeatedly asked about the treatment methods, but she was not a doctor; too much information might scare her, and complex explanations might confuse her.
Li Yuzhu simply said, "I’ll have to see the specific situation first; this kind of illness varies in severity."
Worried about her sister-in-law, Second Lady Lou only ate half a bowl of porridge for breakfast.
However, she urged Li Yuzhu to eat more.
Of course Li Yuzhu would eat more, for she was about to perform a surgery, which demanded physical strength.
After breakfast, Second Lady Lou took Li Yuzhu to her family home by carriage.
Second Lady Lou’s grandfather was a renowned scholar in Zhen An Prefecture, and the family was a prominent household in the city.
The tall courtyard walls and the broad mansion gate were clear symbols of wealth and honor.
The gatekeeper was startled to see Second Lady Lou bringing a younger woman, wasn’t a doctor supposed to be coming? How did a young lady show up?
"Fourth Miss is back, and... who might this be?" The gatekeeper, unsure if she was the doctor, dared not casually offer greetings.
"This is the newly hired doctor," Second Lady Lou said.
Li Yuzhu was accustomed to the surprised looks and just gave a slight smile to those who opened the door to welcome them, following Second Lady Lou into the mansion.
Just like the others, Second Lady Lou’s family members were all surprised to see Li Yuzhu.
The person hailed by the Lou Mansion as a divine physician was such a young lady?
Second Lady Lou approached a woman in her fifties, "Mother, I have brought Li San Niang, please let her see Xin Niang quickly."
Li Yuzhu was a guest of the Prefect’s house; despite some disdain from Second Lady Lou’s family, they dared not offend her greatly and decided to let her see the patient first. If it didn’t work out, they could always send her away.
"Greetings, madam," Li Yuzhu gave a slight bow to the woman.
"Please follow me," Second Lady Lou’s mother nodded slightly and led Li Yuzhu to a larger room.
In the room, several young maidservants and a few elegantly dressed young women were present.
Second Lady Lou walked over to them, calling out, "Eldest Sister, Second Sister, Third Sister, Little Sister."
These women were Second Lady Lou’s sisters. They glanced at Li Yuzhu, only nodded slightly, and said nothing.
However, their expressions matched that of Second Lady Lou, all filled with anxiety.
Li Yuzhu glanced at them briefly and followed Second Lady Lou and her daughter into the bedroom.
By the bed in the bedroom, a young woman was softly moaning.
There were also the soothing voices of a young man and other maidservants.
"Xin Niang, Doctor Li San Niang from the Lou Mansion family is here." Second Lady Lou stepped behind the screen and waved at the young woman on the bed, "Don’t be afraid."
Second Lady Lou’s mother held her daughter-in-law’s hand, "Li San Niang has cured several women with difficult labor issues, she will cure you too, don’t worry."
Second Lady Lou’s sisters also stepped behind the screen, offering comfort to the young woman on the bed.
The woman was very young, looking no older than twenty, with a baby face. Due to pain and fear, her eyes were filled with panic.
Because the pain made her restless, her face showed signs of exhaustion.
Li Yuzhu walked over and began checking the young woman’s pulse, simultaneously activating the space CT scanner.
As she suspected, the woman was unfortunately suffering from acute appendicitis. It had remained dormant earlier and flared up now during pregnancy.
The initial subtle pain was very much like the symptoms of fetal movement.
If encountered by a mediocre doctor, it would be treated as fetal movement. Taking a lot of medication would be useless, only delaying treatment and exacerbating the appendicitis, ultimately threatening the lives of the mother and child.
"As I suspected, she isn’t experiencing fetal movement, but rather inflammation of a section of intestine. This condition often occurs in pregnant women. If discovered promptly, it poses no danger to the mother and child. If it happens early or late in pregnancy, those stages are most dangerous; early, it may cause a miscarriage, and late, a premature birth, causing more harm to the mother’s body." After Li Yuzhu finished the examination, she took out a booklet and showed it to the family.
She pointed out the specific place where the pregnant woman experienced unbearable pain.
She also explained the necessity of removing the affected part.
This was a diagram she drew herself and intended to print it into a booklet to distribute to doctors across the nation.
At this time, anatomical diagrams only contain simple representations of acupuncture points, organs, and bones—detailed depictions of the intestines, pancreas, lymph nodes, and nerves haven’t been created yet.
When Second Lady Lou’s family heard Li Yuzhu elaborate on the need to remove a section of intestine, they were all shocked.
Even Second Lady Lou, who had mentally prepared herself, widened her eyes in fright, "Li San Niang, how should one cut it?"
Li Yuzhu pointed at the diagram, "You make a small incision here, then insert scissors into the abdomen."
"Opening a hole in the stomach? Can a person still be saved? Is my grandchild not in danger?" Second Lady Lou’s mother trembled in fear, shaking her head, "No, no, it can’t be treated like this! Li San Niang, prescribe some medicine. Since it’s inflammation, some anti-inflammatory medication should suffice until she gives birth."
"There’s only a day at most, delaying further...the fetus will also be in danger." Li Yuzhu shook her head.
Despite her seriousness, Second Lady Lou’s family remained unconvinced; Second Lady Lou’s brother outright insisted on sending Li Yuzhu away immediately.
Second Lady Lou’s mother’s stance softened a little, deciding Li Yuzhu should prescribe some medicine before leaving.
Not only these two, but also Second Lady Lou’s sisters opposed, and outside, a stern middle-aged man’s voice was also against it.
Listening to the maid’s words, this was Second Lady Lou’s father, who heard about the new doctor and waited for news in an adjacent room.
Given the family’s opposition, Li Yuzhu had no choice but to prescribe some medicine for the young pregnant woman first.
The young pregnant woman looked at Li Yuzhu, biting her lip with teary eyes, wanting to speak but held back, closing her eyes, she softly whimpered.
Li Yuzhu glanced at her and sighed inwardly.
Her gaze clearly said "I want treatment!"
Since the family refused surgery, Li Yuzhu took out fast-acting injectable medicine.
Injecting the medicine into the body, this time the family did not resist.
The medicine acted quickly, and the young pregnant woman stopped moaning, peacefully falling asleep.
Looking at her face, pale due to acute appendicitis, Li Yuzhu sighed again, as a patient, she couldn’t choose her treatment!
Today she slept peacefully, but tomorrow, after the medicine’s effect wears off, the pain would return, much worse than before.
This woman would surely despair.
Li Yuzhu sat by the bed, and after finishing the injection dictated a prescription, then rose to say goodbye.
Second Lady Lou’s brother ordered someone to seal five hundred coins as a consultation fee for Li Yuzhu, who then departed with Second Lady Lou.
On the way back, Li Yuzhu, thinking about the pregnant woman’s pain on her twisted face, couldn’t help but tell Second Lady Lou, "If her pain worsens, you must proceed with surgery to remove the necrotic section of intestine, otherwise..."
"Otherwise, what?" Second Lady Lou nervously clutched at her skirt.
"It will be the worst news." Li Yuzhu shook her head, her expression severe.
Second Lady Lou’s heart was in turmoil.
But treating her sister-in-law wasn’t a decision she could make alone.







