Chapter 1278

「Boss, Doubt is what? 」 Su Yun looked at the pure white film, constantly pondering what disease it was. But after several rounds of thought, there was no clue at all.

「I don't know. 」 Zheng Ren answered bluntly, 「Did you call a Didi? 」

「When you remember, we'll be at 912 soon. 」 Su Yun muttered habitually.

Zheng Ren stopped speaking, seeming to enter a state of contemplation.

The two remained silent, went downstairs, got in the car, and each thought about their own things inside the vehicle.

The driver found it strange—were these two young people arguing? Both had grim faces. Hey, you two old guys, if you're arguing, just fight it out; why put on such a gloomy face?

The atmosphere was a bit heavy; wanting to say something, but whatever the driver said, he was met only with silence.

How awkward— the driver could only focus all his energy on driving.

Like a race car driver, the driver felt this was his peak performance—overtaking or blocking, done in one smooth flow, flawless.

Having arrived at 912, the driver still felt unsatisfied, really wanting to take those two youngsters for another lap.

Rushing to the Gastroenterology Surgery, Director Wei and Professor Feng were reviewing the films.

「Director Wei, Brother Feng, I'm here. 」 Zheng Ren greeted expressionlessly, immediately squeezing to the front of the film viewer.

「Zheng Lao Ban, how did you come here? 」 Director Wei wondered.

「Director, I called Zheng Lao Ban, this isn't……」 Professor Feng had been worried about this from the start, so he explained.

Director Wei nodded, didn't mind, even somewhat approved. He himself couldn't understand, but with Zheng Lao Ban covering, he felt more secure.

The image hung before their eyes; ten minutes ago, Director Wei and Professor Feng had just finished looking at it and were both bewildered.

After decades of clinical work, I have never encountered such a case.

We can only have the nurses rush the preoperative preparations, the attending doctor give the preoperative briefing, and prepare for an emergency laparotomy.

Director Wei gave Professor Feng a look; Professor Feng understood and began to report the medical history.

"Zheng Lao Ban, the patient is a 72-year-old female patient..." The medical history is simple, because the patient has a history of cerebral infarction, mild abdominal pain, the elderly patient cannot articulate clearly, and the nanny also didn't notice, so we only roughly know it has been delayed for nearly a year.

Other medical histories are also not detailed, and some are merely subjective speculation by the family.

Unconsciously, Zheng Ren placed his left hand under his right armpit, right hand supporting his chin, eyes narrowed, motionlessly staring at that image which could be called crude.

Su Yun, upon seeing the image, simply gave up.

He had no clue at all; even Director Wei had no idea or direction, so he didn't even try.

Trying again would be meaningless.

He was waiting for Zheng Ren's diagnosis, wondering if the Boss could continue to be miraculous as ever.

But this wasn't all that Su Yun was thinking; he already knew Zheng Ren's choice regarding the Di Du hepatobiliary side... really a headache.

Having such an unreliable Boss is truly tiring; Su Yun blew out a breath, his black hair in front of his forehead fluttering.

"Director, should we send the patient up?" the attending doctor peered in, asking softly.

"Zheng Lao Ban?" Director Wei asked.

"Send." Zheng Ren's eyes remained fixed, as if he wanted to see through that blank white image.

"Zheng Lao Ban, do you have any considerations?" Director Wei probed.

"Hmm, I'm considering it might be abdominal encapsulating peritoneal sclerosis." Zheng Ren said in a low voice.

Director Wei was taken aback; although the name was unusual, he also had some knowledge of it.

The last time he heard of it was at an academic conference, when someone brought up a case—not during a formal presentation, but in casual conversation.

No image, no definitive diagnosis.

At the time, because the diagnosis was unclear, the family refused laparotomy, and the patient was sent by 120 ambulance to Modu; reportedly, en route, the patient's breathing and heartbeat ceased.

So what the final outcome was, even the director there didn't know.

This disease is rare, its cause unknown, and to date there has been little research worldwide.

Because the whole or part of the small intestine is wrapped in a dense, tough, grayish-white hard fibrous layer, it is also called idiopathic sclerosing peritonitis or sclerosing peritonitis, etc.

Named by Foo in 1978.

But there are doubts: if it were abdominal encapsulating peritoneal sclerosis, it would merely be a layer of free fibrous tissue, the intestinal lumen wouldn't be so narrow, and there would be little gas inside the intestines, which is pitiful.

In imaging, air appears black; yet in the entire image, the patient's abdominal cavity shows scarcely any black, almost entirely a sheet of whiteness.

That's why Director Wei didn't diagnose abdominal encapsulating peritoneal sclerosis right away.

It looks like it, yet it doesn't.

Many difficult cases are guessed at; without opening the abdomen and seeing with one's own eyes, nobody knows. Even if seen, young people lacking sufficient clinical experience dare not diagnose.

"Director Wei, according to abdominal encapsulating peritoneal sclerosis and informing the patient's family, the likelihood of not being able to back down is high." Zheng Ren finally gave this hint.

Director Wei's head immediately swelled.

"Die on stage? Is there still a need for surgery?"

Forget it; I'll go myself to explain, see if the patient's family is compliant. If they are, we can consider surgery. Of course, the surgery must definitely involve dragging Zheng Lao Ban along.

"Boss, Director Zhou of the Di Du hepatobiliary department has arrived." Su Yun whispered.

"Tell Director Zhou I might be two or three hours late." Zheng Ren's answer was not unexpected to Su Yun.

Su Yun sighed, glanced at Professor Feng.

Professor Feng felt especially embarrassed, scratched his head and asked: "Zheng Lao Ban, do you have something on today?"

"There's an international academic conference; it's been arranged that the Boss will give a lesson." Su Yun picked up his bag and went out, saying: "Boss, I'll go ahead and meet Director Zhou."

"Hmm." Zheng Ren's eyes remained on the image, and he spoke very little.

"Sorry for delaying Zheng Ren's lesson." Professor Feng rubbed his hands, "International academic conference… lesson… sigh, when will I ever get to go?"

Even if I went, I'd probably just be listening to the lesson.

"Ask Yi Ren when she'll arrive." Zheng Ren suddenly said.

Silence all around; Director Wei and Professor Feng, who were just about to go and brief the patient's family, looked at each other.

After a few seconds of silence, Zheng Ren realized that Su Yun had already left.

He helplessly picked up his phone and called Xie Yiren.

"Zheng Lao Ban, shall we go up and take a look?" Professor Feng asked softly.

"Hmm, Shou Bing is estimated to be difficult to perform." Zheng Ren had already contacted Xie Yiren; that side was already near the Hospital. The Surgical Instruments had been sterilized and were in the sterile pack.

Having the Surgical Instruments and Xie Yiren, the chance of completing Shou Bing is much higher.

"It is considered abdominal encapsulation disease, but although abdominal encapsulation disease is a rare disease, extremely rare, it also varies in severity." Zheng Ren said: "This belongs to the most severe type."

His fingers lightly tapped on the viewer's glass, making a dong dong sound.