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Chapter 1335: with translation of chapter title

~7 min read 1,216 words

The System Panel's red is so glaring; several diagnoses suddenly appear before Zheng Ren.

Infectious shock, intestinal rupture, congenital muscle abnormality of the right waist, subcutaneous emphysema……

Zheng Ren looks at the diagnosis, somewhat dazed.

Congenital muscle abnormality of the right waist; this diagnosis is quite rare. Mainly the muscle tissue is relatively thin, prone to forming a hernia.

However, the system did not give a diagnosis of waist hernia; then it must be during liposuction, because abnormal abdominal muscle tissue, negative pressure caused intestinal rupture.

It can even happen like this…… Zheng Ren is especially speechless.

In clinical practice, various surgeries have myriad complications; Zheng Ren previously could only guess based on probability, never expecting the possibility of intestinal rupture.

The gurney comes roaring; the doctors and nurses of the Emergency Department move swiftly, pushing the patient out. Zheng Ren quickly makes way, seeing the patient off.

But it's good that the diagnosis is clear; although infectious shock is serious, it's still better than a disease like fat embolism that is fundamentally untreatable.

Finding Doctor Liang, Zheng Ren sits in the CT Shi's office; Doctor Liang hurriedly uploads the images, and Zheng Ren soon sees the patient's abdominal CT image.

CT shows extensive subcutaneous emphysema below the xiphoid process of the abdominal wall; Zheng Ren looks at the image, as if he can feel a crackling sensation. Free gas pockets and inflammatory changes also exist around the ascending colon, which are typical radiographic changes of intestinal rupture.

Zheng Ren looks at the image, mentally reconstructing it.

Intra-abdominal infection is especially severe; Zheng Ren estimates there are many sites of intestinal rupture and perforation.

"Boss Zheng, you haven't been around much lately." Doctor Liang sees Zheng Ren reading the images, comes over to make small talk.

Boss Zheng keeps soaring higher; Doctor Liang feels he can't catch up. But taking the opportunity to say a few words, getting closer is also good.

"Been busy lately." Zheng Ren smiles, saying, "How's your side? Pretty busy, right?"

All his thoughts are on the CT images; talking with Doctor Liang, he's not really present.

"Just like that, nothing special. Every day I look at images, write reports, it's boring." Doctor Liang laughs and says, "Boss Zheng, do you know this patient?"

"A friend asked me to take a look."

"The patient's intestinal rupture is quite serious; was it from being beaten or a car accident? No, not a car accident. If it were an impact like this, there would definitely be fractures." Doctor Liang mutters to himself: "Could it be domestic violence? Boss Zheng, if it's domestic violence, that's a big deal."

"No." Zheng Ren sighs, "It's a complication of liposuction surgery."

"Uh……" Doctor Liang stares for a moment, "Does liposuction surgery have such serious complications?"

"Here." Zheng Ren points with his finger at the computer screen, "The abdominal wall muscle tissue is a bit thin; I estimate that during liposuction, the negative pressure lingered longer at this spot, causing intestinal perforation."

Normally when looking at CT, who would bother to look at muscle tissue? Even if seen, one would just glance over it, not paying attention. Doctor Liang froze for a moment, then followed Zheng Ren's direction to look.

But if it's liposuction, a thin abdominal wall is deadly.

"Liposuction surgery still has such serious complications." Doctor Liang feels deeply.

"Any surgery will have complications." Zheng Ren also deeply agrees; medicine isn't easy.

If too many pre-op checks are done, patients won't be happy. In recent years there's a term, "over-medicalization," referring to this.

But if checks are too few, the patient before us is an example. Although this patient had liposuction at the Xiaohei Clinic, the principle is the same.

Truly a dilemma.

Those working clinically, if luck is bad, can't last long. One unexpected incident, and they'll meet their doom.

This time the Xiaohei Clinic had bad luck, encountering a rare patient.

"This time we'll have to spend a lot of money." Doctor Shen sighs.

The infection inside the intestine is so obvious; even if the surgery succeeds, whether infectious shock can be rescued remains a question.

Spending money is just one aspect; there's also the possibility that despite spending a lot, the person cannot be saved.

"I'll go to Gastroenterology Surgery to take a look; you keep busy." Zheng Ren stands up, greets Doctor Liang, and turns to leave.

Walking along, he pondered the matter.

The patient's diagnosis is fine, but how to treat it opens up many possibilities.

If I don't intervene, Lin JiaoJiao's side seems ready to spend money and effort. But we've never met; why would she spend money and effort?

Would the patient's family think it's guilt? Think that the medical beauty small clinic is related to Lin JiaoJiao? In the end, they might latch onto that accusation.

In the end, how far things will develop is hard to say.

Thinking, Zheng Ren pulls out his phone, hesitates a bit, and calls Feng Jianguo.

"Brother Feng, a patient was just sent to your department; who took him?" Zheng Ren asks.

"The Inpatient Chief and Xiao Cao went to see him." Feng Jianguo says on the phone: "I'm looking at the images, intestinal rupture, preparing for surgery."

"Patient's family, have you seen them on your side?"

"I took a glance; isn't that just rushing to look at the images? The patient's family seems to have a conflict, they're arguing." Feng Jianguo says absentmindedly.

The family's internal conflict, doctors and nurses rarely intervene.

Just focus on treating the illness; why meddle in others' household affairs? Even an honest official can't settle family matters, let alone doctors and nurses.

If one forcibly intervenes, they might end up bearing the blame.

"Brother Feng, I'll go take a look." Zheng Ren says while walking.

"Huh? Do you know this patient?"

"I don't know him; it's rather complicated." Zheng Ren also feels helpless, "It's a patient who developed intestinal rupture after liposuction."

"After liposuction?" Feng Jianguo is somewhat surprised.

Although he's been in Gastroenterology Surgery for decades, he's still seeing liposuction causing intestinal rupture for the first time. On his side, he just took the patient, hasn't had time to ask about medical history, and the family started arguing.

"Let's talk in person." Zheng Ren says, then hangs up.

Zheng Ren also can't be bothered to predict what to do; better to first see the patient and family, then adapt. Besides, the family still has internal conflict; no matter how much he thinks, it's useless.

Soon, he arrives at Gastroenterology Surgery.

A weather-beaten, dark-skinned farm woman stands in the hallway, clutching a young man's clothes with one hand while wiping tears with the other.

The young man looks about 22-23 years old, with a frivolous air, and has an earring in his left ear. He is impatient, wearing a look of disgust.

The hallway is chaotic; patients' families, doctors, and nurses are all busy; Their conversation, Zheng Ren couldn't hear clearly.

He walked a few steps closer, and Zheng Ren heard the peasant woman pleading: "Child, I don't have any money here, but we need to save our lives."

"None of my business!" the young man flicked his sleeve, saying: "I'm telling you, don't try to scam me, damn it, this has nothing to do with me!"

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End of Chapter

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