Chapter 1417: 1373 Unexpected Situation

The hard object was an irregular glass shard about 1.5 cm in diameter, covered in blood.

"Yun Ge'er, help me call gastroenterology to have them come take a look with a gastroscope." Fang Lin stopped the bleeding, while he began rinsing the thoracic cavity and mediastinum, checking for any missed glass shards, and said to Su Yun.

Fang Lin wasn't sure whether there were glass shards in the stomach; if things continued like this, once postoperative abdominal rigidity occurred, they'd have to come back for another round.

Never mind the patient's suffering; would the patient's family be unhappy, possibly leading to a medical dispute?

If there's a problem, it's better to have a spoonful of stew.

If an examination is needed, the least invasive way is an upper gastroscopy.

But the patient has a nasogastric tube in the esophagus and still needs a gastroscope down; the esophagus itself lacks enough elasticity, which could easily cause secondary damage to the suture site.

"Hehe, you've grown up." Su Yun laughed, took out her phone, and called gastroenterology.

"It's fine; I've done this surgery many times, it's no big deal." Fang Lin laughed: "I asked the patient's family, and they said there's no mental disorder. Yun Ge'er, why would someone eat the glass bottle along with the medicine?"

"Who knows, maybe you were being careless or not thinking clearly." Su Yun, on her end, had already gotten through the phone, calling for an upper GI consultation.

"Yeah." On Fang Lin's side, there was nothing much going on; he was obviously relaxed and happily said: "A few years ago, when I was still in school, I once went to the mall early in the morning. I was the first to enter, took the escalator up to the top floor. A crowd of salespeople stood at the top escalator entrance; seeing me go up, they bent over and said something to me."

"Then what?"

"I didn't hear clearly." Fang Lin gave a hehe laugh, "So I asked them, 'What?'"

"They said it again, but I still didn't hear clearly."

"..." Su Yun looked at him with pity and asked: "You wouldn't have asked again, would you?"

"Definitely, that day my mind was just chewing on exam questions." Fang Lin laughed.

"Boss, take a look—people with brain issues just blurt things out."

"Not bad." Zheng Ren looked at the system panel, a little hesitant, not paying attention to what they were chatting about over there.

"Fang Lin, do you think you're stupid? At that early hour, bending over to talk to you, they were surely saying 'welcome.'" Su Yun said disparagingly.

"Yeah, when they said it for the third time, their eyes tipped me off." Fang Lin felt a bit embarrassed, "Then I turned and left, and while walking I wondered, what would the salespeople say about me? Coming early in the morning just to hear 'welcome' three times?"

"Yeah, you're sick, and pretty badly."

"So after I started working, no matter how much water-brained a patient looks, I can understand." Fang Lin gave a hehe laugh.

"Yo, you even feel the same."

"People, everyone has moments of being water-brained." Fang Lin said.

While they were chatting idly, Professor Feng of the gastroenterology department's second line came up with Quan Xiaocao.

"Yo, Zheng Lao Ban, you're free today." Seeing Zheng Ren, Feng Jianguo first greeted him.

"Feng Ge, here I am." Zheng Ren said with a smile.

Fang Lin felt something odd in his heart; when Zheng Ren first came to 912, he was still Hai Cheng's inpatient chief. Back then, running into any professor over there, wouldn't they have to address him as 'teacher'?

How long has it been, and they're already calling each other brothers?

Calling each other brothers isn't enough; looking at Professor Feng's attitude, he's somewhat humble and respectful. It's obvious he's placing himself in a lower position.

Zheng Lao Ban's growth speed seems to have surpassed Yun Ge'er by a large margin.

"What patient?" Feng Jianguo asked.

"He swallowed broken glass from the medicine bottle." Zheng Ren said, "Let's do a gastroscopy to see if there's major damage to the esophageal mucosa and check for any residual shards in the stomach."

"Okay." Feng Jianguo responded directly, prepared the disinfected gastroscope tip, and began the examination.

After all, he's an old professor; what strange case hasn't he seen? Feng Jianguo showed no surprise at swallowing glass with medicine, but went straight to preparing the equipment for an upper examination.

There was an endotracheal tube and a gastric tube, making this gastroscope rather awkward to maneuver.

But as the gastroscope inched downward, he clearly saw a tiny abrasion at the cardia.

The abrasion was very mild; it could be completely ignored.

Postoperatively, fasting from water for 3–5 days will let it heal naturally.

The gastroscope passed through the cardia into the stomach; near the greater curvature of the gastric body, a defect could be seen, and the glass shard was gone.

Feng Jianguo gave a wry smile, "It's turned into a major job—go look for it."

This surgery, though called a major job, is actually just a laparoscopy to find and remove intra-abdominal foreign bodies, suture the gastric wall, and irrigate—then it's done.

But the difficulty lies in having to rummage through the intestines for glass shards of varying sizes.

If the shards are small, not even a laparoscope will help; even if you do a full midline laparotomy from the xiphoid to the pubic symphysis, making a 40–50 cm incision and dumping out the intestines, you still might not find them.

It's neither big nor small.

"Feng Ge, you go ahead and get busy; I'm heading down with Su Yun." Seeing no missed abdominal injury, Zheng Ren said there was nothing left for him to do here, and told Feng Jianguo.

"Zhang Weiyu from Meiyang said he still has time to get together; have you wrapped up over there, Zheng Lao Ban?" Feng Jianguo asked.

"All done, I'll rest two days, exhausted like a dead dog. Let's meet when we have time, no rush." As soon as food was mentioned, Zheng Ren seized the moment and slipped away.

"Not going to watch the rest?" Su Yun asked.

Zheng Ren glanced over; the gastroscope was withdrawn, and Feng Jianguo led Quan Xiaocao to surgery. Over there, Fang Lin had already begun suturing the esophageal wall, irrigating, probing, and would soon close the chest.

The surgery wasn't difficult; just leave it as is, Zheng Ren shook his head.

"Huh? Rarely seen—normally you wouldn't let go even when suturing skin; you belong to the most hateful kind of surgeon." Su Yun laughed.

"Feng Ge, Fang Lin, we're leaving first." Zheng Ren greeted, then turned and left.

A thoracoabdominal incision—this kind of surgery, in Zheng Ren's view, is no longer considered a major operation.

But at the instant he turned, he suddenly froze.

The patient's system panel changed color, instantly turning a frightening red.

The diagnosis showed intestinal rupture.

I go… Zheng Ren was speechless; this is intestinal peristalsis—the glass shard happened to nick the intestine, causing the rupture.

If it were just a simple intestinal rupture, the system panel wouldn't turn red like this. Based on Zheng Ren's understanding of the big pig trotter, the mesenteric artery must also be broken.

Sure enough, looking further down, it was clearly marked: mesenteric artery rupture.

Seeing Zheng Ren stop, Su Yun felt Strange, "Boss, what's wrong? Want to go up again?"

Zheng Ren said nothing, went straight to the System Space, and selected to purchase Surgical Training Time.

This time he was very resolute; the moment the System Operating Room rose from the ground, he dove in.