Chapter 149: 0146 Localized Neural Plexus Paralysis Degeneration Syndrome

It was almost noon, and Chang Yue insisted on taking the patient's son to the restaurant across from the hospital for a meal.

The patient's son hurriedly declined, but Chang Yue was very firm, not allowing refusal.

Yang Lei followed Chang Yue, but Zheng Ren couldn't leave; after chatting a few sentences, he saw Chang Yue and the patient's son off, then prepared to go to the cafeteria.

As an experienced clinical doctor, if a task will take more than ten minutes, preparations must be made beforehand—namely, making rounds.

Only if the patient is stable can one avoid disturbance. Otherwise, one must anxiously wait for an unknown phone call, unable to even eat a proper meal.

Zheng Ren began his second round of the day.

All patients in the emergency ward were stable, including the two transferred from the ICU.

Tangxiu also knew about the verbal sparring that had just taken place in the doctor's office; she felt a bit embarrassed, but Zheng Ren acted as if it had never happened.

After entering the room, he performed a physical exam and asked about the condition, just like with other patients.

The patient's vital signs were stable; because it was an interventional procedure, postoperative pain was not severe, only a feeling of abdominal distension.

Zheng Ren judged that it was caused by blood accumulated in the peritoneal cavity irritating the peritoneum; he comforted the patient with a few words and dispelled the patient's idea of going home that evening.

What a joke—yesterday afternoon, when he came, one foot had already stepped into the gates of hell, and now he wants to go home?

Although the hospital's conditions are far worse than at home, after all there is a doctor on duty; if any dangerous situation arises, one can go straight to surgery for laparotomy, which is certainly better than waiting at home for the 120 emergency service and losing time.

Regarding this request from the patient, Zheng Ren refused firmly.

Tangxiu's father also did not insist further; when Zheng Ren told him that after another day of recovery he could get out of bed, the old man finally smiled.

The patient with a ruptured spleen lay in bed; because of the laparotomy, he had to wait for gas to pass before eating. The couple didn't know what to say, chatting and laughing, appearing warm and harmonious.

Who could have known that yesterday the wife had just stabbed her husband into hemorrhagic shock?

So, impulsiveness is the devil; you can argue, but try not to come to blows.

Zheng Ren went in, chatted a few words with the patient's family, saw that the patient with a ruptured spleen was recovering quickly, and also told the patient and family that after passing gas and eating today, the patient could get out of bed and move around a bit.

The ward was stable, but that wasn't enough. As the Inpatient Chief, Zheng Ren still needed to glance at the Emergency Department.

Su Yun also had nowhere to go for a meal; he didn't follow Chang Yue to mooch food, unsure whether it was the shadow left by eleven boxes of big green sticks or simply an unwillingness to communicate with the patient's family.

The two went to the Emergency Department, and accompanied by the on‑call doctor, they toured the emergency ward. It was still just minor injuries and illnesses; a few anti‑inflammatory pills and dehydration medication would suffice, with no misdiagnosis or lurking critical conditions.

Fortunately, seeing that all patients were stable, Zheng Ren's heart rate was 80 beats per minute, making him feel especially comfortable.

Eating, sleeping, waiting for the unknown arrival of emergency cases—Zheng Ren had already worked out his plan for today's work.

After leaving the emergency observation room and exchanging a few words with the on‑call doctor, just as he was about to go, Zheng Ren turned back and saw two patients' relatives pushing a small cart into the Emergency Building.

On the cart lay a thin, wizened elderly woman who appeared to be over seventy.

"What's wrong with the patient?" Zheng Ren asked, taking two quick steps forward.

"My grandma fell a few days ago while passing by; now both legs are useless and she can't walk," said a vigorous young man in his twenties.

"Bring a wheelchair." Zheng Ren called out to those behind.

Whether it was Su Yun pushing the wheelchair or the on‑call doctor doing so, it was no longer Zheng Ren's concern.

A tranquil green filled the upper‑right corner of the system panel, indicating nothing wrong. Zheng Ren wondered, and carefully examined the elderly woman lying on the cart.

The old woman's face was lined with bitter wrinkles, her eyes narrowed to slits, and one could faintly see traces of recent crying. Because of her age, her teeth were probably bad, her cheeks slightly sunken, making her look listless overall.

Several layers of padding were laid on the cart; she lay on them, covered with a thick cotton quilt.

A dust‑laden aura came blowing toward them.

Could it have been pushed here? This is simply terrifying, Zheng Ren thought.

"How was it pushed here?" Zheng Ren asked tentatively.

Another, older family member said with a worried face: "My mother can't stand up; if she rode in a vehicle, lying down would be fine, but I fear she'd be uncomfortable in the car, so we brought her here by pushing."

The family are decent people, Zheng Ren thought.

The on‑call surgeon pushed a wheelchair over, and several people, all hands on deck, helped the elderly woman onto it.

Zheng Ren harbored doubts; while supporting her, he deliberately loosened his grip for a moment, then grabbed tight again.

In that instant when he let go, the old woman lurched toward him.

Because something was blocking, Zheng Ren wasn't afraid the old woman would fall.

But he noticed that the patient suddenly exerted force with her right leg to support her body.

In that instant, many years' worth of differential diagnoses and thoughts flashed through Zheng Ren's mind; combining them with the information from the system panel, he arrived at his own diagnosis.

"What part of the body was injured when she fell, and where was she examined?" Zheng Ren asked while pushing the wheelchair toward the Emergency Resuscitation Room, walking and inquiring all the way.

"Nothing else is wrong; she just bumped her head. At the time we went to the rural clinic, the doctor said it was fine but warned to watch for delayed intracranial hemorrhage—if it occurs, she won't die but will be paralyzed. After two or three days she gradually couldn't walk. So I took her to the town hospital for checks—B‑scan, CT, etc. —and nothing was found."

Upon arriving at the emergency department, Zheng Ren carefully examined all the test reports and CT films brought by the family.

Nothing; everything was fine.

No intracranial hemorrhage, no fractures, no intra‑abdominal organ bleeding—yet how could she be paralyzed?

Zheng Ren stood before the viewbox, lost in thought, while the patient's family grew increasingly worried.

They wanted to ask, but felt restrained and timid, not daring to disturb Zheng Ren's train of thought.

But if they didn't ask… Haicheng Shi Yiyuan is the biggest hospital they can think of; if even here we can't figure it out, the old lady will likely never stand again in her lifetime.

"Maybe she's faking it." Su Yun said softly from beside and slightly behind Zheng Ren.

Zheng Ren said nothing, merely shaking his head.

"This is a very rare localized neural plexus paralysis degeneration syndrome." Zheng Ren said seriously, standing before the patient and her family.

"..."

"..."

Su Yun and the on‑call surgeon looked bewildered.

"What the heck kind of diagnosis is this? I've never heard of it."

But seeing Zheng Ren's solemn, earnest expression and his tone full of authority only deepened their doubt.

Ah? The patient's family members were stunned all at once.

It sounds pretty serious.

The old lady wasn't deaf; she heard everything clearly, and two streams of murky tears flowed down from the corners of her eyes.

"But you guys are lucky," Zheng Ren said calmly afterward.

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