Chapter 1521: 1474: Pitiful Parents' Hearts (Sect Leader Qi Ye Yao's Extra Chapter)

"It's probably the cap of a drink bottle." Li Yufen said anxiously, handing the film bag to Director Wei.

"I also heard the Teacher say that a few kids were playing, and somehow the child got a foreign object stuck. It was chaotic at the time; the Teacher came to help, but they didn't get it out, saying the child had swallowed the bottle cap directly."

Normally, children swallowing coins is common. Bottle caps… although their diameter is similar to coins, they are thicker, and in imaging they are not as easy to spot as coins.

After all, plastic objects normally do not show up on X-rays.

If you look closely, you can notice a slight difference in density, but it's hard to spot as readily as a metallic object like a coin.

This is a bit troublesome.

"After that… I got the call and rushed to the kindergarten, immediately taking the child to the nearby hospital." Li Yufen was a little anxious, but her account of the medical history was Clarity, still understandable.

"It scared me to death, but the child seemed fine at the time, and I felt a bit better. I went to the hospital for an exam; the doctor palpated the abdomen, there was no pain or other symptoms, just like usual. Then I gradually felt more at ease, thinking maybe nothing was wrong."

"Later, an abdominal plain film was taken; the Emergency Department doctor couldn't see the location, so they went to the Inpatient Department to have a look."

"A bunch of directors and professors came to view the film, and finally confirmed that the bottle cap had passed through gastric emptying and was now in the intestinal tract."

Speaking, Li Yufen took out a film in chronological order.

This person is very orderly, urgent but not chaotic, able to stay rational—quite rare.

If it were someone clumsy, forgetting to bring the film wouldn't be uncommon; going back to fetch it would waste several hours back and forth.

Director Wei picked up the film, and Zheng Ren moved closer.

This is merely a condition briefing room; to prevent patients' families from losing emotional control, the tables and chairs are flush with the floor.

There was no viewbox installed; Director Wei held the film up to the light to examine it.

It was a chest-abdominal fluoroscopy; the Radiology Department doctor finally marked a film.

The Radiology Department doctor was also conscientious; they likely had the child stand on the machine, tried many angles, finally located the position, and then marked the film.

After all, a plastic bottle cap differs from a metallic coin; if it were a metal coin, standing and taking an X-ray would show it directly.

Even so, the image remained very blurry.

Director Wei squinted at the film; the child's lower abdomen appeared as a blank white area.

There were a few spots with slightly different density; Director Wei and Zheng Ren examined them one by one.

No wonder Li Yufen said the Emergency Department doctor dared not judge; only after many professors consulted did they say the bottle cap had reached the intestines.

From this marked film, it's hard to locate the bottle cap's position.

After looking for a full three minutes, Zheng Ren then marked a spot in the lower abdomen and said, "Director Wei, is it here?"

"I also suspect it's here." Director Wei didn't act superior, treating Zheng Ren as a junior doctor, but spoke in a consultative tone.

"Then what? What did that side say?" Zheng Ren asked.

Li Yufen looked somewhat surprised at Zheng Ren and Director Wei, glanced at Zheng Ren, then said: "After the consultation, the professor said it should be no big problem, asking me to monitor the child's bowel movements these days, as it could be expelled at any time."

"Not expelled?" Director Wei asked.

"No." Li Yufen said firmly: "I checked both bowel movements carefully; even if only half a bottle cap remained after digestion, I would be able to find it."

Sigh, Zheng Ren let out a breath in his heart.

Pitiful parents' hearts under heaven.

He could even imagine that over these two days the child's bowel movements weren't in the flush toilet; each time after defecating, Li Yufen would examine them with eager anticipation, bit by bit.

Being a parent truly is not easy.

"I observed yesterday morning that the child had right lower abdominal pain." Li Yufen said: "I brought the child to the hospital again and took a second film. The doctor said the bottle cap's position hadn't changed, and they also couldn't figure out what was going on. Normally, it should have been expelled."

Speaking, she took out the second film, handed it to Director Wei, then took back the first film, checked the date on it, and put the film back into its original film bag.

This film's image is similar to the first one; only due to body position and the doctor taking the film, the area of increased density shows a slight change.

But after reconstruction, Zheng Ren believed the bottle cap was indeed stationary in its original spot.

Yet there is still a difference between the two films.

The first X-ray marked film showed normal small intestine; the second film showed gas distension in the proximal small intestine.

"Today the child's stomach pain worsened, so I brought him to the hospital for a third film." Li Yufen took out the last film and handed it to Director Wei.

This film shows the bottle cap's position unchanged, still in the right lower abdomen. The difference is that gas distension in the proximal small intestine has worsened, and the intestinal tube can be seen with relatively obvious dilation.

Together with the patient's mother's account, Zheng Ren considered that there were signs of acute inflammation, accompanied by acute intestinal obstruction.

Strange, where is it stuck?

If it were a coin or another blunt object, getting stuck somewhere, Zheng Ren could still understand.

Although it's a low-probability event, since the patient's parents were able to come to 912, it proves that nearby hospitals cannot resolve the matter.

So Zheng Ren can accept the low-probability event.

However, unlike blunt objects, the edge of the bottle cap is slightly sharp.

This degree of sharpness is not enough to cut the stomach or intestinal wall, but the intestinal wall tissue possesses a self-protective function; upon encountering a sharp stimulus, it produces an avoidance response.

This is not a conscious human intention, but rather an innate self-protective instinct of the body.

The slightly sharp edge of the bottle cap stimulates the intestine, avoiding injury and enhancing emptying.

Theoretically, it should be expelled within a day; how could it become lodged in the intestine?

Zheng Ren couldn't figure it out.

Just as Director Wei was about to set the film down, Zheng Ren took it over and examined it carefully against the light.

"Did the child have bowel movements yesterday and today?" Zheng Ren asked.

"Yes, but not much, and a bit loose."

At least a partial intestinal obstruction can be diagnosed, but this is rather strange.

It's not a large object, and the intestine's elasticity is still strong; how did it get stuck?

What a strange thing!

Zheng Ren successively considered several possibilities, none of which were significant enough to be stated as a diagnosis.

And Director Wei had already agreed with Li Yufen to bring the child to the hospital.

Judging by the situation, it's estimated that an emergency Shou Bing will be needed to take out the bottle cap.

Li Yufen, although she looked distressed, had no choice but to make a phone call, asking her lover to bring the child over.

"Zheng Lao Ban, what do you think?" Director Wei asked.

Zheng Ren also couldn't figure it out; in front of Director Wei, there was no need to mention those strange and bizarre guesses.

He slightly shook his head, preparing to wait until the patient arrives before saying more.