Chapter 1523: 1476 Then I

Director Wei heard Zheng Ren's vague answer and was somewhat dissatisfied.

He knew the patient's parents, and seeing the child's mother slumped like soft mud, he felt an urgency to cure the child.

At this moment, he wished Zheng Lao Ban would just say it's a small matter, no problem.

But he said he needed surgery, an exploratory laparotomy, exactly what he had in mind.

Who couldn't do that?

However, without any preoperative tests, asking Zheng Lao Ban for a definite answer is somewhat demanding.

Director Wei sighed, leaning on his waist; two deep squirts had greatly damaged his lumbar disc, and he thought he could no longer do such movements.

Ten minutes later, preoperative preparations were complete.

IV line, gastric tube, urinary catheter, and prepping the surgical site—the overall quality of the 912 team is quite high, especially during emergency rescues, where this quality is fully demonstrated.

"Zheng Lao Ban, my old back…" Director Wei said with a wry smile, "Please take it up, have a look first; I'll stay below to explain and get signatures from the patient's family."

Zheng Ren nodded and rushed the patient straight to the operating room.

Although the diagnosis was clear, Zheng Ren still raced against time to get the patient onto the table.

Time is life; if they lingered downstairs for even half an hour while things seemed stable, the child might not be saved.

Arriving at the operating room, they happened to see Quan Xiaocao sending down a patient with gallstones.

Zheng Ren handed the child to the waiting Lao He, then hurried to change clothes.

"Boss, what's the illness?" Su Yun asked.

"He swallowed a bottle cap, lodged in a Meckel's diverticulum," Zheng Ren said.

"I…" Su Yun exclaimed, then looked at Zheng Ren and asked, "Are you going up?"

"Director Wei did two deep squats; his lumbar disc might not hold up." Zheng Ren said, "Hurry up and get it done quickly. The patient's Meckel's diverticulum is bleeding, but it's probably not serious."

"How did you diagnose it?" Su Yun's eyes narrowed; because he wore a sterile cap, the black hair on his forehead wanted to flutter inside but was pressed flat.

"The child's mother is in the intraoperative consultation room; go get the films. While you're in there during anesthesia, I'll tell you," Zheng Ren said calmly.

Su Yun this guy is too smart; after several recent events, he seems to have developed doubts.

So let professional knowledge tell him why, to avoid him having thoughts and constantly staring at me.

Being stared at, especially by Su Yun, feels awful.

After saying that, Zheng Ren changed clothes and strode into the operating room.

Su Yun looked dubiously at Zheng Ren—Meckel's diverticulum? Diagnosing that seems difficult.

However, he said nothing, went out and entered the intraoperative consultation room, where he saw a gastroenterology professor looking at the films while also looking at a middle-aged woman.

Just an abdominal plain film—is that what the boss used to make the diagnosis?

Su Yun politely asked the professor for the films, saying they were needed for surgery; when the team-leading professor heard it was about a Meckel's diverticulum, he also had doubts.

While he was pondering, Su Yun grabbed the films and hurried back to the operating room.

"Boss, there are only three X‑ray films—how did you diagnose it? Come, teach me." Su Yun used the word "teach" for the first time.

But it was obvious that there was a strong tone of mockery.

Lao He was administering the tense anesthesia.

The child's anesthesia required great care; facing Zheng Lao Ban, Lao He dared not be the slightest bit negligent.

This really was a coincidence; today I'm on the ER shift, with two back‑to‑back gastrointestinal emergency surgeries.

As they say, opportunities favor the prepared; when a large gallstone appeared, I notified Zheng Lao Ban right away, knowing he'd be interested.

As for the film‑reading side, Lao He stole a few glances in between his busy tasks.

Only an abdominal plain film… what did Zheng Lao Ban diagnose?

Meckel's diverticulum? No way! He diagnosed it with a plain film?

Awesome!

Lao He is not like Su Yun; he has successfully brainwashed himself into believing that as long as Zheng Lao Ban's diagnosis is correct!

That's what a qualified anesthetist in the medical team ought to do.

If they don't trust the surgeon's diagnosis, the medical team might as well disband.

Zheng Ren didn't even go through the full history; he just put the last X‑ray film on the viewer and asked, "An X‑ray plain film provides data; can you convert it into an abdominal CT?"

"Yes." Su Yun said firmly, his eyes unconsciously narrowing, the corners lifting, drawing who‑knows‑how‑many glances from the circulating nurses.

Just,

in the operating room,

in front of the viewer,

a few straight‑acting tough guys went unnoticed.

"Here." Zheng Ren pointed to a spot on the child's lower right abdomen, "The density is off; convert it to a CT image."

Quan Xiaocao went to send the patient down; Feng Jianguo knew there was another surgery, so he took off his sterile gown but didn't go downstairs, staying in the consultation room.

He stood at the back, his eyes on the X‑ray film, his ears hearing Zheng Ren and Su Yun's conversation.

Ni ma, converting the raw data of a plain film into an abdominal CT…

Is this something a person can do? If only Zheng Lao Ban could do it, that would be normal.

But Su Yun said he could too, and their conversation was calm, as if they'd done this many times before.

Feng Jianguo felt a sense of helplessness.

The worst thing is this kind of genius—he's been like that since school.

They don't need to do anything; one look and they get it, exams are full marks.

Others play all day, never study, yet their final scores turn out better than the hard‑won results of my own grinding.

As he was thinking, Feng Jianguo heard Zheng Ren say: "The diverticulum arises from the vitelline and omphalomesenteric ducts that fail to fully regress, connecting the midgut to the yolk sac in early embryology; it's a developmental remnant. Diverticula can become inflamed, presenting clinically as acute abdomen."

「On CT images, inflamed Meckel's diverticulum appears as pouches of varying size, with wall thickening and surrounding mesenteric inflammation. 」 Zheng Ren continued: 「On plain films, the density shows a slight change; this tiny anomaly in the raw data is exactly what feels off to me. 」

「On CT images, the intestinal wall here shows thickening, with severe inflammation of the surrounding mesentery, stimulating the child's peritoneum and presenting the sign of a board-like abdomen. 」

「Inflamed Meckel's diverticulum resembles inflamed appendix. 」 Su Yun frowned, asking: 「How did you determine this? 」

「Differentiating these two diseases is actually not difficult. 」 Zheng Ren said confidently, pointing his finger at the abdominal X-ray.

「Here is the location of Meckel's diverticulitis. 」 Zheng Ren said: 「The inflammatory structure is attached to the distal ileum, not the cecum, and usually a normal appendix can be confirmed separate from the lesion. 」

Su Yun frowned in thought.

Zheng Ren spoke a bit fast; he felt his brain was running at high speed, but the speed just wouldn't go up.

The Sterile Cap had successfully hindered heat dissipation, making Su Yun feel somewhat troubled.

「Often, on CT images, Meckel's diverticulitis located in the anterior midline may be suspected as an infected urachal cyst. 」