Chapter 1529: with translation of chapter title

Take it easy. Zheng Ren gently assisted the patient, giving warm advice.

Maybe it's the Charm Value, maybe the Will of the Great Universe, but the patient's mood eased a bit.

Charm Value

Will of the Great Universe

patient

"Doctor, am I alright?" she asked Zheng Ren nervously.

doctor

Zheng Ren

Zheng Ren grabbed the wheelchair for the accompanying examination and personally escorted the patient to the Emergency Resuscitation Room.

Zheng Ren

accompanying examination

wheelchair

Emergency Resuscitation Room

If there's a problem, just being present means I can at least help out. Especially the rescue at the First Time, it's crucial.

First Time

rescue

He wanted the accompanying inspection to take care of it, but Zheng Ren wasn't comfortable with that.

accompanying inspection

Zheng Ren

If he gets jealous, during emergency rescue, Zheng Ren wouldn't back down from anyone.

emergency rescue

Zheng Ren

After all, with the System Space, I can try all sorts of treatment methods. We're adults, so we shouldn't have to choose—we want it all.

System Space

treatment method

adult

It's just a heart issue; let Su Yun take care of it so he doesn't feel stifled and make things worse.

heart

Su Yun

In the rescue room, Zheng Ren helped the patient lie down on the rescue bed.

rescue room

Zheng Ren

patient

"ECG, stat!" Su Yun said.

ECG

Su Yun

The nurse pushed the ECG machine over and ran up.

little nurse

ECG machine

"Don't touch me!" the female patient realized what was happening and shouted.

female patient

"Doctor Su, are you sure?" Zhou Litao could see the patient was in trouble and quietly asked Su Yun.

Doctor Su

Zhou Litao

Su Yun

"The heart sounds are faint and distant, indicating moderate to severe pericardial effusion, likely severe." Su Yun said: "We need an echocardiogram, and after the exam we'll send the patient to Thoracic."

heart sound

pericardial effusion

echocardiogram

Thoracic

Su Yun

"Okay." Zhou Litao said right away.

Zhou Litao

Zheng Ren thought it was strange.

Zheng Ren

Strange

Su Yun felt the same; seeing the patient struggle desperately, he refused to let the nurse attach the ECG leads.

Su Yun

patient

nurse

ECG leads

Damn it!

- Exclamation, no named entity.

He's so energetic, and after activity he shows no abnormal signs—nothing like what you'd expect from a pericardial effusion patient.

pericardial effusion

Su Yun frowned, recalling, confident his auscultation couldn't be wrong.

Su Yun

He still had that confidence.

- No named.

"If that doesn't work, let's just do a CT; that's always an option." Seeing the patient and nurse at an impasse, Zheng Ren quietly suggested.

CT

Zheng Ren

patient

nurse

The patient agreed to Zheng Ren's suggestion; she just didn't want to undress for the exam, even if it was the nurse.

patient

Zheng Ren

nurse

Su Yun felt a bit embarrassed; seeing the patient jumping around energetically, he didn't look like someone with severe pericardial effusion.

Su Yun

patient

pericardial effusion

In an instant, he felt completely unwell.

- No named.

Is it my judgment that's wrong? Damn, even reading an intestinal X‑ray fails—how can I mess up heart auscultation?

- MD (maybe "medical doctor"? Not a name.)

intestine

X-ray film

heart

auscultation

He eyed the patient dubiously, recalling the earlier auscultation sounds.

- No named.

The heart sounds are faint and distant; I definitely won't mishear!

- No named.

Could it be a congenital condition? The patient has already tolerated it? That seems unlikely.

- No named.

After agonizing for a long time, Su Yun went to Zheng Ren and asked, "Boss, what do you think?"

Su Yun

Zheng Ren

Boss

"It doesn't seem like an illness, but I trust your judgment." Zheng Ren felt the same.

Zheng Ren

The accompanying inspection pushed the wheelchair to take the patient for examination; Zheng Ren and Su Yun exchanged a glance and followed.

accompanying inspection

wheelchair

patient

Zheng Ren

Su Yun

Along the way, the two remained silent, each thinking of countless possibilities.

- No named.

Arriving at the CT Shi, the patient finished the exam and returned calmly, seemingly forgetting why she'd come to the Hospital.

CT Shi

patient

Calm

Hospital

It was just intercostal neuralgia, yet it blew up out of proportion. After a while, the patient felt fine and treated Zheng Ren and Su Yun with utter contempt. She also wasn't worried, and just left with the accompanying inspection.

intercostal neuralgia

patient

Zheng Ren

Su Yun

accompanying inspection

She also not Worry

Similarly for other glossary terms like "奇怪" -> Strange, "喪氣" -> Discouraged, "第一時間" -> First Time, etc.

We'll need to replace those terms accordingly.

Continue.

Su Yun eagerly opened the image to examine the patient's CT scan.

Su Yun

patient

CT film

Lungs: no tumor, no atelectasis, no inflammation, not even a small nodule.

- No named.

Heart: no pericardial effusion, and no plaque shadows in the coronary arteries.

heart

pericardial effusion

coronary artery

patchy shadow

Everything was normal, completely problem-free.

- No named.

He sat quietly off to the side, his black hair hanging over his forehead, listless.

- No named.

Zheng Ren glanced at the film and saw there was nothing wrong.

Zheng Ren

film

It's just that something about the film seems off.

- No named.

He went through frame by frame; on his first pass, Zheng Ren found no sign of disease, and the Big Pig Trotter remained as reliable as ever.

frame by frame

Zheng Ren

Big Pig Trotter

reliable

But…… could Su Yun be wrong? The rising star of Cardiothoracic Surgery, even missing a pericardial effusion on auscultation?

Su Yun

Cardiothoracic Surgery

rising star

pericardial effusion

auscultation

Impossible!

- No named.

Zheng Ren trusted Su Yun's skill; this trust had built up over countless rescues, surgeries, diagnoses, and treatments.

Zheng Ren

Su Yun

Skill

Shou Bing

diagnosis

treatment

trust

He felt that he always sensed something abnormal, chalking it up to psychological effects.

- No named.

On the second look at the CT image, Zheng Ren slowly searched for the root cause.

second time

CT image

Zheng Ren

"Boss, it's useless." Su Yun, head down, Discouraged, said, "Definitely no problem—the patient just has intercostal neuralgia."

Boss

Su Yun

drooping head Discouraged

patient

intercostal neuralgia

"No, I'll look again." Zheng Ren didn't give up, carefully checking each frame for any possible problem.

incorrect

Zheng Ren

each frame

image

Ten Minute passed.

Ten Minute

"He's gone." Su Yun stood up, sighed, and patted Zheng Ren on the shoulder.

Su Yun

Zheng Ren

Zheng Ren was intently looking at the film when Su Yun tapped him, making him jump.

Zheng Ren

he

In an instant, Zheng Ren's eyes lit up.

Zheng Ren

"Wait a second, what is this?" Zheng Ren's voice rose a bit, showing excitement.

Zheng Ren

"Huh?" Su Yun followed Zheng Ren's finger and looked.

Su Yun

Zheng Ren

A trace of subcutaneous gas.

- No named.

There's only a trace; it's not obvious, and most would assume it's an artifact of the machine.

- No named.

Uh... how did you come?

"Have you noticed something wrong with the patient's skin?" Zheng Ren asked.

"A bit thick, possibly..."

As he spoke, Su Yun froze.

Thick skin?

He immediately picked up his phone, made a call, and walked out.

Zheng Ren ignored Su Yun and continued to perform the imaging using a reconstruction method.

From above the patient's ribs up to the top layer of the lung CT scan, there were problems. The skin was too thick, but the subcutaneous tissue and dermis felt normal.

However, the epidermis showed widespread hyperplasia, accompanied by bubble-like images in the middle.

The bubbles were few, but they truly existed.

What's going on?

Zheng Ren's analysis could only go this far.

He searched through countless diseases, countless related and similar research reports, and case analyses.

But not a single article matched the patient's condition before him.

Could it be a rare disease?

It's possible, Zheng Ren pondered deeply.

In the hallway, a hearty laugh came, then was suppressed.

It was Su Yun, who had made a breakthrough! Zheng Ren turned around and saw Su Yun walking in with a smile, his black hair fluttering on his forehead, already regained vitality.

"What's going on?" Zheng Ren asked.

"He's gone." Su Yun smiled, "Walking and talking."

"I feel that the epidermal layer above the patient's rib arch has pathological hyperplasia, the density of the hyperplasia is very strange, unlike the epidermal layer, and moreover..." Zheng Ren stood up, walking and whispering aside from his own judgment.

"I'll show you a video in a bit." Su Yun laughed.

He didn't walk in the inpatient department, but went out the back door to an outdoor smoking area.

He took out a cigarette, flicked his wrist, and a cigarette popped out.

Zheng Ren took the opportunity, looking at Su Yun, wondering what discovery this guy had.

Su Yun lit a cigarette, took out his phone, and laughed: "Always busy with you, we're falling behind."

What does it have to do with me? Zheng Ren said he'd been inadvertently implicated.

In the video, a girl with a fiery figure, thin to nothing but chest, was calling out "Yun Ge'er, Yun Ge'er" like a lark's cheer.

It should be a selfie video; she fixed her phone, started facing it, and placed her fingers on her neck.