Prev
Ch. 1766 / 318255%
Next

Chapter 1766: then translation of title

~7 min read 1,271 words

Arrived at ICU, changed clothes and walked in, Zheng Ren saw Ren Ling's System Panel redness had somewhat receded, it looked like the condition was gradually improving.

"Zheng Lao Ban, coming to see the eye patient?" the ICU Inpatient Chief said.

"Mm-hmm, you're busy, I'll just take a quick look." Zheng Ren said with a smile.

"The overall condition is gradually recovering, except the pelvic drainage volume is still a bit large." the ICU Inpatient Chief said.

This is exactly what Zheng Ren was worried about.

He again carefully examined Ren Ling's System Panel once more, with no unfamiliar diseases or complications, such as the life-threatening diagnosis of pancreatic leak.

"Let me look at the record." Zheng Ren said.

The ICU Inpatient Chief set aside his current work, brought Zheng Ren to the computer, and found Ren Ling's medical record and nursing notes for him.

Now Zheng Ren is the talk of the 912, and the ICU Inpatient Chief has also heard about it.

What people say doesn't matter; after the patient named Ren Ling was sent over, our side still couldn't see the Shou Bing record.

She urged three or five times, but the Gastroenterology Surgery side kept saying it was still being written.

The ICU Inpatient Chief found it strange—just a Shou Bing record, what's there to write? In a mature large tertiary hospital like 912, what Shou Bing hasn't been done? What Shou Bing record template is missing?

Normally, you just paste the template and make a few modifications based on the intraoperative situation, and that's enough.

Writing a postoperative record in 20 minutes is already considered lengthy; surely the Gastroenterology Surgery side is slacking off, and the ICU Inpatient Chief looks down on this.

Later, during morning rounds, the director was furious that Gastroenterology Surgery still hadn't written the Shou Bing record.

The director directly called Director Wei to explain the situation.

Such a situation isn't common, but it's not rare either. After a night of Shou Bing, exhausted, who has the energy to write the Shou Bing record overnight? Yet the unwritten rule is that it must be finished before the morning handover.

Otherwise, when the senior director does rounds, our side wouldn't even be able to say what the Shou Bing technique was—that would be fucked.

Surely it's some resident doctor slacking off—that's what the ICU Inpatient Chief thought.

But when the call was made to Director Wei, that side remained very calm.

Director Wei seemed to know the situation; he didn't angrily scold, but told this side to wait, and the Shou Bing record would be uploaded in another 3 or 5 hours.

Then let's wait.

But when the Shou Bing record was finally transmitted, the ICU Inpatient Chief looked stunned.

A Shou Bing record of over three thousand words, she read it for a full hour.

What the hell kind of Shou Bing is this!

During the Shou Bing, the Medical Department's Director Lin gave on-site guidance, cutting and suturing segment by segment, and it was still microsurgery Shou Bing; finally, there was also reconstruction of the superior mesenteric Artery.

After reading it, the ICU Inpatient Chief pondered for almost a day but still couldn't figure out how such a critically ill patient managed to survive.

Surviving isn't the only thing; the recovery is also quite fast.

After 24 hours she could be taken off monitoring, but she and the director reported the Shou Bing situation; upon seeing the longest Shou Bing record in history, the ICU director also fell silent.

This is a Shou Bing record that leaves anyone, man or woman, silent upon reading it.

Out of caution, it was decided to keep her under monitoring for another 48 hours.

The ICU Inpatient Chief spent the whole day observing Ren Ling's condition changes; all lab indicators showed varying degrees of improvement, the person was actually awake and could completely do without ventilator assistance.

Apart from the pelvic drainage being a bit more, everything else is fine. Moreover… after waking up, the patient's agitation is slightly worse.

With such severe trauma and such rapid recovery, everyone who knows about it sincerely admires it.

And the Shou Bing was performed by this Zheng Lao Ban.

He can be called a divine person!

The ICU Inpatient Chief doesn't understand how Shou Bing is done, but performing a Shou Bing that enables someone to write a over-three-thousand-word Shou Bing record—he has seen only one such person in his lifetime.

Utterly unique.

If this doesn't count as awesome, what does?

Unbeknownst to him, Zheng Ren gained another little fan… an old fan.

"Zheng Lao Ban, today's peritoneal drainage is a bit less than yesterday's, 600ml, pale yellow, with sediment." the ICU Inpatient Chief said.

"Pale yellow..." Zheng Ren recalled the drainage color from when he came yesterday to check, and reviewed this morning's various lab urgent reports.

Pale yellow drainage fluid, Zheng Ren pondered: it doesn't resemble gastric fluid, nor intestinal fluid, and certainly not lymphatic leak.

If it were biliary leak, the color should be darker; the patient has lots of clear urine, so it's not urinary extravasation either.

Could it be pancreatic fluid, with a missed pancreatic injury during intraoperative exploration?

Because the Shou Bing's completion wasn't a hundred percent, Zheng Ren had this suspicion.

Although Big Pig Trotter didn't give a definite complication diagnosis, he still thought of this.

This morning's lab tests showed no value for urinary amylase; although the likelihood is low, this possibility cannot be ruled out.

"Please check the urinary amylase." Zheng Ren said.

"Are you suspecting a pancreatic problem?" the ICU Inpatient Chief asked, "The physical signs don't really match."

"Just checking the situation, worried about a miss. Intraoperative exploration showed liver contusion, spleen contusion, but the pancreas seemed fine." Zheng Ren said, then suddenly froze.

"The pancreas is definitely fine; I examined it carefully, it's intact, no traumatic injury." Su Yun said.

"No!" Zheng Ren suddenly raised his hand, paused, a thought flashed in his mind, then was abruptly cut off by Su Yun.

"How?" Su Yun still didn't realize she had interrupted Zheng Ren's train of thought.

"No signs of peritonitis; I'll check the physique shortly." Zheng Ren said, "The possibility of a pancreatic problem is really not high."

"I think you're just overly suspicious; the drainage will decrease on its own, as long as what's drained isn't bloody fluid, you've nothing to worry about." Su Yun said contemptuously.

"It's not fear; with this much drainage, there ought to be an explanation." Zheng Ren said, then went to examine the patient.

The drainage bag contained about 300ml of pale yellow fluid; emptied this morning, at this point there are over 300ml, meaning today's drainage still won't be low.

Zheng Ren looked at the System Panel again; still no special diagnosis.

He began the physical exam, just as described in the progress notes: no signs of peritonitis, incision intact, drainage patent, and no bloody fluid output.

When pressing on the abdomen, Zheng Ren noticed the patient frowning and exhibiting restless behavior.

Post-operative pain is possible, but I didn't use much force, so the reaction shouldn't be this strong.

But after Zheng Ren listened to bowel sounds with the stethoscope, all the Doubt was no longer valid.

Bowel sounds 4-5 times per minute.

It's not intestinal paralysis, nor is there a problem with the pancreas. If there were digestive fluid in the abdominal cavity, intestinal paralysis should definitely appear within 36 hours.

And now all vital signs are quite stable…… it doesn't seem like there's anything wrong.

But where on earth is all this drainage fluid coming from?

◈

End of Chapter

Prev
Ch. 1766 / 318255%
Next
Prev
Ch. 1766 / 318255%
Next