Chapter 1767: 1706 Getting to the Root of the Matter (Alliance Leader Wind Rain Swallow Solo Flight Extra Chapter 3)

Boss, are you being a little too nitpicky? Su Yun asked.

Hmm... Zheng Ren was mulling over countless scenarios in his mind; his reply to Su Yun's question was merely an intentional or unintentional long echo.

And then there was nothing after that.

Su Yun also felt helpless, but Zheng Ren insisted on pondering this trivial matter, which he thought was just killing time out of boredom.

If he wants to ponder, let him ponder; Su Yun saw the patient was fine, so she went to chat with the ICU nurses. Zheng Ren had always found it strange—why did he have so much to say to strangers?

If it were me, I'd definitely make awkward small talk for two sentences, and by the third I wouldn't know what to say.

But looking at Su Yun's side, chatting with the two young ICU nurses was lively and enjoyable; the girls were smiling brightly. Stealing a moment of leisure amidst the busy work—could this also count as a perk?

At that time, Director Qian of Haicheng Shi Yiyuan, for the matter of Su Yun wanting to go to the Emergency Department, had even shouted at Director Pan.

However, when it comes to being unreasonable and domineering, Director Pan is quite the expert. Director Qian simply doesn't measure up.

As long as Su Yun is around, the nursing team won't disperse. Zheng Ren recalled Director Pan's conclusion from back then and also found it absurd.

"Zheng Lao Ban, do you have any suspicions? I'll go check right away," the Inpatient Chief of the ICU inquired.

No need for now, I'll think it over, Zheng Ren said, standing by the bedside, not looking at Su Yun but beginning to recall yesterday's consultation process.

It wasn't that I initiated the consultation; I received a phone call saying there was an emergency patient with a pelvic fracture needing rescue, so I rushed over.

Upon entering the Operating Room, I saw……

Wait!

Zheng Ren froze; what he had just been thinking about suddenly became clear.

It's an anesthesia problem!

During anesthesia intubation, the tube was inserted into the esophagus; when I entered the room, I saw the patient's abdomen slightly distended, and the limbs began to turn purplish.

Exactly!

That's definitely it.

After general anesthesia, the gastrointestinal smooth muscles relax; at this moment, a large amount of gas is pressed in, causing extreme gastric distension, and part of the small intestine shows a similar manifestation.

The high tension thins the gastrointestinal wall; microscopically, the gaps between endothelial cells widen, permeability increases, leading to fluid leakage.

Abdominal cavity effusion is actually the same principle as effusion in severe intestinal obstruction, except there is no infectious factor.

Therefore, the fluid drawn out in the drainage bag is pale yellow, without sediment or bloody exudate.

Upon realizing this, Zheng Ren immediately picked up his phone, made a gesture, found a slightly quiet corner, and called Lao He.

Lao He, it's me, Zheng Ren said.

Zheng Lao Ban, any emergencies? Lao He's voice sounded a little excited.

No, Zheng Ren said. I have a question for you: have you ever encountered an intubation mishap where the tube went into the esophagus?

The other end of the line immediately fell silent.

Speaking of this topic over the phone, Zheng Ren seemed to hear Lao He's heartbeat quickening.

Zheng Lao Ban, please wait a moment, I'll find a quiet place to talk, Lao He's voice became cautious.

Zheng Ren was both amused and exasperated; he knew Lao He had definitely misunderstood.

But he couldn't be bothered to explain to Lao He, anyway he wouldn't have to wait long.

After a few dozen seconds, Lao He's voice came through.

Zheng Lao Ban, did you have an incident while rescuing in the Emergency Department? Lao He asked softly.

No, Zheng Ren replied with a smile.

The other end of the line let out a sigh of relief.

The day before yesterday at midnight, the General Surgery department received an emergency patient; when I rushed over, I happened to see the patient's abdomen swelling. Then I used the Fiber Bronchoscope to reinsert the tube, completed the procedure, the patient recovered well, and I'm currently checking on the patient in the ICU, Zheng Ren explained.

You scared me to death, Lao He said.

I want to ask you, have you ever seen such patients?

Zheng Lao Ban, this is one of the biggest medical accidents in the Anesthesiology Department, comparable to intraoperative awareness caused by operational error, Lao He said. It's even more serious than that. I've encountered it a few times, but I managed to save them each time.

What about the postoperative condition of these patients—have you followed up? Zheng Ren asked.

I haven't, but I can ask in the group—those are veteran anesthesiologists from across the country, Lao He said.

Please ask them: after abdominal cavity drainage, have they seen a large amount of pale yellow fluid being drawn out? Zheng Ren said.

Sure thing! Lao He replied.

Zheng Ren hung up the phone, saw that more and more young girls were gathering around Su Yun, and the Inpatient Chief's expression had already begun to sour.

It really interferes with work—could his claim about needing to wear two layers of masks actually be true? Zheng Ren thought it over carefully and found it somewhat absurd.

This guy, he's got nothing serious going on.

Zheng Lao Ban, are you consulting with your teacher? the Inpatient Chief of the ICU, seeing Zheng Ren finish his call, asked with a chuckle.

At Zheng Lao Ban's age, he should logically have a particularly formidable teacher.

Uh... Zheng Ren chuckled, then returned to the bedside to look at the patient's drainage bag.

The pale yellow drainage fluid was mostly clear, occasionally a bit turbid but not much. Zheng Ren reviewed the surgical procedure in his mind, calculated the drainage volume, and grew increasingly confident in his judgment.

Seeing Zheng Ren silent, the Inpatient Chief wondered if his teacher had perhaps passed away. That would be a sad matter, so better not to reopen Zheng Lao Ban's old wound.

More than ten minutes later, Lao He called.

Zheng Lao Ban, someone has encountered this, saying there would be a moderate amount of postoperative effusion, Lao He said. I'll send you the chat log right away—your judgment is correct.

Zheng Ren glanced at the chat log; that anesthesiologist had said a lot, and it seemed the patient left a deep impression on him.

It was a patient with a stab wound; after discovering the misplaced tube, the same steps were taken—immediate artificial respiration and reinsertion using the Fiber Bronchoscope.

After the surgery, the anesthesiologist, worried about complications, followed the patient for three days because the patient showed signs of cerebral hypoxia.

He still vividly remembers the postoperative drainage situation.

The pale yellow drainage fluid, 500–1000 ml per day, gradually decreased; later, no signs of cerebral hypoxia appeared, and once transferred out of the ICU, attention was no longer paid.

The situation the anesthesiologist described was the same as what Zheng Ren saw, and Zheng Ren smiled.

The clinical Technique level is just this little bit of improvement.

This time I had no experience, I thought for half an hour. But if I encounter it again later, I won't be troubled by the matter of excessive drainage.

"Su Yun, let's go." Zheng Ren stood up and greeted Su Yun.

"Did you figure it out?"

"Hmm, should be. Ming day drainage volume will be around 200ml, sequentially Reduction, will get better soon." Zheng Ren said confidently.

Su Yun raised an eyebrow, but there were many people here, so could not ask in detail.

After saying something to the nurses, Su Yun left the ICU with Zheng Ren.

……

After Lao He completed the task assigned by Zheng Ren, he felt something was off and looked up the Shou Bing record.

That night was Cui Zhiying's shift. Lao He pondered a bit, then ran to Shujian to find him.

……

……

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