Chapter 1829: with translation of chapter title

912, Urology Department, the on-duty Yu Zong is very troubled.

He sat in front of the computer, looking at a patient's medical record, carefully pondering where the problem lay.

This is a patient with renal colic; urinalysis showed ++++ red blood cells, but neither ultrasound nor CT revealed any organic lesion, and most importantly, no stones were found.

Trying oral opioid analgesics for the patient had some effect.

But we can't just keep using painkillers; we need to figure out the problem. The department organized two or three consultations, yet none yielded an answer.

It was already the sixth day; considering a urinary tract infection, we tried antibiotics empirically. Instead of improving, the patient's condition worsened further.

Yu Zong was very troubled.

There's nothing else to do; we can only request a hospital-wide consultation tomorrow.

Which department should we consult? Pure renal colic seems unrelated to other specialties.

He was truly worried; Yu Zong sat in his chair, frowning at the CT images, truly having no idea what to do.

He sat quietly for an hour, searching through all the lab reports and imaging data, yet still found nothing.

Yu Zong gave up struggling.

He glanced at the time; it was already 3 a. m.

He took out his phone, hesitated for a long time, then sent a WeChat message.

【Yun Ge'er, there's a patient I really can't figure out; when you get up, could you help me take a look?】

After sending the message, Yu Zong shook his head, returned to the duty room, and fell asleep while pondering.

: …… (ellipsis) No named.

: …… No.

When morning came, Su Yun woke up, picked up his phone, and saw the message Yu Zong had sent.

He knew that although it was said to be looking for him, it was actually to let his boss see what was going on.

What could urology possibly do? It's certainly not that the catheter won't go in. Just thinking about their urethral probes makes Su Yun feel painful; even looking at them gives the illusion that the urinary tract is being torn apart.

Never mind; let's get up first and talk later.

As for the consultation, the boss will be looking at surgeries in the morning, and I'll just organize things afterward.

Just like any other day, it was plain and rushed.

After breakfast, he went downstairs to the community hospital to see postoperative patients.

Here, over sixty patients have already accumulated; looking ahead, the number of patients here will only keep increasing.

As for whether to add beds, Zheng Ren hasn't decided yet; it mainly depends on the working ability of the resident doctors.

Lao Liu is not bad, but his body is already close to being overdrawn.

If we add more, Zheng Ren fears Liu Zewei will directly break down. Given the current workload, even a young guy might not be able to hold up, let alone Liu Zewei this kind of Zao Lao tou zi.

Ward rounds, shift handover, ward rounds, performing surgery—every day is the same work routine. Like a machine in operation, it roars on without hesitation.

Although it was a bit fresh at first, after a while it becomes somewhat boring. But Zheng Ren doesn't feel that way; being able to spend a day plain yet fulfilling is still very happy.

After the morning surgery ended, Zheng Ren watched the professor inside tear off the sterile gown and walk out; the day's surgeries were done.

After that, it's eating, then going to the System Library to read books.

"What to eat for lunch?" Zheng Ren asked.

Su Yun arrived exactly 10 minutes ago; he is extremely accurate in his assessment of Professor Rudolf Wagner's and Liu Zewei's surgical skills and surgery time estimates.

"Are you planning to eat first or to consult first?" Su Yun asked, sitting cross-legged on the sofa behind, leisurely.

"Consultation? What patient?" Zheng Ren asked.

"A urology patient with renal colic, no stones, no organic changes, and after checking around, no problems were found." Su Yun already knew Zheng Ren's choice, but still waited leisurely, as if teasing.

"Come on, let's go see the patient." Zheng Ren jumped up.

Eat? Faced with a difficult case, that option simply doesn't exist.

Renal colic? The vast majority of such pain is caused by kidney stones falling into the ureter.

It is said the pain level is extremely high, exceeding that of a fracture, even more painful than childbirth.

The pathogenesis is that stones move rapidly or become suddenly impacted in the renal pelvis and ureter, causing acute obstruction of the upper urinary tract; due to increased tension of the inner wall of the lumen, the pain receptors in those areas are stretched, resulting in severe pain.

Subsequently, edema of the ureter or calyceal wall and ischemia of the smooth muscle increase inflammatory mediators, activating more pain receptors and further intensifying the pain.

It's just renal colic; what's there to see?

Renal colic without stones?

Zheng Ren stood up, then stopped moving, his mind constantly thinking about the simple medical history and what Su Yun had just said.

"What do you think?" Zheng Ren looked at the lead glass; inside, Xie Yiren was cleaning medical waste. Just looking at her back, Zheng Ren felt he could never get tired of watching her for a lifetime.

"Precisely because I have no idea, I came to ask you." Su Yun said: "The medical history is very simple; I went to see the patient, personally inquired about various circumstances, but still have no idea."

"Let's go look at the patient." Zheng Ren said.

"I'm all ready; let's go to the demonstration classroom of the Community Hospital."

Zheng Ren thought for a moment; that seems fine too.

First, examine the case and various auxiliary tests; if we still can't figure out what the disease is, then we'll use the ability of the Big Pig Trotter.

"Renal colic, Fugui'er interested in taking a look?" Zheng Ren invited Professor Rudolf Wagner.

But the professor obviously has no interest in anything other than the Nobel Prize; he pretended not to understand.

Zheng Ren smiled, then said: "Let's go, the two of us."

"I've called Chang Yue and Yu Zong." Su Yun said: "Chang Yue's diagnostic level is too low; as the first gatekeeper, he can't keep doing this."

Zheng Ren didn't care either; he didn't bother to guess what Su Yun was thinking.

But the renal colic patient is somewhat interesting; renal colic without stones—I haven't even heard of that before.

Could the stones be hidden?

Zheng Ren's heart had already flown up; he really wanted to go see the situation right away.

"Yi Ren, I'm going to the consultation, noon......"

"Yue Sister told me, you go first, I'll come later." Xie Yiren said while tidying up, "You guys go to the consultation, I'll see what to order to eat. What do you want to eat for lunch?"

"Um...... whatever." Zheng Ren said, "Then I'll wait for you a while."

"That's fine, let's go together." Xie Yiren sped up her packing.

Another nurse wanted to let her leave directly, but Xie Yiren refused. As an Operating Room nurse, after finishing Shou Bing, not cleaning up medical waste, she felt the work wasn't done yet, her whole body felt Uncomfortable.

Zheng Ren wanted to help, but Xie Yiren pushed him out, thinking he was clumsy and in the way.

"Su Yun, first tell me the medical history." Zheng Ren walked out, feeling bored, then asked.

"Boss, that's over the top." Su Yun crossed her legs, looking at Zheng Ren and laughing.

"Huh?"

"I spent 1 hour on lesson material just for this consultation, and you want to hear the medical history first? What if I'm not focused when looking later?"