Chapter 2009: 1939 Press Where It Hurts (Alliance Leader Handsome Guy

The patient wore a pained expression yet stubbornly nodded in agreement with the man's words, gesturing that Zheng Ren didn't need to be hospitalized.

By rights, bladder stone pain shouldn't be as severe as ureteral stone pain.

"Does it hurt a lot?" Zheng Ren rubbed his hands, wanting to start the physical exam.

This action frightened the female patient.

She quickly put on a smile and said earnestly, "It doesn't hurt, it doesn't hurt, just a little when I urinate. Doctor, don't press on me; as long as you don't press, I won't feel pain."

"……"

Zheng Ren saw the man carefully comforting his wife and realized his earlier judgment was wrong.

Their family is quite harmonious, not some melodramatic domestic violence or cold violence situation.

But then the problem becomes even sharper. How could such a large stone in the bladder not warrant hospitalization for removal?

"Then I'll skip the exam and do an ultrasound later." Zheng Ren smiled: "The stone is too big; I advise you to have it removed, otherwise it's likely to cause bladder inflammation."

"It really hurts, I don't want it." Although the woman was over forty, she still acted coquettishly in the man's arms.

Zheng Ren felt a bit chilly.

"There's already visible hematuria… the urine turns red when you void, you've seen it." Zheng Ren continued to persuade: "If not treated promptly, it will only get worse later."

"Doctor, I'm healthy; I can reject anything." The woman endured the pain, a little proud, saying: "How big could the stone be? Maybe it'll be gone by the next checkup."

Zheng Ren thought of Big Pig Trotter's diagnosis—bladder foreign object—and a nasty suspicion formed in his mind.

This couple plays around quite flamboyantly.

But Zheng Ren had no objection either; as long as they're happy, that's fine. Don't hurt your bodies—play however you like, it's none of my business.

"Oh? Rejection? What's up? Is it that the C‑section incision didn't heal?" Su Yun asked from behind.

"No, I'm healthy; why would I need a C‑section to have a baby? With twins I just push and they come out." The woman grew even more proud.

"How many kids do you have?"

"We had our first child twenty years ago, and three years ago we tried for a second—ended up with twins." The man laughed happily.

Zheng Ren felt his judgment had gone wrong again; people like this rarely play around with all sorts of tricks, let alone have a bladder foreign body.

"Oh? Then explain what you mean by 'rejection.'" Zheng Ren asked.

"Doctor, I had my first child twenty years ago and then got an IUD." The woman said: "A few years ago the state opened up the second‑child policy, so we thought about having another."

Zheng Ren habitually leaned in, listening attentively to the patient's account, seriously picturing various scenes in his mind.

"I went to the hospital to have the IUD removed, but the doctor said there was nothing there."

"Huh? Are you sure you had an IUD placed?" Zheng Ren realized where the problem might lie.

"Yeah, I got it done at the township health station." The woman said: "That day it hurt like hell."

"Then what happened?" Zheng Ren kept pressing.

"Afterwards it was fine; nothing at all."

"You're sure the IUD didn't come out on its own?"

"Doctor, such a big metal ring—if it came out we'd surely notice." The woman said: "We may be country folk, but we're not stupid."

Zheng Ren thought her reasoning made sense.

If that's the case, the conclusion is only one: the IUD migrated into the bladder.

"Is farm work usually heavy?" Zheng Ren asked a completely unrelated question.

"Yeah, in our neck of the woods it's all the old women doing the work. Even a strong youngster can't match me when it comes to labor." The woman said proudly.

Juggling kids and work is indeed tough; Zheng Ren smiled, having already formed a full hypothesis.

Next, we'll do an ultrasound.

But why hasn't Yuan Li returned yet?

Just then, the sound of the bedside ultrasound machine's wheels came in.

"Chief Zheng, does a bladder ultrasound require holding urine?" Yuan Li asked softly, a bit doubtful.

That question was a bit out of line, especially asked in front of the patient.

Su Yun raised her eyebrows and said, "A 5 cm stone is practically a relic—does it even matter whether you hold your urine? Your clinical…"

As she spoke, Zheng Ren patted Su Yun on the shoulder, took the ultrasound machine, sat on a chair, and told the patient, "Let me have a look."

"Doctor, there's really nothing to see." The woman said: "My body's fine, strong as an ox. In a month… no, half a month the stone will definitely be gone."

Zheng Ren chuckled, still having the man help expose the bladder area, applied coupling gel, and began the ultrasound.

"Both kidneys are normal in position and size, with no obvious space‑occupying lesion."

"Both ureters show no obvious dilation; the bladder is poorly distended, with a 5.1 cm arc‑shaped strong echo mass inside, no movement (−)."

Zheng Ren spoke while Wang Zong recorded in the background, very attentively.

"It's not moving?"

"Yeah, it's not moving. Wait a moment, I'll continue checking." Zheng Ren said: "There's something else behind."

As soon as a problem was mentioned, the patient didn't care, but the family's faces turned a little grim.

"Doctor, what's the problem?"

"Don't rush, let me have a look." Zheng Ren pressed the ultrasound probe onto a spot.

"Doctor, it hurts!" the woman shouted.

"Don't move, it's right here!" Zheng Ren said, "I'll be gentle, but don't move."

The woman felt the probe's pressure ease a little, the pain lessening considerably; she unconsciously wiped her sweat and said, "Doctor, you guys are ruthless—press where it hurts."

"It hurts because there's a problem." Zheng Ren said, "If there were no problem, you wouldn't need to come to the hospital."

The woman thought it over and felt Zheng Ren's words made sense.

"Metal?" Su Yun, standing behind Zheng Ren, saw the image on the small screen and exclaimed in surprise.

"Well, considering the IUD has run into the bladder." Zheng Ren answered with a sentence, then fell silent.

Wang Zong does not quite understand; according to theory, if the IUD is displaced, it's indeed possible in the pelvic cavity, but it ran into the bladder…… how did it get in?

But he didn't speak; Zheng Lao Ban was carefully using a B ultrasound to examine the situation, and at this moment disturbing would be inappropriate.

After waiting at least 5 Minute, Zheng Ren finally took the B ultrasound probe off the patient's abdomen, saying: "Hospitalize, prepare to undergo Shou Bing to remove. It's not a matter of whether you agree or not; you must be hospitalized."

"Ah? Doctor, don't scare me." The woman was startled.

"It's not to scare you; do you know why the IUD disappeared?" Zheng Ren asked.

"I don't know, ah; I just know my body is fine, maybe it was rejected. This is what the doctors in our township said; I think it makes sense."

Zheng Ren smiled, asked Wang Zong for a pen and paper, and began drawing a diagram to explain to the woman.

……

……

Note: In the case report, that's what it says; the numbers 20 years, 3 years are mentioned in the literature. I also have Doubt, why there was no pregnancy for so long in between. This point remains doubtful; dear readers, please forgive.