Chapter 2024: with translation of chapter title

'Has he completely changed?' Zheng Ren squinted.

Translation: "Has the whole person changed?" Zheng Ren narrowed his eyes.

We need to keep quotes? The Chinese includes quotation marks. We should preserve them? The instruction: translate faithfully, keep punctuation? Usually we keep quotes as they are. We'll keep the Chinese quotes replaced with English quotes? The source uses 「」 which are Chinese quotation marks. We should translate to English quotes? Usually we keep the meaning; we can use English double quotes. The instruction: "Render onomatopoeia / sound effects as English sound words". For quotes, not specified. I think we should keep the quoted speech as English quotes. Use double quotes.

Thus: "Has the whole person changed?" Zheng Ren narrowed his eyes.

Make sure it's one line.

'Yeah, he used to have a good appetite, be strong, and even had a diving certificate.' The young woman sighed and said, 'Unfortunately, his last dive was a long time ago. Since he got this illness, the first two years were fine, with fewer bowel movements each day. Recently...'

Translation: "Yeah, before he had a good appetite, was strong, and even had a diving certificate." The young woman sighed and said: "Unfortunately, his last dive was a long time ago. Since he got this illness, the first two years were okay, his bowel movements were few. Recently…"

We need to keep the ellipsis as in Chinese: "……". We'll keep as "…" maybe three dots. The Chinese uses two dots? Actually they used two full-width dots? It shows "……". We'll output "…". Keep as ellipsis.

Thus: "Yeah, before he had a good appetite, was strong, and even had a diving certificate." The young woman sighed and said: "Unfortunately, his last dive was a long time ago. Since he got this illness, the first two years were okay, his bowel movements were few. Recently…"

Make sure it's one line.

She said this, feeling a bit awkward.

Translation: Speaking, she felt a bit embarrassed.

Or "Speaking, she felt somewhat awkward." We'll do: Speaking, she felt a bit embarrassed.

Zheng Ren stayed silent, interrupting her train of thought.

Translation: Zheng Renye also didn't speak, he went to interrupt the young woman's train of thought.

Better: Zheng Renye didn't speak either; he interrupted her thoughts.

We'll do: Zheng Renye didn't speak either; he interrupted her train of thought.

'Now he has to wear a diaper whenever he goes out, and he keeps telling me it feels like he's become senile.'

Translation: "Now he has to wear a diaper whenever he goes out; he keeps telling me it's like he's become senile."

Zheng Ren understood that while diarrhea seems like a minor ailment, it feels like carrying a time bomb—you never know when you'll have to rush to the bathroom.

Translation: Zheng Ren understood; hearing that diarrhea was a minor illness, but it was like holding a time bomb—you never know when you'll have to rush to the bathroom.

Even in an unfamiliar place, there's no time to enjoy the scenery; the first thing is to find a restroom. Otherwise there's no sense of security—you never know when this time bomb will go off.

Translation: Even when arriving somewhere unfamiliar, there's no time to enjoy the scenery; the first thing is to find a restroom. Otherwise there's no sense of security—who knows when this time bomb will go off.

Zheng Ren merely found the family's account somewhat interesting.

Translation: Zheng Ren merely thought the patient's family's description was somewhat interesting.

'Is the diving certificate professional?'

Translation: "Is the diving certificate professional?"

'No, it's the amateur kind. We used to go to Thailand, the Maldives, and Mauritius every year to dive and enjoy the sunshine.' She trailed off.

Translation: "No, it's the amateur kind. We used to go to Thailand, the Maldives, and Mauritius every year to dive and enjoy the sun…" Speaking, the young woman trailed off.

Talking about this is too sad.

Translation: Talking about these things is too sad.

A good life, under the torment of illness, is as fragile as a bubble that bursts with a breath.

Translation: A good life, under the torment of illness, becomes fragile—just a breath and it shatters.

Sunshine, waves, beaches, cacti, and even diving—after getting sick, they all disappear.

Translation: Sunshine, waves, beaches, cacti, and even diving—after getting sick, they all cease to exist.

Even if it's just an unassuming bout of diarrhea.

Translation: Even if it's just an unassuming diarrhea on the surface.

Zheng Ren's thoughts turned.

Translation: Zheng Ren's mind stirred.

'Do you travel every year?'

Translation: "You travel every year?"

'Do you travel every year?'

Translation: "You travel every year?" (duplicate line)

He and Su Yun asked in unison.

Translation: He and Su Yun asked in unison.

Lin Yuan looked up, surprised. 'Traveling—could Boss Zheng be thinking of foreign parasites?'

Translation: Lin Yuan was somewhat surprised; she raised her head and glanced. Traveling—could Boss Zheng be considering an overseas parasite?

There are none domestically, but abroad parasites are rampant, with many kinds.

Translation: Domestically there are none, but overseas parasites are rampant—there seem to be many kinds.

Africa has more, but... Lin Yuan's train of thought was suddenly derailed.

Translation: Africa has more, but… Lin Yuan's train of thought was suddenly thrown off.

'Yeah,' the young woman replied helplessly.

Translation: "Yeah." The young woman replied helplessly.

Is this related to diarrhea?

Translation: Is this related to diarrhea?

'Boss Zheng, are you considering traveler's diarrhea?' Director Luo asked.

Translation: "Boss Zheng, are you considering traveler's diarrhea?" Director Luo asked.

'For now we can think that way,' Zheng Ren said. 'Please check if the endoscopy is done; I want to see if the biopsy tissue can reveal any parasites.'

Translation: "For now we can think that way." Zheng Ren said, "Please check if the endoscopy is done—I want to see if the biopsy tissue can find any parasites."

Director Luo picked up the phone and made the call.

Translation: Director Luo picked up the phone and made the call.

'Doctor, what is traveler's diarrhea?' the young woman asked, stunned.

Translation: "Doctor, what is traveler's diarrhea?" The young woman froze.

'I'll explain later,' Zheng Ren said. 'Have you ever had diarrhea?'

Translation: "I'll explain later." Zheng Ren asked, "Have you ever had diarrhea?"

'Diarrhea, a lot of people have had it, right?' the young woman said. 'But whenever I have diarrhea, taking some bismuth subsalicylate and loperamide makes it better.'

Translation: "Diarrhea—lots of people have had it, right?" The young woman said: "But whenever I have diarrhea, taking some bismuth subsalicylate and loperamide fixes it."

Note: bismuth subsalicylate and loperamide.

'Loperamide has a cure rate of about 72% for traveler's diarrhea,' Su Yun said.

Translation: "Loperamide has about a 72% cure rate for traveler's diarrhea." Su Yun said.

Zheng Ren nodded, saying that if we attribute it to traveler's diarrhea, even the young woman's slightly flushed face can be explained.

Translation: Zheng Ren nodded; if we explain it as traveler's diarrhea, even the young woman's slightly flushed system panel also makes sense.

Director Luo quickly hung up and said, 'The colonoscopy is done; we're about to do the gastroscopy.'

Translation: Director Luo quickly hung up and said: "The colonoscopy is done; we're about to do the gastroscopy."

'Oh, that's good,' Zheng Ren smiled. 'Otherwise we'd have to do a capsule endoscopy, which is very troublesome and has a low yield.'

Translation: "Oh, that's good." Zheng Ren smiled, "Otherwise we'd have to do a capsule endoscopy, which is troublesome and has a low yield."

'What is a capsule endoscopy?' Lin Yuan asked.

Translation: "What is a capsule endoscopy?" Lin Yuan asked.

'It's a primitive method, but it works,' Su Yun said coldly.

Translation: "It's a primitive method, but effective." Su Yun said coldly.

The patient swallows a capsule containing a nylon thread, leaving the free end outside the mouth. After the capsule dissolves, the thread loosens and extends. After about three to four hours, we wait for the thread to reach the duodenum and jejunum, where nutritive material adheres to it. Then we slowly pull the thread out, scraping off the adhered material for microscopic examination.

Translation: "You have the patient swallow a capsule containing a nylon thread, with the free end left outside the mouth; after the capsule dissolves, the nylon thread loosens and extends. Then after about three to four hours, waiting for the thread to reach the duodenum and jejunum, nutrients adhere to the thread, and then you slowly pull the thread out, scraping off the attached material for microscopic examination."

It really is a primitive method; Lin Yuan has never heard of anything like it at Harvard Medical School.

Translation: It really is a primitive method; Lin Yuan had never heard of anything like it at Harvard Medical School.

Once the gastroscopy is done, just do it again—what's there to hesitate about?

Translation: Once the gastroscopy is done, we might as well do it again—what's there to hesitate about?

This method sounds primitive just hearing it, and its yield isn't high either.

Translation: This method sounds primitive just hearing it, and its yield isn't high either.

'I told them to use the scope to take a biopsy sample,' Director Luo said. 'But sending it for testing...'

Translation: "I told them to take a biopsy sample with the scope." Director Luo said, "But sending it for testing…"

He paused, looking at Zheng Ren.

Translation: He pondered for a moment, looking at Zheng Ren.

'I'll go do it,' Zheng Ren smiled, knowing Director Luo's meaning.

Translation: "I'll do it myself." Zheng Ren smiled; he knew what Director Luo meant.

'Boss Zheng, I can do it!' Lin Yuan volunteered.

Translation: "Boss Zheng, I can do it!" Lin Yuan volunteered.

'Oh, then you watch me do it in a bit,' Zheng Ren said. 'Su Yun, go get me the optical tweezers.'

Translation: "Oh, then you can watch me do it." Zheng Ren asked, "Su Yun, go get the optical tweezers for me."

'Got it, I'll also contact Director Chi,' Su Yun said. 'Can we assign these odd jobs to newcomers in the future?'

Translation: "Got it, I'll also contact Director Chi." Su Yun said, "Can we assign these odd jobs to the newcomers from now on?"

Lin Yuan was sweating profusely, having no idea what optical tweezers or Director Chi were.

Translation: Lin Yuan was sweating profusely—she had no idea what optical tweezers or Director Chi were.

'I'll urge him, I'll contact Director Chi's side,' Director Luo smiled and made a few more calls.

Translation: "I'll urge them—I'll contact Director Chi's side." Director Luo chuckled and made a few more calls.

After he hung up, the young woman timidly asked, 'Doctor, does traveler's diarrhea mean not acclimating to the local water and soil? Someone once diagnosed it that way.'

Translation: After he hung up, the young woman timidly asked: "Doctor, does traveler's diarrhea mean water-and-soil intolerance? Someone had diagnosed it that way before."

'Not acclimating to the local water and soil is not a diagnosis,' Director Luo laughed.

Translation: "Water-and-soil intolerance isn't a diagnosis." Director Luo said with a chuckle.

Boss Zheng's diagnosis matched his own, which made Director Luo very relieved.

Translation: Boss Zheng's opinion matched his own, which made Director Luo feel relieved.

Oh, that's it. Considering your loved one's illness, it's an infection of Giardia lamblia.

Translation: "Oh, that's it. Considering your loved one's illness, it's an infection of Giardia lamblia."

Oh, that's it. Considering your loved one's illness, it's an infection of Giardia lamblia.

This parasite inhabits the human small intestine and gallbladder, mainly in the duodenum, causing abdominal pain, diarrhea, malabsorption, etc., leading to giardiasis, which is one of the common intestinal parasites in humans.

Translation: "This parasite inhabits the human small intestine and gallbladder, mainly in the duodenum, causing abdominal pain, diarrhea, malabsorption, etc., leading to giardiasis, which is one of the common intestinal parasites in humans."

'Giardia is distributed worldwide. Over the past decade or so, due to the growth of tourism, its incidence is higher among travelers, hence it's also called traveler's diarrhea.'

Translation: "Giardia is distributed worldwide. Over the past decade or so, with the development of tourism, its incidence is higher among travelers, hence it's also called traveler's diarrhea."

The young woman stared blankly at Zheng Ren.

Translation: The young woman stared blankly at Zheng Ren.

Each word he says is understandable, but put together I don't know what he's talking about.

Translation: She could understand each word he said, but put together she didn't know what he was talking about.

'This disease usually means if one person has it, the whole family will get it,' Zheng Ren added.

Translation: "This illness usually means if one person has it, the whole family will get it." Zheng Ren added.

'Ah? But I don't have it,' the young woman said.

Translation: "Huh? But I don't have it." The young woman said.

'Many drugs work against Giardia, but aside from metronidazole... for example, the loperamide you take is about 72% effective,' Zheng Ren smiled. 'There's no drug that works 100%.'

Translation: "Many drugs work against Giardia, but aside from metronidazole… for example, the loperamide you take has about a 72% effectiveness." Zheng Ren smiled, "There's no drug that works 100%."

'If confirmed, taking metronidazole orally should work quickly. Its effectiveness can reach over 98%, making it a highly effective drug.'

Translation: "If diagnosed, taking oral metronidazole should work quickly. Metronidazole's effectiveness can reach over 98%, making it a specific drug."

The young wife still refused to believe.

The 'incurable disease' that had plagued their family for five years—does taking metronidazole just solve the problem?

This is too mythical.

Soon, Director Luo had everything arranged, and several people went to the pathology department to borrow a microscope, while Su Yun ran to get the optical tweezers.

"Zheng Lao Ban, how did you make that judgment?" Lin Yuan asked on the way.

"Just a preliminary diagnosis—let's try and see." Zheng Ren answered casually.

Lin Yuan wasn't too satisfied with Zheng Ren's answer, but after thinking it over, there really wasn't a better way.

All the symptoms and doubts had just been laid out by Zheng Lao Ban; there was nothing left to refute.

Then let's take a look under the microscope and see.

Upon arriving at the pathology department, the nurse from the endoscopy room had already sent over the specimen, and Su Yun, carrying the optical tweezers, rushed over as well.

After quickly making preparations, well-trained, Zheng Ren sat down at the middle microscope and began observing.

Director Chi will surely take up a microscope view, and Director Luo won't be polite either. Although the young girl who came with Zheng Lao Ban is eager to try, Director Luo will not yield at all.

Watching Zheng Lao Ban's operation is the proper thing to do.

As for that girl, a young doctor in her twenties, is she worth yielding to?