Chapter 2234: 2157 Simple and Clear Diagnosis (Alliance Leader You Ran Visits Yun Extra Chapter 1)
"Old Shao, tell me the truth, what did you do to the patient?" Su Yun asked with a chuckle while looking at the film.
Old Shao's face changed dramatically; Fang Lin stopped him, laughing, "Yun Ge'er, don't joke like that with Old Shao, he's timid."
"Yes, yes, because of this patient I was almost scared to death." Shao Jinghe said with a worried face.
Zheng Ren found it strange—how could a tough disease scare someone to death? Where did that come from?
Moreover, Doctor Shao directly brought the patient to room 912, which is also strange.
Normally, for example in Hai Cheng, if local doctors can't solve a problem, contacting a higher-level hospital is already good. Personally escorting the patient here would only happen for a life-threatening condition like a heart attack, or for close friends and family.
Even friends and family might not have time—who doesn't have a pile of things to do?
Moreover, Shao Jinghe not only contacted Fang Lin but also personally brought the patient here—there must be a story behind it.
Regarding this patient, Zheng Ren strongly suspected that some pulmonary bullae were missed during surgery, causing the patient's recurring problems.
This is just one possibility, and the likelihood is actually not high.
"I'll go check on the patient." Zheng Ren said.
If it were a rare disease, we should still let Big Pig Trotter help solve it. Zheng Ren has gone through the stages of "seeing mountains as mountains" and "seeing mountains not as mountains," and has reached the level of "seeing mountains still as mountains."
With such a convenient method as Big Pig Trotter, why not use it?
One glance would tell if it was Doctor Shao's problem—it definitely needs to be used right away. As for accumulating clinical experience, experience itself is accumulation.
"Boss Zheng, this way." Fang Lin took off the flamboyant red stethoscope hanging around his neck and handed it to Zheng Ren.
"The patient is in room 12, and I specially arranged that room." Fang Lin said with a wry smile.
"Oh? What's going on?"
"An elderly family member accompanied the patient, supposedly some sort of rural superstitious person, insisting that staying in room 12 this time will cure her."
"That's nonsense—if it really worked, why did she have so many episodes before?" Su Yun said contemptuously.
"Yun Ge'er, Old Shao said she previously insisted he not handle her case. The family doesn't believe it, saying the old woman is old and her speech is confused." Fang Lin said mysteriously.
"Watch what you're saying—don't think I won't kick you into the duty room!"
"Yun Ge'er, if you're going to kick me, just kick me straight into the female duty room." Fang Lin, used to joking, wasn't afraid of Su Yun's threats at all.
"You've grown a temper." Su Yun said with a smirk, and Fang Lin, realizing this was the most dangerous moment, hurriedly said: "Yun Ge'er, cut it out, let's talk seriously—do you know why Old Shao came along?"
"Why?"
"The old woman said, if the child isn't cured this time, things will only get worse—she'll definitely die within three years." Fang Lin said, "She also said, if the child dies, she'll drag Old Shao down to die with her."
"She said that if you don't come see her, there'll definitely be no problem?" Su Yun didn't believe it, laughing loudly.
"This isn't just asking you, Yun Ge'er, to give me a quick look, right? You're the legendary ladies' man—just glance at the patient and you'll be fine." Fang Lin laughed.
While joking, the three arrived at room 12. As they reached the door, both Su Yun and Fang Lin became serious.
Joking behind backs is no big deal, but doing it in front of the patient's family is another matter entirely.
As doctors, being a bit more solemn in front of patients can give them and their families extra confidence.
Upon entering the ward, Fang Lin went in first, standing beside the middle bed and introducing to Zheng Ren and Su Yun: "This is the patient we mentioned earlier."
Zheng Ren glanced at it; the patient's system panel showed red, diagnosis clear—left-sided spontaneous pneumothorax, ruptured pulmonary bulla, chronic purulent pleuritis, localized pulmonary fibrosis.
Additionally, there was a strange diagnosis—endometriosis.
There's nothing particularly special; it's just various complications triggered by the spontaneous pneumothorax. The complications aren't severe—pus in the pleural cavity can be removed during thoracoscopic surgery.
A few days of antibiotics post-op should be fine.
Afterwards, Zheng Ren glanced at the patient—she was sallow and thin, clutching her abdomen.
Abdomen?
Why hold her abdomen?
Must be endometriosis, Zheng Ren guessed.
Endometriosis pain can be truly deadly—it can be described as pain so severe one wishes to die.
"Are you Qi Xiao Juan? Why are you holding your abdomen?" Zheng Ren walked to the patient's right side, gently asking while holding the red stethoscope.
Beside the patient sat a thin, withered old woman, her eyes blind, rolling the whites as she "looked" at Zheng Ren, saying: "The girl's period is coming."
As expected, the guess was correct—Big Pig Trotter is reliable.
Zheng Ren smiled, showing his gentlest side: "Lie flat, I'll listen to your breathing."
The girl was very docile, just unwilling to speak; following Zheng Ren's instruction, she endured the pain and lay flat on the bed.
In the left chest between the 6th and 7th ribs at the mid-axillary line, a chest tube had been placed; Zheng Ren glanced and saw pale yellow fluid being drained.
"Cough a little." Zheng Ren said.
"Cough cough." The patient named Qi Xiao Juan coughed twice forcefully.
"Gurgle gurgle." Bubbles began to appear in the chest bottle.
This is the typical sign of an open lung defect, and it's been days with no self-healing. Nothing more to say—let's go straight to surgery.
This surgery, Zheng Ren wouldn't even need to assist—it's really not difficult. Just thoroughly irrigate the chest cavity with warm saline, then expand the lung, and check for any spots still bubbling.
For some suspected small bullae that haven't ruptured yet, Zheng Ren also recommended removing them.
But now isn't the time to discuss this—first examine, then we'll talk back in the office.
Because the left chest has a closed drainage tube, the patient's breath sounds are only slightly weak; the right side is normal, no problem.
After the exam, Zheng Ren carefully pressed the patient's abdomen again—no positive signs; she's just about to menstruate, which is why she curls up in bed.
Holding the red stethoscope, Zheng Ren said nothing and left the ward directly.
Although doing this might dissatisfy the patient and family a bit, this is thoracic surgery—Fang Lin just wanted a quick look himself, with no reason to pretend to be the chief and boss people around in the ward.
Leaving the ward, Zheng Ren said: "The condition is simple—just go ahead with it. I'd guess it's still due to a ruptured pulmonary bulla causing the pneumothorax."
"Okay."
Hearing Zheng Ren say that, Fang Lin let out a sigh of relief.
Zheng Lao Ban already said it, what else is there to doubt?
"Boss, don't you think 7 Shou Bing is too strange?" Su Yun, however, disagreed with Zheng Ren's viewpoint and raised an objection.
End of Chapter
