Chapter 2355: 2274 Ketosis from Hot Spring Soaking
"Hey, what are you looking for?" Su Yun saw Zheng Ren's wary expression and asked curiously.
"Strange smell, did you smell it?" Zheng Ren frowned and said.
"Huh? Hydrogen sulfide smell? Pure underground hot springs always have a faint hydrogen sulfide smell; no one is out to get you." Su Yun said, "Boss, I think your persecution complex is getting worse."
"No." Zheng Ren closed his eyes, snorted hard, suddenly stood up, and the water splashed.
Su Yun watched Zheng Ren walk a few steps forward to the right, followed him, and asked: "What smell did you detect?"
"A strong rotten apple smell."
"……"
What a rotten apple smell signifies, any doctor with clinical experience knows.
Su Yun didn't continue speaking; this is a life-or-death matter.
Zheng Ren changed his angle and saw a middle-aged person leaning against the back of a small artificial hill between the two hot spring pools, with a small tea table beside him, appearing to be soaking while drinking tea.
He just seemed a bit drowsy, dozing off. The system panel glowed red, and the diagnosis of ketoacidosis shone like a bright lamp.
Zheng Ren hurried over and said directly: "Hey!"
The man didn't speak, head lowered, still dozing.
Su Yun twitched her nose; as they got closer, the rotten apple smell grew stronger.
Without a word, the two crossed the hot spring pool. Zheng Ren tapped the man, who dazedly lifted his head, listless yet somewhat irritable.
His skin was all wrinkled, looking like ET. Zheng Ren knew this wasn't dehydration from soaking too long, but dehydration caused by ketoacidosis.
"Who are you!" the man gasped heavily, looking extremely fatigued and weak.
"Where are your family members?" Zheng Ren asked loudly.
Not far away, several middle-aged women heard the loud voices and looked over.
A middle-aged woman walked over and asked: "What's wrong?"
"What's your relation to him?" Zheng Ren asked while saying, "Quickly help him out."
"Are you security? There doesn't seem to be a time limit for soaking here." The woman asked doubtfully.
Zheng Ren laughed helplessly and immediately asked, "I'm a doctor; are you his relative?"
"I'm his partner, what do you want!" the woman realized, shouting angrily.
"Does he have diabetes? He's already got ketoacidosis!" Zheng Ren and Su Yun, scrambling, helped the man to his feet.
His legs were weak and sore, he panted heavily, and the rotten apple smell in his breath grew stronger.
At this point the middle-aged woman also sensed something wrong, she hurriedly followed out, anxiously calling, "Old Li, Old Li!"
The man responded in a daze, his consciousness still fairly clear.
"Sunken eyes, rapid pulse, weak pulse." Su Yun quickly said after a brief check.
"Hurry to the hospital." Zheng Ren said, "Have you had dinner? Do you have insulin?"
The situation was urgent; several questions were asked at once, leaving the patient's family bewildered.
"We ate..." the middle-aged woman hurriedly said, "Just worried he'd have low blood sugar, so we ate dinner before coming down."
"Do you have insulin!"
"Yes, we do!"
The middle-aged woman didn't wait for prompting; she hurriedly ran back to the house to get the insulin syringe.
"How long has he been soaking?" Su Yun looked at the man lying on the ground, resignedly saying, "His blood sugar control was probably already poor."
"Hmm." Zheng Ren nodded, that should be it. Soaking in hot springs for a long time triggers a series of reactions that raise blood sugar, leading to ketoacidosis.
Luck was on our side; fortunately we ran into him. If it had been later, he might have fainted in the pool and drowned.
Even if his family noticed and sent him to a nearby hospital, by the time they got there he'd likely be cold.
Soon, the middle-aged woman came back barefoot, holding a small medicine box.
They still had some home medical equipment; Su Yun first took a fingertip blood glucose reading: 35.4 mmol/L!
After injecting 5 units of insulin into the patient, Zheng Ren finally relaxed. Low-dose insulin therapy can maximally suppress ketone production without causing hypoglycemia or hypokalemia.
Not being in a hospital and having no emergency meds on hand, this was the best rescue option.
"Hurry up and change clothes, then go to the nearby hospital." Su Yun said cheerfully.
After the insulin injection, he should be fine.
It just looks scary; as long as he's sent to the hospital promptly and given proper care, there won't be any problems.
"Boss, want a cigarette?" Su Yun, while the woman went to change clothes, picked up a cigarette brought from the poolside and asked.
"Too many people, I won't smoke." Zheng Ren said.
"Why go through all this trouble?" Su Yun said indifferently, setting the cigarette aside and looking at the patient.
Feng Xu Hui and Lao He came over, also squatting to the side, curiously watching the patient.
Zheng Ren caught sight of the scar on Feng Xu Hui's leg; because conditions were limited back then, treatment was delayed, and given Feng Xu Hui's scar-prone constitution, the scar looked particularly conspicuous.
"Chief Zheng, Yun Ge'er, what's going on?" Feng Xu Hui asked curiously. Just now I saw Chief Zheng rushing over, but after one insulin shot he relaxed—does this count as emergency rescue?
"Nothing, just that the hot spring soak was a bit too long, raising his blood sugar." Su Yun said.
"Ah?"
"Impressive, don't worry, it's not related to the hot springs." Su Yun chuckled: "It's likely his blood sugar control was already poor before soaking, leading to high blood sugar."
"Ketoacidosis sounds like a serious condition." Feng Xu Hui understood a bit.
"During hot spring soaking, vasodilation and fluid loss worsen dehydration, possibly raising blood sugar further. This is his current state—look, his eyes are sunken, an outward sign of significant internal dehydration."
"Is it dangerous?"
"Just now it was dangerous; Boss's nose following Heizi is really handy. Being able to smell rotten apples while soaking—awesome." Su Yun threw in a remark to Zheng Ren.
"It's fine; go to the hospital for fluids and symptomatic treatment, and he'll recover quickly. Judging by his condition, his internal dehydration is about 15%." Zheng Ren, ignoring Su Yun's comment, said directly.
They chatted idly while waiting for the patients' families to change clothes.
Soon, several girls changed into swimsuits and came out, graceful and lovely, and the whole world seemed to brighten.
They saw Zheng Ren, Su Yun, Lao He, and Feng Xu Hui squatting beside a person, and they were all curious.
After inquiring about the situation, there was also nothing to Worry about; this side also didn't need many people, so the girls went straight to soak in the hot springs.
However, Lin Yuan's expression was very odd; he stood at the edge of the hot spring, hesitating to go down.
End of Chapter
