Chapter 2532: 2441 What Are They Pondering About? (Alliance Leader Choco1ate Bonus Chapter 5)

There was vomit on the floor, and the nurse hadn't had time to clean it up. She was busy there cleaning the small patient's mouth to prevent aspiration of the vomit, which could lead to secondary pneumonia.

The pediatric emergency department doctor also rushed to the emergency resuscitation room and began symptomatic treatment.

Zheng Ren wasn't wearing a white coat; he approached the freshly remaining vomit like a curious onlooker, squatted down, and examined it closely.

The vomit indeed gave off a fecal odor, plus a faint smell of sulfur dioxide and alkane gases.

"It's feces; could it really be intestinal obstruction? Impossible—if it were intestinal obstruction, Manager Zhou wouldn't have missed it." Su Yun also squatted nearby, carefully examining the vomit.

"Cotton swab." Zheng Ren said.

Su Yun glared at him, stood up, went to the treatment room whose door wasn't closed, and took two sterile gloves and a pack of cotton swabs.

If the head nurse of the emergency department were here, she'd surely be scolding someone.

One or two cotton swabs would be enough, yet he actually took a whole pack—that's wasteful, typical wastefulness. But Su Yun never cared about waste; nitpicking isn't his style.

Zheng Ren put on sterile gloves, used a cotton swab to pick up a bit of vomit for close observation. Its appearance and smell resembled feces, looking quite strange.

Su Yun simply put on sterile gloves, dipped a finger in the vomit, and blatantly shoved it in front of Zheng Ren's eyes, teasing: "Boss, take a close look."

"..." Zheng Ren frowned, "Disgusting, stay away from me."

"When I was in school, I joked with our dormitory big brother by dipping a finger in table salt and putting it in my mouth."

"You used a different finger?"

"For sure."

"These little tricks... the small patient's vomit looks off; I'll go check on him." Zheng Ren said, stood up, took off his gloves, threw them into the treatment room's trash bin, and then strode to the resuscitation room.

A young, delicate woman under thirty held a child, her eyes rimmed red, gently patting the child in her arms as if trying to lull it to sleep.

"Doctor, is everything alright?" the child's mother asked.

"There's a problem; consider intestinal obstruction." Zhou Litao frowned, "First take the child for a fluoroscopy."

After saying that, he arranged for the pediatric emergency doctor to accompany them for the examination, worried that a similar situation might occur during the check-up; if mishandled leading to aspiration, it would be really messed up.

Soon, the pediatric emergency doctor grabbed the resuscitation kit and hurriedly took the patient and the mother away.

"Manager Zhou, what kind of patient?" Su Yun asked.

"Six months ago, on the first visit, there was an injury on the arm, said to be an accidental scratch on the child. I stitched it with two sutures, treated it, and they went home." Zhou Litao said.

"So careless?" Zheng Ren frowned, muttering to himself.

"Who knows? The child's mother looks like a meticulous person and is very concerned about the child, yet I don't know why she keeps getting injured or sick." Zhou Litao sighed, "I've gotten used to it."

"How many times has this happened?" Zheng Ren frowned, looking in the direction the patient left, and asked.

"Once was an injury; the rest were diarrhea, vomiting, and the like. I had her bring the child to pediatrics for inpatient observation. But they were hospitalized, examined, and nothing was found."

"This time is still relatively okay; up... three months ago one evening, when I was still the inpatient chief, the child vomited to the point of near suffocation. After a round of resuscitation, he was sent to pediatrics for inpatient treatment."

"What did the examination show?" Su Yun asked.

"Nothing; it improved the next day, and supposedly they were discharged and went home on the fourth day." Zhou Litao said, "Congenital gastrointestinal dysfunction—no one has a particularly good solution. They've taken all the medication they should, and done all the tests they should."

Zheng Ren's brows furrowed tighter, his eyes narrowed, his gaze showing some doubt.

"Boss, what are you thinking about?" Su Yun asked from behind.

"Let's look at the test results; I don't know if there's intestinal obstruction." Zheng Ren said in a low voice.

Su Yun seemed to catch a hint of something different; he questioned doubtfully: "Boss, do you think there's no intestinal obstruction?"

"Didn't we just say we should look at the test results? Didn't you hear?" Zheng Ren said.

"Tch, from your tone it doesn't sound like you're awaiting the test results; are you making your own judgment?" Su Yun said disparagingly.

"Hmm, I think the likelihood of intestinal obstruction is low." Zheng Ren said.

As he spoke, his tone became evasive.

Zhou Litao was somewhat doubtful; this time the small patient's condition was severe, and he judged it as acute gastroenteritis with acute intestinal obstruction, having already instructed the pediatric emergency doctor to send the case directly to pediatric surgery if intestinal obstruction were present.

The pediatric surgery department of 912 isn't exceptionally strong, but it's not weak either; handling an intestinal obstruction in a child over twenty months old is still no problem.

But how did Boss Zheng judge the condition? Why does he say it doesn't seem like intestinal obstruction?!

Zhou Litao was full of doubts.

"Manager Zhou, come to the office and let me brief you on the patient's situation." Zheng Ren was also pondering the matter, his voice becoming somewhat evasive.

The nurse was still cleaning up the battlefield, picking up trash, sweeping the floor. If a place like the emergency department isn't cleaned often, it would be filthy with bloodstains and vomit, impossible to look at.

Once summer arrives, if there are bloodstains in the hallway, swarms of flies will descend, impossible to drive away.

"When the patient first came, he was 13 months old, with a minor injury, sutured and discharged. The second visit was at 13 and a half months, influenza with pneumonia; the third..."

Zhou Litao was indeed efficient, or perhaps his impression of this patient was particularly deep; without looking at records, he recited the patient's medical visits over the past six months from memory.

Initially his condition was fairly mixed—trauma, influenza—but later the episodes mainly concentrated in the digestive system.

Vomiting, diarrhea, etc., mainly acute gastroenteritis.

The last time he came to the emergency department was half a month ago, also acute gastroenteritis, with a milder condition; after a few days of intravenous fluids and symptomatic treatment, he recovered and was discharged.

After saying that, Zhou Litao sighed, "The child's mother truly looks pitiful; I feel she's been worn out over these six months."

"Raising a child means accepting these consequences; you can't just treat illness at home." Su Yun said, "This is still okay—knowing the child is sick, she brings him to the hospital. I see she doesn't seem weary either, and she treats the child well."

Zheng Ren crossed his arms, lost in thought, neither affirming nor denying what Su Yun and Zhou Litao said.

Seeing Zheng Ren's grave expression, Su Yun blinked slightly, feeling something was off, and began to ponder the whole sequence of events.

The air in the consultation room instantly turned eerie.

Zhou Litao looked somewhat bewildered at Zheng Ren and Su Yun; the condition was quite obvious, so misdiagnosis seemed unlikely. What are Boss Zheng and Yun Ge'er pondering?