Chapter 271: with translation of title

0265 Boss, I'll take care of this (4/5, added 8 more for the ruthlessly helpless Alliance Leader)

Thus: "0265 Boss, I'll take care of this (4/5, added 8 more for the ruthlessly helpless Alliance Leader)". Need to keep the parentheses and numbers exactly. Let's produce: "0265 Boss, I'll take care of this (4/5, added 8 more for the ruthlessly helpless Alliance Leader)". Ensure no extra words.

0265 Boss, I'll take care of this (4/5, added 8 more for the ruthlessly helpless Alliance Leader)

"It's me." Director Pan's voice was full of dignity.

"Hmm, hmm, what are you considering?"

"Let me ask."

After saying that, Director Pan covered the microphone with his hand and looked at Zheng Ren.

"Zheng Ren, there is a 72-year-old male patient in the ICU who, 14 days ago, was hospitalized for hematochezia in our hospital's Gastroenterology Department and then transferred to the ICU ward."

Thus: ""Zheng Ren, there is a 72-year-old male patient in the ICU who, 14 days ago, was hospitalized for hematochezia in our hospital's Xiao Hua Nei Ke and then transferred to the ICU ward.""

"Hematochezia was controlled six days after admission, but the patient's condition was poor, and they had been receiving treatment in the ICU. This afternoon at 14:00, hematochezia recurred with a relatively large volume, and hemostatic drugs were ineffective. The General Surgery Department consulted and advised against surgical treatment." Director Pan then listed the patient's condition in succession.

Thus: ""Hematochezia was controlled six days after admission, but the patient's condition was poor, and they had been receiving treatment in the ICU. This afternoon at 14:00, hematochezia recurred with a relatively large volume, and hemostatic drugs were ineffective. The General Surgery Department consulted and advised against surgical treatment." Director Pan then gave a detailed account of the patient's condition."

Zheng Ren knew that Director Pan was seeking his opinion.

The General Surgery Department did not recommend surgical treatment because the patient was elderly and the bleeding point could not be determined.

The patient's intestine contained both fresh and old blood, so even a colonoscopy could not clearly identify the source of bleeding.

Such a difficult problem had occurred countless times before.

Once it appeared, it was all down to the patient's fate.

If fate was favorable, they would pull through; once the bleeding stopped and the patient's condition stabilized, further examination and treatment could be done.

If fate was unfavorable, continued bleeding would lead to death from excessive blood loss in a short time.

Even performing a surgical laparotomy to explore would only rely on luck to locate the bleeding site.

In clinical medicine, relying on luck is something nobody wants, but there are times when one must rely on fate and luck.

Zheng Ren pondered briefly and then said, "It can be treated."

The answer was simple—saving a life is like putting out a fire—and Zheng Ren didn't waste words.

Director Pan had great trust in Zheng Ren, immediately picked up the phone, and said, "I'll be there in twenty minutes."

After saying that, he hung up.

"Let's go." Director Pan stood up, decisive and efficient, and asked, "How much?"

The Boss chuckled and said, "Director, coming to my little shop for a meal is already an honor; if I were to charge you…"

Because there was an emergency, Director Pan didn't waste words, threw down five hundred yuan, and left.

The group moved like well-trained soldiers—talking and laughing one minute, then falling silent the next.

Boss Sun wore a grim face, holding the money, wanting to push it back to Director Pan.

But as he approached, Director Pan gave him a sideways glance. Boss Sun shuddered as if struck by lightning.

They got in the car, chatted little all the way, and drove back to Haicheng Shi Yiyuan.

As doctors, we always stay alert for emergency surgery; even when welcoming guests or eating, Chu Yanran, Zheng Ren, and Xie Yiren didn't drink alcohol.

Although emergency situations don't always occur, being prepared is never a mistake.

Upon arriving at the hospital, those who needed to go to the operating room went there, those who needed to return to the emergency ward did so, and Director Pan led Zheng Ren and Su Yun straight to the ICU.

"Zheng Ren, what's the plan?" On the way, Director Pan finally found time to ask Zheng Ren.

"Interventional angiography; if the location is typical, we'll just open the abdomen and find the bleeding point. If it's atypical, we'll perform embolization and then resect the necrotic bowel." Zheng Ren already had a plan.

"……" The experienced Director Pan was speechless.

What Zheng Ren said was a destructive surgery!

Super-selective embolization of the superior mesenteric artery can stop bleeding, but it also causes necrosis of a segment of the intestine.

This is a surgical taboo!

Su Yun's steps hesitated slightly, then she caught up, took a few quick steps, and whispered beside Zheng Ren, "I think it's okay."

"Hmm." Zheng Ren nodded.

"Zheng Ren, are you confident?" Director Pan asked.

"Yes, as long as the patient's condition allows." Zheng Ren said firmly.

"Good." Director Pan said nothing more, and in silence the three of them arrived at the ICU.

After changing clothes and entering the ward, Director Qian of the ICU stood by a patient's bedside, holding his chest while looking at the monitor, and chatting with Director Sun of the General Surgery Department.

Meanwhile, the ventilator and monitor were screaming urgently, and a tense atmosphere rushed over us.

How familiar…… Zheng Ren watched this seemingly familiar scene; the comfortable life in Di Du was gone for good.

"Little Su, you're back." Director Qian saw Su Yun also come in, didn't greet Director Pan first, but greeted Su Yun.

Su Yun smiled.

Director Pan approached the patient, checked vital signs: blood pressure 70/50 mmHg, respiration 24/min, pulse 121/min, and oxygen saturation had dropped to 89%.

Hypovolemic shock—this diagnosis is certain.

"Director Pan, you've arrived. Oh, Zheng Ren, you're back too." Director Sun of the General Surgery Department greeted them.

"What does the General Surgery Department think?" Director Pan asked.

"There's no choice; we should issue a critical condition notice. This kind of surgery, Director Pan, you know we wouldn't dare perform it." Director Sun shook his head, but his eyes were on Zheng Ren.

"Sigh." Director Qian of the ICU sighed.

Director Pan rushed over, merely fulfilling his duty as a doctor, and could not help the patient's condition at all.

In the upper‑right corner of Zheng Ren's vision, the system panel glowed red, listing the diagnoses: hypovolemic shock, electrolyte imbalance, and lower GI bleeding.

The condition was now clear; Zheng Ren took a deep breath, feeling a bit regretful.

He came from the General Surgery Department, so he naturally knew they wouldn't dare perform this surgery. Open the abdomen, and the intestines are full of blood—what do we do? Cut open the gut and hunt for the bleeding spot bit by bit?

If we couldn't find it, the patient would die from excessive blood loss.

Dying on the operating table and dying in the ICU are two different things.

After completing the second stage of the 'Initial Reveal of Sharp Edge' mission, the system's Big Pig Trotter awarded 3,000 cases of gastrointestinal dissection experience.

But Zheng Ren's intestinal Shou Bing experience is still limited to appendicitis, hernia and other minor Shou Bing.

A surgery of this difficulty inevitably requires spending some time in the system operating room.

After thinking about the surgical training time he had left, Zheng Renye had no hesitation and said, "Let's give it a try."

"Oh? What do you think, Xiao Zheng?" Director Sun immediately responded, as if he had been waiting for Zheng Ren to speak.

"Let's try using an interventional method to see if we can locate the bleeding point," Zheng Ren said.

Director Qian furrowed his brows; interventional procedures were unfamiliar to him, but since someone had proposed a solution, they might as well go ahead with it.

Director Sun chuckled and said, "I knew you could do it."

"Let's try, though I can't guarantee it," Zheng Ren replied.

"Xiao Zheng, we don't know what to do. Will you handle communicating with the patient's family?" Director Qian asked.

"Okay." Zheng Ren said, "How much blood is left? I need at least 10 units of frozen red blood cells and 1000 ml of plasma. Is there any issue with the coagulation function?"

"Boss, you go talk to the family; I'll handle this side." Su Yun said lightly, "I've had alcohol, so I won't meet with the family."

Director Qian and Director Sun stared at Su Yun in astonishment.

"Boss?" Was that what he just said to Zheng Ren?