Chapter 2805: line with translation of chapter title

The chat with Xiao Shitou was interrupted by Su Yun's phone call.

"Boss, Urology Department, hurry up and come!" Su Yun shouted anxiously.

"Huh? I'm with Xiao Shitou, what's up?"

"A patient with a urethral foreign body, Yu Zong isn't sure, help me consult." Su Yun said, "Don't dilly-dally, hurry up and come!"

After saying that, he hung up the phone; the other side seemed busy.

Zheng Ren didn't take it seriously; a urethral foreign body is like a rectal foreign body—humans truly have limitless curiosity. This is all Old Mr. Yuan's fault, in other words, it's from being overfed and bored.

"Did Yun Ge'er call you about something?" Xiao Shitou asked.

"Yeah, he said there's a patient who wants me to take a look." Zheng Ren smiled: "As a doctor, seeing more strange and unusual cases is a way to grow."

"Go ahead, you don't need to keep me company here." Xiao Shitou laughed: "Tell me the hospital's Wi‑Fi password, and I'll entertain myself."

Saying that, he tapped the phone box beside him.

Zheng Ren Gang was about to speak when his phone rang; he pulled it out and glanced at it—it was a photo sent by Su Yun.

After a glance, Zheng Ren was dumbfounded.

On the X‑ray flat plate, at first glance there appeared to be six nails in the urethra, but on closer look, three of the nails were overlapping side‑by‑side, causing the image to superimpose.

In total, nine iron nails appeared in the urethra, none had fallen into the bladder, and they blocked the urethra completely.

…… Zheng Ren's body acted on its own; upon seeing the picture he immediately stood up, striding out of the ward while saying, "Ask the nurse sister for the password."

Having said that, he opened the door and left.

Striding into the Urology Department, Yu Zong was looking at a film, and Su Yun stood beside him, watching and sighing.

"Boss, you came pretty fast." Seeing her own boss rush over like a flying arrow, which matched her expectations, Su Yun laughed and said.

"Where's the patient?" Zheng Ren frowned, "Are the nails stuck? Why didn't they fall into the bladder?"

"Probably they're stuck." Yu Zong said, "The patient now has difficulty urinating, frequent urination, urgency, and pain, yet can hardly pass any, saying they haven't drunk much water for three days."

"..."

"Three days without drinking much water—how bad must this person's condition be?!" Zheng Ren frowned at the image and asked again, "Where's the patient?"

"He went to complete admission procedures." Yu Zong said.

"No one accompanying him?"

"No, I said I'd help him with the paperwork, but he seems a bit Worry." Yu Zong said, "Zheng Lao Ban, it's fine; he'll be up soon. Walking is okay, just a bit inconvenient. I don't think it's an electrolyte imbalance from low water intake; completing the admission should be fine."

"Boss, why are you so Tension?" Su Yun asked.

"It's the first time I've seen this." Zheng Ren said, "I'm afraid there might be other complications, nine nails…"

"Rare and strange." Su Yun said disdainfully, "Yu Zong, in a bit I'll show the boss your Shou Bing skill."

"Yun Ge'er, don't be so insulting." Yu Zong said, "I don't even know how to do this Shou Bing; I guess we need to call the director."

"Can't you be a bit more ambitious? A urethral scope or cystoscope can remove them, it's no big deal." Su Yun said, "The key is this guy is too ruthless—I've seen one or two nails before, but nine nails—aren't you afraid of something going wrong?"

"Yun Ge'er, don't say that." Yu Zong waved his hands repeatedly, saying, "Who knows how long this thing has been in there? Look, those three nails are side‑by‑side; they're probably jammed tight."

"Do we need a cystostomy?" Zheng Ren asked, "I see a lot of urine in the bladder; the patient probably isn't urinating because of severe pain."

"I said we should first do a cystostomy to drain the urine, but the patient refused—" Yu Zong sighed, "I'm worried something might happen; that's why I asked Yun Ge'er to come take a look."

"Have you seen the patient?" Zheng Ren asked Su Yun.

"I haven't seen him… Speaking of which, he went to finish admission formalities over half an hour ago—why hasn't he come back yet?"

"Let's go check." Zheng Ren said.

"Let's go." Yu Zong knew Zheng Lao Ban and Yun Ge'er had never seen the patient in person, so he followed them downstairs to look for the patient.

A urethral foreign body isn't like a heart or brain infarct; we don't know how long the object has been inside, and a few hours don't matter much. But Zheng Lao Ban is a bit tense, and Yu Zong didn't object, so let's go have a look, just in case something happens.

"Boss, you really haven't seen a urethral iron nail before?" Su Yun asked.

"No." Zheng Ren shook his head.

"Ha, you also haven't seen one!" Su Yun happily began telling Zheng Ren, "I've seen three cases, but none had as many nails as this guy shoved in; they were just a few centimeters long, and after removal and placing a urinary catheter for a while they were fine."

"When I was in Hai Cheng I saw a few cases of rectal foreign bodies, but nothing particularly special." Zheng Ren said, "As for urethral cases, I heard a classmate say he once treated an old man who shoved a garlic sprout into his urethra, looking all green and lush… in his words, it was 'full of vitality'."

"I remember that years ago the Yangcheng Evening Post reported a child who said that in the middle of the night a perverted demon broke into his home and shoved an iron nail into his urethra. Later the family called the police, the newspaper interviewed them, and even gave it a big spread." Yu Zong said.

"Impossible." Su Yun waved her hand, "That incident was in 2013, and Yangcheng's public security has been fine for a while. Besides, going to someone's house in the middle of the night just for a urethral foreign body? The child had no signs of being tied up; a little struggle would prevent insertion. I think the child was just curious, ended up hurting himself, and then made up a lie to fool the family."

Zheng Ren felt Yu Zong's story was hard to understand; Su Yun's explanation made sense—it could be the child acting on a momentary curiosity. Still, the kid was not bad; even if he lied to cover up, he didn't delay treatment.

As long as there's no delay, it's fine; but if the nail stays lodged too long, who knows what could happen. Hematuria and pyuria are minor issues.

"If removed early it's fine; early presentation can be pain and urinary obstruction, injured patients may have hematuria. A foreign body in the bladder can irritate the bladder mucosa; with infection it can cause urinary frequency, urgency, and pain—bladder irritation symptoms—severe patients may develop periurethritis or a periurethral abscess, accompanied by local and systemic infection symptoms."

"If the foreign body is located at the bladder neck or urethra and forms a stone around it, it can cause urinary difficulty or even retention. If the stone becomes huge, it can even lead to urinary incontinence and upper‑tract hydronephrosis."

"Mm, this patient has already begun showing signs of urinary retention." Zheng Ren said, "Hurry up and complete all the procedures—let's get the Shou Bing done."