Chapter 2999: 2799 Woman
Soon, Peng Jia's imaging data was sent to the email inbox, and Su Yun opened the notebook to start reading the images.
Private hospitals have few patients and attentive service; imaging results can be packaged and sent immediately, something public hospitals can only achieve through connections. When spending money to get things done, private hospitals indeed do this well.
"MRI and MRA showed an abnormality in the external interstitial space of the superior orbital muscle on the right side, considered a local hematoma." Su Yun said after reviewing the nuclear magnetic resonance imaging data.
"T1 low signal, T2 high signal—indeed a hematoma. The amount is small; what was previously considered remains the most likely."
"Vomiting from drinking too much increased pressure, causing a local vein to rupture and bleed—Peng Jia really pulled off something impressive." Su Yun sighed, "People who drink heavily every day don't even have this; you say Peng Jia doesn't often drink, so how could he end up with so many issues?"
Zheng Ren smiled.
"It's because he drinks little!" Su Yun finally concluded, "Next time I meet Peng Jia, I'll definitely have a good drink with him."
"Don't mess around—he can rupture a vein just by drinking himself; don't make him vomit blood."
"Tch, how should I reply to Peng Jia?" Su Yun asked.
He could easily reply; the condition was simple, with no doubt. However, Peng Jia spoke politely, but between the lines he was asking his own boss to look at the images, so Su Yun would certainly need to ask the boss's opinion.
"Tell Peng Jia, the consideration is a small hematoma causing it." Zheng Ren said.
"The source of the hematoma is now considered possibly due to increased venous pressure from severe vomiting causing a tiny vein rupture; according to the hematoma's location, it can explain Peng Jae's ptosis of the upper eyelid."
"One mechanism is compression of the levator palpebrae superioris; another is compression of the superior branch of the oculomotor nerve, but Peng Jae lacks signs of superior rectus palsy, so that possibility is small."
"Alright, I'll reply like that." Su Yun said, "Just tell him, simply put, it's from being overly full."
"……" Zheng Ren felt regretful about Su Yun's description, but thinking about how overeating leads to gastric distension… forget it, I don't want to dwell on that.
After the Shou Bing was done, sending the patient back, after looking over the post-Shou Bing patients, Chang Yue appeared sternly in front of Zheng Ren.
"Chief Zheng, I think we should go to the Community Hospital for a look." Chang Yue said.
"Wasn't it already done this morning?"
"I moved the patient to Bed 2 in Room 18; the family strongly insisted, saying the patient in Room 13 is too noisy." Chang Yue said, "I've been thinking all morning, always feeling something's off, but I can't pinpoint exactly where the problem lies."
Zheng Ren nodded; for someone like Chang Yue, who is like a head steward, respect should still be given when due.
Moreover, this should count as a woman's intuition—after chatting long with patients and their families, any abnormality is sensed subconsciously, but putting it into words is impossible.
This is just like how Zheng Ren himself examines patients: when faced with difficult, complicated cases that defy reasoning, his subconscious always has some ideas, wanting to grasp them but unable to; most of the time, those ideas turn out to be correct.
Not having eaten yet, Zheng Ren called Gao Shaojie, Lin Yuan, and Gu Xiao Ran to go together to the Community Hospital.
We can't give patients the impression we're specifically looking at them; we can only treat this as a normal ward round. Moreover, having everyone look together means more eyes, more clutter—who knows who might spot the problem.
Zheng Ren also wasn't in a hurry; taking advantage of this matter, he could go through all the community patients at once—this kind of ward round is never too much. Checking for hidden dangers? Whenever it's done, it should be.
Arriving at the Community Hospital, patient after patient was examined; each patient wore the red string Zheng Ren had braided. It looked nice, and Zheng Ren chatted happily with the patients in simple exchanges.
Chang Yue knew every patient's condition inside out; the resident doctors working at the Community Hospital looked at Chang Yue with a hint of fear. Not knowing how many times they'd been scolded by Chang Yue, they instinctively felt apprehensive.
Going room by room, the crowd lingered for an hour before finally reaching Room 18.
The ward had two female patients: one was an elderly woman in her seventies, the other was the female patient Chang Yue said had a problem.
Zheng Ren followed the order, first learning the condition of patient number one, then moving on to patient number two.
The chart described the patient Chang Yue flagged as problematic as being 45 years old, but she looked to be in her thirties, quite young. Her face was caked with powder, covering a dark complexion, and she'd applied lipstick, making her appear quite spirited overall.
Few hospitalized people wear makeup; this might count as something? Zheng Ren wasn't sure, after all, everyone loves beauty.
"Professor Zheng." Seeing a crowd of doctors surrounding Zheng Ren like stars around the moon and approaching the bedside, the patient greeted him politely.
By the bedside chair, the man stood up, gave a slight bow—Jiu Gong—and still held a half‑cut apple in his hand. On the table sat a constant‑temperature kettle; the water inside gurgling as it boiled, tea leaves dancing up and down.
Life was good—there was an apple and tea to drink.
"Patient Yang Lihong, female, 45, from Shanbei Province, discovered…" Chang Yue began reporting the medical history, while Zheng Ren looked at the patient's images and listened to Chang Yue's report.
Relatively simple cirrhosis, ascites, and portal hypertension. The patient was post‑op day one; the Shou Bing was performed yesterday by Gu Xiao Ran, and she only needs to wait a few days for the second‑stage operation before going home.
Zheng Ren didn't question her further just because Chang Yue had mentioned her; like the elderly man in Bed 1, he simply asked about her postoperative feeling, checked the puncture site, and did a physical exam.
After leaving the room, Zheng Ren said nothing, went through all the patients in order, then called everyone: "Back to the office for a meeting."
"Community?" Gu Xiao Ran asked.
"Silly—the farther from the patients, the better." Su Yun said, "If we make a noise and scare the snake, what then?"
Zheng Ren regretted Su Yun's description; he didn't think the patient had any problem, the System Panel's color was much lighter than in his memory, indicating her condition was gradually improving.
The Shou Bing was fine; looking at the patient and her family's expressions gave no reference value, and Zheng Ren wondered where Chang Yue's intuition came from.
In a year, having seen several thousand patients, this is the only objection Chang Yue has raised—Zheng Ren couldn't afford to ignore it.
Returning to 912, it was exactly lunchtime break; the office was empty.
Everyone sat down, Gu Xiao Ran closed the door, and Zheng Ren said in a low voice, "Patient in Bed 2 of Room 18—everyone, share your thoughts."
This was the first full meeting of the Medical Team; usually, any doubts about a patient's condition are settled after Zheng Ren and Su Yun discuss them, but facing this issue, not only Gu Xiao Ran and Lin Yuan, even the experienced Gao Shaojie felt a bit at a loss.
End of Chapter
