Chapter 3004: 2804 After 5 Minutes We'll Take a Look (Sect Leader Nameless and Powerless Bonus Chapter)
"I'll go take a look." Zheng Ren chose to believe Fan Tian Shui.
One must trust professional judgment, whether it's Fan Tian Shui or Chang Yue, Zheng Ren knew this in his heart. He immediately started to worry, wanting to go see Su Yun and Chang Yue.
"I'll go with you, Chief Zheng." Fan said.
Zheng Ren didn't refuse; the two went up the stairs to the second floor, saw the demonstration room's lights on, Zheng Ren knocked on the door, then pushed it open and entered.
Su Yun and Chang Yue were looking at the surveillance footage on their phones; Su Yun reclined sideways in the chair, legs crossed and resting on the table. Chang Yue sat solemnly before the table, fully focused on the surveillance image on the phone.
"Did you find anything?"
"Nothing." Su Yun exhaled, laughed, and said, "What else could there be to find?"
"Has the glucose been used?" Zheng Ren asked.
"Yeah, it's been used." Chang Yue said, "The blood sugar has clearly returned to normal, with no issues."
Zheng Ren felt something was odd; could it be that Chang Yue and Fan Tian Shui were both wrong?
Suddenly, Chang Yue's upright body tensed slightly; Zheng Ren could clearly feel the tension contained in that stiff sitting posture.
In the surveillance footage, a man's back appeared; he held a bedpan in his right hand, on his way to the restroom.
"This is the patient's family member." Seeing Zheng Ren approach, Chang Yue pointed at the back and said.
"Hmm, looking at… it seems quite normal." Zheng Ren saw in the surveillance video that the man holding the bedpan greeted people along the way, said a couple of things, and behaved quite normally.
Chang Yue glanced at his phone and said, "The last time he went to the restroom to empty the bedpan was 46 minutes ago."
"Is the interval really that short?" Zheng Ren tilted his head slightly.
"Let Doctor Jiang have a look." Su Yun said with a chuckle, "If you're worried, just check again and it'll be about the same."
"Did the patient use a diuretic after surgery?" Zheng Ren reviewed the medical orders, had no recollection, and then asked directly.
Generally, patients with ascites will use a diuretic; after diuresis, the peritoneum will absorb the intraperitoneal fluid on its own, quickly reducing the ascites volume.
"No, after the new TIPS surgery the patient's portal vein pressure drops; without a diuretic, the ascites can reduce to about 3 cm in depth within three days. Using a diuretic would require ion monitoring, which is unnecessary—I stopped it three months ago." Chang Yue said.
Without a diuretic, he urinated twice in over forty minutes—could there be an acute urinary tract infection? Zheng Ren recalled the system panel from this afternoon's rounds, but still had no idea.
The system panel showed no indication of any urinary tract infection at all, leaving Zheng Ren feeling troubled and confused.
"Doctor Jiang, are you there?" Chang Yue picked up his phone and called the duty doctor.
"Go check the fingertip blood glucose of the patient in Bed 2, Room 18, and see how things are."
After saying that, Chang Yue hung up the phone.
Soon after, in the surveillance footage, a doctor carrying a fingertip blood glucose testing device went to Room 18.
Three minutes later, the patient's family member returned holding the bedpan, which was spotless; it was clear he was a very tidy, orderly person.
Another two minutes passed, and the patient's family member saw Doctor Jiang off. On the surveillance screen, the two stood at the door chatting briefly, both smiling.
Finally, the patient's family member gave a slight bow and politely saw the duty Doctor Jiang off.
Having watched him return to the duty room, the patient's family member then leisurely looked around, went back inside, and closed the door.
At the same time, Chang Yue's phone rang.
"Sister Yue, the patient in Bed 2, Room 18 has a blood glucose of 6.2 mmol/L." Doctor Jiang laughed, "The IV is almost done, the patient in Bed 2 has already fallen asleep; being woken up by me made him a little unhappy."
"Is he mentally clear?" Chang Yue asked.
"Nothing's wrong; I checked his pulse, heart rate 92 beats per minute, very steady."
Chang Yue hung up the phone, but Zheng Ren's brows furrowed.
Doctor Jiang's words just now were fine, yet I myself felt something was off.
A fleeting doubt lodged itself in Zheng Ren's mind—not that Chang Yue and Fan were wrong, but that he had just noticed some detail yet failed to catch the problem in that instant.
This time even Zheng Ren himself sensed that something was wrong.
Zheng Ren glanced at Su Yun, who was staring at the ceiling, lost in thought, either confident or absent‑minded. Then he looked at Chang Yue, who seemed to have realized something was wrong as well, his fingers interlaced, thumbs constantly twirling around each other.
"Chang Yue, where do you think the problem is?" Zheng Ren asked.
Chang Yue said, "At first Doctor Jiang wanted to push high‑sugar glucose, but the family member refused. They said they didn't need the 10% glucose, and in the end we gave them the 5% large‑volume glucose."
This is the most troublesome aspect of a "professional" patient's family member—every medical order has to be negotiated, which is a hassle. However, long‑term illness makes them quasi‑doctors, and sometimes what they say actually makes sense.
Zheng Ren shook his head; whether it was 50% concentrated high‑sugar glucose, 10% glucose, or the current 5% glucose being administered, it didn't matter much.
The patient's blood sugar has recovered well—that's the result. If there were an abnormality, the blood sugar wouldn't be so steady…
No!
What Chang Yue just called "large glucose" refers to the 500 ml big bottle of glucose.
Zheng Ren suddenly realized something, and at the same moment Chang Yue said, "No! The 5% glucose, 500 ml, shouldn't have been used up this quickly."
"After two urinations, if it were from drinking pu‑erh tea as a diuretic, it shouldn't be happening now." Su Yun said, "I suspect…"
"Did the patient's family member pull out the glucose?" Chang Yue asked doubtfully.
"It's possible—infusing 500 ml of fluid into the veins in a short time increases cardiac afterload; acute left‑heart failure should show up, and the patient's heart condition isn't great." Su Yun remained in that pose, "It's very likely the patient's family member withdrew the glucose solution. Besides, if Doctor Jiang isn't blind, when he checks the IV in the ward he always pays attention to the drip rate—that's a basic quality of a doctor. The reason he didn't mention it is because it's something that should go without saying; there's no need to mention it. I'd guess he didn't even notice—just a quick glance, and if nothing's wrong, that's fine."
"Why?"
"Who knows." Su Yun said, "Let's take a look in five minutes."
Zheng Ren felt doubtful—why wait five minutes? After saying that, Su Yun pulled out his phone, started the timer, looking as bored as ever; saying five minutes meant exactly five minutes, and everything before him seemed like a game requiring second‑by‑second precision.
Zheng Ren felt helpless, but he always had the sense that Su Yun seemed to have thought of something.
"Su Yun, what are you thinking about?" Zheng Ren asked.
"Nothing, we'll take a look in five minutes."
Though we couldn't see Su Yun's expression, his voice sounded off—cold and devoid of the usual teasing and scorn.
In the surveillance footage, everything was peaceful and quiet; the chatting family members and recovering patients in the hallway made the whole world seem full of life.
But Zheng Ren's brows furrowed tighter and tighter.
End of Chapter
