Chapter 3027: with translation of chapter title

Because there were no patient family members, the junior staff of the Medical Department brought equipment over in the middle of the night, leaving audiovisual records as legal evidence.

Sending the patient onto the operating table, Feng Jianguo felt that his earlier words were somewhat malicious.

But there's no choice; if I don't scare him like that, how would he agree to the Shou Bing? Not doing the Shou Bing, whether I can sleep tonight is trivial—if the patient really dies in 912, what then? Although it's my own doing, it's still a life.

Really, in my life I've seen all sorts of rectal foreign bodies—rolling pins twice—but those were with lubricant, and some even put a condom on the rolling pin for fear of dirt.

This guy, after arguing a couple of sentences with his girlfriend, acts clueless… tsk tsk, Feng Jianguo chuckles while changing clothes. Arguing with a girlfriend or wife, I'm really getting old—I haven't felt the urge to argue in years.

Feng Jianguo immediately dismissed that thought and continued to ponder the patient.

Saying he's bold isn't right either; at the mention of Shou Bing he trembles all over, finally reluctantly agreeing to first use a Colonoscope to see if it can be done, then a Laparoscope, and if not, proceed to open Shou Bing.

Saying he's timid isn't right either—could a timid person shove a rolling pin straight in? Or is it just youth? Feng Jianguo reflects. When you live to my age you know that just surviving is more important than anything; is life not good? Is the game not fun or the hot pot not tasty?

After changing clothes, glancing at the time, Feng Jianguo estimated the Shou Bing would end in about two hours.

"I can still sleep a bit, I can still sleep a bit," he consoled himself.

Entering the Shujian, I saw Quan Xiaocao preparing the Colonoscope equipment. The anesthetist was administering anesthesia to the patient, and Feng Jianguo chuckled, saying to the patient, "Look, that's the Colonoscope equipment; we'll first use it to have a look—if it can be resolved, there won't even be a cut."

He knew he was comforting the patient, wishing him a pleasant dream under anesthesia.

Actually, Feng Jianguo himself doesn't know whether this approach is right or wrong; who knows? Better not think about such nonsense.

Using the Colonoscope to resolve it? That's just a placebo to fool the patient. But since we've said it, the Shou Bing record will certainly note an endoscopic examination via Colonoscope, see xxx, unable xxx, finally opting for Laparoscope Shou Bing or similar.

"Xiao Cao, ready?" Feng Jianguo asked.

"Feng Teacher, ready."

"Boss go scrub hands, I'll pull out the rolling pin." Feng Jianguo arranged.

Boss finished preparing the Laparoscope equipment, checked it once, then went to scrub hands. Feng Jianguo donned a pair of sterile gloves, looking at the rolling pin with only its head exposed, he remarked, "How deep this thing is—speaking of which, that young guy really went in hard."

"Yeah, I know this time." The circulating nurse, preparing and lightly tapping instruments with the instrument nurse, hurriedly said, "I'll tell my husband later: don't go fooling around outside, or you'll make Mom angry—this is the example."

The anesthetist laughed heartily, "Let you handle it—you couldn't even get it in."

"Nonsense, I've flushed more intestines than you…"

"Never mind, that's gross." The anesthetist knew he couldn't outspite the feisty circulating nurse, so he quickly changed the subject: "Professor Feng, when will we be done? There are two C-sections waiting next."

"Two o'clock!", Feng Jianguo said with a laugh, "Anesthesia done?"

"It's done, the anal sphincter has relaxed; even if you don't pull it out, you'll probably pass it yourself soon." The anesthetist laughed.

Feng Jianguo didn't use much force, and a blood-stained rolling pin was taken out. He casually set it aside, seeing slight active bleeding, he said, "Xiao Cao, hurry up, see if you can find the bleeding point."

This is his only expectation of Quan Xiaocao—find the bleeding point, first stop the bleeding is good. Although the patient has no substantive organ injury, the chance of major bleeding is also low.

The patient's blood pressure is stable; it doesn't look like a penetrating sharp-object injury, so I don't know how many intra-abdominal organs are damaged. If it were that kind of situation, I wouldn't dare just pull it out.

This time it's just a blunt-ended rolling pin, only 20 cm inside; pulling it out wouldn't cause any problem.

"I'll go scrub hands," Feng Jianguo said afterward.

He glanced at Quan Xiaocao, seeing that Xiao Cao had already given herself a psychological suggestion; this time it's over the top—she even wore two layers of Mask!

Even one Zheng Lao Ban isn't enough for you to learn from; you even imitate Su Yun's habit of wearing a mask—Feng Jianguo has no good solution for that either.

However, for such a coward, being able to perform the Shou Bing properly is already not bad.

It looks like she has already entered the state, directly activating her own Peerless mode.

Feng Jianguo found it amusing, but still worried that a small Blood Vessel in the patient might rupture and bleed, so he hurried to scrub hands.

Quan Xiaocao didn't answer Feng Jianguo, not because she disrespects Professor Feng, but because she had activated Peerless, entering the Zheng Lao Ban + Yun Ge'er mode.

Sending the Colonoscope tip into the anus, ignoring the bleeding point from anal tearing; that bit of bleeding can come out later and be cleaned up.

Regarding laparoscopic treatment of the rectum, Quan Xiaocao practiced for three months; just at the Community Hospital, she went through over forty worn-out simulators.

Even so, Quan Xiaocao still uses them sparingly. The simulators are all a cost, and Yun Ge'er still won't take money… these make Quan Xiaocao feel a bit guilty inside.

As Yun Ge'er puts it, if one day you can independently perform endoscopic Shou Bing as the lead surgeon, that would be repayment enough. Quan Xiaocao doesn't think that statement is true, but wanting to repay, she doesn't know how; Zheng Lao Ban and Yun Ge'er seem to lack nothing.

Day after day of practice, Quan Xiaocao can now instantly activate Peerless, smoothly entering the Zheng Lao Ban + Yun Ge'er mode, preparing for the Shou Bing.

Fully focused, sending the Colonoscope into the rectum, Quan Xiaocao's eyes narrowed as if imitating Zheng Lao Ban's habit, carefully watching the endoscopic image.

The rectum is fine, just some congestion and edema, still okay.

The Colonoscope continued forward; during inspection, the patient's sigmoid colon was obviously twisted, and after entering the scope, a colonic perforation about 1.0 cm in diameter appeared 20 cm from the anus.

She didn't immediately repair this intestinal perforation, but continued to explore upward.

After confirming everything above was fine, she withdrew the Colonoscope tip and began preparing to repair the intestinal breach.

She had handled similar situations countless times; plus, with the experience of treating an esophageal diverticulum the last time with Zheng Lao Ban's help, she didn't ponder what Feng Jianguo meant, but single-mindedly began the treatment.

After withdrawing the scope, she placed the Olympus MH463 transparent mucosal suction cap—i. e., the Transparent Cap—onto the colonoscope tip; then Quan Xiaocao took a deep breath, her hand steady, her gaze resolute, showing no trace of the coward she was before the Shou Bing.

……

……

Note: Case source from Chinese Journal of Digestive Endoscopy, 2013, 30(06): 348-348. DOI: 10.3760/cma.. 1007-5232.2013.06.018