Chapter 323: line with translation of chapter title

Yesterday there were not many emergency patients, the ward was very stable, and the handover had nothing much to say.

After handover and rounds, Director Pan returned to his office to oversee.

Zheng Ren called in the two people known to Director Pan, asked about the patient's medical history, and examined the test reports they brought.

The patient is a 69-year-old male, in good health. One week ago, after accidentally hitting a hard object, he went to a township hospital for examination; ultrasound revealed multiple hepatic space-occupying lesions, considered malignant, the largest about 6×7 cm.

The medical history is simple; because the patient's hepatic space-occupying lesion already has intrahepatic metastasis, surgical resection cannot be performed.

At this point, interventional treatment is the best option.

Specific details—whether it can be done, how the postoperative effect will be—need to be determined after a contrast-enhanced 64-slice CT.

After instructing Chang Yue to admit the patient, Zheng Ren and Su Yun went together to check other postoperative patients.

Upon arriving at Xiao Hua Nei Ke, Director Xia's enthusiasm toward Zheng Ren clearly Enhancement two levels. Even toward other department heads in the hospital, Director Xia was not this enthusiastic.

She personally led the way, taking Zheng Ren to see postoperative patients.

Post-TIPS patient's hematemesis has markedly improved, hepatic encephalopathy symptoms are not severe; Zheng Ren feels that after observing another day or two, the second stent can be removed.

The patient's family thanked Zheng Ren profusely; Zheng Ren merely smiled, being able to "fish" that patient back from the brink of death gave him the greatest satisfaction.

As for the family's thanks, to Zheng Ren it actually isn't important.

The patient with sewage pool syndrome is also doing fairly well; although still febrile, the temperature has been brought under control.

From preoperative 39.5°C yesterday to 38.5°C now, this change is huge.

Zheng Ren is confident in his surgery; for the sewage pool syndrome patient, the main thing now is treating sepsis—if she can pull through this, she will have survived.

After seeing the postoperative patients, Director Xia escorted Zheng Ren all the way to the ward entrance.

From this, Director Xia has already acknowledged Zheng Ren's ability in her mind; subconsciously, she believes he has the qualifications to stand on equal footing with her.

Leaving Xiao Hua Nei Ke, Zheng Ren and Su Yun headed toward the ICU.

Su Yun's face showed no trace of a hangover, completely different from that day when she had eleven boxes of big green sticks.

Zheng Ren also Strange, logically, last night's Sugelan whisky alcohol content completely exceeded that of eleven boxes of big green sticks, yet Su Yun was completely fine.

"Last night, did you get it?" Su Yun suddenly asked while walking.

"Got it……" Zheng Ren didn't know how to answer this question.

If referring to an embrace, that would count as having gotten it. But I suspect Su Yun this guy isn't meaning that.

"Looking at your morning appearance, you should be fine. Don't rush, a virtuous woman fears a persistent man, take it step by step." Su Yun earnestly instructed.

Zheng Ren suddenly felt that what Su Yun said was not bad either; at least yesterday's story made him rein in at the precipice.

Otherwise, following his temperament, the situation might have developed in an unknown direction.

All the way to the ICU, after changing clothes and entering, Director Qian and others had solemn expressions as they Discussion the condition.

"Little Zheng, you're here." Seeing Zheng Ren and Su Yun come to see the patient, Director Qian waved.

Zheng Ren knew there was a problem and immediately went over.

"The patient in Bed 5 is quite agitated; according to the condition, we could have extubated the tracheal tube today and stopped ventilator support. But after the sedative's effect wore off, she began to become agitated, and her vital signs became unstable."

Director Qian simply said.

Bed 5 is the patient with high-altitude fall injuries that Zheng Ren operated on the day before yesterday.

Any other developments?

Zheng Ren felt doubtful; logically, at this point her condition should improve daily, and in a few days she could go to Orthopedics Department for internal fixation surgery.

The System issued Zheng Ren a 【Rescue from Water and Fire】 task, but Zheng Ren had no intention of completing it at all.

Outpatient surgery is outpatient surgery; it must absolutely not be done as an emergency. Otherwise the patient would suffer greater trauma, making bodily recovery unpredictable.

What is going on here?

Zheng Ren glanced at the patient; the System Panel in the upper right of his field of view still had a faint red background.

This is also normal; she still has many fractures untreated.

Looking at the diagnosis given by the system, there doesn't seem to be anything special……

Zheng Ren doubted, Silence standing behind the ICU doctors, attentively listening to their analysis of the patient's condition.

"Boss, I have a feeling that the patient's violent agitation occurs when the sedative drug concentration drops due to severe pain from adenomyosis of the uterus." Su Yun said softly.

Zheng Ren also considered this, but without a quantitative standard, he couldn't be completely certain.

He nodded, propping his chin with his right hand, furrowed his brows in thought.

"Little Su, what's your opinion?" Director Qian asked familiarly.

"Director Qian, I think the patient needs to try interventional embolization treatment for uterine adenomyosis. If it's still ineffective, then hysterectomy must be performed." Su Yun, without waiting for others to question, continued: "The reason the patient jumped from the building is because of the severe pain caused by uterine adenomyosis, unbearable, leading her to choose suicide."

"How high the peak of that pain is, we cannot guess. But one thing is certain: it must be very high; I estimate it to be around level 4 pain."

"Pain grading, levels 1-12 are fabricated by netizens. Medical pain grading, professionally speaking, is 0-4 degrees. Level 4 is severe pain, accompanied by changes in blood pressure and pulse."

The ICU doctors seemed accustomed to Su Yun's consistent correctness, subconsciously adopting what he said.

Although what Su Yun said was rather fanciful, upon careful consideration, the more one thinks about it, the more reasonable it seems.

Director Qian pondered.

"The pain from fractures, if lying still, is already tolerable; therefore I don't think the patient's agitation is due to fracture pain."

"I suggest we explain the condition to the patient's family. If that really doesn't work, then hysterectomy is needed." Su Yun remained firm: "If we keep delaying, the patient has been intubated for nearly 48 hours; soon a tracheostomy will be required."

"That would risk pulmonary infection and other complications, making recovery even harder."

"Let's try it." Zheng Ren, although unsure whether the patient's agitation is due to uterine adenomyosis pain, still agreed with Su Yun's suggestion.

"Now the patient no longer has the acute problem of hemorrhagic shock; trying this possibility also does no harm."

"After all, Interventional surgery is minimally invasive treatment."

"If the patient didn't have such severe trauma, she could get out of bed and move after 24 hours post-op."

"Of course, if we had the hemostatic plates from Di Du and other high-value consumables, she could get out of bed in 4–6 hours."

Director Qian found it incredible; after all, adenomyosis isn't particularly rare, but most people choose to have the uterus removed, a one‑time solution.

For women who have not yet given birth, this disease rarely occurs, and Director Qian also lacks experience.

After pondering for a long time, Director Qian finally decided, saying: 'I will go and communicate with the family, give it a try.'