Chapter 340: with translation of chapter title

This time I can't leave again; it's already past nine in the Evening, and it looks like after finishing the Shou Bing I'll have to work until late night.

Zheng Ren gave a wry smile, but after thinking it over, doing Shou Bing is better than entertaining guests or facing that lawyer in the traffic police squad whose mood changes faster than flipping a page; he felt relieved.

The internal medicine doctor shook their head, looking puzzled.

What food causes intestinal obstruction? Or is it of the intussusceptive type? Could it be sticky rice dumplings?

Zheng Ren chuckled and said, "Although asking might not yield an answer, when you come back in the Evening you still need to do what should be done; don't just focus on arguing with the patient's family."

Having said that, Zheng Ren left the Emergency Department and went to the ward to change clothes.

The Jizhenbingfang was quiet; patients who could go home had done so, leaving only a few post-op patients. The Hospital had no TV, and the Wi‑Fi speed was slow, so there was little entertainment, and everyone went to bed early.

The office lights were still on; Chang Yue was leisurely writing medical records, while Professor Rudolf Wagner held a Chinese textbook and was studying.

Seeing Zheng Ren walk in, Chang Yue felt strange.

"Chief Zheng, why are you still here? Is it because you're used to being on duty, wanting to replace me?" Chang Yue said, making a dry joke.

Just kidding—who would want to sleep in the Zhibanshi of the Jizhenbingfang if there's nothing going on?

The men's Zhibanshi is dirty and messy—no one wants it. Usually everyone's swamped with Shou Bing, who has the mood to clean the room?

The nurses who are diligent help out a bit; not helping is also expected.

How can this place compare to a villa with a bathtub?

"After making a round of the Emergency Department, I found a patient with intussusceptive intestinal obstruction who needs emergency Shou Bing." Zheng Ren said while walking, "I'll take the patient for examination; you prepare, admit the patient, and write the medical record."

"Chief Zheng, coming back this late in the Evening just to admit a patient—your trait is truly peculiar." Chang Yue said expressionlessly.

But complaints aside, the work still needs to be done.

Zheng Ren quickly changed clothes, and as he passed the office he added, "The compliance of the patient and their family isn't great—pay attention."

"Got it." Chang Yue said perfunctorily, "Fugui'er, go see Chief Zheng and lend a hand."

Professor Rudolf Wagner had been following behind Zheng Ren all along; hearing Chang Yue say that, he replied, "Mmn."

"..." Zheng Ren was speechless.

In just a few days, Professor Rudolf not only changed his name to Rudolf Fugui, but he's even learned Dong Bei dialect?

But hearing Professor Rudolf speak Dong Bei dialect, Zheng Ren felt a sense of closeness, and the distance between them instantly shrank considerably.

"Zheng Lao Ban..." Professor Rudolf had just opened his mouth when Zheng Ren cut him off.

"Don't call me Boss; call me Doctor Zheng or Chief Zheng." Zheng Ren said.

He's a lousy Boss; Zheng Ren is someone with substance, and every time he hears the word Boss he feels uncomfortable.

But when Su Yun calls, that's another matter.

"Mmn." Professor Rudolf said, "What's up? You came all the way out this late; if you hadn't come, I was about to head back to the hotel to rest."

"Do you want to do the Shou Bing—are you up for it?" Zheng Ren asked.

"Chief Zheng, your working hours are extremely inhumane." Although Professor Rudolf had changed his name and picked up a bit of Dong Bei accent, deep down he was still that German.

"I wasn't asking about that; I'm asking whether you'll do the Shou Bing. If you won't, I'll call someone to come." Zheng Ren said expressionlessly, striding toward the CT Shi.

"I'll go look at the images; don't you think letting an Intervention Department doctor perform a surgical Shou Bing violates……"

"Got it." Zheng Ren then picked up the phone and dialed.

"How is the patient's condition?"

"Seems a bit troublesome; please take extra care."

"It's fine; there's an intestinal obstruction on this end, so you don't need to come."

"Really not needed…… Alright, I'm almost ready on this end; come lend a hand."

Having said that, Zheng Ren hung up the phone.

Su Yun was caring for Yang Lili; because her injuries were especially severe, her condition is not very stable now.

Just the point of organ ischemia‑reperfusion alone is enough to give a headache.

Human organs can sometimes be remarkably resilient; trauma victims pulled from a car wreck with bloody, mangled flesh can be up and jumping out of bed in just a few days.

Others are particularly tricky; after ischemia‑reperfusion, organ function is impaired because the ischemic period was prolonged.

Under current medical conditions, not all patients can be resuscitated.

The ICU is the gate of hell; some patients come out, others never leave.

Yang Lili's Shou Bing was successful, but whether she can come out alive, Zheng Ren can't say for sure. As for that gate of hell in the ICU, Zheng Ren's word doesn't count.

Soon, Zheng Ren and Professor Rudolf arrived at the CT Shi.

It was Evening; there weren't many patients needing an emergency CT. By the time Zheng Ren and Professor Rudolf rushed over, the patient diagnosed with intestinal obstruction in the Emergency Department had already undergone the scan in the CT Shi.

Seeing Zheng Ren in a White Coat, with a blond‑blue‑eyed foreigner trailing behind him, the relatives all fell silent.

Zheng Ren had some thoughts; keeping Professor Rudolf around seemed worth considering.

At the very least, there would be far less bickering. Professor Rudolf's bearing is indeed impressive; he looks like a seasoned expert scholar.

Zheng Ren arrived at the operating room, greeted the CT Shi doctor, and then watched his procedure on the machine.

Seeing Zheng Ren follow along, the CT Shi doctor knew the patient's condition might be urgent; after the scout scan finished, he immediately pulled up the images on the machine.

Frames appeared one by one on the machine, and Zheng Ren quickly located the intussusception.

The target sign's outer circle represents the intussuscepted bowel, the inner circle the intusscipient bowel. A sausage‑shaped mass shows alternating low‑density fat and high‑density bowel.

In the invaginated bowel wall, damaged vessels are seen, appearing low‑density within the thickened wall.

"Fecalith‑related intestinal obstruction?" Professor Rudolf pointed to a layer of the image on the machine and said.

"Not necessarily a fecalith; I think food residue is more likely." Zheng Ren said.

The CT Shi doctor was puzzled—aren't fecalith and food residue essentially the same concept?

Professor Rudolf didn't believe it, saying, "Chief Zheng, when's the Shou Bing? I want to have a look. This thing, I think it's a fecalith—definitely not undigested food."

When faced with a foreigner speaking fluent Dong Bei dialect, the comedic effect instantly went through the roof. The CT Shi doctor was somewhat surprised, and also a bit bewildered, looking at Professor Rudolf.

Whether Chinese or foreigner, even regardless of whether they are human, as long as they speak Dong Bei language, they are all our own.

Like Fu Yuan Ai… unfortunately, the professor isn't as cute as Fu Yuan Ai; he actually looks somewhat fierce.

"Chief Zheng, do we need the film?"

"Yes, leave a patient's family member waiting, sorry for the trouble. As for the report, Ming day I will have the patient's family send it back; even if delayed, it's still in time." Zheng Ren finished speaking, then left the operating room, went to communicate the condition with the patient's family.

"At home, the patient's partner has come." Zheng Ren said.

At this point, some of the people in charge of arguing withdrew, and a man in his fifties, somewhat timid, came up to Zheng Ren, worried.

Zheng Ren's condition explanation scared him. While doing a CT scan, he had been afraid all along, hoping it wouldn't be a serious illness requiring Shou Bing.

At this moment, seeing Zheng Ren come out with a solemn face, his heart sank halfway.

The thought of arguing had long been flung to the clouds; between being angry and treating the illness, which is more important? As long as one is rational, no one would make the wrong choice.

"Doctor, I am the patient's partner; is she okay?"

"Intussusceptive intestinal obstruction requires Emergency Department Shou Bing. If there's no objection, follow me to Jizhenbingfang to complete hospitalization Shou Bing, then prepare for Emergency Department Shou Bing." Zheng Ren said.

The patient's partner felt dizzy and almost fell.

Zheng Ren quickly helped him up, sitting on the chair outside the CT Shi.

"Doctor, I have high blood pressure, sorry." The patient's partner lost the fierceness from arguing in the Emergency Department, looking aggrieved: "Yesterday I was fine, how did I get intestinal obstruction?"

"What did you eat yesterday?"

"Yesterday we had a class reunion, we ate hot pot in the Evening, then went to sing K, didn't eat anything special either." The patient's partner tried to recall yesterday's situation, saying uncertainly.

People's memory is sometimes truly unreliable.

"What exactly is it, you'll know after the Shou Bing."

The situation is relatively urgent; the intussusception isn't severe, but the best treatment time has already been delayed. If delayed further, leading to intestinal necrosis, then intestinal resection would be needed. Zheng Ren spoke frankly, without trying to scare the patient's family.

But even speaking frankly, it's still quite scary.

Following Zheng Ren's instructions at home, one person was left waiting for the film, while others hurriedly pushed the cart and Zheng Ren quickly went to the Jizhenbingfang.