Chapter 342: 335 Eating Too Many Almonds… (Bonus chapter 3 for Silver Alliance 37 Interactive Li Yifei)

"Chief Zheng, how did you determine that?" Professor Rudolf asked doubtfully.

"Slow-type intestinal stenosis is likely caused by food accumulation. Fecaliths could cause intestinal stenosis, but the process would be quick, definitely not slow." Zheng Ren said: "Combined with the patient's dietary history last night, we can infer that eating some hard food without enough chewing led to food impaction, causing intestinal intussusception."

"Tsk." Su Yun wanted to snap at Zheng Ren twice, but couldn't find anything to say.

"If the patient had agreed to an abdominal CT this morning, perhaps we could have avoided surgery." Zheng Ren said.

Su Yun found it a bit strange and asked, "How can we avoid intestinal intussusception?"

"Drink cola." Zheng Ren said: "Gulping it down uses carbon dioxide gas to expand the intestine, which likely would avoid this surgery. Unfortunately, the patient felt fine this morning and refused the abdominal CT."

Su Yun fell silent.

Professor Rudolf was puzzled.

Zheng Ren took out more than twenty almonds, then massaged the intestine, found no other foreign bodies, corrected the intussuscepted intestine, and requested warm saline gauze to cover it.

The cause of this patient's intestinal intussusception is fundamentally different from that of pediatric intestinal intussusception.

The stenosis and necrosis are not severe; Zheng Ren estimates there's a high chance of preserving the intestine.

As for using cola to resolve intestinal intussusception in the morning, Zheng Ren saw that in a case report.

Whether it actually works, Zheng Ren also doesn't know.

Anyway, this proves he was right; in Su Yun's words, it's a slap in the face.

Whether Professor Rudolf's face hurts, Zheng Ren doesn't care.

Ten minutes later, Zheng Ren opened the gauze.

The intestine was pink and well-perfused.

After suturing the intestinal tube and washing the peritoneal cavity with no foreign bodies or bleeding points, Zheng Ren and Su Yun began closing the abdomen.

The surgery wasn't long, and the system didn't issue any tasks, suggesting the difficulty wasn't high.

Zheng Ren guessed that if the patient had come to the hospital only after intestinal necrosis, the system would likely have issued a task.

But… this is better; the patient is expected to be discharged soon after surgery.

"How is Yang Lili's condition?" Zheng Ren asked while closing the abdomen.

"Fair." Su Yun replied, "She's already showing DIC symptoms and is receiving symptomatic treatment."

"And urine?" Zheng Ren asked.

In general, during severe ischemia-reperfusion, the kidneys and brain are two organs that suffer severe damage.

If the kidneys are severely damaged, the patient goes from no urine to low urine output, but will not develop polyuria; at that point, dialysis is needed to alleviate some problems to some extent.

If this continues long-term… the patient probably won't make it.

Clinically speaking, "no urine" means roughly this.

"Still in the oliguric phase, about 10 ml of urine per hour." Su Yun said.

"That's not bad."

"Generally, we'll need to observe until tomorrow to see the specifics." Su Yun said, not optimistic at all, simply put.

"You've worked hard during this time."

"It's only right."

Five or six minutes later, the abdominal cavity was closed, the final stitch tied, and the patient became agitated.

Zheng Ren, Su Yun, and others lifted the patient onto a stretcher; Su Yun and Professor Rudolf sent the patient back to the ward, while Zheng Ren took the pathology basin to show the family.

Outside the operating room, the patient's family no longer had the inclination to argue with the emergency and internal medicine doctors.

Such patients are relatively simple, not intending to cause trouble; the vast majority of patients and their families fall into this category.

When they saw a basin with twenty-something almonds, the whole family was stunned.

"There were almonds on the fruit platter last night, how could you eat so many?" Zheng Ren said.

"Yes…… last night, while eating hot pot, I drank some alcohol, then went to karaoke. While singing and eating, I didn't notice how she ended up eating so many almonds." The patient's partner felt somewhat helpless.

"If I had known the consequences would be this serious… forget it, I wouldn't have known earlier anyway."

Zheng Ren looked at the family's expressions and estimated that for the rest of his life, going to karaoke would leave a psychological scar.

As they were chatting, Su Yun pushed the patient out.

Zheng Ren took over the patient and, together with Chu Yanran, sent the patient back to the ward. Su Yun went straight to the ICU; his battle continues.

Running out to do a bedside surgery also counts as getting some fresh air.

Back in the ward, the patient was monitored; vital signs were stable, and the anesthesia wore off quickly, allowing accurate communication.

The patient was fine, belonging to the timely-treated kind; Zheng Ren knew this in his heart.

After writing the surgical record, Zheng Ren left the other work to Chang Yue.

In communicating with the patient's family, Chang Yue's skill points are even higher than Zheng Ren's after multiple system boosts.

Zheng Ren also found it quite amazing.

Professor Rudolf left the hospital in a gloomy mood; this time he wanted to "slap" Zheng Ren, but the facts slapped him instead, so he will likely gain a deeper understanding of the term "slap in the face."

After checking around the wards and finding nothing, Zheng Ren sent a WeChat message to Xie Yiren.

The moment his message was sent, Xie Yiren's reply came in.

【Done with work? Garage, D area.】

Zheng Ren felt a sweet warmth in his heart; that busy, dog‑like feeling, after which no one pays attention and the familiar sensation deep in the bones vanished.

After greeting Chang Yue, Zheng Ren hummed a little tune and went downstairs to the underground garage to look for Xie Yiren.

In the late‑night garage, cars were still parked everywhere.

In the Northeast, winters are bitterly cold; many workers have no garage at home, so they directly use the hospital's garage as a warm storage lot for vehicles.

Zheng Ren searched and searched……

Don't have any extravagant hopes for a late‑stage face‑blind cancer patient; he can't even find a single car.

District D……red……Zheng Ren kept silently repeating these two keywords in his mind. Red cars are not many, and District D is not big either.

But no matter how hard Zheng Ren tried to search, he couldn't find that Volvo XC60 with a protruding front and rear, which looked very streamlined.

Strange, where is the car?

Zheng Ren picked up his phone and sent a message.

【Where is it parked? I couldn't find it.】

【Look up, I'm watching you.】

In an instant, Xie Yiren's reply arrived.

The underground parking lot was deathly quiet; although full of cars, the cold machinery had not a trace of vitality.

Zheng Ren was already feeling uneasy, and seeing such a WeChat message startled him.

Instinctively looking up, Zheng Ren saw Xie Yiren with a smile like a blossom, right in front of him less than five meters away on the car, blinking her big eyes at him.

"..." Zheng Ren was speechless.

So close, what was I just looking for?

Face blindness is a condition; it seems I won't be cured in this lifetime.

He put away his phone, Zheng Ren quickly walked to the car, opened the door and got in.

"What were you just looking for?" Xie Yiren asked.

"I didn't see it." Zheng Ren also felt helpless.

"Are you hungry? Want to eat something?" Xie Yiren asked.

In the Afternoon, I went to Jiu Xiao to rescue Yang Lili; after the Shou Bing was completed, I also went to the traffic police brigade, and after returning I performed another Shou Bing.

Without realizing it, the busy and fulfilling day just passed like that.

Only when Xie Yiren asked did Zheng Ren realize he was indeed a bit hungry.