Chapter 516: with translation of chapter title

508 A balloon in the belly?

"It should be possible to try." Zheng Ren was confident about the surgery, full of assurance.

"Alright, I'll go remove the urinary catheter now." Professor Rudolf Wagner brightened up, "Boss, if everything goes smoothly, I plan to return to Heidelberg soon and do several dozen similar surgeries."

"Hmm."

"If there's a problem, can you fly to Heidelberg?" the professor asked anxiously.

"Fly there..." Zheng Ren hesitated—Heidelberg is far away.

"Boss!" Professor Rudolf Wagner's eyes glittered with little stars, a pleading look on his face, "I'm working hard for our research."

"Unless it's necessary, I'll fly over; otherwise, we can still do a remote consultation." Zheng Ren didn't outright refuse, leaving the professor a glimmer of hope.

I suppose the professor can understand what Zheng Ren is thinking.

Upon hearing Zheng Ren's words, Professor Rudolf Wagner jumped up, "That's wonderful—I heard angels singing in your honor."

"Don't talk nonsense, hurry up and get busy." Zheng Ren waved his hand, sending the professor away.

Zheng Ren glanced at the office, saw nothing going on, then went to the ICU to check on the two post‑op patients.

Su Yun was energetic, showing no sign of having stayed up all night.

Seeing him like that, Zheng Ren felt relieved.

This indicates the patient's condition is stable.

"Boss, why did you only come now?" Su Yun blew out a breath, his black hair fluttering on his forehead.

"I encountered a patient with advanced tumor, preparing for surgery, so I gave a few extra instructions." Zheng Ren said, "How's the situation?"

"Removing the tube—with me here, it's definitely been removed." Su Yun said cheerfully, and it's clear he's also happy.

"Oh?" Zheng Ren glanced; the teenager impaled by rebar had the ventilator removed, his face pale, lying in bed, eyes wide open, looking around, full of fear.

And Du Chunfang also removed the ventilator, pulled out the endotracheal tube, was on oxygen, and the monitor showed her blood oxygen saturation around 95%.

Truly immediate effect, Zheng Ren smiled. He had thought Du Chunfang would need another day, but under Su Yun's care she was extubated just 12 hours post‑op.

Handsome!

Zheng Ren merely glanced at the vital signs from afar, also consulted the system panel, and didn't go to the bedside to gesture.

First, it's unnecessary—the patients have been extubated, showing stability, so there's nothing to nitpick about.

Second, this isn't the emergency ward—it's the ICU. I'm not Su Yun; the more I nitpick here, the more Director Qian will dislike it. Maybe Director Qian won't lash out, but it's still bad.

Zheng Ren was about to ask Su Yun if they should go together when the phone rang.

He pulled out his phone and saw it was the emergency department; Zheng Ren's heart rate spiked.

"Hello, this is Zheng Ren."

"Huh? What did you find?"

"Alright, I'll go down and check."

After saying that, Zheng Ren hung up and turned to leave.

"Boss, what's wrong?" Su Yun caught up, curious, and asked.

"The emergency department admitted a 70‑year‑old man; a huge bubble can be seen above the pubic symphysis. The internal medicine doctor said it's like there's a balloon in the abdomen—something I've never seen." Zheng Ren said.

"It couldn't be from playing too hard, right?" Su Yun's mind turned, thinking of other things.

"No way, he's 70—he can't be playing that wildly." Zheng Ren said, "Let's take a look; I have a feeling it might need surgical treatment."

Just a feeling, just a guess—saying more means nothing.

The two remained silent, hurrying all the way to the emergency department.

In the morning, the emergency department had a moderate number of patients; on the internal medicine exam bed sat an elderly man, spirited, with a ruddy complexion.

"Chief Zheng, come take a look." The internal medicine doctor saw Zheng Ren approaching, quickly said something to the patient, then grabbed an X‑ray nearby and placed it on the viewer.

On the film, above the pubic symphysis there is indeed an 8×6 cm image, like a balloon, with a dark cavity inside.

"The patient reports no obvious trigger for lower abdominal pain one day ago, tolerable. Accompanied by urinary frequency and urgency, no fever, no nausea/vomiting, slight bloating, normal bowel movements." The internal medicine doctor presented the case.

"I examined him; to rule out intestinal obstruction I ordered a chest‑abdominal fluoroscopy. The radiology doctor called, telling me to get a plain film, saying the exam had a problem."

Hmm, seeing this image, the radiology doctor will surely ask the emergency department to retain the imaging data.

"Later I gave the patient an abdominal CT plain scan; the CT room's opinion was a peri‑colonic abscess."

Although Zheng Ren learned the patient's diagnosis via the system panel in the upper right of his view, even though his trust in Big Pig Trotter had increased, he still wouldn't believe it.

Looking closely at the film, Zheng Ren began to hesitate.

Because there were many patients in internal medicine emergency, he couldn't linger; so Zheng Ren took the film, brought the patient and family, and went straight to the emergency ward.

The patient's family were somewhat worried; as they saw doctors and tests change one after another, they developed a bad feeling.

One family member lagged behind, constantly calling.

Hai Cheng isn't big; if you look for three or five people, your social network spreads wide, and most people know each other.

Arriving at the ward, Zheng Ren went straight into the office, placed the abdominal plain film and CT on the viewer, and leaned on his chin to examine them carefully.

"Doctor, is everything okay?" a female family member asked worriedly.

"There's a small issue, but nothing serious." Zheng Ren said.

Although he said that, such uncertain words can't at all calm the family's anxiety.

"Boss, it should be an abscess. Let's do ultrasound‑guided percutaneous drainage." Su Yun said after looking at the film for a while.

Zheng Ren shook his head slightly; he had already ruled out an abscess, and his current judgment of the condition, similar to what Big Pig Trotter gave, should be a giant colonic diverticulum.

But making that judgment also has difficulties; Zheng Ren is pondering how to differentiate the diagnosis.

"Little Zheng, looking at the film?" While he was lost in thought, Director Xia of gastroenterology walked into the office.

"Director Xia, hello, I'm a friend of Brother Liu; the patient is my father." The man who had been lagging behind on the phone hurried forward and said politely.

"Hmm, having Chief Zheng here is enough; let me take a look—I won't see anything fancy anyway." Director Xia said bluntly.

The patient's family thought Director Xia was just after a red envelope, so they gave a perfunctory reply; nobody believed the claim that as long as Chief Zheng was present, everything could be settled.

Between a junior doctor and a senior doctor, whose experience is greater—isn't that obvious?

Upon walking up to the viewer, Director Xia glanced at the image and immediately became interested.

"Director Xia, could you just take a look?" Zheng Ren said.

"Don't say that," Director Xia chuckled: "Your skill level doesn't need me to take a look at all."