Chapter 554: 545 Rural Clairvoyant Divine Doctor
Protecting the peritoneum, Zheng Ren opened the small patient's peritoneum.
A twisted mass of intestine appeared in the field of view. Where it was twisted tightly, pallor and ischemia had already appeared.
Originally Director Sun was behind Zheng Ren, observing from the surgeon's perspective.
Upon seeing signs of intestinal ischemia, his head swam and his body swayed twice.
"Yanran, help Director Sun." Su Yun observed all directions, having long noticed Director Sun's deathly pale face.
"Give him 20ml of high‑glucose." Su Yun, unusually, didn't shout but had the circulating nurse give Director Sun some energy.
Zheng Ren slapped the scalpel against the patient's thigh, then began to gently manipulate the intestine with both hands.
His movements were careful and gentle.
Intussusception-type bowel obstruction is not a serious condition; manual reduction is especially simple. Unlike patients after multiple abdominal surgeries, whose intestinal adhesions are a mess and require superb technique to free and separate.
Even that high‑difficulty case poses no problem for Zheng Ren, let alone this one before him.
In less than a minute, the intussusception was fully reduced.
Zheng Ren reached out and placed a wet‑half‑dry large gauze pad over the intestine.
"Wait a moment, let the intestine regain blood flow," Zheng Ren said.
"Boss, what disease do you suspect? Why still do an exploratory laparotomy?" Su Yun asked curiously.
"Intestinal parasites, probably breeding in the cecum," Zheng Ren said.
"Rural little widow and clairvoyant divine doctor—you've been told, don't read those web novels. Read too much and your IQ drops." Su Yun sneered.
"Director Kong and I think the same."
"……" Su Yun felt an itch of hatred.
Zheng Ren this guy is digging a pit for himself to jump into.
One could criticize Zheng Ren, but the senior directors of the capital are peers of Su Yun's teacher, and he doesn't want to offend them casually.
If someday at a meeting the teacher pulls him forward, he might find the opposite director already sprayed……
Su Yun still acts with propriety, except that in Haicheng, aside from Zheng Ren, there's no one who can keep their composure.
Of course, Director Pan is the exception.
And Zheng Ren…… not spraying him a couple of sentences always feels uncomfortable.
Director Kong stood aside and laughed: "If Zheng Lao Ban hadn't reminded me, I wouldn't have noticed the possibility of intestinal parasites."
Su Yun was speechless, merely lowering her head to look at the warm saline gauze pad, as if flowers were embroidered on it.
In the Xinglin Yuan live‑stream room, barrage comments flew wildly.
During the intermission of this surgery, it's just the time for doctors to exchange ideas.
【How did the surgeon judge it? I couldn't see it.】
【That only proves your low level; I just sent the dot‑sheet image to Director Lin at Capital Hospital, but here there's no download, and the resolution is a bit off.】
【Cases from Kansas University Medical Center and Columbia University Medical Center, reported three and five years ago respectively, are of infants who failed air enema, underwent laparotomy, and were found to have parasites in the cecum.】
【Huh? What article? I'll search the database.】
【The Journal of Pediatrics, time…… you look up the keywords yourself.】
Those who can access Xinglin Yuan are a batch of energetic, eager‑to‑learn, research‑driven doctors.
Nationwide, such doctors are few—perhaps only a few thousand—and the vast majority gather in top‑tier tertiary hospitals like the capital and Modu.
After all, a small hospital like Haicheng City First Hospital, despite learning so much, has no room to showcase it. Local tertiary hospitals mainly treat common diseases.
This is determined by the hospital's nature, and also related to its genetic makeup.
For example, Peking Union Medical College Hospital, with its massive database, is something that makes every ambitious doctor jealous.
Legend has it that an eighty‑ or ninety‑year‑old outsider went to PUMC for treatment, claiming he'd never been there before. But once the nurse entered his data, it immediately showed he'd visited PUMC in 1950, with detailed records.
Even things the patient forgets, PUMC remembers. (Note 1)
Therefore, PUMC being the top hospital is not without reason.
For the same case, a local hospital can't find similar patients; doctors can only guess. But PUMC is different—it can pull out dozens of related cases anytime, anywhere.
Therefore, the Xinglin Yuan website can only be a niche, high‑end site.
Ten minutes later, the warm saline gauze was removed after being changed twice.
The small patient's intestinal ischemia symptoms had been relieved; it looked pink and healthy, with no problems.
Everyone breathed a sigh of relief,
It's fine,
All good.
Zheng Ren and Su Yun began the appendectomy.
This surgery is even more routine.
Three minutes, an appendix was excised. Zheng Ren didn't rush to close the abdomen; instead he asked Xie Yiren for a scalpel and cut the appendix open.
Visible thread‑like pinworms filled the appendix.
It seems my judgment was correct; the inflamed lymph nodes around the appendix prove the small patient's intussusception originated there.
Diagnosis clear, surgery went smoothly; Zheng Ren placed the scalpel and appendix in the pathology basin, then removed his gloves and stepped down.
Cutting the appendix, it's possible the gloves picked up worm eggs, posing a certain recurrence risk after the patient recovers.
Anyway, just closing the abdomen—Su Yun could do it alone.
"Zheng Lao Ban, awesome!" Director Kong stood by the instrument table, closely examining the worms in the appendix and praised.
"Hehe." Zheng Ren gave a dry laugh.
In such a situation, receiving such praise, Zheng Ren truly didn't know how to respond appropriately.
He came to Director Sun's side, smiled, and said, "Director Sun, the surgery is finished."
"Trouble… trouble." Director Sun said weakly.
Just now, seeing ischemia of the small intestine at the intussusception site, Director Sun suddenly had low blood sugar, and even after the Shou Bing was finished, he still hadn't recovered his strength.
"We're our own people, no need to be polite." Zheng Ren laughed and said, "It's a worm; take a look, will you? After you look, hurry and send it to pathology for a clear diagnosis and proper medication."
Director Sun struggled to stand up from the small round stool and walked to the instrument table.
Seeing the white worms in the appendix, his heart was filled with mixed feelings.
He felt both heartache and relief.
"Director Sun, you find someone to send it to pathology; I'll slack off on my end." Zheng Ren laughed and left the Operating Room with Director Kong.
In the Xinglin Yuan live broadcast room, the Surgery live broadcast had been closed. But the barrage comments flew about like crazy… a frenzied dance.
【Awesome! Just one fluoroscopic image can determine it's an intestinal parasitic worm!】
【Impressive, even Old Lin at Di Du Hospital said it's an appendix parasitic worm, recommended Shou Bing, but I didn't dare tell him it was a Surgery live broadcast.】
【The elderly probably can't accept such new things.】
【Indeed, it lives up to top-notch standards—a live broadcast every few days, the timing is good. Watching once, you can ponder it for days. If you watch too much at once and can't understand, it's better this way.】
【Xinglin Yuan is too backward—how can it lack a Function!】
【What do they lack compared to your three melons and two dates? Top‑tier hospital, top‑tier surgeon—registration probably starts at ten thousand dollars, and you tip a plane and rocket—are you just insulting people?】
……
……
Note 1: I heard from classmates, not sure if true. Probably true, after all, one of Xiehe's three major Advantages is its huge database. All of this is manually entered after computerization—what a labor of love.
End of Chapter
