Zhou Litao was not idle at all. After chatting with Zheng Ren for a while, he went to see the patient again.
It was a patient with acute appendicitis. He would probably be admitted to the hospital for surgery.
Zheng Ren accompanied Cui Lao on his house call. Lao He did not go home either. From the looks of it, this fellow had recovered and was ready to pester them. He wanted to enter the medical team no matter what.
Su Yun did not care. He held his phone in his hand and sat on a chair outside. No one knew who he was chatting with.
At 3: 20 pm, two family members of the patient walked in with a male patient in his fifties.
He clutched his stomach but didn't use much force. It would probably hurt if he used too much force. He didn't dare to walk too fast and inched his way into Cui Lao's consultation room.
This was a typical sign of peritonitis. Cui Lao immediately stood up and said, "Help him lie on the bed."
"Doctor, I have a stomachache." The patient was in excruciating pain. When he saw Cui Lao, it was as if he had seen a family member. His emotions collapsed instantly.
He looked at Cui Lao with tears in his eyes and spoke with a sobbing tone.
"What's going on? When did the pain start? "Cui Lao saw the patient's family member supporting the patient and gently lying on the bed.
The movement was very light, but when the abdominal muscles contracted slightly, the patient felt a sharp pain.
Cries of pain rang out incessantly.
The patient's System panel was blood-red with several shocking diagnoses — septic shock, acute peritonitis, intestinal rupture, and so on. However, what caught his attention the most was the diagnosis of chemical colitis.
How could it be so heavy? And what the hell was chemical?
The patient could not lie flat at all. He lay in a semi-reclining position in the arms of the patient's family member.
The moment Cui Lao's hand touched the patient's stomach, he reflexively screamed even louder.
The septic shock was not serious, at least for now. The time it took for the intestines to rupture was not long, Zheng Ren judged.
He was not afraid of crying out in pain, but he was afraid of not making a sound. His expression was indifferent. That was really heavy.
However, whether it was heavy or not was only relative.
Cui Lao hesitated for a moment before saying, "Little Zheng, help me do an abdominal CT scan."
"Okay." Zheng Ren immediately gave the order.
"When did it start hurting?" Cui Lao asked.
"This morning … No, it hurt a little last night. I thought I would be fine after enduring it for a while," a family member of the patient said.
Last night? The timing did not seem right. Such a serious intestinal perforation should have lasted for a long time.
Zheng Ren opened the list and pondered in his mind.
In a short period of time, Cui Lao could not get any detailed medical history, so he left a family member of the patient who was said to know the situation and asked Zheng Ren to take the patient to do a CT scan and then send him to the gastrointestinal surgery department to be hospitalized.
Due to the obvious signs of peritonitis, the slightest movement caused severe pain. It took a lot of effort to help the patient onto the stretcher trolley.
He didn't dare to run, so he could only push the stretcher trolley forward slowly to minimize the tremors.
"Have you eaten anything?" Zheng Ren asked as he walked.
"I haven't eaten for a day." The patient was in pain like a shrimp. He curled up on the stretcher trolley, and cold sweat broke out on his temples.
The black color on his tanned face had faded a lot.
Zheng Ren knew that this was a symptom of septic shock getting worse.
Taking the time to do an abdominal CT scan before opening the abdomen was the right thing to do. Without any auxiliary examination, he could still perform an exploratory laparotomy. However, in that case, it would be like looking for a needle in a haystack. It could not be compared to having a radiographic film before the operation.
Zheng Ren asked a few more questions that might cause intestinal perforation, but the patient's answer was still negative.
"Doctor, don't ask anymore. He's about to die. Hurry up and save him!" another attendant said anxiously.
Because he heard the patient's moans, even if he was not a doctor, he could see that his condition was not right. Therefore, he could not control his impatient temper and spoke very quickly.
"We'll be in the CT room soon," Zheng Ren said. "After the CT scan, we need emergency surgery. Can you sign before the surgery?"
The patient's family did not say anything.
Signing meant taking responsibility. It was fine to help, but it was better not to take responsibility for things like this.
As long as it was not an immediate family member, those who could inherit the estate were generally unwilling to sign. This was also human nature.
Zheng Ren suppressed the impatience in his heart and brought the patient to the CT room.
He handed the form to the operator who was doing the CT inside and directly queued up at the door, waiting for the emergency examination.
There were many people queuing outside the CT room. The waiting time was a little long, and because their families were sick, they were a little impatient.
Some people saw that the stretcher trolley was about to cut the line, so they walked over to see what was going on. When they saw that there was a doctor leading the stretcher trolley and the person was half-dead, no matter how impatient they were, they suppressed their impatience.
Very few people still argued about whether they should queue up at such a time and rushed to reason with them. There were many contrarians, but there was also a time.
The airtight lead door opened, and Zheng Ren immediately pushed the patient into the CT room.
He carried him to the bed and let him lie as flat as possible. Then, Zheng Ren went to the operating room.
After the CT scan, Su Yun brought the patient back. Zheng Ren directly found a machine in the CT room and found the patient's radiographic films.
With just one look, Zheng Ren knew that he was in trouble.
When Dr. Liang saw Zheng Ren come in, he went to his side, wanting to learn something from Zheng Ren. He glanced at the radiographic films and was also stunned.
The distal end of the rectum and sigmoid colon could be seen on the CT scan.
"Boss Zheng, this is …" Dr. Liang had never seen this kind of image before and asked in surprise.
Zheng Ren thought for a moment and said helplessly, "I think that the patient used or was given a hydrogen peroxide enema, resulting in a local chemical burn of the intestinal tract."
"…" Dr. Liang was speechless and was silent for a few seconds.
"Hydrogen peroxide damages the mucosa and forms oxygen at the same time, so we can see the existence of microbubbles." Zheng Ren continued to look at the other images.
Just a chemical burn of the rectum and sigmoid colon was definitely not enough.
Zheng Ren quickly looked at the radiographic films frame by frame. He noticed that the patient had diffuse peritonitis, plus inflammatory hyperemia of the rectum and sigmoid colon, white exudate, and air sacs were classic signs, known as the 'white snow' sign.
As he quickly looked at the radiographic films, Zheng Ren took out his phone and called Su Yun.
"Su Yun, it's highly suspected that the patient used a hydrogen peroxide enema. Ask if that's the case," Zheng Ren said. "Other than a hydrogen peroxide enema, what other methods were used?"
As he spoke, Zheng Ren saw a high-density shadow near the patient's spleen. There was a large amount of fluid around the spleen.
F * ck … The spleen was ruptured! Zheng Ren was shocked.
Did this just happen?
Zheng Ren tried his best to recall. When he sent the patient away, he did not look at the patient's System panel.
He was probably in hemorrhagic shock now, but what exactly was that?
Could it be that the patient had poured more than 1000 ml of hydrogen peroxide into the intestines, burning the intestines and burning the spleen?
Just as he was thinking, Su Yun called.
"Boss, the patient said that he has been constipated for a month. Seven days ago, he used three live loaches to relieve his bowel movement. Today, he used a hydrogen peroxide enema at noon."
MB！ This was really troublesome!
Was he using his intestines as a sewer?!
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