White armor

Chapter 434: Carrying a urine bag to take a bath

"Fan, this isn't a good idea." Dr. Jason was a little embarrassed.

But when he looked around, he saw naked men walking around. He could only lower his head and hold his belt tightly with his hands.

"Don't let your imagination run wild. I don't think there are that many problems with you." Fan Dongkai laughed and scolded, "Let me tell you, I'm bringing you here to scrub your body today. Once you try it, you'll know how dirty you are."

"Dirty? I'm not dirty! I take a shower every day." Dr. Jason's Chinese level was still very average and he didn't understand what Fan Dongkai meant.

"Let me tell you, people in the south of our country don't scrub their bodies either. This is a habit from the north." Fan Dongkai thought for a long time and found a similar word to reluctantly explain to Jason.

"North? South?"

“Ha, it’s different from your Civil War. The difference between our North and South is huge, so big that it’s like two different countries.” Fan Dongkai raised his eyebrows, and his eyebrows turned into a “√” shape.

"Zongzi, in the south, is salty, while in the north, it is sweet; mooncake, in the south, is salty, while in the north, it is sweet."

The battle between the salty and sweet parties is never-ending.

"By the way, you are not allowed to bring your own drinks inside. Please put your thermos in the cabinet." Fan Dongkai reminded.

"Why!" Dr. Jason was surprised, but then he said in Chinese, "Why!"

"There are plenty of things in there." Fan Dongkai was eager to try.

Because he had to take care of Dr. Jason and let him proceed step by step, Fan Dongkai never came to the bath center, for fear that the shock would be too great and Dr. Jason would not be able to adapt.

After all, Dr. Jason had just had surgery and needed to rest for a while.

In the past few days, Jason has adapted to some of the habits here, such as... a big red thermos with wolfberries soaked in it.

Fan Dongkai felt that it wouldn't be long before Jason's thermos would be filled with all kinds of messy things that he wouldn't even recognize.

Jason's ability to adapt is simply too strong! As for those messy things, Fan Dongkai didn't know where Jason saw them, the key point was that he really dared to soak them in water and drink them.

"Fan, can I not go?"

Fan Dongkai shook his head and took out his phone. "Here, this is the basic process of scrubbing a bath. Just look at the front. The back is the process of scrubbing a bath in the women's bathroom."

Jason took the phone and watched the video in astonishment.

In the video, a funny blogger simulated the bathing process in a bathing center in Northeast China, especially the details of picking up and wiping clean, which made Jason stunned.

Fan Dongkai felt that it was too early to bring Jason here, and it seemed that Jason could not accept it.

Not to mention Jason, even people from the south who come to the bathhouses in Northeast China would not be able to accept such rough and heroic practices for a while.

Jason's eyes widened and he looked up at Fan Dongkai.

But his hand suddenly stopped, his fingers trembled, and the phone slipped out of his hand. Fan Dongkai was startled and tried hard to catch the phone.

"Jason, if you can't adapt..."

"No, no, no, Van, look."

Jason pointed behind Fan Dongkai.

In an instant, Fan Dongkai felt a cold wind blowing behind him, as if a pair of red embroidered shoes were floating behind him.

There were sounds of laughter all around.

Those were the familiar boasting voices of old men from Northeast China, implying to Fan Dongkai that he was in a bathhouse in Northeast China and there was nothing weird going on.

Fan Dongkai calmed himself down and turned to look in the direction Jason was pointing.

One glance, just one glance, and Fan Dongkai was stunned.

An old man in his sixties walked in unsteadily with a urine bag in his hand.

This scene was already very incongruous, but the urine bag in the old man's hand was even more incongruous, as it contained purple urine.

The phone in Fan Dongkai's hand almost fell to the ground again.

"Fan, are you all so... so... so... bold?"

No matter how hard Jason tried, he couldn't find the right words to describe the scene before him, and in the end he could only describe it as bold and unrestrained.

There is no corresponding word in either Chinese or English.

Fan Dongkai was stunned for a moment, then walked over and asked, "Grandpa, what are you doing?"

"Ah? I don't know what's wrong with me. It's okay, I won't take a bath, I'll just go in and scrub my body." The old man raised the urine bag in his hand, "It will only take a week at most. If I don't scrub my body, I'll feel chapped and uncomfortable all over."

"What is a crack?" Jason looked at the old man holding the purple urine bag in his hand and whispered to Fan Dongkai.

He could accept the robot panda in the First Hospital of Medical University and the driverless cars running on the streets, but he could not accept the old man whose urine turned purple and who was in the bathhouse as if nothing had happened.

"Don't worry, it won't get dirty." The old man explained, "I'll just take a shower, scrub myself and leave. It won't get dirty."

He explained very kindly, even a little humbly, and one could tell at a glance that he had expected this and was ready to apologize.

But even so, he insisted on having a bath.

Fan Dongkai's eyebrows turned into the shape of the character "八".

Is that a dirty or not issue? The urine has turned purple, why do you still care whether it is dirty or not!

"Old man, this is what's happening. The color of your urine is wrong. I'm a doctor, how about I call 120 for you?" Fan Dongkai explained tentatively.

He was also worried that the old man in front of him was a psychopath.

The economy has been in a downturn recently, everyone is very angry, and social security is not as good as it was in previous years. Fan Dongkai was worried that he did not die in the gun battle in the United States, but something happened when he returned to China.

Wouldn't that be a joke?

This is also a good habit developed in the United States. Those naked Northeastern gentlemen around me who brag don't have this sense of crisis.

"Me? Hey, I don't know what happened." The old man grinned kindly, "It suddenly turned purple a few days ago, which scared me to death. As a result, just when I was about to go to the hospital, my wife poured out the urine, and what came out was yellow."

"What?" Fan Dongkai's eyes widened and his eyebrows raised as if wings.

"Really? If you don't believe me, I'll show you now." The old man just said it casually, but he didn't expect to knock Fan Dongkai down.

"Come on, come on, go to the bathroom and show me."

"You...are sick. Young man, go to the hospital as soon as possible if you are sick." The old man looked at Fan Dongkai with concern.

Gan!
Fan Dongkai was not convinced when the old man, who obviously had an enlarged and hyperplastic prostate, was told that he was sick.

He explained for a minute before the old man became skeptical.

In line with the principle of not causing trouble outside, the old man took Fan Dongkai and Jason to the bathroom.

"It's really yellow, it's normal, it doesn't cause inflammation at all." The old man explained, "Just change the urine bag. You said that the urine bags nowadays are 5.9 yuan each, and they are bought from JD.com. How can the quality be so poor?"

"I didn't see where the purple was, so I just brushed it down and it faded away (sai)."

"Next time I'll go to Pinduoduo to buy something, the quality is not good, it's better to buy cheaper ones."

Jason was stunned.

He pulled Fan Dongkai and said, "Fan, a urine bag, five dollars and nine? This quality?"

Jason had already converted RMB into USD in his mind. He could buy this kind of urine bag for less than one USD?
Simply incredible.

"Yeah, the discolored urine bag is such a crap thing, the quality is not good at all."

Fan Dongkai was speechless.

The urine bag the old man took was a 1500ml anti-reflux drainage bag, which was sold at Johns Hopkins... Fan Dongkai didn't pay attention to the price, but it would not be less than 20 US dollars, absolutely not.

"It seems to be, five dollars and nine cents, RMB." Fan Dongkai explained in a low voice, he didn't even believe what he said.

This is too cheap!

"Master, you came here by yourself?"

"My legs and feet are fine. I'm just waiting in line for a prostate embolization surgery. I can't pee. I'm not disabled, so there's no need for someone to watch me." The old man said as he put the urine bag on the urinal and opened the valve below.

Sure enough, what came out of the urine bag was actually yellow urine.

Fan Dongkai and Jason didn't know what to say.

"When was your urine bag changed?"

"It's because of the poor quality. I changed it the day before yesterday. I didn't see any purple color, so how could it fade? It's really fucking stupid." The old man was very angry. He screwed on the urine bag and then went to wash his hands.

But he had already taken off his clothes and there was no place to hang the urine bag. He looked left and right, and finally Fan Dongkai helped him carry it. He looked at it carefully and took the time to wash his hands.

It seems to be fine, so it shouldn't be a problem with the quality of the urine bag.

And the urine poured out is yellow, which looks the same color as the urine in a normal urine bag.

Is it so magical?
The old man took a shower carrying the urine bag, and then went to scrub his body.

Fan Dongkai didn't have the energy to persuade Jason to go in. Instead, he went back to the place where he changed his clothes, picked up his phone, typed in the group message, and described what he had seen today.

After sending messages to several groups, Fan Dongkai finally breathed a sigh of relief.

"Van, is that a magic trick?" Jason asked.

"Probably not."

"Then how do you explain the purple urine bag and yellow urine? And the urine bag is a standard one. I looked at it carefully."

Fan Dongkai took a look and found that no one in the group replied to him.

He couldn't help itching to do it, so he opened his phone and called directly.

"Hello... Professor Luo." Fan Dongkai greeted him politely.

"You say, Old Fan." Luo Hao's voice was a little vague.

Fan Dongkai didn't notice it either, he recounted what had just happened.

"Professor Luo, what do you think is going on?"

"That's it." Luo Hao's questioning tone almost solidified, "Old Fan, is the basic education in your school so poor?"

A surge of anger rose from the bottom of my heart and rushed straight to my forehead, and my blood pressure so high that it almost burst.

"Purple urine bag syndrome, abbreviated as pubs in English."

“???” Fan Dongkai was stunned. Dr. Jason was listening at the side. When he heard about purple urine bag syndrome, he started searching on the Internet.

"It refers to the phenomenon that the urinary catheter and urine bag of patients with indwelling urinary catheters have purple pigmentation of different shades. However, in clinical practice, it is not always purple. There are also changes in color such as blue and rose red."

"Although it is not common in clinical practice, it can be seen once or twice every year. Old Fan, do you never see patients? As a doctor, and a frontline clinical doctor, you have to see patients." After asking this question, Luo Hao directly assessed Fan Dongkai's situation and gently reprimanded him in the tone of a superior doctor.

“…” Fan Dongkai concluded.

“After the patient’s urinary catheter has been indwelling for a period of time, the catheter and urine bag will become pigmented, and the color will change from light purple or blue to dark blue or dark purple.

Purple urine is caused by the degradation of indole sulfate, a metabolite of tryptophan in the diet. In patients with chronic constipation and gastrointestinal dysfunction, due to poor intestinal motility and digestion, food stays in the intestine for a long time, and food decays to produce indole substances. They are quickly absorbed in the large intestine, converted into oxyindole sulfate by the liver through the portal circulation, and then converted into oxyindole after being excreted in the urine.

The process just described is that under the conditions of Escherichia coli, Pseudomonas aeruginosa, Proteobacteria mirabilis, Morganella, etc. and alkaline urine, the oxyindigo matrix is ​​transformed into blue indigo and red indigotin. When these colors are mixed, they appear blue-purple, which becomes purple urine bag syndrome. "

"The old man must have been waiting in line for surgery and was anxious, which aggravated his constipation symptoms. It is common for patients to suffer from constipation before surgery. So the change in urine color can also explain it."

"I mean, you can understand me, right?"

Luo Hao finally asked with concern.

His concern, like contempt, made Fan Dongkai feel uncomfortable.

"..."

"..."

Fan Dongkai and Jason were silent at the same time.

"The fact that he still wanted to take a bath with a urine bag proves that the patient subconsciously believed that he might never be able to take a bath again. It also means that he was extremely anxious deep down, so it was normal for him to have purple urine."

Luo Hao heard Fan Dongkai didn't answer.
"Don't worry about it, it's basically benign. In our words, it's called getting angry, and it will be fine if you cool it down. Or if he finds that he doesn't feel any pain after the operation, then he's fine."

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"Patients like this should ask more questions after surgery. It's best to give them enema solution as soon as possible. Constipation is very uncomfortable."

"Xiao Luo, what is purple urine? Do you think this process is okay?" another voice came.

"Yes, that's amazing. You built a laboratory that meets the hygiene standards by yourself and made copper histidine by yourself. I admire you!" Luo Hao said to the people on the other side.

Fan Dongkai was even more confused. Making copper histidine by himself?
Isn’t this nonsense?

But then again, what exactly does copper histidine do? What is Luo Hao doing?
"Old Fan, you...why don't you go back and talk to Meng Liangren? This shouldn't happen. Haven't you been working in the United States for a long time? You should have seen similar situations."

"..."

"..."

Whether it was purple urine bag syndrome, or Luo Hao's judgment that the old man was anxious and constipated, or histidine copper, Fan Dongkai was speechless.

His eyebrows drooped down, forming an "eight" shape.

"Old Fan, I'll hang up if there's nothing else. I'm busy here." Luo Hao said, paused for a few seconds, and then hung up the phone.

"Found it!" Jason found a relevant paper on purple urine bag syndrome, and Fan Dongkai leaned over to take a closer look.

Sure enough, it was just as Luo Hao said.

It’s just that the paper doesn’t describe it in such detail.

Fan Dongkai was dissatisfied and said, "I'll go ask that old man."

"What are you asking?"

"Constipation!" Fan Dongkai said gritting his teeth.

Luo Hao actually despised his own basic knowledge. Purple urine bag syndrome is a very unpopular disease diagnosis. How could he say it was his problem!
Besides, he didn’t even see the patient, so he said there would be constipation?

Nonsense.

Fan Dongkai stood up, holding his cell phone in one hand, and strode inside.

In the middle of the men's bathroom of this bathhouse are two bathing pools of several hundred square meters. There are children playing in them, making a little noise.

There was a coffee table next to it, which was already full of people.

Some were dozing off, some were drinking tea and browsing their phones, and some were gathered together bragging.

Everyone was relaxing and enjoying themselves in the steamy bathhouse.

Fan Dongkai kept looking around, and finally saw the old man carrying the urine bag in the northeast corner where people were taking baths.

"Master, you thief!" Fan Dongkai walked over familiarly, his eyebrows raised.

"Huh? Do you have something to talk to me about?" The old man was a little cautious.

"Have you had normal bowel movements recently?"

"..." The old man was startled, "Young man, are you okay?"

When they met by chance in the bathhouse, he chased after Ren and asked him if there was any problem with his bowel movement. This behavior was even more outrageous than an old man carrying a urine bag to give him a bath.

Fortunately, Fan Dongkai is thick-skinned and naturally outgoing, so he doesn't care about these things.

After much persuasion, the old man realized that he had no ill intentions and after thinking carefully, he said that he had not had a bowel movement for three or four days.

He also said that it was irritation from the urinary catheter, and that he felt bloated and uncomfortable when he wanted to defecate. If he had surgery, there would definitely be no problem.

Fan Dongkai had nothing to say this time, so he sighed.

"Fan, let's go." Jason looked at the bathing area where more than a dozen bath masters were scrubbing mud one by one and felt it was dirty.

"When you lie down, you will rub off more than this. You usually use industrial products to remove the cuticle, but what does it lead to?"

"Leading to what?"

"Hair loss!" Fan Dongkai said firmly, "See me? I only use shampoo once a month. Look at my hair."

Fan Dongkai lowered his head and showed off his thick hair to Jason.

"..."

"I usually use soap and it washes just as well." Fan Dongkai said, "I haven't been able to find a bath scrubber in the United States for these years, and you don't even want to accompany me when I come back. Forget it, you really don't want to try new things."

Jason looked back at the white area where he had been scrubbed and swallowed.

"Fan, do you think there are any gays among those bathing masters?"

"!!!"

This was the first time Fan Dongkai heard someone mention this issue. He had been scrubbing people's backs since he was a child, and at that time he had no idea what g was.

"Jason, what are you thinking about?" Fan Dongkai felt a little annoyed and scolded.

"That's just what I said." Jason also felt that this topic was difficult to talk about.

But Northeast Bathing is so unrestrained that he has to have that idea.

As if fleeing from the bath, Jason looked back and said with emotion, "Fan, this place really looks like the Louvre."

"Really? I don't think so." Fan Dongkai still felt a little resistant to this place being called Little Versailles.

When it was prosperous, the annual output value here was over ten billion.

"Where?"

"casual."

The two were already very familiar with each other, exchanging meaningless conversations.

"Let's go to the hospital." Jason and Fan Dongkai said, "I'm quite interested in the robot pandas. You know, they look so futuristic and sci-fi."

hospital.

Fan Dongkai gets a headache whenever he mentions this place.

Domestic hospitals are completely different from foreign hospitals, and the status of doctors is shockingly low.

Thinking about the days when he could go out to sea on a yacht one day a week when he was abroad, Fan Dongkai missed it very much.

But that was all in the past. If he stayed any longer, Fan Dongkai was afraid that he would encounter a dump truck in the next second.

pity.

After getting the trolley and returning to the hospital, Jason felt refreshed.

"The density of tiger bones is over 4.0, which is higher than that of marble. You would never have thought of that, would you? Every time friends come over, I take them to the Siberian Tiger Park, but they don't believe me when I tell them this." The hospital manager was chatting.

Fan Dongkai and Jason heard it clearly outside the door.

Is the bone density of the Siberian tiger so high? Fan Dongkai said he didn't know.

He walked in and saw Meng Liangren, who was playing with a robotic panda with one hand and checking medical records with the other hand on the mouse.

Zhuang Yan was holding her cell phone and searching.

"The Siberian tiger is indeed the king. I remember my grandpa's family had medicinal wine soaked in tiger bones."

"No." Zhuang Yan held up her phone and said, "Brother, have you read too many public accounts?"

"Ga~" The resident manager also learned the "Ga" and looked at Zhuang Yan in surprise.

"I just used AI to search and found that the tiger bone density of 4.04 comes from three sources: one Baidu Wenku and two Sohu marketing accounts. Their credibility is not even as good as that of a certain sweet potato. You think everything you see is true. Aren't you too gullible?"

"!!!"

"Brother, you are talking about Decepticons, right?" Zhuang Yan laughed, "After searching, I suspect that the original version is tiger bone with a Mohs hardness of 4, and marble has a Mohs hardness of 2.5 at the lowest.

The density of marble is 2.56-2.86g/cm. The rumor that tiger bones are harder than marble spread around and became that tiger bones are denser than marble.

"Xiao Zhuang, the patient in bed 3 will have surgery tomorrow, so he might be a little nervous. Go ask him how his bowel movements are going. If he still hasn't had a bowel movement, give him some suppositories. Tell him it's for anal use, not oral administration, and definitely not to put the packaging in as well."

"Oh oh oh, I understand, Lao Meng." Zhuang Yan responded.

Meng Liangren spoke in a rather long-winded manner, and it was obvious that he wanted to save face for the hospital manager rather than really telling the patient so many things.

"Teacher Fan, Teacher Jason, why are you here?" Zhuang Yan greeted Fan Dongkai after seeing him.

Fan Dongkai's mind moved, "Xiao Zhuang, I want to ask you a question."

"Teacher Fan, please go ahead."

Meng Liangren let go of the mouse, but he tightened his grip on Erhei's hand, turned around and stared at Fan Dongkai.

"You said that you found that the urine in a patient's urine bag after surgery was purple. What disease do you think it is?"

"It's purple. First, check for purple urine bag syndrome and reassure the patient's family. Although the guidelines say there's no need to change the catheter, I still think it's better to change both the catheter and the urine bag. Antibiotics are not necessary."

"We also need to observe the patient's bowel movements. Although postoperative constipation is not a big deal, it is not a big deal if the patient's family members keep complaining. If it is really serious, we have to give medication, so it is better to solve it early."

"!!!"

"!!!"

Fan Dongkai and Jason were surprised.

"Which subject's guide says this?" Fan Dongkai asked cautiously.

Zhuang Yan was startled for a moment, then smiled and said, "My senior brother told me that if you refer to everything as a guide, it's fine and it makes you look more professional."

"Gug~~~" Fan Dongkai almost passed out from choking.

(End of this chapter)