However, the slapping became more and more intense.
Professor Rudolf Wagner curled his lips and was very disdainful of Cheng Lixue.
Director Kong stood at the back with a smile. He had long seen through it, but he was only a guest minister. If Zheng Ren had ignored it, he could have just reminded him softly when there was no one else.
However, there was no doubt that Zheng Ren had seen through it.
Gao Shaojie was expressionless as he looked at the scan coldly.
If Gao Shaojie's doctors, or even Wang Qiang, showed him the scan of Budd-chiari syndrome as if he had cirrhosis, Gao Shaojie would have smashed the scan into the doctor's face long ago.
He could not understand it, but it would be too much if he did not even look at the patient.
When director Zhang saw that Cheng Lixue's face was flushed red and he could not say a word, he had already guessed that this guy really did not look at the patient.
He quickly tried to smooth things over and said, "Teacher Zheng... "
"Let's go take a look at the patient, " Zheng Ren said. "Budd-chiari syndrome was almost an incurable disease before the intervention surgery. However, with the intervention surgery, it is no longer a difficult problem. "
"When the intervention surgery enters the clinic, it is one of the most typical diseases. Director Cheng really should know about it. " Zheng Ren shook his head and looked at director Zhang.
Director Zhang was also helpless. He asked where the patient was in the ward and brought Zheng Ren to see the patient.
The patient was lying on the bed. His stomach was high and his limbs were thin. It was a typical cachexia state. Because his stomach was high and his limbs were thin, he was lying on the bed like a big-bellied spider with only four legs.
In a trance, there was a magical feeling.
Zheng Ren glanced at the system panel on the upper right side of his field of vision. The diagnosis given on the panel was the same as the one he had read -- Budd-chiari syndrome.
After greeting the patient and the patient's family, Zheng Ren began to examine the patient personally.
He lifted the clothes on the patient's abdomen. Three veins with a diameter of about 1 cm meandered on the patient's belly like small snakes.
The symptoms were exactly the same as what Zheng Ren had judged in the office.
All the doctors were silent.
Zheng Ren knocked on the door to confirm the ascites and the range of the liver area. Then he began to look at the patient's feet.
A pair of purple feet appeared in front of everyone.
They were ischemic, but not to the extent of necrosis. But even so, they were still very heavy.
Zheng Ren asked a few more questions about the patient's medical history before he led everyone out of the ward and back to the office.
"Typical spider-man signs. The symptoms of boots caused by venous reflux in both lower limbs are also very clear. " Zheng Ren returned to the front of the scan and pointed at the scan. "So, the patient's diagnosis of Budd-chiari syndrome is very definite. "
Cheng Lixue's face was so red that it looked like blood was about to drip out.
"Director Cheng, I remember that a few days ago, you went to the first municipal people's Hospital and said that you wanted to learn TIPS surgery, right? " Zheng Ren said.
There was silence.
"It's okay if you can't understand the MRI diffusion. It's also very difficult to use the MRI diffusion to determine the relationship between the portal vein and the hepatic vein in the advanced stage of cirrhosis. " Zheng Ren looked at the x-ray, his tone was calm. "But as a doctor and as a chief physician, it's too much to not look at the scan and the patient before the operation! "
Cheng Lixue was speechless. He lowered his head and took a few steps back.Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/what-are-you-looking-at_51118344375434480 for visiting.
"Teacher Zheng, do you think this patient can be operated on? " Director Zhang asked.
"Manager Feng, do you have any vascular consumables? " Zheng Ren asked.
"Thrombolytic? I brought them. I was preparing for you to do a thrombolytic, " Feng Xuhui said happily.
"There's no need for thrombolytic. It can be done with ordinary guide wire, " Zheng Ren said.
Cheng Lixue suddenly raised his head. His eyes were bloodshot. His lips moved as if he wanted to say something.
Professor Rudolf Wagner glared at him and said, "What are you looking at! "
Chapter 552 - Fortunately, He Had Acted Early
Cheng Lixue was speechless.
Was he going to say 'what if I look at you' ?
Not only did he lose his status, but professor Rudolf Wagner was a tall and strong man. Even he could not beat him. The key was this matter... what he said was reasonable.
He looked at the video blankly, lowered his head, and turned to leave.
No one stopped him. Zheng Ren's words were there. As a department director, he had to have at least a sense of responsibility.
It was not right for him to look at the scan before the surgery and not even look at the patient.
Director Zhang Sighed. Fortunately, the hospital had foresight and had divided the patients into groups in advance.
Even after Cheng Lixue left, Wang Qiang was still there.
"Teacher Zheng, when is the surgery for this patient? " Director Zhang asked.
"Let's do the TIPS surgery first, " Zheng Ren said. "Then, we'll start on this case of Budd-chiari syndrome at noon. "
At noon... Director Kong's brain shook.
At least four cases of TIPS surgery, and an unknown number of patients who were undergoing the second-stage TIPS surgery. Zheng Ren actually said that he would do the patients with Budd-chiari syndrome at noon?
Director Kong only learned some fragments from Su Yun about Zheng Ren and professor Rudolph Wagner's research on the TIPS surgery.
Su Yun was not very detailed. She only said that there had been a major change in the surgical approach of the TIPS surgery. Zheng Ren was able to control the number of punctures to the world's leading level. It was basically a successful puncture.
Director Kong believed in this point.
Otherwise, professor Rudolf Wagner would not have rushed to apply for the Nobel Prize in this project.
But... the letter was believed, but it was unimaginable.
In director Kong's mind, the deep-rooted thing was that each tip operation would take at least two to three hours, which was still less said.
Carefully, as if treading on thin ice, he chose the puncture point. Of course, he also had to have a certain amount of luck.
Four TIPS operations, in director Kong's opinion, would take at least one day. Not to mention there were some patients who were undergoing second-stage surgeries, director Kong did not know how to perform the second-stage surgeries.
He was full of curiosity about this.
Zheng Ren... could he really do it so quickly?
Just as director Kong was about to doubt it, he suddenly remembered the surgery where the pelvic fracture was embolized and the internal iliac artery branches were embolized in the wee hours of the morning.
'this kid has grown up really fast, ' director Kong thought to himself.
Director Zhang nodded quickly, and Wang Qiang took Zheng Ren to see the patient.
The patient's condition was average, but there were no surgical taboos. After seeing the first patient, Wang Qiang took him to the stage and prepared for the surgery.
He was very happy.
The weather today was really good. He did not expect Cheng Lixue, this idiot, to bump into him and cause his head to bleed.
To be honest, Wang Qiang did not know much about Budd-chiari syndrome.
Most of these patients were misdiagnosed as having advanced cirrhosis of the liver. Wang Qiang was ev
en able to find one or two cases that he had misdiagnosed from his memory.
After he was pleased with himself, he felt a little guilty and afraid. If it were not for Gao Shaojie and Gao, he might have followed in Cheng Lixue's footsteps.
He had to be cautious, cautious, and cautious.
As for the few cases that were suspected to be misdiagnosed, Wang Qiang was prepared to call back tonight and ask the patients to come back for a rediagnosis.
Zheng Ren looked at the remaining patients and was led to the operating theater by director Zhang.
While he was changing his clothes, professor Rudolf Wagner asked, "Boss, are you going to the capital? "
"Yes, there is research in the capital. I might be going there soon, " Zheng Ren said as he glanced at director Kong.
"If you can go there in a week, I will let Xi Bao'er bring the patients back by herself. We will go to the capital together, " the professor said reluctantly. "I really want to stay here and be your assistant. "
Director Kong was smiling, but his heart was in turmoil.
Perhaps Wang Qiang and director Zhang did not know about professor Rudolf Wagner, or even Gao Shaojie from the provincial capital Medical University.
However, director Kong was in the capital, so how could he not know about this person.
The leader of the world's top intervention discipline was willing to stay in sea city and be Zheng Ren's assistant?
Director Kong was still afraid.
He looked down on the provincial medical university and looked down on it.
But when faced with the Heidelberg University Medical Center, Would 912 hospital also become the hospital of the Medical University? Even if it wasn't, it was still in a weak position.
After all, in the country, seniority was still important. Until now, director Kong didn't dare to Pat his c.h.e.s.t and say that the problem of Zheng Ren's deputy high position could be solved.
However, after he went abroad and came back, it was completely different.
Fortunately, he had done it early!
Director Kong rejoiced in his heart, and his eyes narrowed into slits.
After watching Zheng Ren perform the TIPS surgery, if it was really as he had imagined, he had to hurry his family to send someone to replace Zheng Ren in the capital.
This matter could not be delayed!
If professor Rudolf Wagner really invited him... Director Kong shifted himself to Zheng Ren's position and felt it.
This was an invitation that could not be refused.
After changing their clothes, everyone went to the operating theater.
Wang Qiang was wearing lead clothing and standing in the operating theater. He did not do anything. All the preparations before the surgery were done by Gao Shaojie, including laying the sheet and piercing.
Even though he knew that there was a high chance that he would not be able to go on stage, Wang Qiang still showed 120,000% sincerity and put on the lead suit first.
"Boss, it's ready. " Gao Shaojie hurriedly greeted Zheng Ren when he saw him come in.
Zheng Ren nodded and pulled his suitcase to the changing room.
"Huh? is president Zheng going to use some new consumables? " Dean Zhang was a little puzzled when he saw it.
Feng Xuhui had asked about this when he saw Zheng Ren dragging the suitcase down early in the morning.
"President Zheng brought his own lead suit. "
" ... " even his own lead suit... Dean Zhang was very speechless.Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/fortunately-he-had-acted-early_51118346237693274 for visiting.
But maybe this was a little hobby of his? Maybe not.
He heard that Zheng Ren was in the first city hospital, and even the scrub nurse had a special one.
It was just a lead suit. It was no big deal.
Professor Zheng Ren and professor Gao Shaojie washed their hands and went up to the stage. Gao Shaojie immediately stepped down. He did not even wear a lead clothing. He was only responsible for going up to the stage to disinfect and puncture. He was doing the work that the lowest-level doctor should do.
"Teacher Gao, thank you for your hard work. " Zheng Ren was a little embarrassed.
Gao Shaojie hesitated for a moment, and the expression on his face became serious.
"Boss, just call me old Gao, " Gao Shaojie reminded him again.
Zheng Ren sweated profusely and nodded repeatedly.
Only then did Gao Shaojie leave, and the lead door closed silently.
The surgery officially began.
In the operating room, everyone was watching intently, and chief Kong was staring without blinking.
"Chief Kong, there's nothing to see, " Gao Shaojie whispered when he saw Chief Kong's focused face and knew that he was close to Zheng Ren.
"Huh? " Director Kong was stunned.
There was nothing to see in surgery? What did he mean by that?
"Boss, the new TIPS surgery is focused on determining the needle insertion point on the MRI diffusion image before the surgery. As for the specifics of the surgery, the puncture will do. There's no need for detailed techniques... well, of course, the technique is also very important, but it's not the most important. "
Gao Shaojie introduced it to director Kong.
Su Yun had said this to director Kong before, and now Gao Shaojie had said it again. Director Kong nodded and did not say anything.
Gao Shaojie could only say so much. There was no need to say anything else.
Moreover, Zheng Ren had already stepped on the line, and the puncture kit entered the portal vein.
The puncture kit reached the predetermined position in the portal vein. It moved indiscernibly for a moment before it was taken out.
"Chief Kong, the surgery is done. " Gao Shaojie smiled.
He smiled because he had finally seen through it!
Chapter 553 - At All Costs
After the puncture, the membrane stent was inserted, followed by the recyclable stent.
Everything went smoothly. Director Kong was dumbfounded.
Was this the F * cking TIPS surgery?
No Way.
Director Kong moved closer. His eyebrows were knitted together as he was deep in thought.
As the recyclable stent was removed, director Kong was a little lost. At this time, his phone vibrated and a strange music came out.
Director Kong looked up and through the leaden glass, he looked at Zheng Ren and professor Rudolf Wagner, who were in the middle of the surgery, with a complicated gaze. Then, he turned around and left the operating room.
The ringtone of the phone was set to Su Yun. Director Kong contacted Su Yun through Zhao Yunlong and the other chief residents to get all kinds of information about Zheng Ren at any time.
He thought it was just a casual move, but he did not expect it to play such a huge role.
Director Kong came to the corridor, picked up the phone, and asked in a low voice, "What's the matter? "
"Director Kong, are you in the middle of Surgery? " Su Yun's lazy voice was heard, accompanied by a huge breath.
"Yes. "
"Can you understand it? "
Director Kong seemed to see Su Yun's handsome face with a smile that deserved a slap, appearing in front of his eyes.
However... he really couldn't understand it.
"I can't understand it. " Director Kong said and shook his head helplessly.
"Hehe. " Su Yun smiled.
"You want to ask me if I can understand it? " Director Kong was a little angry and said, "If that's the case, you can hang up the phone. "
"Director Kong, how can I laugh at you? " Su Yun hurriedly said, "I have something important to tell you. "
"Speak! " Although director Kong's voice was low, it was becoming more and more authoritative.
"The New England Journal of Medicine, The la
test issue of TIPS surgery has been published, " Su Yun said.
" ... " director Kong did not say anything.
For a medical journal like New England, the SCI scores were frighteningly high. The judges were all very arrogant. Even if a normal article passed the review, they would still have to queue up to be published.
However, an article about TIPS surgery was actually published directly. This couldn't help but make director Kong feel strange.
"Hey, Director Kong, let me tell you. The boss doesn't even know yet. Although he might not care, I was the first to inform you. " Su Yun was unhappy and complained on the other side of the phone.
"Xiao Su, thank you. " Director Kong's tone was much gentler. "That, the first author is... "
"It must be the boss. I did this myself. I was able to get the title of the second author because he wanted to use this thesis to apply for the Nobel Prize in Medicine. "
"Okay, I got it. " Some of the thoughts in director Kong's mind gradually became clear.
His tone was firm. He did not talk to Su Yun much and directly hung up the phone.
Director Kong pondered for a moment, picked up the phone, and dialed.
"Director Yan, this is Kong Liancheng. "
"I saw doctor Zheng's TIPS surgery with my own eyes. It's absolutely subversive. His skill level is the best in the world. "
"Yes, and there's also The matter of The Nobel Prize being promoted. It's said that The article has been published in The latest issue of The New England Journal of Medicine. "
"Reporting to the chief, I'm sure! I saw doctor Zheng's TIPS surgery with my own eyes! " Suddenly, director Kong subconsciously closed his legs as if he was saluting. He answered seriously.
"My suggestion is to set up a research center for the TIPS surgery and bring doctor Zheng to our house to specialize in the research of the TIPS surgery. "The Nobel Prize requires the volume of the surgery. "Judging the award is one aspect. Besides, according to my preliminary observation, the new surgery method can still benefit the patient. "
"Alright!
"No matter the cost!
The Surgeon's Studio c1-799 Page 263