The Surgeon's Studio c1-799

by Black Ursa Prime

  She had met Professor Rudolf Wagner before, but Chief Xia had the dignity of a Department Chief. It was unlikely that she would be as curious as she was decades ago when she saw a blonde foreigner.

  If that was the case, it would be very embarrassing.

  Of course, Chief Xia did not believe that the foreign professor was here to learn from Chief Zheng.

  Most of the rumors in the hospital were just for fun. If they were to be serious, most of them would not stand up to scrutiny.

  However, at that moment, Chief Xia believed it.

  With Chief Zheng's level and diagnosis… In any case, she was completely convinced. Even if the foreigner was there to learn surgery from Chief Zheng, it was not a big deal.

  It should be!

  Chief Xia held a magnifying glass in her hand and stared blankly at the line of small words, completely forgetting everything.

  After some time, the ringing of the phone interrupted Chief Xia's thoughts.

  Her hands were a little sore. She put down the magnifying glass in her hand, massaged her eyes, and picked up the phone.

  "Chief Xia, the MRCP and reconstruction are done. Take a look at the computer over there, " Zheng Ren said over the phone. "The patient's scan is very typical. That's it. I'm hanging up. Let's talk about it when I get back."

  Ugh... before she could finish her lamentation, Zheng Ren gave her another surprise.

  Double gallbladder deformity?

  Could it be true?

  Chief Xia immediately moved her sore, numb, and swollen wrist, turned on the computer, and found the patient's MRCP scans.

  Just as she was about to take a look, the phone rang again.

  Chief Xia was a little frustrated.

  She was so eager to take a look at the patient's scans and see what double gallbladder deformity was.

  However, the ringing of the phone… To all doctors, it might be an emergency that required them to go to the emergency department for resuscitation and consultation.

  After many years of habit, even though Chief Xia was completely unhappy, she still picked up the phone.

  It was Chief Wang from the MRI Department.

  Chief Xia frowned. Why was he calling her? Did they not just finish the MRI?

  "Old Wang, What's the matter? I'm busy right now," Chief Xia said bluntly.

  They were both department chiefs for many years. They were familiar with each other to a certain extent, so there was no need to be polite.

  "Old Xia, the one who came just now is chief Zheng from the emergency department?"

  "You don't know him?"

  "The emergency department rarely runs MRI scans, of course I don't know him. The emergency department only knows Old Chief Physician Pan."

  "Why are you calling? Hurry up and tell me. I'm busy right now."Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/it-was-too-amazing_51157148331208588 for visiting.

  "It's nothing. I just want to confirm with you," Chief Wang of the MRI department said. "Old Xia, that Chief Zheng doesn't look old, but he's really familiar with reconstruction."

  "A while ago, my classmate suddenly vomited blood. He was the one who performed the emergency TIPS surgery," Chief Xia said, "He's a formidable figure."

  Both of them lamented for a while. Chief Xia had something on her mind, so she hurriedly hung up the phone.

  She clicked on the MRI on the computer and shockingly saw two gallbladders appear in the image!

  Double Gallbladders!

  Double Gallbladders deformity!

  ...

  Chapter 595 - He Even Memorized The Instruction Manual?

  "Chief Xia, I'm back." Zheng Ren knocked on the door and came in. Chief Xia was studying the double gallbladder deformity.

  "Chief Zheng, tell me about the double gallbladder deformity." Chief Xia did not put on airs and waved calmly.

  She wanted to stand up and give Zheng Ren a seat, but Zheng Ren pressed her back down to the chair with a smile.

  "Chief Xia, don't worry about it and just sit down. It's not difficult at all. I just need to say a few words." Zheng Ren bent down and held the mouse in his right hand. He began to move the 3D reconstruction of the CT scans that he had just done.

  Nuclear Magnetic Resonance Imaging could be done with 3D reconstruction but clinicians basically only knew about the 3D reconstruction of the CT and not that the other could be done with it as well.

  The MRIs resolution could reach 0.5mm but although the MRI scans at Sea City General Hospital could go up to 3.0, the resolution was only 6mm. The 3D reconstruction that was done looked like a mosaic and was very awkward.

  Zheng Ren was just trying to save her trouble and also help the patient's wallet out.

  The gold standard for diagnosis of double gallbladder deformity was ERCP but because ERCP was an invasive examination and the cost was huge, the consensus at the moment was to use MRCP to make a diagnosis.

  Regarding 3D imaging, Zheng Ren did it conveniently to avoid tormenting the patient and also to avoid any uncertainties but it was difficult for Chief Xia.

  Although Chief Xia did not intentionally misdiagnose... No one would purposely misdiagnose their patient. The patient seemed to be more cooperative but Zheng Ren still subconsciously eliminated all the hidden dangers in the bud.

  "Chief Xia, look here. The patient's double gallbladder has a cystic duct." Zheng Ren used the mouse to outline the area he wanted to talk about before explaining briefly, "The double gallbladder deformity is divided into type one and type two. Harlaftis type two refers to the double gallbladder having two or more cystic ducts independently connected to the common bile duct. Type two can be further subdivided into h-shaped and trabecular shaped variants. This patient belongs to the more common Harlaftis type two. In other words, it can be treated with surgery.

  "The patient doesn't have any symptoms of pain right now. I estimate that the possibility of the patient's family agreeing to the surgery is not high. However, you can tell the patient and their family that I can do this surgery."

  Chief Xia glanced at Zheng Ren. She was indifferent, not surprised at all by Zheng Ren's words as she kept silent.

  "In 1997, Gigot reported a case of double gallbladder deformity. At the time, the surgeon only removed one gallbladder, leaving the other one. Twenty-seven months after the initial surgery, the patient had another gallbladder complication with gallstones and acute cholecystitis. He had no choice but to remove the remaining gallbladder. If it's a surgery, I suggest that both gallbladders be removed.

  "Of course, that's just my opinion. I think the patient should go to a few more places to get a better consultation." Zheng Ren hesitated for a moment. He wanted to say something but in the end, he held himself back.

  "Chief Zheng, your words are like a slap to the face." Chief Xia sighed.

  "Look at what you've said." Zheng Ren smiled and said, "They aren't."

  Chief Xia picked up the instruction manual from the table and waved it. "Chief Zheng, to be able to memorize the instruction manual… I'm not capable of such a thing."

  Zheng Ren smiled and did not say anything.

  "Chief Zheng, how do you know all of that?" Actually, Chief Xia did not believe that Zheng Ren could memorize the medication manual.

  There were at least a hundred commonly used drugs in the clinic.

  The better the drug, the more detailed the side effects were.

  If one looked at the manual, they would know how impractical such a thing was.

  However, the more the drug cost, the better the effects were. Unlike the tattered medicine guide produced by the Pheasant Medicine Factory, the instructions practically guaranteed being able to cover the treatment of all diseases.

  Therefore for Chief Zheng to know all that was a very strange thing.

  Just how good was his memory?

  "Chief Xia, my physician ce
rtificate shows that I specialize in general surgery." Zheng Ren said, "A few years ago, did you hear about the medical accident at Liao Zhou People's Hospital?"

  Liao Zhou was a county under Sea City. A few years ago, they performed an emergency cholecystectomy on a patient because they had diagnosed cholecystitis and cholelithiasis.

  Coincidentally, the patient's family was very serious about the matter. They insisted on looking at the stone, saying that it was a relic and that they wanted to keep it as a souvenir.

  Before the operation, they had also given a red envelope to the chief surgeon. The chief surgeon confidently said that he would keep the stone for the patient's family. It was just a cholecystectomy. No one thought that there would be any risks.

  However, after the cholecystectomy, the chief surgeon was an idiot.

  There was no stone in the cholecystectomy at all.

  In the end, this matter became very big. The chief surgeon firmly insisted that there was no problem with his surgery since there was a gallstone in the ultrasound scan before the surgery. However, he did not take out the stone after the surgery. He also refused to let the incident go.

  In the end, his family made a fuss which caused a growing commotion in the hospital.

  Later, the chief surgeon was suspended and the hospital lost a lot of money.

  Zheng Ren was determined not to accept the red envelope. It was directly related to that matter.

  Thinking about it, he felt that it was scary. The pre-surgery examination confirmed that there was a stone but it was not big.

  However, during the surgery, the stone disappeared like a ghost.

  How was he going to explain that to the patient's family? If he did not take the money, he would be considered stubborn. If he took the money, he would be ashamed of himself.

  After the incident, Zheng Ren flipped through lots of information. He had grasped the cause and effect of cholelithiasis before the System had even been introduced to him.

  Therefore when he encountered it today, he judged that it was the crystalline substance left behind by the metabolism of the gallbladder's ceftriaxone. As long as he stopped intravenous infusion, it would disappear very quickly.

  In Zheng Ren's eyes, it was a small matter but for Chief Xia, it was very magical.

  When Chief Xia thought of the medical dispute, she immediately realized that the chief surgeon then had also encountered such a situation.

  If she did not have Zheng Ren and met with another difficult family member, she would not have been able to explain how the gallstones came about.

  Fortunately, she seemed to be quite lucky to have met young Chief Zheng.

  Luck was very important for doctors who worked in the clinic.

  Chief Xia nodded and understood what Zheng Ren meant. Zheng Ren did not continue to say anything. After all, when a rabbit died, the fox grieved. Things also hurt the other way around.

  If they talked about the chief surgeon behind his back, both Zheng Ren and Chief Xia would feel a little awkward.

  After chatting for a bit, Chief Xia had regained her confidence so Zheng Ren took his leave.

  Could the surgery be done?Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/he-even-memorized-the-instruction-manual_51572932287188948 for visiting.

  It definitely could.

  However, Zheng Ren knew that for such a rare disease, it would be difficult for the patient's family to choose to do the surgery at Sea City. He could only give his opinion to Chief Xia and let her explain it to the patient's family.

  People only believed you more when you had a title and authority.

  Moreover, he was too young so it was difficult for the patient's family to trust him.

  If they were at the Imperial Capital or Sorcery Capital, Zheng Ren might have directly explained the situation to the patient's family and performed the surgery.

  Zheng Ren knew that to be a fact.

  He was not in a hurry. Zheng Ren slowly returned to the emergency ward, looking at the patients before he sat down and continued reading.

  Chapter 596 - Box of Lipstick Tubes

  Just as Zheng Ren had expected, the patient in the gastrointestinal department did not choose to undergo surgery. Instead, after Chief Xia explained his condition, he was immediately discharged from the hospital.

  The choice had nothing to do with the patient or their family.

  After all, the patient's self-prescribed symptoms had already disappeared and there was also the double gallbladder disease… It gave one the impression that it was a particularly serious disease so as long as the situation allowed for it, the patient's family would still want them to go to the Provincial Capital or Imperial Capital to have it checked out.

  Returning to the office, Zheng Ren continued to read.

  The matter of Chief Xia looking for him for a consultation was like throwing a pebble into a pond, causing multiple ripples on its surface. After that, it gradually calmed down and disappeared without a trace.

  He was not busy for the rest of the day. There were two patients with acute appendicitis and one patient with acute cholecystitis.

  All the surgeries were carried out by Zheng Ren and Yang Lei. Su Yun was busy but Zheng Ren did not know what he was busy with.

  Zheng Ren did not expect to go to the Imperial Capital so soon. His original plan was to work at Sea City General Hospital for at least another year. He would only leave after Old Chief Physician Pan had completely retired.

  Yang Lei and Zheng Ren had requested to learn surgery. If he had another year, they could at least make Yang Lei into a competent chief resident.

  However, Yang Lei was different from Su Yun. In terms of his intelligence... Well, it was not something worth discussing as it would make Yang Lei feel sad.

  After watching a few radiographic films, Yang Lei had a clearer understanding on the type of monster he was to be able to determine the puncture point for TIPS surgery just by using an MRI scan. Even Gao Shaojie could not compare to him, let alone Yang Lei.

  The biggest difference was that Yang Lei could not stay all days of the week.

  Perhaps it was because everyone's mood was bad, or perhaps Yang Lei could not endure such great hardship, or maybe even… Therefore, Yang Lei saw that his achievements would be limited.

  Zheng Ren guessed that even if Yang Lei had the System's help, he would not be able to endure a few days and nights of endless surgical training in the System's operating room.

  That being said, he still had to teach him surgery.

  Whether he could learn it or not depended on his own luck.

  Zheng Ren already had some experience in teaching surgery. These experiences were summed up when he used the hemostatic forceps to beat Professor Rudolf Wagner and Gao Shaojie.

  To be honest, Zheng Ren seemed to like using the particular method.

  Both the professor and Gao Shaojie were upgraded after being knocked by it a few times.

  Especially Gao Shaojie, whose foundation was worse than the professor's. However, he had still managed to obtain the Grandmaster level...

  Zheng Ren sometimes wondered if he could also advance if someone who was better in surgery smacked him a few times.

  However, the matter...was very regrettable. In terms of interventional surgery, he was considered the best then.

  During the surgery, Zheng Ren did not use the hemostatic forceps to beat Yang Lei up. Instead, he tirelessly nagged at him about some small surgical techniques.

  During the surgery and even afterward, he even began to draw pictures for Yang Lei. He drew certain locations and pointed out the problems with his technique and the amount of force he was using.

  How much Yang Lei could master about his methods depended on how well he understood what he was saying.

  Those who climbed the skill tree would eventually reach the middle and
upper positions of those who were talented and willing to work hard.

  A day had passed. When he got off work, Zheng Ren walked home slowly.

  He enjoyed this kind of life very much. It was actually quite good that everything could be slowed down.Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/box-of-lipstick-tubes_51572935239979000 for visiting.

  Unlike when he was in the emergency department, he was in a crazed state of excitement. His entire body stank with the smell of dopamine and epinephrine.

  Xie Yiren was not at home. She, Chang Yue, and Su Yun were all busy.

  The professor also went to join in the fun while Zheng Ren stayed behind like an old man. He stayed behind at Sea City General Hospital to settle everyone's worries.

  When he returned home, he ordered takeout. After a simple meal, Zheng Ren entered the System's library to read.

  At nine in the evening, he sent Xie Yiren a WeChat message.

  After a long time, Xie Yiren replied and told him that they were 'rehearsing'.

  Zheng Ren was helpless. If that was the case, would Xie Yiren be angry when she found out that they were preparing everything for his sake?

  In short, the originally simple birthday party had spiralled out of control after Chang Yue, Su Yun, and the Chu sisters had joined in.

  However, Zheng Ren could feel a trace of excitement and joy in the WeChat message Xie Yiren had sent.

  As children, having fun was the most important thing.

  'I'll pay attention to the process,' Zheng Ren thought to himself.

  He washed up and went to sleep.

  The night shift god did not add any more trouble and the night passed by quietly.

  After that, it was a routine shift change and his ward rounds before he went to go visit his patients.

  During noon, Zheng Ren went to the cafeteria for a meal. He wanted to go back to the emergency ward to take a half-hour nap to replenish his energy.

  Just as he walked to the emergency ward's entrance, he noticed a familiar figure standing there.