The Surgeon's Studio c1-799

by Black Ursa Prime

  "Oh, what brand was that?" Zheng Ren immediately changed the topic.

  "Gerbe, it's a French brand. Every pair of Gerbe stockings were made by hand in France. Each process was strictly quality controlled. Finally, the stitching of the stockings and the belt were completed by hand to maintain the noble quality of the Gerbe brand.

  "Every season, a limited edition new product is launched. It has great collection value, and every piece is a work of art." Xie Yiren knew Gerbe by heart, and she spoke it so casually.

  "By the way, what did you say to the store manager just now?"

  The awkward atmosphere dispersed, and at that moment, Zheng Ren's phone rang.

  Zheng Ren hurriedly stopped and put the bag on the ground. He took out his phone, his heart full of gratitude.

  'Who made this call? I must thank them.'

  Chapter 784: The Liar from 912

  Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation

  “Chief Zheng, I have a patient here. Can you take a look?” The phone number was an imperial capital number. Zheng Ren did not add it, so he answered the call directly.

  Zheng Ren hesitated for a moment. His voice sounded a little familiar.

  “Professor Yang?” Zheng Ren asked tentatively.

  “Don’t call me teacher. Just call me Bro.” A hearty laughter came from the other side.

  It really was him. Zheng Ren sighed.

  Zheng Ren was really afraid that his answer would be wrong in this guessing game. If that was the case, it would be as awkward as it could be… However, it was better than the store manager telling him to tear it up.

  “What patient?” Zheng Ren asked.

  “Female patient, 33 years old. Pain in the right upper abdomen for five years, aggravated for three months.

  “The local hospital diagnosed liver cancer and performed an interventional surgery.

  “However, the effect was not good. The lesion is still there.

  “All the indicators were normal. Alpha fetoprotein levels are not high.

  “I think there is something wrong with the CT scan. It has something to do with the Interventional Department. Could you please take a look?”

  Professor Yang was very polite. Zheng Ren quickly said a few polite words and looked at Xie Yiren from the corner of his eyes.

  “Go back.” Little Yiren mouthed and did not say anything.

  Zheng Ren understood and his impression of Professor Yang immediately became better.

  This was the benefactor who saved his life. He must cooperate well with Professor Yang. He must!

  Zheng Ren immediately told Professor Yang that he was not in the hospital and rushed back immediately.

  Professor Yang had already guessed that Zheng Ren was not in the hospital. The surgery lasted until dawn. At this time, he should be at home catching up on sleep.

  However, he did not expect that he had unintentionally saved Zheng Ren’s life.

  After hanging up the phone, Zheng Ren carried more than ten bags and his footsteps became lighter.

  “What patient?” Xie Yiren asked.

  “He said that it was liver cancer. They had an interventional surgery at the local hospital. The effect was not good, so she came to 912.” Zheng Ren had just arrived and did not have a sense of belonging to 912. He also used the ‘912’ in his speech, not ‘here’.

  Xie Yiren said, “Sister Zheng checked twice, but she was fine. Zheng Ren, do you think Sister Zheng will recover?”

  “She will not recover,” Zheng Ren said. “There is a problem with her on the genetic level. Moreover, there is hepatitis B. The liver cirrhosis nodes will turn into small liver cancer nodes at any time. By the way, Sister Zheng should take entecavir regularly.”

  “According to your doctor’s advice, you must take the medicine on time,” Xie Yiren said with a smile. “Is it because the activity of hepatitis B virus is controlled, and it will reduce the probability of recurrence?”

  “Yes.”

  Zheng Yunxia’s illness was now fine. It was almost a miracle. The time she lived was all picked up. What was there not to be satisfied with?

  The two of them chatted as they went to the parking lot.

  Zheng Ren heaved a sigh of relief after throwing all the bags into the trunk.

  The fatigue from shopping was even worse than wearing lead clothing and undergoing ten-hour surgery.

  The weight of life was unbearable.

  However, he was fine now. He had to go back to the hospital to look at the radiographic films and patients. Zheng Ren exuded a sense of joy.

  Little Yiren was very happy to see Zheng Ren happy. She did not think about it at all. She started the car and rushed back to 912.

  When she returned to the hospital, Little Yiren said that she would wait for Zheng Ren in the car, so she did not go up.

  She had gone shopping. After the transformation, Little Yiren immediately felt a little tired. She could not even be bothered to go upstairs.

  Zheng Ren nodded and said, “I’ll hurry up and come down. You can rest.”

  “No need. You go ahead. I’ll rest in the car for a while. There’s no need to rush,” said Yiren with a smile.

  Zheng Ren smiled apologetically. Then, he trotted to the elevator and took the elevator upstairs.

  When he arrived at the Interventional Department, a middle-aged man stood at the door of the chief’s office and looked left and right.

  Zheng Ren guessed that it was him because Director Kong was still at the front line. No one should be looking for him for treatment.

  After changing into his white clothes, Zheng Ren came to the man’s side and asked, “Did Professor Yang ask you to come?”

  The man was stunned.

  “Yes, yes, Professor Yang asked me to look for Professor Zheng,” the man said hurriedly.

  “I am Zheng Ren. Let me take a look at the radiographic films.” Zheng Ren reached out his hand.

  But unexpectedly, his hand was empty. The man looked at Zheng Ren with confusion in his eyes.

  ‘This was a young man. Could he be a liar?’

  He was very observant and immediately realized that Zheng Ren did not have a name tag.

  He was a liar. He had to be!

  The man frowned and took half a step back. He guessed in his heart. Could it be that there were also such professional liars in the 912 hospital? Taking advantage of the patients’ unfamiliarity with the hospital, did they use the time difference to trick people into going to other places for examinations and prescriptions to earn money?

  Zheng Ren saw his cautious look and immediately came to a realization. Then, he smiled bitterly.

  This was… There was really no place to reason.

  He was young and came down to the front line with a bruised face. He did not look like a dignified professor.

  Zheng Ren was sure that if he and Professor Shen went out to the clinic together and the patients were free to choose, there would not even be a single person who came to see him.

  Judging a person by their appearance was a high probability event.

  However, there was no other way. Zheng Ren could only smile and take his hand back.

  The two of them stared at each other in a stalemate.

  “Boss, are you back?” Professor Rudolf Wagner came out of the ward and saw Zheng Ren. He said happily, “Are you going to make the hospital your home from now on? If that’s the case, I will refund the hotel and stay in the hospital. Boss, I miss the time when I could find you as long as I came to the hospital.”

  The professor obviously did not have anyone to communicate with. He was already suffocating.

  After catching Zheng Ren, he was nagging.

  Zheng Ren smiled and asked, “How is the patient after the surgery?”

  “What else can I do? The surgery you performed had to be very stable. Tomorrow or the day after tomorrow, you’ll be able to get a CT scan and be discharged.” As the professor spoke, he was a little distressed. “Someon
e came to look for me today. He said that we only have six beds, so we can’t take too much.”

  “That’s what he said?”

  “I translated it. That’s roughly what he meant,” Professor Rudolf Wagner said.

  “Well, that’s how it should be. Don’t worry, I’m thinking of a way,” Zheng Ren comforted the professor.

  The middle-aged man was dumbfounded.

  What was going on? Rudolf Wagner’s scholarly aura and the demeanor of a high-level professor were full.

  However, the humility and closeness that he displayed in front of Zheng Ren could be seen with just one’s eyes.

  “I am the Zheng Ren that Professor Yang mentioned. Can I take a look at the radiographic films?” Zheng Ren did not get angry, but asked gently again.

  The man hesitantly handed over the radiographic films.

  “Lil Fugui, let’s go and take a look at the radiographic films.” Zheng Ren called out to the professor and came to the doctor’s office.

  As expected, he was not the chief physician. The middle-aged man became alert again. He went to the imperial capital to treat his wife because he wanted to find the best doctor, not just a junior doctor. Moreover, what the hell was a Lil Fugui?

  He frowned and followed him in.

  The radiographic films were inserted into the radiographic film viewer. Zheng Ren rested his chin on his hand and looked at it attentively.

  “Boss, there’s something wrong with this area.” The professor glanced at it and pointed at the radiographic films.

  Chapter 785 - Ectopic Splenic Implant

  On the radiographic films, the patient did not have a spleen.

  What was left in place could be vaguely seen as a scar tissue.

  "Yes, I think it was a splenectomy." Zheng Ren then asked, "Who is the patient to you?"

  "My partner," the middle-aged man replied cautiously.

  "How many years ago was the splenectomy performed?" Zheng Ren asked.

  "Twenty-two years ago, there was a car accident, and then the splenectomy was performed," the man answered immediately.

  When doctors looked at radiographic films, the first question they asked was about the splenectomy. It was not a mirror image, so there was nothing special about it.

  Zheng Ren continued to watch with his chin resting on his hand. The professor stood behind him and also focused on reading the radiographic films.

  It had been a long time since he had looked at radiographic films with his boss. This feeling was really great.

  A few minutes later, the professor said, "Boss, this liver cancer is a little strange. Why do I feel that it isn't a cancer?"

  "Yes, it is a little strange, but it is hard to say whether it is liver cancer." Zheng Ren held his chin and looked at the radiographic films. He said, "I highly suspect that it is ectopic splenic implantation and not liver cancer."

  "What?" Rudolf Wagner was surprised. "Boss, how did you see it? Because this part is a little bald?"

  As he spoke, the professor pointed at a location with abnormal signals on the radiographic films.

  "Not exactly. There's just some abnormal signals there. Lil Fugui, did you notice that the patient once had an interventional embolization?"

  "I noticed it." When Rudolf Wagner heard Zheng Ren mention the embolization, he seemed to have thought of something. He stared at a few frames of the radiographic films carefully.

  Zheng Ren did not continue to explain. It was enough for him to say this much about the professor's level of reading radiographic films.

  The middle-aged man was puzzled.

  Would a swindler not say that the more severe the illness, the better? But how could this young 'doctor' say that it was not liver cancer?

  'Ectopic implant what?'

  'Was it metastasized?'

  With a head full of doubts, his ears perked up. He wanted to listen to the conversation between Zheng Ren and Professor Rudolf Wagner.

  However, the two of them fell silent. Without saying a word, they began to 'communicate' through the radiographic films.

  A few minutes later, the professor clenched his right fist and hit his left palm, making a 'pa' sound. The professor and Su Yun had learned this action perfectly.

  "Boss, I have figured it out! It is indeed an ectopic splenic implant!" Rudolf said happily.

  "Yes, the diagnosis is relatively clear. Especially after an interventional embolization treatment, it is basically confirmed," Zheng Ren said.

  After he finished speaking, he took off the radiographic films and put them into the bag. He said, "Go and find Professor Yang. I will write the diagnosis on the paper later. For this disease, Professor Yang will perform a resection operation. The postoperative pathological diagnosis will be enough."

  As he spoke, Zheng Ren found a piece of discarded A4 paper. He drew a few lines on the front of the paper to indicate that it was invalid. Then, he wrote down his own diagnosis and surgical suggestion on the back of the paper.

  The patient's family was stunned.

  He had already sketched out as many possible words that Zheng Ren could say, and he made contingency plans for each of them.

  If he was a liar, he knew what he should do.

  However, this young 'liar' had actually sent him back to the General Surgery Department.

  Could he have guessed wrongly?

  The middle-aged man held the paper in his hand and carefully read the words on it. He was puzzled.

  "Go ahead. I heard from Professor Yang that your lover had pain in her upper abdomen all year round. That was caused by the splenic implantation and the acc.u.mulation of liver. It's not a big deal. It'll be fine after the resection," Zheng Ren said as he took out his phone.

  He first left a note on Professor Yang's phone and dialed the number.

  "Professor Yang, I've finished reading the patient's radiographic films."

  "Um..."

  "Okay, okay. Bro Yang, the radiographic films reveal ectopic splenic implantation, not liver cancer."

  "Yes, yes, your judgment is correct. If there's a bed, just admit them into the hospital. Do a resection surgery, pathology... During the surgery, you can see that it's the spleen tissue."

  "Oh, okay, the patient's family is with me. I'll bring it up..."

  "Okay, then I'll wait for you."

  After saying that, Zheng Ren hung up the phone.

  "Professor Yang... Brother Yang said that he'll come down later. Let's wait for a while, so that we won't run into each other," Zheng Ren said to the patient's family.

  The patient's family was dumbfounded. The development of the matter had completely gone beyond his expectations.

  Soon, Professor Yang, wearing an isolation suit and a sterile cap, rushed to the Interventional Department.

  "Chief Zheng, I don't think it's liver cancer," Professor Yang said hurriedly after he entered the room.

  It seemed that he had just left the stage not long ago and did not even have time to change his clothes. It was even possible that he took the time to come down during the intermission of the surgery.

  "There is a ninety per cent chance that it is an ectopic splenic implant." Zheng Ren nodded.

  Zheng Ren could not and did not dare to be 100% sure about this kind of thing. If the tumor revealed to be malignant during the surgery, there was no way to explain it.

  Without the prerequisite of the gold standard for pathology, Zheng Ren had to doubt the diagnosis.

  "Chief Zheng, your standard is really high." Professor Yang praised. "Tell me, how did you see through it?"

  Zheng Ren felt that it was a little strange. One autologous liver transplant, and Professor Yang was just like that?

  However, he saw that Professor Yang was focused on watching the film and seemed to be speaking from the bottom of his heart. He did not think too much about it and smiled.

  "You are not involved in an intervention, so you do not know much about the image of the intervention," Zheng Ren said. "The patient had an intervention emb
olism. Look here. From the image of the iodine deposition after the embolism, there is only an embolic necrotic focus, and the typical liver cancer focus is not shown on the image.

  "Very few liver cancers show this kind of image. In addition to the patient's medical history, the patient had intermittent abdominal pain for many years, and there was a history of splenectomy twenty-two years ago. So, I deduce that the possibility of ectopic splenectomy is higher."

  Professor Yang looked at the radiographic films. Zheng Ren's words had solved a few of his doubts, but the reason was not very good.

  Zheng Ren's words could probably negate the liver cancer, but the splenectomy could not be negated.

  "Chief Zheng, the splenic implantation..."

  "The pre-operative 64-slice CT scan showed that the lesion was evenly strengthened at the arterial stage, while the venous stage was slightly strengthened. The angiogram showed that the hepatic artery branch supplied this round, blood-rich mass.

  "There's no mistake in suspecting that it's liver cancer at this time," Zheng Ren said as he picked out another radiographic film from the bag.

  "After the follow-up examination, the strengthening of the nuclear MRI in the arterial phase was not obvious, but the metastatic lesions on the abdominal wall showed the opposite characteristics," Zheng Ren said. "Because the blood vessels of the lesions on the abdominal wall are relatively thin, there was no embolization treatment. This is very similar to the post-interventional embolization image of the large spleen."

  The interventional embolization treatment of the large spleen cirrhosis could effectively raise the number of white blood cells and platelets.

  Although Zheng Ren had never done it before, he was close to the prime of interventional surgery. He knew this kind of 'minor surgery' like the back of his hand.

  "So, I'm pretty sure that the local doctor did a splenic embolization surgery," Zheng Ren said with a smile.

  Chapter 786 - Analyzed it From the Worst Point of View

  "I see," Professor Yang whispered as he looked at the radiographic films.

  Zheng Ren did not explain this matter through the use of radiographic films. Instead, he proposed the changes after the interventional embolization.