The Surgeon's Studio c1-799

by Black Ursa Prime

  He could not delay his family life because of work. Zheng Ren now used his family life to describe his and Xie Yiren's days together.

  Although they were not living together yet, thinking about it made him feel much warmer.

  Fortunately, there was no lack of high-class cafes around. Peng Jia's secretary quickly found one and booked a private room.

  There was nothing to say on the way. They arrived at the café, entered the private room, and sat down.

  Zheng Ren randomly ordered a cup of freshly squeezed mango juice and asked, "Manager Peng, why are you looking for me?"

  Although it was a little impolite to say so, Zheng Ren had many things to do, so he could only ask directly.

  Otherwise, Zheng Ren would feel that it was a waste of time just to exchange pleasantries for 20 to 30 minutes. With this time, Zheng Ren would rather go to the System library to read books.

  Besides, Peng Jia was the one who needed something from him now, so it was fine to ask directly.

  "Ahem..." Peng Jia was choked by Zheng Ren's straightforwardness. This aura was really the kind that only a doctor had.

  "It's like this." Peng Jia placed both his hands on the table and put on an honest posture. He looked into Zheng Ren's eyes and spoke in full detail.

  He described the matter of the live broadcast room of Xinglin Garden's surgery, but he did not mention that the traffic of Xinglin Garden had skyrocketed or plummeted.

  He only talked about the ideal, but he did not explain the situation of the market and the traffic.

  Zheng Ren listened carefully and remained silent.

  "Manager Peng, don't tell me you're looking for my boss to do a live broadcast of the surgery?" Su Yun originally had a guess, but after listening to Peng Jia's description, he understood what he meant.

  Since everyone was very busy, Su Yun had asked directly.

  "Yes." Peng Jia's heart suddenly jumped, but the expression on his face became gentler.

  "What are the conditions? Tell me." Su Yun was not a person who did business. He knew about the matter of testing each other's limits, but he was too lazy to argue with Peng Jia.

  Su Yun did not think highly of this matter.

  If the live broadcast surgery was successful, it would be fine. But if it failed, would the glory of the Nobel Prize candidate be lost?

  Although Zheng Ren's surgery was very stable, there had not been any mistakes until now. But who could guarantee this kind of thing?

  "Listen to Chief Zheng's conditions, we..."

  "Chief, Manager Peng is not sincere. Let's go." Su Yun was not polite at all. Once he heard Peng Jia start talking in circles, he immediately turned hostile.

  The speed at which he turned hostile was even faster than flipping through a book. It really gave Peng Jia a fright.

  Zheng Ren did not move. Instead, he smiled and said, "Manager Peng, if it's a live broadcast of the surgery..."

  Peng Jia's heart suddenly jumped into his throat.

  If Chief Zheng directly rejected him without leaving a single gap, what would he do?

  He began to feel a little regretful.

  Would it not be better if he directly threw money at him? However, this was just a thought. Peng Jia did not believe that a Nobel Prize candidate would be persuaded with his money.

  "I'm still interested, but we still have to discuss the specific operation in detail."

  Zheng Ren's words made Peng Jia's heart stop beating.

  He agreed just like that?

  Su Yun looked at Zheng Ren as if he was looking at an idiot. Was this the stance of a business negotiation? Not haggling at all? Saying that he was interested?

  Stretching his neck out and waiting to be ripped off?

  Zheng Ren saw Su Yun's dissatisfaction, but he only smiled, then he continued, "First of all, the patient side has to agree to the live broadcast. Manager Peng has to worry about the cost of this job. Second, the website has to give a strong promotion, but the internal advertising of the website is probably not enough. Third..."

  Without thinking, Zheng Ren listed out five opinions.

  This was not an act of foolishness, but a deliberate consideration! Su Yun looked at Zheng Ren in surprise. Could this guy have the ability to predict? Or could it be that he had already started thinking about the live broadcast of the surgery?

  Peng Jia was also stunned.

  These conditions were all specific work processes, and none of them involved personal interests.

  He was also very puzzled as he looked at Zheng Ren.

  "What do you think, Manager Peng?" After Zheng Ren finished speaking, he calmly looked at Peng Jia.

  "Boss Zheng, how much do you need to pay for a surgery?" Peng Jia glanced at Su Yun and asked carefully.

  "You have money from your website?" Zheng Ren was also very surprised. "I have been going there often recently, and the number of people who post new cases has decreased a lot. I'm afraid that the traffic will run out soon."

  'Chief Zheng, can you not be so direct...' Peng Jia's face was full of tears.

  "Let's talk about business first. As for the specific fees, you can talk to Su Yun when you have time. I think that your profit model is not good, and I don't think that the prospects are good. But this has nothing to do with the live broadcast of the surgery. We are talking about two things."

  After Zheng Ren said that, Peng Jia was dumbfounded.

  ...

  ...

  He would never stray from the topic. The name for the live broadcast of the surgery was not just for a temporary gimmick.

  Yesterday, the editor changed the cover. It was said that it was because of a copyright issue.

  In the next few days, he would go to the operating theater to take photos of the operating theater to make the cover. The current cover was too dark, and it did not match the theme.

  If there was anything related to the content and work, he would report it. At 6 p.m. at the end of the month, and at 7 p.m. at the beginning of May, he would book a guaranteed monthly ticket for next month.

  Excellent~

  Chapter 791 - Jobs’ Illness?

  As a businessman, he had to argue for the sake of profit and face.

  However, after listening to Zheng Ren's words, Su Yun fell silent again.

  He repeatedly pondered the meaning behind Zheng Ren's words and quickly figured out Zheng Ren's train of thought.

  "Boss, is it the amount of surgeries?" Su Yun did not make it too clear in front of Peng Jia.

  "Yes, six beds. No matter what, it's not enough," Zheng Ren smiled and admitted frankly.

  Su Yun was relieved.

  As long as the boss did not suddenly lose his mind, it was fine. If it was for the Nobel Prize, he could give up a certain amount of benefits.

  After all, everything had to give way to the Nobel Prize.

  If he could really win the prize, how much money would he have? Why would he care about the small amount of money he had now?

  Peng Jia's head was dripping with dew.

  He did not know the situation of Zheng Ren and Su Yun. Although he could more or less guess the clues, he did not know the specifics.

  However, this was not important. What was important was Zheng Ren's attitude.

  The matter went unexpectedly smoothly, making Peng Jia feel as if his luck had turned.

  This had to be a dream...

  Peng Jia did not dare to probe too much. If he offended the doctor who was as beautiful as a girl, he would be throwing stones at his own feet.

  He told Zheng Ren a few of his requirements and the solution that he had thought about for a long time. Zheng Ren was also quite satisfied.

  He did not need to increase the workload on his side, but he could also do some publicity. As for what happened after that, Zheng Ren had thought about it, but they were all in the general direction. He did not think too much about the details.

  It was useless to think too much. He would just walk with his head lowered and occasionally
look up at the road.

  It was better to do it. This was Zheng Ren's usual style.

  Su Yun began to take over and discuss the details with Peng Jia in detail. It seemed that Su Yun was eager for the next round of TIPS surgery to be broadcasted live.

  While they were chatting, Zheng Ren's cell phone rang.

  "Brother Yang, what's the matter?"

  "Oh, I'm discussing something outside. I'll come back now."

  "No need, no need. I'll come to you."

  After that, Zheng Ren hung up the phone and said with a smile, "Professor Yang has a patient looking for me to take a look at the radiographic films. You guys talk first."

  Peng Jia had nothing to say. "..."

  Since the main character was not around, how could they talk about this matter?

  Zheng Ren saw his expression and comforted him. "Su Yun can make the decision. You two can discuss it. This matter will start as soon as possible."

  After saying that, Zheng Ren picked up his coat and walked out.

  Seeing Zheng Ren leave, Peng Jia was still in a daze.

  Su Yun asked loudly, "Boss, what patient?"

  "They said it was pancreatic cancer, but Professor Yang felt that something was wrong. He asked me to give him advice," Zheng Ren said as he walked away.

  Peng Jia was in a daze for a moment.

  A 912 professor. He could not be sure. He wanted to ask Chief Zheng for a diagnosis? His status there was higher than he had imagined.

  He immediately reflected that he had still underestimated Chief Zheng. He was a candidate for the Nobel Prize. He could not be negligent just because he was young.

  Peng Jia straightened his attitude and became gentler. The conversation between him and Su Yun also became smoother.

  ...

  ...

  Zheng Ren left the coffee shop, took a taxi, and returned to 912.

  The coffee shop was not far from the hospital, but in order to save time, Zheng Ren still took a taxi back.

  Zheng Ren was more or less reluctant to come into contact with Peng Jia for this kind of work. However, this was much better than when he was in Sea City. In the past, Zheng Ren would never agree to let Peng Jia come out.

  Returning to 912, Zheng Ren changed his clothes and strode to the Department of Hepatobiliary and Pancreatic Surgery.

  "Brother Yang, what patient is it?" Zheng Ren was already very familiar with Professor Yang. He entered the room and greeted him first.

  The patient with hepatic hydatidosis had been successfully transferred out of the ICU and was currently in the recovery stage. This patient's surgery rapidly improved the relationship between Zheng Ren and the General Surgery Department.

  Zheng Ren had high standards, a good temper, and a simple and honest personality. Professor Yang admired Zheng Ren very much, so now that he could not make an accurate diagnosis, he had to find Zheng Ren to help him take a look.

  There were not many patients of this type, often there being one every three to five days.

  Zheng Ren had gradually adapted to the working environment and rhythm of 912, and things were gradually going smoothly for him.

  "The diagnosis from the hospital below is pancreatic cancer with liver rotation. I feel that there is something wrong with the radiographic films." Professor Yang waved his hand, indicating for Zheng Ren to hurry in. Then, he picked up the test sheet and flipped through it.

  "Okay." Zheng Ren walked in and saw the CT scan of his upper abdomen inserted into the radiographic film viewer. There was also a film bag placed on the table in front of the radiographic film viewer. He glanced at it. It had to be nuclear MRI.

  On the radiographic films, there was a space-occupying lesion in the head of the pancreas. The shape was irregular. Moreover, there were two space-occupying lesions in the left liver. Although it was not large, the first impression was that there was pancreatic cancer with liver metastases.

  Cancer accompanied by other organ metastases were in the terminal stage. In the past few years, it was a contraindication for surgery. It could only be treated with radiation and chemotherapy to try to maintain the survival period of the patient.

  In recent years, with the minimally invasive surgery, the surgical trauma became smaller. There were also people who advocated surgical treatment. However, even if it was surgery, it was only tumor reduction. After the surgery, there was the possibility that the patient's immune system would decline, and the tumor tissue would explode and spread.

  This radiographic films reminded Zheng Ren of a case he had studied before.

  "Does it look like Jobs' disease?" Yang Lei looked at the CT scan on his upper abdomen and asked.

  Yes, Zheng Ren was also thinking about Steve Jobs' case.

  The case was strange and tortuous, and the whole process was not publicized to the public. He could only speculate from certain things that he knew.

  As a doctor specializing in general surgery, Zheng Ren had done research on this.

  As early as 1987, a reporter at Jobs' press conference described the symptoms of his as 'slightly yellowed hands, shaking non-stop.'

  However, Jobs himself did not pay attention to it, or the examination did not find out the truth.

  In October 2003, after experiencing c.h.e.s.t and abdomen pain for about five years, Jobs finally went to the hospital for treatment. The initial radiographic films were very similar to the CT scan in front of him. He had advanced pancreatic cancer with liver metastases.

  Because he was a Buddhist and Jobs was very resistant to modern medicine, he had been adjusting his diet at the beginning, causing the initial treatment to be delayed.

  Of course, this was what the media said, but Zheng Ren did not think so.

  After he was diagnosed with advanced pancreatic cancer, Jobs refused the surgery and was prepared to die. Later, he was persuaded by the doctor to do a series of examinations such as a biopsy under the endoscope.

  The diagnosis showed that he did not have pancreatic cancer, but a neuroendocrine tumor of the pancreas.

  Unlike pancreatic cancer, the neuroendocrine tumor of the pancreas could be treated by surgery, and the recovery rate was more than 50% .

  At the end of July 2004, Jobs underwent surgery at Stanford University Medical Center. The operation was not publicly announced. Zheng Ren guessed that it was a combined pancreaticoduodenectomy.

  After the operation, Jobs recovered normally. After all, the combined pancreaticoduodenectomy had a huge impact on the human body. Moreover, after the operation, Jobs did not recover completely.

  Five years later, the metastatic tumor on his liver grew. He flew to the Transplant Institute of Methodist University Hospital in Memphis, Tennessee, for a liver transplant.

  Two years later, Jobs died on October 5th.

  Chapter 792 - Gave Up Helplessly

  Zheng Ren understood the whole process and the details of the announcement.

  Therefore, after seeing the radiographic films, Zheng Ren's first impression was that he had advanced pancreatic cancer with liver metastases.

  However, it was not ruled out that it was a neuroendocrine tumor of the pancreas.

  Hearing Professor Yang's words, Zheng Ren nodded and said, "Take a closer look. If it's an endocrine tumor of the pancreas, there might be a way."

  The patient's family seemed to have lost their ability to make their own judgments. They stood by the side with a particularly ugly expression.

  The local diagnosis was of the advanced stage of pancreatic cancer. He came to Imperial Capital with the intention of giving it a try. However, the professor's first thought when he heard this was also of the advanced stage of pancreatic cancer. At this moment, the patient's family was thinking of giving up the treatment.

  As for the endocrine tumor of the pancreas, was it not still a tumor no matter what?

  What was the difference?

  Zheng Ren replaced the CT scan of his upper abdomen and inserted the nuclear MRI radiographic films into it.

&nbs
p; The enhancement seemed to provide more information.

  Although Zheng Ren had the ability to reconstruct, more radiographic films could provide more details, which was also helpful for reconstruction. However, reconstruction was only morphological and could not provide pathological evidence. It was not particularly helpful for the diagnosis of the patient in front of him.

  From the perspective of the changes in hemodynamics, Zheng Ren tried hard to differentiate between malignant tumors of the pancreas and endocrine tumors of the pancreas.

  "Have you checked the immunostaining of pheochromogen A?" Zheng Ren asked.

  "No."

  "Let's check it out. The arterial phase on the radiographic films is problematic. It is still more likely to be an endocrine tumor of the pancreas," Zheng Ren said. "If possible, do an endoscopy and take a biopsy of the pathological tissue."

  "Okay." Professor Yang nodded.

  Zheng Ren's initial judgment was enough. At this time, no one could determine the stage, so the next step of treatment could not be discussed.

  If it was the G3 stage, Professor Yang would advise the patient's family to give up. But if it was the G1 or G2 stage, it could be treated completely.

  "By the way, Chief Zheng, if surgery can be done, do you have any ideas on your side?"

  "We can do radiofrequency ablation," Zheng Ren said.

  "It's good that you can do it." Professor Yang smiled.

  The surgery could remove the space occupied by the pancreas. However, it was very difficult to remove the space occupied by the liver in the General Surgery Department. The best way was to receive interventional treatment.

  It was good that Chief Zheng could do it and dared to do it. This meant that the patient's survival period would be extended.

  After putting the radiographic films together, Professor Yang's movements became slower and slower. He could feel the shift in the patient's family.

  However, he still handed the bag of radiographic films to the patient's family and said, "Come as soon as possible. Do a biopsy. The pathology will determine the nature of the patient's lesion. It may not be pancreatic cancer. If it isn't, after treatment, the patient's survival period can reach about ten years."