Chapter 1057: with translation of chapter title

Doctor Charles Moore nodded, he was somewhat fatigued from the trouble of the disease, he did not put on another pair of sterile gloves and continue the autopsy with Zheng Ren, but instead turned around, waved his hand, and returned to his seat.

Zheng Ren knew that coronary artery dilation was rare, and there was no particularly good treatment; an interventional stent was a possible method.

Doctor Charles Moore was at the Mayo Clinic, a hospital renowned as the world's best for cardiac treatment; there was no reason he could have a stent placed but couldn't.

The condition was somewhat confusing, because the System Panel was only light red, indicating the situation was probably not serious. What troubled Doctor Charles Moore might be Stability type angina.

This angina is the same as angina due to myocardial ischemia, but it is not fatal.

Zheng Ren was somewhat curious; the old man's autopsy technique was the most exquisite he had ever seen. Previous investigations seemed to have opened a brand-new door, so Zheng Ren wanted to ask for details.

Having removed his gloves, Zheng Ren hadn't spoken yet when someone rushed in.

「Doctor Zheng, why are you here? 」 Professor Danielo Acosta said.

Zheng Ren smiled and asked, "Have the preoperative preparations been completed?"

「It's done; if your time allows, you can start the surgery anytime. 」 Danielo's words were polite, but his expression betrayed his truest Inner Mind.

He was very impatient, especially impatient.

「Speak more softly. 」 Doctor Charles Moore's assistant scolded.

Danielo rushed in rather hastily, not noticing who was seated inside. He hadn't slept all night, was exhausted, had a short temper, and was about to yell at someone.

But the moment he saw Doctor Charles Moore, all the anger on his face seemed blown away by a gust, and he spoke gently and respectfully: "Charles Greeting, how come you're here?"

「What surgery? 」 Doctor Charles Moore closed his eyes, brows slightly furrowed, and asked softly.

「When researching renovascular hypertension, we encountered some problems; we consulted Doctor Zheng, who thought surgery could be done. After……」

「Is it the topic of percutaneous radiofrequency ablation treating renal sympathetic nerves? 」 Doctor Charles Moore asked.

「Yes, yes. 」 Danielo immediately replied.

「Oh, look, I just said Interventional surgery has no future. 」 Doctor Charles Moore's eyes widened slightly, he glanced at Zheng Ren, and asked: 「What's the matter, how do you plan to handle it? 」

「I judge that during the radiofrequency ablation process, the renal sympathetic nerves fused with the renal artery, combined with renal artery stenosis, causing the patient's refractory hypertension. 」 Zheng Ren smiled: 「Just do a detachment surgery, then place a renal artery stent, and that would do it. 」

「This time Doctor Charles Moore didn't say Interventional surgery had no future; after thinking, he said: "You go ahead with the surgery; I'll come take a look later. 」」

Hearing Doctor Charles say that, Danielo finally felt relieved.

Leaving the stepped classroom, Su Yun felt a bit strange and asked the professor: 「Why do I feel Doctor Charles has a bias against Interventional surgery? 」

Professor Rudolf Wagner smiled helplessly, but his smile was stiff, and finally turned into a sigh.

「Stop pretending, just say it quickly. 」 Su Yun was unhappy.

「Yun Ge'er, nine years ago Doctor Charles Moore was diagnosed with atherosclerotic coronary artery heart disease and had a stent placed. Afterward, problems arose, and the angina symptoms never eased. 」 The professor explained.

Zheng Ren heard it, his heart stirred, and he asked: 「Is it a postoperative complication of coronary artery dilation? 」

「Yes. 」 The professor replied.

As Interventional Medicine Discipline doctors ambitious for the Nobel Prize, they secretly call Charles the devil behind his back; how could the professor not know?

Su Yun looked at Zheng Ren with contempt; this guy says he's not interested in the Nobel Prize on the surface, but actually he's investigated the relevant people behind the scenes. Otherwise, I wouldn't know this, and how would he know that Doctor Charles Moore had postoperative coronary artery dilation?

「That's really unfortunate, but there's no risk of sudden death from myocardial ischemia; as long as we monitor whether an aneurysm might form, that's enough. 」 Zheng Ren said offhand.

「Aneurysms form easily; the degradation and loss of elastic fibers in the middle layer of the coronary artery wall are considered the central pathogenic mechanism, but there are many causes, making it hard to pinpoint a definite cause and treat it. 」 Su Yun knows heart disease in great detail; although it's a rare condition, she can explain it fluently.

「That's right. 」 Zheng Ren nodded and said: 「Although normally a stent can solve the problem, the Mayo Clinic side keeps delaying, and I suspect there are more complications. 」

「I actually don't recommend doing it; Doctor Charles Moore is an elderly patient, lacking elastic fibers in the middle layer of the coronary artery, making the arteries thin and fragile; without an aneurysm, conservative treatment is still advised. 」

Zheng Ren knew Su Yun was right; that's the view shared by the vast majority of doctors.

Coronary artery dilation without an aneurysm is not fatal; the only hassle is needing long-term Warfarin and dealing with Stability type angina.

It's just pain; compared to risky surgery, conservative treatment is still better.

This also explains why Doctor Charles Moore is biased against Interventional surgery.

「After a coronary artery stent was placed, it resulted in rare coronary artery dilation; anyone else would also develop a strong distrust of Interventional surgery. 」

But this has nothing to do with Zheng Ren; he also doesn't want to get involved in this troublesome treatment. Su Yun is right: all surgeries for elderly patients must be done cautiously, otherwise a botched surgery would bring countless troubles.

Returning to the laboratory for renovascular hypertension, there are many people here, each busy. This is completely different from the situation in the early morning when only two doctors and two nurses were on night shift.

This is the true Mayo Clinic, Zheng Ren thought.

Professor Rudolf Wagner and Su Yun were responsible for handling all preoperative paperwork; Zheng Ren didn't bother with their communication.

Although he had the passive skill of language mastery, Zheng Ren still wasn't interested in interpersonal communication; he only thought about performing surgery.

Looking through the transparent glass at the patient lying inside, his blood pressure was very high, even while on an infusion of antihypertensive medication.

The situation seemed to have no special changes, Zheng Ren thought.

Alright, let's try; he immediately entered the System Space, exchanged for Surgical Training, and began the final preoperative simulation surgery.

The surgery went very smoothly; Zheng Ren had indeed simulated it many times and had also found the most basic cause.

Looking at the evaluation showing 98% surgical completion, Zheng Ren was still quite satisfied.