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Chapter 1222: 1187 You call yourself a doctor?

~6 min read 1,200 words

1187 You call yourself a doctor?! (33500 bonus chapter ×24, seeking monthly tickets)

The intercostal artery ruptured, no wonder there's so much blood.

As the sole top‑level existence in the Intervention Department, Zheng Ren naturally knows what Zhao Wenhua is waiting for.

If it weren't the intercostal artery, but merely a tiny artery or small vein nicked when the radiofrequency needle passed through the diaphragm, the bleeding would probably have stopped by now.

But the intercostal artery actually ruptured!

Within the artery, this one is relatively thick, and it cannot be embolized with a floating embolic agent.

Because the intercostal artery branches from the artery that supplies the spinal cord, the embolic agent could drift into it, occluding the spinal cord's supply vessels and causing postoperative high‑level paraplegia.

This is really fucked up.

Otherwise, hepatic artery embolization for liver cancer is widely performed, but few do it for lung cancer—for this reason. Vascular branching and course differ, so complications and postoperative outcomes naturally differ. Central‑type lung cancer can still be tried, but peripheral‑type must be handled with radiofrequency ablation.

If the patient ends up with postoperative high‑level paraplegia, that's a huge deal.

Interventional surgery isn't omnipotent; this is one example.

If we had a tiny spring‑ring, we could solve this. Zheng Ren doesn't care about the cost—it's Professor Rudolf Wagner who's coming, and it's not his face that's being saved.

Besides, they say it's 100,000 euros apiece, which is probably just an inflated bill. The real cost is certainly not that high.

Want to use it? Go ahead—Zheng Ren doesn't mind.

"Boss, what are you thinking about?" Su Yun saw Zheng Ren just looking at the patient, not doing a physical exam or saying anything, found it strange, and asked.

"Well, just a glance will do, so Director Kong doesn't think I'm unreliable." Zheng Ren smiled and walked out.

Su Yun thought Zheng Ren was just putting on an act, didn't mind, followed him out, and whispered: "With this much blood, you really think it's a tiny capillary? It must be the intercostal artery."

Zheng Ren acknowledges Su Yun's expertise in cardiothoracic surgery; he spoke with confidence, his diagnosis, though somewhat subjective, stems from rich clinical experience.

A single glance, or even hearing the process, tells you what's going on.

"Well, I'd say it's the intercostal artery; go advise Teacher Zhao." Zheng Ren said.

"Advise? I'll go tell him off to his face." Su Yun exclaimed angrily: "When Director Kong wasn't around, he made us wear small shoes and told Fugui'er not to eat too much or take more than her share—I still remember that."

"Holding a grudge like that isn't good." Zheng Ren walked quickly; although he was joking, the patient's condition was poor, and every delay added danger.

"This patient should have been transferred yesterday, but he refuses." Su Yun said resentfully.

"Go back and make a suggestion."

Back in Director Kong's office, he was still telling Zhao Wenhua to transfer the patient to general thoracic.

For some reason, Zhao Wenhua stuck out his neck and refused to agree to anything.

Su Yun glanced, turned to shut the door, took two steps forward, passed Zheng Ren, pointed at Zhao Wenhua's nose and shouted: "You call yourself a doctor too!"

Director Kong and Zhao Wenhua both stared in shock.

In a hospital, it's rare to see someone walk up and shout insults while pointing at a nose; normally, only when fundamental interests are at stake do people resort to such face‑losing confrontations.

Zhao Wenhua's face flushed red as he sprang to his feet.

"What? Want to fight? I'll beat you so badly your own mother won't recognize you." Su Yun sneered, "The patient is in hemorrhagic shock—definitely the intercostal artery burst—and you still want to delay? Until when?"

"How do you know?" Zhao Wenhua's forehead veins bulged, he was furious. This was the worst scenario he'd never dared imagine, yet Su Yun bluntly voiced it.

"One look tells you—have you been feeding your decades of clinical experience to the dogs?" Su Yun coldly snapped.

"You…"

"Director Kong, the patient's condition is truly bad." Su Yun turned to Kong and said, "This guy's bewildered—what should we do?"

"Wenhua, go ahead and transfer, get the surgery done quickly—it'll also put our minds at ease. Even if it's not a ruptured intercostal artery, exploration is warranted." Director Kong said this politely, but his tone grew sharper.

Director Kong had no such reservations; this patient should naturally be sent to cardiothoracic surgery for a check‑up. The family's objections can wait—right now we must ensure the patient's survival.

Especially since Director Kong knows Zheng Ren and Su Yun are both top‑tier, their diagnoses are highly reliable.

Zheng Ren's level is self‑evident; Su Yun's reputation as the rising star of Di Du's cardiothoracic surgery is no empty title.

Their judgments match mine, so there's no need to be polite.

Zhao Wenhua clenched his fists and glared at Su Yun.

"Director Kong, we don't need to transfer to cardiothoracic surgery." Zheng Ren said lightly from behind, "I'll do the angiography; if confirmed, we'll just embolize."

"Embolize?" Director Kong looked at Zheng Ren in surprise, wondering what he was thinking, but then recalled last night's surgery with that tiny spring‑ring.

"You're crazy—want to embolize the intercostal artery?!" Zhao Wenhua finally lost his temper and shouted.

If it were Zheng Ren's own patient, he'd be grinning ear‑to‑ear watching this.

But this is his own patient—what if something goes wrong?!

No one hopes more for the patient's safe discharge than his attending and primary physicians.

Zhao Wenhua was torn, but after Director Kong's persuasion, his resolve wavered and he prepared to transfer the patient.

But Zheng Ren wants to embolize the intercostal artery! This is outright murder!

In the end, the blame will be dumped on his own head!

"Wenhua, what are you saying?" Director Kong was now thoroughly displeased—Zheng Lao Ban is trying to mess with you using this tactic? But if it weren't for yesterday's surgery, I wouldn't believe it either.

New consumables—great, huh? But this stuff isn't for just anyone to play with.

Never mind the price; a tiny spring‑ring must be navigable into place. An average Intervention Department doctor might spend two or three hours just trying super‑selective catheterization and still fail—that's the usual situation.

"Chief, he says he wants to embolize the intercostal artery!" Zhao Wenhua said angrily.

"Not with embolic agent—I saw yesterday there's a German‑imported …" Director Kong's words were cut off by Zhao Wenhua's angry interruption.

"No way, can't touch it!"

"All right, Professor Zhao, you said that." Zheng Ren glanced at him calmly and said, "Your patient isn't under my authority, but I'll keep watch—if anything happens, you'll see exactly how you killed him."

Zheng Ren rarely speaks harshly, but this time he's a bit rushed.

"You call yourself a doctor?" Complications aren't scary; we just need to face them properly. Although today's social climate makes doctors suffer backlash even if they survive—unlike in the U. S., where even an appendectomy can't be done yet everything's fine.

But we can't just let the patient die like that!

That's a human life!

Zheng Ren fell silent, turned, and left Director Kong's office.

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End of Chapter

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