Chapter 1239: 1203 Sure enough a problem has arisen

Actually Zheng Ren especially dislikes this kind of grandiose reception, but the hospital's arrangement still makes him the key person; wanting not to go is absolutely impossible.

After Ye Qingqiu handled a series of matters, he hurriedly brought Zheng Ren onto the car and rushed to the airport.

"Boss, I thought you didn't want to go." Su Yun said softly from the side.

"Hmm, indeed I don't really want to go." Zheng Ren said: "Shou Bing, how many have been completed?"

"Yo ho, you old-timer still remember this?" Su Yun gave a disdainful laugh and said: "357 cases."

Zheng Ren felt the numbers differed from the System Quest numbers, but it's easy to understand.

The System Quest requires almost perfect completion of TIPS Surgery, but in reality the recorded surgery count is the number of completed cases. Generally, if the surgery completion rate reaches 80–85%, it is considered completed.

"Eh? Pengcheng completed another 4 cases today." Su Yun said with a smile: "That makes 361 cases."

"Hmm." Zheng Ren remained noncommittal.

"The initial launch is the hardest; later it will get much better." Su Yun said: "These past two days, feedback on the new Shou Bing has come from all over, especially the progress in Di Du's hepatobiliary department."

"Zhou Chun Yong? What about Zhu Liangchen?" Zheng Ren asked.

"Zhu Liangchen hasn't done a single case since you went there. He probably has opinions of you, didn't he tell you? He's preparing to launch gastric artery embolization Shou Bing on his side."

Zheng Ren looked out the window, saying nothing.

"Go seek death yourself." Su Yun said: "Do you really think the new technique is Chinese cabbage, that he can just do it if he wants?"

"Hmm, indeed there are some problems." Zheng Ren didn't say anything excessive, merely expressed his meaning lightly.

"I've thought about it; the depth of the embolization is something Johns Hopkins hasn't reported. This is a big pit: if too deep, it will cause severe postoperative pain in patients; if too shallow, there will be no effect at all." Su Yun's eyes were bright; although he does relatively few Interventional surgeries, his theoretical research has no problems.

Zheng Ren nodded.

"Go ahead, I just hope Director Kong doesn't make things difficult." Su Yun said.

Thinking of Director Kong, Zheng Ren felt a bit of a headache.

Is Director Kong making things difficult? Probably. But it has nothing to do with me; on Zhu Liangchen's side I've been quite conscientious, yet this guy always has opinions of me.

Forget it, I won't think about it; others have Shou Bing qualifications, want to do it, I can't exactly stop them.

"Boss, if something happens on Zhu Liangchen's side, are you ready to lend him a hand?" Su Yun asked with a smile.

"I'm afraid even if I want to help, he won't come looking for me." Zheng Ren said.

……

……

Di Du hepatobiliary, second ward.

Zhu Liangchen sat in the director's office, staring blankly at the Shou Bing images on the computer.

Dong dong dong~ the knocking sound rang out.

"Come in." Zhu Liangchen said, his voice a bit hoarse, which he himself didn't notice.

The Inpatient Chief pushed the door open but didn't enter, merely poked his head in and asked: "Director, the patient's postoperative pain is severe; after a 5 mg IV push of morphine, only an hour has passed and it's no longer effective."

Zhu Liangchen's face darkened instantly: "No longer effective? How can it not be effective?"

The Inpatient Chief felt a shudder in his heart; this was breaking a taboo.

"It's that the patient can't endure the pain, not that it's ineffective; I misspoke, Director."

Zhu Liangchen gave a cold snort and said: "What about the pain pump?"

"In the process of contacting the Anesthesiology Department."

"Give them a call to hurry, seize the time." Zhu Liangchen said.

There's nothing particularly special about the handling; postoperative patient pain, IV push morphine for analgesia, but it cannot be used continuously. Otherwise the drug accumulates, ultimately causing big trouble. Once it leads to respiratory dysfunction in the patient, that could be fatal.

It's painful, yet not life‑threatening; perhaps using a pain pump would help a bit.

Seeing Zhu Liangchen's unwilling face, the Inpatient Chief also felt helpless, could only utter an embarrassed remark and leave, closing the door.

Zhu Liangchen looked at the X‑ray of the Shou Bing on the computer, repeatedly pondering.

There's no mistake; the Shou Bing was very successful, just embolizing the gastric artery. Such a thick Blood Vessel—what could go wrong with embolizing it? Although the patient's gastric artery makes a big loop, increasing the Shou Bing difficulty markedly, it still doesn't stump me.

If I can't even do this kind of Shou Bing, I should probably retire.

Severe pain is a normal reaction of bodily tissue ischemia. It's like a finger being tied with a thread—no blood flow, and ischemic pain appears immediately.

Patients after hepatic tumor embolization also exhibit this reaction.

But this is a new technique; Zhu Liangchen isn't sure whether embolizing the gastric artery will cause severe ischemia, even gastric wall necrosis or perforation……

This is a low‑probability event; the chance of occurrence is not great. But the more Zhu Liangchen thinks about it, the more irritable he becomes, his heart uneasy.

Or why not look for Director Kong to have a look?

Just thinking of Director Kong makes Zhu Liangchen think of Zheng Ren's face, his mood getting even more irritable. Besides, this patient was originally supposed to have the Shou Bing done by Director Kong, but since Zheng Ren has been busy lately, the patient's family came to me.

In Zhu Liangchen's view, it's the patient's family who found me, not stealing a patient. But meeting Director Kong face‑to‑face now would still be a bit awkward.

Let's wait a bit longer, hoping nothing happens.

Thinking of the patient's severe pain, although I know there's a 95% chance it's ischemic pain after embolization, Zhu Liangchen still feels depressed.

This new technique—really shouldn't be touched. Many complications are beyond my control.

Just like TIPS Surgery…… Thinking of this, Zhu Liangchen sighed, how can he not get past that little doctor under Director Kong?

Recently Zhou Chun Yong's side has become increasingly active, the pressure on me keeps growing. Although it's just academic stuff and won't affect my fundamentals, even if the academia is overwhelmed by Zhou Chun Yong, Zhu Liangchen feels very uncomfortable.

In the first ward, Zhou Chun Yong's side has TIPS Surgery booming; the past two days I used the old technique to perform one TIPS Surgery, and it went smoothly—I succeeded in puncture with fewer than ten attempts.

But after the procedure the patient developed relatively severe hepatic encephalopathy, uncontrollably running to the hallway to defecate.

At that time, the patients' families in the opposite ward pointed and remarked, "Good thing we didn't go to the second ward; we know this side's standard is lacking."

Such remarks, Zhu Liangchen heard them but could do nothing. Although not fatal, as they spread wider and wider, eventually the number of patients seeking him will dwindle, which is foreseeable.

Furthermore, Zhou Chun Yong, intentionally or not, fans the flames from behind.

Gradually, Zhu Liangchen feels regret.

Kong Lao Da had just returned from earthquake relief, and he himself went to see Zheng Lao Ban. Is he among the first batch to learn TIPS Surgery?

But why did Zhou Chun Yong end up pressing himself down in the end? Zhu Liangchen couldn't quite figure it out.

He sighed, looking out the window.

Hope the patients undergoing gastric fundic artery embolization are okay.