Chapter 1399: 1356 Nationally renowned not necessarily good at Shou Bing (Alliance Leader oo Old Liu oo bonus chapter 3)

Zheng Ren and Lin Ge came to the Cardiothoracic Surgery department; in the office, Zhao Yunlong was standing before the light box, frowning as he looked at the images.

Because it was already after work, the professors on second shift from other departments hadn't arrived yet; arriving a bit late at this time is normal.

"Old Zhao, what patient?" Zheng Ren asked.

"Chief Zheng, come take a look." Zhao Yunlong saw Zheng Ren and Lin Ge enter together, didn't greet Lin Ge, and directly pulled Zheng Ren over to view the images.

Zheng Ren glanced at it, and his heart sank.

The patient's mediastinum was a blank white expanse; the infection was severe, having invaded the visceral pleura and the aorta.

"The patient is 62 years old; two weeks ago, while eating mandarin fish at home, a fish bone got stuck. Afterwards, he self-administered vinegar and ate a steamed bun, trying to force it down," Zhao Yunlong said.

So that's it; no wonder the Big Pig Trotter calls this a bloody incident triggered by a steamed bun.

Zheng Ren nodded, crossed his arms, and began to examine the images.

"At first there were no strong symptoms; three days later he began coughing and producing sputum, after one week he experienced breathing difficulty with yellow-green sputum, and a day ago the sputum turned black-yellow; the local hospital doctors advised coming to Di Du for treatment," Zhao Yunlong introduced.

"The mediastinal abscess is severe; we need to do Shou Bing quickly," Zheng Ren said.

"Hmm, I'm considering that the aorta has been invaded, requiring an aortic arch." Zhao Yunlong said: "If possible, avoid using a prosthetic vessel anastomosis; try not to."

"Hmm, doing that would make the Shou Bing too major. Moreover, the infection is too severe; the possibility of bacteremia and septicemia… basically it's certain that complications will occur." Zheng Ren immediately understood Zhao Yunlong's meaning.

"I also want to see later who from the Intervention Department will come for a consultation; if their level is top-notch, I'll call Su Yun." Zhao Yunlong said with a smile, speaking softly.

"Who will perform the Shou Bing among you?" Zheng Ren asked.

"I'll do it; the second-shift Professor Zhang Jiaoshou's skill isn't up to par." Since we're all our own people, Zhao Yunlong spoke bluntly.

That's how clinical work is; a professor's level isn't necessarily higher than the Inpatient Chief's, nor is a nationally renowned professor's level necessarily higher than others'.

Generally speaking, nationally renowned professors' abilities aren't necessarily that high. Many people, in their forties, when their speed, eyesight, and energy begin to decline from their peak, give up clinical work and start traveling nationwide, giving Speech on tour.

In that case, their fame nationwide rises, but their Shou Bing skill correspondingly declines.

Some things are hard to have both; those who truly excel at Shou Bing remain obscure, staying in the Hospital to perform Shou Bing, rarely getting the chance to let everyone know.

Even if someone knows, it's only fame within a small circle.

"Professor Zhang Jiaoshou..." Zheng Ren said, turning his head to look around; seeing only Lin Ge sitting in a chair, busy reporting on his phone, he lowered his voice: "Can the aortic arch replacement be done?"

"It can be done, but the mortality rate is especially high." Zhao Yunlong said.

Zheng Ren had a clear idea.

He didn't continue asking; how well others perform Shou Bing has nothing to do with him.

Continuing to stand with arms crossed while viewing the images, Zheng Ren was like a stone statue, unmoved by wind or rain.

After more than ten Minutes, the on-duty second-shift professors from the relevant departments all came in one after another. Those who knew Zheng Ren greeted him; most whom Zheng Ren didn't know just passed by.

"Is this the patient's image?" a voice came from behind.

"Professor Zhang Jiaoshou, it's the image of an emergency patient." Zhao Yunlong replied in a low voice.

Zheng Ren turned his head and saw a doctor around fifty, with graying hair, standing behind him.

His hair was neatly kept, his White Coat as pure as snow, like a white-clad swordsman that could flutter in the wind; his whole appearance was especially spirited, carrying an air of refined elegance.

"Professor Zhang Jiaoshou, Greeting." Zheng Ren greeted politely.

"Zheng Lao Ban, do you also have research in our Cardiothoracic Surgery?" Professor Zhang greeted neutrally.

"I wasn't wondering whether, if we were to do Shou Bing, placing an aortic stent would reduce the risk much?" Zheng Ren laughed: "The stent is easy to deploy, but stripping the abscess is still quite difficult."

"This Shou Bing simply can't be done." Professor Zhang Jiaoshou, upon hearing Zheng Ren talk about Shou Bing, directly rejected it.

Zheng Ren didn't speak, just smiled. A few muscles on Zhao Yunlong's face twitched, but he also held his tongue.

"Everyone's here, Chief Zhao, please introduce the patient's condition." Lin Ge sat in the center, representing the Medical Department as he began to chair the meeting.

Zhao Yunlong reported the medical history in full, much more detailed than when he had told Zheng Ren.

The patient had a persistent high fever, a sign of severe infection. The bacterial culture showed mainly Pseudomonas aeruginosa, with other drug-resistant bacteria also present.

The images clearly showed mediastinal emphysema and a mediastinal abscess; the diagnosis was numerous and moreover complex.

But when it comes to treatment, it becomes even harder.

"Let me share my opinion." Professor Zhang Jiaoshou stepped up to the light box and spoke steadily.

His grayish hair seemed to recount rich clinical experience; his whole person appeared clean and composed, a scholarly aura wafting over, making people unconsciously develop trust.

"The patient needs Shou Bing treatment; I don't deny that. But after reviewing the images, we can see that because of the prolonged delay at a lower-level hospital, part of the aortic outer layer has been damaged." Professor Zhang Jiaoshou's voice was pleasant to hear, deep with a slight hoarseness.

"In this situation, there is no chance to strip the abscess. If Shou Bing is forced, the patient's probability of dying on the Operating table exceeds 95%." Professor Zhang Jiaoshou proclaimed loudly: "If the patient's family insists on Shou Bing, I suggest at least performing a thoracic slice CT three-dimensional reconstruction before saying anything else."

Zheng Ren shook his head inwardly.

Thoracic slice CT three-dimensional reconstruction……he probably meant Blood Vessel CTA as well as three-dimensional reconstruction of the mediastinum.

Such an Outpatient examination, even if the Medical Department steps in, at least can't be done until tomorrow. According to normal procedure, getting the results the day after tomorrow would be early.

He spoke clearly; the underlying meaning was also obvious. Shou Bing cannot be done, at the very least not tonight.

Because today Professor Zhang Jiaoshou is on second-shift duty; if something goes wrong, he would have to take responsibility.

Even if it were done, we'd have to wait until the day after tomorrow to discuss it.

By then, off duty, he could casually sit anywhere to watch the Shou Bing; success or failure would have nothing to do with him.

However, Professor Zhang Jiaoshou's wording was relatively smooth; he first emphasized the severity of the condition. For such a serious illness, doing a three-dimensional reconstruction before Shou Bing to understand the condition is both appropriate and necessary.

Truly a slick Tai Chi master, Zheng Ren thought.

Professor Zhang Jiaoshou saw everyone remain silent, picked up the medical record, and began to speak at length.

Starting from the lab tests of white blood cells, neutrophils, and C-reactive protein, all the way to the pathophysiological changes, he explained everything thoroughly.

The Lesson was genuinely good, Zheng Ren thought.

"Any other opinions?" Lin Ge paused, then asked.

"I'll say a few words." Zheng Ren stood up, gave a gentle smile, and spoke.

……