Chapter 1400: 1357 Would Rather Die Than Undergo Shou Bing

"Zhang Jiaoshou said it's quite right, the difficulty of Shou Bing is quite large." Zheng Renxian drew an affirmative conclusion.

Zhang Jiaoshou heard Zheng Ren's opening remarks, his expression softened, he slightly nodded, and smiled at Zheng Ren.

People carry the flowery sedan, Zhang Jiaoshou knows.

"The patient's condition is critical, the risk of Shou Bing is great." Zheng Ren repeated, then walked to the viewbox, pointed at the aorta location, and said: "Extensive erosion of the aortic adventitia; even without Shou Bing, I estimate the patient will die from aortic rupture and massive vomiting blood within 24-48 hours."

The smile on Zhang Jiaoshou's face hadn't faded when it immediately froze.

"Shou Bing must be done, and done urgently." Zheng Ren flipped his face like turning a page, immediately declaring his view, starkly different from Zhang Jiaoshou's.

Lin Ge sat expressionlessly in the middle of the office; upon hearing this, he lowered his head and recorded something with his pen in his notebook.

Zhang Jiaoshou's expression was stern, looking at Zheng Ren, he coldly asked: "Zheng Lao Ban also said that without Shou Bing, the aortic adventitia could rupture at any moment within 24-48 hours. It's already thin as paper; do we still need to destroy it artificially?"

"First, I think Professor Zhang, what you said is correct." Zheng Ren repeated this sentence. Zhao Yunlong felt a sudden surge of amusement; Zheng Lao Ban looked honest and simple, yet also quite nasty.

"But precisely because of this, Shou Bing must be carried out as soon as possible." Zheng Ren said: "For the condition of thin blood vessel walls, I suggest first placing an aortic stent to support the intima. If the adventitia ruptures, we can patch it with a graft. This would maximize the chance of avoiding death on the operating table."

Zhang Jiaoshou glared, stood up abruptly, and began to refute Zheng Ren's words.

After all, as a lecturing professor, his theory is rigorous and logic clear; no matter what argument or evidence, they all revolve around the patient's Shou Bing risk, without the slightest deviation.

He did not lose his rationality due to anger, nor was he led astray by the desire to refute Zheng Ren's words.

All the focus was placed on the enormous risk of Shou Bing, requiring caution.

It seems not only is he good at lecturing, but Zhang Jiaoshou is also skilled in debate.

Zheng Ren felt that if he didn't interrupt Zhang Jiaoshou, the latter could talk on until late at night.

A simple blood count could fill three to five hours of talk.

Actually, what he wants to say is obvious—not doing Shou Bing has nothing to do with me; if Shou Bing is done, I will definitely take the blame.

This is a rather helpless situation; Zheng Ren also somewhat understands Zhang Jiaoshou.

Just like the patient's local hospital's choice, the Shou Bing difficulty is too great; first anti-inflammatory conservative treatment, if it works, everyone is happy; if not, refer to a higher-level hospital.

As for treatment, nobody wants the patient to die on the operating table. Cure the disease, and you'll be fine, I'll be fine, everyone will be fine, harmonious and happy. For those that are too difficult or uncertain, it's still best to go to a higher-level hospital.

But local hospitals can do this; 912 cannot.

Where to send the patient? Xiehe? Fuwai? Anzhen?

They are all top-tier tertiary hospitals in the country; if we really sent the patient there, would we still have face? Admitting we are a lower-level hospital?

In the future, when we hold national academic conferences, upon meeting, will we have to address professors from other hospitals as "Teacher"?

If that were the case, Director Yan would surely clamp down with an iron fist, regardless of which bigwig stands behind him, first clearing out the "bad apple" from 912 before speaking.

Zhang Jiaoshou knew he couldn't push it through, so he chose to delay as much as possible.

As long as I finish work, tomorrow whoever is willing to do Shou Bing can do it; the strategy is simply to avoid any involvement.

Zheng Ren sighed inwardly; he truly did not want to directly oppose a Cardiothoracic Surgery team-leading professor.

It's not that he dares not, but that it's unnecessary. Seeing Zhang Jiaoshou speak eloquently with fervent emotion, Zheng Ren went straight to the System Space, preparing to do Shou Bing training.

"Hello." Zheng Ren first greeted the Little White Fox.

Just as imagined, there was no response. The lifelike Little White Fox lay before the Thatched Hut, its smile hinting at a bit of liveliness.

Just a casual greeting; Zheng Ren didn't expect the Little White Fox to reply. He selected to purchase Shou Bing training time and directly entered the System Operating Room.

An experimental subject lay on the Operating table; the Shadowless Lamp was bright, casting the subject's skin somewhat pallid.

Recalling the images, Zheng Ren positioned the experimental subject properly and began Shou Bing training.

Zheng Ren did not choose to use the Thoracoscope, mediastinoscope, and esophagoscope combined. Although there were reports documenting similar cases where the three scopes were used jointly to remove a fishbone, endoscopic Shou Bing would waste too much time.

Still, a full thoracotomy is more reliable.

The mediastinum is full of abscesses; even with a thoracotomy, one must wear a Microscope, let alone endoscopic Shou Bing.

Exploration revealed it was a stiff fishbone that had pierced the esophagus and lodged in the mediastinum. It had not pierced the aorta, merely nicking the adventitia.

Although it seemed fortunate, food debris also entered, forming an inflammatory focus in the mediastinum.

Consequently, a large abscess formed on the outer layer of the aorta, continually eroding it, so the aorta could rupture at any moment.

This damn... Zheng Ren sighed inwardly.

It's estimated that a bone got stuck while eating fish, then he drank vinegar or tried to force it down with a steamed bun.

The fishbone was relatively hard, directly piercing the esophageal wall and lodging on the aorta.

Twenty years ago, this was a major ailment, nearly unsolvable; even if replaced with today, it remains a particularly thorny condition.

Not dealing with the abscess is absolutely unacceptable, as bacteria proliferate, continuously eroding the blood vessel wall, soon forming a massive defect leading to massive patient bleeding.

The aorta and aberrant vein already show inflammatory edematous changes; rupture could occur in less than 48 hours.

As time passes, the difficulty of Shou Bing will certainly increase.

Cleaning the abscess is a delicate task.

The lungs need suturing, the esophagus needs suturing, the abscess needs cleaning, and it also involves major blood vessels, making the Shou Bing workload enormous.

Zheng Ren began Shou Bing, but he did not expect to succeed in one attempt.

After all, Cardiothoracic Surgery Shou Bing is only Master Level, still far from Grandmaster Level.

There is a Grandmaster Level Skill Book, but Zheng Ren is unsure whether to use it. The difficulty of Shou Bing lies in clearing the abscess and placing an aortic stent; upgrading skills by studying the book seems unnecessary to him.

The Suction Device drew out the pus; throughout the mediastinum, extensive infection, encapsulation, and adhesions were visible. A portion of the mediastinal pleural infection is severe, suggesting the lungs may also be problematic.

After five failed Shou Bing attempts, Zheng Ren could only accept this reality, reluctantly using that Grandmaster Level Skill Book.

……

"Director Lin, you're presiding over the hospital-wide consultation; in summary, that's my opinion." Zhang Jiaoshou said angrily: "If Shou Bing is to be done, I won't go along! Doing Shou Bing like this is irresponsible! It's murder!"

Zheng Ren had long anticipated such a situation of biting back.