Chapter 1462: with translation of chapter title

In the system space, Zheng Ren clicked to purchase surgical training time.

Translation: In the system space, Zheng Ren clicked to purchase surgical training time.

Check: "System Space" -> System Space (glossary). "Zheng Ren" -> Zheng Ren. "clicked to purchase surgical training time" -> clicked to purchase surgical training time. Good.

The operating room sprang up from the ground, and Zheng Ren dove straight into it.

Translation: The operating room rose up from the ground, and Zheng Ren directly dove into it.

But "rose up from the ground" means "rose up from the ground". Could be "The operating room sprang up from the ground". Keep meaning. "Zheng Ren directly dove into it". Good.

During the interventional procedure, Qin Lu's experimental subject lay honestly still on the operating table, motionless.

Translation: For the interventional surgery, Qin Lu's experimental subject lay honestly still on the operating table, not moving a muscle.

But "experimental subject" maybe "experimental subject". Keep. "honestly" -> honestly. "motionless" -> motionless. Good.

Zheng Ren didn't do any dissection or the like; instead, he stood to the subject's right side, directly began disinfecting, laying drapes, and preparing for surgery.

Translation: Zheng Ren didn't do any dissection or the like; instead, he stood to the subject's right side, directly began disinfecting, laying drapes, preparing for surgery.

"laying drapes" maybe "laying drapes". Keep.

He had a guess, right or wrong, that needed to be proven by surgery on the experimental subject.

Translation: He had a guess, right or wrong, that needed to be proven by surgery on the experimental subject.

Although it appeared to be a nervous system disease, after analysis Zheng Ren did not think so.

Translation: Although it appeared to be a nervous system disease, after analysis Zheng Ren did not think so.

He felt that it should be a problem with insulin secretion status, which caused Qin Lu to exhibit muddled, talkative symptoms.

Translation: He felt it should be a problem with insulin secretion state, causing Qin Lu to show muddled, delirious symptoms.

"muddled and talkative" maybe "muddled and talkative"? We'll keep as "muddled, delirious". Good.

The doctors at He Yang treated according to symptoms, inadvertently intensifying the disease's outbreak severity.

Translation: The doctors at Harmony Nurture treated according to symptoms, inadvertently aggravating the intensity of this disease's onset.

The puncture, guidewire and catheter went in smoothly.

Translation: The puncture, guidewire and catheter went in smoothly.

Although the problematic vessel was very small, making superselection difficult, for Zheng Ren, a doctor at the pinnacle of interventional surgery, it was completely no problem.

Translation: Although the problematic blood vessel was very fine, making super-selective difficult, for Zheng Ren, a doctor at the peak of interventional surgery, it was no problem at all.

After locating the vessel, superselection succeeded, and he placed the tiniest stent, solving the vessel stenosis problem.

Translation: After locating the vessel, super-selective succeeded, he placed the tiniest stent, solving the vessel stenosis problem.

The surgery was successful, with a completion rate of 100%!

Translation: Surgery successful, completion 100%!

Although there was no positive feedback, Big Pig's Trotter gave himself a 100% surgery success rate, which side‑wise proves it is feasible.

Translation: Although there was no positive feedback, Big Pig Trotter gave itself a 100% surgery success rate, sidewise proving it feasible.

Zheng Ren looked at the surgery completion rate and felt hesitant.

Translation: Zheng Ren looked at the surgery completion degree, feeling hesitant in his heart.

Now I am not at 912, but at He Yang Hospital in Xianggang (Hong Kong).

Translation: Now I am not in 912, but in the Harmony Nurture Hospital in Xianggang.

Here gather top doctors from around the world; although it cannot be said to be the world's top private hospital, it is nearly so.

Translation: Here gather the world's top doctors; although it cannot be said to be the world's most top-tier private hospital, it's almost that.

Just saying I will perform the surgery does not mean there is a high chance of achieving the goal.

Translation: Just saying I'll do surgery doesn't mean the goal is likely to be achieved.

How can I convince the Qin family and the He Yang doctors to perform surgery on Old Master Qin?

Translation: How can I convince the Qin family people and the Harmony Nurture doctors to perform surgery on Qin Old Master?

Diagnostic therapy?

Translation: Diagnostic therapy?

This reason Su Yun would agree to, but looking at the He Yang doctors' attitude of despising public hospitals, feasibility is not great.

Translation: Su Yun would agree with this reason, but the Harmony Nurture doctors… looking at their attitude of despising public hospitals, feasibility is not great.

This is one point; mainly, Zheng Ren is also not sure whether pancreatic lesion causes the drowsiness plus hallucinations.

Translation: This is one; mainly, Zheng Ren also isn't sure whether pancreatic lesion causes the sleepiness + hallucinations.

Although Zheng Ren found many literature materials on melatonin from over a decade ago.

Translation: Although Zheng Ren found many literature materials about melatonin from over a decade ago.

At that time, melatonin was still a health supplement; people took large oral doses seeking youth and vitality. Among them, some patients exhibited similar delirium symptoms.

Translation: Back then, melatonin was still a health supplement; people took large oral doses, wanting youth and vitality. Among them, some patients exhibited similar delirious symptoms.

Qin Lu's symptoms are likely caused by melatonin deposition.

Translation: Qin Lu's symptoms are likely caused by melatonin deposition.

Regarding this situation, no doctor has proposed a theory accepted by the public. Perhaps that's why Big Pig's Trotter didn't give a diagnosis.

Translation: Regarding this situation, no doctor has proposed a theory accepted by the world. Perhaps that's why Big Pig Trotter didn't give a diagnosis?

Zheng Ren felt uneasy.

Translation: Zheng Ren felt uneasy in his heart.

The surgery was completely successful, but only at one pancreatic supplying vessel stenosis. If Big Pig's Trotter is playing me, a 100% surgical success would mean the vessel is opened……

Translation: The surgery was completely successful, but only for one pancreatic feeding vessel stenosis. If Big Pig Trotter is playing me, a 100% surgery success would mean the vessel is opened……

If we perform a forceful surgery and Old Master Qin still has the same symptoms afterward… aside from losing face, the Qin family would have no way to explain it.

Translation: If we force surgery and after the operation Qin Old Master still has the same symptoms…… aside from losing face, the Qin family side also couldn't explain it.

To prove abnormal insulin secretion and massive melatonin production leading eventually to patient coma, delirium, etc., we need evidence, at least something that could convince ourselves.

Translation: To prove abnormal insulin secretion, massive melatonin production, until the patient finally shows coma, delirium etc., we need evidence, at least something that can convince ourselves.

……

Translation: ……

"Su Yun, connect with Dr. Olson. Qin Tang, get the communication equipment ready; I need to contact Sweden." Zheng Ren spoke like a director, issuing orders in an unquestionable tone.

Translation: "Su Yun, connect Doctor Olsson. Qin Tang, timely communication equipment, I need to contact Sweden." Zheng Ren spoke like a director, issuing orders in an unquestionable tone.

"Okay!" Su Yun confirmed her guess from Zheng Ren's words; although she still didn't know the condition, she agreed without hesitation.

Translation: "Okay!" Su Yun confirmed her guess from Zheng Ren's words; although she still didn't know the condition, she answered without hesitation.

At 1 a. m. in Xianggang, it seemed like morning in Sweden. Su Yun didn't care about the time, picked up her phone, and called Dr. Olson.

Translation: At 1 a. m. in Xianggang, it seemed like morning in Sweden. Su Yun also didn't care about the time, picked up her phone, and dialed Doctor Olsson's number.

"Damn, I just slept a few hours, and the sleeping medication is still in my body……" Dr. Olson's nagging and complaining voice came through.

Translation: "Damn it, I just slept a few hours, sleeping medication is in my body……" Doctor Olsson's nagging, complaining voice came through.

"Doctor, Dr. Zheng requests to speak with you." Su Yun directly interrupted Dr. Olson's chatter and got straight to the point.

Translation: "Doctor, Doctor Zheng requests to speak with you." Su Yun directly interrupted Doctor Olsson's chatter, getting straight to the point.

"If there's nothing…… Dr. Zheng? Does he have a new discovery?!" Dr. Olson instantly became alert.

Translation: "If there's nothing…… Doctor Zheng? Does he have a new discovery?!" Doctor Olsson instantly woke up.

"Tell him, ten minutes……" Zheng Ren said, then glanced at Qin Tang, "Ten minutes, enough time to prepare?"

Translation: "Tell him, ten minutes……" Zheng Ren said, then glanced at Qin Tang, "Ten minutes, enough time to prepare?"

"Video call? Anytime is fine."

Translation: "Video call? Anytime is fine."

"Something more professional, otherwise it would be troublesome."

Translation: "Something more professional, otherwise it'll be troublesome."

"Okay." Qin Tang responded firmly.

Translation: "Okay." Qin Tang responded firmly.

"Tell Dr. Olson that in ten minutes he should prepare; on my side I have a special case that needs a physical model for reconstruction." Zheng Ren said.

Translation: "Tell Doctor Olsson, in ten minutes, have him ready; on my side I have a special case needing a physical model for reconstruction." Zheng Ren said.

Su Yun conveyed Zheng Ren's words to Dr. Olson, then hung up the phone.

Translation: Su Yun conveyed Zheng Ren's words to Doctor Olsson, then hung up the phone.

Zheng Ren stood up, turned his head and glanced at Qin Lu in the ward.

Translation: Zheng Ren stood up, turned back and glanced at Qin Lu in the ward.

After a period of venting, he had already fallen into a coma. His blood sugar level also returned to a level slightly above normal.

Translation: After a period of venting, he had already fallen into a coma. His blood sugar values also returned to a level slightly above normal.

This time there was no respiratory or cardiac arrest, which could save some trouble; Zheng Ren comforted himself a bit.

Translation: This time there was no respiratory or cardiac arrest, saving some trouble; Zheng Ren comforted himself.

"Boss, do you have an idea?" Su Yun asked.

Translation: "Boss, any ideas?" Su Yun asked.

"Hmm, coma and agitation, consider that abnormal insulin secretion from the islets may be related." Zheng Ren said.

Translation: "Hmm, coma and agitation, consider that abnormal insulin secretion from the islets is related." Zheng Ren said.

Qin Tang was dumbfounded.

Translation: Qin Tang was dumbfounded hearing that.

His mind was fuzzy, delirium and hallucinations—how could that be related to insulin?

Translation: "Fuzzy mind, delirium, hallucinations—how could that be related to insulin?"

"Boss Zheng, are you serious?" Qin Tang asked doubtfully.

Translation: "Boss Zheng, are you serious?" Qin Tang asked doubtfully.

"Hmm." Zheng Ren nodded and said: "From an imaging perspective, I have considered it; I need Dr. Olson's physical model to give a definitive answer."

Translation: "Hmm." Zheng Ren nodded, saying: "From an imaging perspective, I've considered it; I need Doctor Olsson's physical model to give a definite answer."

"……" Qin Tang stared for a moment.

Translation: "……" Qin Tang stared for a moment.

He originally wanted to rebut, but seeing Zheng Ren's confident expression, he hesitated.

Translation: He originally wanted to refute, but seeing Zheng Ren's confident expression, he hesitated.

"Where to?" Zheng Ren asked.

Translation: "Where to?" Zheng Ren asked.

"There's a meeting room here." Qin Tang said.

Translation: "There's a meeting room here." Qin Tang said.

The old butler, upon Zheng Ren's request, immediately had someone make arrangements; he had been following behind Qin Tang, observing Zheng Ren.

Translation: The old steward, upon Zheng Ren's request, immediately had people make arrangements; he had been following behind Qin Tang, observing Zheng Ren.

"Boss Zheng, could you explain?" Qin Tang led Zheng Ren to the meeting room to communicate with Dr. Olson, while quietly asking.

Translation: "Boss Zheng, could you explain?" Qin Tang led Zheng Ren to the meeting room to communicate with Doctor Olsson, while quietly asking.

Zheng Ren fell silent for a few seconds, then said: "Do you get sleepy after eating full, and hungry after waking up?"

Translation: Zheng Ren fell silent for a few seconds, then said: "You get sleepy after eating full, and hungry after waking up?"

Qin Tang was slightly angry.

Translation: Qin Tang was slightly angry.

Are you saying I'm a wine sack and rice bag? Pointing at my nose to insult me, yet without using any dirty words, that doesn't prove anything!

Zheng Lao Ban is a bit over the top.

"Boss, you mean considering abnormal insulin secretion, a sudden fluctuation causing large amounts of tryptophan to pass the blood-brain barrier, synthesizing 5-hydroxytryptamine and melatonin?" Su Yun asked.

Zheng Ren nodded.

Qin Tang looked bewildered, the old steward's face was as still as water.

"That's right, insulin is secreted by the pancreas; it helps cells take up glucose from the blood, thereby lowering blood glucose concentration." Zheng Ren explained while walking.

Not for Qin Tang to understand; this is his thought process.

Earlier it was just a flash of inspiration, and also the completion degree of the Big Pig Trotter's surgery. Although there were still doubts, Zheng Ren was 80% sure his idea was correct.

As for the specific logic, because I thought too fast, I directly skipped the intermediate process; now I have to sort it out from the beginning.

Thinking too fast isn't a good thing either; Zheng Ren faces this trouble.

"When we eat a meal rich in carbohydrates, it triggers the pancreas to secrete a large amount of insulin. While these insulins help cells take up blood sugar, they also promote the synthesis of fat and protein."

"But my grandfather hasn't eaten for a long time." Qin Tang wondered.

"It's unrelated to eating; we'll explain this later." Zheng Ren said: "Large amounts of valine and leucine are taken up by skeletal muscles for protein synthesis, while the blood retains more tryptophan."

Because of this physiological change, the proportion of tryptophan in the blood increased.

Tryptophan can easily cross the blood-brain barrier into the brain, where it is ultimately used to synthesize serotonin, that is 5-hydroxytryptamine and melatonin.

Qin Tang looked bewildered.

"Melatonin is the culprit that makes you sleepy after a full meal. It has nothing to do with blood lipids. Because melatonin accumulates in large amounts, causing drowsiness, this is a very reasonable explanation." Zheng Ren said with a smile.

"But my grandfather is agitated and even talking nonsense." Qin Tang thought, melatonin and delirium probably aren't related.