Chapter 1543: with translation of chapter title

The lifelong enemy that Jin Yao Wu could not forget was not, as he imagined, burying himself in TIPS surgery.

Translation: "Jin Yao Wu's lifelong nemesis, which he could not forget, was not burying himself in TIPS surgery as he had imagined."

Jin Yao Wu's lifelong nemesis, which he could not forget, was not, as he had imagined, burying himself in TIPS surgery.

Zheng Ren had already gone to the Obstetrics and Gynecology Department, where he explained the relevant condition to the newly admitted patient with severe pregnancy-induced vomiting and the patient's family, and then he found the Endoscopy Room to prepare for surgical treatment.

Translation: "Zheng Ren had already gone to the Obstetrics and Gynecology Department, explained the relevant condition to the patient with hyperemesis gravidarum who had just been admitted and to the patient's family, and then went to the Endoscopy Room to prepare for surgery."

We need to use the glossary terms: "Obstetrics and Gynecology Department" for obstetrics and gynecology, and "Endoscopy Room" for the endoscopy room.

A sketch lay on the table, clearly depicting the surgical procedure.

Translation: "A sketch lay on the table, clearly depicting the surgical procedure."

"Basically, that's it." Zheng Ren put down his pen, looked at the patient's family, and said, "The principle is to resolve the stimulation of the vegetative nervous system after eating, which causes severe vomiting."

Translation: "\"Basically, that's it. \" Zheng Ren put down his pen, looked at the patient's family, and said: \"The principle is to address the stimulation of the vagus nerve after eating that causes severe vomiting. \"

We need to keep quotes. Use English punctuation.

"For ordinary patients, leaving the tube in the stomach is sufficient. However, for patients with severe pregnancy-induced vomiting, we also need to advance the tube into the jejunum."

Translation: "\"For ordinary patients, leaving the tube in the stomach is enough. But for patients with hyperemesis gravidarum, we also need to send the tube into the jejunum. \"

"How risky is it?" the patient's spouse asked.

Translation: "\"How risky is it? \" the patient's spouse asked.

"Not much." Zheng Ren said, "but there is still a possibility of discomfort that could prevent achieving the expected outcome of the surgery."

Translation: "\"Not much. \" Zheng Ren said: \"But there is still a possibility of discomfort, leading to failure to achieve the expected outcome of the surgery postoperatively. \"

"You didn't say..." the patient's spouse asked, torn apart, feeling timid, but the doctor in front looked too young and not like a professor at all, so he gathered his courage and kept asking.

Translation: "\"You didn't say... \" the patient's spouse asked, torn apart, he was a bit timid, but the doctor in front of him looked too young and not like any professor, so he plucked up his courage and kept asking.

"I just said that if we use a nasogastric tube, the stimulation would be significant. Moreover, even if we infuse chyme into the stomach tube, it would provoke severe vomiting as a side effect."

Translation: "\"I just said that if we use a nasogastric tube, the irritation will be great. Moreover, even if we inject chyme into the stomach tube, it will cause the side effect of severe vomiting. \"

"If we place a jejunal tube and administer nutrients via intravenous drip, there are relevant nutritional formulations that can support your loved one until the due date. After the baby is born, we can remove the feeding tube." Zheng Ren said.

Translation: "\"If we place a jejunal tube and use intravenous drip, there are relevant nutritional drugs that can support your loved one until the due date. After the baby is born, we can remove the nutritional tube. \" Zheng Ren said.

The patient's family felt a bit dazed, but Zheng Ren's explanation was easy to understand, and with the sketch, everything was clear at a glance.

Translation: "The patient's family were somewhat bewildered, but Zheng Ren's explanation was plain and easy to understand, and with the sketch it was crystal clear."

"Even without vomiting, the nutritional fluid can provide adequate nutrition, but it may also cause side effects. For example, after removing the feeding tube postpartum, your loved one's stomach function may be affected due to prolonged fasting, and so on."

Translation: "\"Even without vomiting, the nutritional fluid can provide sufficient nutrition, but there may still be side effects. For example, after removing the nutritional tube postpartum, your loved one's stomach function may be affected due to prolonged fasting, and so on. \"

"Well... what should we do then?" the patient's spouse said, his hand feeling a bit numb.

Translation: "\"Then... what should we do? \" the patient's spouse's hand felt a little numb.

"We can only recover bit by bit, or during jejunal nutrition, we can take small amounts of water and food, gradually trying near the threshold that causes discomfort." Zheng Ren said, "This is just a rough idea; specifics vary from person to person."

Translation: "\"We can only recover little by little, or during jejunal nutrition we can drink small amounts of water and eat, gradually trying near the threshold that causes discomfort. \" Zheng Ren said: \"This is just a rough idea; the specifics vary from person to person. \"

The patient's family remained silent.

Translation: "The patient's family fell silent."

They understood everything Zheng Ren said.

Translation: "They understood everything Zheng Ren said."

But thinking that the pregnant woman cannot eat anything and must rely on nutritional fluid for several months, everyone felt somewhat anxious and uneasy.

Translation: "But thinking that the pregnant woman cannot eat anything and must rely on nutritional fluid for several months, everyone felt somewhat anxious and flustered."

Adding to that, the pre-operative briefing listed as many as twenty-three possible side effects—who wouldn't be worried?

Translation: "Adding a series of side effects, the preoperative instructions alone numbered twenty-three items—who wouldn't panic?"

Yet there was nothing they could do at home.

Translation: "Yet there was nothing they could do at home."

The pregnant woman had suffered severe pregnancy symptoms from week 3 of gestation all the way to week 24. She had previously miscarried twice, losing both babies. Therefore, even with severe pregnancy-induced vomiting this time, she was determined to persevere.

Translation: "The pregnant woman had severe pregnancy reactions from week 3 of gestation all the way to week 24. Before, she had miscarried twice, losing the babies. So this time, even with hyperemesis gravidarum, she insists on persevering."

The most frightening aspect was that her mental state was somewhat unstable.

Translation: "The most frightening thing is that her mental state is somewhat unstable."

The patient herself had clearly stated that she absolutely did not want to induce labor. Even if she vomited to death, she would still give birth to the child.

Translation: "The patient herself has clearly said that she absolutely does not want to induce labor. Even if she vomits herself to death, she wants to give birth to the child."

If they anesthetized her and induced labor without her knowledge, she would jump off a building after the procedure.

Translation: "If they anesthetize her without her knowledge and induce labor, she would jump off a building after the surgery."

Such remarks left the family and the obstetrics doctors feeling helpless.

Translation: "Such remarks left the family and the obstetrics and gynecology doctors at a loss."

Zheng Ren's proposal was the only solution that could resolve the problem. The head of obstetrics contacted his peers at Peking Union Medical College Hospital, who provided the relevant medical records.

Translation: "Zheng Ren's proposed solution is the only way to solve the problem. The Obstetrics and Gynecology Department Director contacted his colleagues at Xiehe, who provided the relevant medical records."

Although the number was small, they too had attempted a similar approach.

Translation: "Although the number was small, they too had made similar attempts."

Like Zheng Ren's approach, they also used jejunal feeding for nutritional support, and the postoperative outcomes were still good.

Translation: "Just like Zheng Ren's approach, they also used jejunal nutrition for nutritional support, and the postoperative results were still good."

Therefore, Obstetrics Director Du ordered a consultation for the inpatient service, inviting Interventional Medicine Boss Zheng to take a look.

Translation: "Therefore, Obstetrics and Gynecology Department Director Du asked the Inpatient Chief to arrange a consultation, requesting Intervention Department's Zheng Lao Ban to come take a look."

She also never expected that Zheng Boss would draw a sketch comparable to a textbook illustration, nor that he would have considered all possible side effects, listing twenty-three pre-operative explanations.

Translation: "She also never expected Zheng Lao Ban to draw a sketch comparable to a textbook illustration, nor that he would have considered all the side effects, listing twenty-three preoperative instructions."

"We... could we consider it?" the patient's family asked, still unable to make a decision, hesitating.

Translation: "\"We... could we consider it? \" the patient's family, still unable to make up their minds, asked hesitantly.

"No problem, we can first try intravenous vitamin B6 and intramuscular vitamin B1." Zheng Ren smiled, attempting to ease the tense atmosphere in the office.

Translation: "\"No problem, we can first try intravenous vitamin B6 and intramuscular vitamin B1. \" Zheng Ren chuckled, attempting to ease the tense atmosphere in the office.

But no one noticed his smile; the family members were gloomy, each lost in their own thoughts.

Translation: "But no one noticed his smile; the family members were gloomy, each thinking about different things."

"Director Du, let's proceed like this for now," Zheng Ren said. "If the family agrees to the surgery, please notify me anytime; if there's no surgery on my side, we can proceed as long as the fasting period is sufficient."

Translation: "\"Director Du, let's do it this way for now. \" Zheng Ren said: \"If the family agrees to the surgery, please notify me anytime; if I have no surgery on my side and the fasting time is sufficient, we can proceed. \"

"All right." Director Du nodded without further ado, "Shall we first take a look at the endoscopy room?"

Translation: "\"All right. \" Director Du didn't waste words, simply nodded, and said: \"Shall we first take a look at the Endoscopy Room? \"

Zheng Ren thought for a moment; although he had performed surgeries in the central operating theater, he had never personally visited the endoscopy room in Building 912, so going to see it would be best.

Translation: "Zheng Ren thought for a moment; although he had performed surgery in the System Operating Room, he had never personally dealt with the 912 Endoscopy Room, so going to see it would be best."

"All right, Director Du, would you like to come along?" Zheng Ren probed.

Translation: "\"All right, Director Du, shall we go together? \" Zheng Ren probed.

"I'll accompany you to have a look," Director Du said.

Translation: "\"I'll accompany you to have a look. \" Director Du said.

The patient's family remained polite, feeling slightly embarrassed to apologize to Zheng Ren. Zheng Ren smiled, saw them out, and then went with Director Du to the endoscopy room.

Translation: "The patient's family remained polite, feeling a bit embarrassed to apologize to Zheng Ren. Zheng Ren smiled and saw them off, then went together with Director Du to the Endoscopy Room."

"Boss Zheng, I've long heard of your reputation; I never expected the chance to collaborate with you would come so easily," Director Du said as they walked.

Translation: "\"Zheng Lao Ban, I've long heard of your reputation; I never expected the opportunity to work with you to come about just like this. \" As they walked, Director Du said.

"I have often worked with obstetrics before," Zheng Ren smiled. "Cases like postpartum hemorrhage are handled by interventional radiology."

Translation: "\"I used to often cooperate with the Obstetrics and Gynecology Department. \" Zheng Ren laughed: \"Things like postpartum massive hemorrhage are all handled by Intervention. \"

"Hmm, requesting a consultation, yet we couldn't get you to come upstairs—indeed a bit regrettable. Boss Zheng, how confident are you about this surgery?"

Translation: "\"Hmm, requesting a consultation, yet we couldn't get you to come upstairs—it's indeed a bit regrettable. Zheng Lao Ban, how confident are you about this surgery? \"

"The surgery itself isn't difficult, but postoperative recovery of the stomach takes longer. Also, there might be a possibility of the jejunal feeding tube becoming blocked midway, possibly requiring a tube change. However, that's not troublesome—it's just a minor procedure."

Translation: "\"The surgery itself isn't difficult, but postoperative recovery of the stomach takes longer. Moreover, there might be a possibility of the jejunal feeding tube becoming blocked midway, possibly requiring a tube change. However, that's not troublesome—it's just a minor procedure. \"

"That's also an option," Director Du said. "There are many patients with severe pregnancy-induced vomiting; if this works, we could pursue long-term collaboration."

Translation: "\"That's also a solution. \" Director Du said: \"There are many patients with hyperemesis gravidarum; if successful, we could cooperate long-term. \"

Zheng Ren pondered for a moment and asked, "Director Du, when you go back, ask the patient if they would accept a live broadcast of the surgery."

Translation: "Zheng Ren pondered for a moment, then asked: \"Director Du, when you go back, ask the patient if they can accept a surgery live broadcast. \"

"The Xinglin Garden surgery live stream?"

Translation: "\"The Xinglin Yuan surgery live broadcast? \"

"Hmm."

Translation: "\"Hmm. \"

"That side spreads faster, the procedure is simple, you wouldn't be afraid…" Director Du began to say, then trailed off.

Translation: "\"That side spreads faster, the procedure is simple, you wouldn't be afraid... \" Director Du said half of his sentence, then trailed off.

"This is just an idea that could relieve many patients' suffering; what's the point of keeping it in hand? Surgical techniques ought to solve problems." Zheng Ren chuckled.

Translation: "\"This is just a line of thought that can relieve many patients' suffering; what's the point of keeping it in hand? Surgical techniques ought to solve problems. \" Zheng Ren chuckled.

Director Du felt somewhat moved; Boss Zheng's magnanimous bearing explains why others have become visiting professors at Mayo Clinic.

Translation: "Director Du felt somewhat moved; Zheng Lao Ban's grandeur is impressive—no wonder people have become visiting professors at Mayo Clinic."

At that office meeting, Director Du personally witnessed Director Kong standing firm against Section Chief Mao, ultimately turning the tide.

Translation: "At that office meeting, Director Du personally witnessed Director Kong standing firm against Section Chief Mao, ultimately turning the tables."

At the time, they didn't understand why Director Kong would invest so much effort in a 'junior' doctor.

Translation: "At the time, no one understood why Director Kong would lavish such attention on a \"small\" doctor."

Now, looking back, aside from anything else, just seeing that grand demeanor makes one feel at ease.

Translation: "Now, looking at it, setting aside other things, just seeing that grand demeanor makes me feel comfortable."

From now on, we should collaborate more with Boss Zheng.

Translation: "From now on, we should cooperate more with Zheng Lao Ban."

"Our hospital's endoscopy room started out small, but Director Luo single-handedly built it up." Director Du, without mentioning the jejunal feeding tube, began to introduce Zheng Ren to it.

Translation: "\"Our hospital's Endoscopy Room started out small, but Director Luo single-handedly propped it up. \" Director Du, without mentioning the jejunal feeding tube, began to introduce Zheng Ren to it.

This is the past and present of the endoscopy room.

Translation: "This is the past and present of the Endoscopy Room."

In China, some endoscopy rooms have specialist physicians, but in many hospitals they are controlled by the gastroenterology department.

Translation: "Domestically, Endoscopy Rooms have some specialist physicians, but in some hospitals the Department of Gastroenterology controls the Endoscopy Room."

After all, the majority of patients undergoing gastroscopy and colonoscopy come from gastroenterology—a clear upstream department, leaving no doubt.

Translation: "After all, the patients undergoing gastrointestinal endoscopy mostly come from the Department of Gastroenterology—a clear upstream department, without a doubt."

If gastroenterology does not support it, the endoscopy room's work would be hard to carry out.

Translation: "If the Department of Gastroenterology does not support it, the Endoscopy Room's work is difficult to carry out."

It turns out that Building 912 operates under this model; Zheng Ren smiled and nodded.

Translation: "It turns out that 912 operates under this model; Zheng Ren smiled and nodded."

Director Luo, he is also very supportive of oneself, you know. Working with him should be a happy thing.