Chapter 1544: and translation of chapter title

【4】

Translation: "What do you think Director Luo is doing?" Director Du asked with a smile.

We need to use Director Luo (from the glossary) and Director Du? Du is not in the glossary; we can translate as Director Du (since the Chinese word for Director is Director). Use "Director Du". Keep quotes? Probably we should keep the quoted speech as is, but translate content. Use English quotes.

Thus: "What do you think Director Luo is doing?" Director Du asked with a smile.

Make sure it's one line.

【11】

Translation: "Busy doing colonoscopy? Or seeing outpatients?" Zheng Ren answered absentmindedly, off the cuff.

"Busy doing endoscopy? Or seeing outpatients?" Zheng Ren answered absentmindedly, off the cuff.

【14】

Translation: "Learning your ESD surgery from the past few days," Director Du said, "We don't do it, and we don't know where it's good, but I heard Director Luo has organized his staff who do endoscopy to learn it three times."

"Learning your Endoscopic Submucosal Dissection from the past few days," Director Du said, "We don't do it, and we don't know where it's good, but I heard Director Luo has organized his staff who do endoscopy to learn it three times."

【17】

Translation: The surgery performed for Fan Tian Shui's old squad leader?

The surgery performed for Fan Tian Shui's old squad leader?

【21】

Translation: Zheng Ren smiled; that surgery was indeed quite good, at least he was satisfied.

We need Zheng Ren. So: Zheng Ren smiled; that surgery was indeed quite good, at least he was satisfied.

The system evaluation shows 100% completion; there's no doubt it's a perfect surgery.

Translation: System evaluation, 100% completion, undoubtedly a perfect-grade surgery.

【24】

Director Luo's eyes were sharp; that surgery, using microscopic technology, removed a precancerous tumor—a field that current ESD surgery has not yet reached.

Translation: Director Luo's eyes were bright; that surgery, using microscopic technology, completed the resection of precancerous tumors, a field that current Endoscopic Submucosal Dissection has not yet touched.

【27】

Under normal circumstances, Fan Tian Shui's old squad leader would definitely need open abdominal surgery to remove a segment of intestine to resolve the issue.

Translation: Under normal circumstances, Fan Tian Shui's old squad leader would definitely need to open the abdomen and cut a segment of intestine to solve the problem.

We need Fan Tian Shui. So: Under normal circumstances, Fan Tian Shui's old squad leader would definitely need to open the abdomen and cut a segment of intestine to solve the problem.

【32】

Translation: But using microscopic technology, minimally invasive resection, the patient recovers especially quickly, with little injury, and it should indeed be valued.

But using microscopic technology for minimally invasive resection, the patient recovers especially quickly, with little injury, and it should indeed be valued.

【35】

Translation: Especially since it was a live-streamed surgery, who knows how many doctors doing endoscopy noticed.

Especially since it was a live-streamed surgery, who knows how many doctors performing endoscopy noticed.

【38】

Translation: The two came to the endoscopy room, changed clothes, and entered.

The two came to the endoscopy room, changed clothes, and entered.

【42】

Translation: In the hallway of the endoscopy room, some patients awaiting consultation sat quietly. Director Du led Zheng Ren directly to the final demonstration room.

We need Director Du, Zheng Ren. So: In the hallway of the endoscopy room, some patients awaiting consultation sat quietly. Director Du led Zheng Ren directly to the final demonstration room.

"Here lies the difficulty of microscopic surgery," Director Luo, wearing glasses, was very serious before the projection.

Translation: "Here lies the difficulty of microscopic surgery," Director Luo said, wearing glasses, very seriously before the screen.

We need Director Luo. So: "Here lies the difficulty of microscopic surgery," Director Luo said, wearing glasses, very seriously before the screen.

【48】

Translation: The door was open; Zheng Ren saw Director Luo's silhouette, heard his voice, and a hint of a smile appeared at the corner of his mouth.

We need Zheng Ren, Director Luo. So: The door was open; Zheng Ren saw Director Luo's silhouette, heard his voice, and a hint of a smile appeared at the corner of his mouth.

For a director in his fifties, safe retirement is a primary concern.

Translation: For a chief over fifty, safe retirement is something many people consider first.

【51】

Engaging with new technology is usually the responsibility of younger team leaders, but given the circumstances, Director Luo still has enthusiasm—and it's strong.

Translation: Therefore, contacting new technology is basically the task of younger team-leading professors. But looking at the current situation, Director Luo still has enthusiasm, and it's high.

【54】

At his age, it's unlikely he would personally perform microscopic surgery.

Translation: For someone over fifty to engage in microscopic surgery, the likelihood of him personally performing the operation is not great.

【57】

Whether his eyesight is failing or his hands tremble are important concerns.

Translation: Whether the eyes are blurry or the hands tremble, these are important issues.

【63】

Translation: It is highly likely that Director Luo himself cannot perform it, but he still wants to promote this technology.

We need Director Luo. So: It is highly likely that Director Luo himself cannot perform it, but he still wants to promote this technology.

It seems there will be even fewer gastrointestinal surgeries in the future.

Translation: It seems that in the future, gastroenterology surgery will have even less.

【66】

As Zheng Ren was about to enter, a nurse ran up to him.

Translation: Zheng Ren was about to go in when a nurse ran over.

We need Zheng Ren. So: Zheng Ren was about to go in when a nurse ran over.

【71】

Translation: "Director Luo, there's a small situation in Room 8; please go take a look." The nurse said at the doorway.

"Director Luo, there's a small situation in Room 8; please go take a look," the nurse said at the doorway.

【75】

Translation: Director Luo nodded, and happened to see Zheng Ren.

We need Director Luo, Zheng Ren. So: Director Luo nodded, and happened to see Zheng Ren.

"Boss Zheng, how did you get here?" Director Luo was surprised, but upon seeing Director Du, he immediately understood why.

Translation: "Boss Zheng, how did you come?" Director Luo was a bit surprised, but upon seeing Director Du, he immediately understood the reason.

【78】

"It's for the jejunal feeding tube placed via endoscopy, right?" Director Luo came out and asked.

Translation: "Is it about the jejunal feeding tube under endoscopy?" Director Luo came out and asked.

【81】

"Hmm," Zheng Ren followed Director Luo to Room 8, saying as they walked, "Patients with severe pregnancy vomiting are few, and cases of leaving a jejunal feeding tube in place until delivery are also few, so we can only try."

Translation: "Hmm." Zheng Ren followed Director Luo to Room 8, walking and saying: "Patients with severe vomiting in pregnancy are few, and cases of leaving a jejunal feeding tube in place until delivery are also few; we can only try."

【84】

"Is it necessary?" Director Luo still felt that providing the patient with intestinal nutrition for a few months was risky, fearing complications.

Translation: "Is it necessary?" Director Luo still thought that giving the patient intestinal nutrition for several months might cause problems.

We need Director Luo. So: "Is it necessary?" Director Luo still thought that giving the patient intestinal nutrition for several months might cause problems.

【90】

Translation: "The patient refuses to induce labor no matter what, vomiting severely; even if she makes it to term, I worry the baby will also have problems." Zheng Ren said.

We need Zheng Ren. So: "The patient refuses to induce labor no matter what, vomiting severely; even if she makes it to term, I worry the baby will also have problems." Zheng Ren said.

"Okay," Director Luo readily agreed.

Translation: "Okay." Director Luo readily agreed.

We need Director Luo. So: "Okay." Director Luo readily agreed.

【95】

Translation: Entering Room 8, the patient was under basic anesthesia; a doctor held a colonoscope, raising his head to look at the screen.

Entering Room 8, the patient was under basic anesthesia; a doctor held a colonoscope, raising his head to look at the screen.

【98】

Translation: On the screen, it should have been a reddish patch, which is the color of the colonic mucosa.

On the screen, it should have been a reddish patch, which is the color of the colonic mucosa.

【102】

Translation: Even if the patient's enema was incomplete, leaving a small amount of retained feces, it would absolutely not be much.

But the colonic mucosa shown on the screen appeared as red and white stripes, resembling the pattern of a watermelon rind.

Translation: But the colonic mucosa shown on the screen before us appeared as red and white stripes, resembling the pattern of a watermelon rind.

【105】

"Director, take a look—what's going on?" said the doctor performing the colonoscopy.

Translation: "Director, please take a look; what's the situation?" the doctor performing the colonoscopy said.

【108】

Director Luo wasn't sure either; he pondered for a moment.

Translation: Director Luo wasn't sure either; he pondered for a moment.

We need Director Luo. So: Director Luo wasn't sure either; he pondered for a moment.

【113】

Translation: "It's probably a cat-scratch-like colon," Zheng Ren said softly.

"It's probably a cat-scratch-like colon," Zheng Ren said softly.

【117】

Translation: "Huh? Does it have a name? I've seen a few cases, followed them up, and there was nothing special post-op." Director Luo was very frank.

We need Director Luo. So: "Huh? Does it have a name? I've seen a few cases, followed them up, and there was nothing special post-op." Director Luo was very frank.

Zheng Ren also just had an impression; because the image looked too typical, he blurted it out.

Translation: Zheng Ren also just had an impression; because the image looked so typical, he blurted it out.

We need Zheng Ren. So: Zheng Ren also just had an impression; because the image looked so typical, he blurted it out.

【123】

Translation: After speaking, he also fell silent, going to the System Library to browse various materials.

We need to use System Library (glossary). So: After speaking, he also fell silent, going to the System Library to browse various materials.

"Boss Zheng, what is a cat-scratch-like colon?" Director Luo asked.

Translation: "Boss Zheng, what is a cat-scratch-like colon?" Director Luo asked.

【126】

"It appeared quite late; it's still just a hypothesis, lacking final clinical confirmation," Zheng Ren smiled and said. "In 2007, McDonnell first made a similar description; later, among 9,754 colonoscopies, 32 similar cases were found."

Translation: "It appeared quite late; now it's just a saying, lacking final clinical confirmation." Zheng Ren smiled and said: "In 2007, McDonnell first made a similar description. Later, in 9,754 colonoscopies, 32 similar cases were found."

【129】

"……" Director Luo was speechless, glancing at Zheng Ren.

Translation: "..." Director Luo was speechless, glancing at Zheng Ren.

We need Director Luo, Zheng Ren. So: "..." Director Luo was speechless, glancing at Zheng Ren.

【134】

Translation: "This data was released by the doctors of Johns Hopkins' endoscopy room the year before last; the overall probability of cat-scratch-like colon appearing should be about this." Zheng Ren said: "Looking at the image, there should be no major problem."

"This data was released by the doctors of Johns Hopkins' endoscopy room the year before last; the overall probability of cat-scratch-like colon appearing is about this," Zheng Ren said. "Looking at the image, there should be no major problem."

【138】

Translation: His eyes were fixed on the screen, already engrossed.

His eyes were fixed on the screen, already engrossed.

After all, he's not a doctor in the endoscopy room, can't spend all day there doing gastrointestinal endoscopies, so he only saw similar data; this is the first time he's observed the actual appearance of a cat-scratch-like colon.

Translation: After all, he's not a doctor in the endoscopy room, unable to stay there daily doing gastrointestinal endoscopy; thus he only saw similar data, and this is the first time he has observed the actual appearance of cat-scratch-like colon.

【141】

The image of this patient's colon before us is especially typical: the colonic mucosa is red, with surrounding linear white tears.

Translation: The image of this patient's colon before us is especially typical; the colonic mucosa is red, with linear white tears around it.

【144】

Looking at it, which resembles a watermelon rind, Zheng Ren actually thought calling it a watermelon-rind-like change was more appropriate, rather than a cat-scratch-like colon.

Translation: Looking like a watermelon rind, Zheng Ren thought it would be more appropriate to call it a watermelon-rind-like change rather than a cat-scratch-like colon.

We need Zheng Ren. So: Looking like a watermelon rind, Zheng Ren thought it would be more appropriate to call it a watermelon-rind-like change rather than a cat-scratch-like colon.

【150】

Translation: But that doesn't matter anymore.

Whatever you call it, it's just a condition.

Translation: Whatever it's called, it's just a condition.

【156】

Translation: Of course, saying it's a condition is still too hasty; clinically, cat-scratch-like colon is not considered a disease at all.

"Boss Zheng?" Director Luo called out softly.

Translation: "Boss Zheng?" Director Luo called softly.

We need Zheng Lao Ban, Director Luo. So: "Boss Zheng?" Director Luo called softly.

【161】

Translation: "Uh..." Zheng Ren was observing the colon when Director Luo called him awake, feeling a bit embarrassed, and said: "It's fine; cat-scratch-like colon commonly occurs in the cecum and ascending colon, and is often seen in patients with collagenous colitis and diversion colitis."

"Uh..." Zheng Ren was observing the colon when Director Luo called him awake, feeling a bit embarrassed, and said, "It's fine; cat-scratch-like colon commonly occurs in the cecum and ascending colon, and is often seen in patients with collagenous colitis and diversion colitis."

【165】

Translation: "Is it a disease? How should it be treated?" Director Luo pursued.

We need Director Luo. So: "Is it a disease? How should it be treated?" Director Luo pursued.

"It's probably not disease-induced; most studies believe that excessive insufflation during colonoscopy causing barotrauma to the colonic mucosa is its main pathogenic mechanism."

Translation: "It's probably not caused by disease; most studies believe that excessive insufflation during colonoscopy causing barotrauma to the colonic mucosa is its main pathogenic mechanism.

【168】

"Of course, some studies believe that intrinsic intestinal disease causes this manifestation."

Translation: "Of course, some studies also believe that it results from intrinsic colonic pathology."

【173】

Translation: Zheng Ren, while admiring the microscopic features of cat-scratch-like colon, explained.

Zheng Ren, while admiring the microscopic features of cat-scratch-like colon, explained.

【177】

Translation: "In the vast majority of such cases, nothing happens. Among reported cases, only one experienced delayed perforation. Because the number is too small, it can be considered that the perforation was caused by other complications rather than excessive insufflation inside the colon."

"Director, what about next..." the doctor performing the operation hesitated and asked.

Translation: "Director, down there..." the doctor performing the operation hesitated to ask.

【180】

"Continue, hurry up," Director Luo said. "Keep the images and send them to my email."

Translation: "Continue, hurry up." Director Luo said: "Keep the images and send them to my email."

Check if any missing: also 【??】 maybe 【??】. Let's double-check the original text for any other numbered lines not captured.

After saying that, Director Luo glanced at Zheng Ren and asked, "Can it be avoided?"

"Probably not." Zheng Renye was thinking about this problem, "Inflating the colon is done according to probability and routine gas delivery; some patients have issues with the colon wall, which cannot be predicted beforehand. In short, just be careful."

"Yeah, we always have to be careful." Director Luo muttered, "We who work in clinical practice just need to be a bit more careful; we absolutely cannot be careless."