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Chapter 1566: with translation of chapter title

~10 min read 1,915 words

Zhao Wenhua was stunned.

He silently cursed, that damn Su Yun, again setting a trap for himself.

What hurt Zhao Wenhua most was that they didn't even bother to finish the act, not even bothering to pretend, and just said "let's make up."

It was truly treating people as less than human; in the instant Zhao Wenhua got angry, he immediately held back. Deep down, he once again turned his smile into a mask and put it on his face.

He smiled and said, "Director Kong, Zheng Lao Ban, I'm heading out."

Watching Zhao Wenhua's retreating back, Director Kong slightly shook his head and asked, "Zheng Lao Ban, was the patient's Shou Bing successful?"

"Successful, removed two fresh plugs." Zheng Ren said: "The details, I'll report to you separately when conditions allow."

Director Kong nodded with a smile.

After the Shou Bing, anesthesia wore off, and the patient was sent back.

"Lao He, does the patient have anything special?" Su Yun leaned close to Lao He and asked quietly.

"Didn't see anything!" Lao He spread his hands and said, "For this kind of Shou Bing, I'm definitely just watching the monitors and ventilator; I have to handle the meds myself, I'm too busy to talk."

Su Yun glanced at Lao He, said nothing, and sent Noi'er back to the ward.

"Boss, the Airplane Ticket has been booked; Noi'er demands to leave Di Du immediately," the professor said.

"There's still some risk."

"He thinks staying here poses greater risk." The professor sounded dismissive, but still spoke frankly.

"Then send him on the plane, stock up the medicine. Also, have Chang Yue take care of the medical record signatures before you leave," Zheng Ren instructed.

After half an hour of this, an Emergency Rescue Service ambulance took Noi'er straight to Capital International Airport.

Watching the ambulance leave, Su Yun asked, "Boss, can we talk now? Looking at how tense he is, is he a spy?"

"What nonsense spy, it's cerebellar agenesis." Zheng Ren said: "Come on, let's report to Director Kong."

Saying that, the two went to Director Kong's office.

"Director." Zheng Ren performed a slight Jiu Gong, feeling a bit embarrassed.

"Please sit." Director Kong smiled and asked, "How is it?"

"The patient has congenital cerebellar agenesis." Zheng Ren said.

"……" Director Kong was stunned.

Although it was the second time hearing it, Su Yun still found it unbelievable.

Most such patients are infants or children, suffering severe mental disorders, epilepsy, hydrocephalus, and other CNS pathologies.

In extremely rare cases, adult patients with this condition can be found. However, detailed nervous-system status has not yet been observed in living adult patients; it is usually discovered in postmortem exams showing complete cerebellar hypoplasia.

Just hypoplasia, yet cases of cerebellar agenesis in adults are very rare.

Director Kong also became interested and asked, "How was the patient discovered?"

This was the problem Zheng Ren found most troublesome.

How was it discovered—do I have to tell Director Kong I have a Big Pig Trotter? Su Yun had been eyeing this for a while; last time, using an X‑ray of a kid who ate a bottle cap, he taught him a lesson, though he doesn't know if that guy believed it.

"Director, when I saw the patient, he already had symptoms of a cerebral infarction. I didn't know it was cerebellar agenesis; I thought it was something else private. Later, when I privately asked the wealthy person about his medical history, he said it himself." Zheng Ren said calmly.

Su Yun had no doubt, and Director Kong didn't see any problem.

"Cerebellar agenesis, and one can still grow up? This time we really got to see a living specimen." Director Kong remarked.

"Yeah, Noi'er became an engineer; presumably when he was younger installing equipment, he was quite skilled. Fine work, he did pretty well."

The world is vast; nothing is strange.

"Boss, what do you think the situation is?" Su Yun asked.

"This is likely due to the patient losing the cerebellum early in life for some reason, allowing the brain to adapt to this condition."

"In other words, other parts of the brain took over the missing cerebellum's functions, and cerebrospinal fluid filled the vacant space."

In 2007, a similar case was reported: a male patient lost 90% of his brain tissue, yet his life and function remained normal, and this case also challenged our overall understanding of the brain.

The discovery of these cases will help us further understand how the brain adapts to and deals with conditions we once thought were fatal." Zheng Ren said.

He obviously had thoughts about patients lacking a cerebellum, and he spoke at length, talking to himself.

"Is this the legendary 'no‑brain'?" Director Kong joked.

"Hehe." Su Yun laughed: "Noi'er guards his privacy tightly; probably his parents told him as a kid never to let anyone know he lacks a brain."

Zheng Ren nodded.

Even I was a bit curious, couldn't hold back, and "wasted" a little Surgical Training Time to go into the System Space and dissect an experimental subject.

But it was just dissection; the specific tests…… Zheng Ren's neurosurgery level isn't high, and he's never put skill points into this area.

Even if he reached Master‑level, he'd only be a master of clinical Shou Bing and diagnosis, with no relation to scientific research.

"The cerebellum is part of the brain; its role is to control bodily balance and voluntary movement. Without a cerebellum, can one still be an engineer?" Director Kong couldn't believe it, then suddenly asked, "Zheng Lao Ban, you didn't delete the raw data, did you?"

"Deleted." Zheng Ren said: "The data on the machine was erased especially thoroughly, almost a physical deletion."

"You even know this?" Su Yun exclaimed.

"A little."

"……" Su Yun looked at Zheng Ren with contempt, recalling how many times this guy had said he knew a little.

No point arguing with him!

"You…" Director Kong felt a bit regretful, but knowing Zheng Ren had also promised the patient to protect privacy.

After chatting a few more words, Zheng Ren and Su Yun said their goodbyes.

"Boss, you don't think Noi'er will cause a medical disturbance, do you?" Su Yun asked.

"Shouldn't be; I think he fears this being exposed even more than we do." Zheng Ren had obviously considered this and said directly, "The Shou Bing was steady, the plugs were removed, and all indicator tests met the expected goals."

"His luck is really good." Su Yun sighed: "I really want to write a case report."

"No need." Zheng Ren waved his hand: "Are the lecture materials ready?"

Tomorrow afternoon lecture, what are you doing in the morning?

Brother Yang left me a message, it seems tomorrow morning we can perform surgery on a liver cancer patient." Zheng Ren said, "Surgery live broadcast, clearly see the effect of interventional embolization.

It will definitely cause a sensation throughout Xinglin Yuan." Su Yun somewhat excited, "Tomorrow I'll get the equipment ready for you.

Speaking, the two returned to the Intervention Department Doctor's office.

In the office, Chang Yue was busy.

Zheng Ren looked at Chang Yue's serious expression, pondering, not knowing if in the future she would still have time to chat with patients' families like family.

106 beds, just thinking about it made Zheng Ren feel a little flutter.

Finally able to perform surgery without restraint.

Director Kong went to the Nursing Department to handle nursing-related matters; Liu Zewei was writing medical records; the professor went to send Noel back abroad; Su Yun, after returning, didn't stop, went directly to prepare the lecture equipment.

Zheng Ren became the most idle person.

He leisurely sat by the window in the sunlight, wanting to go into the System Library to read books.

Just as he picked up a surgery textbook, a patient's family member entered and walked to Chang Yue's side.

Before she could speak, her smile was about to burst forth.

This is something, Zheng Ren judged.

"Doctor Chang, do you have time?" the patient's family member asked softly.

As soon as she spoke, her smile grew a bit richer.

"Anything, Auntie?" Chang Yue raised her head, speaking very gently.

"Could you help prescribe some donkey-hide gelatin, goji berries, etc.?" the patient's family member said with a smiling face.

"Why prescribe this?" Chang Yue asked casually, though she actually understood.

"This isn't a referral for treatment, is it? After going back, all expenses can be reimbursed." The patient's family member glanced left and right, seeing no one looking this way, then whispered: "Where we come from, that's excessive; donkey-hide gelatin is an out-of-pocket medication. Auntie, I'm not hiding it from you, mainly I want to take advantage of being hospitalized to get a prescription, then go back and take it myself."

Seeing Chang Yue not speaking, the patient's family member, with a smiling face, added: "I'm old, my qi and blood can't keep up. Supplementing qi and blood will help me take care of that old geezer."

"Auntie, donkey-hide gelatin and goji berries are Chinese medicine; I don't have the authority to prescribe." Chang Yue said easily: "If you want them, I need to request a consultation, have a doctor from the Traditional Chinese Medicine department take the pulse. If their consultation opinion writes it down, I'll prescribe them for you."

"..." That patient's family member was stunned for a moment.

After finally muttering a few more sentences, seeing Chang Yue insistent, always saying she had no authority, they could only leave resentfully.

As they left, she was visibly somewhat unhappy.

"Chang Yue, you could open a vegetable market in the future." Zheng Ren laughed.

"In Hai Cheng, this is normal; donkey-hide gelatin isn't excessive. Prescribing coix seed, red beans, etc., to take home as food, that's excessive." Chang Yue also had no angry expression, simply stating a fact.

"You still shouldn't say, coix seed contains high-quality protein, carbohydrates, fat, mineral elements and vitamins."

"Moreover, there are abundant polysaccharides, fatty acids and their ester compounds, flavonoid compounds, triterpenoid compounds, and other active ingredients."

"It is rumored to have effects such as lowering blood sugar, anti-tumor, and clearing free radicals."

Zheng Ren said with a smile.

"All nonsense." Chang Yue said, "Outside there's plenty for sale; if you don't buy it, why come to the hospital to buy coix seed and goji berries, other than to get insurance reimbursement?"

"These are all trivial matters; the hospital prescribes coix seed etc. by the gram, at most a couple liang per time." Zheng Ren said, "At year's end, you see how long the line for getting medicine in Hai Cheng is, right?"

"Chronic diseases, do they concentrate prescriptions at year's end?" Chang Yue said, "After graduation, during my rotation in the Endocrinology Department, I happened to be at year's end. An aunt came with ten chronic disease cards to get insulin, leaving me dazed."

"It's said one vial of insulin can be exchanged for fifty eggs." Liu Zewei rubbed his bald head, laughing.

"Old Liu, you, a big professor, also do this?"

"Sigh, it's not that my old lady insists on getting it. I said it's unnecessary, and she scolded me for getting cocky after just a few good days." Liu Zewei said helplessly.

"This is insurance fraud, Old Liu, you've already broken the law." Zheng Ren laughed.

"Since last year, medical insurance management has become strict." Liu Zewei said, "But this is just small change; the real loophole in medical insurance isn't in public hospitals."

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End of Chapter

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