Chapter 1593: with translation of chapter title

Zheng Ren frowned and asked, "Are you checking for blindness?"

Translation: "Looking at blindness?" Zheng Ren frowned.

But need to keep punctuation? We'll produce English sentence.

Original: "Are you checking for blindness?" Zheng Ren frowned.

We can translate: "Looking at blindness?" Zheng Ren frowned.

Make sure it's one line.

Hmm. He has a medical record; at first my older brother also took it seriously, thinking it was just a patient coming for a visit, so he asked you a question. I didn't expect it to be this. Song Ying felt it was a bit tricky.

Translation: "Um. There's a medical record; at first my older brother also took it seriously, thinking it was just a patient coming for a visit, so he asked you a question. I didn't expect it to be this." Song Ying felt it was a bit tricky.

We need to keep meaning exactly. Let's produce concise but faithful.

"Um. There's a medical record; at first my older brother also took it seriously, thinking it was just a patient coming for a visit, so he asked you a question. I didn't expect it to be this." Song Ying felt it was a bit tricky.

Note: 'My older brother' means my older brother; 'took it seriously' means he took it seriously; 'he thought it was just a patient coming for a visit'; 'so he asked you a question'; 'I didn't expect it to be this.' Good.

Having a medical record is enough. Zheng Ren asked with a smile: "Just take a look; if you can see, look; if you can't, forget it. Admit defeat, it's no big deal."

Translation: "Just having a medical record is enough." Zheng Ren asked with a smile: "Take a look; if you can see, see; if you can't, forget it. Admitting defeat is fine."

We need to keep 'asked with a smile'. 'Admit defeat' means admit defeat. 'It's fine.' means it's fine.

Su Yun glanced at Zheng Ren with contempt, feeling very disdainful.

Translation: Su Yun glanced at Zheng Ren with contempt, very disdainful.

Song Ying also approved of Zheng Ren's calm demeanor; he took the medical record from his bag and handed it to Zheng Ren with both hands.

Translation: Song Ying greatly approved of Zheng Renping's calm mindset; he took the medical record from his bag and handed it to Zheng Ren with both hands.

Note: 'Zheng Ren's calm mindset' means Zheng Ren's calm mindset.

The medical record was in pure English, and a logo appeared before his eyes—Johns Hopkins Hospital.

Translation: The medical record was in pure English; a logo appeared before his eyes—Johns Hopkins Hospital.

"Oh, the checkup done at Johns Hopkins—how would you say that?" Su Yun glanced and asked.

Translation: "Oh, the checkup done at Hopkins—how would you say that?" Su Yun glanced and asked.

Zheng Ren flipped to the last page, glanced at the conclusion, and said: "Diabetic eye disease."

Translation: Zheng Ren flipped to the end, glanced at the conclusion, and said: "Diabetic eye disease."

Retinopathy is the most common severe diabetic eye disease, often causing vision loss or blindness.

Translation: Retinal lesions are the most common serious diabetic eye disease, often causing vision loss or blindness.

According to statistics, about 50% of diabetics with a disease duration of around 10 years may develop diabetic eye disease; after 15 years, the figure rises to 80%.

Translation: According to statistics, 50% of diabetics with a disease course of about ten years may develop diabetic eye disease; after fifteen years, the figure rises to 80%.

The more severe the diabetes and the older the age, the higher the likelihood of onset.

Translation: The more severe the diabetes, the older the age, the higher the likelihood of onset.

Diabetic eye disease is a consequence of diabetic microvascular disease; diabetes damages the retinal capillary walls, and the blood becomes hypercoagulable, easily leading to thrombosis, blood stasis, and even vessel rupture.

Translation: Diabetic eye disease is a consequence of diabetic microvascular disease; because diabetes damages the walls of retinal capillaries, and with blood in a high condensation state, it easily leads to thrombosis and blood stasis, even vessel rupture.

Diabetic retinopathy has become one of the top four causes of blindness, second only to age-related macular degeneration.

Translation: Diabetic retinal lesions have become one of the top four causes of blindness, second only to age-related retinal degeneration.

"What's the blood sugar?" Su Yun asked anxiously.

Translation: "What's the blood sugar?" Su Yun asked anxiously.

Zheng Ren, however, was not in a hurry at all, slowly flipping through the lab report from the beginning.

Translation: Zheng Ren, however, wasn't in a hurry at all, slowly flipping through the lab report from the beginning.

The physical examination report noted that Master Yan was already 84 years old.

Translation: The physical examination report noted that Master Yan was already 84 years old.

Aside from the blood glucose level of 9.8 mmol/L, the lab indicators were almost those of a healthy person.

Translation: The lab indicators, aside from blood sugar at 9.8 mmol/L, were almost exactly the standard of a healthy person.

He was even healthier than many people in their thirties and forties.

Translation: Even healthier than many people in their thirties and forties.

Blood lipids, blood pressure, and various imaging reports all indicated this.

Translation: Blood lipids, blood pressure, and various imaging reports all indicated this.

Zheng Ren flipped through slowly, and there was also a fundus examination report at the back.

Translation: Zheng Ren flipped through slowly; there was also a fundus examination report afterward.

Master Yan's right eye had no light perception, its abduction was limited, but movement in other directions was flexible.

Translation: Master Yan's right eye had no light perception, limited abduction, but movement in other directions was flexible.

The right pupil was 4mm in diameter, with no direct light reflex but an indirect light reflex present; the left pupil was 3mm, with both direct and indirect light reflexes present.

Translation: The right pupil diameter was 4mm, with no direct light reflex but an indirect reflex present; the left pupil diameter was 3mm, with both direct and indirect light reflexes present.

Left eye vision was counting fingers at 10 cm. The fundus showed clear margins, slightly pale color, an arteriovenous ratio of 1:2, with no hemorrhages seen.

Translation: Left eye vision was 10 cm finger counting. Fundus view: margins clear, color slightly pale, artery-to-vein ratio 1:2, no hemorrhagic spots seen.

The small vessels also showed corresponding changes.

Translation: Small vessels also showed corresponding changes.

It is diabetic eye disease; this seems beyond doubt.

Translation: It is diabetic eye disease; this point seems beyond doubt.

"What?" Su Yun said after reviewing all the reports: "Isn't this just diabetic eye disease? Let's do a vitrectomy—we're not ophthalmologists, though."

Translation: "What?" Su Yun, after looking at all the reports, said: "Isn't this just diabetic eye disease? Let's do a vitrectomy—we're not ophthalmologists."

Note: "Vitrectomy" = vitrectomy.

"Your health is well maintained." Zheng Ren's focus was elsewhere: "He's already 84, having some ailments is normal. Diabetic eye disease—diagnosis shouldn't be a problem; maybe there's nothing to see."

Translation: "His health maintenance is not bad." Zheng Ren's focus was elsewhere: "He's already 84; having some ailments is normal. Diabetic eye disease, the diagnosis shouldn't be a big problem; maybe nothing will be found."

"So are you planning to go?" Song Ying asked.

Translation: "Then are you preparing to go?" Song Ying asked.

"Let's go take a look; the patient came for treatment, and we already promised—if we back out now, it'd be like letting someone's pigeons go, and I'd feel bad." Zheng Ren laughed.

Translation: "Let's go have a look; they came for treatment, and besides, we already agreed—standing them up would be hard on you." Zheng Ren laughed.

"Thanks, Boss Zheng." Song Ying had braced for the worst, but he didn't expect Zheng Ren to not take it to heart.

Translation: "Thanks, Boss." Song Ying had originally braced for the worst, but he didn't expect Zheng Ren to not take it to heart.

"Boss, should we call Old Fan?" Su Yun asked.

Translation: "Boss, should we call Lao Fan?" Su Yun asked.

"Why call Old Fan for a medical check?" Zheng Ren said: "Even if we don't understand, we're not general practitioners—no loss of face."

Translation: "Seeing a patient, why call Lao Fan?" Zheng Ren said: "Even if we don't understand, we're not general practitioners; it's no disgrace."

"Boss, you're simply moving me." Su Yun blurted out.

Translation: "Boss, you're simply moving me." Su Yun blurted out.

Zheng Ren chuckled, ignored him, and asked Song Ying: "Do you know the patient's medical history?"

Translation: Zheng Ren laughed, ignored him, and asked Song Ying: "Do you know the patient's medical history?"

"I know a little." Song Ying said: "Supposedly, two months ago, after opening his heavenly eye to see Master Song's past and future, he incurred heavenly punishment and lost his sight."

Translation: "I know a little." Song Ying said: "It's said that two months ago, after opening his heavenly eye to see Master Song's past and future, he suffered heavenly punishment, and his eyes could no longer see anything."

Note: "Opening heavenly eye" means opening heavenly eye; "Master Song" refers to Master Song.

He went to Johns Hopkins for treatment; the diagnosis was diabetic eye disease, and he was given treatment to control blood sugar, improve microcirculation, and anticoagulate, but it was ineffective.

Translation: He went to Johns Hopkins Hospital for consultation; diagnosed with diabetic eye disease, given treatment to control blood sugar, improve microcirculation, and anticoagulate, but the effect was poor.

Saying that, he paused.

Translation: As he spoke, he paused.

"It could also be that Master Yan isn't cooperating."

Translation: "It could also be that Master Yan is uncooperative."

"What medication is he taking to control his blood sugar?" Zheng Ren asked.

Translation: "What medicine is taken to control blood sugar?" Zheng Ren asked.

"He's been using self-harvested Chinese herbs to control it for decades, and it's worked fairly well."

Translation: "He himself gathered the herbal medicine, which he's taken for decades; the effect has been not bad."

"Really? Using Chinese medicine to control blood sugar?" Su Yun exclaimed, then laughed: "It's been less than ten years; if he's kept it under control for many years, that's really impressive."

Translation: "Really using herbs to control blood sugar?" Su Yun exclaimed, then laughed: "Less than ten—if it's been controlled for many years, the effect really is not bad."

Usually many patients self-administer oral Chinese medicine to control blood sugar, but most find it ineffective and eventually switch to subcutaneous insulin injections.

Translation: Usually many patients self-administer oral herbs to control blood sugar, but most find it ineffective, eventually switching to subcutaneous insulin injection.

Those who manage to control their blood sugar well do so by combining exercise with improving their internal bodily environment.

Translation: Those who manage to control blood sugar well do so by combining exercise and improving the internal bodily environment.

There's a joke about a person with high blood sugar who runs every day; his blood sugar drops, but he ends up getting lung cancer.

Translation: There's a joke: a person with high blood sugar runs every day; later his blood sugar drops, but he gets lung cancer.

This is a complaint about the smog in the capital, but there's some truth to it.

Translation: This is a complaint about the smog in the imperial capital, but there's some truth to it.

"Let's look at the patient; the fundus exam definitely shows vascular changes, though there are no fundus photos. Hopkins' work isn't very meticulous, is it?" Zheng Ren rarely complained.

Translation: "Let's look at the patient; the fundus exam indeed shows vascular lesions, just lacking the fundus photos. Johns Hopkins' work isn't very meticulous, is it?" Zheng Ren rarely complained.

"It's as if you're showing me the pictures and expecting me to understand." Su Yun said.

Translation: "It's as if they're giving you the pictures and expecting you to understand them." Su Yun said.

"Although we're not ophthalmologists, we do interventions and are still quite sensitive to blood vessels." Zheng Ren said.

Translation: "Although we're not ophthalmologists, we who do interventional work are still quite sensitive to blood vessels." Zheng Ren said.

"I'm a cardiothoracic surgeon." Su Yun said coldly.

Translation: "I am a cardiothoracic surgeon." Su Yun said coldly.

This guy never forgets he's a cardiothoracic person; Zheng Ren smiled and continued flipping through the case from the start.

Translation: This guy never forgets he's a thoracic person; Zheng Ren smiled and continued flipping through the case from the beginning.

Song Ying watched Zheng Ren, focused and dedicated, and felt a sigh.

Translation: Song Ying watched Zheng Ren, focused and dedicated, and felt a sigh.

Together with the renowned Master Yan, in Boss Zheng's eyes he was merely a—patient.

Translation: Together with the renowned Master Yan, in Boss Zheng's eyes he was merely—a patient.

Although many flock to see the famous Master Di, Boss Zheng isn't interested.

Translation: Speaking of earth masters, many flock to them, but Boss Zheng isn't interested.

But when it comes to being a patient, Boss Zheng starts to care.

Translation: But when it comes to being a patient, Boss Zheng starts to care.

This person can succeed, especially in technical success, which is absolutely not accidental.

Translation: This person, to succeed—especially in technical success—is absolutely not a matter of chance.

Soon, the car drove to a small manor near Fragrant Hills and stopped at the gate.

Translation: Soon, the car drove to a small manor near Xiang Shan and stopped at the gate.

"The place is nice." Su Yun gave an evaluation.

Translation: "The place is not bad." Su Yun gave an evaluation.

The houses here are more than just nice. Song Ying smiled and led Zheng Ren and Su Yun into the courtyard.

Translation: The houses here are more than just not bad. Song Ying smiled and led Zheng Ren and Su Yun into the courtyard.

A few arrangements in the courtyard are tastefully scattered, making one feel refreshed and delighted.

Translation: A few arrangements in the courtyard, tastefully scattered, make one feel refreshed and delighted.

Although Zheng Ren didn't understand it, he also thought it was quite good, but the plain elegance did not give people a simple feeling.

Chu Huainan stood in the courtyard, greeting Zheng Ren.

After not seeing each other for a while, Chu Huainan seemed in good spirits, still as thin as ever, but his complexion was fine, his face glowing with red.

"Zheng Lao Ban, you've come." Chu Huainan extended his hand.

They shook hands briefly, Zheng Ren just smiled, saying nothing.

"This time, it was my carelessness, Zheng Lao Ban, don't blame me." Chu Huainan said frankly.

"It's fine, just seeing a patient, don't be so polite." Zheng Ren laughed.

"Please come inside." Chu Huainan ushered Zheng Renrang into the house.

The living room was large, with a few chairs placed inside, making it seem somewhat empty.

An old man sat in the guest seat, holding a translucent purple clay teapot in his hand, leisurely drinking tea.

"Master Yan, Zheng Lao Ban has arrived." Chu Huainan introduced.

Yan Master lifted his head; Zheng Ren saw his eyes dull and lifeless, indeed blind. The System Panel glowed faintly red, and several diagnoses appeared starkly before his eyes.

After glancing at the diagnosis, Zheng Ren was stunned for a moment.

Not diabetic eye disease?