Chapter 1706: 1648 Eager to Try
Zhao Wenhua heard the two people's conversation and thought his distant relative likely had a rare disease.
He became alert; although Su Yun wasn't there, his mind remained constantly tense.
Zhao Wenhua had already examined this image several times.
The patient had a history of coughing up blood, bilateral lower lung inflammation, plus mild bronchiectasis, occupying the right lower lung.
A typical, exceedingly typical case history, with symptoms and imaging findings also very clear.
Although Zhao Wenhua wasn't a thoracic surgeon, being a specialized radiologist, he was still confident in reading images.
He had seen countless similar images in his lifetime.
It was definitely a space-occupying lesion in the right lower lung; although termed space-occupying, the likelihood of lung cancer was greatest! Same as the diagnosis written on the CT room's report, Zhao Wenhua also gave this diagnosis.
He knew the director of the CT room, Chu, was strict, requiring his subordinate professors to read images strictly, and to discuss difficult cases department-wide.
The report certainly wouldn't come from a junior doctor's hand.
This is a conspiracy!
This is a persecution!
And I am the victim!
After carefully reviewing the images, Zhao Wenhua reached this conclusion.
"Professor Zhao?" Zheng Ren, seeing Zhao Wenhua silent, asked again.
"Hmm?" Zhao Wenhua spaced out for a moment.
"Is this your patient? You're preparing for an interventional procedure, right? Could you call me during the surgery? I'd like to watch." Zheng Ren said with a warm smile.
The address for Zhao Wenhua went from "you" to "honorable you," from low to high.
"..." Zhao Wenhua stared, stunned.
Countless thoughts raced through his mind, but in the end they all mixed together into a paste.
Zheng Ren saw Zhao Wenhua standing beside him with a bewildered look, and found it strange.
Usually this person looks sharp; what's wrong today? Did he not sleep well last night, or did today's surgery go poorly?
After waiting a few seconds, Zhao Wenhua still looked bewildered, so Zheng Ren asked, "Professor Zhao?"
"Um... ah?" Zhao Wenhua replied instinctively.
"What's wrong with you?" Zheng Ren asked, puzzled. "Did today's surgery not go smoothly?"
"Smooth, very smooth." Zhao Wenhua, fearing Zheng Ren would trap him, answered immediately. The speed was completely unlike his earlier bewildered state.
"Oh, that's good. Professor Zhao, for this rare pulmonary isolation patient, when are you planning the surgery? Could you call me during the procedure?"
Zheng Ren had encountered a rare case, just as Xie Yiren would upon finding tasty food, unable to move his legs, speaking very gently and kindly.
"Pulmonary isolation?" Zhao Wenhua was truly stunned this time.
"Yes, it's quite obvious pulmonary isolation. You should..." Zheng Ren said, then stopped abruptly.
He wanted to say offhand—you wouldn't have missed it, would you?
But if he said that, Zhao Wenhua might not call him during surgery. Sigh, for the sake of watching the pulmonary isolation surgery, he'd better endure it.
Zhao Wenhua's thoughts flashed; he vaguely remembered learning about pulmonary isolation in an obscure corner of internal medicine during his studies.
But the description was under a hundred characters, merely a simple note saying it was a rare lung disease.
This wasn't an exam point, so Zhao Wenhua, the exam-savvy scholar, basically ignored this section.
To retain a vague impression and still recall it twenty years later was already quite impressive.
Seeing Zhao Wenhua's expression, Zheng Ren thought he might have misdiagnosed, hesitated slightly, then said: "Professor Zhao, the diagnosis is pulmonary isolation, and there's no dispute about that."
Zhao Wenhua remained silent, not taking the images, and stood silently behind Zheng Ren.
Zheng Ren understood this gesture as a hint for him to explain.
Because he refused to transfer a post-op problematic patient to thoracic surgery, there had been conflicts between them, so it was normal for him not to ask for advice.
Usually, Zheng Ren wouldn't bother with Zhao Wenhua either. What's that called? Different paths, no joint plans.
But after finishing the surgery, upon seeing the pulmonary isolation image hanging on the viewer, his trigger finger twitched instantly.
"Boss, Qin Tang said..." Su Yunxing rushed in, looked up, and saw the image on the viewer.
"Yo, where did you dig up this pulmonary isolation patient?" Su Yun became excited.
Without mentioning Qin Tang, he bumped his shoulder, shoving Zhao Wenhua aside; another bump knocked Professor Rudolf Wagner aside, and he stood before the viewer, extremely excited.
"Tsk tsk, I've performed pulmonary isolation once before; this disease is quite rare." Su Yun remarked while showing off.
"Hmm? Cut it?" Zheng Ren asked.
"Right, if you don't cut, you were preparing to use interventional..." Su Yun said, his face slightly changing, then quickly corrected: "It seems interventional surgery can also treat it."
"Definitely can; I've read two reports, both using interventional surgery to treat it. Small trauma, quick recovery—any way it's stronger than thoracic surgery." Zheng Ren looked at the image, mentally simulating the procedure, and casually said.
"Don't spout nonsense; if you say that, thoracic surgery might as well go bankrupt."
"You can't say that either; peripheral pulmonary nodules can be resolved with radiofrequency ablation. But if there's a leak, you still need thoracic surgery to step in and cut."
"Saying that makes you unpopular; if you keep talking like that, you'll eventually get beaten up." Su Yun said disdainfully.
"How good is my thoracic surgery? In the end I still ended up doing interventional." Zheng Ren used himself as an example, leaving Su Yun unsure how to retort.
He held a mouthful of old blood in his heart, glaring fiercely at Zheng Ren.
"Brother, I've got a sense of it in my heart—you're a general surgeon, right!"
"Zheng... Boss, can this interventional be done?" Zhao Wenhua stammered from behind.
Zheng Ren suddenly remembered Zhao Wenhua standing behind him, smiled, and said: "Professor Zhao, that's how it is."
He pointed at the shadow on the image and said: "Pulmonary isolation refers to a rare congenital lung developmental abnormality, where abnormal systemic arterial blood supply forms a cystic mass in part of the lung tissue.
This lung tissue may communicate with the bronchi, causing recurrent localized infections; if not communicating, it shows no respiratory symptoms, also known as bronchial pulmonary isolation."
"..." Zhao Wenhua recalled, Zheng Ren's words matched the textbook almost exactly, not a single character off.
Is this the Teacher giving students a lesson? Or is it just reading straight from the book?
However, it's possible I misread the condition, and there's no reason for it. Zhao Wenhua could only stand honestly at the back, listening to Zheng Ren's explanation.
"Do you have the previous slides? Professor Zhao." Zheng Ren asked.
"Yes..." Zhao Wenhua, although a bit hesitant, still took out the previous slides and handed them to Zheng Ren.
End of Chapter
