Chapter 1782: 1721 Arrogant and Overbearing (Alliance Leader Vitiligo Disease Hacker Extra Update 2)

"Are you questioning my execution ability?" Su Yun asked contemptuously.

"Just do it, then after stepping down ask the results—whether there is fire sea syndrome." Zheng Ren ignored Su Yun's provocation and said casually.

"What are you doubting?" Su Yun was taken aback.

"Thyroid storm." Zheng Ren replied.

"Fine, I'll ask after stepping down." This time Su Yun didn't say anything else, but seriously agreed.

Director Luo pondered, the patient from Massachusetts General Hospital—could it be thyroid storm?

The causes of thyroid storm may be related to elevated thyroid hormone levels in circulation, and it often occurs in patients with severe hyperthyroidism untreated or inadequately treated.

Common triggers include infection, surgery, and mental stimulation; clinical manifestations are high fever, profuse sweating, tachycardia, irritability, anxiety, delirium, nausea, vomiting, diarrhea, and severe cases may have heart failure, shock, and coma.

Diagnosis mainly relies on clinical assessment. Cases highly suspected of this condition or with prodromal signs should be treated as such, and the mortality rate exceeds 20%.

The clinical presentation resembles the patient's symptoms—nausea, vomiting, abdominal pain. However, thyroid storm is too rare, and the patient also has a clear history of inhaling smoke from electrical fire, which I hadn't considered.

Professor Zhang saw the surgery end, hadn't heard anything about thyroid storm, and was recalling the procedure he had witnessed.

The surgery was well done, steady and fast, but Professor Zhang still couldn't understand some of the operations.

After all, he isn't a cardiothoracic surgeon; understanding most of it already makes him a doctor with solid basic knowledge.

As for fully understanding it, that simply doesn't exist. If one could achieve that, there'd be no need for Zheng Ren to save the situation.

"Boss Zheng, what's the use of the thick hemp rope tie plus double-lumen balloon catheter on the inferior vena cava?" Professor Zhang asked.

Su Yun was disdainful, saying: "I ask you, why did you give a large amount of low-molecular-weight heparin before surgery?"

"To prevent thrombus formation." Professor Zhang replied.

"Exactly, who knows how much thrombus there is before opening the heart?" Su Yun's tone was full of contempt, making everyone present feel embarrassed for Professor Zhang: "Applying a thick hemp rope tie plus double-lumen balloon catheter to the inferior vena cava controls bleeding and prevents dislodgement of thrombus adherent to the stent when it is removed."

After saying that, he paused.

"Can't you think one step further? You have to ask such a simple question?" Su Yun's contempt was exaggerated.

"……" Professor Zhang had never imagined being publicly belittled by a junior doctor like a grandson.

Under the mask, he opened his mouth, wanting to refute.

But… refute? What to say? He was clueless about the surgery; just remembering the procedure would already be good.

If he tried to refute, he feared his mouth would be blasted straight to the airtight lead door of the operating room by that sharp-tongued doctor.

Forget it, his skill is inferior; what's there to say?

Lao He knew this person, Professor Zhang; when he resigned years ago, it caused quite a stir in the hospital.

The private hospital reached out to 912, and the one who left wasn't an inpatient chief but a team-leading professor.

I never expected Professor Zhang today to be so thoroughly dressed down by Su Yun—it's actually kind of interesting.

Too arrogant! But Lao He likes it.

Just like at the Medical University Affiliated Hospital, no matter how much Director Tian dislikes him or how he's disparaged, that guy still has to grit his molars and endure.

If Boss Zheng can pull off the surgery, it's like saving them from water and fire; even if he farted, these people would have to follow. Speaking harshly, but it's true: as long as the surgery succeeds, everything else is trivial.

Could I also be a bit arrogant?

Lao He thought of this and gave a self‑mocking laugh. The earlier incident with Section Chief Mao still lingered in his mind, not fading anytime soon.

I should just be an honest person; unlike Yun Ge'er, who is so arrogant, I don't have that capability.

Others, when they were graduate students, were hailed as the rising star of cardiothoracic surgery in the capital; I, after earning my doctorate and working about twenty years, am still rotating in small teams.

Lao He still has clear self‑awareness, carrying a USB drive just for a song called "Good Luck Come" that Boss Zheng may or may not like.

Unfortunately, Boss Zheng is impervious to weapons and has no hobbies. Lao He glanced at Zheng Ren, feeling helpless.

Others enjoy drinking, gambling, and lust—the so‑called wine, color, wealth, and qi—are hard to avoid. Boss Zheng, however, eats little, doesn't drink alcohol. His girlfriend, self‑sufficient, even brings surgical instruments.

It's like a dog biting a hedgehog—nowhere to get a grip.

Still, we need to observe closely; when Boss Zheng is comfortable, I can be more comfortable too—Lao He thought.

After suturing the skin, Zheng Ren stepped down and tore off the sterile gown.

"Boss Zheng, you've worked hard," Mao Chi said with a smile.

"It's fine, Director Mao; the surgery isn't major, just the instruments are awkward," Zheng Ren laughed.

The surgery isn't major……

All right, they completed the surgery smoothly; they can say whatever they like.

"Professor Zhang, here are a few points to note for postoperative care on this side," Zheng Ren then said, looking at Professor Zhang.

"Ah? Oh oh, you say, you say." Professor Zhang hurriedly replied.

"No obvious thrombus was seen on the retrieved stent; considering that preoperative aggressive heparin anticoagulation had some effect."

"Your patient's stent lodging position is special; intraoperatively we saw atrial septum wear; to prevent myocardial edema, postoperative steroid therapy should be given actively."

"During cardiopulmonary bypass we gave methylprednisolone 500 mg and ulinastatin 500,000 units; after returning to the ward we continue methylprednisolone 40 mg daily for three days, supplemented with appropriate diuretics."

Professor Zhang's mind was still caught between the joy of surgical success and the dilemma of communicating with the patient's family; Zheng Ren's rapid-fire talk left him utterly bewildered.

He tried to recall, but his thoughts were a jumble; he couldn't remember anything.

"Zheng… Boss Zheng, please speak slower," Professor Zhang said sheepishly.

"Shall I get you a cup of coffee? Let's sit down and chat slowly—the coffee from the Medical Adjustment Committee is said to be not bad." Su Yun removed the patient's sterile sheet and said contemptuously.

"……"

"Get a pen and paper, note it down, then rush the patient to the ICU. If your side's ICU technical strength isn't strong, go find someone at 912." Zheng Ren said gently.

Professor Zhang's face flushed red; he ran to the operating area, grabbed an A4 sheet and a pen. Zheng Ren repeated his postoperative orders; Professor Zhang wrote them down and carefully placed them in the pocket of the isolation gown.

"Boss Zheng, change your clothes," Mao Chi said with a smile: "Today I've troubled everyone; don't leave for a while, I'm treating you."

"Director Mao, you're too polite," Zheng Ren laughed.

"Of course, nobody is allowed to leave." Director Mao glared, feigning ferocity, actually expressing his determination to treat everyone.