Chapter 1785: with translation of chapter title
Normally, if he decides not to eat or something like that, Su Yun won't force him. At worst, he'll go out for skewers and drinks; as long as there's alcohol, he's fine.
But we need to keep the meaning exactly. Let's produce a concise translation.
"Generally speaking, if I decide not to eat or something, Su Yun won't force me. At worst I'll go out for skewers and drinks; as long as there's alcohol, that's fine for him."
Normally, if he decides not to eat or something like that, Su Yun won't force him. At worst, he'll go out for skewers and drinks; as long as there's alcohol, he's fine.
Interpretation: "Under normal circumstances, if I decide not to eat or something like that, Su Yun won't force me. At worst, I'll go out for skewers and drinks; for him, as long as there's alcohol, that's enough."
We'll produce: "Generally, if I decide not to eat or something, Su Yun won't force me. At worst I'll go out for skewers and drinks; as long as there's alcohol, that's fine for him."
We need to keep the meaning; it's fine.
Now we must output 【1】 translation.
"Besides Master Yan, who else?" Zheng Ren thought for a moment, quickly linked several possible candidates, and whispered.
Translate: '"Besides Master Yan, who else?" Zheng Ren thought briefly, immediately linked several possible people, and asked in a low voice.'
We need to use Master Yan from glossary? Not in glossary; we need to translate as Master Yan. We'll use "Master Yan". Also Zheng Ren from glossary.
Thus: '"Besides Master Yan, who else?" Zheng Ren thought briefly, immediately linked several possible people, and asked in a low voice.'
"Chu Nu Ang Sai's Anglo‑Saxon‑looking apprentice in a Western suit, you remember that, right?" Su Yun said with a smile: "He said he'd come today; I've been waiting for his call."
Translate: '"Chu Nu Ang Sai's Anglo‑Saxon‑looking disciple in Western suit, you remember that, right?" Su Yun said with a smile: "He said he'd come today; I've been waiting for his call."'
"Chu Nu Ang Sai's Anglo‑Saxon‑looking disciple in a Western suit, you remember that, right?" Su Yun smiled and said: "He said he'd come today; I've been waiting for his call."
Su Yun said with a smile.
"Do you have confidence in the technique?"
have confidence
"Of course, otherwise why would I grab your phone?" Su Yun said.
Translate: '"Of course, otherwise why would I grab your phone?" Su Yun said.'
Indeed, that's the case. Zheng Ren smiled and said nothing.
Translate: '"Indeed, that's the case," Zheng Ren smiled and said nothing.'
I'm actually looking forward to it; if we can get the relevant technology through Chu Nu Ang Sai, and not even mentioning mass production, just being able to trial it on our side would be good.
Translate: '"I'm actually looking forward to it; if I can get the relevant technology through Chu Nu Ang Sai, and not even mention mass production, just being able to trial it on my side would be good."'
Zheng Ren hopes to obtain a few technologies, but Su Yun seems to have added countless other things, and he's not sure whether Chu Nu Ang Sai can get hold of all of them.
Translate: '"What Zheng Ren most hopes to obtain are a few technologies, but Su Yun later seemed to have added countless things, and he's not sure whether Chu Nu Ang Sai can get hold of all of them."'
But having some feedback is good; Zheng Ren's impression of Chu Nu Ang Sai is quite positive.
Translate: '"But having any feedback is good; Zheng Ren's impression of Chu Nu Ang Sai is excellent."'
He didn't disappoint the risk I took—【practitioner, death】—to perform surgery on him.
"Not disappointing the risk I took—【practitioner, death】—to perform surgery on him."
Seeing Zheng Ren's expression, Su Yun knew what he was thinking and said: "You're the type who says no with your mouth but your body is always honest."
Translate: '"Seeing Zheng Ren's expression, Su Yun knew what he was thinking and said: "You say you don't want it, but your body is always honest.""'
"It's okay, the key is I don't know what to do. How did Master Yan end up with Chu Nu Ang Sai?" Zheng Ren asked.
Translate: '"Not bad; the key is I don't know what to do. How did Master Yan and Chu Nu Ang Sai get together?" Zheng Ren asked.'
Both directors looked completely bewildered.
Translate: '"Both directors looked completely bewildered."'
Putting Master Yan's cliché nickname together with Chu Nu Ang Sai's name that sounds distinctly Southeast Asian feels extremely jarring.
Translate: '"Putting Master Yan's cheap‑street title together with Chu Nu Ang Sai's obviously Nanyang‑style title feels extremely jarring."'
"Chu Nu Ang Sai is still somewhat trustworthy; that Western‑suit‑wearing disciple is named William, and his background is not insignificant," Su Yun said with a smile.
Translate: '"Chu Nu Ang Sai is fairly trustworthy; that Western‑suit disciple is named William, and his background is not small." Su Yun said with a smile.'
"Not insignificant?"
Translate: '"Not small?"'
"Well, he's said to be the only normal man in an ancient family," Su Yun said with a smile.
Translate: '"Hmm, it's said he's the only normal man of an ancient family." Su Yun said with a smile.'
Zheng Ren can't be bothered chatting with him; aside from wanting to think when analyzing the condition, he'd rather just laze around like a panda hanging in a tree, waiting to die.
Translate: '"Zheng Ren couldn't be bothered to chat like this; aside from wanting to think when analyzing the condition, he usually just wants to be a lazy panda hanging in a tree, waiting to die."'
After changing clothes, Zheng Ren waited for Xie Yiren to come out, then called Lao He and they drove together to the Tang Song Restaurant.
Translate: '"After changing clothes, Zheng Ren waited for Xie Yiren to come out, then called Lao He and they drove together to Tang Song Restaurant.'"
Song Ying stood at the doorway, and upon seeing Zheng Ren and his party approach, he greeted them with a beaming face.
Translate: '"Song Ying stood at the door; seeing Zheng Ren's group arrive, he greeted them with a beaming face."'
"Boss Zheng, you've been doing splendidly lately," Song Ying said with a smile.
Translate: '"Boss Zheng, you've been doing great lately." Song Ying said with a smile.'
"Not really."
Translate: '"Not really."'
The group walked in, chatting and laughing, full of enthusiasm.
Translate: '"The group went in, chatting and laughing, full of enthusiasm."'
……
Translate: '"……"' (just ellipsis). We need to output exactly the ellipsis? The line contains two dots? Actually it's "……". That's two Chinese ellipsis characters? Usually it's two dots? We'll output "……". Keep as is.
……
Same.
Massachusetts General Hospital.
Translate: '"Massachusetts General Hospital."'
Doctor Mark looked at the email, made an exaggerated gesture, and said: "Jason, is this the level of our newly arrived lifetime professor?"
Translate: '"Doctor Mark looked at the email, made an exaggerated gesture, and said: "Jason, is this the level of our newly arrived lifetime professor?""'
Doctor Mark
Thus line27: '"Doctor Mark looked at the email, made an exaggerated gesture, and said: "Jason, is this the level of our newly arrived lifetime professor?""'
Jason frowned and said: "Why check a thyroid ultrasound?"
Translate: '"Jason frowned and said: "Check a thyroid ultrasound? Why?""'
"We can't find a reason for the onset, just talking nonsense. The thyroid—could he suspect the patient has thyroid storm?" Doctor Mark said dismissively: "Thyroid storm usually occurs during a Hashimoto's..."
Translate: '"No reason for the onset, just random talk. The thyroid—could he be suspecting thyroid storm?" Doctor Mark said contemptuously: "Thyroid storm usually occurs during…"'
We need to keep the ellipsis at end: "……". We'll keep as is.
Saying that, he paused for a moment.
Translate: '"Saying that, he froze for a moment."'
The inpatient CT enhancement used a large amount of iodine contrast!
Translate: '"The CT enhancement done upon admission used a large amount of iodine agent!"'
And the typical symptoms of thyroid storm—high fever, profuse sweating, rapid heartbeat, irritability, anxiety, delirium, nausea, vomiting, diarrhea—are strikingly similar to his patient's condition.
Translate: '"And the typical symptoms of thyroid storm—high fever, sweating, tachycardia, irritability, anxiety, delirium, nausea, vomiting, diarrhea—are so similar to my patient's."'
Could it be that from the very start, I misdiagnosed?
Translate: '"Could it be that I've misdiagnosed from the start?!"'
Doctor Mark's look of contempt froze into ice as he considered many possibilities; the most severe, also closest to the truth, was that his initial consultation over ten weeks ago was a misdiagnosis!
Translate: '"The contemptuous expression on Mark's face froze into ice; he thought of many possibilities, the most severe and also the closest to the truth—that his initial consultation over ten weeks ago was a misdiagnosis!"'
It's not some cyclic vomiting syndrome; it's the damned thyroid acting up!
Translate: '"It's not some cyclic vomiting syndrome at all; it's the damned thyroid that's gone wrong!"'
Doctor Jason also thought of some possibilities, but his understanding of the patient's condition isn't as deep as Doctor Mark's, so he still hesitates.
Translate: '"Doctor Jason also thought of some possibilities, but his understanding of the patient's condition isn't as deep as Mark's, so he still hesitates."'
"No, we need to do a thyroid check right now!" Doctor Mark jumped up from his chair, as if a spring were installed under his seat.
Translate: '"No, we need to do a thyroid check right away!" Mark sprang up from his chair as if a spring were installed under his buttocks.'
Rapid heartbeat and weight loss are the most prominent signs indicating hyperthyroidism.
Translate: '"Tachycardia and weight loss, the two most prominent signs, indicate hyperthyroidism."'
Doctor Mark, considering weight loss and rapid heartbeat against the backdrop of agitation, vomiting, and neuropsychiatric signs and symptoms, found hyperthyroidism suddenly becoming a key differential diagnosis.
Translate: '"Considering weight loss and tachycardia against the backdrop of agitation, vomiting, and neurological/psychiatric signs and symptoms, hyperthyroidism immediately became one of the most important differential diagnoses for Mark."'
Damn, how did I not think of that?
Translate: '"Damn, how did I not think of that?"'
This isn't even anything; during this hospitalization, I gave an enhanced CT to a patient with hyperthyroidism!
Translate: '"That's not all; during this hospitalization I gave a hyperthyroid patient an enhanced CT!"'
A large amount of iodine contrast entered the body, and the thyroid's function immediately fell into chaos……
Translate: '"A large amount of iodine agent entered the body, and the thyroid's function immediately fell into chaos……"'
Doctor Mark broke into a sweat, pushing the ultrasound machine to the female patient's side.
Translate: '"Mark broke out in sweat, pushing the ultrasound machine to the female patient's side."'
On the thyroid's transverse and sagittal grayscale and color Doppler ultrasound images, the thyroid's sagittal dimension is at the upper limit of normal, and Doctor Mark saw mild uneven echogenicity.
Translate: '"On the thyroid's transverse and sagittal grayscale and color Doppler ultrasound images, the sagittal dimension was at the upper limit of normal, and Doctor Mark saw mild uneven echogenicity."'
On the color Doppler image, the entire gland is clearly hyperemic, a characteristic manifestation of Graves' disease known as the "sea of fire"!!!
Translate: '"On the color Doppler image, the entire gland was markedly hyperemic, a characteristic manifestation of Graves' disease, called the "Fire Sea Sign"!!!""'
"Sea of fire"!!!
This Doppler flow pattern has high specificity (88%–95%) and sensitivity (95%) for Graves' disease,
Translate: '"This Doppler flow pattern has high specificity (88%–95%) and sensitivity (95%) for Graves' disease, and Graves' disease patients have higher systolic peak flow velocity than those with thyroiditis from other causes!"'
Standard Graves' disease, also known as toxic diffuse goiter, is caused by a stimulating substance in the blood that excites the thyroid, presenting with high metabolism, diffuse thyroid enlargement, and exophthalmos.
Translate: '"Standard Graves' disease, also called toxic diffuse goiter, is caused by a stimulating substance in the blood exciting the thyroid, resulting in high metabolism, diffuse thyroid enlargement, and exophthalmos—the three major features."'
The patient's condition was not severe, but that damned contrast-enhanced CT worsened it, necessitating ICU admission for rescue and treatment.
Translate: '"The patient's condition wasn't serious originally, but because of that damned enhanced CT, it worsened, so now he needs to go to the ICU for rescue and treatment."'
Jason also saw the "sea of fire" sign on the ultrasound. Unlike Mark, who had watched many surgery livestreams, his admiration for the surgeon had already grown to worship.
Translate: '"Jason also saw the Fire Sea Sign shown on the ultrasound machine. Unlike Mark, having watched many surgery live broadcasts, his reverence for the practitioner has long risen to worship."'
"Mark, you foolish idiot, look! His diagnosis is correct!" Jason said behind Dr. Mark.
Translate: '"Mark, you foolish idiot, see? His diagnosis is correct!" Jason said behind Doctor Mark.'
"As long as we can detect it, let's start thyroid treatment now." Dr. Mark said urgently.
Translate: '"Just being able to detect it is good; now let's do thyroid treatment." Doctor Mark said promptly.'
After administering methimazole, Dr. Mark finally breathed a sigh of relief.
Translate: '"After treatment with methimazole, Doctor Mark finally breathed a sigh of relief."'
If we identify the correct cause and administer proper treatment, the patient will gradually recover within three to five days.
Translate: '"As long as we find the correct cause and give the correct treatment, the patient will gradually improve in 3–5 days."'
"Damn cyclic vomiting syndrome—this is definitely not the diagnosis!"
Translate: '"Damn the cyclic vomiting syndrome—it's definitely not this diagnosis!"'
After finishing, Jason shrugged and said, "Mark, I suggest you show proper respect to the tenured professor—look, your doubts quickly exposed your stupidity."
Translate: '"After finishing, Jason shrugged and said: "Mark, I suggest you show due respect to the lifetime professor—you can see it, your doubts will quickly reveal your stupidity.""'
Dr. Mark sighed.
Translate: '"Doctor Mark let out a sigh."'
"The more you doubted at first, the more it proves your stupidity." Dr. Jason was pleased to see Dr. Mark's current condition.
Translate: '"The higher the initial level of doubt, the more it proves your stupidity from the side." Doctor Jason was pleased to see Doctor Mark's current state.'
"Jason, could you send me the link to that surgery livestream?" Dr. Mark didn't object; after recalling the whole diagnostic and treatment process, he expressed surprise that the tenured professor had reached the correct diagnosis in just over an hour.
Translate: '"Jason, can you give me the link to that surgery live broadcast?" Mark didn't object; after recalling the whole medical process, he expressed astonishment that the lifetime professor had made the correct diagnosis in just over an hour.'
You should write a passionate thank-you letter; if it weren't for him, your patients would die soon. Doctor Jason suggested.
End of Chapter
