Chapter 1803: with translation of chapter title

1741 Overbearing, that's just directly crushing past.

「Zheng Lao Ban? 」

「Zheng Lao Ban! 」

In the office, after a few greetings, the atmosphere changed.

Zheng Ren was in casual clothes, still carrying the gloomy, stern aura from the autopsy room, and he strode in.

Director Sun Chao was taken aback—this Zheng Lao Ban is truly overbearing! He didn't ask about the condition, didn't even look at the patient, and just said to go ahead?

「Director Lin, Director. 」 Zheng Ren gave a simple greeting and said, 「Is this the patient's films? 」

Shao Yongxiang quickly nodded.

Zheng Lao Ban had quickly become a legend; facing this legendary Zheng Lao Ban, among the many doctors of 912, no one could fail to feel pressure.

The truly pressure-free ones are those directors who came with Director Mao Chi.

They didn't know who Zheng Lao Ban was, so they thought the same as Director Sun Chao.

Only saw a young doctor stride in and directly reject doing a CTPA.

How can 912 be so lacking in decorum?

Judging by age, this person is under 30, probably hasn't even finished graduate studies—remarkably a doctor—and dares to contradict the senior directors' opinions?

Director Sun Chao narrowed his eyes and asked, 「Zheng Lao Ban, the pre-op CTPA clearly diagnosed—anything wrong? 」

Zheng Ren didn't even know who was speaking to him; he held his arms and looked at the films, and indeed the imaging data matched what he'd seen in the System Operating Room.

This Shou Bing, Zheng Ren has failed many times.

Because that pulmonary artery thrombosis is simply too long; after dissection, Zheng Ren saw it was a full 12 cm!

In the Intervention Department, thrombectomy elsewhere is fine—those with high skill can pull it out directly. But pulmonary artery thrombosis is different.

From the inferior vena cava, the guidewire goes in, passes through the heart—right atrium, right ventricle—to the pulmonary artery segment.

Because valves exist, it's like having to pass through various gates; the clot cannot be removed whole. It needs to be broken up and sucked out bit by bit.

Shou Bing takes a long time, and there's also a risk of re-thrombosis.

Even a 12‑cm clot, if Zheng Ren does Shou Bing, would take at least two hours!

And the experimental subject simply couldn't last that long; it would die from cardiopulmonary failure.

So now the only way out is to do angiography, confirm, then perform open‑chest Shou Bing, using surgical means to remove the clot.

The risk is great, but this is the only viable option.

Zheng Ren's Cardiothoracic Surgery Skill Tree is merely master‑level… well, "merely" master‑level, and he failed a full fifteen times before finding a chance of success.

On the way, he'd already called Lao He, Professor Rudolf Wagner, Liu Zewei, and Xie Yiren; they were to meet in the Hybrid Operating Room and prepare for emergency surgery!

But now, he has to convince everyone.

After all, doing a CTPA for pre‑op diagnosis is standard; but for Zheng Ren, it's not exactly difficult.

Originally his film‑reading level already outstripped others by an order of magnitude, and with reverse reasoning he could see even more clearly.

Director Sun Chao voiced what everyone else was thinking; the office fell silent. Even Su Yun stared at the films, puzzled, not knowing why her own Boss didn't choose interventional surgery.

Could it be that, just because of his own hobby, he wants to open the chest, dissect the heart, and perform Shou Bing treatment?

If that's the case……

Impossible—how could that guy abandon Interventional surgery because of his own hobby and opt for a higher‑risk Shou Bing method!

Su Yun gazed at the films, lost in thought.

「Here! 」 Zheng Ren's finger pointed at the viewer; the semi‑transparent glass emitted a thumping sound, like a war drum, stirring and heroic.

「Although the artifacts are heavy and the heart's internal structure isn't very clear, combining with cardiac ultrasound we can estimate that the patient's clot is relatively long. 」

「Guess? 」 Director Sun Chao sneered.

Lin Ge glanced at him, doubtful. "Is he here to cause trouble?" The two directors, Mao Chi and Zhang Lin, hadn't spoken—who did he think he was?

「Who are you? 」 Lin Ge asked.

「This is Director Sun Chao of the Vascular Surgery Department at Medical University Affiliated Hospital; he came for the annual meeting and, hearing of an emergency, came along to have a look. 」 Mao Chi broke out in a cold sweat and hurried to explain.

「The patient is a young woman; reportedly she's fine physically. 」 Zheng Ren didn't get angry, but explained.

But this time, he spoke very quickly, seeming a bit rushed.

「Su Yun, pull up the cardiac ultrasound images. 」 Zheng Ren said.

Su Yun hurriedly communicated with Manager Shao.

「Sudden shock means the condition is acute and severe! Moreover, a large amount of pleural fluid appeared after onset, indicating the patient's right pulmonary artery thrombosis is extremely severe—not something simple thrombolysis can fix. 」

「Imaging has already given a vague judgment. For more detail, we need to find the answer in the cardiac ultrasound images. 」 Zheng Ren spoke fluently, his voice urgent yet calm, exuding maturity and steadiness.

「Zheng Lao Ban, do you mean you can tell the severity of the pulmonary artery thrombosis from this CT? 」 Director Sun Chao finally found a loophole and directly challenged.

This is bloody nonsense!

After all these years, how could I not know how to judge pulmonary artery thrombosis? The clinical gold standard is pulmonary angiography, the silver standard is CTPA!

Can a single CT show that? Or is it just a bunch of white fluid in the right pleural cavity?

This is utterly irresponsible toward the patient!

Director Sun Chao was somewhat angry—how could 912 allow a young doctor to be so arrogant?

Um… although he can reconstruct cardiac ultrasound, although he can do interventional thrombectomy of bullet clots.

But doing that is also going too far!

Are we still supposed to follow clinical standards? He just says one sentence and negates the diagnostic gold standard—who does he think he is? A big shot in imaging?

This kind of "top student" is absolutely different from the school's top student.

The school's top student is just someone with good grades who dominates exams; the top student Director Sun Chao has in mind is of Newton's caliber.

Say you'll suppress someone, and you suppress them.

Is Leibniz badass? Newton said, just press, and all formulas must start with Newton.

912, are you trying to cultivate a top student?

Sun Chao was somewhat angry; even if he's a top student, he can't joke about a young student's life!

He glared angrily at Zheng Ren.

Zheng Ren didn't speak; he saw Su Yun on the phone. He guessed she was uploading more echocardiogram image data, which is exactly what he needed.

"Zheng Lao Ban?" Lin Ge whispered.

"The diagnosis is quite certain; soon the echocardiogram image will be uploaded, and I'll explain it to everyone."

Zheng Ren said this, and Sun Chao became even more furious.

"You think you're a Medical University student? Still explaining! Talking nonsense!"

"Are the patient's family members here? Can they sign?"

"The Medical University's President Zhang should be arriving soon; the parents definitely aren't here, and President Zhang will be fully responsible." Director Lin said.

"Okay." Zheng Ren said, "Prepare for Shou Bing; after President Zhang arrives, I'll finish explaining, and then we can sign and proceed."

"……" Everyone was stunned.

"This...... is too overconfident, too damn domineering!"