Chapter 1804: and translation of title

Mao Chi wanted to say something, but as soon as he thought of the incident a few days ago at the International Hospital where they had intervened and removed the large frame from inside the heart, his mouth was as if covered by an invisible big hand, and he couldn't utter a word.

A few days ago, during Director Yan's surgery, when she arrived, two purplish-black blood clots lay before her. She had rushed over in extreme urgency; from receiving the news to entering the Operating Room, she didn't even have 20 Minutes.

But Zheng Lao Ban had already finished the Shou Bing.

Even after finishing, Zheng Lao Ban didn't even have the thought of sending Director Yan back to the ward.

He just flicked his hand and left, truly treating Director Yan as an ordinary patient.

Although at the time they faced a collective 'poisoning' incident with an unclear diagnosis, if it were another person, they would surely have sent Director Yan back to the ward and said a few warm words.

Why is he so confident?

It's not just because his Technique level is high. Although I don't know why Zheng Lao Ban is so arrogant and overbearing this time, there must be a reason.

Director Zhang glanced at Sun Chao, feeling that this guy would most likely die in 912.

She had dealt with Zheng Lao Ban several times; his diagnosis is very skilled, and this is an indisputable fact.

The Ion Channel Disease case where the family gave up, Director Zhang has always kept it in mind.

Every time she recalls, she is amazed at how Zheng Lao Ban can be so certain, as if there is not a hint of hesitation.

This time, it should be the same.

Zheng Lao Ban is definitely not someone who doesn't know the importance; if he says to open the chest, there is a reason for it.

Sun Chao glared at Zheng Ren, while Zheng Ren completely ignored the mosaic beside him. Who would argue with a mosaic?

Zheng Ren carefully examined the lung CT scan again, reconstructing the surgery in his mind.

Although there is no Experiment subject, only a virtual surgery, but if it can be done, do it, seize the time. Zheng Ren has accumulated a lot of Surgical Training Time, but he is still stingy and unwilling to waste it.

Before going on stage, at least another three or five Surgical Trainings are needed; now being a bit more proficient is better than nothing.

Zheng Ren also has some worries; the Big Pig Trotter never wants to give a peak-level Skill book.

I also haven't found a way to reach peak level in surgical technique; I can only perform the Shou Bing at Master level.

Just then, a hurried footsteps sound came from the hallway.

Lin Ge's heart stirred, he looked up.

President Zhang quickly walked in; Lin Ge hurried forward, extending both hands, saying: 'President Zhang, you really came.'

'How is it?' President Zhang asked hurriedly.

'The situation is not good; now we suspect pulmonary Artery embolism.' Lin Ge said: 'Our opinion is to perform emergency thoracotomy Shou Bing.'

President Zhang was stunned for a moment; emergency thoracotomy Shou Bing, or heart Shou Bing……

This pressure is somewhat large.

'Has Director Yan been discharged?' President Zhang asked.

'He has been discharged, resting at home. You also know, Director Yan's…… Vice President Yuan is in a meeting at the ministry, heading back now.' Lin Ge reported: 'However, the patient's condition, our assessment is not optimistic; we need to seize time for Shou Bing.'

'There's not even time for a CTPA?' Sun Chao shouted angrily, 'You are so irresponsible, this is a crime!'

President Zhang really froze this time.

He knows Sun Chao, the Director Sun from Medical University Affiliated Hospital; Director Sun is short and chubby, the kind of person who can't see his toes when bowing his head.

It's hard to forget him.

But why would Director Sun appear here?

'Director Sun? What do you mean?' President Zhang asked in astonishment.

'Boss, the echocardiogram images.' Su Yun squeezed into the crowd at this moment, handing a stack of printed paper to Zheng Ren.

'Good, Teachers with questions, I will now explain why the condition is urgent and the diagnosis is pulmonary Artery embolism.' Zheng Ren said: 'Su Yun, send the patient!'

Whether it was Lin Ge, or Shao Zong, or Director Zhang, or Director Mao, none spoke.

When Zheng Lao Ban finished saying the three words 'send the patient', his eyes narrowed, scanning the crowd.

Those with opinions also had their mouths shut by his sharp gaze.

'So hasty, it's simply reckless endangerment of life!' Director Sun shouted angrily, 'Isn't anyone managing 912?'

Mao Chi lowered his head, looking at the ground as if there were some image there. Meanwhile Lin Ge smiled slightly, saying: 'I trust Zheng Lao Ban's diagnosis; if something happens, our Medical Department will take responsibility.'

Sun Chao almost spat out a mouthful of old blood.

MLGBD! Is the Medical Department of 912 crazy? Unconditionally supporting this young Zheng Lao Ban?!

This is simply too crazy.

'President Zhang, you can make the decision, right?' Zheng Ren faced President Zhang directly and asked.

President Zhang cautiously nodded, but said nothing.

'Then I will explain the echocardiogram images; if any Teacher has questions, raise them directly. If there are no questions, after I finish we will start the operation.' Zheng Ren said: 'There is no time left.'

Hearing him say those words 'there is no time left', everyone's hearts turned cold.

Although pulmonary Artery embolism is urgent, it's not like a myocardial infarction where death occurs in just a few Minutes.

What does he mean by saying that?

'First, as the most distinctive feature of the echocardiogram, when the ratio of the right ventricle to left ventricle anteroposterior diameter >0.5; the ratio of the right ventricle to left ventricle transverse diameter >1.1, or the left ventricle's systolic and diastolic diameters both decrease, especially the diastolic diameter, then thrombotic pulmonary embolism can be diagnosed.'

'This point, judging from the echocardiogram image, is very clear, without doubt.' Zheng Ren spoke loudly; although his voice was still urgent, it carried a resonant metallic clang.

'Second, under normal conditions, the motion amplitude of the right ventricle anterior wall should be >5mm, the motion amplitude of the right ventricle free wall >8mm; but for pulmonary embolism patients, the motion amplitude from the base to the free wall of the right ventricle wall is reduced, even disappearing.'

Zheng Ren held the echocardiogram image, saying: 'Ladies and gentlemen Teachers, any questions?'

The image was printed out, and the people around involuntarily gathered around, carefully examining the image.

What Zheng Ren said was reasonable and well-founded, impossible to refute.

Even Sun Chao couldn't utter a word to deny Zheng Ren's statement.

'Third, normally the main pulmonary artery diameter <30mm, the right pulmonary artery <20mm; whereas in patients with thrombotic pulmonary artery hypertension, MPA >30mm, RPA >20mm; in chronic thrombotic pulmonary artery hypertension patients, the MPA expansion is even more evident.'

"In the image, RPA is 28mm, preliminarily judged as acute pulmonary artery embolism." Zheng Ren continued speaking.

"Fourth point, I don't know if you all know the calculation formula for the inferior vena cava collapse rate." Zheng Ren said, glancing at Principal Zhang.

Zheng Ren said, glancing at Principal Zhang.

He was trying to convince Principal Zhang; as for that angry mosaic beside him, Zheng Ren had no impression whatsoever.

Principal Zhang was already dumbfounded.

What the hell is this? Standard science guy's thinking, spitting out one-two-three-four-five, what else can I say?!