Chapter 1872: with translation of chapter title

Doctor Su, is this the medical record of the patient that Massachusetts General Hospital asked Zheng Lao Ban to consult on? Walking to the Community Hospital, Lin Ge asked.

"No." Su Yun said: "It's just the medical record of a patient who happened to be seen at Massachusetts General Hospital."

Lin Ge felt a little disappointed, but he wasn't in a hurry.

Although those words weren't spoken by Zheng Lao Ban, at the time he didn't express refusal. Given his honesty, he certainly wouldn't drag himself into trouble over this.

I don't need to worry at all; as long as I do my job well, good luck will naturally come.

Although it was already past midnight and I still couldn't understand the case analysis, being able to personally witness how strong Zheng Lao Ban is is also worthwhile.

Late at night, all was quiet, and the insects began to chirp—summer was coming.

And when this summer passed, it was the time when the Nobel Prize results would be revealed.

"Chief Zheng." Upon entering the Community Hospital, a burly man slowly stepped out of the dark corner and greeted Zheng Ren.

This startled Lin Ge.

It was like encountering a ghost.

"Lao Fan, get ready; we leave tomorrow." Zheng Ren waved his hand.

"Yeah, everything's ready." Fan Tian Shui stood at attention and replied.

"Don't be so serious, Lao Fan." Su Yun laughed and punched him, thump thump, "Staying up this late, will you have energy tomorrow?"

"I'm used to it; a few minutes of sleep can keep me going all day. I'll catch up on sleep when I get back, no problem." Fan Tian Shui said.

"One meal lasts three days? Sleep works like that too? Truly tough." Su Yun laughed: "With this ability, not being the Inpatient Chief would be a waste."

Zheng Ren didn't bother with his schedule and strode into the Community Hospital.

Arriving at the small demo room, Zheng Ren and Lin Ge sat down.

"Time is limited, and things aren't perfect yet. If Manager Zhou hadn't said we need to publicly show affection, what's presented before you two right now would surely blow your minds." Su Yun stood on the stage, chattering.

"Make the most of the time; we still need to rest a bit." Zheng Ren said.

"Then I'll keep it brief." Su Yun still felt a bit regretful: "Please put on your glasses, both of you."

"This is an elderly female patient who underwent sex reassignment surgery 35 years ago and has been on estrogen hormone therapy. Two years ago, she suffered a stroke due to cardiac-origin thrombosis, resulting in left-sided hemiparesis and progressive muscle weakness, with an LVEF of 30%, and her symptoms match those of a typical heart failure patient."

As Su Yun explained the condition, the VR glasses showed a pale-skinned elderly woman whose face was covered in scars and whose hair was thin.

Although it was virtual reality, Lin Ge hadn't expected it to be so lifelike.

Suddenly a shadow appeared beside Su Yun, startling him. Looking closely, the person's face was covered in scars, with several "fresh" blisters oozing yellow fluid.

"This is a zombie!" Lin Ge gave a wry smile. In just a few tens of minutes, was Su Yun here to make a horror film?

"The patient has congenital porphyria, as they say." Su Yun continued: "After the cerebral infarction two years ago, the patient stopped estrogen therapy and began taking aspirin, warfarin, furosemide, and atorvastatin."

"Six months ago, the patient was readmitted after a fall, with left-sided weakness, cough, exertional dyspnea, and lower‑limb edema. Repeat CTA and MRA showed chronic cerebral infarct lesions consistent with the history, and lower‑limb CT and ultrasound ruled out thrombosis."

"The echocardiogram showed LVEF 31%, coronary angiography revealed normal arteries, and because heart‑failure symptoms worsened, after CRT treatment the symptoms improved."

"Doctor Su, what is CRT?" Lin Ge asked, already confused.

No one else was around; Su Yun's case presentation was truly very simple. Although I've worked in the hospital for many years and haven't done clinical work for a long time, Lin Ge never felt that listening to a case report would be this taxing.

Forcing himself to focus, he listened to Su Yun's case history, but what the heck is CRT?

"Oh, CRT is cardiac resynchronization therapy. Director Zhang Lin has already launched this technology; I've looked at their records, and it's been fairly successful." Su Yun said.

In Chinese, Lin Ge knew what it was.

Cardiac resynchronization therapy is also called biventricular pacing.

It adds left‑ventricular pacing to traditional pacing, and through biventricular pacing treats heart‑failure patients whose ventricular contractions are out of sync.

Cardiac resynchronization therapy can improve patients' cardiac function, increase exercise tolerance and quality of life, and represents a breakthrough in the history of heart‑failure treatment.

"After cardiac resynchronization therapy, the patient's symptoms were alleviated.

Three months ago, the patient's symptoms worsened again, manifesting as inability to get up and care for oneself.

One week ago, the patient fell again and couldn't stand; moreover, progressive swallowing difficulty appeared, causing choking on liquid foods and muscle pain.

Four days ago, transient slurred speech occurred.

It is now said that the patient has reached a moribund state."

Looking through the VR glasses, the image beside Su Yun rapidly aged; by the time he finished speaking, it was already at death's door.

"I think the patient is just an elderly individual with a progressive cerebral infarct. Christian Bruck had us take a look—just a casual glance." Su Yun said: "Boss, this trip to Europe is really boring."

"Hmm… is that all?" Zheng Ren mused.

"You look at the record yourself; the details are all there. Director Lin, sorry, there's no time to translate the record—it's still pure Dutch."

Lin Ge was speechless.

"Running over in the middle of the night to read a Dutch medical record—am I sick? Though, does Zheng Lao Ban understand Dutch?"

He took off his glasses, and the dying "female ghost" vanished before his eyes.

Only Su Yun remained standing on the podium.

Compared to the female patient, Su Yun looked much more at ease.

Lin Ge looked over and saw Zheng Ren swiping the touchscreen in front of him, apparently reading the record and viewing images.

"Doctor Su, what disease are you considering?" Lin Ge asked.

"No disease, just old age." Su Yun said: "Two years post‑stroke, progressively worsening with muscle weakness—we see more than ten such patients a day in ward 912."

Indeed, this is a very common condition.

Why are cerebrovascular and cardiovascular diseases lumped together?

Because they are equally important, the affected populations are huge, their numbers are comparable, and they are deadly diseases threatening the elderly.

Generally, severe cerebral infarct patients experience a significant drop in postoperative quality of life; if rehabilitation training is inadequate, fatal aspiration pneumonia can develop quickly and is not uncommon.

Such an ordinary record suggests that not all of the cases Zheng Lao Ban consults on are difficult and miscellaneous.

But the more this is true, the higher Zheng Lao Ban's standing in the medical field proves to be.

Everyone knows there is a problem; seeing him for treatment is a symbol of status.

And everyone knows there is no problem, yet they still go to see him for a final glance; this symbolizes another kind of identity and status.