Chapter 1916: 1849 A Huge Mistake (Monthly Ticket 34500 Bonus ×69)

CT shows: scan localization image shows truncated bronchus in right upper lobe; right upper lobe appears as a wedge-shaped high-density opacity, with inhomogeneous internal density, showing round-like low-density opacity and punctate calcifications. Mediastinal lymph nodes are enlarged and mostly calcified. Left bronchus is patent.

"Lung torsion, prepare for emergency surgery." Su Yun said confidently.

"Yun Ge'er, I also think it's lung torsion; I'm about to report to the associate professor." Fang Lin said with a smile.

However, he saw Zheng Ren still looking at the images and felt doubtful.

"Boss Zheng, what do you think?" Fang Lin asked.

"The possibility of lung torsion is high." Zheng Ren said confidently: "But differentiating it from localized pleural effusion, atelectasis, intraparenchymal hematoma, and coagulative hemothorax is difficult."

"Aren't they all the same? Tell me which situation doesn't require going up." Su Yun said disdainfully.

"Are we not talking about diagnosis? If it's about surgery, we can prepare to do it directly." Zheng Ren kept looking at the images, completely ignoring Su Yun's provocation.

"You're too cautious." Su Yun said: "In upright and supine positions, the high-density area clearly moves. That is the most definitive diagnosis."

"Localized pleural effusion can also show that." Zheng Ren rested his chin on his hand while looking at the images.

"There is a difference."

"I know." Zheng Ren said: "Fang Lin, how urgent is the patient's family saying the condition is?"

"It should be fine for now; there's no vascular blockage yet, so no signs of venous infarction or gangrene from impaired venous return and pulmonary congestion. However, Elder Cui in the Emergency Department is urging haste, having Manager Zhou bring the patient's family directly, saying we need to operate quickly." Fang Lin said.

"Then let's do a chest dynamic fluoroscopy; once the diagnosis is clear, we can open immediately." Zheng Ren said.

Su Yun also knew that chest arterial angiography is the best method for diagnosing lung torsion, but the patient's images are far from perfect; although spontaneous lung torsion is rare, in any case, going straight to surgery should be fine.

Being this cautious—is it really necessary?

But since the boss said so, we'll just do it. Earlier I felt I owed him a convincing argument; if he brings this up to throw back at me…

Su Yun didn't dare to think further.

"Fang Lin, we're here to see the patient with esophageal duplication. When can the lung torsion patient be admitted?"

"If there's no traffic, about an hour." Fang Lin said.

"Hmm, go up and tell me; I'll take a look." Zheng Ren said.

"Sure."

It's just observing the surgery; Fang Lin had no reason to refuse.

After glancing at the esophageal duplication patient, he reviewed all the medical records and lab sheets, then Zheng Ren cross-checked with the system panel.

Feeling confident, he confirmed tomorrow's surgery, then left the thoracic surgery department.

Returning to the department, Liu Zewei was busy, his head sweating as he corrected cases; Chang Yue went to communicate with the patient's family, while the professor was organizing the TIPS surgery data.

As more doctors mastered the new TIPS procedure, surgery volume surged; Professor Rudolf Wagner, besides performing operations, devoted almost all his energy to organizing related materials.

"Boss, when we untwist the lung torsion patient we just saw, could there be thromboembolism?"

"It's possible; during surgery we must be extremely careful." Zheng Ren said: "We can't do it with a laparoscope; the precision is still slightly lacking."

"Your laparoscopic skills are good, so why lack confidence in laparoscopic surgery?" Su Yun asked.

"It's not a lack of confidence, but rather I have more confidence in my own hands." Zheng Ren said: "Did you notice what Doctor Charles said later?"

"As soon as I touch, I know what force to use for suturing."

"Hmm, that's exactly it." Zheng Ren said: "Although laparoscopic surgery causes little trauma, the laparoscopic graspers and such are ultimately incomparable to the hand. If you could apply this point from whatever you gained scavenging from the Chu Nu Ang Sai side, perhaps laparoscopic technique could be further improved."

"Don't talk nonsense." Su Yun said: "Few people can master this point; I've just touched the threshold, and it may not take long to cross it. Are you counting on someone else?"

"There is, and it's always good. Not talking about open surgery, just interventional surgery—hand feel is a crucial point." Zheng Ren said.

"No wonder you can appreciate this point—is it because you're good at interventional surgery?" Su Yun seemed to have grasped a key point.

"Probably." Zheng Ren, without yielding, said: "Interventional surgery relies heavily on hand feel, especially after reaching a certain level; doing it often, you unconsciously start applying it to open surgery."

"It looks like Doctor Charles is more talented than you; he doesn't do interventional surgery, but he's also grasped the hand-feel threshold." Su Yun also understood the reasoning.

"Certainly." Zheng Ren said: "I belong to the type who draws analogies; because I have the strongest interventional surgery as a foundation, I was able to grasp this point."

After hearing Zheng Ren say he had the strongest interventional surgery, Su Yun immediately wanted to retort, but the words died on her lips.

Is this statement wrong?

No mistake!

He himself is the strongest interventional surgery practitioner; you can't find a comparable example.

"Hand feel..."

"For example, if you palpate the intestine, you know what force to use for dissection to avoid complications like bowel perforation or rupture." Zheng Ren recounted his experience.

Su Yun remained silent, nodding slightly.

This is a brand-new field; Su Yun only vaguely understands what Zheng Ren is saying, but to truly grasp it and apply it to open surgery, he still has a long way to go.

Thinking about it, Su Yun felt somewhat lost.

Lately I've been more focused than ever and working harder, yet I feel the distance between me and the boss growing wider.

"You're back." Chang Yue returned from the ward, saw Zheng Ren and Su Yun chatting, and greeted them: "Yi Ren seems a little upset; Chief Zheng, be careful."

"……" Zheng Ren felt as if a thunderbolt had struck from the sky.

"Huh?" Su Yun glanced at Chang Yue and asked: "Why?"

"Skipping lunch, then disappearing at noon." Chang Yue was busy as she sat down.

"Isn't there something going on in the Emergency Department?" Su Yun didn't care.

"Not replying to messages—you don't know how big a deal this is for a girl." Chang Yue turned back, adjusted her glasses, and gloated at Zheng Ren.

Although Zheng Ren's emotional intelligence isn't high, or he's too lazy to ponder, he knows that not replying to his girlfriend's messages is a huge mistake!

Zheng Ren felt a chill run down his spine, his whole body turning to ice.

Zheng Ren felt a chill run down his spine, his whole body frozen.