Chapter 2014: with translation of chapter title

However, if patients usually look up some dubious professional terms online to question me, Professor Wu definitely wouldn't bother with them.

Even when Lin Yuan, a Harvard Medical School graduate, raised doubts, Professor Wu refused to entertain her. Young and with a degree, she thinks she's invincible?

If she weren't Lin Yuanzhang's daughter, I would have kicked her out long ago.

However,

The speaker is Young Zheng Lao Ban!

Professor Wu cautiously asked, 'Zheng Lao Ban, could you explain the reasoning behind your judgment?'

'Professor Wu, from your perspective, the diagnosis is actually fine,' Zheng Ren said with a gentle smile. 'All evidence points to late-stage left lung cancer, accompanied by a large amount of pleural effusion, which is malignant pleural effusion.'

Professor Wu became even more puzzled after hearing Zheng Ren say that.

Is this to save face, or is there another reason?

Young Zheng Lao Ban is not quite as the rumors suggest.

But if the doctors in the Intervention Department see the images, they would…… the doctors in the Intervention Department see the images, they would have other ideas.' Zheng Ren said with a smile: 'This is a complication of cardiac radiofrequency ablation, something generally hard to think of.'

Everyone except Su Yun was stunned.

How could late-stage lung cancer be related to radiofrequency ablation?

'Radiofrequency ablation, a heart procedure, Professor Wu probably knows, so I won't……'

'Zheng Lao Ban, I haven't done it before,' Professor Wu hurriedly stopped Zheng Ren's train of speech, saying without any embarrassment, 'Please explain it to me. Honestly, I don't want Lao Li's diagnosis to be late-stage lung cancer either, but looking at the images, I still think the diagnosis is correct.'

'Oh, that's fine.' Zheng Ren searched around, and Su Yun handed him a sheet of paper, then picked up a ballpoint pen from the desk and gave it to him.

'Like this, I'll sketch a rough outline of the surgical route.' Zheng Ren immediately began drawing.

'It uses a Catheter from the femoral Vein to the inferior vena cava Vein, then to the right atrium, crossing the interatrial septum to reach the left atrium.'

Zheng Ren spoke while drawing the diagram.

'Radiofrequency ablation eliminates the myocardial tissue around the atria or pulmonary Vein that produces abnormal electrical waves by means of electrical discharge, and during this process it causes myocardial cell death, collagen fiber proliferation, and tissue deformation.'

'Pulmonary Vein stenosis is a complication that must be mentioned when performing cardiac radiofrequency ablation Shou Bing. Although the chance of pulmonary Vein issues is generally low, the patient's medical history clearly indicates a history of radiofrequency ablation Shou Bing.'

'This is one of the clearest parts of the medical history, so the likelihood is high.'

'Zheng Lao Ban, based only on this?' Professor Wu still didn't understand; Zheng Lao Ban made the judgment, which is illogical.

'This is the medical history; we should think in this direction.' Zheng Ren then stood before the viewbox, pointing at the images and said, 'There is inflammation and atelectasis in the left upper lobe. Well, at least from the contrast-enhanced CT we see it this way. Professor Wu, you need to notice this at the start.'

Lin Yuan stared at Zheng Ren, eyes wide.

She could only vaguely sense that the diagnosis was wrong; if she had to state it as confidently as Zheng Lao Ban does with a one-two-three, Lin Yuan couldn't do it.

Seeing Zheng Lao Ban full of vigor, even more imposing than the professors at Harvard Medical School, Lin Yuan wondered inwardly, this young doctor really has something.

Not much older than himself, he actually managed to leave the professor at Di Du Tumor Hospital speechless.

'Here.' Zheng Ren tapped the viewbox, saying, 'From the contrast-enhanced CT, this area shows a problem. It can be simply considered as atelectasis. But if we look closely, we can see deposition of hemosiderin-laden cells, as well as dilation of pulmonary Capillary, with interstitial inflammatory cell infiltration not prominent.'

'What do these mean?'

Zheng Ren asked a question.

Zhou Chun Yong felt that his previously accumulated image-reading Skill was completely crushed by Zheng Lao Ban.

Can the deposition of hemosiderin-laden cells be seen on contrast-enhanced CT?!

Professor Wu listened, feeling mystified.

'So here we can consider it not atelectasis nor pneumonia, but pulmonary congestion.'

'From pulmonary congestion, it takes several steps to deduce that the left pulmonary Vein is problematic; the logical reasoning isn't difficult, so I won't elaborate.'

Zheng Ren spoke fluently, leaving Professor Wu and Zhou Chun Yong somewhat dazed.

'I know that just talking could lead to an all-day Discussion.' Zheng Ren smiled, saying, 'If the patient's family agrees, I suggest doing a pulmonary Vein angiography. Just to complete the examination and perform a differential diagnosis, I think the problem shouldn't be major.'

'……' Professor Wu seriously considered Zheng Ren's suggestion.

Zheng Lao Ban didn't insist outright that it was pulmonary Vein occlusion or similar diagnosis. No, they had confirmed it, but they didn't say Shou Bing treatment was necessary.

This is to save some face for himself.

Doing an examination shouldn't be wrong, right?

It's just a pulmonary Vein angiography, which also counts as diagnosis and differential diagnosis.

If Zheng Lao Ban's diagnosis were wrong, the patient wouldn't suffer further harm. Doing an angiogram, what could go wrong?

But if the diagnosis were correct…… impossible, it must be lung cancer.

Professor Wu looked at the images, slightly hesitant, wondering whether he should Persist.

'Zheng Lao Ban, Old Wu, I'll go tell Lao Li.' Zhou Chun Yong said directly while Professor Wu was thinking.

He didn't have that much Doubt toward Zheng Lao Ban.

Zheng Lao Ban is just short of pulling his ear while counting one-two-three-four-five to say the pulmonary Vein has a problem; do we still need to question him here?

Nonsense!

Zhou Chun Yong's trust in Zheng Ren is based on countless Shou Bing and teaching Shou Bing; to him, Zheng Lao Ban is completely his Teacher aside from being a bit younger.

Professor Wu had no choice but to go along, saying, 'Zheng Lao Ban, if Lao Li agrees, can you do it for him?'

'No problem, it's just a matter of ten-odd Minutes.' Zheng Ren said casually.

Soon, Zhou Chun Yong returned and told Professor Wu, 'Lao Li and his spouse have agreed.'

Professor Wu, somewhat reluctantly, began contacting the Intervention Department.

The Intervention Department at the Tumor Hospital mainly deals with liver and lung cancer; they rarely handle other sites, which makes things a bit difficult there.

Zhou Chun Yong didn't mind; he directly called the head of the Tumor Hospital's Intervention Department to explain the situation.

All moving in the academic circles of Di Du, Zhou Chun Yong still had considerable standing in the martial world. Finally, the Intervention Department opened the Operating Room, and a duty doctor arrived.

'Professor Jiang will be here soon,' the duty doctor said repeatedly.

'Hmm, it's fine, just doing an angiogram; you can handle it.' Zhou Chun Yong wasn't polite at all.

「Director Zhou, my skills are lacking. 」 The on-call doctor hastily said politely: "Let's wait until Professor Jiang arrives before we talk."

"Little Jiang will be here soon, get ready first." Zhou Chun Yong said directly.

He glanced at the on-call doctor, full of contempt and disdain.

What a clueless doctor, even if it's taking the blame, can they make you bear it?!