Chapter 2273: with translation of chapter title

In the following days, Zheng Ren was so busy he felt like he could fly.

The Orchid Department arranged a batch of doctors each week to receive training. Regarding this training matter, Su Yun also pulled Lin Ge in, letting the 912 Science and Education Department get some benefit.

Although everyone knows the truth of the matter, saying this out loud is truly impressive. Not to mention 912, even top-tier hospitals nationwide have never experienced such a situation.

Batch after batch of doctors from around the world came to 912 for training; those who didn't know were startled, thinking 912's technical level had reached interstellar standards.

On Zheng Ren's side, surgeries were also numerous; after a period of time, the number of live-streamed procedures such as Ge Xie Disease and hepatic carcinoma interventional embolization followed by surgical resection began to climb steadily.

In the afternoons, there was no time to read; they had to perform live-streamed surgeries.

As for this, Zheng Ren didn't think much of it; surgeries were routine, and before the operation he would go to the System Operating Room to do a case just to see if any rare situation arose.

This was also to prevent any mishap; although it 'wasted' some surgical training time, Zheng Ren believed it was necessary.

Days passed one by one, and the weather gradually grew hot.

As the weekend approached, the group chat was already boiling over, with hundreds to thousands of messages each day discussing going out to play.

Zheng Ren couldn't be bothered to look; he just waited for the notification himself.

As the head of the Medical Team, Zheng Ren knew he had absolutely no say in this matter.

After the morning TIPS surgery was completed, Zheng Ren felt somewhat relieved.

Lin Yuan still had good talent; after polishing dozens of surgeries, he quickly took shape.

After finishing the last surgery, Zheng Ren didn't explain the surgical details to Fugui'er and Lin Yuan; he simply stood up and went to change clothes.

More than ten minutes earlier, Su Yun received a call from Fang Lin, saying there was a patient with hemoptysis needing a consultation.

Because the surgery on this side hadn't ended yet, Su Yun went ahead first.

"Boss Zheng, where are you going?" Lin Yuan handed the patient over to Gu Xiao Ran and asked hurriedly.

"Consultation." Zheng Ren said, then went straight into the Gengyishi to change clothes.

Lin Yuan knew Boss Zheng's speed; he could never catch up, and he glared angrily at his retreating back.

One can't just barge into the men's Gengyishi, can they?

Zheng Ren changed his clothes and strode toward the Respiratory Department.

Fang Lin took a look, felt uncertain, and sought Su Yun's help. This pattern of not consulting their own secondary team-leading professor is actually rare; strictly speaking, it does not follow medical procedure.

Anyway, it's just like calling a friends-and-family hotline; if Boss Zheng and Su Yun can't solve it, then they'd follow the normal procedure. But if that were the case, things would probably be serious. At the very least, Fang Lin doesn't believe there's a case that Boss Zheng and Yun Ge'er couldn't resolve.

Arriving at the Respiratory Department, Zheng Ren called Su Yun.

Su Yun then poked his head out from the doctors' office and waved.

"What patient?" Zheng Ren asked.

"Hemoptysis." Su Yun's expression was somewhat solemn, "It has happened twice before, respectively five years ago and three years ago, accompanied by pleural effusion. At the local hospital they were treated for inflammation and discharged after improvement."

"This time it was three days ago; after exertion he suddenly had chest pain and tightness. He went to the local hospital for a visit, and the local doctors gave a thorough examination, indicating pneumonia. Nine hours ago, the patient suddenly had massive hemoptysis, coughing up bright red blood totaling about 350 milliliters."

"Referred here?" Zheng Ren walked into the office, glanced at the person before the viewbox, Fang Lin was there looking at the films.

"Yeah, the previous two times the patients weren't taken seriously. This time the hemoptysis was large, scaring him badly; the local doctors used 120 to send him directly to our hospital's Respiratory Department for admission."

Zheng Ren walked to the viewbox and began reading the films.

There was a large shadow in the right lung, typical of inflammatory presentation. If it were just cough, sputum, and fever, one could diagnose pneumonia; it also looks like the currently relatively rare lobar pneumonia.

With the advancement of antibiotic grades and improvements in medical standards and health awareness, typical lobar pneumonia in textbooks has become rare in clinical practice.

Moreover, lobar pneumonia causing hemoptysis is especially rare.

"Boss Zheng, here." Fang Lin shifted to the side, making room. He had looked at the films many times; he had questions and a preliminary diagnosis.

However, neither Fang Lin nor the Inpatient Chief of the Respiratory Department could give a reasonably certain diagnosis.

Zheng Ren was not polite either, resting his chin on his hands, standing before the viewbox and examining the films intently.

The inflammation looked severe, and there was an increased density shadow beside the bronchus in the lower right lung.

The first impression was pneumonia, but Zheng Ren immediately rejected that diagnosis.

This film was indeed strange; Zheng Ren stared at it for nearly five minutes, yet still gave no definitive answer.

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

Zheng Ren said nothing, merely shaking his head.

Su Yun said, "Hemoptysis; possible diagnoses include bronchiectasis, tuberculosis, pulmonary embolism, tumor. Pneumonia can also cause slight hemoptysis, but coughing up several hundred milliliters at once is uncommon."

That comment was as good as saying nothing; in fact, Su Yun hadn't figured it out right away either, but was just brainstorming.

Su Yun spoke casually, not really putting heart into it.

The basic theoretical support was as solid as Su Yun's looks.

"It could be bronchial stones, but the stones' shape and density are problematic." Zheng Ren shook his head, then cautiously said, "Any other tests?"

"It's being done." Fang Lin said, "I think the likelihood of bronchial stones is relatively high; I recommend an exploratory thoracotomy, and if we still can't find the problem, we'll have to resect the lower right lung."

Zheng Ren thought carefully, shook his head again, and did not agree with Fang Lin's view.

Removing a lung lobe should not be done unless absolutely necessary.

The surgery is simple; not to mention myself, if Fang Lin were to do it, the anesthesia time plus recovery would be about two hours.

But that is a traumatic treatment, simple and brutal, costing the patient the permanent loss of a lung lobe.

"Boss, the preliminary judgment should be a tracheal foreign body." Su Yun said, looking at the films.

"Hmm, a tracheal foreign body that's been there a while—Fang Lin thought the same. But the foreign body's density and length are strange, with pus and bleeding around it. Using a bronchoscope…… Fang Lin, are you afraid that using a bronchoscope would cause more problems?"

"Hmm." Fang Lin nodded.

Bleeding inside the lungs, only part can be coughed up; more remains in the patient's lungs, like a drowning person inhaling water into the lungs.

Taking a look with a bronchoscope, if massive bleeding were to occur then, the scope inside could cause increased pressure or impede outflow, possibly leading to more problems.

So, Fang Lin is preparing to choose an open-chest lung lobectomy as the treatment.