Chapter 2344: 2264 Break-in (Alliance Leader's Karma: Arising, Ceasing, Self-caused, Added Chapter 3)

Chu Yanran and Chu Yan zhi have arrived.

It was already the early morning hours; Lao He, dragging his exhausted body, saw the sister duo appear before his eyes, and finally realized that in this war he could not achieve victory.

As soon as the youthful, lovely pair arrived at the demonstration classroom, the place burst forth with a vibrant, lively atmosphere.

After Zheng Ren exchanged a few pleasantries, he gathered the Chu family sisters and Lao He together and explained the points to watch for during the surgery.

Their practice could only be simulation; they could not conduct more targeted training based on changes in the conjoined twin's vital signs. The Women and Children's Hospital's surgical navigation system could only reach this step of 3D-printed models, temporarily unable to achieve true holographic simulation.

However, Zheng Ren only needed them to come; that was enough.

Entering the system space, Zheng Ren endured the pain of watching a surgery's consumption rise from nine times to thirteen times, and began a brand‑new training.

The conjoined twin's heart rate fluctuated greatly; Zheng Ren saw the surgical training time rapidly shrinking, dared not waste it as usual, could only train on two surgeries, then come out and think a bit.

He intermittently explained to Lao He, Da Chu, and Xiao Chu the key points they needed to pay attention to.

Late at night, with everyone quiet, Director Han and Vice President Chen et al. could no longer hold up and went to rest. Vice President Chen no longer felt sorry for that bit of consumable cost.

As she left, she turned back for a glance at the orderly busy scene in the demonstration classroom, feeling a sigh in her heart.

With such a group of young people, so talented and willing to work hard, what could they not accomplish?

Although Zheng Lao Ban said nothing, Vice President Chen felt the possibility of the surgery succeeding was great. This was merely a feeling: from Zheng Lao Ban's seat as steady as a rock, from Su Yun squandering model after model, from the Da Chu and Xiao Chu's nearly identical actions, she saw hope.

She dragged her weary body home, washed up simply, lay in bed, and her mind kept replaying the medical team's surgery training scene.

Hope, they can succeed.

Early the next morning, Vice President Chen skipped breakfast and hurried to the hospital.

Before she even entered the demonstration classroom, she was stopped by personnel from the Science and Education Department.

Reporting the situation, the material consumption was shocking. Vice President Chen suddenly realized that Zheng Lao Ban's medical team had not slept all night, pulling an all‑night session on surgical training.

After urging the Science and Education Department and the logistics procurement department to coordinate tightly, ensuring absolutely no impact on this side's surgical training, Vice President Chen then entered the demonstration classroom.

The scene inside seemed unchanged, except that Zheng Lao Ban stood before the conjoined twin's model, cooperating with Doctor Su in performing the surgery.

Director Han could not hold up, had already gone to rest, while Zhao Yunlong stood beside Su Yun to help.

Vice President Chen glanced at the surgery and immediately sensed where the real change was occurring.

The surgery proceeded smoothly throughout, almost completing one operation every few minutes; the heart patch repair of the opened atrial section flowed to an extreme degree!

Unlike yesterday's slight roughness, after just one night Zheng Lao Ban and his assistant had reached a perfect level.

Young, talented, willing to endure hardship, with almost unlimited logistical support—if they still couldn't pull it off, they'd have to accept fate.

"Zheng Lao Ban, the surgery's chances are high, right?" Vice President Chen asked hopefully after a surgery training session.

Zheng Ren shook his head slightly and said softly, "Let's go rest a bit, then come back for training this afternoon or evening."

Not answering the question, Vice President Chen thought Zheng Lao Ban was simply tired, his focus lacking.

She didn't think much more about it.

"Lao He and the two of them stay; President Chen will take you to watch today's newborn surgery." Zheng Ren pointed at the Chu family sisters as he said this.

"Mm." Vice President Chen acknowledged, then immediately asked, "Zheng Lao Ban, this is…"

"The conjoined twin's heart rates differ; the hardest point of the surgery lies here, not in the surgery itself." Zheng Ren said, "They are familiar with the anesthesia process, can control heart rate, and assist the heart fixer—only then can the surgery succeed. I've mentioned some points to note, but much still requires their own insight."

It turned out the difficulty she had previously thought was not actually difficult; hearing Zheng Lao Ban's words, Vice President Chen felt somewhat dazed.

"Then we'll head back first." Zheng Ren said, turning his head to look at Lao He and saying, "Lao He, Da Chu and Xiao Chu are now in your charge."

"All right, Zheng Lao Ban."

"Chief Zheng, I haven't even had a bite to eat since I arrived." Chu Yan zhi complained.

"President Chen will take you to the cafeteria later; today watch the surgery carefully. What I've told you must be pondered thoroughly and internalized to the bone." Zheng Ren said seriously.

Having explained yesterday all the points they needed to do, Zheng Ren felt the possibility was great, but as to whether it could actually be done, he couldn't say for sure.

For this surgery, just do your best.

"How is the child's condition?" Zheng Ren asked.

"Shall we go take a look?" Vice President Chen gazed at Zheng Lao Ban's eyes and inquired.

"All right, let's go take a look. Su Yun, come with us; Yi Ren, wait a moment."

Leading Su Yun, Zhao Yunlong, Lao He, and the Chu family sisters, Zheng Ren did not realize how vast his subordinate medical team had become.

Vice President Chen gazed at the mighty crowd, sighing inwardly; he had originally intended to ask Zheng Lao Ban whether he could perform this surgery, but never expected Zheng Lao Ban to bring the entire medical team along and even summon the twin sisters from Hai Cheng.

His heart felt a little odd, yet Vice President Chen showed no emotional fluctuation, leading Zheng Lao Ban and everyone to the ward to view the "patient."

Regarding the care of the conjoined twin, the Women and Children's Hospital side is very attentive, with dedicated personnel responsible.

Arriving at the ward, the team‑leading professor reported the situation.

The patient already showed signs of cardiac insufficiency, with a fast heart rate exceeding 160 beats per minute.

Especially after crying, bathing, or feeding, the child becomes breathless, sweaty, with obvious cyanosis, but without liver enlargement or reduced urine output; three weeks before surgery they had been given digoxin preparation 10 µg/(kg·d) orally every 12 hours.

After 5–7 days it reaches saturation; one week later the digoxin blood concentration is measured to prevent digitalis toxicity. Simultaneously, captopril 0.5 mg/(kg·d) is given orally every 12 hours to reduce cardiac afterload.

The twin's heart rate is normal, 120–140 beats per minute, with no hepatomegaly or oliguria; systemic circulation shows overload, especially afterload.

During feeding, mild asphyxia or sweating also occurs, and cardiac function is class II.

The situation is not optimistic, and as the child grows, the mutual influence of their heartbeats becomes heavier, making arrhythmia manifestations ever more evident.

The team‑leading professor finally gave his judgment: the earlier the surgery, the better; now medication can hardly sustain the conjoined twin's heart rate any longer.

With time passing, the condition of cardiac insufficiency will further develop, soon entering an irreversible stage of heart‑failure.