Chapter 2361: with translation of chapter title

2366.2280 I am acquainted with Zheng Lao Ban.

Translate: "2366.2280 I have some acquaintance with Zheng Lao Ban."

2366.2280 I am acquainted with Zheng Lao Ban.

After hearing Tai Zhu Ren's introduction, Zheng Ren had already outlined the surgical procedure in his mind.

Translate: "After listening to Director Tai's introduction, Zheng Ren had already sketched out the procedure of the surgery in his mind."

After hearing Tai Zhu Ren's introduction, Zheng Ren had already outlined the surgical procedure in his mind.

We'll output: "After hearing Tai Zhu Ren's introduction, Zheng Ren had already outlined the surgical procedure in his mind."

After heparinization, the abdominal aorta, left common iliac artery, right internal iliac artery, and right femoral artery were clamped. The right common iliac artery and right external iliac artery were incised, and the IABP catheter was removed. Upon removal, the catheter balloon was observed to be twisted, with internal thrombus formation.

Translate: "After heparinization, block the abdominal aorta, left common iliac artery, right internal iliac artery, right femoral artery. Open the right common iliac artery and right external iliac artery, remove the IABP catheter. After removal, one can see the catheter balloon twisted, with intra-luminal thrombus formation."

After heparinization, the abdominal aorta, left common iliac artery, right internal iliac artery, and right femoral artery were clamped. The right common iliac artery and right external iliac artery were incised, and the IABP catheter was removed. Upon removal, the catheter balloon was observed to be twisted, with internal thrombus formation.

We'll translate: "After heparinization, block the abdominal aorta, left common iliac artery, right internal iliac artery, right femoral artery. Open the right common iliac artery and right external iliac artery, remove the IABP catheter. After removal, the catheter balloon can be seen twisted, with intraluminal thrombus forming."

We'll keep numbers as is.

Examination showed a tear in the intima of the right common iliac artery, extending from its orifice to the orifice of the right internal iliac artery, with a flap-like detachment of the intima of the right internal iliac artery, which was repaired using a 7-0 running suture.

Translate: "Examine the intimal tear of the right common iliac artery; the tear extends from the orifice of the right common iliac artery to that of the right internal iliac artery, with a flap-like intimal tear of the right internal iliac artery, repaired with 7/0 suture."

We'll output: "Examining the intimal tear of the right common iliac artery, the tear runs from the orifice of the right common iliac artery to that of the right internal iliac artery, with a flap-like intimal tear of the right internal iliac artery, repaired with a 7/0 suture."

That's basically the surgical procedure; Zheng Ren had it figured out. However, the issue now is not here, but in the surgery just performed.

Translate: "That's roughly the surgical procedure; Zheng Ren has it figured out. However, the current issue is not here, but in the surgery just performed."

We'll output: "That's roughly the surgical procedure; Zheng Ren has it figured out. However, the current issue is not here, but in the surgery just performed."

"You didn't use much force when pulling out the catheter, did you?" Zheng Ren asked anxiously.

Translate: "\"Did you use much force when pulling out the catheter? \" Zheng Ren asked worriedly."

We'll output: "\"Did you use much force when pulling out the catheter? \" Zheng Ren asked worriedly."

What we fear most at this point is that Tai Zhu Ren, after performing DSA angiography, pulls out the catheter with force, causing arterial intimal tearing.

Translate: "What we fear most at this moment is Director Tai pulling out the catheter after DSA angiography, using force, which could cause arterial intimal tear."

We'll output: "What we fear most at this moment is Tai Zhu Ren pulling out the catheter after DSA angiography, using force, which could cause arterial intimal tear."

If that happens, it will be troublesome.

Translate: "If that happens, it will be troublesome."

We'll output: "If that happens, it will be troublesome."

"No, no." Tai Zhu Ren repeatedly said, "I watch your surgery livestream every day and know that brute force cannot solve the problem."

Translate: "\"No, no. \" Director Tai repeatedly said, \"I watch your surgery livestream every day, I know not to solve problems with brute force. \""

We'll output: "\"No, no. \" Tai Zhu Ren repeatedly said, \"I watch your surgery livestream every day, I know not to solve problems with brute force. \""

Zheng Ren nodded, and opening his own surgery livestream was still somewhat useful.

Translate: "Zheng Ren nodded; opening the surgery livestream room is still somewhat useful."

We'll output: "Zheng Ren nodded; opening the surgery livestream room is still somewhat useful."

"I probed a couple of times and found it was really stuck, so I didn't dare move it." Tai Zhu Ren spoke as if he had made a mistake, his voice growing softer.

Translate: "\"I probed twice and found it stuck tightly, so I didn't dare move. \" Director Tai spoke, his voice growing softer, as if he had made a mistake."

We'll output: "\"I probed twice and found it stuck tightly, so I didn't dare move. \" Tai Zhu Ren spoke, his voice growing softer, as if he had made a mistake."

"..." Zheng Ren watched Tai Zhu Ren's back, already having a bad premonition.

Translate: "\"... \" Zheng Ren looked at Director Tai's back, already having a bad premonition."

We'll output: "\"... \" Zheng Ren looked at Tai Zhu Ren's back, already having a bad premonition."

I hope it's not the case; otherwise, what should we do?

Translate: "Hope it's wrong, then what to do?"

We'll output: "Hope it's wrong, then what to do?"

Even if the IABP catheter is lodged in the iliac artery and its removal tears the arterial intima, the only recourse is surgical suturing. I am merely lending a hand; there's no reason for me to comment further here.

Translate: "Even if the IAPB catheter is lodged in the iliac artery, and removing it tears the vascular intima, we can only resort to surgical suturing. I'm just lending a hand; there's no reason to comment here."

We'll output: "Even if the IAPB catheter is lodged in the iliac artery, and removing it tears the vascular intima, we can only resort to surgical suturing. I'm just lending a hand; there's no reason to comment here."

IABP is one of the widely used cardiac assist devices in clinical practice, and its common complications mainly include limb ischemia, arterial injury, local infection and bleeding, and balloon rupture.

Translate: "IABP is one of the widely used cardiac assist devices clinically; its common complications mainly include lower limb ischemia, arterial injury, local infection and bleeding, and balloon rupture."

We'll output: "IABP is one of the widely used cardiac assist devices clinically; its common complications mainly include lower limb ischemia, arterial injury, local infection and bleeding, and balloon rupture."

When the IABP is offline, the inability to smoothly withdraw the balloon counterpulsion catheter leading to a large vascular iatrogenic foreign body is relatively rare, similar to the situation when I first went to the provincial city medical university affiliated hospital and encountered a neurosurgery procedure where a guidewire was pushed in.

Translate: "When IABP is offline, the failure to withdraw the intra-aortic balloon pump catheter due to the balloon counterpulse leads to relatively rare iatrogenic foreign bodies in major vessels, similar to when I first went to Sheng Cheng Medical University Affiliated Hospital and encountered a neurosurgery case where a guidewire was pushed in."

We'll output: "When IABP is offline, the failure to withdraw the intra-aortic balloon pump catheter due to the balloon counterpulse leads to relatively rare iatrogenic foreign bodies in major vessels, similar to when I first went to Sheng Cheng Medical University Affiliated Hospital and encountered a neurosurgery case where a guidewire was pushed in."

These are all relatively rare occurrences.

Translate: "These are relatively rare occurrences."

We'll output: "These are relatively rare occurrences."

In interventional therapy, common vascular iatrogenic foreign bodies such as stents, guidewires, and spring coils can usually be removed percutaneously using a microcoil retrieval device; only a small proportion require surgical extraction.

Translate: "In interventional therapy, common vascular iatrogenic foreign objects such as stents, guidewires, and spring coils can mostly be removed percutaneously using a micro-coil retriever; few require surgical extraction."

We'll output: "In interventional therapy, common vascular iatrogenic foreign objects such as stents, guidewires, and spring coils can mostly be removed percutaneously using a micro-coil retriever; few require surgical extraction."

Of course, the premise is that Tai Zhu Ren does not move recklessly.

Translate: "Of course, the premise is that Director Tai doesn't move recklessly."

We'll output: "Of course, the premise is that Tai Zhu Ren doesn't move recklessly."

I'm afraid that, lacking experience, his attempts will only make things worse, and the more he tries to help, the more he hinders.

Translate: "I'm afraid that in his attempt, lacking experience, he'll make more mistakes and hinder rather than help."

We'll output: "I'm afraid that in his attempt, lacking experience, he'll make more mistakes and hinder rather than help."

Zheng Ren unconsciously placed the label of "clinically inexperienced" on the heads of municipal hospital directors, without any psychological barrier.

Translate: "Zheng Ren unconsciously pinned the label of \"no clinical experience\" on the heads of municipal hospital directors, feeling no psychological barrier."

We'll output: "Zheng Ren unconsciously pinned the label of \"no clinical experience\" on the heads of municipal hospital directors, feeling no psychological barrier."

When an iatrogenic foreign body becomes lodged in a major blood vessel and is not promptly treated, it can cause secondary thrombosis, infection, and even organ or limb ischemia and necrosis. When the patient's overall condition permits, it should be removed as soon as possible.

Translate: "When an iatrogenic foreign body is lodged in a major vessel and not treated promptly, it can cause secondary thrombosis, infection, and even organ or limb ischemia and necrosis. When the patient's overall condition permits, it should be removed as soon as possible."

We'll output: "When an iatrogenic foreign body is lodged in a major vessel and not treated promptly, it can cause secondary thrombosis, infection, and even organ or limb ischemia and necrosis. When the patient's overall condition permits, it should be removed as soon as possible."

"How long has it been lodged?" Zheng Ren then asked a critical question.

Translate: "\"How long has it been lodged? \" Zheng Ren then asked a critical question."

We'll output: "\"How long has it been lodged? \" Zheng Ren then asked a critical question."

"Less than two hours."

Translate: "\"Less than two hours. \""

We'll output: "\"Less than two hours. \""

Good, good, really fortunate, Zheng Ren thought. If not more than three hours, the possibility and risk of thrombosis will be greatly reduced.

Good, good, really fortunate, Zheng Ren thought. If not more than three hours, the possibility and risk of thrombosis will be greatly reduced.

We'll output: "Good, good, really fortunate, Zheng Ren thought. If not more than three hours, the possibility and risk of thrombosis will be greatly reduced."

Moreover, Tai Zhu Ren stated that he did not repeatedly tug or attempt to violently pull out the IABP catheter, so the likelihood of local arterial intimal tearing is not high.

Translate: "Moreover, Director Tai said he did not repeatedly tug, attempting violent removal of the IABP catheter, so the possibility of local vascular intimal tear is also not high."

We'll output: "Moreover, Tai Zhu Ren said he did not repeatedly tug, attempting violent removal of the IABP catheter, so the possibility of local vascular intimal tear is also not high."

Let's give it a try; it should be fine, hopefully there will be no problems.

Translate: "Let's try; it should be fine, hopefully no problems."

We'll output: "Let's try; it should be fine, hopefully no problems."

Along the way, Zheng Ren briefly inquired about the interventional equipment and related consumables at the People's Hospital.

Translate: "Along the way, Zheng Ren briefly inquired about the interventional equipment and related consumables at People's Hospital."

We'll output: "Along the way, Zheng Ren briefly inquired about the interventional equipment and related consumables at People's Hospital."

The surgery should be feasible; Zheng Ren followed to the interventional operating room, changed into his gown, and entered. While changing, he first went to the central operating room to perform a procedure, then came out.

Translate: "The surgery should be doable; Zheng Ren followed to the interventional surgery room, changed clothes and entered. While changing, he first went to the system operating room to perform a surgery, then came out."

We'll output: "The surgery should be doable; Zheng Ren followed to the interventional surgery room, changed clothes and entered. While changing, he first went to the system operating room to perform a surgery, then came out."

It can be removed; the fractured IABP catheter is lodged in a branch of the external iliac artery. However, the force needed to extract it requires a twisting motion, using finesse rather than brute force.

Translate: "It can be removed; the broken IABP catheter is lodged in a branch of the external iliac artery. However, the force needed to extract it requires a twist, using skill, not brute strength."

We'll output: "It can be removed; the broken IABP catheter is lodged in a branch of the external iliac artery. However, the force needed to extract it requires a twist, using skill, not brute strength."

What reassures Zheng Ren most is that Tai Zhu Ren truly did not pull with force, and the arterial intima is completely intact!

Translate: "What reassures Zheng Ren most is that Director Tai really didn't use force to pull, and the vascular intima is completely fine!"

We'll output: "What reassures Zheng Ren most is that Tai Zhu Ren really didn't use force to pull, and the vascular intima is completely fine!"

This person is not bad; Zheng Ren has developed a slight fondness for Tai Zhu Ren, and the mosaic on his face has lightened a bit.

Translate: "This person is not bad; Zheng Ren has taken a liking to Director Tai, and the mosaic on his face has faded a bit."

We'll output: "This person is not bad; Zheng Ren has taken a liking to Tai Zhu Ren, and the mosaic on his face has faded a bit."

Surgeries that cannot be performed are not forced; one knows one's limits.

Translate: "Surgeries that can't be done aren't forced; one knows one's limits."

We'll output: "Surgeries that can't be done aren't forced; one knows one's limits."

"Boss Zheng, I'm really sorry; I dragged you away from your weekend outing to help with the platform." Tai Zhu Ren said apologetically in a low voice.

Translate: "\"Zheng Lao Ban, I'm really sorry; I was out having fun this weekend, yet I dragged you here to help. \" Director Tai said apologetically in a low voice."

We'll output: "\"Zheng Lao Ban, I'm really sorry; I was out having fun this weekend, yet I dragged you here to help. \" Tai Zhu Ren said apologetically in a low voice."

"It's fine." Zheng Ren smiled, first watched the surgery at four-times speed, then put on a lead gown to scrub his hands.

Translate: "\"It's fine. \" Zheng Ren smiled, first watched the surgery at 4x speed, then put on lead clothing to scrub up."

We'll output: "\"It's fine. \" Zheng Ren smiled, first watched the surgery at 4x speed, then put on lead clothing to scrub up."

Lin Yuan silently followed beside him, also donning a lead gown, preparing to go on stage together.

Translate: "Lin Yuan silently followed beside him, also putting on lead clothing, preparing to go on stage together."

We'll output: "Lin Yuan silently followed beside him, also putting on lead clothing, preparing to go on stage together."

"What do you think the likelihood of successfully removing it is?" Tai Zhu Ren asked vaguely.

Translate: "\"What do you think the likelihood of successful removal is? \" Director Tai asked vaguely."

We'll output: "\"What do you think the likelihood of successful removal is? \" Tai Zhu Ren asked vaguely."

"Let's give it a try." Zheng Ren continued in his usual tone when speaking with patients and their families—noncommittal, never outright saying whether it could be done, and if pressed, he would list a bunch of complications.

Translate: "\"Let's try. \" Zheng Ren still spoke in the tone used when talking to patients and their families—vague, never saying whether it will work, and if pressed, he'd list a bunch of complications."

We'll output: "\"Let's try. \" Zheng Ren still spoke in the tone used when talking to patients and their families—vague, never saying whether it will work, and if pressed, he'd list a bunch of complications."

After practicing medicine for a long time, one inevitably develops such habits; no one can escape them.

Translate: "After being a doctor for a long time, one inevitably develops such habits; no one can escape them."

We'll output: "After being a doctor for a long time, one inevitably develops such habits; no one can escape them."

Standing before the operating table, Zheng Ren first adjusted to the machine, then gestured to Tai Zhu Ren outside the leaded glass, and the airtight lead door slowly closed.

Translate: "Standing before the operating table, Zheng Ren first adjusted to the machine, then gestured to Director Tai outside the lead glass, and the airtight lead door slowly closed."

We'll output: "Standing before the operating table, Zheng Ren first adjusted to the machine, then gestured to Tai Zhu Ren outside the lead glass, and the airtight lead door slowly closed."

"Director, you're really impressive; how did you convince Boss Zheng to come up?" Deputy Chief asked on the side.

Translate: "\"Director, you're amazing; how did you convince Zheng Lao Ban to come up? \" Deputy Zhai asked from the side."

We'll output: "\"Director, you're amazing; how did you convince Zheng Lao Ban to come up? \" Zhai Zong asked from the side."

"I am acquainted with Boss Zheng." Tai Zhu Ren said coldly.

Translate: "\"I have some acquaintance with Zheng Lao Ban. \" Director Tai said coldly."

We'll output: "\"I have some acquaintance with Zheng Lao Ban. \" Tai Zhu Ren said coldly."

One shouldn't boast too much, for excessive talk leads to mistakes. Moreover, Tai Zhu Ren worries intensely that Boss Zheng might not be able to perform the surgery; he glances at the screen, then through the leaded glass at Boss Zheng performing the surgery inside.

Translate: "One shouldn't boast too much, for many words lead to loss. Moreover, Director Tai was deeply worried, fearing Zheng Lao Ban couldn't handle it; he glanced at the screen, then through the lead glass at Zheng Lao Ban performing surgery inside."

We'll output: "One shouldn't boast too much, for many words lead to loss. Moreover, Tai Zhu Ren was deeply worried, fearing Zheng Lao Ban couldn't handle it; he glanced at the screen, then through the lead glass at Zheng Lao Ban performing surgery inside."

"Director, the vascular surgery department has arrived." Two doctors in isolation gowns entered, and Deputy Chief whispered.

Translate: "\"Director, the Vascular Department has arrived. \" Two doctors in isolation gowns entered, and Deputy Zhai said softly."

We'll output: "\"Director, the Vascular Department has arrived. \" Two doctors in isolation gowns entered, and Zhai Zong said softly."

Tai Zhu Ren stared intently at the screen, his heart already lifted to the heavens, unable to hear Deputy Chief's nagging.

Translate: "Director Tai stared intently at the screen, his heart already lifted to the heavens; he couldn't hear Deputy Zhai's nagging."

We'll output: "Tai Zhu Ren stared intently at the screen, his heart already lifted to the heavens; he couldn't hear Zhai Zong's nagging."

The head of the vascular surgery department rushed from home, only to see the doctors from cardiology and interventional medicine standing outside.

Translate: "The Head of the Vascular Department rushed from home, only to see doctors from the Cardiology and Intervention Departments standing outside."

We'll output: "The Head of the Vascular Department rushed from home, only to see doctors from the Cardiology and Intervention Departments standing outside."

Is this giving up on the surgery and waiting for him to arrive? He feels no pride or arrogance. This kind of scapegoat rescue is naturally better the less it occurs; for him, it's hardly a good thing.

Translate: "Is this giving up on the surgery, waiting for him to arrive? He felt no pride or arrogance. Such a scapegoat rescue situation is naturally better the less it occurs; for him, it's not a good thing."

We'll output: "Is this giving up on the surgery, waiting for him to arrive? He felt no pride or arrogance. Such a scapegoat rescue situation is naturally better the less it occurs; for him, it's not a good thing."

Whether the surgery can be carried out is uncertain, yet they gave up so early without even trying further.

Translate: "Whether the surgery can be done is uncertain, yet they gave up so early without even trying more."

We'll output: "Whether the surgery can be done is uncertain, yet they gave up so early without even trying more."

"Director Tai, can't you do it from your side? Should we try again?" The head of vascular surgery said while walking inward.

Translate: "\"Director Tai, can't you handle that side? Want to try again? \" The Head of the Vascular Department said while walking in."

We'll output: "\"Director Tai, can't you handle that side? Want to try again? \" The Head of the Vascular Department said while walking in."

He saw Head of Vascular Department staring at the screen without speaking, and wondered in his mind that Head of Vascular Department was dazed. When a medical accident occurs, many people will be dazed; he never expected that the always overbearing Head of Vascular Department would also be like this.

It is inevitable.

But he took a glance and was stunned. The Operating Room's lead door was closed, with a doctor performing Shou Bing inside.

It appeared to be one man and one woman.

When did our Hospital have a female interventional doctor? Could it be someone from the Cardiology Department coming up to try?

Afterwards, he looked at the screen again.

The Blood Vessel was empty, undergoing angiography. Is there something going on? Head of Vascular Department felt somewhat doubtful.

Today is April Fools' Day, are they just having fun? It's not that bad; in the Hospital any joke can be made, but no one has ever used emergency resuscitation as a joke.

Immediately the image on the screen froze, and the lead door slowly opened.