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Chapter 2381: with translation of chapter title

~8 min read 1,536 words

title: 2386.2300 Your Test

Feeling Zheng Ren suddenly stop, Su Yun turned back to look at him, muttering, "Let's go."

"Hmm." Zheng Ren acknowledged, but his body honestly turned and walked back to the emergency resuscitation room.

"Any problems?" Su Yun glanced and saw Zhou Litao skillfully resuscitating, arranging staff to send the patient to the CT room for examination, and instructed that if the patient had a cerebral infarction, they should be sent directly to the neurology department.

It looks like we need to remind that side, prepare emergency thrombolysis.

After a clear diagnosis of cerebral thrombosis, thrombolytic treatment within the 3‑ to 6‑hour treatment window, while reducing cerebral metabolism to control cerebral edema and protect brain cells, salvaging the ischemic penumbra, is the best measure for the patient's smooth postoperative recovery.

The earlier the thrombolysis, the better; for this kind of emergency rescue, time is gold. Every minute delayed may leave the patient with sequelae.

After all, he's a 27‑year‑old young man; if he had any sequelae, it would affect most of his life's quality. If he couldn't even move, how could he earn money, support his family, and make a living?

After all, he's a 27‑year‑old young man; if there are any sequelae, it will affect most of his life's quality of life. If even movement becomes inconvenient, how can he earn money, support his family, make a living?

A doctor accompanied, the patient's family and nursing staff quickly pushed the stretcher past Zheng Ren. The rumbling sound of the stretcher's wheels rolling over the marble floor made Zheng Ren feel as if he had returned to Haicheng City First Hospital.

"Boss, do you especially want to go back to the emergency department as the inpatient chief?" Su Yun said with a smile.

"I'm not sick either." Zheng Ren said, "Don't you think this young man is too young?"

"Even the youngest heart attack or cerebral infarction, I've seen them." Su Yun said dismissively, "Let's go back, go take a look at Dr. Mehari."

"Okay." Zheng Ren saw Zhou Litao indeed calling the neurology department, explaining the patient's onset time.

From onset to now, it's been less than an hour; if we proceed with surgery or thrombolysis, we estimate we can keep it within three hours.

From onset to now it's still less than an hour; if we do Shou Bing, thrombolysis, we estimate we can keep it within three hours.

Just a moment later, we still need to go to the neurology department to remind the doctor, and Zheng Ren noted the name Yang Lixin in his mind.

"The day after tomorrow we're going to Fengxian; when we come back, Fugui'er should also be leaving." Su Yun said, "Time really flies; in a few months the Nobel Prize will have results."

"The day after tomorrow we'll go to Abundant County; when we come back, Fugui'er should have left." Su Yun said, "Time really flies; in a few months the Nobel Prize will have a result."

"Not bad." Su Yun laughed, saying, "Before I thought there was no possibility, but since Old Luo got involved, I feel there's no way we won't get it."

"Where does this inexplicable confidence of yours come from?" Zheng Ren replied with a laugh, using Su Yun's usual words.

"Actually, since I was in graduate school, I've thought that clinical doctors are really a bunch of melons; this Nobel Prize archway has excluded clinical techniques for decades, yet we endure! Could it really be that we have to wait a hundred years before it bursts forth?"

"Actually, even when I was in graduate school I thought, clinical doctors really are a bunch of idiots; this Nobel Prize archway has excluded clinical techniques for several decades, yet they can tolerate it! Could it really be that they have to wait another century before it erupts?"

"Even organ transplant surgery has been squeezed out of the Nobel Prize, and they still talk about fairness. A few years ago it got even more absurd—even LED lights won a Nobel Prize, treating it like an amusement park?" Su Yun said dismissively, "Back then I guessed that someday a technique would become the fuse. I never expected to meet you in Haicheng."

"Even organ transplant Shou Bing has been squeezed out of the Nobel Prize, and they still talk about fairness. A Few Years Ago it was even more outrageous—even LED lights won a Nobel Prize, treating it like an amusement park?" Su Yun said contemptuously, "Back then I guessed that sooner or later a technique would become the fuse. I never expected to meet you in Hai Cheng."

"I originally thought that just being nominated was the endpoint; I guessed everyone thought that. But after seeing many bats die in the Alps, I realized from then on that we really shouldn't say—our chances of winning are actually quite large."

"Saying all this is meaningless; Fugui'er has left, Old Gao will still need a few days to arrive—can you come up and cover a few shifts?" Zheng Ren said.

"That doesn't matter either." Su Yun said with a smile, "It's just a few surgeries, or TIPS—done in the blink of an eye, no difficulty."

While chatting, the two of them went to see Dr. Mehari.

The doctor's surgery is finished; the removed coronary stent was taken away by Dr. Mehari's assistant.

Zheng Ren guessed that a pharmaceutical company or some laboratory wants to study a new thrombolytic drug based on the characteristics of the blood clot. After all, judging from Dr. Mehari's coronary blood clot progression, he must have taken some new drug not yet on the market.

The doctor was sleeping; Rudolf Wagner sat by the bedside caring for him. Seeing Zheng Ren and Su Yun enter, the professor grinned, pointed to the ECG monitor, indicating everything was fine.

Zheng Ren glanced at Dr. Mehari's system panel; there was still red, but the color was much lighter than before surgery. Moreover, there were no other complications diagnosed; we can say the surgery was quite perfect.

After all, it was a surgery completed with top‑level interventional surgical skill; this 'routine' procedure posed almost no challenge for Zheng Ren.

After a few glances, Zheng Ren signaled to the professor and then left the ward.

Returning to the intervention department's doctor's office, Zheng Ren didn't sit in his usual spot; instead, he went to the computer, opened the system, and retrieved the head CT image of someone named Yang Lixin.

The diagnosis of cerebral infarction is beyond doubt, and it being fresh means interventional thrombolytic treatment should work well. The interventional level of the 912 Neurology Department is good, and Zheng Ren had no intention of going to take a look.

Diagnosing cerebral infarction is beyond doubt, and it's a fresh cerebral infarction; the effect of interventional thrombolysis should be good. The interventional level of the 912 Neurology Department is not bad; Zheng Ren didn't even want to take a look.

Lin Yuan peered at the screen, seeing it was a skull CT image, and felt a bit doubtful.

"The patient is too young; the likelihood of a cerebral infarction is low." Zheng Ren said, "Why would this happen?"

"Tsk!" Su Yun said contemptuously, "Although there's no atherosclerosis, it must be caused by a thrombus—why even ask? The possibility of embolism from foreign objects is too small to be a major clinical consideration."

Zheng Ren felt a bit troubled; he couldn't tell Su Yun that he had seen the triggering factor on the system panel.

"There's also a type of cerebral infarction caused by hypertension‑induced small artery arteriosclerosis, leading to occlusion of the deep penetrating branches of cerebral arteries and forming a lacunar infarct. However, this image doesn't look like that; although the infarct area isn't that large, we still consider a thrombus as the cause." Lin Yuan said afterward.

Hearing Lin Yuan's voice, Zheng Ren's heart stirred; he right‑handedly gripped the mouse, eyes fixed on the screen, and said lightly, "Lin Yuan, do you remember that a while back, Boss Wang had a patient with vitamin B12 deficiency?"

Hearing Lin Yuan's voice, Zheng Ren's heart stirred; his right hand gripped the mouse, his eyes fixed on the screen, he said lightly: "Lin Yuan, do you still remember that a while ago Wang Zong had a patient with vitamin B12 deficiency?"

How did we get onto that?

"Su Yun said to have you go back and memorize the diagnosis sheet—did you?" Zheng Ren casually threw the pot at Su Yun.

"Boss Zheng, I've memorized it." Lin Yuan said this while feeling a bit guilty; what he said he memorized and what Boss Zheng understood as memorized could be two different things.

"Okay. As a test for you, go to the neurology department to see the patient and briefly communicate with the patient's family." Zheng Ren said, "Finally, I want to hear your judgment: where did the thrombus come from?"

"Good. As a test for you, go to the Neurology Department to see the patients, and also briefly communicate with the patients' families." Zheng Ren said, "Finally I want to hear your judgment, where did the thrombus come from."

"..." Lin Yuan was a bit dazed.

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End of Chapter

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