Chapter 2990

"Zheng Lao Ban, here." Director Xu said with a solemn face.

"Director Xu, have you done the echocardiogram? Let me take a look." Zheng Ren gave a simple greeting and went straight to the point.

Lao He immediately handed the echocardiogram report to Zheng Lao Ban.

The patient's condition, as expected, was similar to what was seen in the System Operating Room, and Zheng Ren felt more certain.

"Do another echocardiogram." Zheng Ren said.

"Huh?" Director Xu didn't quite understand; one such test is enough, what's the point of doing it twice?

He didn't ask a question, but looked at Zheng Ren.

"Director Xu, it's like this." Zheng Ren brought the echocardiogram sheet to the film viewer, pointed at the image on it, and said: "The before and after differ by nearly 20 minutes; from the CT we can see the heart is in the right thoracic cavity, with the furthest point about 6.7 cm from the sternal notch."

Director Xu and the anesthesiologists gathered around; the Inpatient Chief of Gan Dan Wai Ke was pushed out, and only Li Zhu ren of Gan Dan Wai Ke stood beside Zheng Lao Ban, watching together.

"From the echocardiogram we can see the heart has moved left by about 0.3 cm."

"……"

Everyone fell silent.

"0.3 cm? Can that even be seen? Such a tiny difference could easily be just a measurement error from a single heartbeat."

"On my way back I considered that the patient likely had a heart torsion due to massive gas compression in the left thoracic cavity; if we drain the gas via closed thoracic drainage, restoring negative pressure in the left thoracic cavity, the heart should return to its place." Zheng Ren said.

"Zheng Lao Ban, traumatic pneumothorax is very common, but cardiac torsion is not often seen." Director Xu said in a low voice.

If it were a young doctor or an Inpatient Chief, even the Team-leading Professor Director Xu would have started scolding by now.

What the hell opinions, doing nothing and waiting for the heart to return to position on its own? This isn't a joke. If nothing needs to be done, why are you here? Besides Director Xu, the cardiothoracic surgery professors also have doubts, but they know Zheng Lao Ban has a bad temper, so they stand in the back and don't question.

It's the same saying, but when it comes to Zheng Lao Ban, all of this becomes another concept.

Zheng Lao Ban isn't the kind of person who avoids surgery because he's bad at it; people do cardiothoracic surgery smoothly—procedures like second valve replacement, opening the chest to remove a 12cm blood clot, and so on are plenty.

Cardiac torsion just needs repositioning; there's some risk in the process, but Director Xu doesn't think the risk is that great.

But Zheng Lao Ban wants conservative treatment…

"That's right; under normal circumstances, when lung cancer surgery performs a sleeve resection via the pericardium, there is an extremely small chance of complicating cardiac torsion. However, related case reports share a common point—the patient will have symptoms of respiratory and circulatory function failure."

The Operating Room was quiet as could be; everyone was listening to Zheng Lao Ban's statement. Zheng Ren's voice wasn't loud either, making it hard for those in the back to hear.

After all, the patient hasn't undergone anesthesia yet; if he were to hear talk of death or failure, it might trigger complications.

"When I came in, I saw the patient glance at me, indicating he was clear-headed. The values on the ECG Monitor were relatively stable, with no respiratory or circulatory failure complications, so I estimate that if left alone, the heart's spontaneous repositioning is quite likely."

"Doing this would cause the least harm to the patient; we can try it, and if it doesn't work, I can take responsibility for opening the chest to rescue." Zheng Ren said steadily.

As soon as Zheng Lao Ban said he could take responsibility for opening the chest to rescue, the atmosphere in the Operating Room eased considerably.

"Is the anesthesia okay?" Director Xu asked.

"Let's do the anesthesia; we two are watching here, and if there's a problem we'll go to emergency rescue." Zheng Ren said.

Su Yun sighed inwardly; he himself hadn't felt the change in his boss's mindset, but the way he spoke and acted had already changed a lot.

Hey, we two are watching here! This is subconsciously putting myself on the same platform as Director Xu in my heart.

By rights, a Nobel Prize laureate should have such qualifications, but even Su Yun hasn't gotten used to this way of speaking and acting.

After winning the Nobel Prize, he repeatedly reminded himself to keep his tail between his legs and at least not get carried away. But his boss already… tsk, I can't be bothered to say it.

Lao He pushed in the echocardiogram machine, and Zheng Renze readily prepared to perform an echocardiogram.

"What's your name?"

"Zhu Hong." The patient said softly, "Doctor, my chest pain and shortness of breath have improved a lot; I'm fine, right?"

"It's fine." Zheng Ren applied coupling gel to his chest wall and then began performing an echocardiogram.

"It's a small problem, don't worry. Do a minor Shou Bing, and if it goes smoothly, you'll be able to go home and rest in five days." Zheng Ren continued.

"Um… what are you all discussing with so many people? I've heard that in the Operating Room, doctors chatting and laughing is fine, but if an old doctor comes in now and then another old doctor comes in later, that would be a problem." The patient asked doubtfully.

"We're discussing whether you can go home in five days; if we don't discuss it, you'll have to lie in the ICU for ten days." Zheng Ren said with a smile, then pointed at the echocardiogram screen and to Director Xu and Li Zhu ren of hepatobiliary, saying: "Here, you can see a greater difference from the CT image; the reposition distance is nearly 1 cm."

To clearly see the echocardiogram requires deep professional expertise; neither Director Xu nor Li Zhu ren of hepatobiliary can understand it, only Zhao Yunlong and Su Yun stand silently behind Zheng Ren watching.

Although they also saw the difference, is Zheng Lao Ban's choice too risky?

If we followed Zhao Yunlong's idea, rather than being stingy with conservative treatment, it would be better to boldly split the sternum Shou Bing.

"If there are no objections, shall we start the anesthesia?" Zheng Ren inquired.

"Lao He, anesthesia." Director Xu directly arranged for Lao He to go up.

Although Lao He is nominally not in Zheng Lao Ban's Medical Team, the fact that he is Zheng Lao Ban's dedicated anesthesiologist is known not just in 912; now almost all top anesthesiology directors nationwide know this.

Not long ago, the question of who Lao He was swept through the anesthesiology field like a gale; Lao He went from being obscure to becoming a hot anesthesia star seemingly overnight.

Lao He glanced at Zheng Lao Ban, but he didn't directly answer Director Xu's words.

The clan's chief and Zheng Lao Ban stood here together; it's actually hard to choose whose side to take, but Lao He had it figured out in his heart.

Even if it means offending Director Xu, one cannot offend Zheng Lao Ban.

"Go ahead, I'll watch from behind." Zheng Ren said with a smile.

"All right." Lao He immediately pulled a USB drive from his pocket, ran to the computer, and started playing Good Luck Come.