Chapter 2998: with translation of chapter title

Inside the Operating Room, Zheng Ren remained seated as steady as a mountain, watching the Shou Bing being performed inside.

This Shou Bing is performed by Gu Xiao Ran; this kid has the bearing of a great general, his performance is extremely stable, and almost every Shou Bing he does showcases his highest level.

When Zheng Ren first saw this mama's boy, he never imagined that beneath his surface personality lay this attribute. Gradually Zheng Ren felt some regret, thinking he shouldn't have let Gu Xiao Ran go to Yimei.

But Director Kong had already talked with Gu Xiao Ran; even if he had to grit his teeth, he had to accept it. Zheng Ren, while watching Gu Xiao Ran do Shou Bing, pondered the department's affairs.

"Boss." Su Yun walked into the operating room.

"Huh? How did you come back?" Zheng Ren asked, "Is there no need to be busy over there?"

"Forget it, yesterday at Xinglin Yuan's gathering, Peng Jia drank too much, and this morning he woke up saying he had a cerebral infarction." Su Yun shrugged and spread her hands, saying helplessly.

"……" Zheng Ren was speechless.

Drinking, cerebral infarction, damn it.

"What's the situation?" Zheng Ren sighed and asked.

"The right eyelid is weak, the corner of the mouth is fine, he went for a CT, but I saw the result and there's nothing wrong." Su Yun took out her notebook, found the image Peng Jia sent, and showed it to Zheng Ren.

"What does the physical exam say?"

Neurological exam shows ptosis in part of the upper eyelid, with no obvious abnormality in the other cranial nerves. Pupils are equal and reactive, eye movements are unrestricted and painless; no headache or visual disturbance; vital signs are normal.

"Looking at it, it indeed doesn't look like there's anything wrong." Zheng Ren stared at Peng Jia's head CT scan, musing, "What's being done now?"

"He's getting a Nuclear Magnetic Resonance scan, waiting in line, not knowing when it'll be his turn."

"Just a ptosis alone really can't indicate anything. Looking at the CT, there's no sign of a cerebral infarction. What is Peng Jia doing to himself? He can't even lift his right eyelid." Zheng Ren let out a deep sigh.

"Who knows? They say left eye twitching brings wealth, right eye twitching brings disaster—his right eyelid can't even lift; how serious must this be!"

"Don't talk nonsense, that's all feudal superstition."

"Tradition, this is called tradition—it's like saying you never muttered a prayer to the night-shift god or whatever while on duty." Su Yun said disdainfully.

"The causes of ptosis include the levator palpebrae superioris or its innervating nerve, damage to the nearby superior tarsal muscle or its sympathetic nerve branch, or the neuromuscular junction." Zheng Ren ignored Su Yun's nitpicking and began analyzing the condition.

"There's still a possibility of Müller's muscle injury; maybe he bumped into something after drinking too much."

Su Yun said that Müller's muscle is the same as the superior tarsal muscle, just a different term.

"Unilateral ptosis with acute onset making a neuromuscular junction problem unlikely—the probability is too low, so we won't consider it for now." Zheng Ren asked, "Any intracranial issues?"

"A hemangioma? The CT didn't show it, right?"

"A hemangioma in the ophthalmic artery or involving the nerves could also cause this."

"Cut the crap." Su Yun said, "What does drinking have to do with it?"

"After drinking, violent vomiting can raise intracranial pressure, and a hemangioma rupturing is normal." Although Zheng Ren knew Su Yun disliked talking about drinking-related complications, in medical diagnosis he must tell the truth.

"It can't be an arterial aneurysm, don't even think about it." Su Yun said, "If an artery ruptured, the symptoms would definitely be severe, not just the inability to lift the eyelid."

"For acute ptosis, one must consider a posterior communicating artery aneurysm compressing the proximal oculomotor nerve. Although oculomotor nerve palsy is a clear sign, pupil dilation and ptosis usually appear first."

"I already said the pupils are fine."

"For now we can rule it out; I think what you said makes sense." Zheng Ren, watching Gu Xiao Ran perform Shou Bing, said absentmindedly, "However, when it comes to pupils, about 20% of patients show no abnormality, so we cannot rely solely on clinical observation to rule out the potential dangerous causes of acute ptosis."

"Tch." Su Yun said, "Say what you really want to say, don't beat around the bush."

"Consider whether it's due to a vein rupture, or from violent vomiting after drinking causing a vein rupture, bleeding, forming a hematoma that compresses a nerve, presenting as an isolated symptom. It's a minor thing; rest for two days and it'll be fine." Zheng Ren said casually.

"I'm thinking the same; isolated ptosis with no related pupil or extraocular movement involvement makes it more likely to be due to orbital mechanical compression of local muscle or nerve from a hematoma."

"It's in the literature; this is the biggest possibility. Let's wait for the Nuclear Magnetic Resonance results—no matter how lively our discussion, it's useless." Zheng Ren said, "Fortunately we didn't agree to the celebration; if you drank and caused a problem, what would we do?"

"That's true; speaking of drinking, Peng Jia's alcohol tolerance is so low I could drink ten of him. I guess he's also happy—do you know how big a controversy yesterday's live-streamed Shou Bing sparked?"

"I don't know."

"Ning Shu said he's been urged to hold a meeting since early morning; Caltech is especially interested, while Lan Ke remains the same." Su Yun said, "Chang Feng has no money, just tagging along. Even the investment banks that were hesitant have become more active……"

"When can it go into production?" Zheng Ren had no thoughts about investment banks or going public; his focus was on the equipment.

"It'll take at least half a year no matter what."

"The sooner the better; if not, let's get a sample machine over… Right, I'll contact Lao Mu later and put a sample machine at his place, so I can perform any Shou Bing via 5G remote."

"Lao Mu's skill is high, okay? Doing this will easily make people resent you." Su Yun said.

"It's not a big deal, and placing it there is because Lao Mu's skill is high; initially, remote Shou Bing doesn't need to anticipate many unforeseen problems. I'll go home and contact Lao Mu to sort things out. Look at Gu Xiao Ran's Shou Bing—his Progress is huge."

"I can't understand him—he obviously has a big heart, yet he's so willing to cry!" Su Yun pouted and said, "These two aren't related, right? When doing Shou Bing, one is fully focused, never distracted, so one can employ all Technique means, unlike many who constantly worry about Shou Bing mistakes."

"Saying that, I think it's related to you sitting outside." Su Yun laughed, "Once he goes home and does Shou Bing himself, it'll be a whole different concept."

Zheng Ren thought, seems to be the case as well.

"Peng Jia is scheduled for a Nuclear Magnetic Resonance scan; this guy is truly scared of dying, terrified of having a cerebral infarction. I guess after this incident he'll never drink again in his life."

"Life had just started uphill, then it suddenly hit a block—guess he'll doubt life." Zheng Ren laughed and said, "How can it be this fast? Our hospital's Nuclear Magnetic Resonance waitlist is three to five days."

"Done at a private hospital in Modu that mainly serves United States patients; Modu has a few retired big shots hired to hold the fort."

"Oh, private hospitals are quite good."

"Boss, guess how much they earn over there?"

"Uh……"

"Supposedly, a night shift on New Year's Eve pays 50,000 RMB."

Zheng Ren gaped! A private hospital with this kind of pull—who could they not poach!