Chapter 3040: and translation of chapter title

【They said write quickly……】

Su Yun was playing with her phone, Zheng Ren was reading in the System Library, at this moment the phone ringtone sounded.

"Hello?" Zheng Ren answered the phone.

"Uh…… I'm still outside."

"Good!"

After saying that, Zheng Ren suddenly stood up.

"What's wrong?" Su Yun was somewhat doubtful.

"Inside there's a case doing ERCP and EST, the guidewire broke, they've been researching in the Operating Room for two hours with no solution, they want us to go in and take a look." Zheng Ren said softly.

His voice was very low, outside there were many people and mixed eyes, who knows if the patient's family is at home, we shouldn't add trouble, this is the most basic.

"ERCP stone removal?" Su Yun hesitated a moment, then said contemptuously, "Surely it's too reckless."

Zheng Ren shrugged his shoulders, then saw the door open, Professor Wu beckoned with his head.

The two walked in, Professor Wu said with an embarrassed look, "Zheng Lao Ban, the gastroscopy is done."

He didn't mention the broken guidewire, first mentioned the gastroscopy, Zheng Ren knew what that meant.

"The results show esophageal hiatal hernia, chronic gastritis with erosion. Esophageal impedance monitoring results: reflux occurs mostly in the upright position, reflux material mainly gas. Esophageal manometry results show: lower esophageal sphincter pressure decreased." Professor Wu said softly, "Zheng Lao Ban, your Diagnostic Level is truly impressive!"

"You're welcome." Zheng Ren waited for his next words. What was just said, I saw it all on the System Panel; what's up with the broken guidewire?

Zhou Chun Yong was busy sending patients off the stage, and there was a resident doctor helping.

Professor Wu ushered Zheng Ren and Su Yun into the Gengyishi, looked left and right, seeing no one, he said softly, "One of our doctors did an ERCP, the guidewire broke inside. We usually get along well, Zheng Lao Ban, could you help take a look?"

"No problem, I'll go take a look, not sure I can get it out." Zheng Ren said calmly.

Professor Wu, hearing Zheng Ren say that, bent his waist, his expression became even more humble, he said politely, "Zheng Lao Ban, this really needs your trouble. My friend recently…… has been especially unlucky, one mishap after another."

"How so?" Su Yun asked, pouting.

"Who knows, now he doesn't even dare to do a gastroscopy, because a few days ago doing a gastroscopy coincided with a patient's acute duodenal perforation, this probability…… I don't even know what to say." Professor Wu sighed and said.

Acute duodenal perforation? Zheng Ren was stunned; generally speaking, this condition is an absolute contraindication for gastroscopy.

"Is it abdominal pain, emergency check gastroscopy?" Zheng Ren asked.

"No, no. It was an Outpatient appointment, initially they didn't consider perforation. After going up on the table, the patient might have been too nervous, the gastroscope hadn't even been inserted when he suddenly said he had severe abdominal pain." Professor Wu said, "Afterwards they didn't do a gastroscopy check, he didn't move at all, and this still got tangled in a medical dispute."

Zheng Ren nodded; if that's the case, this doctor is really terribly unlucky.

"I just said let him not operate, his luck's been bad lately, so he should rest." Professor Wu said, "The Airplane Ticket is already bought, preparing to go out and play, relax. But today someone he knows came to him, asking to do an ERCP stone removal surgery."

Professor Wu's explanation was a bit messy, but Zheng Ren and Su Yun understood his meaning. That unlucky professor had already taken leave, preparing to rest for a while, the Airplane Ticket was bought to go out and play, when an acquaintance found him and asked to do an ERCP stone removal surgery.

This kind of surgery is considered advanced technology at Haicheng Shi Yiyuan, but at Capital Medical University Fu Yuan it's as common as appendicitis, basically not a big deal.

I guess he thought the same, just do it, no big deal.

But who would have thought that doing an ERCP stone removal surgery would actually result in a broken guidewire, making it impossible to come down from the table.

This is really damn unlucky.

"What's the patient's condition?" Zheng Ren asked.

Female patient, 55 years old. Admitted via outpatient for intermittent upper abdominal pain for six months. Abdominal ultrasound suggests: post-Gallbladder Removal Surgery; common bile duct stones with dilation. MRCP suggests: lower common bile duct stone, 1.0cm × 0.9cm.

The medical history was brief, then Professor Wu said, "I don't know how the surgery was done either, Zheng Lao Ban, please trouble you to take a look. I also happened to see this after finishing a gastroscopy; otherwise they were preparing to cut the RT muscle to let the broken guidewire exit on its own."

"That works too." Su Yun said, "Cutting open is a standard method."

"This just happens to be when you two are here." Professor Wu continued with a smile, "If we can avoid damaging treatment, that's best. Regardless of whether the patient knows us or not, having less damage makes postoperative explanation easier."

While saying that, he bent his waist, being very sincere.

"Professor Wu, no need to be so polite, let's go take a look." Zheng Ren changed his clothes, brought a hat and mask.

Su Yun still wore three layers of masks; Professor Wu looked a bit dazed, not knowing why this person would wear so many masks.

However, this is all trivial; as long as the problem is solved, it's fine if someone wears a hundred masks.

Heading toward them, Zhou Chun Yong came out pulling a cart; he saw Zheng Ren and Su Yun having changed clothes and going in, knowing there must be something, he inquired with his eyes.

"Director Zhou, we'll take a look, we'll meet in the emergency observation room later." Su Yun casually waved her hand and said.

"Oh, okay. You two go ahead, I'll see Aunt Liu out." Zhou Chun Yong, being perceptive, seeing Zheng Lao Ban and Su Yun busy, pulled the patient out.

Professor Wu led the way, the three came to an operating room. As expected, the atmosphere was solemn. Zheng Ren walked in and heard sobbing from the side; a tall, thin young man stood in the corner wiping his tears.

Uh…… why is he still crying? Zheng Ren's first thought was of Gu Xiao Ran that guy.

It's just that Gu Xiao Ran wouldn't cry in the Operating Room; outwardly a momma's boy, but with a big heart, these two opposite temperaments highlight Gu Xiao Ran's oddness.

"Old Liu, this is Zheng Lao Ban." Professor Wu introduced.

Professor Liu wore sterile Gloves, so he didn't reach out; he politely bowed and said, "Zheng Lao Ban, please help take a look."

"How is the ERCP stone removal surgery performed?" Zheng Ren asked.

"They used an Olympus TJF-260V duodenoscope; after entering the descending duodenum, they used the guidewire insertion method." Professor Liu began to explain the surgical process, while speaking he stared with his eyes at the little doctor in the corner wiping tears.

"The guidewire used was Boston's single-use coated insulated guidewire, length 450cm, diameter 0.91mm. Under fluoroscopy, the guidewire was seen entering the main pancreatic duct, with its tip forming a small alpha helix."

"When the assistant retracted the guidewire, too much force was applied, causing the alpha helix tip to break off inside." Saying this, Professor Liu glared at the little doctor in the corner.

Zheng Ren frowned, Su Yun gave Professor Liu an unhappy look.

The surgery had an accident, and they're trying to blame the assistant? This person really lacks responsibility.