Chapter 316: with translation of chapter title

He chuckled and said, 'Chief Zheng, can you even do a B-ultrasound yourself?'

There was indeed a blockage at the distal bile duct; under B-ultrasound, Zheng Ren changed hand positions, using lateral and oblique views to confirm that the obstruction was not a denser stone but rather rotting, fermented food debris.

Thus: "The doctor in charge of emergency B-ultrasound in the B-ultrasound room knew Zheng Ren; after all, the emergency B-ultrasound mainly serves the Emergency Department."

Check: we must keep meaning. Use "B-ultrasound". Ensure we used Zheng Ren.

Now output: 【1】 The doctor in charge of emergency B-ultrasound in the B-ultrasound room knew Zheng Ren; after all, the emergency B-ultrasound mainly serves the Emergency Department.

They couldn't perform it themselves, but they could still understand the images, which also saved them from having to do it.

Translate: "He smiled and said, 'Chief Zheng, can you even do B-ultrasound yourself?'"

This patient is completely different from the one who underwent TIPS surgery last night.

Thus: 【2】 He smiled and said, "Chief Zheng, can you even do B-ultrasound yourself?"

Zheng Ren walked out of the gastroenterology department, still torn between laparoscopic and open surgery.

Translate: '"Somewhat familiar." Zheng Ren took the probe, swiped twice on the patient's abdomen, found the spot he needed to view, and carefully examined the image on the screen.'

Use Zheng Ren.

Thus: 【3】 "Somewhat familiar." Zheng Ren took the probe, swiped twice on the patient's abdomen, found the spot he needed to view, and carefully examined the image on the screen.

Jerk... tsk tsk.

Translate: "The distal bile duct was indeed obstructed; under B-ultrasound, Zheng Ren changed hand positions, lateral and frontal, confirming the blockage was not a denser stone but rotting, fermented food residue."

Use Zheng Ren, B-ultrasound.

Thus: 【4】 The distal bile duct was indeed obstructed; under B-ultrasound, Zheng Ren changed hand positions, lateral and frontal, confirming the blockage was not a denser stone but rotting, fermented food residue.

Zheng Ren suspects this is Su Yun's initial motivation for studying heart transplantation.

The two returned to the emergency ward, where Director Lao Pan had assigned Yang Lei to the first shift today.

After making the rounds, Chang Yue realized he had brought Professor Rudolf Wagner along, and the patients' compliance had at least doubled.

In Haicheng, it's common to see interns on rounds, but seeing a foreign 'intern' on rounds is unheard of.

The ward was orderly; Zheng Ren notified Yang Lei to prepare for surgery.

Because of Yang Lei's request that day, Zheng Ren also considered letting him perform part of the surgery to quickly improve his skills.

Just a few months earlier, Zheng Ren had been troubled by the fact that Cen Meng and Director Liu wouldn't let him perform surgery.

He never expected that now he could let others perform surgery.

Thinking back on all of this, it feels utterly surreal.

Soon, Zheng Ren received a call from Director Xia saying the patient's family had consented to surgery and were on their way to the emergency ward; she was also making preoperative preparations and would send the patient to the operating room once ready.

Director Xia acts decisively and efficiently, a trait Zheng Ren admires.

Zheng Ren did not delegate the preoperative instructions to Yang Lei or Chang Yue.

Because the patient's family gave vague information about the medical history, Zheng Ren wanted to determine whether it was due to lack of medical knowledge or intentional omission.

The difference between the two is enormous.

The patient's family soon arrived at the emergency ward—two middle-aged men, likely the patient's sons.

Zheng Ren had seen them before in the ward.

They appeared kind and were quite proactive.

Zheng Ren inquired about the patient's past condition; based on the family's body language, he judged they likely lacked medical expertise, and given how long ago it was, they were probably minors when the patient had surgery.

Having confirmed that, everything proceeded smoothly.

He went through each possible intraoperative scenario and explained the patient's current condition to the family, emphasizing that surgery was necessary and that even with surgery there is a 30% chance of not surviving.

After Zheng Ren finished speaking, the family's faces turned ashen and they broke out in cold sweat.

Seeing no issues, Su Yun went straight to the operating room with Yang Lei to perform the various preoperative preparations.

The family still signed the consent form, and Zheng Ren handed it to Chang Yue before heading to the operating room.

Professor Rudolf Wagner accompanied Zheng Ren to change clothes and enter the operating room; he didn't repeat himself, merely trying to persuade Zheng Ren to join him in establishing a research group in Heidelberg, Germany.

Zheng Ren didn't bother to guess the professor's true thoughts; his full attention was on the surgery about to begin.

Sewage pond syndrome—hope it's not too severe.

What a jerk... tsk tsk.

That's quite vivid; Zheng Ren even laughed.

"What are you thinking about?" Su Yun asked seriously.

Is it an open surgery or laparoscopic?

It has to be an open abdomen; food debris is hard to remove with laparoscopy. Post‑op antibiotics would be too troublesome. Besides, mainly I don't want to hold the scope. Su Yun declared firmly.

Su Yun, who looks delicate like a little girl, wanted a spacious surgical field, so he chose thoracic surgery in graduate school.

As minimally invasive techniques have advanced, thoracic open‑chest surgeries have rapidly declined, making large 40 cm incisions rare.

Zheng Ren suspected this was Su Yun's initial motivation for studying heart transplantation.

"Then let's do an open abdomen." Zheng Ren made the decision—not because Su Yun didn't want to hold the scope, but because the patient's condition is fairly complex; intra‑operatively they might need a B‑ultrasound probe to locate the liver abscess, aspirate the pus, and also manage biliary obstruction and other steps.

They returned to the emergency ward, where Director Lao Pan had assigned Yang Lei the first shift today.

Chang Yue took the professor from ward to ward, chatting with patients' families and explaining why he had broken the rules by going home last night.

After the rounds, Chang Yue noticed that having Professor Rudolf Wagner along had at least doubled patient compliance.

In Haicheng, it's usual to see interns on rounds, but nobody had ever seen a foreign 'intern' doing rounds.

The ward was well organized, and Zheng Ren notified Yang Lei to get ready for surgery.

Because of Yang Lei's request that day, Zheng Ren considered letting him handle part of the operation to quickly boost his proficiency.

Just a few months earlier, Zheng Ren was still agonizing over Cen Meng and Director Liu refusing to let him operate.

Unexpectedly, he now can let others perform surgery.

Looking back, it all seems quite surreal.

Soon, Zheng Ren got a call from Director Xia saying the patient's family had agreed to surgery and were on their way to the emergency ward; she was also completing preoperative preparations and would then send the patient to the operating room.

Director Xia acts with decisiveness and efficiency, which Zheng Ren admires.

Zheng Ren didn't offload the preoperative duties onto Yang Lei or Chang Yue.

Because the family's description of the patient's history was vague, Zheng Ren wanted to find out whether it stemmed from lack of medical knowledge or was deliberate.

The distinction between the two is enormous.

The patient's family soon arrived at the emergency ward—two middle‑aged men, presumably the patient's sons.

Zheng Ren had seen them earlier in the ward.

They looked friendly and were quite proactive.

Zheng Ren inquired about the patient's history; judging by the family's body language, he concluded they probably lacked medical expertise, and since it had been so long ago, they were likely still underage when the patient underwent surgery.

Once that was settled, everything went back on track.

He outlined possible intraoperative complications and explained the patient's condition to the family: surgery is unavoidable, yet even with surgery there's a 30 % chance they might not survive.

After Zheng Ren finished, the family's faces turned pale and they broke into a cold sweat.

Seeing no problems, Su Yun went with Yang Lei straight to the OR to handle the preoperative preparations.

The family still signed the consent form; Zheng Ren gave the paper to Chang Yue and then headed to the OR.

Professor Rudolf Wagner accompanied Zheng Ren to change into scrubs and enter the operating room. He didn't keep repeating himself; he wanted to convince Zheng Ren to join him in setting up a research group in Heidelberg, Germany.

Zheng Ren didn't bother trying to guess the professor's true intentions; his full attention was on the surgery about to start.

Sewage‑pond syndrome; hopefully it isn't too serious.

Zheng Ren, while changing clothes, went to the System Operating Room again and practiced ten surgical Shou Bing of sewage pool syndrome.

The surgical procedure went very smoothly, after all Zheng Ren is a master-level in the General Surgery Department, and with his experience in hepatobiliary anatomy, his local anatomy skills are very strong.

His basic skills are solid; he picks up any surgery quickly.

After practicing ten cases, he is already very careful and cautious.

Hearing the gurney sound, Zheng Ren had just changed clothes and walked into the Operating Room.

"Chief Zheng, I'm starting anesthesia now, is there anything you need?" Chu Yan zhi asked.

"General anesthesia, nothing else needed for now." Zheng Ren said.