Chapter 34: with translation of chapter title

Director Pan made several phone calls in a row, after arranging everything, he looked solemn and told Zheng Ren: "Go to the laparoscopy room and find Director Shi, check what equipment is missing, reallocate if possible; if it's still insufficient, there's nothing we can do. If surgery can proceed, call me immediately—I'll be waiting at the office door."

Thus: "Director Pan made several phone calls in a row, after arranging everything, he looked solemn and said to Zheng Ren: 'Go to the laparoscopy room and find Director Shi, check what equipment is missing, reallocate if possible; if it's really insufficient, there's nothing we can do. If surgery can proceed, call me immediately—I'll be waiting at the office door.'"

Make sure to keep numbers? none.

Soldiers handle affairs swiftly and decisively; Director Pan's meaning is clear to Zheng Ren, and to save time he would rather stand at the office door waiting for news.

Military personnel handle affairs swiftly and decisively; Director Pan's meaning is understood by Zheng Ren, and to save time he would rather stand at the office door waiting for news.

Thus: "Military personnel handle affairs swiftly and decisively; Director Pan's meaning is clear to Zheng Ren, and even to save time, he would rather stand at the office door waiting for news."

Like soldiers ambushed on the enemy front line, Director Pan awaits the sound of the charge.

Thus: "Like a soldier lying in ambush at the enemy front line, Director Pan is waiting for the charge bugle to sound."

Zheng Ren nodded without saying a word.

Thus: "Zheng Ren nodded, saying nothing."

At this point, saying anything would be pretentious; all he can do is focus on completing this surgery properly.

Thus: "Saying anything now would be affectation; all I can do is to perform this surgery properly."

He hurried toward the Third Inpatient Department; Zheng Ren walked faster and faster, ending with a light jog to the laparoscopy room.

Thus: "He quickened his pace toward the Third Inpatient Department, walking faster and faster, finally breaking into a light jog to reach the laparoscopy room."

Director Shi was cooperative, suppressing his surprise as he asked Zheng Ren what instruments he needed.

Thus: "Director Shi was cooperative, suppressing his surprise, and asked Zheng Ren what instruments he needed."

Because the laparoscopy room at City No. 1 Hospital was preparing to hire a professor from the capital to perform ESD surgery, the preliminary preparations were essentially complete.

Thus: "Because the laparoscopy room of City First Hospital was preparing to invite a professor from Di Du to perform ESD surgery, the preliminary preparations had basically been completed."

Basic equipment such as the hook knife, intracavitary injector, intracavitary separation forceps, and intracavitary electrocautery were available, but the key device needed for appendectomy—the endoscopic intracavitary closure device—was missing.

Thus: "Basic equipment such as hook knives, intraluminal injectors, intraluminal separation forceps, and intraluminal electrocautery were available, but the key device needed for appendectomy—the intraluminal closure device under endoscopy—was missing."

Since Director Shi only intended to perform a mucosal resection, he had no need for the closure device.

Thus: "Because Director Shi only intended to perform a mucosal stripping procedure, he had no use for the closure device."

Zheng Ren gritted his teeth, said he needed to use the restroom, and found a secluded spot to enter the system space.

Thus: "Zheng Ren gritted his teeth, said he needed to use the restroom, found a secluded spot, and entered the System Space."

He opened the system store and began searching for ESD‑related equipment.

Thus: "He opened the System Mall and began searching for ESD-related equipment."

Seeing the full set of ESD equipment marked with 16,000 experience points, Zheng Ren's heart sank—it was ridiculously expensive, far beyond what he could afford.

Thus: "Seeing the full set of ESD equipment marked with 16,000 experience points, Zheng Ren's heart broke—it was far too expensive, he couldn't afford it."

Feeling helpless, Zheng Ren had an idea and tried purchasing the items separately.

Thus: "Helpless, Zheng Ren had an idea and tried purchasing the items separately."

He clicked on the intracavitary closure device, and to his surprise, it succeeded.

Thus: "He clicked on the intraluminal closure device, and to his surprise, it succeeded."

Seeing the intracavitary closure device marked with 2,200 experience points, Zheng Ren felt a mix of emotions.

Thus: "Looking at the intraluminal closure device marked with 2,200 experience points, Zheng Ren felt a complex mix of emotions."

He felt somewhat relieved, because adding the closure device would fill the equipment gap, allowing the surgery to proceed.

Thus: "He felt somewhat happy, because adding the closure device would fill the gap in the instruments, and this surgery should be able to proceed."

He also felt disappointed, since he had little money growing up; spending even a small amount was a huge deal for Zheng Ren. Pulling out nearly all his 'savings' to buy a single surgical instrument almost gave him a heart attack.

Thus: "He also felt disappointed, because having little money since childhood, spending even a bit was a huge deal for Zheng Ren. Pulling out almost all his 'savings' to buy a single surgical instrument almost gave him a heart attack."

But to uphold Director Pan's trust, this money should be spent.

Thus: "But for Director Pan's trust, this money should be spent."

Enduring the pang in his chest, Zheng Ren clicked purchase; his 2,332 experience points instantly dropped to 132, leaving him dirt poor.

Thus: "Enduring the stabbing pain in his heart, Zheng Ren clicked purchase; 2,332 experience points instantly became 132 points—damn poor."

After the purchase, the closure device appeared directly in Zheng Ren's hand; the feel of the titanium‑nickel metal gave him a sense of expensive quality.

Thus: "After purchase, the closure device appeared directly in Zheng Ren's hand; the feel of the titanium-nickel metal gave him an illusion of expensiveness."

How to take it out? Zheng Ren was puzzled and loudly asked the system. As expected, the system remained its usual aloof self, offering no response.

Thus: "How to take it out? Zheng Ren was a bit puzzled and loudly asked the system. As expected, the system remained as aloof as ever, giving no response."

Then let's go out, Zheng Ren gripped the closure device tightly, like a drowning person clutching the last straw, and exited the system space.

Thus: "Then let's just go out; Zheng Ren gripped the closure device tightly, like a drowning person clutching the last straw, and exited the System Space."

The moment he opened his eyes, Zheng Ren felt the hard object still in his hand.

Thus: "The moment he opened his eyes, Zheng Ren felt something hard in his hand, still there."

Great, the equipment can be taken out of the system space.

Thus: "Great, the equipment can be taken out of the System Space."

When Zheng Ren returned with the closure device to Director Shi, the latter blinked in surprise and asked, 'Little Zheng, do you have a classmate working in supplies? At Johnson & Johnson or Philips?'

Thus: "When Zheng Ren returned with the closure device to Director Shi, the latter was taken aback and asked, puzzled: 'Little Zheng, do you have a classmate working in consumables? At Johnson & Johnson or Philips?'"

Such devices are rarely used domestically; due to profit considerations, local manufacturers haven't produced them, and only international giants—led by Johnson & Johnson—make them, importing them into China.

Thus: "Such a device rarely used domestically is not produced by domestic manufacturers due to profit considerations; only international giants—led by Johnson & Johnson—manufacture it and import it into China."

At Zheng Ren's age, clinical sales reps wouldn't bother talking to a junior doctor like him; even a chief of inpatient services lacks the qualification.

Thus: "At Zheng Ren's age, clinical sales representatives wouldn't bother talking to a junior doctor like him; even the Inpatient Chief lacks that qualification."

Introducing new technology and using new equipment is the director's prerogative; at minimum, one must be a deputy director leading a team.

Thus: "Introducing new technology and using new equipment is the director's prerogative; at minimum, one must be a deputy chief leading a team."

Zheng Ren went around and brought back the closure device; logically, he must have a classmate working in sales at those big companies.

Thus: "Zheng Ren turned around and brought back the closure device; logically, he must have a classmate working in sales at those big companies."

Director Shi's guess is logical, but he wouldn't imagine that Zheng Ren has a system that can turn hostile faster than flipping a page, constantly threatening to erase Zheng Ren's system.

Thus: "Director Shi's guess is logical, but he wouldn't imagine that Zheng Ren has a system that can turn hostile faster than flipping a page, and at any moment might seek to eradicate Zheng Ren's system."

"No, I bought one myself after seeing it at a conference I attended previously," Zheng Ren replied evasively.

Thus: "'No, I bought one myself after seeing it at a conference I attended last time,' Zheng Ren replied evasively."

Director Shi didn't believe him; who would casually buy such an expensive surgical instrument? Moreover, it's just one of many surgical consumables. Alone, a closure device can't even perform a surgery—are we supposed to take it home and worship it?

Thus: "Director Shi didn't believe him; who would casually buy such an expensive surgical instrument? Moreover, it's just one of many surgical consumables. Taking only the closure device, you can't even perform a surgery—are you supposed to take it home and worship it?"

But since Zheng Ren said that, it's obvious he doesn't want to reveal the truth, and he can't do anything about it. He can only envy the brand‑new closure device gleaming with refined metallic luster, his mouth watering.

Thus: "But since Zheng Ren said that, it's obvious he doesn't want to reveal the truth, and he can't do anything about it. He can only envy the brand-new closure device shining with a refined metallic luster, drooling over it."

"Director Pan, the equipment is ready; when can we start the surgery?" Zheng Ren called Director Pan's number to report.

Thus: "'Director Pan, the equipment is complete; when can we start the surgery?' Zheng Ren dialed Director Pan's number to report."

"Alright, I'm on my way." Director Pan, having received Zheng Ren's message, immediately hung up.

Thus: "'Alright, I'm on my way.' Director Pan, upon receiving Zheng Ren's message, immediately hung up."

After a few minutes, Zheng Ren's phone rang; Director Pan told him to prepare for surgery, as he had already gone to fetch the patient.

Thus: "After waiting a few minutes, Zheng Ren's phone rang; Director Pan told him they were preparing for surgery and had already gone to fetch the patient."

Director Shi of the laparoscopy room also received a call from the head of medical affairs, informing him that the patient was highly prioritized by the hospital and that a call had been made to mobilize the laparoscopy room. The medical

Thus: "Director Shi of the laparoscopy room also received a call from the Director of Medical Affairs; the patient was highly regarded by the hospital, so a call was made to get the laparoscopy room moving. The Director of Medical Affairs told Director Shi that the city's Chen Secretary had already rushed to City First Hospital, and the hospital president would personally accompany him to observe the surgery."

Chickens flying, dogs jumping—the laparoscopy suite ramps up to full power, everyone springs into action, quickly completing preoperative preparations.

Thus: "In a flurry of activity, the laparoscopy room went all out, everyone sprang into action, and quickly completed preoperative preparations."

Director Lao Pan arrived first; he did not again ask Zheng Ren whether the surgery could succeed, but silently stood beside Zheng Ren, firm and steady like an iron anchor.

Thus: "Director Pan arrived first; he did not again ask Zheng Ren whether the surgery could succeed, but stood silently beside him, like an iron anchor—steadfast and stable."

As the head of the Medical Affairs Department brought the anesthesiology department head into the laparoscopy suite, the atmosphere in the room gradually grew heavy.

Thus: "As the Director of Medical Affairs arrived with the Anesthesiology Department chief, the atmosphere in the laparoscopy room gradually grew heavier."

The general surgery team arrived, pushing a stretcher; the girl's feet dangled off the stretcher below her ankles—she was extraordinarily tall.

Thus: "The General Surgery Department arrived, pushing a stretcher; the girl's ankles and below were hanging off the stretcher—she was extraordinarily tall."

Director Liu's face darkened; he had a bad premonition—that Zheng Ren would actually go ahead with the surgery, and he is highly proficient at it.

Thus: "Director Liu's face was grim; he already had a bad premonition—that Zheng Ren would actually perform the surgery, and do so skillfully."

But the arrow is already on the bowstring; he cannot voice any opposition.

Thus: "But the arrow was already on the bow; he couldn't raise objections."

The patient lies on the operating table; signatures and such must wait for the dean and the secretary‑general to finish, so rushing is pointless.

Thus: "The patient lay on the operating table; signatures and such had to wait for the hospital president and Chen Secretary, so rushing was useless."

Zheng Ren watches the countdown in the upper right corner of his field of view: four hours and fifteen minutes remain.

Thus: "Zheng Ren looked at the countdown in the upper right corner of his vision: 4 hours and 15 minutes remained."

Ten minutes later, Dean Xiao and Secretary‑General Chen rushed to the operating room.

Thus: "Ten minutes later, President Xiao and Chen Secretary arrived at the operating room."

In the office, Zheng Ren sits in a corner, unnoticed, even though he is the surgeon.

Thus: "In the office, Zheng Ren sat in a corner, unnoticed, even though he was the surgeon."

On the left side of the long table are President Xiao Keming, Executive Vice President Fu Guangshi in charge of clinical work, Director Lao Pan, and the heads of general surgery, laparoscopy, anesthesia, and other relevant departments; on the right side are Secretary‑General Chen, the office director, and the patient's agent, assistant, and others.

Thus: "On the left side of the long table were President Xiao Kemin, Executive Vice President Fu Guangshi in charge of clinical work, Director Pan, and the heads of General Surgery, Laparoscopy, Anesthesiology, and other related departments. On the right side were Chen Secretary, the office director, and the patient's agent, assistant, etc."

Dean Xiao spoke first.

Thus: "President Xiao spoke first."

"This patient has been given high priority by the city; next, Director Liu of General Surgery will present the case."

Thus: "'This patient has been given high priority by the city; next, Director Liu of General Surgery will present the case.'"

Few words, but they carry great weight.

Thus: "Few words, but they carried great weight."

"The patient is diagnosed with simple appendicitis; after three days of anti‑inflammatory treatment, there was no improvement. There is clear tenderness in the right lower abdomen, and this morning rebound pain appeared. We consider that the appendicitis is worsening, with a possibility of perforation." Director Liu's eyes were bloodshot, his dark circles pronounced, making him look especially disheveled and down‑and‑out.

Thus: "'The patient is diagnosed with simple appendatitis; after three days of anti-inflammatory treatment, the effect was poor. There is clear tenderness in the lower right abdomen, and this morning rebound pain appeared. Considering the appendicitis is worsening, perforation is possible.' Director Liu's eyes were bloodshot, his eye sockets dark, looking especially disheveled and down-and-out."

Only a few people know this is the aftermath of an all‑night showdown with Zheng Ren; others, unaware, thought he had bowed his head and exhausted himself for the patient's case discussion.

Thus: "Only a few people knew this was the aftermath of an all-night showdown with Zheng Ren; others thought he had bowed himself out for the patient's case discussion."

Director Liu paused, then launched into a dramatic performance, his voice full of regret: "We have discussed this many times in general surgery, and finally concluded that the patient can no longer be managed conservatively and needs surgery as soon as possible."

Thus: "Director Liu paused, then launched into a dramatic performance, his voice full of regret: 'General Surgery has discussed this many times; we finally concluded that the patient can no longer be managed conservatively and needs surgery as soon as possible.'"

"Director Liu, what surgical options are there?" asked a bespectacled, refined middle‑aged man on the right side.

Thus: "'Director Liu, what surgical methods are available?' asked a bespectacled, refined middle-aged man on the right."

"The procedures are either open appendectomy or laparoscopic appendectomy." Director Liu did not mention the technique Zheng Ren had suggested, saying: "I recommend open surgery because the patient's condition is suitable, the subcutaneous fat layer is very thin, the incision can be kept to 3–4 cm, the patient can get out of bed the next day, and recover in five to six days."

Thus: "'The procedures are conventional open appendectomy and laparoscopic appendectomy.' Director Liu didn't mention the technique Zheng Ren had spoken of: 'I recommend open surgery because the patient's condition is suitable, the subcutaneous fat layer is very thin, the incision can be controlled to 3–4 cm, the patient can get out of bed the day after surgery, and recover in 5–6 days.'"

"Well..." Speaking of the time frame, this already exceeds the requirements of the New Ideas Competition organizing committee. But it is a professional opinion that must be heard.

Thus: "'This...' speaking in terms of time, it already exceeds the requirements of the New Ideas Competition organizing committee. But it is a professional opinion that must be heard."

Most people understand the priorities; throwing a tantrum now would help the patient's condition not at all.

Thus: "Most people know the priorities; throwing a tantrum now would help nothing for the patient's condition."

However, missing the final is a regret; both the patient's agent and the city's Chen Secretary feel that way.

"We can perform a non‑incisional appendectomy that won't jeopardize the finals three days from now," Director Lao Pan interjected suddenly, his voice booming like a bell, overwhelming everyone present.

Like a tiger descending the mountain.

++++++

Only now did I notice that the Double 11 update to the purchasing system equipment is quite fitting. Starting this afternoon at 2 p. m., the edge push begins—in other words, the book is finally entering the phase where we'll see whether it's a mule or a horse. I earnestly ask fellow readers to cast more recommendation votes these days; perhaps someone like me only begins reading after looking at the recommendation ratio.

I still want to thank everyone—over 400 bare‑run collections, with thirty to fifty people voting for recommendation tickets each day, a ratio that's surprisingly high. Once again, I bow my thanks; the update schedule has been changed to three releases a day, at 6 a. m., 2 p. m., and 10 p. m., please take note.

First update as a sign of respect; I earnestly ask everyone for support.