Chapter 348: line with translation of chapter title

Chief Zheng, I'm Old Zhou from the Orthopedics Department. a somewhat effeminate voice came from the other end of the phone.

Terms: Chief Zheng, Orthopedics Department. Also "Old Zhou" maybe nickname? Not in glossary. But "Old Zhou" is a nickname for Zhou Yisheng? Not given. Might be considered a named entity? Probably not required. We'll include Chief Zheng and Orthopedics Department.

He's Zhou Yisheng from the Orthopedics Department, a nice guy, just speaks a bit effeminately.

Terms: Orthopedics Department, Zhou Yisheng.

This voice is too distinctive; Zheng Ren recognized it right away.

Zheng Ren.

Brother Zhou, what's wrong?

Terms: Brother Zhou maybe nickname for Zhou Yisheng. Not in glossary. Might be considered a named entity? Probably not needed. We'll skip unless we think it's a nickname used habitually.

Are you busy? Lumbar vertebra resection, the patient's interventional surgery... the voice on the other end hesitated, "Can the surgery be done right away?"

Terms: Interventional surgery, Shou Bing. Also lumbar vertebra resection not a named entity.

Huh? Why the rush?

No named entities.

I'm free right now, has the patient fasted long enough? Zheng Ren said indifferently.

Zheng Ren.

"Enough! Enough!" Zhou Yisheng said quickly, "We've asked a professor from the capital to perform this surgery. The professor has something come up temporarily, so either he'll fly in early tomorrow morning to do it, or we'll have to wait another three or five days."

Terms: Zhou Yisheng, Shou Bing, Di Du, Professor.

Zhou Yisheng quickly explained, after all it's almost quitting time, asking Zheng Ren to perform the surgery depends on personal feelings.

Terms: Zhou Yisheng, Zheng Ren, Shou Bing.

The patient is in severe pain, needing a lot of painkillers every day. I'm thinking, the earlier we do it, the less the patient will suffer.

No named entities.

"It's fine, Brother Zhou—I have no emergency surgeries on my end. If it's convenient for you, just have the family sign and send the patient over." Zheng Ren said with a smile.

Terms: Brother Zhou maybe, Zheng Ren, emergency surgery? Not in glossary. "emergency" not given. But we have "emergency ward" glossary. Not "emergency surgery". Might be considered a term but not in glossary. We'll maybe skip.

"Okay, okay." Zhou Yisheng readily agreed, "I'll have the family come find you right away."

Zhou Yisheng.

After saying that, the phone was hung up.

No.

Zheng Ren immediately began writing the pre-op instructions, as it was his first time performing this new technique, he pondered possible complications while noting them down.

Terms: Zheng Ren, pre-op instructions, new technique.

Seeing Zheng Ren start work, the professor came over and asked, "Chief Zheng, are we doing the surgery right away?"

Terms: Professor, Chief Zheng, Shou Bing.

"Mm." Zheng Ren answered.

Zheng Ren.

"Your work here really doesn't distinguish day from night." As it was getting close to quitting time but they still had to go into surgery, as a rigid German, the professor surely had thoughts.

Terms: Germany, Professor, Shou Bing.

Off-work time is private, but the professor truly couldn't adapt to this lifestyle where work and personal life aren't separated.

Terms: Professor.

This isn't life; it's practically being a slave sold to the hospital.

Hospital.

But the professor was reluctant to leave, and even if he wanted to go, Zheng Ren wouldn't stop him.

Terms: Professor, Zheng Ren.

The midday 64-slice CT three-dimensional reconstruction opened a door for the professor, faintly revealing a brand-new world.

Terms: 64-slice CT three-dimensional reconstruction, Professor.

As for what this world looks like, perhaps this surgery can offer a glimpse.

Terms: Shou Bing.

The professor hesitated for only a second before deciding to stay.

Professor.

Zheng Ren had no idea about the professor's rich inner thoughts; he checked the pre-op instructions item by item, and when the young married woman arrived, Zheng Ren was still pondering all possible complications.

Terms: Zheng Ren, Professor, Inner Mind, pre-op instructions, young married woman.

He wrote down everything he could think of and explained it to the patient's family.

No named entities.

The young married woman didn't mind; in her words, at this time it's the family's duty to be attentive and trouble the doctor to help out.

Terms: young married woman, doctor.

Moreover, she had prepared herself mentally; if she really couldn't handle it, she'd just consider it less suffering.

Terms: mental preparation.

She signed the pre-op instructions Zheng Ren had printed out without hesitation, then went back to send the patient to the emergency ward to prepare for surgery.

Terms: Zheng Ren, pre-op instructions, emergency ward, Shou Bing.

Zheng Ren called the operating room to prepare for surgery, then didn't call Su Yun, and brought the professor to the operating room.

Terms: Zheng Ren, Operating Room, Shou Bing, Su Yun, Professor, Operating Room.

Finally catching Zheng Ren when he had time, Professor Rudolf kept blurting out all the questions he'd just thought of about the 64-slice CT three-dimensional reconstruction.

Terms: Zheng Ren, Professor Rudolf, 64-slice CT three-dimensional reconstruction.

Zheng Ren had no mind to answer the professor's questions, lowering his head to change clothes, only occasionally communicating with the professor.

Terms: Zheng Ren, Professor.

What he was thinking about were all questions related to the lumbar artery embolization surgery.

Terms: (interventional embolization of lumbar artery surgery?) Not in glossary. But we have Interventional embolization. lumbar artery not in glossary. Might be considered a named entity? Probably not required.

Still need to go to the system operating room for training; ten or twenty surgeries' worth of experience is enough.

Terms: System Operating Room, Shou Bing.

Zheng Ren is now well-off; for the new technique he's first encountering, he casually thinks of trying it ten or twenty times.

Terms: Zheng Ren, new technique.

As for how many hours each takes, Zheng Ren hasn't given it much thought.

Zheng Ren.

If it were the past, he definitely wouldn't dare.

No.

Going from frugality to extravagance is easy; that's the principle.

No.

After changing clothes, Zheng Ren had Professor Rudolf do the pre-op preparations, while he went to the small smoking room, lit a Purple Cloud cigarette, and entered the system space.

Terms: Zheng Ren, Professor Rudolf, pre-op preparation, small smoking room, Purple Cloud, System Space.

After purchasing surgical training time, the system operating room rose up, and an experimental subject appeared before Zheng Ren.

Terms: Surgical Training Time, System Operating Room, experimental subject, Zheng Ren.

The lumbar artery, also called the lumbar artery, divides into anterior and posterior terminal branches at the anterolateral side of the intervertebral foramen.

Terms: lumbar artery, lumbar artery.

The anterior branch runs along the ventral side of the corresponding transverse process's lower edge and the intertransverse ligament, emerges between the transverse abdominis aponeurosis and the internal oblique muscle, and supplies the lateral abdominal wall tissue.

No named entities.

The posterior branch, at its origin, sends a finer intervertebral foramen branch into the spinal canal, supplying the area anterior to the dura mater and posterior to the vertebral body.

No.

At the same location, the posterior branch's main trunk sends downward and outward a nourishing branch into the lumbar plexus.

No.

What needs to be embolized includes not only the nourishing branch that the posterior branch's main trunk sends downward and outward into the lumbar plexus, but also nutrient vessels from abnormal hyperplasia of the main trunk and blood vessels from abnormal hyperplasia of tumor tissue.

Terms: embolization, nutrient vessels, tumor tissue.

This was already confirmed during the midday 64-slice CT three-dimensional reconstruction.

Terms: 64-slice CT three-dimensional reconstruction.

Because the patient has late-stage tumor, the surgery is also a palliative procedure to improve quality of life, so while avoiding complications, we should embolize the vertebral nutrient vessels as much as possible.

Terms: surgery, palliative surgery, embolization, vertebra, nutrient vessels.

Simple destructive surgery is not very difficult. Previously, for this type of surgery, without interventional embolization of the lumbar artery, intraoperative bleeding would be 3000–5000 mL.

Terms: destructive surgery, interventional embolization of lumbar artery, intraoperative bleeding.

This is a daunting number.

No.

But if the lumbar artery is embolized, the bleeding can be controlled to 1500–2000 mL, reaching an acceptable level.

Terms: embolization of lumbar artery.

Surgical training: Zheng Ren's first surgery took nearly three hours.

Terms: surgical training, surgery, Zheng Ren.

Because Zheng Ren didn't just want to embolize the posterior branch's main trunk; although that would make the surgery simpler, it would also achieve the level required by the Orthopedics Professor at the Imperial Capital.

Terms: Zheng Ren, embolize, posterior branch main trunk, surgery, Imperial Capital, Orthopedics Department, Professor.

But the patient's intraoperative bleeding of about 1500 milliliters still has a huge impact on the dying patient.

To improve the patient's survival quality, minimizing bleeding is the proper way.

Not only must the lumbar artery or the left and right intercostal arteries be embolized, the nearby small blood vessels must also be embolized as much as possible to ensure surgical bleeding reduction.

Actually, Zheng Ren doesn't need to do this at all.

But as a doctor, when conditions allow, one always thinks of letting the patient recover quickly; for those who cannot recover, one should try to improve the quality of life during the survival period.

The spinal cord nourishing blood vessels are extremely rich; besides the Adamchiviz artery, which should be avoided as much as possible, Zheng Ren also carefully imaged the others, finding no impact on other organs or the spinal cord, merely supplying blood to the tumor, and only then embolized.

The surgery proceeded very slowly, and Zheng Ren gradually mastered some corresponding embolization techniques.

The interventional level of a grand master is no joke.

Even so, after ten surgical trainings, at best they could only achieve one lumbar artery embolization surgery every two hours.

To some extent, this Shou Bing must meet Zheng Ren's requirements, which is even harder than prostate embolization.

After all, even if the hyperplastic capillaries of the prostate are embolized ectopically, it will not cause the patient's death.

Just like the patient that Professor Rudolf Wagner treated, embolization of the superior vesical artery left the patient only with symptoms such as urinary weakness, and an indwelling catheter sufficed.

But this time, the artery to be embolized is the one near the vessels supplying the spinal cord.

A slight mistake could cause the patient to develop lower limb paraplegia, even respiratory arrest, leading to the patient's death.