Chapter 372: 365 Don't Be Too Surprised (Silver Alliance 3-7 Inter-Entertainment Li Yifei Bonus Chapter 9)

Director Zhang shuddered, lost in thought like that, but it was wrong.

Could it be that Professor Rudolf Wagner did this?

Yes, that's the only reasonable explanation.

But when he looked up for the professor, he saw the professor pressing to stop bleeding in the Shujian, while Chief Zheng of the City First Hospital's Emergency Department stood in the operating room, chatting and laughing with Director Xia.

This...

He hurried over to Zheng Ren, squeezed out a smile, and asked, "Chief Zheng, how was the surgery done? I didn't get it, could you explain?"

It wasn't that he didn't understand; he simply hadn't watched at all.

Zheng Ren didn't know either, but since Director Zhang had asked, he would explain.

But retrieving the recoverable stent after TIPS surgery is difficult; the difficulty lies in coordinating my own operation with Professor Rudolf Wagner's, something that can't be seen on the images or explained in words.

"The surgery, there's not much to say; mainly when retrieving the stent, pay attention to technique." Zheng Ren explained: "Just avoid damaging liver tissue and causing secondary bleeding."

Zheng Ren pointed at the image and said.

"..." Director Zhang was also speechless.

Who the hell doesn't know that? Why do you need to say it?

But Director Zhang, coming from a business background, also knew it wasn't that Chief Zheng Zheng refused to speak; it was just indescribable.

What a deep regret—just a moment of distraction and I missed such a splendid surgery, simply unforgivable.

Director Zhang pulled himself together, wanting to carefully observe the TIPS procedure.

If he had any doubt before, now he dares not be lax at all. If Chief Zheng's level is truly good, then let the surgery feed him!

As for Professor Rudolf Wagner...

Director Zhang didn't dare to have any designs on him.

A world‑top professor—can ordinary people afford to hire him? One surgery would cost at least a hundred thousand dollars.

If the patients at the Second Hospital were that rich, they could easily get treatment domestically; why would they be waiting to die there?

Fifteen minutes passed, Professor Rudolf Wagner applied a pressure bandage to the patient, then Zheng Ren helped lift the patient onto a stretcher, and a doctor from the gastroenterology department sent him back to the ward.

As they left the operating room, the patient raised his hand and said, "Doctor Zheng, thank you."

"You're welcome." Zheng Ren smiled.

The satisfaction after a successful surgery could not be greater.

Everyone being well is more important than anything.

Afterward, a patient with decompensated cirrhosis and refractory ascites was sent to the operating room.

Zheng Ren picked up her images, placed them on the viewer, and made a final pre‑operative check.

The professor was moving; being tall, he found it easy to move the patient. Zheng Ren, however, remained still, left hand under the right armpit, right hand supporting the left arm, chin propped, intently studying the images.

Yesterday, after extensive discussion with Professor Rudolf Wagner, we had pushed the surgical approach far ahead compared to my own blind research.

Today's procedure was already well planned in my mind; Zheng Ren just routinely double‑checked.

"Boss, what have you and the professor been researching?" Su Yun suddenly came up to Zheng Ren and asked.

"Here, adding two symmetrical diffusion‑sensitive gradient pulses before and after a 180° pulse in a T2‑weighted sequence can reveal the needle path." Zheng Ren pointed with his right hand at the diffusion‑weighted MR image and said.

What he said was highly sophisticated; even clinical doctors couldn't understand it.

Besides neurology, few people can understand diffusion‑weighted MR.

Moreover, Zheng Ren's point—based on the random lateral motion of molecules (Brownian motion) MRDW in spin‑echo imaging—is even more obscure.

Others may not get it, but Su Yun is a top student.

He merely pondered a moment and understood what Zheng Ren meant; without Zheng Ren's hint, perhaps Su Yun would never have thought diffusion‑weighted MR could be used to locate the puncture site for TIPS.

But once that thin veil is pierced and spelled out, it's nothing special.

"Interesting, how did you think of that?" Su Yun's focus has always been different from others.

"I've been thinking, we shouldn't always rely on luck. In recent TIPS procedures, some start by leaving a tube in a portal‑vein branch as a positional marker, then puncture the hepatic vein along the marked tube." Zheng Ren said: "I find that troublesome; the surgical steps could be completely omitted with auxiliary exams."

"That makes sense, but it needs to be tested in practice."

"The practical results should show up soon." Zheng Ren said confidently, "Don't be too surprised."

"Tch!" Su Yun scoffed.

Looking back at Professor Rudolf Wagner's various pre‑operative preparations, even Su Yun felt a bit dazed.

Having a world‑top professor as a backup, Zheng Ren and Boss Zheng's mental fortitude is impressive.

As for the TIPS surgery, Su Yun judged it would definitely be finished within an hour.

The two of them had done many emergency TIPS surgeries with lots of interference, yet they didn't take long; now doing an outpatient TIPS, if Zheng Ren took two hours to finish, that would be a joke.

As for the number of punctures, Su Yun guessed it would be about three.

That's already world‑top level.

You know, doctors who can perform TIPS are as rare as phoenix feathers and unicorn horns; excluding failures, even successful ones average 15‑20 punctures to succeed.

This is all based on Su Yun's assessment of Zheng Ren's ability; three punctures, Su Yun believes that's his level.

Being scared? That simply doesn't exist, okay?

"Boss, prepare for surgery." Professor Rudolf said.

Su Yun immediately went out; for a wire‑pulling surgery, avoid contact as much as possible—this is no time for showing off.

The lead door closed, and Zheng Ren and Professor Rudolf began the surgery.

Su Yun stood before the radiation‑shielding lead glass, watching intently. Director Zhang was astonished to find the operator was actually Chief Zheng Zheng, not the Rudolf Wagner praised on Baidu Encyclopedia as a world‑top interventional physician!

Taking out his phone, Su Yun started the stopwatch at the moment the surgery began.

He found Zheng Ren's full confidence strange.

In Su Yun's view, this surgery would certainly take at least forty minutes—what's there to be surprised about?

It doesn't exist!

Soon, they began to follow the line, and everything went smoothly. Director Xia couldn't tell what he was thinking, but Su Yun knew that, with Professor Rudolf's help, Zheng Ren's hand speed was further unleashed.

Is my skill not enough?

This is something Su Yun has never acknowledged.

But the facts tell him that it is indeed so.

This little monster! Su Yun silently cursed to himself.

The puncture needle has already entered; Su Yun held his breath and focused, watching the image on the screen.

The speed is not fast, but very steady—so steady that anyone who can understand the surgery unconsciously feels reassured.

It seemed as if this were just a surgery of extremely low difficulty.

Having reached the position, this point seems a bit off; perhaps Zheng Ren intends to use this point to adjust the future puncture needle placement.

"Pa~~" Su Yun seemed to hear the sound of Zheng Ren pressing the puncture needle button.

In the image, the puncture needle shot forward and then immediately stopped.