Chapter 416: with translation of chapter title

Su Yun, Chang Yue et al. were busy preparing the Shou Bing. Zheng Ren had nothing to do at that moment, standing before the viewer looking at the patient's images, studying them carefully.

After all, Rapunzel syndrome is relatively rare, so we need to examine it carefully. As for the Shou Bing, just wait to go up.

This is the privilege of being a senior doctor; many directors ask to have the Shou Bing list prepared on that side, then call themselves up.

Zheng Ren didn't have that privilege, nor did he have such airs.

The Jizhenbingfang also didn't have enough staff, and couldn't keep up.

After more than ten Minutes, the case arrived, and Chang Yue began to give medical orders; the gastric tube and urinary catheter on that side had already been placed, and they were just waiting to finish the pre‑Shou Bing briefing before going up.

"Chief Zheng, busy?"

The Jizhenbingfang was orderly preparing the Shou Bing when Director Sun suddenly walked in, smiling.

"Oh, Director Sun." Zheng Ren smiled and greeted, saying, "There's an intestinal obstruction, and we're preparing the Shou Bing."

Director Sun's eyelid twitched; recently the Shou Bing volume in the General Surgery Department had sharply decreased, which was related to the Jizhenbingfang cutting off a large part of the patient source.

But he didn't say anything; instead, his smile grew a bit wider, and he said, "Chief Zheng, this isn't the peritoneal free body you diagnosed the other day—the Shou Bing is done; let me show you."

As he spoke, Director Sun took out his phone and displayed the image to Zheng Ren.

It indeed looked like a large goose egg; after closing the abdomen, Director Sun boldly cut open the "goose egg". Inside were egg white and yolk, complete; if it weren't for the Operating Room background, one would surely think this was in some kitchen.

Zheng Ren had only glanced at these during the Shou Bing, but Director Sun displayed the final pathology diagnosis and clearer, more detailed slide specimens.

"Chief Zheng, your Diagnostic Level is really high." Director Sun affectionately patted Zheng Ren's shoulder and praised.

"Hehe." Zheng Ren gave a dry laugh, glanced only once, then went back to look at the images on the viewer.

Director Sun felt bored and also a bit angry inside.

He thought he was rushing to flatter, but didn't expect his warm face to meet Zheng Ren's cold butt.

They say your diagnostic ability is strong, and you really think so yourself.

One shouldn't dwell on this; the more Director Sun thought about it, the more stifled he felt.

However, he was either very scheming or just timid, and didn't lash out directly; instead, he followed Zheng Ren's gaze.

"Is this a pretty typical intestinal obstruction, Chief Zheng? What are you looking at?" Director Sun glanced and said.

The patient's imaging workup was complete; it was indeed the most typical case, and from the images there was really nothing worth pondering.

"Oh, this is intestinal obstruction caused by Laron-Zeil syndrome." Zheng Ren casually brushed it off, saying, "Because it's relatively rare clinically, I'm preparing to study it thoroughly to avoid misdiagnosis next time."

"La… what… syndrome?" Director Sun froze.

Damn, what is Zheng Ren saying?

"A rare disease?" Director Sun asked subconsciously, then immediately regretted it, hurriedly focusing on the images to try to find the condition Zheng Ren mentioned.

"It's Laron-Zeil syndrome." Zheng Ren's memory wasn't bad either; he just had to work part‑to earn money during school, so he didn't have time to run to the journal library, and read fewer journals.

"Also called Rapunzel syndrome. Patients have a psychological and physiological condition, willing to eat their own hair. Because hair is hard to digest, it forms stones in the gastrointestinal tract, causing intestinal obstruction." Zheng Ren gave a brief explanation, habitually propping his chin, carefully examining the images, trying to find clues.

Director Sun was completely dumbfounded.

Laron-Zeil syndrome—I've never even heard of it, let alone that they eat hair; after all these years in medicine, how have I never seen it?

But he buried all his doubts deep inside and examined the images together with Zheng Ren.

"Fugui'er, come here a moment." Zheng Ren called out.

"Boss, what's up?" Professor Rudolf Wagner came running over, eager.

"Laron-Zeil syndrome, in imaging, are there any typical signs?" Zheng Ren asked.

"Boss, you love joking too much." Professor Rudolf Wagner pointed at the images and said, "In imaging, Laron-Zeil syndrome can only be differentiated by the density of the fecalith causing the obstruction, but this difference isn't big compared to other fecaliths, so the best way to differentiate is the Shou Bing."

Zheng Ren nodded.

The professor's statement was pretty much what he had thought.

Then let's do that, or just go straight to the Shou Bing.

Director Sun was stunned; was Zheng Ren making a definite diagnosis or not? How could he be so confident when speaking to himself, yet still need to ask the professor?

"Director Sun, I'm not keeping you company." Zheng Ren heard Su Yun calling him to the Shou Bing, then smiled and told Director Sun, "I'm going to do the Shou Bing."

"I'll go take a look too." Director Sun said, "Laron-Zeil syndrome—I've never even heard of it."

Director Sun had grown timid; he couldn't compete with Zheng Ren anyway, and in his heart he no longer had any desire to contend or win.

Although Zheng Ren is young, he performs the Shou Bing very well.

Taking a look wouldn't waste much time. Anyway, the General Surgery Department doesn't have many Shou Bing these days, so I've become idle as well.

If we could see something of Laron-Zeil syndrome here, we could go back and study it thoroughly; later, at the General Surgery Department's annual meeting, we'd have something to brag about over drinks.

Zheng Ren didn't stop Director Sun; what's the big deal about the head of our hospital's General Surgery Department taking a look at the Shou Bing?

On that side, Chang Yue had already finished the pre‑Shou Bing briefing; Zheng Ren grabbed the case and went straight to the Operating Room.

Director Sun felt somewhat moved and said, "Chief Zheng……"

"Director Sun, you'd better call me Little Zheng; calling me Chief Zheng feels awkward to me." Zheng Ren said with a chuckle.

"All right. Little Zheng, I've heard you did several TIPS Surgery at Eryuan?" Director Sun asked as he walked, pretending to be casual.

"Hmm." Zheng Ren replied, "All told, I've done close to ten."

"……" Director Sun was slightly surprised, his steps paused a bit, but he immediately caught up with Zheng Ren.

What is Laron-Zeil syndrome? Director Sun didn't know. After all, it's an extremely rare disease.

However, with long‑standing cirrhosis, portal hypertension, hematemesis and ascites are among the most common conditions in the General Surgery Department and the Xiao Hua Nei Ke.

A few years earlier, the General Surgery Department was supposed to perform the mesocaval venous shunt procedure.

But now, due to fibrinogen deficiency, the mesocaval venous shunt procedure carries too great a postoperative risk, and with the Intervention Department's rise of TIPS Surgery, a routine procedure in the General Surgery Department has gradually faded from doctors' sight.

Director Sun felt deeply moved; Zheng Ren's Shou Bing skill was such that even the most difficult TIPS Surgery was under his belt.

"Little Zheng, I won't stand on ceremony. I have an old classmate with severe cirrhosis, massive ascites, now uncontrollable." Director Sun said, "Who did you learn TIPS Surgery from? Help me get in touch; I'll arrange a referral for him to go to Di Du or Modu, find your Title: Teacher, and have this Shou Bing done."

"Learn?" Zheng Ren was pondering Laron-Zeil syndrome, with Director Sun's nagging going in one ear and out the other, so he replied in surprise.