Chapter 810: 798 Hospital-Wide Consultation

Back in the department, Zheng Ren and Su Yun changed clothes, then made rounds of the wards.

Six beds…… compared to Haicheng City First Hospital, it's really shabby.

Zheng Ren suddenly had a thought: if he returned to Haicheng and renovated the entire emergency building, they'd need at least over a hundred beds. Doing nonstop surgeries, twenty TIPS surgeries a day, six hundred a month—after a few months that would be enough.

But this was just a thought; Zheng Ren didn't take it seriously. If he really went back to Haicheng, where would he find so many patients?

The associate hospital director of the Second Hospital bragged that they could get as many patients as they wanted, but after a few attempts the patients couldn't keep up.

The postoperative patients in the ward were all stable, with initial improvement in their symptoms.

Professor Rudolf Wagner was wholeheartedly organizing the relevant documents; Zheng Ren flipped through them and felt he was especially like the landlord's foolish son.

But with the professor and Su Yun handling these administrative tasks, things were much easier. If everything had to rely on him, the sky would collapse.

But Zheng Ren's mind was filled with the scene of trouble in the pediatric emergency department, and he couldn't shake it off.

Feeling sorrow in his heart, Zheng Ren deeply sympathized with the innocent disaster befalling the medical staff of the pediatric emergency department.

Just then, his phone vibrated, the ringtone very faint.

He pulled it out and saw it was Director Qi from the ultrasound room.

"Zheng Lao Ban, are you in the department?" Director Qi asked as soon as he picked up the phone.

"Director Qi, I'm here."

"Urology Department, conference room, hospital-wide consultation—come take a look?" Director Qi said.

"Sure, I'll head up right away."

After saying that, the line on the other end had already hung up.

A department chief is someone with authority.

Whether it's Xiehe, 912, or Peking University's First, Second, Third Hospitals, or the East-West Tumor hospitals, counting them up, the top‑level figures in the capital are truly too many to count.

Every department head who reaches the top naturally possesses outstanding technical skill and has countless supporters behind them.

Gaining the approval of any senior chief is like a meteoric rise. Just as Zheng Ren received Director Kong's approval and could be transferred directly to 912, upon arrival he enjoyed the treatment of a team‑leading professor and was given six beds.

Director Qi treats him well, and showing up at the hospital‑wide consultation would be a good chance to gain face, Zheng Ren thought.

Hurry up and go—hospital‑wide consultation, and I don't even know what the case is. Urology… I'm really not very practiced.

During surgical training on patients with hepatic hydatid disease, he used a medium‑level skill book and enhanced his urology surgical technique.

But that is completely insufficient.

Zheng Ren didn't think he could say anything worthwhile at the urology department's hospital‑wide consultation; he guessed Director Qi was giving him a lift, just to let him show his face before the senior chiefs and the team‑leading professors who hold down the fort.

That's a great favor, Zheng Ren knows.

Without wasting time, Zheng Ren took the elevator straight to the urology department. Su Yun didn't follow; if he'd brought an assistant now, the entourage would be huge—he'd probably be disliked by the senior chiefs as soon as he entered.

Urology department, at the door of the demonstration room, Zheng Ren lightly knocked, then pushed the door open.

More than ten people were seated in the room, with a projector at the front displaying the patient's information.

Seeing Zheng Ren enter, Director Qi and Director Miao of the urology department both waved at him.

Zheng Ren stared for a moment, then gave Director Miao a slight bow, and sat down beside Director Qi.

Just walking in and already faced with such a difficult multiple‑choice question?

What does this mean? Zheng Ren felt quite dazed.

"This is the case record—take a look first." Director Qi said, "If you're sure, say a couple of sentences; if not, just keep watching here."

Zheng Ren sensed the protective intent and nodded.

The patient is a 23‑year‑old woman who came to the capital for infertility due to amenorrhea, and was found to have an adrenal tumor.

As soon as he began reading, Zheng Ren was drawn in by this special case.

Twenty‑three years old, never had a period, and only now seeking treatment? How careless can one be?

Looking closely, Zheng Ren realized the patient was a woman from elsewhere. After marriage she had never conceived, came to the capital to seek treatment, and only then learned she had never menstruated.

Abdominal color ultrasound showed: an isoechoic mass in the right adrenal region, about 6.5 cm × 6.4 cm.

Enhanced abdominal CT revealed a low‑density nodular lesion in the right adrenal region, about 6.54 cm; contrast scan showed rich vasculature within the lesion, rapid washout in the venous phase—suggesting an adrenal tumor.

Various lab reports were fairly complete; testosterone, androstenedione, DHEA‑S, serum cortisol, and ACTH were all elevated.

This should be an endocrine disorder, but since there's an adrenal tumor, the patient was admitted to urology for inpatient preparation of resection.

This fairly complex disease is different from a simple trauma.

Zheng Ren knew Director Miao of urology well; his surgical technique is quite good.

Even kidneys ravaged by parasitic cancer can undergo nearly perfect segmental resection, with the parasite cysts cleanly stripped away—this level is already very high; by the system's assessment, it's at least master‑grade.

But the patient's condition is far from simple.

To know where the lesion occurs—it's in the adrenal gland.

Zheng Ren has seen patients with liver cancer accompanied by adrenal metastasis; during surgery, embolizing the adrenal metastasis caused a sudden drop in the patient's blood pressure.

Such an endocrine organ, once disturbed, will produce unexpected changes.

Especially this female patient's condition is very complex; it's not something that can be solved by simply removing the adrenal tumor.

Zheng Ren stared at the case record, gradually spacing out.

At that moment, an endocrinology doctor was presenting his view; a man in his forties or fifties, his speech had a pleasing yin‑yang cadence.

Zheng Ren listened while looking at the record; the doctor's main point was to consider whether the right adrenal lesion might be a cortical‑origin tumor, and to rule out adrenal cortical carcinoma.

The patient's current cortisol level is elevated; during the perioperative period, vital signs, electrolytes, and mental state should be closely monitored, and glucocorticoid replacement therapy given.

It's fairly standard—there's nothing really wrong with the treatment or judgment.

"Little Zheng Lao Ban, can you find the problem?" Director Qi asked quietly.

Zheng Ren asked, "Has the OB‑GYN done a physical exam?"

"……" Director Qi was stunned for a moment.

I'm considering it's not simply an adrenal gland lesion, just that there is a space‑occupying change in the adrenal gland. Zheng Ren whispered: "I'll think about the specifics later."

It's not just a simple adrenal space‑occupying lesion; you also think that way?

Huh? Who else is still thinking that way? Zheng Ren instantly became interested; he had just had a random thought, pondering that this disease might resemble some rare illness, but it was merely an idea, and he dared not speak nonsense in such a setting.

Director Cui of the adrenal. Director Qi pursed his lips and said.

How does Director Cui consider it?

She isn't very certain either, just saying it might be a disease caused by a hydroxylase deficiency.

21-hydroxylase deficiency?!