Chapter 950 - Consultation from Mayo

Chapter 950: Consultation from Mayo

Why was Su Yun looking for him? Zheng Ren looked at the missed calls, and his epinephrine level instantly soared.
Could it be that there was a problem with the postoperative patient? This was Zheng Ren’s first thought.
As he dialed back, Zheng Ren went through the postoperative patients of the 912.
Thinking carefully, there should be no problem.
“Boss, where did you go? Do you have a lover?” Su Yun’s lazy words came out from the phone, and Zheng Ren’s epinephrine level instantly dropped to normal.
It was good that he was fine.
“Don’t talk nonsense. Went to the Imperial Capital’s Hepatobiliary table with Chief Kong for surgery.” Zheng Ren kept his mouth shut, so that Chief Kong would not be embarrassed.
“Did you file a case with the Medical Administration Division? Without filing a case, even if it is to save the patient, it is illegal.” Su Yun made up nonsense.
However, this was true. Zheng Ren knew that, strictly speaking, it was against the rules for him and Chief Kong to come to the Imperial Capital.
“Chief Kong was here. What does it have to do with me? You’re thinking too much!” Zheng Ren said, “Why are you looking for me?”
“There’s an email in your mailbox. It’s a consultation that costs a hundred thousand US dollars. I’ll help you answer it,” Su Yun said happily. “Guess where it came from?”
Recently, he had received many requests to learn TIPS surgery, so Zheng Ren gave his email to Su Yun. Anyway, he usually contacted Su Yun through WeChat and his cell phone. Only foreigners were used to using email.
“Mayo?” Zheng Ren’s heart skipped a beat.
Why would Su Yun cheer for 100,000 dollars? It must be because the hospital that sent him the consultation was of a particularly high level, which gave him an unlimited sense of pleasure.
“Oh, Boss, you really know how to calculate. It’s a consultation sent by Mayo. Come back, take a look at the radiographic films, and give them a reply,” Su Yun said.
“It’s that simple?”
“Hey, can you have a little bit of sense in your heart?” Su Yun was very impatient and directly spat out, “You are a candidate for the Nobel Prize. One consultation for one hundred thousand US dollars. This price is said to be on the low side.”
“Oh, okay. What do you want to eat tonight? Have you decided?”
“Just a bite. Let’s earn the consultation fee first.” Su Yun laughed and hung up the phone.
Zheng Ren did not ask what patient it was, nor did he ask what illness it was.
He directly went back to the 912.
After getting out of a car, Zheng Ren immediately rushed back to the 912. On the way, he saw Su Yun chatting with many girls in the group chat, showing off the matter of Mayo requesting a consultation.
Zheng Ren did not think much of it. The Mayo Clinic was just so-so. The paradise of the rich. It was said that many big shots in the domestic business world regularly went to the Mayo Clinic for a physical checkup every year.
In fact, rather than going to the Mayo Clinic on a long journey, he might as well take a look at himself. The accuracy of the System is much better than the Mayo Clinic, Zheng Ren thought to himself.
Soon, he returned to the 912 and Zheng Ren strode upstairs.
The white coat was left in Chief Kong’s car. Fortunately, there was nothing in the pocket of the white coat. Zheng Ren did not think about it and walked into the office.
“Boss, Mayo sent an application for a consultation. You need to confirm it,” Rudolf Wagner said to Zheng Ren.
“How do I confirm it?” Zheng Ren asked.
“If you agree, it means you want to confirm it.” The Professor looked at Zheng Ren and wondered if there was something wrong with his context and thoughts.
Alright… Zheng Ren was also very helpless. Then, he asked, “What patient? Where is the case?”
“In the mailbox,” Su Yun said lazily. “The translation software has been downloaded. You can just look at it directly.”
‘Ding dong’ the sound of the System mission was transmitted to Zheng Ren the moment he opened the mailbox interface.
‘Eh, a mission.’
Zheng Ren had ‘wasted’ fifteen hours of surgery training today. He was heartbroken. However, the System very considerately issued a mission. Zheng Ren felt that the System was really understanding.
[System mission: Request from a Faraway Place]
[Mission Content: complete the treatment of bilateral renal artery stenosis after RDN surgery: 1 case]
[Mission Reward: 100,000 experience points, 5,000 skill points, Reputation +1]
[Mission time: 1 month]
Reputation?
Zheng Ren saw the Reputation +1 reward at a glance.
Perhaps this was a special reward because of the consultation application from the Mayo Clinic, Zheng Ren guessed.
Overall, the highlight of this mission was the mission time of 1 month. If he could complete it ahead of time, there would be a lot of time left for surgery training.
However, this was an application from the Mayo Clinic, so Zheng Ren was still more cautious.
Renal denervation, or RDN, was an experimental surgery to remove the renal sympathetic nerves and treat hypertension. Zheng Ren had seen similar literature reports in the System library.
This project was organized by Medtronic, an international manufacturer of medical supplies.
Many projects were not initiated by doctors, but by these big manufacturers. For some reason, they were willing to spend a lot of money to study similar projects.
It was not scary to fail nine out of ten projects. During the patent period, the huge income and huge profits would make up for all the losses.
Of course, if they failed consecutively, no multinational company, no matter how rich they were, would be able to bear it.
“Boss, what about the a hundred thousand dollars?” Su Yun saw Zheng Ren was stunned and asked with a smile.
“No, I’m thinking about the problem that Mayo can’t solve. Why did they throw it to me for a consultation?” Zheng Ren said perfunctorily.
Then, he opened the case.
The patient was an Indian male, 42 years old. Six months before the operation, he was diagnosed with stubborn primary hypertension. He was given four kinds of antihypertensive drugs and his blood pressure was maintained at 150/80 mmHg.
He was then treated with RDN four months ago.
Before the treatment of RDN, 64-CT angiography showed that there was no bilateral renal artery stenosis and no abnormality of renal function.
However, four months after the operation, he had multiple episodes of transient pulmonary edema complicated with acute kidney failure and was hospitalized with severe hypertension. The patient’s blood pressure was maintained with antihypertensive drugs and was as high as 220/140 mmHg.
Zheng Ren was stunned when he read the brief introduction.
Was pulmonary edema so frequent? There were also complications such as acute kidney failure.
During the auxiliary examination, the Doppler ultrasound showed that the peak velocity of the right renal artery during systolic phase was 623 cm/s, and that of the left renal artery was 434 cm/s. Zheng Ren was afraid that the blood vessels would burst at any time and blood would leak out.
The 64-slice CT and MRI provided good evidence that the patient had bilateral renal artery stenosis after the operation.
The condition was very simple. Zheng Ren estimated that the renal artery stenosis was caused by heating during the operation of RDN, resulting in an unforeseeable change in the current level of science, resulting in hypertension.
This disease…
Zheng Ren looked at it and frowned.
“Boss, is it difficult?” Su Yun asked.
“Why do I feel like the Mayo Clinic is hiding something?” Zheng Ren whispered as he looked at the radiographic films with his hand on his cheek.
It was as if he was answering Su Yun’s words, but also as if he was talking to himself.
“Hiding?”
“From the looks of it, it’s not difficult. It’s just that the process of the radiofrequency heating caused the blood vessels to become deformed, resulting in the complication of bilateral renal artery stenosis. As long as the stent is placed on both sides, this problem will be solved.” Zheng Ren pointed at the 64-slice CT images, he said, “Why did they come to me for a consultation? What’s there to know?”
“Perhaps Medtronic took this opportunity to send you money.”