Chapter 1816

Spiral CT angiography showed that the distal end of the artificial vascular anastomosis, the aortic arch and the descending aorta were obviously dilated, and the diameter of the widest part was about 62mm.

Multiple tears of the intima were seen in the lumen, forming multiple compartmentalized cavities. The intimal tear involved the openings of the three brachiocephalic arteries in the aortic arch and formed a dissection.

True and false lumen of thoracoabdominal aorta to right common iliac artery. The superior mesenteric artery and left renal artery open in the true lumen, and the right renal artery opens in the false lumen.

This disease... Zheng Ren feels very difficult.

It's not a general problem, but... Even at Zheng Ren's own level, it's difficult to win.

Not only did the elephant's nose have problems, but also the superior mesenteric artery and renal artery were involved.

And most importantly - this is a patient who has had an elephant nose replacement. The difficulty of the second operation is soaring.

"Ding Dong ~"

The long lost task prompt sounded up.

[urgent task: death is inevitable.

Task content: surgical treatment of a patient who is certain to die in the eyes of other doctors.

Task time: 5 days.

Task reward: 100000 experience points, 10000 skill points, master level skill book × 2. Energy Potion × 1。】

Er... The name of this task is amazing!

There's no doubt that doutmo will die and have a wool operation.

Zheng Ren's pig's trotters make complaints about the task name of the pig hoof, and then see that the task time is 5 days.

Judging by his handling of big pig hooves, Dr Rudy's wife can last at least five days. No matter how much, Zheng Ren can't guarantee it.

"Looking for Cleveland... Looking for Mayo..." murmured Dr Rudy.

His assistant took down his words at once.

Cardiothoracic surgery, Cleveland Clinic and Mayo Clinic ranked among the top two in the world.

There are the world's most powerful and top cardiothoracic surgery experts.

However, Zheng Ren's evil spirit hasn't come out yet. He takes a closer look at the task time and determines that it is 5 days later, he starts to think about Lao Roche's case again.

Treatment may not be possible. But who won't? In particular, Zheng Ren is a "Daniel" doctor who runs through countless medical branches.

Because Zheng Ren didn't know the internal contradictions and factions of the Bruch family, he couldn't break up and break down one by one. But he didn't want to do so. After talking about the medical record, he turned and left. It's enough to bury a nail.

Porphyria? Congenital porphyria?

Zheng Ren sneered.

What is the differential diagnosis of congenital porphyria? Zheng Ren knows it clearly.

Doctor, there is a doctor's weapon. Moreover, Zheng Ren has no great ambition. He wants to overthrow the Bruch family that has stood in the European continent since the middle ages and uproot this big tree.

The Crusaders and Templars didn't completely defeat the Bruch family, let alone themselves.

However, Zheng Ren thinks he can bury a thorn in this huge family.

As for how many people of the Bruch family will die after that, Zheng Ren is not concerned about this.

Even if it doesn't work, it doesn't matter. Zheng Ren doesn't care.

Not this time. Just bear it for a while and come back again. As a saying goes, I'm not afraid of thieves, but I'm afraid of thieves.

Zheng Ren has always been stingy. At that time, Liu Tianxing's affairs have been hated for a long time.

"Dear Dr. Zheng, lifelong professor of Massachusetts General Hospital, while Dr. Rudy is still here, please tell me your diagnosis of Lord Roche." Vomer said.

"Mr. womel, I have different judgments about the patient's condition." Zheng Ren smiled and said gently, "but in my country, when explaining the condition, we should communicate with people at home who want to know the condition, or we will say it countless times. You know, it's a very troublesome thing."

The muscle in womel's left cheek twitched slightly. He then asked, "what's your diagnosis?"

"Chronic variant Crohn's disease." Zheng Rendao.

Su Yun was stunned. What is this nonsense, boss? Shit Crohn's disease. This disease is a rare disease, but I have encountered it both in Haicheng and 912.

The boss will never make a wrong diagnosis.

Was he also infected by congenital porphyria? Or did you accidentally get some initial support on the plane, and now you're out of your mind?

Su Yun was puzzled, but Walter smiled, "as you wish, there are many different opinions in the family about your Nobel Prize this year. I think we will have a common judgment after listening to your wonderful diagnosis and analysis."

With that, womel and his entourage whispered a few words.

"Christian, I think he'll be here, too." Zheng Ren said, "Mr. womel, please forgive my shyness. I only know Mr. Christian except you."

"No problem at all. Members of the family Presbyterian Council must attend." Womel said.

Zheng Ren stopped talking and didn't go to see Dr. Rudy's wife's film. He stood aside and began to think about his abdominal case.

The problem must be that in such a short period of time, the opponent's character, temper and temperament are not known, and it is impossible to be watertight at all.

Zheng Ren just wants to do his best.

"Boss, are you crazy? Who am I?" Su Yun asked.

"Don't be ridiculous. I said the diagnosis casually." Zheng Ren said, "I should hurry up and think about it. Don't disturb my thinking."

"..." Su Yun stared.

The past tacit understanding disappeared at this moment. Su Yun didn't know what Zheng Ren was thinking about.

Watching the goods stand there meditating, Su Yun began to play the game of guess.

It is said that a woman's mind is the hardest to guess, but the honest boss has a bad water. Even Su Yun can't guess what he wants to do.

Dr Rudy's eyes turned red as he watched his wife's film.

His assistant kept looking at the world and felt that he could not delay any more, so he whispered to remind Dr. Rudy.

"Chronic variant Crohn's disease? What's that?" Roared Dr Rudy. His mood seemed to have begun to collapse and was completely out of control.

Su Yun looked at Dr. Rudy helplessly and took another look at the boss.

The goods are still making the expression of a meditator. I don't know what's on my mind.

"It's shameless. I'm going to waste an hour on this bullshit diagnosis?!" Dr Rudy roared.

"Dr. Rudy, please maintain your respect for Dr. Zheng." Christian came in and just heard Dr. Rudy's roar, he said coldly.

"Lord Kerry, he..."

"No matter what the diagnosis is, the minimum respect is needed." Christian came to Zheng Ren and bowed, "Dr. Zheng, thank you for your diagnosis. Fandi has made a preliminary improvement after symptomatic treatment. She asked me to pay tribute to you."

Dr Rudy was stunned.