Chapter 950： Consultation from Mayo
What did Su Yun do for himself? Zheng Ren looked at the missed call, and the adrenaline level flew up in an instant.
Is it a problem with postoperative patients? This is the first thought of Zheng Ren.
While calling back, Zheng Ren passed the 912 postoperative patient.
Think carefully, there should be no problem.
"Boss, where are you going? Is there a small lover?" Su Yun's lazy words came out of the phone, and Zheng Ren's adrenaline levels instantly dropped to normal levels.
It’s okay.
"Don't talk nonsense, and Director Kong came to the emperor to do the liver and gallbladder for surgery." Zheng Ren's mouth is very strict, saving the director of the hole embarrassed.
"Is it filed in the medical office? If it is not filed, it is illegal to save the station." Su Yun does not have the four or six.
However, this is true. Zheng Ren knows that in strict terms, he and the director of the Confucius have come to the emperor to save the Taiwanese, which is illegal.
"There is a director in the hole, what is it about me? You think too much!" Zheng Rendao, "Find me something."
"You have an email in your mailbox, a consultation with a hundred thousand dollars knife, I will pick it up for you." Su Yun said cheerfully: "Why do you guess it?"
Recently, I have received many requests for TIPS surgery. Zheng Ren will hand over the email to Su Yun. Anyway, the usual contacts are WeChat and mobile phones. Only foreign talents are accustomed to using email.
"Meo?" Zheng Ren's heart moved.
How can Su Yun’s goods cheer for 100,000 US dollars? It is certain that the hospital that sent the consultation is of a particularly high level, which will bring him unlimited coolness.
"Oh, boss, you can really count it. It is the consultation that Mayo sent, you come back, look at the film, give them a reply." Su Yundao.
"It's that simple?"
"Hey, can you be a little bit forced in your heart." Su Yun was very impatient and sprayed directly: "You are the Nobel Prize candidate, and the $100,000 consultation is made. The price is too low."
"Oh, okay. What to eat at night? Is it fixed?"
"Let's take a bite, first earn the consultation fee." Su Yun laughed and hung up the phone.
Zheng Ren did not ask what the patient was and did not ask what disease.
Since this is said, then go back directly to 912.
After dripping a car, Zheng Ren directly rushed back to 912. On the way, watching Su Yun chat with many girls in the group, it is obvious that Mayo asked for a consultation.
Zheng Ren does not feel anything, Mayo Clinic, that's the case. A paradise for the rich, it is said that many domestic business people go to the Mayo Clinic for regular checkups every year.
In fact, instead of going to the Mayo Clinic for a long journey, it is better to look for yourself. The accuracy of the big pig's hooves is much stronger than that of Mayo, and Zheng Ren thinks.
Soon, back to 912, Zheng Ren strode upstairs.
The white suit fell in the director of the hole, but there was nothing in the white suit pocket. Zheng Ren did not remember and walked into the office.
"The boss, Mayo sent a consultation application, you need to confirm." Professor Rudolf Wagner and Zheng Ren said.
"How to confirm?" Zheng Ren asked.
"You agree that it is confirmation." The professor looked at Zheng Ren and wondered if his own context and thoughts had gone wrong.
Ok... Zheng Ren is also very helpless, then asked: "What patient? Where is the case?"
"In the mailbox." Su Yun said lazily: "The translation software is downloaded, you can see it directly."
The voice of the "叮咚~" system task was transmitted in the moment when Zheng Ren opened the mailbox interface.
Hey, there are tasks.
Zheng Ren was "wasted" fifteen hours of surgery training time today and was distressed. The system has issued a very intimate task, and Zheng Ren feels that the big pig's hooves are really understanding.
[System Task: Request from afar
Quest content: 1 case of bilateral renal artery stenosis after RDN treatment.
Mission reward: experience value 100000 points, skill points 5000 points, reputation +1.
Mission time: 1 month. 】
prestige?
Zheng Ren saw the reward of reputation +1 at a glance.
Perhaps this is a special award from the Mayo Clinic, and Zheng Ren guessed it.
Overall, the highlight of this mission is the mission time of one month. If it can be done ahead of time, there will be a lot of surgery time remaining.
However, this is an application from the Mayo Clinic, and Zheng Ren is still cautious.
RDN is a pilot procedure for radiofrequency ablation of the renal sympathetic nerve to treat hypertension. Zheng Ren has seen similar literature reports in the system library.
This project is organized by international consumables manufacturer Medtronic.
Many projects, the initiators are not doctors, but these big manufacturers. Because of some reason for profit, they are willing to pay a lot of money to study similar projects.
Nine of the ten projects failed, not terrible. The patent period, huge income, and generous profits will make up for all the losses.
Of course, if there is a continuous failure, the rich multinational companies will not be able to stand it.
"Boss, think about that $100,000?" Su Yun saw Zheng Ren stunned, and he asked with a smile.
"No, I want to ask me to solve the problem that Mayo can't solve." Zheng Ren casually perfunctory.
When he finished, he opened the case.
The patient was an Indian, male, 42 years old. He was diagnosed with refractory essential hypertension 6 months before surgery. He was given 4 antihypertensive drugs and his blood pressure was maintained at 150/80 mmHg.
Later, he received RDN treatment 4 months ago.
Prior to RDN treatment, 64-slice CT angiography showed no bilateral renal artery stenosis and no abnormal renal function.
However, 4 months after surgery, transient pulmonary edema and acute renal failure occurred repeatedly, and severe hypertension was admitted to hospital. The patient's blood pressure is still as high as 220/140 mmHg with the maintenance of antihypertensive drugs.
Zheng Ren looked at the medical situation and was stunned.
Is pulmonary edema so frequent? There are also complications such as acute renal failure.
In the auxiliary examination, Doppler ultrasound showed a peak flow velocity of 623 cm/s in the right renal artery and 434 cm/s in the left renal artery. At this peak, Zheng Ren is afraid that the blood vessels will break at any time and blood will go out.
The 64-slice CT and MRI provide favorable evidence that the patient is bilateral renal artery stenosis after surgery The condition is very simple, Zheng Ren predicted that the RDN intraoperative heating leads to the presence of renal artery Stenosis and high blood pressure caused by unpredictable changes in science.
This disease...
Zheng Ren looked at it and his brow wrinkled.
"Boss, is it difficult?" Su Yun asked.
“How do I feel that the Mayo Clinic has concealed something?” Zheng Ren held the film and whispered.
Like answering Su Yun's words, it is like talking to himself.
"hide?"
"It's not difficult to see it this way. It's just that the process of RF heating leads to vascular deformation and complications of bilateral renal artery stenosis. As long as the bilateral lower stent is used, this problem is solved." Zheng Ren pointed to the 64-slice CT image. Speaking: "Looking for my consultation, what is good for me?"
"Maybe Medtronic took the opportunity to give you money."
Is it a problem with postoperative patients? This is the first thought of Zheng Ren.
While calling back, Zheng Ren passed the 912 postoperative patient.
Think carefully, there should be no problem.
"Boss, where are you going? Is there a small lover?" Su Yun's lazy words came out of the phone, and Zheng Ren's adrenaline levels instantly dropped to normal levels.
It’s okay.
"Don't talk nonsense, and Director Kong came to the emperor to do the liver and gallbladder for surgery." Zheng Ren's mouth is very strict, saving the director of the hole embarrassed.
"Is it filed in the medical office? If it is not filed, it is illegal to save the station." Su Yun does not have the four or six.
However, this is true. Zheng Ren knows that in strict terms, he and the director of the Confucius have come to the emperor to save the Taiwanese, which is illegal.
"There is a director in the hole, what is it about me? You think too much!" Zheng Rendao, "Find me something."
"You have an email in your mailbox, a consultation with a hundred thousand dollars knife, I will pick it up for you." Su Yun said cheerfully: "Why do you guess it?"
Recently, I have received many requests for TIPS surgery. Zheng Ren will hand over the email to Su Yun. Anyway, the usual contacts are WeChat and mobile phones. Only foreign talents are accustomed to using email.
"Meo?" Zheng Ren's heart moved.
How can Su Yun’s goods cheer for 100,000 US dollars? It is certain that the hospital that sent the consultation is of a particularly high level, which will bring him unlimited coolness.
"Oh, boss, you can really count it. It is the consultation that Mayo sent, you come back, look at the film, give them a reply." Su Yundao.
"It's that simple?"
"Hey, can you be a little bit forced in your heart." Su Yun was very impatient and sprayed directly: "You are the Nobel Prize candidate, and the $100,000 consultation is made. The price is too low."
"Oh, okay. What to eat at night? Is it fixed?"
"Let's take a bite, first earn the consultation fee." Su Yun laughed and hung up the phone.
Zheng Ren did not ask what the patient was and did not ask what disease.
Since this is said, then go back directly to 912.
After dripping a car, Zheng Ren directly rushed back to 912. On the way, watching Su Yun chat with many girls in the group, it is obvious that Mayo asked for a consultation.
Zheng Ren does not feel anything, Mayo Clinic, that's the case. A paradise for the rich, it is said that many domestic business people go to the Mayo Clinic for regular checkups every year.
In fact, instead of going to the Mayo Clinic for a long journey, it is better to look for yourself. The accuracy of the big pig's hooves is much stronger than that of Mayo, and Zheng Ren thinks.
Soon, back to 912, Zheng Ren strode upstairs.
The white suit fell in the director of the hole, but there was nothing in the white suit pocket. Zheng Ren did not remember and walked into the office.
"The boss, Mayo sent a consultation application, you need to confirm." Professor Rudolf Wagner and Zheng Ren said.
"How to confirm?" Zheng Ren asked.
"You agree that it is confirmation." The professor looked at Zheng Ren and wondered if his own context and thoughts had gone wrong.
Ok... Zheng Ren is also very helpless, then asked: "What patient? Where is the case?"
"In the mailbox." Su Yun said lazily: "The translation software is downloaded, you can see it directly."
The voice of the "叮咚~" system task was transmitted in the moment when Zheng Ren opened the mailbox interface.
Hey, there are tasks.
Zheng Ren was "wasted" fifteen hours of surgery training time today and was distressed. The system has issued a very intimate task, and Zheng Ren feels that the big pig's hooves are really understanding.
[System Task: Request from afar
Quest content: 1 case of bilateral renal artery stenosis after RDN treatment.
Mission reward: experience value 100000 points, skill points 5000 points, reputation +1.
Mission time: 1 month. 】
prestige?
Zheng Ren saw the reward of reputation +1 at a glance.
Perhaps this is a special award from the Mayo Clinic, and Zheng Ren guessed it.
Overall, the highlight of this mission is the mission time of one month. If it can be done ahead of time, there will be a lot of surgery time remaining.
However, this is an application from the Mayo Clinic, and Zheng Ren is still cautious.
RDN is a pilot procedure for radiofrequency ablation of the renal sympathetic nerve to treat hypertension. Zheng Ren has seen similar literature reports in the system library.
This project is organized by international consumables manufacturer Medtronic.
Many projects, the initiators are not doctors, but these big manufacturers. Because of some reason for profit, they are willing to pay a lot of money to study similar projects.
Nine of the ten projects failed, not terrible. The patent period, huge income, and generous profits will make up for all the losses.
Of course, if there is a continuous failure, the rich multinational companies will not be able to stand it.
"Boss, think about that $100,000?" Su Yun saw Zheng Ren stunned, and he asked with a smile.
"No, I want to ask me to solve the problem that Mayo can't solve." Zheng Ren casually perfunctory.
When he finished, he opened the case.
The patient was an Indian, male, 42 years old. He was diagnosed with refractory essential hypertension 6 months before surgery. He was given 4 antihypertensive drugs and his blood pressure was maintained at 150/80 mmHg.
Later, he received RDN treatment 4 months ago.
Prior to RDN treatment, 64-slice CT angiography showed no bilateral renal artery stenosis and no abnormal renal function.
However, 4 months after surgery, transient pulmonary edema and acute renal failure occurred repeatedly, and severe hypertension was admitted to hospital. The patient's blood pressure is still as high as 220/140 mmHg with the maintenance of antihypertensive drugs.
Zheng Ren looked at the medical situation and was stunned.
Is pulmonary edema so frequent? There are also complications such as acute renal failure.
In the auxiliary examination, Doppler ultrasound showed a peak flow velocity of 623 cm/s in the right renal artery and 434 cm/s in the left renal artery. At this peak, Zheng Ren is afraid that the blood vessels will break at any time and blood will go out.
The 64-slice CT and MRI provide favorable evidence that the patient is bilateral renal artery stenosis after surgery The condition is very simple, Zheng Ren predicted that the RDN intraoperative heating leads to the presence of renal artery Stenosis and high blood pressure caused by unpredictable changes in science.
This disease...
Zheng Ren looked at it and his brow wrinkled.
"Boss, is it difficult?" Su Yun asked.
“How do I feel that the Mayo Clinic has concealed something?” Zheng Ren held the film and whispered.
Like answering Su Yun's words, it is like talking to himself.
"hide?"
"It's not difficult to see it this way. It's just that the process of RF heating leads to vascular deformation and complications of bilateral renal artery stenosis. As long as the bilateral lower stent is used, this problem is solved." Zheng Ren pointed to the 64-slice CT image. Speaking: "Looking for my consultation, what is good for me?"
"Maybe Medtronic took the opportunity to give you money."
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