What is Su Yun looking for himself? Zheng Ren looked at the missed call, and his adrenaline level instantly soared.

Could it be that there is something wrong with the patient after surgery? This was Zheng Ren's first thought.

While calling back, Zheng Ren went through the postoperative patients of 912.

If you think about it, there shouldn't be any problem.

"Boss, where did you go? Is this a little lover?" Su Yun's lazy words came out of his mobile phone, and Zheng Ren's adrenaline level instantly dropped to a normal level.

It's okay.

"Don't talk nonsense, come to the imperial capital with Director Kong for liver and gallbladder surgery. Zheng Ren's tone is very strict, which embarrasses Director Kong.

"Have you filed a record with the medical office? Without a record, even if you save Taiwan, it is illegal. "Su Yun doesn't talk nonsense.

But this is true, Zheng Ren knows that strictly speaking, he and Director Kong came to the imperial capital to save Taiwan, which is an illegal operation.

"Director Kong is here, what's the matter with me. You're thinking too much!" Zheng Ren said, "Find me something." ”

"There's an email in your mailbox, a 100,000 dollar consultation, and I'll take it for you. Su Yun said happily: "Guess where it was sent?"

Recently, I have to receive many requests to learn TIPS surgery, so Zheng Ren handed over the mailbox to Su Yun, anyway, the usual contact is WeChat, mobile phone, only foreigners are used to using the mailbox.

"Mayo?" Zheng Ren's heart moved.

How could Su Yun be so happy for 100,000 US dollars? It must be that the hospital that sent him for consultation was of a particularly high level, which could bring him infinite refreshment.

"Yo, boss, you can really pinch and calculate. It's a consultation from Mayo, you come back, look at the films, and give them a reply. Su Yun said.

"It's as simple as that?"

"Hey, can you be a little pushy. Su Yun was very impatient, and sprayed directly: "You are a Nobel Prize candidate, and you have a consultation of 100,000 US dollars, which is said to be low." ”

"Oh, okay. What to eat at night?

"Take a bite and earn the consultation fee first. Su Yun hung up the phone with a smile.

Zheng Ren didn't ask what the patient was, nor did he ask what the disease was.

Since that is the case, let's go straight back to 912.

After dropping a car, Zheng Ren rushed back to 912 directly. On the way, I watched Su Yun chatting with many girls in the group, showing off Mayo's request for consultation.

Zheng Ren doesn't think anything, the Mayo Clinic, that's it. A paradise for the rich, it is said that many bigwigs in the domestic business community regularly go to the Mayo Clinic for medical check-ups every year.

In fact, instead of traveling long distances to the Mayo Clinic, it is better to find yourself and have a look. The accuracy of the big pig's trotters is much stronger than that of Mayo, Zheng Ren thought to himself.

Soon, back at 912, Zheng Ren strode upstairs.

The white clothes fell in Director Kong's car, but fortunately, there was nothing in the white clothes pocket, and Zheng Ren didn't worry about it and walked into the office.

"Boss, Mayo has sent a consultation request and needs your confirmation. Professor Rudolf Wagner and Ren Zheng said.

"How do you confirm that?" asked Jung-in.

"If you agree, you will confirm it. The professor looked at Zheng Ren, wondering if there was something wrong with his own context and ideas.

All right...... Zheng Ren was also very helpless, and then asked, "What is the patient, and where is the case?"

"In the mailbox. Su Yun said lazily: "The translation software is downloaded, you can just watch it." ”

The sound of the "Ding Dong~" system task came the moment Zheng Ren clicked on the mailbox interface.

Hey, there's a mission.

Zheng Ren "wasted" fifteen hours of surgical training today and was distressed. The system issued the task very intimately, and Zheng Ren felt that the big pig's trotters were really empathetic.

[System Task: A request from a distant source.]

Task content: Complete the treatment of 1 case of bilateral renal artery stenosis after RDN.

Rewards: 100,000 XP, 5,000 Skill Points, +1 Fame.

Duration: 1 month. 】

Reputation?

Jung In saw the reward of Fame +1 at a glance.

Maybe this is a special reward from the consultation application sent by the Mayo Clinic, Zheng Ren guessed.

Overall, the highlight of this mission is that the mission duration is 1 month. If it can be done earlier, there will be a lot of time left over for surgical training.

However, this is an application from the Mayo Clinic, and Zheng Ren is still more cautious.

RDN is a trial procedure for radiofrequency ablation to remove renal sympathetic nerves and treat hypertension, and Zheng Ren has read similar literature reports in the system library.

This project was organized at the expense of Medtronic, an international consumables manufacturer.

In many projects, the initiator is not a doctor, but these large manufacturers. For some reason, they are willing to spend a lot of money on similar projects.

Nine out of ten projects fail, and it's not terrible. The patent period, huge income, and huge profits will make up for all the losses.

Of course, if it fails continuously, no matter how rich a multinational company is, it will not be able to stand it.

"Boss, what about the 100,000 dollars?" Su Yun asked with a smile when he saw Zheng Renleng for a moment.

"No, I'm thinking about the problem that Mayo can't solve, why throw it over for me to consult. Zheng Ren said casually.

With that, he clicked on the case.

The patient, a 42-year-old Indian male, was diagnosed with resistant essential hypertension 6 months before surgery and maintained blood pressure at ?150/80 mmHg on a combination of 4 antihypertensive drugs.

Later treated with RDN 4 months ago.

Prior to RDN treatment, 64-slice CT angiography showed the absence of bilateral renal artery stenosis and no abnormal renal function.

However, 4 months after surgery, transient pulmonary edema complicated by acute renal failure occurred many times, and severe hypertension was hospitalized. The patient's blood pressure is also as high as 220/140 mmHg when maintained with antihypertensive drugs.

Zheng Ren looked at this brief description of his condition and was stunned.

Do pulmonary edema occur so often? There are also complications such as acute renal failure.

On ancillary tests, Doppler ultrasonography shows a peak systolic flow velocity of 623 cm/s in the right renal artery and 434 cm/s in the left renal artery. With this kind of peak, Zheng Ren is afraid that the blood vessels will burst at any time and the blood will go out.

Six-four slice CT and MRI provided favorable evidence that the patient had bilateral renal artery stenosis after surgery.

The condition is very simple, and Zheng Ren predicts that it is stenosis complicated by hypertension caused by changes in the renal arteries caused by intraoperative heating of RDN, which cannot be predicted by existing science.

This disease......

Zheng Ren looked at it and frowned.

"Boss, is it difficult?" asked Su Yun.

"How do I feel like the Mayo Clinic is hiding something?" Zheng Ren whispered, holding his cheeks as he watched the film.

It seemed to be answering Su Yun's words, and it seemed to be talking to himself.

"Concealment?"

"It's not that hard to look at it that way. It is only the process of radiofrequency heating that leads to the deformation of blood vessels, complications of bilateral renal artery stenosis. As long as the bilateral lower bracket is double-sided, this problem is solved. Zheng Ren pointed to the 64-slice CT image and said, "Look for me, what is there to know?"

"Maybe Medtronic took this opportunity to send you money. ”