21st Century Necromancer

Chapter 164 The Old Principal (Third Update, Please Subscribe, Request Monthly Tickets)



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In the VIP ward, Zhang Zhao and his sister Zhao Min were helping to tidy up, placing their brought items into the cabinet.

Meanwhile, Xu Xiaohong stood by the bed while a nurse was tucking in the patient lying on the bed and checking the IV drip beside him.

"Really, the old man is of such an age and you still had him travel abroad! This counts as a taste of Western luxury, this Japanese hospital ward feels even more luxurious than the cadre sanatorium I visited back in the day! How much does this cost per day?" The patient lying in bed was none other than Chen Yu's old school principal.

After a series of ordeals, the principal had finally taken a flight to Japan and settled into the Eastern University Affiliated Hospital.

"Principal, just stay here with peace of mind, no matter the cost! As long as we can cure your illness, no amount of money is too much," Xu Xiaohong comforted the principal. She knew that what the principal truly cared about wasn't the money but felt that there was no need for all this trouble: "And rest assured, I've already asked Ah-Yu.

He said that with a surgery to remove the tumor, your illness can be cured without any issues."

"Ah, I really have to thank student Chen Yu this time. Who could have imagined that in my old age, I would still be troubling my own student!" The principal said with a helpless smile and shook his head.

Hearing the principal say this, Xu Xiaohong quickly comforted him, "Principal, what are you talking about? You should be happy that a student you taught is able to cure your illness, how can you call that trouble! Moreover, this is hands-on teaching, giving Ah-Yu the opportunity to demonstrate his skills. It is he who should be thanking you!

I've heard from Ah-Yu that your condition is enough for him to write a world-first case report and paper!"

"A world-first? I never thought that after being a doctor all my life and never encountering a world-first case, in the end, I'd develop a sickness in my old age and turn myself into one, haha!" Xu Xiaohong's words brought laughter to the principal. Indeed, for a doctor, contracting an illness that becomes a world-first case is a particularly special experience.

As the two of them chatted, Zhang Zhao and Zhao Min had finished arranging the principal's personal belongings and greeted him, "Principal, we've put all your belongings into the cabinet. The fruit has also been washed clean, so you can eat it without worries. If there's anything else you want to eat, just let us know and we will buy it for you."

"Thank you, you've worked hard," the principal expressed his gratitude to the two sisters with a nod. Due to his illness, he appeared somewhat weak, his cheeks deeply sunken, but his smile remained gentle and kind. Read exclusive chapters at empire

Just as the principal was about to say something else, Chen Yu walked in.

"Principal, how are you feeling right now? Do you have any discomfort?" As soon as Chen Yu entered, he picked up the medical chart from the bedside, glanced over it, and then inquired about the principal's condition.

"The nurse just gave me liver-protective medication a moment ago, and right now, I don't feel uncomfortable at all." Being a doctor himself, the principal naturally wouldn't have any inaccurate descriptions and shared some details about his condition with Chen Yu.

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"From the current situation, Principal, your condition is relatively stable, and as long as some more tests confirm the specifics of the tumor, we can proceed with the surgery," Chen Yu recorded what the principal had described before nodding and beginning to outline the basics of the surgery: "Principal, your diagnosis is hepatocellular carcinoma stage IV-A with tumor thrombus extending into the right atrium, which you should already be aware of, so I won't elaborate further.

Based on the medical records passed on to me by Third Aunt, the current surgical plan is to use ALPPS, performing the surgery in two stages. The first surgery will remove the tumors in the left lobe of your liver, followed by the separation of the right liver lobe to stimulate the regeneration of the left liver lobe using the liver's cut surface reactions.

Once the left liver lobe has regenerated sufficiently, we'll proceed with the second surgery to remove the right liver lobe and extract the tumor that has invaded the inferior vena cava from your heart. This way, we'll avoid opening the heart and using cardiopulmonary bypass,"

Although Chen Yu was discussing his own medical condition, the principal still had a look of scrutinizing his disciple as he asked Chen Yu, "Your surgical approach seems sound, but ALPPS... can Portal Vein Embolization ensure that the left liver lobe regenerates to the necessary size for surgery in a short time?

I'm already in my eighties, my body's regenerative abilities aren't what they used to be. Have you taken this into account?"

"Of course, I have considered this very point. Just using the traditional portal vein embolization might not guarantee that the liver regeneration will meet surgical requirements in the short term.

Therefore, I've chosen to ligate the portal vein, separating the right liver lobe while preserving the Right Hepatic Vein and Right Hepatic Artery," Chen Yu responded to the principal's question as if he was answering in a classroom, though he was no longer the principal's student, but rather his chief physician.

Upon hearing Chen Yu's explanation, the principal understood the method being used and nodded in agreement, "Using the inflammatory response following liver segmentation to promote the regeneration of the left liver lobe is a very good idea. If it goes as you plan, the left liver lobe should be able to grow large enough in one week to meet the needs for the second surgery, am I correct?"

"The Principal is truly wise, never losing your sharpness!" praised Chen Yu. He then gestured to a nearby nurse, motioning her to come forward, and explained to the principal, "Due to Japanese hospital rules, family members are not allowed to stay with patients beyond visiting hours. As this is a VIP room, it comes with a dedicated nurse, which in this case is Miss Yousen.

She is the exclusive nurse for this room, and you can communicate your needs directly to her, as she understands Chinese."

"Hello, I am Yousen Yangna, the exclusive nurse for this room. Please take good care of me," the nurse greeted the principal in Chinese with a slight bow after Chen Yu finished the introduction.

"I appreciate your assistance, Miss Yousen," said the principal, still somewhat unaccustomed to the Japanese etiquette and politeness.

"Principal, please rest well. I have other patients to attend to, so I'll take my leave now," said Chen Yu before exiting the room.

"Ah-Yu!" Just as Chen Yu had barely stepped out of the room, Xu Xiaohong hurried after him: "Ah-Yu, when is the principal's surgery scheduled? You've only talked about the surgical plan but not the timing. I'd like to confirm that with you."

"If the tests show no issues, the surgery is scheduled for five days from now. Although VIP patients can usually get an earlier date, if the operating room isn't available, I'm not able to move it up any further," Chen Yu said with an apologetic expression, explaining to his Third Aunt before heading to the next patient room.


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