However, Zheng Ren had no time for sorrow.
When he saw that there was no blood underneath the patient's skin, he immediately ordered, "Get the emergency department to hurry the blood along. We may need more of it. If our blood bank doesn't have enough, go to the city's and demand some."
"Okay." Chu Yanran hurried away to contact them.
His instructions were given as he performed blunt dissection, reaching the peritoneum quickly. He extended his hand and a covered aspirator was passed to him.
With the scalpel, he made a small incision on the peritoneum and inserted the aspirator.
Dark red blood immediately began draining from it.
While the blood was being removed, Zheng Ren checked the patient's blood pressure: 50/30 mm Hg.
"Is Su Yun here yet?" he asked.
"'I've called him; he said that he has just finished with the consent form and passed it on to Old Chief Physician Pan. He's scrubbing in now," Chu Yanzhi yelled from the corridor.
Zheng Ren looked down at the operative field and saw the blood in the patient's peritoneal cavity slowly being siphoned away.
Before the blood was completely gone, Zheng Ren glanced up at Little Yiren, who instantly understood him and took over the aspirator.
He started to open the peritoneum, Xie Yiren handing him the tools with her other hand.
The peritoneum revealed, Zheng Ren reached into the liver and started to feel its surface.
There was a lesion with an approximate length of 5 cm. He reached further to the hilar area; crossing his arms, he opened his palm and received a pair of hemostatic forceps with tubing clamps.
Xie Yiren had anticipated it in advance despite it not being standard protocol. Zheng Ren was pleased.
The rubber tubing on the hemostatic forceps served to control bleeding from the liver. The tubing lowered the risk of inflicting secondary injuries to the hilar region.
Xie Yiren had deduced it herself after understanding the patient's condition in her short time on the operating table.
It felt good to have Xie Yiren assisting him. Zheng Ren was smitten, his blood pressure rising along with his heart rate from dopamine and adrenaline1.
He clamped down the artery at the hepatic hilum with just enough force.
Then, Zheng Ren moved on to the spleen.
The spleen was more fragile and had a much bigger lesion than the liver did. Zheng Ren blindly groped around; he started blunt exploration when he reached the gastrosplenic ligament, preparing to cut it when he reached the short gastric arteries.
At that moment, the peritoneal cavity was finally drained of all its acc.u.mulated blood. Zheng Ren used both hands to scoop out two large blobs of clotted blood and threw them into a basin Xie Yiren passed to him.
He then started cutting the gastrosplenic ligament and cleaning up the splenic arteries.
"Why do you think she attempted suicide?" Su Yun asked, sauntering into the operating theater.
Silence greeted him.
"You guys are really boring," he said.
"Put on your lead apron, scrub in and stop dawdling. Check for any ruptures in the intestines and any remaining bleeding areas in the peritoneal cavity that I missed," Zheng Ren said.
"What will you do?"
"I'm going to do an interventional embolization. The patient has retroperitoneal hematoma and I will also need to deal with the arteries ruptured by the pelvic fracture."
Flabbergasted beyond words, Su Yun wasted no more time and scrubbed in.
When he reached the operating table, Zheng Ren had already removed the spleen and put it into the specimen basin to send to pathology post-surgery.
Su Yun was unsurprised by Zheng Ren's efficiency; it would be more unusual for the man to be any slower.
The surgery from yesterday night was one example.
Su Yun requested a large surgical hook to provide a better view to Zheng Ren, who began performing a mattress suture on the ruptured liver.
He was a little dazed by the man's swift stitching, but forced himself to regain focus and said, "Boss, the patient has adenomyosis."
"Mmm," Zheng Ren humphed in reply.
"She wanted a child and refused to remove her uterus, saying that she would rather die than not give birth," Su Yun continued, "The pain from her adenomyosis today was so extreme that she gave up on life and jumped out of a sixth floor window right in front of her parents and fiancé."
Adenomyosis was a common gynecological disorder caused by the growth and penetration of basal endometrium into the uterine wall in a localized or diffused manner.
In the past, it was usually seen in women above forty who had already given birth, but it had been diagnosed in increasingly younger patients recently.
The immense pain from adenomyosis was truly unbearable.
There were people who jumped off buildings or slit their wrists rather than continue in agony.
"Is it treatable?" Su Yun asked softly.
Zheng Ren chuckled. Su Yun always pretended to be indifferent and unattached, bragging about opening a veterinary hospital and trying to get Zheng Ren to operate on dogs and cats.
However, he had not left the medical profession after returning from Imperial Capital, opting to stay in the Sea City General Hospital ICU. His actions spoke louder than his words.
He was probably unaware of the soft spot in his heart.
Or, perhaps he was deliberately ignoring it.
Just then,
With one slip-up,
He had bared it all. The author described a decreasing heart rate (), which contradicts the physiological effects of dopamine and adrenaline. Translated as increased heart rate instead.
Chapter 276 - One Screen, Two Surgeries (Part 5 of 5)
"I need a radiography," Zheng Ren said, "If it's diffuse adenomyosis, it's wiser to remove the entire uterus surgically than via interventional treatment. However, if it's focal adenomyosis, we can try treating it."
"Would it be effective?"
Su Yun's understanding of interventional surgery was already very impressive considering he had only been learning it for two months.
However, he was unsure as to its actual effects.
"There's a 30% chance of success, maybe lower. However, the goal right now is to stabilize the patient and save her life. We'll discuss the specifics later." Zheng Ren finished suturing the liver, having taken no more than ten minutes.
"You take over the next stage; I need to continue with interventional embolization," he said.
Su Yun nodded in response.
"Yiren, prepare the equipment Su Yun needs. Yanran, how is she doing?"
"She's fine, her blood pressure has stabilized, and I've just administered the drugs," Chu Yanran answered.
Midway through her sentence, Chu Yanzhi and the matron ran in with a dozen bags of fresh frozen red blood cells and plasma.
"Hook one up and connect it to the pressurized infusion device, then go." Zheng Ren placed the needle and its holder beside the patient's legs before also leaving.
Adenomyosis? Zheng Ren kept thinking about the disorder.
It was not life-threatening, but its pain could be excruciating.
He ought to save her first before trying to treat her adenomyosis.
As he retrieved his lead apron from the System, the ring of a mission chimed.
[Emergency Mission: Save People from Misery.
[Mission: Treating symptoms but not the root cause is meaningless. Please complete one case of emergency rescue and cure the patient's hidden health condition.
[Mission Rewards: 2000 skill points, 20,000 experience points.
[Mission Duration: 7 days]
Oh… Zheng Ren had flashbacks to the System's abundant rewards during his time in Imperial Capital.
He quickly dismissed the thought and chuckled.
The System's seven-day duration would seem incredibly long and the rewards exceedingly generous were this a normal patient.
However, s
he had a laundry list of life-threatening injuries.
After patching her liver and spleen ruptures, as well as rescuing her from hypovolemic shock, there were still plenty of bone fractures left to fix.
Would he be able to complete all these within seven days?
There was no time to think about it. Rescuing the patient came first.
He put on the lead apron while exposing the patient's right femoral artery. Then, he started scrubbing his hands, sterilizing them, and laid out the sheets according to aseptic surgical procedures, taking almost as long as he did to perform the surgery proper.
Aseptic surgical techniques were mandatory. Over a hundred years ago, general surgeries were not often successful due to post-surgery infections.
Even though clinicians were generally not fond of the infectious diseases department, they still uphold strict aseptic techniques during surgery.
The infectious diseases department… hah.
Every ward staffer had to sanitize their hands with 3M Avaguard HCG Handrub after each patient… However, clinical staff usually wished the one who had drafted these rules would also experience having to sanitize their hands over a hundred times per day.
It was feasible in the ward, but there were more than a hundred patients visiting each clinic every day. Were they to sanitize according to standard protocol, their hands would not last more than a week.
The delicate hands of the nurses would crack and their skin would peel off. In half a month, their hands would start to bleed. Even Zheng Ren's callus-covered hands would not be able to withstand it, let alone the nurses'.
No hand, no matter how strong, would survive over a hundred sanitizations every day.
Standard international protocol did not account for daily patient intake.
Zheng Ren finished sanitizing. When Xie Yiren, the Chu sisters and the matron had left the operating room, he performed femoral artery cannulation to insert the introducer sheath.
"Boss, take a look at the staining of the uterus," Su Yun reminded him.
"Noted," Zheng Ren answered.
Two surgeries began on one operating table.
The live surgery broadcasting room in Xinglin Garden exploded.
To the doctors watching the broadcast, the surgical removal of the spleen and repair of the liver were just ordinary procedures. There was no doubt that the surgeon had outstanding skill as the entire operation was smooth.
They also discussed the assistant's late arrival. Most assumed that the first surgeon was a student and that the newcomer was the real star of the show.
However, this theory was instantly opposed.
Anyone with eyes could see how skillful the hands behind the laparotomy and spleen removal were.
Could such skill belong to a mere student? Impossible!
It deflated the confidence of the watching doctors.
However, that was not the climax.
It was assumed that the surgery was over once the liver was repaired. The viewers were preparing to debate the two surgeons' identities when the hands onscreen suddenly vanished.
Gone… The surgeon had left!
Under normal circ.u.mstances, a professor would leave the remaining procedures to their assistant after completing a surgery.
It was the norm. There was no point in bringing an assistant who did not know how to close up a laparotomy. Why would one participate in surgery at all without knowing such simple procedures?
It would be outrageous!
Such a person would have to start from the bottom and practice appendectomy for five years.
There was no point in any further debate. As the victorious doctors sent out a few celebratory comments, the screen of the live surgery broadcast split into two.
Dual-screen?
What were they doing?
Were they planning to fix all the fractures at the same time?
It did not seem necessary as fracture repair was not urgent. As long as the broken bones did not pierce the skin and cause secondary infection, they could do it in the second phase of surgery.
Could the patient endure the massive blood loss of multiple procedures in one surgery?
As viewers guessed as to what was going on, the pair of hands on the screen started performing femoral artery cannulation.
[What the… are they trying to stop the bleeding through interventional techniques?]
[Why the hurry?]
[In the surgical field onscreen, I saw the surgeon's hand migrating downwards during the examination. Did he find the peritoneum hematoma? I read the diagnosis in the case details.]
[Where are the others? Are there only two of them in the team? Why is only one person performing the interventional surgery and the other working on abdominal closure?]
[Hospitals from overseas operate like that. There are only a maximum of two surgeons no matter how big the surgery is. One surgery costs at least 30,000 USD and it would have to split more ways if the team was any larger. This looks like a foreign hospital. Such amazing skill, but my chances of furthering my studies there are… bleak.]
[This is what you call an emergency rescue. Were it up to us, we'd just end with abdominal closure and monitor the patient's blood pressure in the ICU. If her blood pressure still failed to rise, we would send her to the interventional radiology department for further examination.]
[Specializing in multiple fields is amazing. I'm considering taking up interventional surgery.]
The bullet-comments filled the screen and obstructed it.
Most viewers turned off comments and focused on the live split-screen surgery.
On one side, the surgeon that had taken over demonstrated impressive surgical skill. Even though it simply involved checking for bleeds, cleaning the site and closing the abdomen, the surgeon's skillful execution mesmerized viewers.
On the other hand, the interventional surgery was being carried out swiftly. Superselective catheterization of the internal iliac artery was completed in the blink of an eye, the root-like shadow of black contrast medium spreading out at the endings of four small blood vessels.
Two surgeries in one screen. This live surgery broadcast deserved a high score!
Most of the doctors watching the broadcast shared the same sentiment.
…
…
I'm finally done with the additional chapters~ I gave my word and stuck to it… thank goodness. Thank you for your subscriptions, monthly votes, and recommendation votes. I'm grateful for the tips as well, as well as the buddy from QQ named "Ningningningning" who tipped me so many times. Please continue to vote for the recommendation list~ Bow*
Chapter 277 - The Visit (Part 1 of 4)
Professor Rudolf Wagner flew to Imperial Capital right after the award ceremony.
Despite still being jet-lagged, he wasted no time resting and dragged along his exhausted body in his search for Zheng Ren.
However, he received disappointing news—Zheng Ren had left Imperial Capital two days ago and returned to Sea City.
Professor Rudolf Wagner considered trying to contact Zheng Ren via official channels to meet with him in Imperial Capital.
He dismissed this thought as soon as it surfaced.
What a joke!
He was here to ask for a favor. Most people could worship him as one of the top five professors in the world in interventional surgery, but would the person with hands of God feel the same way?
The tables might even be turned.
If he accidentally stepped on the man's toes, there would be no hope for a collaboration in the future.
Dr. Mehar was still waiting for good news. The Nobel Prize of Medicine or Physiology gleamed alluringly on the horizon.
As Professor Rudolf Wagner thought about it, he immediately made up his mind to buy a plane ticket to Sea City.
He had no clue where it was located, though.
He knew only a handful of cities in China but remained determined to seek out the hands of God. There would be no mountain he wou
ld not climb, nor a river he would not ford!
Department Chief Kong was surprised by Professor Rudolf Wagner's arrival.
His first thought was that this German professor had come all the way here to challenge them.
Questioning an academician was no different from competing for the rank of department chief.
Professor Rudolf Wagner seemed to be acting rashly; he could have questioned them from Germany, and there was no need for him to come all the way to China.
Did he distrust the Chinese that much?!
However, Department Chief Kong was dumbfounded by the professor's attitude.
In front of Department Chief Kong, Professor Rudolf Wagner maintained his artsy, elegant composure and the professionalism of a world's top professor, but the front shattered at the mention of Zheng Ren.
He wanted to get to Sea City…
Department Chief Kong reflected on his own actions. Had he not treated Zheng Ren with sufficient respect and recognition?
If Zheng Ren was willing to work under him and lead his team, he had promised the man his full backing for the department chief position before retirement.
Was that not enough?
Department Chief Kong had considered it a good bargain, but Professor Rudolf Wagner's demeanor made it clear that it had been far from adequate.
Thus, he decided to personally accompany Professor Rudolf Wagner to Sea City.
He needed to strengthen his relationship with Mr. Zheng and had some research-related topics to discuss with him, which would need one-on-one conversations. Regarding research funding… he would need to make a generous offer.
After liaising officially with Sea City General Hospital, Department Chief Kong booked the ticket and flew over to Sea City along with the professor and his interpreter.
It was so sudden that Director Xiao from Sea City General Hospital rushed back from Provincial Capital upon hearing news of their visit.
When he reached the airport, Department Chief Kong and Professor Rudolf Wagner had already alighted at the cold and deserted city.
Director Xiao Keming was surprised. The department chief of the interventional radiology department from an Imperial Capital Class Three Grade A Hospital and Professor Rudolf Wagner from Heidelberg University, Germany, would not be of help to his career.
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