However, the TIPS surgery and liver cancer interventional embolization surgery today had opened his mind. He vaguely saw a higher level of brilliance.
Gao Shaojie followed Zheng Ren closely.
He did not ask Zheng Ren about the operation details as the surgery was still not done. He assumed that Zheng Ren's mind was filled the radiofrequency ablation procedures that were about to be conducted.
He would just be put into an uncomfortable spot if he asked now.
Soon, they arrived at the CT room. A few people carried Zheng Yunxia onto the bed for the CT examination.
Where was the doctor in the CT room?
After that, Gao Shaojie saw Su Yun sitting in front of the machine as he started to fiddle with it.
Oh, so this guy was a mechanic and a surgeon. No wonder his words were so harsh.
In an instant, Gao Shaojie understood.
There was no interest, and he could not earn much money. There was no hope for him to rise and he merely dawdled every day... All these labels were suddenly placed on Su Yun.
He was rather handsome. Rather than being a surgeon, it was probably better for him to be at a talent show instead.
Gao Shaojie was sure that if the extremely handsome "surgeon" in front of him went to a talent show, there was a high chance he would become famous overnight.
Was that not better than operating here?
However, this was the least of his worries, as all his attention was then focused on Zheng Ren.
Professor Rudolf Wagner was busy. However, Zheng Ren was only looked at the scans in front of the scanner.
One was a 64-slice CT scan with 3D-image reconstruction.
The other was an interventional embolization scan.
The two scans were being compared side by side.
Gao Shaojie was very curious about what kind of radiofrequency ablation this young surgeon would be doing.
Chapter 427 - Emergency Rescue
Gao Shaojie had done c.h.e.s.t needle insertion before. It was not a big deal.
Three radiofrequency needles were heated at the same time. Gao Shaojie had also done this before. It was not a big deal either.
His focus was on the position of the three radiofrequency needles.
If Gao Shaojie were to operate, the position of the needles would definitely be different that of Zheng Ren's.
Anyone could do a planar operation.
The important thing in radiofrequency ablation was avoiding large blood vessels and any sort of side-effects.
The image on the CT screen clearly told Gao Shaojie that the young surgeon did not think this was the case.Find authorized novels in , faster updates, better experience, Please click /book/the-surgeon's-studio_16489637605120805/emergency-rescue_49620102747832531 for visiting.
But why did he leave the needles? They were even dangerously close to each other, less than 2cm from a hepatic artery branch. Was the surgeon just unskilled?
No, that was not right. Gao Shaojie immediately dismissed this idea from his mind.
The surgeon's skills had already been fully demonstrated in the previous TIPS surgery and liver cancer embolization surgery.
He must have had his reasons for doing this.
Just as Gao Shaojie was racking his brain, a lazy voice was heard. "Boss, you're pretty good at stereometry."
Stereometry?
Stereometry!
F*ck! Gao Shaojie's mind suddenly cleared up.
The person was not performing the surgery according to the CT plane. Instead, he was performing the radiofrequency ablation according to the 64-slice CT scan with 3D-image reconstruction, using 3D imaging to assist with the surgery!
"It's fine." Zheng Ren walked out of the CT room. The door closed while Su Yun operated the machine to perform a flat scan.
The positions were just right. Zheng Ren smiled and said, "Prepare to start heating them up."
These positions were chosen by Zheng Ren after careful calculations derived from the 3000 cases of surgery experience given by the System.
Su Yun's eyes were sharp, so he could see it immediately.
Two of the needles' positions were slightly off from the norm.
By doing this, all the tumor tissue could be killed by the radiofrequency after heating, leaving no residual lesions.
In addition to the additional attributes given by the System, the success rate of Fu Fu's interventional surgery was + 2. Zheng Ren was very confident that Zheng Yunxia could be "cured" after this surgery.
Of course, the so-called "cured" was just removing the existing lesions. If there were new lesions in the future, they would have to be dealt with in the future.
He turned on the radiofrequency ablation machine and began to heat it up.
Zheng Yunxia lay on the diagnostic bed of the CT machine. She was very calm.
"Sister Zheng, does it hurt?" Xie Yiren went in and asked.
"It doesn't," Zheng Yunxia replied with a smile.
"If it hurts, just let me know and I'll give you an injection. However, you must not move!" Xie Yiren instructed her.
"I know," Zheng Yunxia said.
Fifteen minutes of thermal ablation felt like a lifetime.
Zheng Ren crossed his arms as he thought about the effects of radiofrequency ablation.
Suddenly, his cellphone rang!
It was the emergency department!
Zheng Ren's heart rate soared to about 120 beats per minute.
Seriously... What did he actually have to be afraid of?
Su Yun glanced at it and picked up Zheng Ren's cellphone, answering the call.
"Okay, got it."
With just a response, Su Yun jumped up from the chair as if a spring had been installed within him.
"Boss, there's an emergency treatment that needs to be done so I'll go take a look. Don't worry, the surgery will take some time. I'll be right back!" After saying that, Su Yun ran away and disappeared in a puff of smoke.
Gao Shaojie was speechless. Was Sea City General Hospital always this amazing? Did their technicians always take charge of emergency cases?
"Lil Fugui, I'll check on the situation later. If everything goes well, I'll leave the rest to you." Zheng Ren looked up and looked at his watch. It had been almost ten minutes since the ablation started.
"Okay, boss. Just go and help him. Leave this to me. Don't worry, I do three to five of these surgeries every day in Heidelberg," Professor Rudolf Wagner responded.
Zheng Ren still did not relax when the professor said those words. Instead, he said in a stern tone, "Be vigilant and don't get careless."
"Okay, boss. Don't worry. I won't act Zhang Fei."
Zheng Ren was also helpless. It was all because of Su Yun and Chang Yue that the professor had to learn a Northeastern dialect.
No matter how serious the topic was, as long as it was said in a Northeastern dialect, it would have a funny flavor.
However, it was not a big deal to let Professor Rudolf Wagner handle the follow-up surgery.
He was a world-class professor so he usually was not free to do these things either.
Other people's days were like years, but Zheng Ren's days seemed to stretch like years.
Su Yun left, so Zheng Ren had to handle the operating the CT machine by himself.
He took off his sterile gloves and waited for the appropriate moment to arrive.
He looked at the clock ticking second by second. After it was just shy of a minute to fifteen, Zheng Ren immediately let Xie Yiren, Chu Yanran, and Professor Rudolf Wagner settle the rest as he went to start the CT scans.
The Sea City General Hospital's CT machine was Philips'. It was the latest model from three years ago and was quite fast.
However, Zheng Ren still felt that it was very slow.
The images appeared on the machine frame by frame. The malignant tumors on the liver that had been contrasted with the iodine oi
l had all died.
For the time being, there were no protein images seeping out. That was because there was not enough time.
"Success!" Zheng Ren said in a deep voice. "Lil Fugui, remove the needles. You're in charge of what happens next. If there are any complications, call me immediately."
After saying that, Zheng Ren rushed out. As he ran, he said, "Wait for my call. I might need to do emergency surgery! By the way, Lil Fugui, remember to burn the needle. Make sure they're no remnants left!"
His voice moved further and further away. After saying that, Zheng Ren had already disappeared at the end of the corridor.
Gao Shaojie was dumbfounded.
It was said that doctors used women as men and women like livestock. The workload of doctors and nurses in large tertiary grade a hospitals were no less than that of Huawei's engineers.
However, for a hospital like Sea City General Hospital to use a world-class interventional doctor as a junior doctor in the emergency department...
Was this not a f*cking waste of a gift from God.
The Emergency Department? Gao Shaojie gave it a thought before following him out.
The radiofrequency ablation surgery had already been completed. The three-dimensional ablation method was why Chief Zheng had done an x-ray after the surgery. He could go back and ponder about this later.
There was no point in staying here to see Zheng's emergency treatment.
Gao Shaojie did not run, merely walking briskly down the corridor. He followed the signs to lead him to the emergency department.
Wang Qiang had been here so he was more familiar with the building's layout as compared to Gao Shaojie. He followed Gao Shaojie, guiding him the rest of the way as they quickly went to the emergency department.
Just as they entered the emergency department's corridor, the smell of blood assaulted his nostrils.
Gao Shaojie was in a daze.
How many years had it been since he had participated in such a high-intensity and high-tempo emergency treatment? The smell of blood was so strong. Was it a stab wound?
While he pondered, the sound of a stretcher trolley could be heard from the emergency room.
Zheng Ren pulled the stretcher trolley with him and yelled, "Go get the elevator!"
As he ran, Gao Shaojie stepped aside to make way for the stretcher trolley. Surprisingly, he saw the technician kneeling over the stretcher trolley, his hand in the patient's abdomen...
This was...
He was stopping the liver rupture from bleeding out with his b.a.r.e hands?!
"Prepare the hybrid operating room for emergency surgery! Hurry!" Zheng Ren's voice came from afar, echoing in the corridor as if it were a hollow valley.
Chapter 428 - Understaffed
Gao Shaojie immediately started running.
As a doctor, his reactions were similar to the emergency department's.
A large wave of adrenalin washed over him as the crackling sounds of high-energy phosphoric acid bonds in his body felt like they were ringing in his ears.
He quickly ran to the elevator. Seeing that the stretcher had just entered it, he followed suit.
Entering the narrow and cramped space in the elevator, the smell of blood became stronger, to a point that it became hard to breathe.
Gao Shaojie glanced at the ECG monitor on the stretcher trolley. The blood pressure...could not be measured. Their heart rate was 160 beats per minute, with a blood oxygen saturation of 80%.
Gao Shaojie evaluated with his own knowledge that the patient was probably undergoing hemorrhagic shock.
The technician… Was he squeezing the patient's liver to try and reduce the bleeding? There was not much blood left, right?
Su Yun knelt over the stretcher. His black hair was stained with a few drops of blood, but he was still determined in his actions.
"Boss, are you going to perform a hybrid surgery?" Su Yun was very calm while bent over the stretcher, not panicking at all.Find authorized novels in , faster updates, better experience, Please click /book/the-surgeon's-studio_16489637605120805/understaffed_49620103821578009 for visiting.
"The liver is bruised and broken." Zheng Ren was also calm. He replied, "We need to accurately determine the location of the bleeding and try to save some of the liver."
Gao Shaojie was stunned.
The person was practically dead already. Could he still be saved?
"The operating theater has a c.h.e.s.t drain, right?" Zheng Ren asked.
"Yes," Su Yun casually answered. This was because the elevator had already reached the operating theater on the third floor.
Gao Shaojie helped to pull the stretcher trolley out of the elevator as they ran toward the operating theater.
Although he was "running", his speed was not particularly fast.
After all, there was still a person kneeling over the stretcher to stop the bleeding. What if he accidentally threw the technician off balance?
The technician was young. It would not be a problem for him if he fell. However, he was holding the patient's hepatic portal in his hand.
If he exerted too much force, the hepatic portal would be torn and the patient would be done for.
"Chief Physician Pan, it's an emergency case. John Doe, ruptured liver. Blood pressure can't be determined. I'm going into surgery." Zheng Ren finished his last call before walking into the operating theater.
Xie Yi was not around this time, and there was only a circulating nurse busying themself inside.
The surgery below was probably not finished yet.
After carrying the patient onto the operating table, the circulating nurse walked over with the afterimages.
Su Yun pinched the liver door. Seeing Zheng Ren begin to wash his hands, change into his lead apron, start disinfecting himself, he said with a smile, "Boss, are you still not used to this?"
Zheng Ren ignored him and sterilized as quickly as possible.
"What kind of surgery are we doing?" Su Yun saw that Zheng Ren was ignoring him but he was bored. As such, he stopped smiling and finally questioned him seriously.
"We're gonna open up the abdomen and figure out what the problem is. At the same time, get an interventional radiography to locate the blood vessels," Zheng Ren told him.
Half a bottle of Iodophor was more than enough to soak ten pieces of gauze to sterilize them. Zheng Ren then began to spread out the surgical dr.a.p.e.
He purposely left the right femoral artery for the interventional radiography.
"Boss, you're really fearless. There are only two of us. How many surgical methods do you want to perform? You shouldn't overwork me like this." Su Yun's tone made one want to smash the disinfected curved plate over his head.
"It's okay. I can do it," Zheng Ren said. "Even if I can't, I still have to. The liver is already rotting so I can only perform a hepatectomy."
After laying down the sheet, Zheng Ren washed his hands again. He put on the surgical gown and went straight to the stage.
He did not let the circulating nurse come up. Instead, he stood in the first assistant's position. He was the scrub nurse. He used the hemostatic forceps to clamp the blade and place it on the knife's hilt.
He disinfected it and wiped it clean. He followed the previous wound and made a 15cm surgical incision.
Zheng Ren then used the disinfected tourniquet to make a leather jacket. It wrapped around the patient's hepatic portal, allowing Su Yun to free his hand.
Su Yun then went to sterilize so he could scrub in.
Gao Shaojie came over to take a look and was shocked.
The right lobe of the patient's liver was almost nonexistent. It was so fragmented that it could not be pieced together.
The liver's left lobe was also partially ruptured.
If it was only the liver's right lobe that was ruptured, then it would have just been fine to just cut it out.
However, even the left
lobe had external injuries. Could it be that they would cut everything out?
"Su Yun, hurry up. I want to do an angiogram," Zheng Ren roared.
Although Su Yun was about to fly up, Zheng Ren still despised him.
"Director Zheng, can I help with the operation?" Gao Shaojie volunteered his services.
There was only the two of them in Sea City General Hospital. They had both an emergency and interventional surgery to do. There was also another surgery downstairs that was being finished up, so they were extremely busy.
It did not feel appropriate to just stand here and watch.
Although he did not file a report with the medical department and did not have an invitation so this was against the rules, Gao Shaojie still wanted to help.
"You're..." Zheng Ren hesitated.
This guy had already forgotten who Gao Shaojie was.
Gao Shaojie was speechless. In Zheng Ren's heart, he was just a minor character...
No, he was not even considered a supporting actor. He was just an extra.
The kind of actor who brought his own boxed lunch.
"Chief Zheng, you're too forgetful." Gao Shaojie smiled awkwardly. "I'm Gao Shaojie, the associate director of the Department of Interventional Medicine at the Affiliated Hospital of the Medical University."
"Oh, I hope you don't mind me troubling you then." Zheng Ren ignored all formalities and immediately agreed.
It would have been great if Professor Rudolf Wagner was here. Unfortunately, this patient came at a very bad time. Not only was it already after hours, but he was also rushing to perform a radiofrequency ablation.
Zheng Ren was also very helpless.
As for this doctor who called himself the associate director of the Department of Interventional Medicine at the Affiliated Hospital of the University of Medicine, he did not care whether he was a doctor or not. If he did not perform the surgery well, he could just kick him off the operating stage.
Whether he was good or not could be determined by a single puncture.
The patient's blood pressure was almost at zero now. If he wanted to successfully immobilize the artery sheath, it was not a feat that any ordinary doctor could pull.
"The lead apron is over there. Go and put it on yourself. Be quick about it!" Zheng Ren did not bother with formality and started barking out orders.
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