However, Chang Yue was very clear about Zheng Yunxia's condition. When she first came here, Zheng Yunxia was already incurable and was about to jump off a building.
But now, after only two months and three operations, she was actually able to recover.
Although she was her friend… She was also a doctor. Chang Yue had a mysterious and unbelievable feeling toward Zheng Ren's words.
"The primary lesion should be able to recover." Zheng Ren thought for a moment before replying, "However, Sister Zheng has hepatitis-B, and the liver cirrhosis nodes could change at any time. If we can afford it, check the activity of hepatitis-B virus DNA to see if it's under control."
"Really!" Chang Yue was pleasantly surprised.
Although she already knew the result, the meaning was different when Zheng Ren actually said it out.
"It's true." Zheng Ren smiled. "Didn't I tell you already? Why are you still so happy?"
Chang Yue's lips moved, but she did not say anything.
During the hospital check-up, Zheng Yunxia's alpha-fetoprotein had dropped from an undetectable high to around 50. This confirmed the effectiveness of the previous treatment.
However, in the end, it was impossible for the King of Cancer—liver cancer—to be completely cured.
"Then..." Chang Yue hesitated for a moment. "When do you want to do the next surgery?"
Zheng Ren smiled. Chang Yue still did not believe him.
"The follow-up will take a longer time. Two months. The follow-up can be done in the out-patient clinic or in the hospital. The surgery might not actually be necessary. The chances of a fourth surgery succeeding are actually not high. About 20%," Zheng Ren told her. "However, don't tell Sister Zheng about this first."Find authorized novels in , faster updates, better experience, Please click /book/the-surgeon's-studio_16489637605120805/fully-recovered_50116620563040460 for visiting.
Chang Yue was happy and wanted to ask more questions.
At that moment, Zheng Ren's cellphone rang.
When he saw that it was the emergency department, Zheng Ren's heart rate instantly went back to 120 beats per minute.
He immediately answered the call.
"Chief Zheng, come to the emergency department! He fell from a high altitude and suffered a penetrating injury with a sharp instrument!"
Chapter 466 - Thorough Injuries
Zheng Ren and Su Yun were like wild dogs that had lost their stiffness. In less than two minutes, they ran from the emergency ward to the emergency room.
Lying on a stretcher... The patient was not really lying down but rather, just lying in a strange position. A steel bar penetrated from the lower body and pierced out from the left armpit.
It was estimated that the steel bar was at least 1.5cm thick and at least 60cm long.
In other words, all the organs in the body that the steel bar passed through would have at least be suffering 1.5cm penetrative trauma.
Zheng Ren's heart tightened as he looked at the System panel on the upper right side of his vision.
Rectal rupture, colon rupture, stomach rupture, diaphragm rupture, lung rupture, intercostal artery rupture, hemorrhagic shock... It was a series of diagnosis that made people's hands and feet go numb.
If it was a normal rupture of the intestine or stomach, Zheng Ren would not take it as seriously.
It would be over after the suture. It was amazing if there would even be an abdominal infection after the operation. As long as the patient could survive it, the patient would recover.
However, this kind of penetrating injury...
Zheng Ren immediately shouted, "The patient's family! The witness at the scene! Who's representing him!"
A simple and honest middle-aged man stood out with a distressed look on his face. "Doctor, I'm his neighbor."
"How did you break the rebar?" Zheng Ren asked.
Su Yun knew what Zheng Ren meant. The patient was penetrated by the rebar. Judging from the position, he must have fallen from a high altitude. The bottom of the rebar must have been fixed somewhere as it had enough strength to penetrate the human body.
Only by breaking the rebar could the patient be brought to the hospital.
If it was too severe, it would cause large-scale contusions and lacerations of the abdominal organs.
This involved emergency surgery.
After Zheng Ren asked a question, he immediately said to Su Yun, "Inform the operating theater to prepare for emergency treatment!"
"Doctor, this child was learning really well. I heard from his father yesterday that he came in second in the year for the national examination. Who knew that today..."
"Let me ask you again, how did you break the steel bar!" The veins on Zheng Ren's forehead showed, making him look a little ferocious.
The middle-aged man was shocked and said, "The fireman sawed it off with a cutting machine. He was very careful..."
"Let's go to the operating theater!" Zheng Ren was slightly relieved. When he saw that the stomach tube and urethral tube had already gone in, and the venous channel had already been established, he immediately barked out orders.
The doctors from the Emergency Surgery Department, Su Yun, Zheng Ren, and the patient's family members were pushing the stretcher and carrying IV bottles as they rushed to the operating theater.
As it was daytime, Chief Pan was in charge of this area. Zheng Ren was very relieved.
When he arrived at the operating theater, it was already busy inside.
He prepared the surgical and general anesthesia equipment. They operated in a precise and efficient manner.
"Call the Thoracic Department. Let's open it together!" Zheng Ren said this last sentence before he hurriedly went to change his clothes.
Zheng Ren's head hurt when he thought of the patient's injuries.
He was not afraid of anything else, but how was he going to remove the rebar?
The posture of the surgery was difficult.
If he were to remove the rebar before the surgery, the patient's internal organs would definitely bleed out at the various ruptures, and then...he would die immediately.
However, taking it out during the surgery was also a difficult problem that he could not face.
As Zheng Ren changed his clothes, he pondered on what he should do during the surgery.
It was necessary for the thoracoabdominal incision to be done at the same time. There was no doubt about that.
However, within a minute after the rebar was removed, he had to try his best to deal with all the damaged blood vessels. This was a little difficult.
Zheng Ren was a little slow in changing his clothes. Su Yun had already changed his clothes long ago. Looking at Zheng Ren's expression, he understood and said, "Just wait and see. Not everyone can be saved."
The two of them looked at each other and sighed at the same time.
Su Yun did not wait for Zheng Ren. He quickly went to give the patient a c.h.e.s.t drain.
After changing his clothes, he quickly went to the operating theater.
Chu Yanran and Chu Yanzhi had already given the patient general anesthesia. However, the patient's posture was particularly awkward. There were a few sandbags placed under the left side of the body to cushion it. It was at an angle so that the patient would not touch the steel bar that entered the anus.
This posture definitely made the surgery even more awkward.
"Get Yang Lei up here." Zheng Ren brushed his hands and said in a deep voice, "Prepare the blood. Hurry up."
The circulating nurse rushed around, her feet barely touching the ground. She helped Xie Yi prepare all sorts of surgical tools while preparing the equipment needed for the surgery, such as the negative pressure suction.
Chu Yanzhi said, "I'll go make a call. Have the blood samples been sent?"
"The emergency department has sent them." Zheng Ren began to don the sterile surgical gown. Chu Yanzhi tied the s
trap for him and jogged all the way to go call Yang Lei to go on operating theatre. After that, she went to the blood transfusion department to get the blood bags necessary
It was fortunate that it was daytime, Zheng Ren thought to himself.
Su Yun spread out the list and went to sterilize the equipment, putting on his clothes as fast as he could.
However, how the two of them stood became a big problem.
In normal surgery, they should stand on both sides. The surgeon stood on one side of the patient, while the first assistant stood on the other. However, the rebar was inserted from the back. The patient was lying on the operating table at an angle of 60 degrees, so the other side could not see the operating field at all.
Zheng Ren only hesitated for a second before he said, "Su Yun, this way."
Su Yun reached out, grabbed a large piece of gauze covered with iodophor, and slapped it into Zheng Ren's hand.Find authorized novels in , faster updates, better experience, Please click /book/the-surgeon's-studio_16489637605120805/thorough-injuries_50116621905217751 for visiting.
It was a familiar formula and smell, but Zheng Ren did not feel it at all.
His brain was working at high speed as he planned how he could pull the patient back from the brink of death.
He disinfected the gauze and the hemostat to the side of the patient's leg. With a flip of his hand, the hilt of the scalpel rested in his palms.
Zheng Ren did not wait. He cut the patient's abdomen from the bottom to the top.
Emergency treatment was a race against time. Zheng Ren really wished that the length of the rebar was as big as the incision.
The rapid blunt dissection opened up the abdominal cavity.
As the abdominal cavity opened up, the intestines flowed out of the patient's abdominal cavity.
This was also the reason why the general surgery required a horizontal position.
The large gauze was padded. Using a sterile sheet and the body to cover the intestines, Zheng Ren began to look for the damaged positions of the rebar.
After the abdominal cavity was completely opened, it was a shocking sight to behold.
The steel bar pierced through the rectum, the left colon ruptured, and the stomach ruptured. It went through the entire stomach, punctured the diaphragm, penetrating upward.
"Why isn't the Thoracic Department here yet?!" Zheng Ren roared.
Su Yun felt a powerful aura rising from Zheng Ren's body. It was as if the lion king was patrolling his territory. His roar was filled with infinite dignity.
When did he grow to such a level? Su Yun was a little absent-minded.
"Yang Lei, help the boss. I'll go for a thoracotomy." Seeing Yang Lei come up, Su Yun immediately gave his own orders.
Su Yun could be in charge of the thoracotomy, but there was not enough manpower.
Zheng Ren was troubled.
At this moment, Cao Guozhen rushed over. He said apologetically, "I'm sorry, Chief Zheng. We were doing a bypass surgery over there. I heard that there was an emergency, so I rushed over."
"Scrub your hands and open the c.h.e.s.t with Su Yun, " Zheng Ren said as he checked the wound in his abdomen.
His words were clear and concise.
Cao Guozhen did not say a word. He ran over to scrub his hands and almost bumped into Yang Lei who had just finished brushing his own hands.
"Chief Zheng, do you still need people? " Cao Guozhen asked.
"Call for another person," Zheng Ren said.
Naturally, the more people there were, the better.
Chapter 467 - Pulling Out The Rebar
Bit by bit, he looked for the bleeding point. Zheng Ren quickly stopped the bleeding around the damaged part of the rebar.
He washed the abdominal cavity with warm salt water and s.u.c.k.e.d out the feces and digestive fluid.
The infection was very serious!
Zheng Ren knew that even if the operation was successful, the chances of the patient surviving were not very high.
At most, the chances were 50-50.
If Su Yun was in the ICU, it might increase the chances of survival by 10%. However, it was only by that much.
Yang Lei put on his clothes and went on stage to replace Su Yun in the thoracic surgery.
Su Yun did not stand around and stood in the c.h.e.s.t surgeon's position.
Cao Guozhen came out and saw Su Yun's position. He was only stunned for a moment and did not say anything. He obediently put on his clothes and came in as his assistant.
Yang Lei held the patient's intestines with one hand and used the suction device with the other to help Zheng Ren expose the surgical field.
The patient's injury was very serious. The number on the monitor could not represent everything.
The most crucial step was the moment the steel bar was taken out.
Countless blood vessels would bleed at the same time. The c.h.e.s.t was fine, but the most important thing was the abdominal cavity.
Could he match Zheng Ren's speed? Yang Lei was a little nervous. However, in the current situation, even if he could not do it, he had to.
There was no room for retreat in emergency treatment.
"I'll go get the blood!" Chu Yanzhi shouted in the corridor, her voice getting further and further away. It seemed like she was running.
Zheng Ren glanced at Su Yun's progress.
Within a few minutes, the c.h.e.s.t cavity was opened. The thoracotomy opened the c.h.e.s.t cavity to the maximum. The ribs must have been broken. Su Yun did it on purpose.
If the ribs were not broken, the surgical field would be smaller. After weighing the pros and cons, the choice was already very clear.
"The lower left and upper lobe of the lung is penetrated, and the intercostal artery is broken. I don't have much of an issue on my end. It mainly depends on where you are," Su Yun said calmly as he checked the c.h.e.s.t cavity.
"Chief Cao, where are you guys?" Zheng Ren asked.
His voice was very serious, as if he was asking a question.
They were all Chief Residents and on the same level. Zheng Ren had no reason to speak like this. Even if he did not have any sense of propriety, Cao Guozhen could completely ignore what he said.
However, Cao Guozhen had seen Zheng Ren and Su Yun perform surgeries. Their skills were indeed high.
Most doctors were very scholarly.
For those who were better than them, even though they did not say it out loud, when it came to emergency treatment, the person with the highest skill would naturally take the lead and take charge of the emergency treatment.
Cao Guozhen was stunned for a moment before he immediately said, "tour, please call 042. Ask Haibo to come up quickly."
The nurse picked up her phone and dialed the Thoracic Department. She then placed the phone next to Cao Guozhen's ear.Find authorized novels in , faster updates, better experience, Please click /book/the-surgeon's-studio_16489637605120805/pulling-out-the-rebar_50116623230621143 for visiting.
"Sister Zhang, tell Haibo to hurry up and come to the Emergency Operating Theater! He won't even be on stage for less than three minutes this year!" Cao Guozhen roared.
'What a disgrace!' Cao Guozhen thought to himself. The emergency department was performing major resuscitation, yet they were still dawdling. Who the hell did they learn this from?!
Lin Haibo had graduated from university less than a year ago. He came to Sea City General Hospital and was still under rotation between departments. He was now rotated to the Thoracic Surgery Department. He was a resident doctor.
There was a heart bypass surgery in the Thoracic Department today, and Lin Haibo was very interested in it. Now with the rapid development of interventional cardiology, there were fewer and fewer bypass surgeries in the cardiac surgery department.
Although it was a
surgery that was destined to disappear in the future, Lin Haibo was still very attentive. Perhaps if he did not watch it this time, he would not have the chance to see a heart bypass surgery ever again?
The first time Lin Haibo received a call from Cao Guozhen asking him to participate in the emergency treatment, he was unenthusiastic.
Emergency treatment, huh? Was that not the same thing done repetitively?
The heart bypass had already begun. Lin Haibo deliberately dawdled for a few minutes, wanting to take a few more looks.
But within a few minutes, a call from the department came. The doctor and nurse in front of him told Lin Haibo Cao Guozhen's exact words, scaring him so much that he almost peed his pants.
He had been under rotation for a year without participating in an actual surgery. Was this not a waste of time?
What was the point of watching a heart bypass? He needed to hurry up and leave.
Yi Hao ran to the emergency operating room. After he entered the door, he apologized to Cao Guozhen first.
"Chief Cao, I'm sorry, I..."
"Wear gloves and go and pull out the rebar," Zheng Ren said coldly. A pile of equipment was placed beside him.
Only then did Lin Haibo realize that the atmosphere was not right. The entire operating theater was filled with tension.
He was stunned for a moment before he looked at Cao Guozhen.
That was not right. Why was Chief Cao in the position of first assistant? Did he not need to go on stage himself? Pull out the rebar? What the hell was he talking about?
"Hurry up! What the hell are you dawdling for!" Cao Guozhen roared.
Lin Haibo trembled for a moment before he immediately took the gloves that the circulating nurse handed over. He wore the gloves while observing the surgery.
When he took a look, his hair stood on its ends while he was putting on his sterile cap.
A rusty and bloodstained steel bar penetrated the patient's body, and the huge surgical incision exposed the steel bar.
A small section was outside the body, and the main body of the steel bar was embedded internally.
Could… Could this person still live?
Only now did he understand what they meant by pulling out the steel bar by himself.
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