When he came up, the TIPS surgery was almost done.
He could feel a different aura. It was different from the last time Zheng Ren came to the First Affiliated Hospital of Provincial Medical University for surgery.
This time, it was Teacher Gao who was doing the TIPS surgery himself!
It turned out that as long as he found a way, the TIPS surgery could be so simple.
In the operating room, Zheng Ren and Gao Shaojie were talking about the important points to pay attention to in the second-stage surgery.
Because Department Chief Kong came suddenly, Zheng Ren was caught off guard a little and wanted Gao Shaojie to learn everything about the TIPS surgery as soon as possible.
Many details had been mentioned in the office. When Zheng Ren saw Gao Shaojie's confused look, he sighed in his heart.
"Old Gao, let's talk on stage." Zheng Ren knew that he had been too hasty. The professor might be able to do it but Gao Shaojie...probably was not up to par yet.
Gao Shaojie also realized that first-stage surgery and second-stage surgery were two completely different concepts. Zheng Ren's tone and expression diluted the joy of successfully completing the first-stage surgery.
"Boss, I think you should hit him with the hemostatic forceps. You're a quick learner and have experienced it yourself. I highly recommend it," Professor Rudolph Wagner said seriously when he heard the conversation between the two.
However, they were at the First Affiliated Hospital of Provincial Capital Medical University. Gao Shaojie had told him that it was best not to hit him. Zheng Ren had been too engrossed in his thoughts just now and had done it once out of habit. He was still a little embarrassed.
'Forget it then,' Zheng Ren thought. It would be faster to take things slow.
Gao Shaojie frowned and fell into deep thought. He did not say anything.
"Doctor Zheng, let's have lunch before the surgery." Chief Qi was in a good mood. Although he had not managed to recruit Zheng Ren to the First Affiliated Hospital of Provincial Capital Medical University, was the outcome not normal? He could hear the abnormality in Old Wu's tone.
The young man in front of him should have gone to the Imperial Capital or Sorcery Capital. He should have even gone to the large medical centers in Europe and the United States.
However, to stay in the Provincial Capital?
That was absolutely impossible.
"Chief Qi, we won't be having lunch at noon." Zheng Ren's expression was serious as he said, "The surgery in the future will be more difficult. I'm afraid that we won't be able to finish it today."
The later surgeries would be more difficult?
chief Qi did not mind Zheng Ren's rejection. He was just surprised that the TIPS surgery had already been completed. Why would the later surgeries be more difficult?
From a surgical point of view, the second-stage surgeries were usually more targeted and simpler than the first-stage surgeries.
Chief Qi glanced at Gao Shaojie. Seeing that he was deep in thought, he did not continue to be polite and invite Zheng Ren to lunch.
Since he could not keep doctor Zheng there, he had to make sure Gao Shaojie remained.Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/highly-recommended-based-on-personal-experience_51157114760003059 for visiting.
Chief Qi had already guessed the value of the new approach to TIPS surgery from his classmates across the ocean. The little calculations in his heart began to crackle.
Soon, Li Jianguo sent up the patients for the second-stage TIPS surgery.
The surgery began.
"Xiao Liu, Doctor Zheng just said that the second-stage surgery is more difficult than the first-stage surgery. Is that so?" Chief Qi stood in the operating room and looked at Zheng Ren and Gao Shaojie through the lead-lined glass as he asked that question in a low voice.
Professor Liu's eyes were already red with envy. Every time he thought about the person who was learning TIPS surgery in the operating room, he wished that he was the one.
Unfortunately, there were no assumptions in life.
When Chief Qi asked the question, Professor Liu was stunned for a moment. He sorted out his emotions and thought for a moment before he said, "Chief, according to conventional surgical methods, there is no such thing as second-stage TIPS surgery."
"Huh?" Chief Qi was surprised.
"To be able to perform the first stage is already considered a national intervention level surgery." Professor Liu smiled bitterly. If he was able to perform the first stage just a month ago, his surgical level would be slightly better than Gao Shaojie's.
However, in a short period of time, Gao Shaojie had already lost sight of his own shadow.
A few days ago, Gao Shaojie called Sea City and asked him to help take in the patients for TIPS surgery. During that time, he had not realized the problem. Now that he thought about it... It would have been better if he had just said it.
Professor Liu was hopelessly absent-minded.
Hearing him fall silent halfway through his words, Chief Qi tilted his head and snorted with slight dissatisfaction.
Professor Liu realized that he was immersed in an inexplicable feeling of loss and regret again. He smiled bitterly. "In the past, TIPS surgery was only needed to connect the hepatic vein and portal vein. The probability of complications after the surgery is very high. For example, hepatic encephalopathy. Because of the thickness of the stent, too much blood flowed back from the veins. It did not pass through the liver's metabolism and the blood ammonia content was high, resulting in hepatic encephalopathy.
"However, if the stent is too thin, there will be a problem. The patient has less hepatic encephalopathy but there is not enough blood flowing back from the veins. Problems such as gastric fundus, varicose veins, and portal hypertension have only been alleviated, not completely resolved. In other words, there will be a risk of vomiting blood in the future."
Chief Qi pondered.
Professor Liu's words were very simple and easy to understand. They were both from clinical backgrounds, so Chief Qi instantly knew where the problem lay.
"Professor Zheng has put down two stents. The first one is a membrane stent. That is required for normal TIPS surgery." Professor Liu's eyes were filled with envy, it was almost as if they could melt the lead-tinted glass.
"But he has put down another recyclable stent. The advantage of this stent is that it can solve both of the above problems. After the patient gets used to the blood ammonia concentration in the veins, the recyclable stent will be taken out. This will solve the problem of postoperative complications perfectly. But...it's too difficult to take out the stent from the liver."
"Is that so?" Chief Qi asked.
"The liver will be damaged and bleed. I can't think of what to do to successfully take out the recyclable stent." Professor Liu sighed.
Because he did not understand, he was even more curious.
While answering Chief Qi's question, he stared at the screen in the operating room.
The surgery had already begun but the airbag on the retractable stent had deflated and was being removed.
In the operating room, Gao Shaojie's movements were very light and slow.
Even though he was stepping on the line, his body was being exposed to the X-rays every minute and every second, causing damage to his body.
However, he did not dare to rush.
Watching Zheng Ren perform the second-stage surgery, it was so simple that it looked like nothing.
However, he only knew how difficult it was when he started.
The moment he moved, he felt resistance.
"Old Gao, seven o'clock position, fifteen degrees down. Use a little more force " Zheng Ren said calmly as he stared at the screen.
Gao Shaojie reacted for a moment, then nodded and carefully followed Zheng Ren's instructions.
However, the seven o'clock position...and 15 degrees down. Was he even speaking in a human language?
Gao Shaojie tried a few times and finally succeeded in following Zheng Ren's instructions.
However, the retractable stent moved a few millimeters and could not be seen on the image.
He was not happy at all. Even Gao Shaojie himself did not know how he had succeeded.
"Next, at five o'clock, bend your wrist at twenty-five degrees. Gently, gently."
This time, Gao Shaojie tried four or five times but failed.
Afraid of bleeding from the liver parenchyma, Zheng Ren helplessly switched places with Gao Shaojie. With Zheng Ren's help, the operation was completed within ten minutes.
Chapter 585 - Was This Teaching Method Highly Scientific?
Li Jianguo sent the patient down but Gao Shaojie did not let the next patient come up.
He imitated Zheng Ren's movements, crossing his arms and resting his chin on his palm as he stared blankly at the film on the film reader.
Yes, Zheng Ren knew that he was in a daze.
It was useless to say a lot of truth.
Only by repeatedly pondering and understanding through continuous practice could one understand the essence.
Gao Shaojie was still in the initial situation. Neither he nor Zheng Ren had thought that they would start training for the second-stage surgery after they had just mastered the problem of the approach of TIPS surgery.
Zheng Ren did not say anything. He had already said what he needed to say. It was useless to say anything else.
"Boss, this is a problem of technique. He can't understand it." Professor Rudolf Wagner walked in and stood beside Zheng Ren. He said eagerly, "Why don't you let me try?"
Gao Shaojie looked at the professor warily.
"Lil Fugui, let Old Gao try again. There's no time today. What time is your flight?"
"It's past six in the evening," the professor said. "I was beaten by you with a hemostatic forceps. If you let me try, I'll definitely have no problem."
Zheng Ren smiled.
He was sure that Professor Rudolf Wagner's second-stage TIPS surgery had a high success rate. All that was left was a proficiency problem.
However, if he wanted to do it, he would go back to Germany to do so.
It was Gao Shaojie's patient. Although he called himself the boss, he could not go too far.
However, the professor was really lucky.
After being smacked by hemostatic forceps, he had a breakthrough.
Thinking about that, Zheng Ren suddenly had an idea and turned his head to look at Gao Shaojie.
He did not expect Gao Shaojie to do the same thing but in the opposite direction.
Their eyes met with unspoken words between them.
"Old Gao, have you decided?" Zheng Ren was still worried and asked.
"Let's give it a try. After all, I've personally witnessed the growth of Lil Fugui." Gao Shaojie gave up everything for the sake of making further progress.
That particular step was so difficult that Gao Shaojie could hardly see any hope.
Should he give it a try? Yes, he should!
Gao Shaojie immediately brought the patient in and began to spread out the sheets, disinfect, and prepare for the surgery.
"Boss, let me tell you that it's a good method," the professor said with a smile. "When I go back, I'm going to prepare a special disinfecting instrument in the sterile bag. Whoever goes on stage and doesn't do well will get their radial process smacked in an instant. I promise that even if you can't learn it normally, you'll be able to learn it through this method in about three to five moves."
"Don't talk nonsense. Hurry up and get out." Zheng Ren was helpless. The professor was getting more and more out of control with Su Yun and Chang Yue.
He was not serious at all.
While they were talking, the professor's cellphone in the pocket of the isolation suit rang.
"Haha!" The professor answered the phone and said, "I'm flying to Sorcery Capital at night before going home. Huh? Oh, okay."
After he answered, the professor fell silent.
"What's the matter, Lil Fugui?" Zheng Ren asked curiously.
"Brother Yun said that he wants me to go back to Sea City now. It's urgent." The professor was also very confused but Su Yun did not say anything on the phone. He just nodded and replied.
'What the hell is Su Yun doing?' Zheng Ren said to himself.
"I don't know," the professor said. "Boss, I think it might be something related to the application. I'll refund the ticket and rush back now."
"Okay, I'll ask Manager Feng to send you back." Zheng Ren brought the professor out of the operating theater and asked Feng Xuhui to drive the professor back.
Although the professor was a language genius and had no problems communicating there, Zheng Ren was still worried.
It was the same for him to take the high-speed train home at night. Moreover, as a surgeon, he had seen too many car accidents and injuries. Zheng Ren was unwilling to drive on the highway at night.
After arranging the professor's matters, Gao Shaojie had already laid out the sterile sheet and was ready to start the operation.
Zheng Ren was about to enter the operating room when he was stopped by Professor Liu.
"Zheng... Zheng Ren, can I go in and take a look at the operation?" Professor Liu asked shamelessly. He had done his best.
"Hmm? Sure, you can if you want." Zheng Ren's answer was very simple. He did not even need to think twice.
Professor Liu did not expect it to be so simple. He was slightly stunned as he followed behind Zheng Ren to happily wash his hands and put on his lead apron.
The heavy lead door closed and the surgery began again.
When Gao Shaojie saw professor Liu follow him in, he was a little surprised but came to a realization.
It was just that...
It was a little awkward...
However, that thought only flashed across Gao Shaojie's mind for a moment.
Learning how to operate was a necessity. What was awkward or embarrassing were all emotions that did not matter.
The surgery began again. The puncture, line-stepping, and retractable stent airbags deflated. When the stent began to move, Zheng Ren began to guide it.
"Lower left at a fifteen-degree angle. Don't use brute force."
Pap!
"Yes, Continue. No, It's fifteen degrees! The angle is not enough."
Pap!
"Pa..."
In the operating theater, only Zheng Ren's voice and the hemostatic forceps making a dull smacking sound on Gao Shaojie's radial process echoed in the air.Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/was-this-teaching-method-highly-scientific_51157116655824220 for visiting.
Professor Liu was dumbfounded by what he saw.
He had never done that when he was guiding his students.
Be it graduate students, doctoral students, or advanced students, they could learn whatever they wanted. If they did not want to learn or were not talented enough to learn, he would just let it be.
They were not his own children so why would he hit them?
Now, teachers no longer hit their students...
"Pap... Pap... Pap..."
Professor Liu felt pain in his wrist. It was as if his radial process had been fractured.
How could that be?
In the end, Zheng Ren spoke less and less. More often, he pointed in a direction and used the hemostatic forceps to speak.
One wrong move and the hemostatic forceps immediately hit Gao Shaojie's right radial process.
Because he was wearing sterile gloves, the sound was particularly dull and not crisp at all.
Professor Liu gradually got used to the 'teaching' method. He could feel Gao Shaojie's level growing rapidly.
They were both
middle-aged and young professors in their forties. They had social status. Usually, the chief was unwilling to speak directly when he spoke.
He really did not expect that one day, he would be treated so 'rudely' on the operating table.
However, rudeness had its advantages. Gao Shaojie used 45 minutes to finish the surgery amidst the smacking sounds.
This time, Zheng Ren did not do anything at all...
Well, he did not do the surgery but still had a part in it. The only action he did was use the hemostatic forceps to hit Gao Shaojie's radial process.
Zheng Ren was very pleased. Was this teaching method very scientific?
Under the supervision of the hemostatic forceps, the professor advanced quickly in the surgery.
There were many parts of the surgery that Gao Shaojie obviously could not do but under the correction and guidance of the hemostatic forceps, he could do it very quickly.
Hmm, should he keep the method?
Unfortunately, Su Yun learned the surgery too quickly. He really wanted to use the hemostatic forceps to hit his radial process.
Chapter 586 - Had Been Unlocked
The airtight lead door of the operating room was opened and Li Jianguo sent the patient back.
The surgery that time was a little long. It was the longest surgery of the day.
Li Jianguo stole a glance at Teacher Gao. He guessed that Gao Shaojie's operation did not go well which led to the prolonged operating time.
However, although Gao Shaojie was wearing a sterile mask and lead-tinted glasses, a red glow could clearly be seen on his face.
That was… Teacher Gao had been doing surgeries for quite some time today but why was he so excited?
Li Jianguo had some questions but did not dare to ask. He took the patient off the stage.
"Boss, I think I...have an epiphany." Gao Shaojie searched his mind to find the most suitable word to describe his situation.
Zheng Ren nodded and smiled.
Gao Shaojie was right. He was enlightened.
During the surgery, Zheng Ren could clearly feel the changes in Gao Shaojie's technique.
The Surgeon's Studio c1-799 Page 279