The Surgeon's Studio c1-799

by Black Ursa Prime

  'Let's give it a try. If it doesn't work, then that's just fate.'

  Zhao Yunlong called over a few young students and carried a seriously injured person into the tent.

  The plastic sheets that were usually thrown onto the ground without a care were now valuable strategic resources. Only the seriously injured person was covered with them. As for the others, they could just huddle together under the crooked trees to keep warm.

  There was nothing to prepare. Running out of ammunition and food was the best way to describe the current situation.

  Zhao Yunlong knew that there were definitely countless troops and officers outside who were anxiously charging forward, risking aftershocks, mudslides, and debris flying everywhere. It was only a matter of time before they were rescued.

  However, he was not certain that the seriously injured would be able to survive until then.

  He sighed. Seeing that his team members had carried the wounded over, he tacitly agreed to his demands.

  Zheng Ren began to disinfect the area. Zhao Yunlong came to the tent and asked, "Chief Zheng, let me help you."

  "There's no need." Zheng Ren shook his head.

  Zhao Yunlong's eyebrows were knitted together.

  Zheng Ren did not explain to him why. Time was tight and Zheng Ren was exhausted.

  Compared to the others, Zheng Ren had not only experienced everything, but he had also trained in the System's space for more than ten days regarding local anesthesia.

  Although he still had enough physical strength, the fatigue in the bottom of his heart could not be erased no matter what.

  Zhao Yunlong quietly watched Zheng Ren's movements. Preoperative preparations were made. Then, he put on gloves, disinfected, and held the blade in his hand. An eight-centimeter incision was made.

  The skin was cut open but there was no excessive bleeding.

  It was not that Zheng Ren's skill level was high, but the patient was already in a state of severe hemorrhagic shock. The capillaries on the surface of the body had contracted and the body's functions were self-regulating, supplying all its blood to the most important organs instead.

  Zheng Ren did a skilled and quick blunt dissection.

  Zheng Ren did not go around the patient to administer anesthetics. Instead, he continued to move after injecting a small amount of anesthetics at a few points.

  Zhao Yunlong could not understand Zheng Ren's technique at all.

  He was a doctoral student who had graduated from a specialized course, the kind of level-headed person who had achieved a certain level of success at a young age.

  No medical school would teach students to use local anesthetics to complete surgeries above level three severity. Even if local doctors in the countryside usually used it, they did not have such severe cases to test it out on.

  Local doctors only knew how to do appendicitis, local anesthesia, and splenectomy. The rest was unchartered territory for them. They had never even heard of it.

  Zhao Yunlong watched silently. In less than a minute, Zheng Ren had already done the blunt dissection of the skin, subcutaneous tissue, fat, and muscle to the peritoneum.

  When the peritoneum was opened, dark red blood flowed out.

  Zhao Yunlong finally saw a scene that he would never forget in his life—Zheng Ren's left hand reached in, his other hand occasionally using the injector to reach in through the narrow gap and inject local anesthesia.

  Zheng Ren spent most of his time using the hemostatic forceps in his right hand to assist his left hand in completing all the preparations for the splenectomy.

  On the other hand, the patient did not react at all. He lay on the ground with a pale face and did not move an inch.

  Could he be dead... Zhao Yunlong gently touched the severely injured patient's radial artery.

  There was also a slight fluctuation. His blood pressure was estimated to be around 50ml.

  Could local anesthesia really work? Zhao Yunlong did not understand. He had not studied it in books. At most, he knew about acupuncture anesthesia that had been researched since the 1950s.

  However, after lidocaine was diluted with saltwater, Zheng Ren had only used about half of it at this point. Zheng Ren took out the spleen that had a large hole in it out from a pool of blood.

  He really did not need an assistant. Even if he wanted to be an assistant, he did not have an operative view. Zheng Ren was doing a blind operation. He used his sense of touch to cut off the ligaments and block the splenic pedicle.

  "Chief... Chief Zheng... Where did you learn how to do something like this?" Zhao Yunlong was dumbfounded.

  "Old Chief Physician Pan of Sea City General Hospital said a few times that he used to be a military doctor." Zheng Ren decided to blame it on Old Chief Physician Pan.

  'A military doctor?! I'm also a freaking military doctor. Why has no one taught me this kind of surgery method before!' Zhao Yunlong thought in a daze.

  Chapter 657 - The Last Epinephrine

  Zheng Ren did not continue to check if there was any bleeding. He directly sutured and closed the abdomen. The operation was over.

  This...should be a splenectomy performed under the simplest conditions. Zhao Yunlong looked at the large hole in the patient's spleen and guessed in his heart that if he had delayed it for a few more hours, the patient would not be able to survive even if a helicopter came over to rescue him.

  "Chief Zheng, you're amazing!" Zhao Yunlong exclaimed.

  Zheng Ren wanted to laugh but the muscles on his face were stiff so he did not show any expression at all.

  "I'll go wash the equipment and prepare for the next patient," Zheng Ren said.

  Zhao Yunlong knew that there was no other way.

  He had to try his best to stop the bleeding first. As for complications such as post-operative infection, they would only appear after the surgery. Moreover, at least they would still be alive.

  After the rainy day passed, the helicopter arrived and sent the seriously injured to Huaxi. There were top-notch treatment methods in the country when they arrived.

  He nodded and moved the seriously injured to another tent on the other side. He covered the patient with a tattered quilt so that his body heat would not dissipate too quickly. That would aggravate the hemorrhagic shock and cause all organs in the body to fail.

  Zheng Ren walked in the rain. He did not prepare any cleaning equipment at all.

  The equipment provided by the System to cut open the surgical tray indicated an automatic sterilization function. This was something he had seen when he first performed the laparoscope appendectomy.

  However, that was not the point. In such an environment, cutting open the abdomen and cutting off the spleen would definitely cause a very serious infection after the surgery. Perhaps only about 20% of the injured there would survive after surgery?

  Zheng Ren did not know nor want to think about it.

  He did his best and left the rest to fate.

  Without a clean water source, Zheng Ren used the remaining purified water to wash away the invisible 'blood stains' on the equipment.

  He stood there in a daze for a few minutes. When he heard Zhao Yunlong calling him from behind, Zheng Ren turned around and prepared to continue the operation.

  At that moment, a few people who looked like they were in a mess in the distance pulled a person who was flailing all over.

  Zheng Ren focused his attention and looked over. Zhao Yunlong had already realized that something was wrong and went to check on the situation.

  The person was half-sitting and half-lying on the ground after being forcefully dragged over. Judging from his attire, he was probably a student. He seemed to have gone crazy. He used his hands to grab onto everything as he resisted his classmates pulling him back.

  His ten fingers were badly mutilated, and one could vaguely see the ghastly white bones peeking out from underneath his skin.

  However, it was as if he did not know pain. He tried his best to grab onto everything that he could
but still had to crawl forward.

  "What's wrong!" Zhao Yunlong roared.

  "Chief Zhao..." A person came in front of Zhao Yunlong, but before he could say anything, he started to cry.

  He cried very sadly, but he did not beat his c.h.e.s.t or stomp his feet. He stood in the wind and rain, letting the rain and tears fall.

  "Attention!" Zhao Yunlong shouted hoarsely, "Report the situation!"

  "Reporting!" The student could not find the instructor or the leader of his team, so he reported the situation to Zhao Yunlong.

  It turned out that they had been on a rescue mission when they heard the voice of a survivor under a ruin.

  It was a hospital. There used to be three floors but they had now collapsed. The third floor became the second floor, the second floor became the first floor...and the first floor became the bas.e.m.e.nt.

  It was impossible to dig people out of the ruins with only two hands.

  Even if they risked the aftershock... Even if they risked houses collapsing on them at any time... Even if they worked hard and risked everything, it was futile in the end.

  In order to comfort the trapped survivor, the students left one person to talk to her, while the others continued to look for survivors who could be rescued.

  The survivor was injured and her voice was faint. The students chatted with her for a long time, trying to find all kinds of topics to talk about so that the flame of life would not be extinguished until the heavy equipment arrived.

  However, everyone was very tired.

  The more they talked, the quieter their voices became. The student fell asleep unknowingly. After ten minutes or so, he woke up in shock. When he spoke again, the girl who had survived could no longer make any sound

  That sort of thing happened countless times. No matter how hard they tried, no matter how guilty they felt, there was always a limit to what they could do.

  Zheng Ren was stupefied. He did not look at Zhao Yunlong to comfort the student. Whether it was gentle words of comfort or a series of beating and scolding to make him quiet, none of that had anything to do with Zheng Ren.

  Here, everyone used their utmost strength to rescue and save every life that could be saved.

  Zheng Ren got a few students to carry another person over and began to operate on the next patient.

  This patient was suffering from hepatic rupture. The System only gave a diagnosis of multiple fractures, hepatic rupture, hepatic rupture, and hemorrhagic shock.

  Zheng Ren guessed that for the survivors who were able to survive until now, the ruptured wounds were not very big.

  Therefore, being able to get surgical treatment was valuable.

  Moreover, the current situation could not be measured by value. He was just trying his best.

  "Boss, are you done with one?" Su Yun came in from somewhere. He did not look energetic at all. Instead, he looked more and more exhausted.

  However, his eyes shone like two stars.

  "Yes. After I finish one splenic rupture, I'll assess their condition further. The initial consideration is a hepatic rupture," Zheng Ren said as he tore off the patient's clothes, exposing the operating area.

  "Say something. If you don't say anything, I think I will go crazy," Su Yun nagged as he helped Zheng Ren prepare for the operation.

  "How long do you think it'll take for the rescue team to arrive?" Zheng Ren held the injector in his hand and skillfully administered the local anesthesia.

  "The helicopter rescue will probably arrive soon," Su Yun said. "The aviation team is a bunch of goddamn lunatics. In this kind of weather, they still want to try and fly over."

  Zheng Ren was not surprised.

  Along the way, wasn't he also forced into a corner? Su Yun had almost fallen into the lake and Zhao Yunlong had almost been hit by falling rocks. The team had to pay the price to even barely make it there.

  The blood in their bones had been forced out. The people from the aviation regiment would probably have to land based on their own experience and instincts.

  They were all risking their lives.

  "When the rescue helicopter lands, there will be a large number of supplies. Use them however you want," Su Yun said.

  "Epinephrine, push it in slowly," Zheng Ren said indifferently.

  The survivor's blood pressure was extremely low. Zheng Ren saw in the System's interface that the red background was slowly turning white and he began to cut open the abdominal wall.

  Su Yun was stunned for a moment, then he began to look for epinephrine.

  "Zhao Yunlong, you bastard, where did you put the epinephrine?" Su Yun could not find it, so he shouted at the top of his voice.

  His voice penetrated the rain curtain, and Zhao Yunlong's tall and sturdy body appeared like a mountain.

  "The last one is on me." Zhao Yunlong took out a plastic bottle of medicine from his clothes and handed it to Su Yun. "This is the last one."

  "It's okay, Lu Hang will be here soon. When the time comes, you can use one, but no one will care at that point whether or not you use it or throw it even," Su Yun nagged. He opened the epinephrine bottle and used the injector to suck it up. There was not a drop left as he injected it into the survivor's vein.

  All the blood vessels were shriveled, but Su Yun could still find the right spot.

  It might be difficult for others, but for him, it was as natural as breathing.

  Zheng Ren was also used to it. He did not look at Su Yun at all. After opening the abdomen, he reached in. Black blood came out and mixed with the rain on the ground before being washed away.

  Chapter 658 - Standard and Non-standard Military Salutes

  Su Yun nagged non-stop while Zheng Ren performed the surgery in silence.

  Zheng Ren suspected that Su Yun was sleepy. If he did not say anything, he would probably fall into the mud in the next second and fall asleep without a care in the world. He had just laid down for a while and probably got up before he fell asleep. This guy was worried about Zheng Ren's local anesthesia surgery and was ready to perform resuscitation at any time.

  Zheng Ren's hand suddenly stiffened while being nagged at.

  "Boss, you're so skilled in blind operations. I really wonder what you did to the cadavers when you were in school." Su Yun could not hold back his tiredness anymore but still habitually said a few words to Zheng Ren.

  "Don't babble," Zheng Ren shouted rudely.

  "Huh?" Su Yun was stunned. When he saw Zheng Ren was actually listening to him, his ears twitched.

  The heavy rain was still falling, and the sound of rustling sounded endless. It was very monotonous and boring. Occasionally, there would be the sound of a rescue whistle blowing in the distance, tearing apart the night sky.

  Su Yun raised his head and asked Zheng Ren a question with his eyes.

  "I hear the sound of a propeller. Go and take a look," Zheng Ren said.

  "Did you have ear surgery? How can you hear such a thing?" Su Yun said, but he stood up and walked out.

  The sound of the propeller gradually became much clearer in the rain. The survivors stood up and looked at each other.

  Being trapped in a desperate situation, this sound meant hope, increasing their chances of survival.

  Zheng Ren's mouth moved as he smiled stiffly.

  Just like what Su Yun had said, lunatics were everywhere.

  No matter what, it was easy to say these words despite the cost. But if he could still keep his word in the face of the current situation, it would be different.

  Zheng Ren seized the time to perform surgery. The sound of the propeller gradually became clearer. Zhao Yunlong organized people to mark the landing location using bonfires, flashlights, shouts, and just about anything they felt would help.

  After finishing the surgery at hand, Zheng Ren walked out of the 'tent' made of plastic. He saw a bearded pilot come down from the helicopter.

  He did not look young anymore, and his aura was awe-inspiring.

  Zhao Yunlong saluted and reporte
d the situation.

  It's finally here... Zheng Ren let out a long sigh. He began to look for a pen and paper. He wrote down the situation of the patients after the surgery, wrapped them in plastic, and fixed them on the patients with adhesive tape.

  The communication was simple and rushed. The supplies on the helicopter were unloaded, and the seriously injured people were carried onto the helicopter.

  There were no comfortable conditions or meticulous care. The handover was simple.

  More than a dozen seriously injured people who were on the verge of death after surgery were carried onto the helicopter, almost piled up together.

  Zheng Ren came in front of the pilot and said, "Hello, I have written down the situation of all the patients. They are in plastic bags affixed with tape on each patient."

  "Okay." The bearded pilot nodded.

  He tied the newborn in his arms, a strange sight to behold.

  "Please report to the Front Command Center. In a few days, a large number of kidney physicians and dialysis machines will be needed. Now, hurry up and transfer them out!" Zheng Ren's tone was very firm.

  The bearded pilot was stunned.

  Zheng Ren's words were a little out of line. Transferring the country's resources was equivalent to mobilizing the entire country. Although they were only kidney physicians and dialysis machines, the manpower and material resources consumed were definitely an astronomical figure.

  However, the person in front of him said it so casually and looked so serious.

  "This is the judgment of the frontline medical workers. Please be truthful and report it immediately," Zheng Ren said very seriously. "In addition, the injured people on the helicopter are all seriously injured. I've only performed the b.a.r.e minimum on them. It was a forced surgery so infection rates are high. We have to send Huaxi directly so that the Huaxi's doctors can decide whether to perform the second-stage surgery or put them in an intensive care unit."

  The bearded man did not refute Zheng Ren's words. He only took note of everything he said.

  "Do you have any other instructions?" the bearded man asked.