Chapter 678 - Don't Worry, I'll Do My Best
"There are a lot of injured people and we're short on staff," Chief Jiang said. "Pick those who are in critical condition and send them to Chengdu." "Okay." Zheng Ren nodded and began to change his clothes. The corner of his left eye was bruised, and a small bloody scar had already formed a scab. This injury was suffered together with the fracture of his left rib. Zheng Ren did not care too much about it as long as it did not affect his line of sight during surgery. He took off his clothes and the dirt fell off. He had been rolling in the muddy water for the past few days, especially going up and down the mountain. He did not even notice that he was so dirty. Chief Jiang was sad. He forced out a smile and asked, "May I know your name?" "Just call me Little Zheng. This is Su Yun," Zheng Ren said with a simple and honest smile. "Why don't you use purified water to rinse it? The conditions are limited. I'm really sorry to deal with it," Chief Jiang said bitterly when he saw that Zheng Ren had taken off his clothes and that the mud had dried with his body temperature. Beyond that, there were also countless bruises and scratches on his body. He knew that it was tough ahead, so he thought that he was lucky to be able to come back alive. He did not expect that there would be so many injuries on his body/ Chief Jiang felt a little guilty. When he came back, he could not even take a hot bath. After the earthquake, the conditions were simple but he could not do anything about it. Zheng Ren nodded. It was indeed a little luxurious to bathe in purified water. However, in order to perform the surgery, he could only do so for now. Since he had already come down from the frontline, he had to perform the operation as aseptically as possible. Soon, Chief Jiang dragged over a box of purified water. He stepped on the stool and opened the bottles one by one. Then, he poured the purified water into a simple, high-hanging container. At that moment, a voice came from the operating theater. "Chief Jiang, it's done. Next." Chief Jiang glanced at Zheng Ren apologetically. "You go ahead. We'll do it ourselves." Zheng Ren smiled as the dry and hard soil on his face fell down. "Right, Chief Jiang?" Zheng Ren suddenly thought of something. Seeing that Chief Jiang was about to leave, he immediately called out to him. "Huh?" "Bring two injured people up. We'll be done soon." "Okay." Chief Jiang turned around and jogged away. "Boss, you go first and then I'll clean up immediately after?" Su Yun asked. "You go first. I want to smoke," Zheng Ren said. "Where are the cigarettes?" Su Yun took out a plastic bag that was closest to his body and carefully opened it. The cigarettes in the plastic bag were all broken. He did not know how many times he had fallen that day. Su Yun shook his head. Zheng Ren picked up half a cigarette b.u.t.t from inside, opened the window, and lit it. He took a puff and took a break. He did not know when he would smoke again, Zheng Ren thought to himself. Soon, Su Yun finished washing up. There was nothing but rubbing the mud off his body. It was a special feeling to change into an isolation suit n.a.k.e.d. However, he couldn't wear underpants that were full of mud and water, could he? Zheng Ren began to pour water into the water storage container himself and then took a shower. Like the rain that night, the cold, purified water fell on his body. Zheng Ren thought of the helicopter again, the roar of the propeller, and the bearded pilot. He raised his hand subconsciously as he fist-pumped the air. Don't worry, I'll do my best! Zheng Ren then put down his hand and washed it carefully. He did not feel refreshed. There was still a fundamental difference between this place and Xie Yiren's bathtub. As long as it was clean, it was fine. Zheng Ren heard the sound of a stretcher trolley outside. He picked up an isolation suit, wiped it briefly, put it on before walking out into the corridor. The door of one of the operating theaters was closed, the other opened at a distance. Su Yun was probably there. Zheng Ren walked over quickly and saw Su Yun disinfecting. "Are there any radiographic films?" Zheng Ren asked when he saw Chief Jiang. "Only X-ray films," Chief Jiang said. Zheng Ren was probably the same. In a first-class hospital in a village, a full set of examinations could be considered as a complete set of examinations if the injured could go for a head CT, an abdominal ultrasound, and radiographic films of the other fracture locations. He would just have to take a look. The operating theater was very simple and crude. There was not even a radiographic film viewer. Zheng Ren picked up the radiographic films and narrowed his eyes at the light. "Doctor Zheng, I'll be your assistant in a while," Chief Jiang said. "I don't think there's a need for that," Zheng Ren looked at the radiographic films and answered casually. "I'm afraid that you won't be used to the machines here," Chief Jiang said. Actually, Zheng Ren also knew that this was a polite way of saying it. It was not like anyone could just come up and perform surgery right away. It was not an appendectomy. Almost all the general surgery departments... It could even be said that almost all the surgeons were able to perform it. Interventional surgery was a level three or four surgery. It looked like a minimally-invasive surgery but in fact, it was highly technical. At the very least, it could only be performed at the level of an attending physician. Go ahead. It'll be fine. One surgery would be enough to make Chief Jiang feel at ease. On the other hand, Zheng Ren did not care. He narrowed his eyes and looked at the X-ray films. "Boss, it's time to wash your hands," Su Yun called out. "Okay." Zheng Ren put down the radiographic films and asked, "Where do we wash our hands?" "This side." Chief Jiang called the circulating nurse over to help. He and Zheng Ren washed their hands together. With the activation of the national machinery and the strength of the people, there was no shortage of supplies. All the necessities were piled up like a mountain. It was just that they could not be transported up in a short period of time. This was especially because of the location of a transit station like Pengxi Village. Although the conditions were still limited and they lacked professional talents, they did not lack living supplies. They washed their hands, disinfected them, and put on their clothes. Su Yun knew what Chief Jiang meant when he saw him go up. He curled his lips in disdain but did not say anything strange. He left the operating theater and sat in the operating room. "Chief Jiang, I won't stand on ceremony then," Zheng Ren said directly when he saw that the airtight lead door close. Chief Jiang was also a little confused when he saw that Zheng Ren was full of confidence. What was such a young doctor doing in the interventional surgery department? Even though he was from the Imperial Capital Hospital, he was probably only a doctoral student at his age. Moreover, he probably had not graduated yet. However, he was full of confidence. He did not know how the surgery would go but he was afraid that he would be too arrogant and too weak. "You're welcome. I'm doing circulatory interventional surgery. I'm not very familiar with the interventional embolization of pelvic fractures." Chief Jiang did not argue and gave up the main surgeon position. The patient's blood pressure on the monitor was very low. The high pressure was only 60 millimeters of mercury. Zheng Ren took a glance and saw that the ECG monitoring was still stable. He estimated that the patient would recover very quickly after the surgery. As he thought about it, the needle pierced directly into the femoral artery that had shrunk into a white line. The needle penetrated the skin, entered the outer membrane of the femoral artery, and lifted. The movements were so skillful that Chief Jiang's eyelids twitched for no reason. He knew what movements he was doing but there was something astounding about it. It must be known that in patients with hemorrhagic shock, even a large artery like the femoral artery would turn into a white line due to ischemia. It was extremely difficult to pierce through. Most interventional doctors would use an injector to draw back blood. As long as they saw that there was blood return, they would be able to confirm that the needle had gone in. The entire process was very slow and very careful. They were afraid that the needle would pierce through the femoral artery if they used force to puncture it. However, the other party...was very skilled. He did not hesitate at all and directly hit the nail on the head. Chief Jiang sighed in his heart. He was really a doctor from the Imperial Capital Hospital. His level was unfathomable!
Chapter 679 - Did Not Even Have The Right To Cry
"What kind of guide wire
do you guys use?" Zheng Ren asked. "Cook's." "Alright." Zheng Ren was not picky. He had studied several types of guide wires in private. To reach Zheng Ren's skill level in surgery, the slight difference in elasticity between the micro-guide wires was very obvious. There was no difference between good and bad. There was only a difference in how to use them. There was a huge difference between the subtleties, the size of the force, and the judgment of the angle. Cook... "Microwires." Zheng Ren stretched out his hand. Chief Jiang's movements were a little slow. He only placed the microwires into Zheng Ren's hand a few seconds later. Zheng Ren stuffed the microwires into the artery sheath and began to guide the wires inside. "Doctor Zheng, how often did you go on stage to perform surgery at the Imperial Capital Hospital?" Chief Jiang asked. "Uh, I just arrived at the Imperial Capital Hospital. I used to work at Sea City General Hospital in the Dibei Province. I've done a lot of surgeries. Don't worry, there won't be any problems." Zheng Ren crossed his left and right hands. Before Chief Jiang could react, he said, "Step on the thread." Chief Jiang felt as if he had just taken out the micro-conducting wire from the sterile packaging. Not only did the micro-conducting wire go in, but the process had been so smooth. Did he have to step on the thread? Doctors in the department of interventional medicine generally did not want to step on the line too much. Although they were wearing lead aprons, it was still good to eat less line. However, he was not an assistant. The surgeon was still a doctor who came from the frontline. Out of respect, Chief Jiang did not question Zheng Ren's words and began to step on the line. After stepping on the line, he remembered what Zheng Ren had just said. "You just went to the Imperial Capital Hospital?" "Yes." Zheng Ren looked up at the screen but the contrast agent did not appear for a long time. "Medication," Zheng Ren said helplessly. They really weren't working well together. So fast? Chief Jiang took a look and immediately began to inject the contrast agent in a flurry. Usually, the guide wire would arrive at the position, followed by the catheter as they started to step on the line to observe the catheter's position. Only after all the preparations were done could the medicine be administered. On the other hand, this person was doing a blind operation. Not only did he directly use the micro-guide wire, but he also used the guide wire and microwires to perform a blind operation on the branch of the internal iliac artery. Chief Jiang could only exclaim in surprise at how far the surgery had gone. With the contrast agent dispersed, Zheng Ren had an idea of what had happened Previously, when he looked at the pelvic x-ray, Zheng Ren tried to simulate the 3D reconstruction of CT scans for pelvic vessels in his mind. During the last surgery in Nanchuan Town after experiencing the threat of death from a strong aftershock, he felt that he had made great progress and wanted to give it a try. He was able to visualize the 3D reconstruction right before his very own eyes... However, this kind of operation was really not suitable for now. The moment Zheng Ren thought about it, he felt his brain heating up. At that time, he immediately suppressed his thoughts. If he wanted to do something that consumed so much energy, he would have plenty of time to do it when he returned to the Imperial Capital. Now, he just needed to do the surgery well. "That..." Chief Jiang was stunned for a moment. He habitually raised his head to look at the screen. He was about to ask Zheng Ren how many times he had performed interventional embolization for pelvic fractures. However, he did not expect that the moment he thought about it, he saw the micro-guide wire had already entered a very thin internal iliac branch. The speed was so fast that the contrast agent that was diffused in front of him had not dissipated yet. Was the selection so fast? Or was it just a coincidence? Chief Jiang was stunned for a moment. Just as he was stunned, the micro-catheter entered as well. There was silence in the operating theater. Zheng Ren looked at the image across from him, focused and serious. Chief Jiang's mind was filled with questions as to how he could do everything so quickly. He did not realize that he had already reached the next step. Forget about the small branch of the internal iliac artery cannulation, even if it was... Forget it, there was no 'even if'. If he were to do it himself, the artery cannulation would not have been completed by now. The patient was in hemorrhagic shock. The femoral artery was as thin as a piece of paper. Even if he were to use an injector to retract it, he would have to be careful. It was already really good that he could successfully perform three to five punctures. As he thought about it, Chief Jiang fell into a daze again. After a few seconds of silence, Zheng Ren felt a little helpless. "Chief Jiang, it's time for the medicine to be embolized," Zheng Ren said helplessly. "Uh..." Chief Jiang came back to his senses and was about to press the injection button for the contrast agent in a flurry when he heard Zheng Ren's voice. "You pressed the wrong button. There's no need for the contrast agent. Just embolize it." Chief Jiang was completely dumbfounded. He was so confident? This young man was good. Where did this confidence come from? However, Chief Jiang did not question him. Instead, he picked up the injector and began to push the embolic agent. After the embolic agent was done, Zheng Ren continued the supercar selection. Just like a Formula 1 sports car with the accelerator being floored, Zheng Ren's speed was definitely not something Chief Jiang could keep up with. Chief Jiang stood on the stage and gradually became lost. It was not a big deal that he did not know how to perform surgeries. After all, they were worlds apart. It was not a reliable idea to expect a doctor who performed heart interventional surgery to perform embolization of a pelvic fracture. However, it was not a big deal. It would be a little too much if the supporting stage could not keep up. Gradually, Chief Jiang moved to the side. He realized that this young Doctor Zheng was operating on his own and was even faster than him. This was a very helpless discovery. Chief Jiang felt that he had become a burden... He despised himself... After the four branches of the blood vessels were embolized, Zheng Ren was just about to withdraw the tube when Chief Jiang asked in puzzlement, "Doctor Zheng, aren't you going to perform an angiogram to take a look?" "Hmm?" Zheng Ren's hand speed increased, and he was fully focused. When he heard this question, he was a little surprised. However, he immediately reacted. He looked at Chief Jiang and said lightly, "Normally, it's necessary to confirm by angiography but that's not necessary with so many patients. One less procedure can save some time. I'm pretty certain about the results. There's no need for angiography." Having said that, Zheng Ren still operated. He withdrew the microcatheter to the front of the internal iliac artery branch and started the angiography. Just as he said, there was no leakage of the contrast agent. A few severely damaged internal iliac artery branches were completely embolized. The surgical progress bar was 98%. Zheng Ren had already confirmed it! The System was still very powerful. If he did not use it now, then when would there be a better time for it? The reason why the surgical progress bar was not 100% was because he had missed the best time for surgical treatment and not because there was something wrong with his surgery. Zheng Ren was already used to being picky with the System. "Uh..." Chief Jiang subconsciously glanced at the electronic watch in the operating theater and found that less than twenty minutes had passed. Was it over? Just like that? There seemed to be one surgery in about an hour for Professor Mu. During that time, Chief Jiang was shocked by Mu Tao's skill. He was shocked beyond belief. However, in the face of Zheng Ren's speed and surgical progress, all his senses were sluggish. He even began to doubt his own life. It must be because he had not rested well recently. It must be. None of this was real... If it were, Chief Jiang was conflicted and in a daze. "Chief Jiang, get someone to send the patient down and then send the next patient up," said Zheng Ren. "Oh... Okay, okay." Chief Jiang's heart felt very stifled. He felt that he had not been of any help. He had completely wasted a bottle of purified water and a set of sterile clothes. Oh right, there was also a pair of sterile gloves. "Boss, your speed is increasing." The airtight lead door opened. Su Yun walked in and helped carry the patient down as he said that with a smile. "Yes. The last surgery was under the ruins. When the aftershock first came, I was a little scared. Later, I thought that it was usel
ess to be scared. A small earthquake shouldn't make me run. I can't even run away if a big one occurs. If it dies, it dies. Later, when I focused on the surgery, I seemed to have reached a milestone," Zheng Ren said. Ruins... Surgery... Death.. A few key words flashed through Chief Jiang's mind. Like a violent aftershock, they roared in Chief Jiang's heart. He could not help but fall silent. If it were not for the large number of injured patients waiting for the surgery, Chief Jiang really wanted to cry. But now, he did not even have the right to cry. There were countless injured patients waiting for treatment outside. Crying? Even if he wanted to cry, he had to wait for the earthquake relief to end. "Doctor Zheng, you've worked hard." Chief Jiang carried the postoperative patient away and said, "Take a rest. I'll send the next patient up. I'll call you up after the disinfection is done." "Huh?" Zheng Ren was puzzled. "Why is there such a long interval in between?" Speechless, Chief Jiang could not keep up with Zheng Ren's pace at all. He stood rooted to the ground. "Chief Jiang, send a patient in and then pick up the next patient. Arrange for someone to suppress the bleeding outside. After this surgery, the surgeon will not leave the stage and will simply perform the next surgery. Your people will be responsible for pushing the patient in." Su Yun explained what Zheng Ren's words meant.
The Surgeon's Studio c1-799 Page 323