Chapter 183: Full of Liver

Femoral Artery Puncture, place the Arterial Sheath.

Because Ji Xiang was lying flat, he could not see the operating area, but he could feel the surgical procedure and simulate it in his mind.

The operator's level was a grade or two lower than his own, but that didn't matter; the surgery was not difficult, so it should be fine.

However, no matter what, Ji Xiang felt slightly uneasy.

Because, not long ago, he had just witnessed a "sloppy" surgery with his own eyes.

After 8 minutes and 22 seconds, the screen lit up, and Ji Xiang knew the operator was cutting corners.

He turned his head, his gaze landing on the DSA screen.

The Guide Wire was a bit thick, not a Micro-guidewire; Ji Xiang frowned.

Theoretically, going straight for a Micro-guidewire was the most correct choice; using such a thick Guide Wire, could it be that the operator intended to switch it after Super-selection?

Or perhaps...

That ominous premonition was gradually turning into reality.

No matter what kind of reason Ji Xiang tried to find, he could not explain this hospital's "sloppy" surgical process.

The surgery was going smoothly enough, and although the operator's technique was slightly inferior, Ji Xiang wasn't too worried. What he was worried about was—whether the operator would skip the Super-selection.

The Guide Wire entered the Hepatic Artery, and at the position of the hepatic hilum, it began Angiography.

The location of the Tumor had been found; next, it should be time for Super-selection, Ji Xiang guessed. Whether to choose a 2.4F or 1.7F Micro-guidewire depended on the operator's habits and technical level.

"Prepare to administer the drug," the operator said.

Administer the drug?

Administer what drug!

Ji Xiang felt ice-cold all over; they were preparing to administer the drug before even performing Super-selection. It was just as he feared.

In the moment he was stunned, he felt a warm current circulating in his body; it must be the drug being administered.

Ji Xiang didn't understand what was going on with this point either; theoretically, the temperature of the drug administered by a high-pressure Syringe should be lower than body temperature, so how could he feel a warm current?

But this thought flashed by and vanished; Ji Xiang's eyes were fixed on the DSA screen, and he didn't even have the strength to speak.

As if suffering from Hemorrhagic Shock, Ji Xiang was stunned, blankly watching the drug being perfused into the liver.

Soon, the operator began to withdraw the Catheter.

"The... sur... gery is finished?" After witnessing and experiencing the surgery firsthand, Ji Xiang discovered it was truly as he had seen; he was horrified and asked stammeringly.

He completely failed to understand why a top-tier domestic hospital would perform surgery this way; it shouldn't be like this!

But whether from the perspective of the System Empathy or from his own choices, this was the only thing that made sense.

Why would they do this? Ji Xiang's mind was full of questions.

Even if the liver were filled with Chemotherapy drugs, the therapeutic effect on Liver Cancer should be very limited.

Or perhaps the drugs had been updated and iterated, and he just didn't know?

Ji Xiang vaguely realized the truth, but he was unwilling to accept it.

Countless questions appeared in Ji Xiang's mind; he was lifted onto a flat cart, and a young Doctor pulled him into the hallway to apply pressure to stop the bleeding, waiting fifteen minutes before applying a Pressure Bandage.

At the same time, another Patient was sent into the Operating Room.

Ji Xiang asked blankly, "Doctor, how long did the surgery take?"

"A little over ten minutes, normal speed," that young Doctor said.

"So fast?"

"We are the top hospital in the country; how could the surgery be slow?" the young Doctor answered proudly.

He...

If Ji Xiang didn't know how to perform Interventional Surgery, and wasn't a Level 9 operator, he probably would have believed it.

Who on earth gave him the confidence to say such a thing!

"Doctor, what drug did you give me?"

"Oxaliplatin."

While applying pressure, the young Doctor briefly explained some relevant knowledge to Ji Xiang.

His knowledge base was not even as good as Ji Xiang's, and everything he said was already known to Ji Xiang.

Ji Xiang realized one thing: the surgery the operator performed on him was not rigorous; it was just a Perfusion Chemotherapy, and they hadn't performed Embolization at all!

The effect of doing it this way...

Ji Xiang carefully recalled the relevant knowledge explained to him by the System NPC and the countless surgeries he had performed in the System Operating Room.

Perfusion Chemotherapy was something that needed to be done; before he performed Embolization on a Kidney Tumor, he would also inject drugs into the kidney and then use a Spring Coil to block the blood-supplying vessels.

But here, they were just injecting drugs into the whole liver... without performing Embolization at all...

Ji Xiang fell silent.

He hadn't guessed wrong; that ominous premonition grew thicker and thicker, turning into a dark cloud hanging over Ji Xiang's heart.

To think surgery could be done this way; Ji Xiang stopped chatting with that young Doctor; he had no mood for it.

Perhaps if he didn't know the ins and outs of this, Ji Xiang would be very happy, thinking he had received treatment from a top-tier domestic operator.

But!

He was somewhat disappointed now.

"You can go home in a day or two. After you get home, find a place to be hospitalized for some liver-protecting medication, and you will recover faster. Come back for a follow-up in 1-3 months; there should be improvement."

The young Doctor instructed.

But Ji Xiang remained silent; the surgery he saw today and the experience of Empathy were just as the System NPC had said, overturning Ji Xiang's worldview.

15 minutes later, Ji Xiang was sent back to the ward. When leaving the Interventional Catheter Room, he saw the door of the Operating Room open, and the surgery inside had also been completed.

Back in the ward, Ji Xiang lay on his back, motionless.

After a Femoral Artery Puncture, pressure bandage and immobilization are required.

The System NPC had explained these technical details to Ji Xiang, and even talked about the use of salt bags as pressure devices when Interventional Surgery first began, as well as the subsequent progress in consumables.

Looking at the stark white walls, Ji Xiang thought about many things.

Because his Clinical experience was very limited, consisting only of brief exposure during his internship plus the training in the System Operating Room during his Standardized Residency Training.

Honestly, when Ji Xiang thinks about it now, he even feels it was a bit like pulling on seedlings to help them grow.

But even from the perspective of his own "shallow" Clinical experience, performing surgery this way seemed irresponsible no matter how one looked at it.

Yet as a Doctor, how could there be such an irresponsible act?

Ji Xiang could not understand; his mind was in a mess.

One day later, Ji Xiang was discharged from the hospital.

In a top-tier Grade A Tertiary Hospital in the country, Patients are as thick as weaving, and if there are no major problems, one must be discharged after surgery; what is needed here is bed turnover rate.

Because of the Perfusion Chemotherapy, Ji Xiang vomited violently, and "his" spouse took care of him attentively, gentle and considerate.

Flying home, he suffered quite a bit along the way.

Fortunately, he had already made arrangements before the surgery to handle the admission procedures at an old Grade A Tertiary Hospital back home for intravenous liver-protecting medication.

The side effects of the medication eased after five days, and Ji Xiang could no longer feel any abnormalities.

He was somewhat suspicious, feeling doubtful about his previous judgment.

Perhaps, this was a correct method of treatment after all.

In the blink of an eye, a month passed, and Ji Xiang came to the hospital for a regular follow-up. The Doctor had advised 1-3 months, but Ji Xiang could not endure it and came for a follow-up just one month after the surgery.

As expected, the results were disappointing.

The treatment had no effect; although only one month had passed, the Tumor had already spread, covering the entire liver.

Ji Xiang had heard his teacher use the description "covering the entire liver" during his internship, and every time the teacher spoke of a Patient with it covering the entire liver, the teacher's expression would reveal regret and helplessness.

(End of this chapter)