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Chapter 227: Congratulations

~7 min read 1,400 words

Doctors who have performed surgeries, or indeed any doctor, know that surgery is actually not difficult.

There are thick, person-height surgical textbooks that contain standard surgical procedures; one only needs to follow what is written in the books.

If every patient's anatomical structure were as standard as what is drawn in the books, the difficulty would indeed not be high.

However, what is written in the books cannot be perfectly presented every time.

In fact, the internal anatomical structures of the vast majority of surgical patients differ more or less from what is written in the books.

Whether a surgical procedure goes smoothly depends on how severe the anatomical variations are.

Among all surgeries, the difficulty of surgery for newborns with Congenital Heart Disease is the highest.

This is because there are some bizarre anatomical structures that even the most experienced surgeon has never seen, and one can only rely on their own Clinical experience and understanding of anatomy and physiology to "guess" their way through the surgery.

Once upon a time, a big shot from Huaxi could not complete a complex Congenital Heart Disease surgery and had to find another big shot from the Imperial Capital to fly over, with both of them standing at the operating table to discuss how to proceed.

This is the most extreme situation.

Ordinary doctors face abnormally proliferating blood vessels and nerves; once a blood vessel is cut, the field of vision becomes a complete mess.

But watching Ji Xiang perform surgery just now was a different concept entirely.

The anatomical structure was clear, simple, and plain, like the Anatomical Teacher used by the local anatomy teacher during class in student days.

Although there were variations, the slight variations seemed to not exist at all under Ji Xiang's hands.

"Butcher Ding dismembering an ox!" A few words floated into Bai Chuzhang's mind.

He finally understood what the vague anxiety in his heart was.

Ji Xiang's surgery was a huge step stronger than he had imagined, and it had even far exceeded his own peak level.

Returning to the office, Bai Chuzhang opened his mailbox to look for the email that Liu Zhuren of the Urology Department had sent him.

It is a hospital regulation to report recent academic conferences and the like via email on the internal network; usually, Bai Chuzhang would not even bother to look, just giving it a glance.

He could not say he wouldn't let them attend the conferences, and many conferences had already become a part of socializing, expanding the directors' connections in the medical circle, adding a title before their names, and so on.

He vaguely remembered that Liu Zhuren had sent an email.

Bai Chuzhang was suddenly quite interested in this little Standardized Training Student from the Urology Department.

Clicking on the email, Bai Chuzhang read it carefully, word for word.

There was going to be a surgery competition held within the province, and Bai Chuzhang's eyes were filled with clean surgical fields.

He weighed it carefully, and a smile appeared at the corner of his mouth.

He picked up the phone and called the Pathology Department.

"Is that Director Chi? It's me, Bai Mo."

"Bai Chuzhang, hello. Do you have any instructions?" said Director Chi of the Pathology Department.

"The Penile Cancer Surgery that the Urology Department just finished, has the specimen been sent over? Please work hard to get it done quickly."

"The specimen needs to be fixed. I will try to get it out as early as possible, but the earliest will be midnight."

"Good, I'll wait for your news."

A clean surgery is one thing; whether the resected tumor margin has metastasis is another matter.

One cannot just look at it and think it's good; only a negative margin can prove that the tumor was removed cleanly, and only then can a final verdict be given on Ji Xiang's surgery.

Bai Chuzhang had patience; he waited quietly.

More than ten hours later, Director Chi's call came through.

"Bai Chuzhang, did the Urology Department invite an outside Expert today?" Director Chi asked with slight surprise.

As soon as this question was asked, Bai Chuzhang knew the result.

It was just as he had thought.

"No, they did it themselves," Bai Chuzhang replied.

"Squamous cell carcinoma, negative margins, and the cleared bilateral inguinal lymph nodes also showed no metastasis. The surgery was done quite cleanly. I see the surgeon is Mo Chenggui, Mo Jiaoshou. When did his level get so high?"

"It's alright, it's just a Penile Cancer Surgery; Mo Jiaoshou can certainly handle it."

"No, no, no, Bai Chuzhang. I know Mo Jiaoshou can perform a partial resection. But the time the specimen was sent over was a bit early, so... it's fine as long as it's okay. Do you have any other instructions?" Director Chi stopped mid-sentence.

"Thank you for your hard work."

Hanging up the phone, Bai Chuzhang let out a long breath.

It seems Ji Xiang's surgery was indeed perfect—a Partial Resection + Lengthening Surgery for Penile Cancer, very thoughtfully considering the patient's post-operative psychological construction.

I'll have to put some effort into the surgery competition, Bai Chuzhang thought.

……

……

In the Urology Department ward, Ji Xiang was chatting with the Patient.

He also did not expect the Pathology Department to work overtime, with their director personally performing the pathology overnight.

So Ji Xiang had been waiting for the results.

Pathology usually takes 2-3 days, and one cannot say anything for certain before the results come out.

Holding the printed pathology report that was still warm, Ji Xiang was also very happy.

"The pathology results are out. Everything that needed to be removed has been removed. And it is a squamous cell carcinoma with a relatively low degree of malignancy. Plus, since it is early stage, the post-operative recovery is expected to be very good."

"Doctor, can you explain it more simply?" The Patient was somewhat joyful but dared not confirm.

After all the twists and turns, he felt like he was dreaming.

"Let's put it this way: because it is early stage and treatment was not delayed, the possibility of tumor metastasis is extremely low; it can be considered a full recovery. And the partial resection performed... emmm, the length was not affected. Not only that, besides the angle being different, it is also 3.2cm longer than before the surgery."

"All previous lifestyle habits will not be affected either, for example, standing to urinate and such have not changed."

"!!!"

"Congratulations," Ji Xiang said sincerely.

The Patient was somewhat bewildered amidst their joy.

Reality is not like a television drama; there are no such intense conflicts or emotional evolutions.

Although the result could be called perfect to the Extreme Point for the Patient, they had not yet had time to be happy, feeling more bewildered instead.

By the time they figure it out, it will likely be 2-3 days later, and they might only be able to be happy once they open the bandages and see the length after the blood flow with their own eyes.

"It's fine now, get some good rest," Ji Xiang said gently, "We'll talk again when changing the dressing tomorrow morning."

The Patient nodded.

Ji Xiang was in a pleasant mood; he took the pathology report back to the office, entered the pathology results, and then changed his clothes to go home.

That pathology report was left on the desk; no sooner had Ji Xiang left than Wu Zong picked it up and read it repeatedly, as if he wanted to memorize the entire text.

His expression was very complex, quite complex.

"General Manager Wu, what's wrong?" Lu Kai felt it was strange, so he asked.

Wu Zong did not speak, but instead folded the pathology report and put it into the pocket of his White Uniform.

Those words he had once said felt so reasonable at the time, not pretentious in the slightest.

But in the face of the post-operative pathology results, everything had vanished into thin air.

Why had he thought that way?

It was simply because his skill level was not high enough.

Wu Zong's mood was even more complex than his expression; he felt a bit chaotic and did not even want to drive or joke with Lu Kai, so he turned and went back to his Duty Room to lie down and stare blankly.

(End of this chapter)

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