Chapter 251: The Lethal Dosage

"Liu Zhuren, this patient is really something. Not only did he inject 60mg of Papaverine, but he also toughed it out for 6 days. If this were the war years, he would certainly be a real man.

But that thing doesn't look like it's going to make it. When you were palpating it just now, was there any arterial pulse? Are we going to go up there and amputate it at the root?"

"Speaking of which, this guy's spirit of courting death is truly strong. 60mg—even an old ox couldn't handle that dosage. When I was in Yuanliao, I encountered a similar patient, but he wasn't as badass as this one..."

"Zhao Yisheng, shut up." Liu Zhuren frowned and interrupted Zhao Zhe.

Zhao Zhe reached out to cover his mouth, preventing his words from slipping out.

"It's likely unsalvageable. Sigh, how could someone so young be so reckless?"

"Director, are we going up to perform a direct amputation?" Ji Xiang was startled and asked hurriedly.

"We can't amputate at the root. I'll go up and take a look; we'll save what we can, as much as possible. Winter Shunt—if that really doesn't work, we'll resect half and then perform a lengthening surgery."

Liu Zhuren sighed.

One certainly wouldn't be happy encountering something like this.

"Liu Zhuren, when I was at our hospital, someone said that in ancient times, those of us in the Urology Department were people from the eunuch's quarters—one slash, crack!" Zhao Zhe suppressed his talkative nature and only said this one sentence.

"Who wouldn't want to save it if they could?" Liu Zhuren said. "By the way, Zhao Yisheng, Xiao Ji is exceptionally good at performing partial resection + lengthening surgery for penile cancer; take a look when you have time."

Zhao Zhe let out an "Ah," then immediately covered his mouth.

Ji Xiang, a Standardized Training Student, has already started performing penile cancer surgeries?

But the doubt vanished in an instant. Zhao Zhe had gone to Shanghai with Ji Xiang and witnessed with his own eyes how he stood on the operating table, imposingly scolding Qin Chu, a big shot in the domestic interventional field, and training Ling Tian, who was in his prime, like a dog.

It was possible for Doctor Xiao Ji to do anything shocking. Zhao Zhe cast an envious gaze.

"Director, is there a possibility... that it can be saved?" Ji Xiang asked.

"Go up and see." After saying this, Liu Zhuren looked at Ji Xiang meaningfully. "How about this: if I think it can't be saved, I'll look at your opinion. If you think it can be saved, try to do it. It's going to be cut off anyway; trying is better than not trying."

Ji Xiang nodded slightly, pursing his lips, not knowing what he was thinking.

Zhao Zhe was inexplicably surprised.

The way Liu Zhuren said this had invisibly placed him in the position of the underdog.

The group arrived at the operating room, changed clothes, and prepared to go in.

Zhao Zhe let out a long breath. "I thought our Second Affiliated Hospital's operating room was like 912, where you can't get in without mentioning the list.

Back then, right after you left, Liu Zhuren, I went there just as the new 912 building was finished. The operating room was new. One day, Director Qu was going to take me into surgery but didn't mention my name, and as a result, we were kicked out by the Head Nurse. Even after Director Qu apologized profusely, it didn't work."

Recalling the events at 912 back then, Liu Zhuren wore a smile.

"Is the Head Nurse of the operating room that formidable? Even when a Chief Director brings a doctor to the table, they won't let them in?" Ji Xiang asked.

"Of course. Xiao Ji, if you ever have the chance to go to 912, you still need to be careful of the Head Nurse. Every Head Nurse is very fierce—the kind where I get an arrhythmia just from them glaring at me, especially the Head Nurse of the operating room.

You could say I've seen the world, but under the Head Nurse's gaze, I'm like a little kitten, not even daring to breathe loudly."

"It's fine, stay here at our Second Affiliated Hospital, and you can still build a career," Liu Zhuren said with deep meaning.

After changing clothes, the group entered the operating room.

The Anesthesia doctor was performing an epidural anesthesia on the patient. He asked a few simple questions, not daring to probe too deeply. But upon hearing that the patient had injected 60mg of Papaverine into his corpus cavernosum himself, the Anesthesia doctor was filled with admiration after his initial shock.

This guy was simply too desperate, the kind who didn't care about his life.

Papaverine, 60mg—this lethal dosage.

"Director, can it still be saved?" After finishing with the patient, the Anesthesia doctor leaned over to Liu Zhuren and asked in a low voice.

"I don't know, let's try. Xiao Ji, what do you think?" Liu Zhuren asked.

"I think it's possible," Ji Xiang said.

In fact, Ji Xiang had already performed nearly ten identical surgeries; it could definitely be saved, but he still had to be "humble."

"Scrub in, get on the table," Liu Zhuren said.

Liu Zhuren didn't wait for Ji Xiang to scrub in and drape the patient before he went up himself; he went with Ji Xiang.

"Xiao Ji, the time is too long. There is CO2 retention, acidosis, and hypoxemia in the corpus cavernosum tissue. Once we are on the table, we will discuss and proceed," Liu Zhuren instructed.

"Director, you do it. I was just speaking casually; getting on the table is mainly to learn from you," Ji Xiang said helplessly.

Liu Zhuren had become increasingly polite after seeing the surgeries he performed, which made Ji Xiang slightly uneasy.

"We are all our own people, what are you afraid of? With me here, you focus on the surgery; if something goes wrong, it's on me," Liu Zhuren said. "I just can't stand those people in our Gynecology Department; they act all high and mighty on weekdays, but once something goes wrong, they dump every problem onto the junior doctors."

Hearing Liu Zhuren say this, Ji Xiang immediately thought of Professor Li, the team leader he encountered when he had "empathy."

It seems this type of person is not uncommon in clinical practice.

"Director, what happened to them later?" Ji Xiang asked curiously.

"Later, problems kept happening. Every time something happened, there would be a big argument, and if you push a junior doctor into a corner, they'll fight back, right?" Liu Zhuren laughed. "I'm not talking about you. You perform the giant hydronephrosis surgery really smoothly; you're young, have sharp eyes, and steady hands. Why should I show off when you have this talent? You do it, and I'll provide the cover."

Ji Xiang took a deep breath.

Liu Zhuren was simply too broad-minded. Although Ji Xiang didn't know if Liu Zhuren would really take the fall for him if a major disaster occurred, being able to say this was no small thing.

After getting on the table, Liu Zhuren didn't let Ji Xiang take over immediately, but first incised the skin of the shaft.

Dissecting layer by layer, once they reached the corpus cavernosum, the tissue was visibly purple-black, filled with blood clots.

Liu Zhuren squeezed the corpus cavernosum, but there was no movement. He was unwilling to give up, asked for a syringe, pierced it, and aspirated a few times, but there was still no fresh blood.

The corpus cavernosum tissue appeared necrotic.

"Sigh, it probably can't be saved," Liu Zhuren shook his head and looked at Ji Xiang.

Seeing Liu Zhuren's expression and actions, Zhao Zhe felt strange. Why did it look like a junior doctor asking a senior doctor?

"Liu Zhuren, shall I try?" Ji Xiang said in a low voice.

Seeing Ji Xiang take over, Liu Zhuren didn't stand on ceremony; he moved toward the patient's head and yielded the surgeon's position to Ji Xiang.

Tang Yan was stunned.

After necrosis, the next step is resection; this is the most basic common sense. The key was that the Director had already given the diagnosis, but in the end, he still indulgently let Ji Xiang try.

Tang Yan blinked her large eyes, staring at Ji Xiang.

No wonder this is the person their boss wants to pursue; there is truly a bright future ahead!

Although Tang Yan had not been working long, it was her first time seeing a Clinical Director treat a subordinate Doctor so well, and a Standardized Training Student at that.

Even Dean Zhao's own son, Zhao Tianjiao, did not receive such treatment.

(End of this chapter)