Chapter 298: The Slippery Director Bai
Bai Chuzhang said nothing, and the others dared not ask; everyone understood the situation in their hearts.
In terms of true presence, Bai Chuzhang was more than ten times more imposing than Zhao Yuanzhang; even Zhao Yuanzhang's son, Zhao Tianjiao, would subconsciously shut his mouth upon seeing Bai Chuzhang, not daring to utter a single word of nonsense.
Deng Chaohong did not scrub in or change clothes either, but waited quietly.
No one knew what they were waiting for.
The anesthesia machine was chugging away, and the cardiac monitor would occasionally emit a beeping sound, making one feel restless and agitated.
"Bai Chuzhang, I'm here!"
The operating room door opened, and the director of the Interventional Department, Zhao Xiangming, walked in with long strides.
"Let's perform the interventional surgery first," Bai Chuzhang said indifferently. "Try to see if the surgery can be completed."
"Bai Chuzhang, I'll say this first: the difficulty is too high," Zhao Xiangming complained. "The Lumbar Transverse Artery is just as its name suggests—it's transverse. The four branches are almost at 90-degree angles. The COBRA Catheter is too thick; it might not be able to get in."
"Give it a try. You have two hours, maybe a little more," Bai Chuzhang said, looking up at the time.
Zhao Xiangming nodded; he was still relatively relaxed.
After all, communicating with a clinical veteran like Bai Chuzhang was much smoother; it was more comfortable than dealing with Dean Sun, who didn't understand clinical work.
At the very least, Bai Chuzhang had a good reputation, so he didn't have to worry about being stabbed in the back.
"Changing the surgical procedure?" the Anesthesia doctor complained.
"It's hard work," Bai Chuzhang said, reaching out to pat the Anesthesia doctor on the shoulder.
"It's not hard," the Anesthesia doctor said, not daring to question Bai Chuzhang, and went off to prepare the equipment, looking dejected.
"Lao Li, what exactly is going on?" the Circulating Nurse asked in a low voice, following the Anesthesia doctor out while he was heading out.
"Bai Chuzhang is so slippery," the Anesthesia doctor said, looking listless. "Last time when Orthopedics was cutting a vertebral body, I heard that in the Imperial Capital, they embolize the Lumbar Transverse Artery before such surgeries; that way, the blood loss is much lower."
"Oh? Isn't that great? The best of both worlds," the Circulating Nurse said.
"The best of both worlds? Why wasn't it done before? Didn't you hear Director Zhao? He said it might not succeed. When he says 'might not,' it actually means there's a 99% chance it won't."
"Then why do it at all?" the Nurse asked, puzzled.
"First, use two hours to perform the interventional surgery. If we can embolize the Lumbar Transverse Artery, that's best. If not, we'll see what the next step is.
If the blood bank really did prepare the blood, it should be arriving soon. If they were just lying, I suspect Bai Chuzhang will stubbornly refuse to perform the surgery."
The Circulating Nurse's eyes lit up.
After being tossed around by Bai Chuzhang, this unsolvable dead end now left the Second Affiliated Hospital completely in the right, and it would avoid the situation where the Patient was already opened up, bleeding profusely, and they were left helpless with no way to handle it.
As for the subsequent trouble and messy accounts, that was a matter for later; one couldn't just let someone die on the operating table.
"Damn, Bai Chuzhang is awesome," the Circulating Nurse praised after figuring out Bai Chuzhang's calculations.
"Indeed awesome. If you ask me, Bai Chuzhang is the real talent."
"Lao Li, isn't this a good thing? Why are you looking so gloomy?"
"I have to go in and watch the Patient, they're under general anesthesia!" The Anesthesia doctor picked up the Lead Clothing and put it on. "Easy for you to say, you don't have to go in."
Although complaining, the Anesthesia doctor still put on the Lead Clothing piece by piece.
"You're too timid."
"Radiation, that's radiation!"
The Circulating Nurse shrugged; because they were "easy for you to say," they didn't tease the Anesthesia doctor too much.
"Bai Chuzhang is really awesome," the Circulating Nurse praised. "A dead end, and with one move from Bai Chuzhang, it's the best of both worlds."
"That's right, he's a talent who came out of clinical practice. Look at the clinical doctors; their brains are all dead. They only know how to see patients and treat illnesses; they've wasted all their education." The Anesthesia doctor was in a bad mood and started venting directly.
The Circulating Nurse smiled and didn't respond.
Returning to the operating room, the surgery began.
Orthopedics used hybrid operating rooms. In the past, being able to take an X-ray during surgery was good enough, but later, after upgrades and renovations, they all used DSA equipment.
Generally, Orthopedics didn't need that many functions; at most, they took an X-ray during surgery, which was a waste, but today it was just right.
The door closed, and the Anesthesia doctor asked, "Director Zhao, are the odds good?"
"Not really," Zhao Xiangming said bluntly. "The Lumbar Transverse Artery is only 1 millimeter thick, and we don't have a suitable COBRA Catheter."
"Didn't we have them before?"
"Sigh, after the centralized procurement, the suppliers pulled out. No profit, no sales," Zhao Xiangming said. "Let's give it a try."
The operating room door closed, and the two chatted more relaxedly.
"This centralized procurement thing... hahaha," the Anesthesia doctor laughed. "My neighbor was always taking Novartis's Exforge. After the centralized procurement, the original drug wasn't covered by insurance anymore, so he tried buying the cheaper generic version that was covered."
"Heh," Zhao Xiangming grunted.
"The blood pressure could be brought down, but he was always dizzy. Once, he got dizzy while driving and almost caused an accident."
"The price is too low; it's good enough that it can temporarily bring the blood pressure down," Zhao Xiangming said while preparing the Guide Wire. "A while ago, there was a Patient in the ICU. I went to perform an Embolization Surgery for a Pelvic Fracture, and I checked on them after the surgery."
"The infection was quite severe. They used domestic Vancomycin for 5 days, and the Family Member had already been notified to prepare for the funeral."
"Did you tell the Family Member to buy the medicine themselves?"
"Yeah, the ICU director secretly told the Family Member to buy the imported medicine at their own expense," Zhao Xiangming said with disdain. "If the generic medicine were any good, who would want to use such expensive imported medicine? But facts prove that there's a reason why it's expensive."
"Director Zhao, is your COBRA working well now?"
"Definitely not working well, but I'll try," Zhao Xiangming said helplessly. "Although the COBRA can be shaped, there are too few usable models; it's a real headache."
The Anesthesia doctor also understood Zhao Xiangming's predicament; this was a case of a clever housewife unable to cook without rice.
Besides, Director Zhao Xiangming wasn't exactly a clever housewife. Even if he had a suitable COBRA Catheter, it would take him at least two hours to complete the surgery.
However, the benefit of interventional surgery is that one can give it a try; if it fails, it just leaves a puncture point, which is easier for the Family Member to accept.
If Zhao Xiangming actually managed to pull it off, everyone would be happy.
It could be said that Bai Chuzhang's solution was full of wisdom.
The surgery proceeded, and Zhao Xiangming quickly found the Lumbar Transverse Artery, but the tools in his hands were not up to the task, and the catheter simply could not be advanced.
After three consecutive attempts, the Anesthesia Doctor, who was stepping on the line, felt as if their thyroid nodule was about to pop out, yet they still couldn't get in.
Zhao Xiangming shook his head, tucked his hands into the sterile pockets in front of him, kicked open the operating room door, and went to the control room.
"Bai Chuzhang, I've done my best, you see..."
"Wait a little longer," Bai Chuzhang said calmly.
"Wait for what?"
"I called Ji Xiang; he will come to try it in a moment."
"!!!"
Standing in the corner, Deng Chaohong looked astonished.
Meanwhile, Zhao Tianjiao was somewhat stunned; this was a Level 4 Surgery,
this was a Level 4 Surgery,
and it was a Level 4 Surgery that Zhao Zhuren of the Interventional Department couldn't complete!
(End of chapter)
End of Chapter
