Chapter 395: No Effusion, No Effusion!
The indescribable surgery left several people silent.
Before coming, Shi Shuo had prepared a pile of criticisms; he might not be able to perform the surgery, but who couldn't find faults?
However!
After watching the surgery, he basically had nothing to say.
This surgery had already exceeded his basic understanding of previous surgeries; the anterior cruciate ligament partial tear surgeries he had performed hundreds or thousands of times had become so unfamiliar.
If he said it was done poorly, the operator had used a hybrid surgery and had even looked at the capillaries in a decent manner.
But if he said it made sense, the operator's suturing movements were particularly awkward, and Shi Zhuren really couldn't see where the benefit lay.
With his heart full of words blocked back, Shi Shuo depressedly exchanged a few perfunctory words with Sui Zhuren and went downstairs with Professor Fan.
"Teacher, do you think that young Doctor did a good job?"
"I don't know, but I have a very strange feeling in my heart." Shi Shuo had been thinking about it the whole time.
"I don't think it's good, but rather that he deliberately made a simple surgery complicated," Professor Fan said with certainty. "I heard that this Ji Yisheng Xiang won first place in the country in this year's Practicing Physician exam, even with a perfect score, but the most famous thing is what he did at the Shanghai Hepatobiliary Hospital."
"Oh? What happened?" Shi Zhuren Shi Shuo didn't know about this.
Professor Fan recounted it, leaving Shi Shuo stunned.
No wonder the Second Affiliated Hospital was so hands-off; this person really wasn't an ordinary individual.
"I think this Ji Yisheng's level is truly high, but only limited to interventional surgery," Professor Fan said quite firmly. "His interventional surgery level is high, so he always thinks about doing hybrid surgeries, turning originally simple surgical procedures into complex ones."
Shi Shuo nodded slightly; Professor Fan's words made sense.
"But this is performing surgery; finishing the surgery is just handing in the paper, there still has to be a grade. The degree of the patient's post-operative recovery is the score. Just making the surgery incredibly complex so that others can't even understand it is useless! Don't you agree, Teacher?"
That also made sense.
"Following along these few days, my feeling is that he won't be able to get past the hurdle of post-operative knee joint effusion," Professor Fan said with disdain. "And he claims 5 days post-op is enough for rehabilitation training; on the 6th day, the anterior cruciate ligament will snap with a 'crack'."
"The suturing is indeed problematic."
"Teacher, you are too... polite." Professor Fan deliberated before finding an adjective. "That kind of suturing of his is simply a mess; I could find any graduate student who could suture better than him."
"Keep an eye on it."
"Alright, I have a pretty good relationship with Deng Chaohong, we've had drinks a few times, so I'll just tell Deng Chaohong I'm going to learn something and ask when the follow-up MRI of the left knee joint is."
Sui Zhuren returned to his office full of suspicion.
After returning, he felt his head heavy, as if he had been thrown onto a DSA machine and laid there for three days and three nights, constantly eating radiation.
It wasn't caused by X-rays; Sui Zhuren was very clear about that. He leaned back in his chair, closed his eyes, and focused on recalling the surgery just now.
Looking at the surgery, there were countless points to criticize, but the background image in Sui Zhuren's mind when recalling the surgery was the day of the rotation, when Liu Zhuren, Mo Chenggui, and Wang Daxiao and a bunch of people enthusiastically sent Ji Xiang over from the Urology Department.
Liu Zhuren had even shared a few laughs with him.
Everything about this was very strange.
The department director of the Second Affiliated Hospital was also a well-known figure in the Provincial Hospital; although the Urology Department's level wasn't as high as the Orthopedics Department, he was, after all, a major director.
With this background, when Sui Zhuren thought about the surgery again and substituted in the things Ji Xiang had said, he vaguely discovered where the problem lay.
But it was only vague; Sui Zhuren wasn't clear on where the specific point was.
He cautiously copied the surgical recording, but because it was too complex, after watching it twice, Sui Zhuren didn't understand it. He simply threw the surgical recording aside and would wait to see the patient's post-operative MRI.
The fifth day post-operation.
Having booked the MRI in advance, Deng Chaohong took the patient for the examination early in the morning.
Over these few days, Zhao Dali had recovered quite well; there was no pain in the left knee joint, and Deng Chaohong even had an "illusion"—the patient's knee joint didn't even have the edema caused by the surgical trauma.
Every day, he performed the Drawer Test and other physical examinations on the patient.
According to the physical examinations, the effect of the surgery was extremely good. What Ji Xiang said on the operating table about being able to start rehabilitation training 5 days post-op wasn't just empty talk, and this kind of rehabilitation training wouldn't be ordinary training.
Arriving at the Nuclear Magnetic Resonance Room, Professor Fan was already standing there early.
"Professor Deng, I'm here," Professor Fan smiled. "I'm here to learn. That young doctor under your hand is truly at a high level; ever since I went back, every time I think of that surgery, I'm amazed."
Deng Chaohong glanced at him, knowing he was being sarcastic.
He himself had listened to Ji Xiang explain in detail for two hours and had even assisted in the surgery, yet he still hadn't understood it in the end. Could Fan Chengen understand it? And be amazed? What a joke.
However, Deng Chaohong was simple and honest, so he didn't refute him.
"Chaohong, how is the patient's physical examination these past few days?" Professor Fan asked.
"All kinds of physical examinations are very ideal; I feel it's better than expected," Deng Chaohong said as such.
"Hahaha, stop bragging. We're doing the MRI right away, be careful not to let your bragging be exposed. Don't cry when you see the MRI in a moment," Professor Fan laughed.
Deng Chaohong shook his head and didn't explain in detail.
Feng Jiaolian was a bit nervous and woodenly pushed the wheelchair to send Zhao Dali inside. He didn't even hear the Nurse's warning and almost pushed the wheelchair into the Nuclear Magnetic Resonance Room.
After being scolded a few times, Feng Jiaolian came back to his senses, apologized a few times, bowed repeatedly, and helped Zhao Dali lie on the examination bed in the Nuclear Magnetic Resonance Room.
The Airtight Lead Door closed, and a buzzing sound came from inside.
Several people were silent, each with their own thoughts.
About 10 minutes later, the Airtight Lead Door opened. Neither Deng Chaohong nor Fan Chengen looked at the patient, but instead stood in the operating room staring at the screen.
Soon, the images appeared. After a rough glance, the operator smiled and said, "Professor Deng, your surgery is becoming more and more precise. I see in the Medical Record it says the fifth day post-op, and there isn't even any effusion."
Just as he said this, a dark shadow squeezed him aside. Fan Chengen widened his eyes and, regardless of everything, leaned over the operating console to adjust the MRI images himself.
The doctor in the Nuclear Magnetic Resonance Room was startled.
"It's Professor Fan from the First Affiliated Hospital," Deng Chaohong explained roughly, also focusing on the images.
Fan Chengen's technique was practiced, and in his dazed urgency, his hand speed increased to the maximum.
Inside the joint cavity, there was indeed not a single drop of effusion!
How could this be!
After a surgical strike, it is understandable and inevitable for the Patient to have effusion post-surgery.
Exudation is, in itself, an instinctive form of self-protection for the body; as long as there is surgery, post-operative exudation is unavoidable.
Yet in the MRI image before him, the exudate was completely invisible!
Strange! Fan Chengen stared at the MRI image, his mouth slowly opening wide, nearly dislocating his jaw.
(End of this chapter)
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