Chapter 477: Destructive Surgery

With Li Zhuren Ming present, the Family Member quickly accepted this reality.

Fan Dao acted with lightning speed, dispelling his last shred of doubt as quickly as possible and signing the contract with the Family Member.

The moment the signature was dry, the Patient was already lifted onto a gurney, ready to go to the operating room for surgery.

Ji Xiang let out a sigh of relief.

This was a "task" he had completed independently; although there was no reward, Ji Xiang was very happy.

"Doctor Xiao Ji, not bad," Li Zhuren Ming praised. "I was stunned at the time too; I never imagined the Camera Crew could be utilized like that."

Ji Xiang smiled and walked quickly with Li Zhuren toward the operating room.

……

In the Review Room.

The Guangtou Zhuchiren asked, "Professor Shen, how common is this situation in hospitals?"

"Common." Professor Shen did not mince words; he had gradually figured out the Camera Crew's routine.

There were things he could say in casual conversation that the program team would still cut during post-production editing, no matter how exciting they were.

He didn't need to worry about that.

He just chatted away, as long as he didn't say anything too inappropriate. As for what to keep or cut, that was the program team's business, and it had nothing to do with him.

"Similar situations fall into two stages," Professor Shen began to explain. "Before the New Rural Cooperative Medical Scheme appeared, many elderly people in rural areas wouldn't go to the hospital for treatment at all. Think about it: with an annual income of only a thousand yuan or so, two check-ups at the hospital would wipe it all out, so they'd rather just endure it at home."

An annual income of a thousand yuan—almost no one among the guests present could comprehend this statement.

The joys and sorrows of people are not shared.

"Later, with the appearance of the New Rural Cooperative Medical Scheme, a portion of medical expenses could be reimbursed, and the number of people seeking treatment at grassroots hospitals gradually increased."

"Setting aside the severity of the condition of this Patient from the Affiliated Hospital, the high nutritional requirements post-surgery are a major headache, requiring a large amount of money... Let's put it this way: the surgery requires cutting about 50cm of the intestine. After the surgery, the patient is forbidden from eating or drinking, yet still needs nutrition, so it can only be administered intravenously."

"Fat emulsions, amino acids, electrolytes, and other fluids cost over a thousand a day, and that's a conservative estimate. To us, this money doesn't count for much, but to many, it is unbearable."

"And you have to add Blood Transfusion," Mao Mao added.

"Professor Shen." Seeing Professor Shen pause, the Guangtou Zhuchiren felt miserable; regardless of whether these words were facts, even if they were true, they couldn't be aired on the program.

"The Patient has been passing blood; what exactly is going on, and why is the participation of the Interventional Department required?" The Guangtou Zhuchiren shifted the angle of the topic.

"If hemostasis is ineffective for such patients, there is only one way to treat it—resecting the bleeding intestine," Professor Shen explained. "But when we open the abdomen, what we doctors see is the peritoneum and the intestinal tract. The Patient doesn't have traumatic bleeding, but rather bleeding from a ruptured small artery on the inner wall of the intestine."

"In this situation, no one knows exactly which segment of the intestine is bleeding."

"A long time ago, when similar situations occurred, doctors would discuss it with the family and go in blind to cut."

"!!!" The Guangtou Zhuchiren was startled. "Cut blind? What if you cut the wrong part?"

"If you don't do it, the patient will definitely die; if you do it, the patient has a glimmer of hope. There will be family members who want to try, and the success rate isn't low," Professor Shen said.

"A long time ago, when was that?" Mao Mao asked.

When it came to such highly specialized knowledge, Mao Mao could no longer interject.

"Over thirty years ago, when I first started working," Professor Shen smiled. "We would try to resect as much as possible, cutting away everything outside the critical threshold for Dumping Syndrome."

"What syndrome?"

A guest asked.

Professor Shen wanted to explain, but hesitated. Explaining might be better, but the topic would drift too far, and he would have to waste a lot of breath.

If he wanted to explain this condition clearly, he would probably have to lecture these medical novices for days and nights.

No need.

"At the time, we tried to cut as much intestine as possible; if the bleeding point was within that, that was best."

"And if it wasn't?"

"The patient would die very quickly," Professor Shen said.

"..."

"..."

"..."

The guests were silent.

The Guangtou Zhuchiren asked, "What is Li Zhuren at the Affiliated Hospital planning to do now?"

"There are two methods; one is Angiography," Professor Shen said. "Intraoperative Angiography to find the location of the bleeding. But because the intestines are coiled together, it's basically impossible to see clearly, so it can only serve as an Auxiliary role."

As he spoke, Professor Shen asked for a straw, coiled it into a circle, and explained it to everyone.

Some guests understood what Professor Shen meant, while others remained confused.

Being a guest also requires a certain level of quality.

"The second method, which is also the most commonly performed, is Interventional Embolization."

"That is to find the blood-supplying vessel and use a Spring Coil or Gelatin Sponge to block the bleeding vessel."

"Professor Shen, if I haven't misunderstood, you're blocking an artery? What happens to the blood supply afterward?" the Guangtou Zhuchiren asked, puzzled.

Professor Shen nodded; the Guangtou Zhuchiren had a clear line of thought. Although he didn't understand medicine, the questions he asked were indeed to the point.

No wonder he was a popular host; having been popular for so many years, his basic quality was high.

"Yes, such surgery is also called a destructive surgery. Interventional Embolization causes intestinal necrosis, but it cannot be allowed to become too thorough; this depends on the operator's experience. One must judge the location of the necrotic intestine during the surgery and then perform a resection."

"!!!"

"!!!"

The guests were shocked by Professor Shen's words.

"If the surgeon's skill is slightly lacking and they cannot distinguish the necrotic intestine, the patient is also in great danger."

"Necrosis should be easy to spot, right?"

Professor Shen smiled and said nothing.

He is not a Doctor from the Gastrointestinal Surgery department, and he cannot explain the specific details clearly, so he can only smile and stay silent during this part.

"That is so dangerous."

"There is no other way; this is also the best solution at present," Professor Shen said.

"Teacher Shen, when using the method of Interventional Embolization, how many centimeters of the intestine generally need to be resected?"

"About 50cm, depending on the skill of the operator. The operator I am referring to includes both those performing Interventional Surgery and Surgical Operation."

Professor Shen said.

In the Review Room, everyone was chatting, and the Camera Crew's cameras had already entered the operating room.

This was an extremely precious opportunity, at least for the cameras to be able to enter the operating room. Although they did not know how much footage would be left to be broadcast in the end, the guests all watched with wide eyes.

The operating room is extremely mysterious in the hearts of ordinary people, and now a layer of the veil is slowly being lifted.

The people from the Camera Crew were putting on Lead Clothing; they were preparing to enter the operating room to record on-site.

Regarding this Spirit of theirs to give their all, Guangtou Zhuchiren understood very well.

The data for the first two episodes of the program had already reached a previous high point, and Guangtou Zhuchiren knew that Director Fan and everyone in the Camera Crew hoped to make even further progress.

Having run into such an opportunity, then they would just have to give it their all.

(End of this chapter)