Chapter 186

Wu Guo Nan, this Director, being drilled by his own Subordinate — what kind of feeling that is, Li Junfeng finds it very hard to empathize, but he, this Joint Surgery Director, dislikes being drilled; he only wants to handle joints.

All four Limbs are injured, and the lower limbs are more severe; if in the end the lower limbs are saved, but the upper limb has to be amputated.

That would be miserable.

Not worrying about scarcity but about inequality — although it can be forcibly explained that each Department's symptoms and Damage extent differ, it can be explained away, and a lawsuit isn't feared either; mainly it looks bad on Face/Reputation.

And even if there is Responsibility, that Responsibility is borne by Wu Guo Nan.

Rather than losing Face/Reputation in front of the Patient's Family Member, better to put Face/Reputation down first and leave first as the best policy.

"Hard Work, Director Li." Wu Guo Nan has No Way to keep Li Junfeng; even if he made them stay, it would only add two extra Manpower to help, and would not have a decisive effect.

……

After Li Junfeng and Wang Liang'an stepped down and left.

Fang Ziye immediately came to the right side, coordinating with Big Beard Wang Zhongxing who was still doing Debridement, to perform Right Lower Limb Vascular Incision Thrombectomy; similarly, Fang Ziye also Discovered that the Posterior Tibial Artery thrombus would be more numerous than the Anterior Tibial Artery thrombus, and finer and longer.

And the Right side thrombus Quantity is more than the Left Lower Limb——

Fang Ziye once again used the Syringe Needle to Confirm the Distal Perfusion, only then saying: "Teacher Nie, it should be about done."

Nie Mingxian didn't speak; he knew his Identity, participating more in Clinical doctors' Surgery Guidance wasn't very good.

Just as he watched Fang Ziye about to shift to the Upper Limb Direction.

He then asked: "Do you have an understanding of the Upper Limb?"

This sentence instantly made Wu Guo Nan and Xue Tao's expressions Tight!

To say Trauma Surgery types are the same, that's not wrong; only, the Position differs, so the Anatomy course differs.

Whoever dares say Upper Limb Surgery and Lower Limb Surgery are completely the same will definitely be Scolded to death.

Can the Upper Limb Muscle and Lower Limb Muscle be the same?

Vessel course, is there analogy?

Can Fang Ziye pull it off?

Hearing this, Fang Ziye didn't show off, Low Voice saying: "Can try."

"Wang Zhongxing, you follow Ziye; Debridement matters later, first Hemostasis, ensure Limb Blood Supply." Wu Guo Nan continued to find a small Helper for Fang Ziye.

Laymen watch the Lively scene, insiders watch the Doorway.

Wang Zhongxing at this time can only act as a Tool Person, following Fang Ziye all the way shifting to the Upper Limb.

Although the Brachial Artery has no branches in the Upper Arm, to so easily find the Brachial Artery — that's Not Easy.

Brachial Artery has no branches, that's not wrong!

But its course is Flirty/Seductive.

It rotates……

Li Junfeng and Wang Liang'an, only preparing for Amputation, so only found the Subclavian region, clamped for Hemostasis.

Moreover, due to Anatomy structure reasons, merely the Brachial Artery and Axillary Artery transition has three segments, each must be separated apart.

However, these didn't stump Fang Ziye who only said he'd try.

Basic Anatomy and Surgical Anatomy Fang Ziye is quite Familiar with, and Brachial Artery etc. structures are also one of Orthopedics' very important key structures; remembering Anatomy Position isn't very hard.

And Fang Ziye's Incision Technique level and Vascular Incision level are high enough.

Therefore even winding around, they can all be accurately found by Fang Ziye.

Nie Mingxian watched all the way, occasionally wanting to speak but stopping, but still didn't interject much.

Not operating himself, no need to speak more and disturb the Lead Surgeon's train of thought.

Just as Nie Mingxian pondered whether his own Surgical Rhythm could keep up with Fang Ziye, he discovered, maybe; because his Skill Point is rusty, he might not necessarily Reach Fang Ziye's Proficiency.

"Upper Arm Artery, even if the Ulnar and Radial Arteries have small thrombi, intraoperatively they can also be not directly handled; Postoperative Impact suffices."

"Because Ulnar and Radial Arteries run left-right, not front-back, and Distal communicate; as long as you remove the Brachial Artery thrombus, see Distal Perfusion is good, you can Ignore." Nie Mingxian self-assessing operation, unable to give Fang Ziye any Guidance, can only Control Fang Ziye on Direction.

"Okay!" Fang Ziye nodded in agreement.

Only, Fang Ziye all the way conquered the Brachial Artery vessel course to the Humerus midshaft, and felt the Elbow Artery pulsation, then performed Finger Needle Blood Draw, effect Not Obvious.

So, Fang Ziye still started Ulnar and Radial Artery Incisional Exploration.

This Surgery's Incision is a bit large.

But No Way; since there are thrombi, Blood Supply not smooth, proves both Arteries blocked, still must remove.

And at this time, Wu Guo Nan's Right Lower Limb side already Suture finished, also not too Rest Assured about Fang Ziye's side, ran over to hold the fort.

Quietly watching Fang Ziye exceptionally tediously complete finding vessels, Suturing vessels, then touching Artery pulsation……

This like Assembly Line work, and seeing Fang Ziye Forehead Cold Sweat!

Wu Guo Nan also a bit Heartache, turned and shouted: "Circulating, help Doctor Fang wipe Sweat! ~"

"Little Fang you speak up."

Actually at this time, whether Fang Ziye or Nie Mingxian, both have no time to manage Forehead Sweat, only thinking Surgery finish quickly.

Circulating Nurse only then hurried over to help.

Peng Yuanming at this moment hearing sound also raised head; his Liver Debridement and Hepatectomy not yet fully settled, but Fang Ziye's side Limb Salvage Surgery almost done.

Looked at Surgery Time, only Three Plus Hours!

Three Plus Hours time, completed Three Limbs Limb Salvage Surgery.

Also quite Admire Fang Ziye.

One admire Fang Ziye Speed, two admire his Dedication.

This is truly non-stop galloping, real non-stop galloping!

The kind of non-stop galloping with No One helping.

Left Upper Limb Blood Supply generally Recovered, Time already reached Six Plus, approaching Seven O'clock. Wang Zhongxing started Suturing Left Upper Limb Incision on the spot.

Since the left upper limb injury was relatively minor, only a small debridement and suturing was needed, without having to go all out like the lower limbs, so it was simple.

Wu Guo Nan sent Xue Tao to handle the right lower limb, and walked alongside Fang Ziye himself: "Ziye, the rhythm can slow down a bit."

"If you're tired, it's fine to rest a bit. After all, we've already saved three limbs. We've already overfulfilled the task."

Fang Ziye raised his head and said: "Director Wu, there's still one last tremble left. Let me remove the thrombus from the left upper limb first, then rest a while?"

"Director Wu, Teacher Xue, are you tired? Want to take a break?"

Fang Ziye even asked back.

The key to the surgery is actually hemostasis and limb salvage, the most important being hemostasis, then vascular patency in limb salvage.

Once the task is clear, everything else can be taken slowly. Delaying an hour and then doing debridement and suturing to finish the surgery won't have much impact on the patient.

Xue Tao shook his head, smiling: "No problem, I can still hold on."

Wu Guo Nan, on the other hand, had no intention of stepping down at all, staying by Fang Ziye's side the whole time.

Probably feeling Nie Mingxian had nothing more to guide Fang Ziye on, Peng Yuanming beside them asked: "Doctor Nie, how should I handle this cystic artery here? Just ligate it, or suture it? Does the gallbladder need to be removed directly?"

"The surgical indications for cholecystectomy, I'm not particularly clear on. I was in Emergency Surgery before, mainly focusing on Vascular Surgery and Trauma Surgery."

"As for the cystic artery, it's a single vessel. If preserving the gallbladder, patency must be maintained to provide blood supply. If removing the gallbladder directly, then it doesn't matter." Nie Mingxian said the equivalent of nothing, completely adhering to the principle of not pretending to know what he doesn't.

Another general surgeon then asked, "Then what about the mesenteric artery?"

"Generally segmental resection. The mesenteric artery is fan-shaped. Just resect the fan segment." This one Nie Mingxian seemed to actually know something about.

"Director Zhou, you've already done extremely well. I can't offer any opinions." After Nie Mingxian finished, he slowly walked toward the anesthesia position.

Just then, the operating room door was kicked open, and someone called back: "Director Huang, Director Nie, the opposite patient's blood pressure is unstable again."

"Does Director Nie want to come take a look?" He called two people, yet only summoned Nie Mingxian — very obvious whose technique he trusted more.

"What's the situation?"

"This patient's condition isn't actually that complex. It's a quadruple limb knife wound, no major vessels or nerves injured, but the blood pressure is very unstable. Considering possible occult bleeding."

"The Orthopedics Director Huang there suspects possible pelvic hematoma. Director Hong Du is on the way to the hospital." The anesthesiologist reported the situation.

"The patient's family member is still that person outside."

"But the key to treatment he's inquiring about is still the people in this operating room." The short anesthesiologist opposite replied.

Hearing this, Fang Ziye raised his head and added: "Director Huang, Teacher Nie, that Bureau Chief Liu outside is the real family member of the patient in the next operating room — a family member in the true sense, not a superior's family member."

Buzz buzz buzz.

Hearing this, almost everyone in the operating room shuddered, as if their souls were violently shaken by a cool intent in an instant.

Huang Jiaoshan and Nie Mingxian both turned their heads simultaneously. Nie Mingxian even asked in puzzlement: "Are you sure?"

"Earlier the patient in the opposite operating room went into shock with no heartbeat. That so-called leader outside made us absolutely resuscitate this person, right?"

Although, in Eastern Han, there's a saying called righteous and awe-inspiring.

Righteousness comes first.

But when it really happens, putting aside one's own biological son to do the righteous thing — that's mostly in TV dramas. And usually, sacrificing the small family for the greater good means the small family is just trivial matters.

When it truly comes to life and death, people are selfish.

"When I went to do the informed consent, if the other party wasn't lying, I can still confirm it."

"But even knowing this, all we can do is still just try our best." After explaining, Fang Ziye lowered his head and continued toiling away.

His hands were a bit weak, and he also felt a bit dizzy and heavy-headed.

Truthfully, doing such a major surgery at such high intensity in a short time, Fang Ziye still felt a bit overwhelmed.

Mainly because no one can take over his work.

The final limb's minor limb salvage surgery must proceed in an orderly, unhurried manner. A slower speed is fine, but quality must be guaranteed.

……

Nie Mingxian and Director Huang Jiaoshan both rushed to the opposite side simultaneously.

No matter what, that father outside has prepared to sacrifice himself for others. Even if it's just playacting, they must prepare to make his playacting fail.

Do their utmost.

Actually, checking the names would also reveal it.

Liu Linjie, Liu Chaodong, plus Fang Ziye's reminder — identity isn't hard to guess!

Not a son, even if a nephew.

Then this Liu Chaodong's character is ruthless enough.

At the same time, Wu Guo Nan let out a breath of relief and said to Xue Tao: "Xue Tao, you go out first. The patient's bilateral lower limbs and left upper limb blood supply are still good. You can go report to the family with a bit more peace of mind, and can expect a limb salvage conclusion."

Xue Tao nodded and agreed.

"Ask him about Liu Linjie's specific identity. If it's true, we should strive to not let him 'seek fame by fishing' succeed. He's at least a person worthy of respect." Wu Guo Nan instructed.

Xue Tao fell silent for a moment, turned, and walked out of the operating room.

Hearing this, another deputy director of Anesthesiology hurriedly said: "Hey, wait, I'll go with you."

"The vital signs here have basically stabilized too. This patient's family member isn't the real family, and is old too. Tell him to go rest early." Fan Zanyi deliberately found a reason to walk out with Xue Tao.

Once out of the operating room, Fan Zanyi asked: "Director Xue, your department's Fang Ziye is quite interesting, huh?"

Xue Tao nodded, then suddenly thought of Nie Mingxian again.

Smiling: "Director Zeng feels the same way? I feel it might have the same subtle excellence as your department's Director Nie Mingxian."

Fan Zanyi is also an associate chief physician, same title as Nie Mingxian.

Just that if comparing who's more formidable, Fan Zanyi also knows there's a certain gap between him and Nie Mingxian.

Just that Fan Zanyi knows, Nie Mingxian would still go to Surgery if there's any chance, rather than stay in Anesthesiology forever.

Fan Zanyi didn't see through Xue Tao's deeper thoughts, just smiled: "Right, Director Wu said the same. I want to inquire — what kind of person is this Fang Ziye usually?"

"Actually it's like this, Director Xue. I have a female cousin..." Fan Zanyi actually started beating around the bush about what kind of person Fang Ziye is.

They probably think Fang Ziye has a bright future ahead of him.

That question stumped Xue Tao, because he hadn't paid much attention to Fang Ziye before, so how would he know these things?

He replied, "Not too sure about that, maybe there is, maybe there isn't. I feel the possibility of there being some is greater."

"Look, he's handsome, has published many papers, his surgical skills are good, and he speaks and handles matters quite maturely. Probably some bold girls have already made a move."

"So that's why you're asking this question?"

Fan Zanyi then understood — Fang Ziye and Xue Tao weren't familiar at all; it seemed he still needed to go inquire more with Wu Guo Nan.

……

After briefly acting as a matchmaker in front of Xue Tao, Fan Zanyi arrived at the operating room's Communication Room and saw Liu Chaodong and the others again.

But this time there was an additional relative; upon inquiring about the identity, they learned the visitor was Zhang Yu's grandmother.

She had just rushed over from the countryside.

Zhang Yu was the name of the patient on whom they had performed Limb Salvage Surgery.

All of them looked rather heavy-hearted, after Xue Tao arrived.

That old grandmother, supported by Liu Chaodong the whole way, walked unsteadily to stand before Xue Tao and Fan Zanyi.

Her face was full of pain at this moment, without any composure, she just started crying: "My little Yu, he just won't listen, just won't listen."

"His father died, his uncle died."

"If he can't survive either, even if I die, how can I face his grandfather?"

"Little Yu, why do you just not listen."

"Our Lao Zhang Family has only this one root left."

Her tears slid across her wrinkle-covered face, silver-thread white hair in a mess, her whole face so wrinkled one couldn't tell if it was pain-induced or simply old age.

Yet these words moved everyone present.

Peng Yuanming said Liu Chaodong outside had mentioned.

The lying patient Zhang Yu had no aunt.

Father and uncle both died at their posts, the family had received several Meritorious Service Plaques...

Truly a loyal and martyred family.

Liu Chaodong now looked at Xue Tao and explained: "Two doctors, my aunt's emotions are quite agitated, hope you can be understanding."

"My granduncle, that is Zhang Yu's grandfather, crossed the river and never returned..."

Xue Tao and Fan Zanyi immediately straightened up, standing even more respectfully.

Xue Tao immediately reached out and patted the old grandmother's hand; she was probably at least ninety-plus this year, that's advanced age, and even at such advanced age, every extra day might be a kind of torture for her.

If not for her grandson still being alive, there would be no courage left to support her going on.

Not daring to beat around the bush any longer, he hurriedly said: "Grandma (Grandma), you two family members, both compose yourselves, the patient's condition has already stabilized."

"And no amputation was performed; both hands and both feet, we tried every way and saved them all."

"Not a single finger is missing."

Xue Tao spoke while rubbing his eyes.

Once Xue Tao finished speaking, the old grandmother instantly stopped crying, then looked at Xue Tao, both hands reaching out.

She gripped Xue Tao's hand with extraordinary force, veins bulging on her hand like an iron clamp, as if wanting to crush Xue Tao's hand bones; who knew where this old person got such great strength.

She shook her hands and said: "Doctor, you mustn't deceive this old person. Hands and feet are all still there?"

"Then then then? What about the surgery?"

The old person's mouth corners still had faint white secretions, saliva spraying out...

Xue Tao didn't withdraw his hand, nor did he mind the saliva spat on his hand.

He nodded.

But still maintaining some rationality, he said: "For now we've done our best to save them; if there are no unexpected situations later, we can expect no amputation. But if any special situations arise, we'll carefully adjust and deliberate the treatment plan then."

Limb Salvage Surgery is an expectant surgery; whether it can actually be saved, no one has a hundred percent assurance.

Currently although there's over seventy percent possibility of no amputation needed, we still cannot completely rule out those remaining unexpected situations.

For example, if the artery thromboses again later, then we shouldn't give the patient's family too much expectation.

But!

This is enough.

Even Liu Chaodong's eyes were blinking rapidly now, his eyes starting to glisten.

With such words, he could consider himself having done right by his old comrade-in-arms, old friend.

Only at this moment did he have the mind to release all his emotions, crying and laughing, his face full of indescribable emotions...

The old grandmother also understood Xue Tao's words, and said: "As long as this hurdle is passed, passed is good."

"Doctor, rest assured, I can accept it."

"This old woman waited ten years for my husband, never waited for him to return. I accepted it."

"Later, I waited for my youngest son to return from Tieleketi, didn't wait for him to return, finally a Meritorious Service Plaque came back."

"My son married late, I and Little Yu together outside the operating room, waited for his father, waited for my last son, also didn't wait for him to come out."

"Later I held Little Yu, waited for his mother, also didn't wait for her to return."

"But being able to wait for one person to return..."

"Must be my family's old man couldn't bear to see his line end, the Zhang ancestors' spirits manifested..."

The old grandmother withdrew her hands, pressed them together in prayer, and devoutly closed her eyes.

Although Xue Tao really wanted to say right now, whether gods and buddhas manifested he didn't know, but if Fang Ziye hadn't been here today, the amputation surgery would have been finished long ago.

However, he didn't go break the old person's inner faith; that was her alone's lifetime, a lifetime without greed...

(Chapter End)