Chapter 381: Output to Anesthesiology?! (Second Update, Asking for Subscription)

The Anesthesiology Department professor wasn't a woman, but a middle-aged man in his forties.

Thinking back, having worked in Anesthesiology for many years, he should have long grown accustomed to life and death, his emotions ought to be extremely steady.

But at this moment, his composure broke for the second time, his body trembling slightly.

In medicine, life and death are a clean break.

One could say that even watching a colleague collapse beside him, Du Yuanxian's mood wouldn't fluctuate particularly.

Sudden myocardial infarction, shock, aortic dissection rupture, and the like.

Doctors are ordinary people too; diseases that can kill patients can also pose life danger to doctors when they become patients — death is at most bad luck.

But what he feared most was this kind of half-death!

What are the people in the operating room doing right now? If placed in the Qing Dynasty, it would be comparable to the Ten Great Tortures of the Qing, and moreover, it was Mi Qi who actively requested it himself.

Light anesthesia, regaining sensation at any moment, then moving on the spot, negotiating with the lead surgeon, constantly adjusting.

It sounds wonderful, but f*ck it hurts.

Pain, as the sixth vital sign rated by the World Health Organization, has had painless management written into textbooks, and these four characters engraved into the bone marrow of surgeons.

Precisely because pain is unbearable.

Surgeons save lives, treat disease, and preserve function; they aren't perverts who enjoy the pleasure of torturing people.

"I f*cking don't want to give you anesthesia anymore ah!" Du Yuanxian, as one of the 'SM' members actively invited by Mi Qi, had no sadistic hobbies; right now his hands were trembling too.

If the video inside here got leaked, every single person present would be sprayed until their eighteen generations of ancestors wouldn't recognize them!

Du Yuanxian knew that as the anesthesiologist, he governed the choice of anesthesia method, and at this moment held absolute autonomous choice: "I said, either nerve block, or general anesthesia!"

"You pick one of the two. You've also borne the identity of a healer; you should know that now, as a patient, you must enjoy the healer's bottom-line principle, which is the non-maleficence principle."

"If it causes harm to your psychology or spirit, that's an illegal act; as a citizen of Eastern Han, I have the right to refuse an invitation to an illegal act!"

"Don't keep forcing us; how long has it been already?"

"You're not crazy, but by then we'll have gone crazy first!"

"Mi Qi, you hurry up and choose — nerve block, or general anesthesia!" Du Yuanxian was decisive and crisp.

Hearing this, Fang Ziye's heart also clenched and twisted incessantly.

But after thinking for a while, looking at Mi Qi — Mi Qi's expression of suffering with eyes closed, struggling — it was as if it touched a thorn deepest in Fang Ziye's heart —

Huang Kai.

Kai Ye's experience could be called one of the greatest regrets in Fang Ziye's entire career.

Kai Ye leaving the medical field was also the moment Fang Ziye felt most incapable, most powerless.

But what could Fang Ziye do? At the time he was just a small physician, average technique, limited level; the only thing he had was some knowledge points added to the Rehabilitation Department.

But if rehabilitation alone could have such miraculous effects, why would surgery be needed? Why would surgical technique improvement and research be needed?

Mi Qi's friendship with Fang Ziye was far less than that of Huang Kai back then.

However, right now Mi Qi's expression made Fang Ziye feel as if he saw Kai Ye encountered in Enshi — Kai Ye's visage, laughter, and manner.

Moreover, compared to Kai Ye, what did Mi Qi's bit of pain, bit of ordeal, amount to?

But human interaction cannot be understood this way.

Fang Ziye curiously asked: "Teacher Du, sorry ah, I have a small question — can low-dose, light local anesthesia not control the time well?"

"If it can be controlled?"

Liu Huanglong coughed once, interrupting: "Ziye, who can control the duration of local anesthesia? Let alone low-dose light anesthesia?"

"Professor Du's application of puncture technique and local anesthesia has already exceeded our laymen's imagination."

"Continuing to pursue this is just drilling into a dead end."

Du Yuanxian glanced at Fang Ziye, didn't blame him, shook his head: "Actually it can be calculated, but the calculation is extremely complex, needing to account for the patient's different tissues, different depths, even the syringe's volume..."

"Put it this way: one calculation might take me over an hour. The computational load involved is enormous."

"And even if calculated, during the operation of puncture depth, layers, and drug dosage, how to control the anesthetic drug amount, then calculate concentration and diffusion range — that would also be extremely troublesome. Truthfully, the level I can reach now is roughly estimating a dosage, completely imprecise."

"Then, still needing to calculate metabolic flux and time based on blood flow — even more..."

Fang Ziye heard this, thought a moment, asked: "Professor Du, then if someone could calculate quickly?"

Fang Ziye saw Du Yuanxian's eyes widen, hurriedly explained: "No no no, Professor Du, not me, it's my fellow trainee."

"My fellow trainee is awesome at calculation, and he can also use a computer to calculate; he's a dual-discipline Doctor in mathematics and computer science, currently pursuing a Medical Master's Degree. How about I call him over to ask?"

Fang Ziye's words, their true intention, naturally was to get Du Yuanxian to agree to continue light anesthesia; so Fang Ziye didn't notice at all the weight these words brought to everyone in the operating room.

Even the patient Mi Qi seemed to have forgotten the pain right now, opened his eyes: "Brother, you blow cow awesome like this, I instantly don't feel pain anymore!"

"No wait, such a good data processing genius — where'd you find him?"

Everyone's gazes all turned toward Fang Ziye, making Fang Ziye instantly the focus.

Fang Ziye swallowed a mouthful of saliva: "This isn't the focus right now, right? The focus is, call him over, ask, just have him bring the computer."

"Circulating Teacher, take my phone and call Lan Tianluo. Lock screen password is three fives three sevens."

"If it can be calculated, then we can accurately know the local anesthesia duration; within that time we immediately stop operations. This might reduce a bit of pain for Doctor Mi."

"Call!" Du Yuanxian at this moment was full of shock and curiosity — regardless of whether it would work, he just shouted for someone to call.

"Attack!" Du Yuanxian, at this moment full of shock and curiosity, ignoring whether it would be of any use, just shouted for people to attack.

Because of Fang Ziye's active call, Lan Tianluo entered the operating room with a computer in roughly ten minutes.

Lan Tianluo entered while lightly yawning, saying: "Senior Brother, you looking for me? Want to go eat together... why so many people?"

The circulating nurse merely told Lan Tianluo to bring the computer over to calculate something, without detailed explanation.

Fang Ziye hurriedly repeated to Lan Tianluo the conversation with Professor Du Yuanxian just now.

Unexpectedly, Lan Tianluo actually had prior experience in this area; he lifted the computer and asked: "Teacher, is there a local metabolic index for the local anesthetic drug? Or the blood flow rate?"

Didn't expect Lan Tianluo to actually already have experience in this aspect; he picked up the Computer and asked, "Teacher, is there a local metabolic index for Local Anesthetic Drugs? Or, blood flow rate?"

"I..." Du Yuanxian's scalp, over forty years old, felt a faint numbness.

"Who normal person remembers these every day? Local shallow anesthesia and low-dose anesthesia aren't conventional anesthesia methods to begin with."

Lan Tianluo wasn't angry: "It's fine, let me look up the drug instructions; the drug instructions should have..."

"Teacher, what's your syringe needle model? What's the penetration index of this kind of anesthetic drug roughly?" Lan Tianluo raised his head and asked again.

Du Yuanxian swallowed several mouthfuls of saliva: "You, you-you-you, what department are you from exactly? How are you so familiar with these things?"

"First-year master's student in Trauma Surgery, Lan Tianluo. I often read books and such when I have nothing to do..." Lan Tianluo answered with a serious face, full of pretense.

Another five or six minutes passed!

Lan Tianluo didn't know what software he used, and made a formula.

He said: "Based on the penetration rate and metabolic rate, roughly every five minutes a batch gets metabolized out. If we want to maintain the duration of each local anesthesia at ninety seconds, then the amount of anesthetic drug needed would be..."

"Then based on the diffusion rate of the syringe needle model, the penetration index of the anesthetic drug, we suggest the drug push speed of the anesthetic drug reach 0.3ml per second, push time last about 2.7s, syringe model selection..."

"Puncture depth and angle selection would be..."

This time, not only did Du Yuanxian start to suspect his life, but Liu Huanglong, Ni Yaoping and others were also full of question marks.

What the hell, where did this beast come from again, he's a real beast.

Fang Ziye heard this and looked toward Du Yuanxian once again.

Du Yuanxian was actually just curious; he wanted to know if there really was such a genius who could calculate it in a short time, and even if calculated, wanting to achieve such precise angle, depth, and drug push rate.

Who could control it that well?

Nerve block anesthesia is considered difficult, but it's not said that it needs to be calculated so precisely. General anesthesia is even simpler—just calculate the weight and push it in, knocking them down in half a minute, which is easy for Du Yuanxian.

"You calculated it, but I... I can't perform the operation."

"However, I can control the amount of operation relatively precisely within this range."

"So theoretically it's possible, but actually performing it..."

Lan Tianluo's eyes immediately became distorted, his gaze glared, with an impulse to hit someone.

Du Yuanxian heard this and hurriedly changed the subject: "Young man, are you interested in coming to the Anesthesiology Department to develop?"

He roared inwardly, such an excellent seedling, going to Trauma Surgery, a carpenter department, isn't that a bit too much?

Looking toward Fang Ziye again, there was a sense of the young man's immature showiness. Full of a meaning of thank you for sending treasure.

Fang Ziye instead slightly raised his head, smiling and asked: "Teacher Du, can I try?"

Du Yuanxian's head was now full of how to lure Lan Tianluo to the Anesthesiology Department, and also thinking about how to make Mi Qi change the anesthesia method, completely not realizing the output from Fang Ziye.

"Hmm? You want to try what?"

Fang Ziye pouted toward Lan Tianluo's direction: "Try those data he said, puncture, medication administration and such."

"Ah? You?" Du Yuanxian was first stunned, then his eyeballs bulged out a few points.

At this time, Liu Huanglong and others were all waiting for Du Yuanxian.

Because the previous anesthesia method was indeed too inhumane, causing too much harm to Mi Qi, Liu Huanglong and others, when wanting to complete the subsequent suturing and other operations, also felt they couldn't bear it!

So they could only wait for Du Yuanxian to choose the anesthesia method. However, Fang Ziye's words made Liu Huanglong and others thoughtful again—

Holy crap, Fang Ziye wants to output to the Anesthesiology Department too?

This operating room, does Fang Ziye still want to stay?

(Chapter End)