Chapter 688: Life and Death Fluctuations! (Second Update, Asking for Subscriptions)

The large and small shadowless lamps in the operating room focused on the operating table, yet no shadows were visible on the surface of the table surrounded by nine people.

The green numbers and time data on the surgical timer panel kept jumping second by second.

The occasional beeping sounds from the anesthesia monitor and the microcirculation instrument, intermittent and mixed together, were even more annoying than the cicadas chirping in a wheat field on a hot summer night.

"Left upper limb blood supply restored and unobstructed. Blood oxygen levels and bpm rhythm are consistent, trending toward synchronization with ECMO." Nie Mingxian straightened up and reported in a low voice.

"Right upper limb blood oxygen levels restored to normal." Li Yongjun reported back.

Wu Xuanqi was a step behind, also stating simply: "Left lower limb blood flow restored and unobstructed."

Du Donglin of Hand Surgery sniffed: "Left lower limb blood flow restored and unobstructed, pulse rhythm being regulated."

"Liver microcirculation instrument all normal."

"2-hour urine output 900ml."

"Mesenteric artery partial obstruction has been relieved..." The voices of the circulating nurse, Professor Tang Meng, and others came in orderly succession.

Listening to the voices reporting back one after another, Lin Guoqiang's Adam's apple bobbed up and down a full three times as he swallowed saliva, looking at Fang Ziye: "Professor Fang, current situation, can we restore blood supply to local organs and whole-body organs?"

Fang Ziye shook his head, continuing to fix his gaze on the patient's vital signs and the DSA monitoring equipment: "No rush for now, continue slow correction according to the previously set parameters!"

Chen Guangbai, Group Leader Wang, and the others were continuously taking pulses at Chen Song's left and right wrists, muttering: "Pulse faint, but pulse?"

At this moment, none of them knew what to say.

Fang Ziye directly cut off the microcirculation of all four limbs, severing connection with the heart!

From the perspective of traditional Chinese medicine, if the pulse has nothing to do with heart blood flow, then the pulse at this moment should be no different from before.

If they are related, the pulse with the heart's blood supply cut off — does that still count as Chen Song's pulse?

Yet such a deformed state actually, truly appeared in Chen Song's pulse.

Time continued to pass second by second.

After roughly half an hour, with everything still stable, Fang Ziye finally said: "Temporarily close the four limbs' arterial sheath skin!"

Once Fang Ziye's words fell, Li Yongjun and the others, who had been idle with nothing to do, finally found their positioning and began one after another to fill and embed the arterial sheath positions of the four limbs.

Everything was urgent at present; it wasn't fear of having things to do, but fear of having nothing to do, which made one even more restless.

Having things to do would instead dilute the original tension and unease.

Tan Mengbai, who had returned to the operating room, tore off a three-meter-long anesthesia record paper; the thermosensitive curve and the propofol target-controlled infusion curve were stared at by him until they almost distorted.

Hearing Fang Ziye's instruction, Chen Guangbai said in a low voice: "Professor Fang, breakfast has been prepared outside. My father's condition is temporarily stable now. You go eat a bite of breakfast first!"

"Can't have you stay up all night and still starve."

"Professor Tan Mengbai of Anesthesiology has already eaten. You and Professor Lin Guoqiang go eat first."

"After you come back, Professor Lin Qiaoshan and them should go rest." Chen Guangbai persuaded with reason and emotion.

Fang Ziye slowly nodded.

This is a tug-of-war with no known endpoint.

After Fang Ziye stepped back two steps, Chen Guangbai personally untied the bow of Fang Ziye's sterile surgical gown, helped Fang Ziye take off the clothes, his gaze peaceful, and did not speak another word.

How hard Fang Ziye worked, how much he did, everyone witnessed with their own eyes; it cannot be fully expressed by just saying the words "thank you."

Moreover, Fang Ziye still needs to hold his post; it's not over now, so it's not appropriate to get emotional at this moment, lest it affect Fang Ziye's emotions.

But in fact, his kindness had long been invested in the details.

Worth millions, once looking down upon a corner of the Eastern Han business world's peak, Chen Guangbai was carefully smoothing the wrinkles of the scrub suit on Fang Ziye's shoulders.

"Doctor Chen, you also find some free time to eat something. Starving will ruin your health!" Fang Ziye and Professor Lin Guoqiang stepped out together, and he suggested.

"Okay, I'll go in a bit."

"Chen Xixian has already eaten." Chen Guangbai replied.

Exiting the operating room, on the way to the dining area, Lin Guoqiang actively twisted his neck, emitting two faint cracking sounds.

"Professor Fang, snatching life like this, according to traditional medical thinking and logic, counts as acting against heaven. Will it shorten our lifespan?" Lin Guoqiang asked.

Actually, he wasn't waiting for an answer!

Things all done, who knows how many brain cells died.

Only then could they wave after wave help Chen Song survive the Gate of Ghosts; now they've barely blocked the life-taking Ox-Head and Horse-Face, or the superiors of Ox-Head and Horse-Face, outside the operating room door.

"If lifespan is shortened, so be it. Better than ignorance."

"At least we've also proven that reversing life and death indeed harms heavenly harmony." Fang Ziye cracked a timely joke, then started loosening his bilateral shoulders.

The lead aprons in the operating room are heavy, Fang Ziye's operations are many, this is very taxing on the joints.

According to joint surgery theory, Fang Ziye's current lifestyle is actually overdrafting his joints; later he may not escape total shoulder arthroplasty.

But Fang Ziye is just this profession; some things, even if exhausting, must be done.

Fang Ziye and Professor Lin Guoqiang actually had no heart to eat breakfast!

Couldn't be called enjoyment at all; got the congee, milk, and steamed buns and started gnawing, filled their stomachs, then returned to the operating room again.

After scrubbing, gowning, and gloving again, the weight of the lead aprons pressed on the two of them once more.

"Argatroban IV pump note: starting dose 0.2mg/kg/min."

"APTT target value: 1.5-2.5 times baseline." Professor Tan Mengbai was instructing Luo Tingzhu and the other junior anesthesiologists.

Finished speaking, Tan Mengbai looked at Fang Ziye again, seemingly asking for instruction.

Fang Ziye shook his head slightly, smiled lightly: "Professor Tan, the anticoagulation protocol was jointly formulated by you and the Cardiology and Vascular Surgery teachers. I'm a layman; I don't understand the principles inside."

Tan Mengbai wouldn't buy Fang Ziye's act; since Chen Song's condition was currently stable, he teased: "Heard from others in the operating room that you previously benchmarked yourself as just a professional orthopedic doctor, not understanding other specialties."

"Result is doing inhuman things."

Lin Guoqiang and Li Yongjun nodded repeatedly in deep agreement.

……

The people in the operating room rotated a wave; besides Fang Ziye, Li Yongjun, Nie Mingxian, and the others all went to rest again.

Lin Guoqiang, because he only took over the shift in the early morning, continued to fight it out, all the way until twelve o'clock, when the third shift team would come to hand over, and then work straight through to twelve o'clock early morning today.

Morning, ten ten.

During Fang Ziye's dozing, he was once again startled awake by the alarm sound of the instrument.

Everyone in the operating room was flustered but not chaotic!

After Professor Lin Guoqiang and Professor Tan Mengbai quickly made a diagnosis, they replied: "Ventricular tachycardia again, small thrombus formation, but nothing serious."

"Perform DSA vascular tracking thrombectomy."

"Drug cardioversion..."

Fang Ziye glanced at the current situation, did not participate in the operation, but after reviewing all the conditions, entered a dozing state again.

That afternoon, four o'clock.

"Bone marrow stem cell suspension in place." Professor Kuang Hua of Vascular Surgery precisely advanced the catheter into the popliteal artery, and the emaciated lower limbs floated up with a spiderweb-like pulse network.

The new round of participating anesthesiologist Professor Bo Yuanchao adopted closed-loop target-controlled infusion of propofol (Marsh model).

"I have already followed Professor Tan Mengbai's medical order, keeping the BIS value in the 40-50 range! ~ If anesthesia depth needs to be reversed, please inform at any time." Professor Bo Yuanchao said to everyone.

Fang Ziye nodded and said: "Remove the bilateral lower limb microcirculation instruments, return the four limbs' circulation to the main cardiac circulation, take care that the venous stent and vascular stent do not loosen."

"Continue argatroban IV pump infusion, aPTT target value remains at 2.0 times baseline."

"Half an hour later, remove the liver and kidney microcirculation instruments, return the organs to the mainstream circulation."

"Doctor Chen Guangbai suggests injecting edaravone at Fengchi acupoint, dose: 30mg + 20ml normal saline slow push." Fang Ziye had remarkably become the core of issuing medical orders.

After nearly thirty-plus hours of multi-round rescue, Chen Song's current state had gradually trended toward stability.

Afternoon, six o'clock.

After Fang Ziye ordered everyone to also return the bilateral upper limbs to the main body circulation, Chen Guangbai and Deng Huai immediately began taking Chen Song's pulse left and right simultaneously! ~

The two only spoke for half a minute, and their whole faces turned nearly deathly pale.

Then each retreated several steps with *deng deng deng* sounds, or their complexions changed unpredictably.

Each muttered in their mouths: "Gone, gone."

"How could it be gone?"

"How is it gone?" The shrimp-swimming pulse the two had touched many times disappeared completely at this moment, changing to a yin-deficient pulse image, showing signs of liver and kidney dual deficiency.

Although Chen Song was cured, the two's worldview was still shattered by the impact.

At the two's side, Chen Xixian, wearing scrubs, instantly had a smile climb across her fatigued face; she first supported Deng Huai: "Uncle Deng, it's good that it's gone, you rest first! ~"

"Gone! ~ All gone." Deng Huai turned his head, looked at Chen Xixian, momentarily not minding the status gap between the two, his voice like a thunderclap.

Chen Xixian was stunned by the shock.

But she still bloomed with a smile: "It's good that it's gone."

Chen Xixian is not orthodox Traditional Chinese Medicine; at most she is just an enthusiast. What Dao, what medical classics, what classics — to her, none compare to Chen Song living well.

Chen Xixian only comforted Deng Huai, and did not comfort her own father, because Deng Huai is an outsider, Chen Guangbai is her own father.

"Uncle Deng, I'll go make you some good tea..." Chen Xixian rushed out the door, overjoyed, walking quickly; the first thing she did was share this joy with Luo Tingzhu.

Luo Tingzhu, who had no sleepiness to begin with, instantly also came out of the rest room, and went to make tea together with Chen Xixian.

Hearing and seeing Chen Guangbai and Deng Huai's loss of composure, Fang Ziye's tightened mood only then gradually relaxed.

He now was a bit afraid of "Traditional Chinese Medicine's bizarre pulse images."

Before he returned to Enshi, Chen Song's body was clearly very healthy, without any abnormality.

However, before the shrimp-swimming pulse Chen Song produced, all normal signs seemed like heresy.

From Chen Song's sudden discomfort during morning exercise in the sanatorium, to the subsequent ventricular tachycardia, atrial fibrillation, multiple thrombi, organ embolism, recurrent multiple small embolisms and small ventricular tachycardia and atrial fibrillation.

If Fang Ziye and the others had not placed intravascular stents and filters in advance, it is estimated that now Chen Song would need all organs from head to toe rescued anew.

"Death pulse" is truly terrifying, completely unreasonable, at least not speaking reason that Fang Ziye and the others can currently understand.

October 7, early morning 2:00!

"All microcirculation instruments removal complete, all microcirculation cutoffs returned to whole-body circulation."

"Currently patient ECMO intervention oxygen saturation 99%, heart rate pulse rate synchronized, bpm 85 beats/min, blood pressure 112/74mmHg!"

"Sinus rhythm, myocardium slight ischemia signs, ischemia already recovered."

"Myocardial necrosis markers currently dropped to normal levels, liver and kidney function no obvious damage, water electrolyte imbalance still fully corrected, acid-base balance."

"Whole-body DSA vascular patency, whole-body MRA shows no abnormality."

"Bilateral lower limbs and bilateral upper limbs electromyography shows nerve conduction weakened, currently blood glucose slightly high, random blood glucose 9.9mmol/l."

"Insulin secretion level disorder, already given insulin pump continuous treatment."

"After discussion, patient transferred from operating room to monitoring convalescent room, guarded by dedicated personnel! ~"

"Current diagnosis: ICU-acquired weakness!"

"Insulin intensive treatment (target blood glucose 4.4-6.1mmol/l)"

"Early rehabilitation exercise (daily 30 minutes bedside cycling training)!"

"Request Traditional Chinese Medicine department to give treatment plan." Anesthesiology Department's Professor Tan Mengbai and others responsible for Chen Song's vital signs and intraoperative continued treatment plan reading, confirming at this moment Chen Song can be transferred out of the operating room.

"Professor Fang." A professor from Cardiology instinctively looked toward Fang Ziye.

But saw at this moment Fang Ziye, already leaning against the wall sitting upright, nasal breathing calm, head tilted left, asleep, the surgical mask on Fang Ziye rising and falling with his breathing.

"Shh~~~ Shh~~~" At Fang Ziye's side, Chen Guangbai with bloodshot eyes immediately made a shushing sound.

Then lowered his voice and said: "Professor Fang has not rested for a long time, these fifty-plus hours, Professor Fang has been fighting continuously, let him rest a while."

Although Chen Guangbai had not slept even longer, he knew his physical and mental consumption was far less than Fang Ziye's.

After Chen Guangbai finished, Traditional Chinese Medicine Department's Wang Qishan quickly took over the topic: "Traditional Chinese Medicine Department recommends brain awakening acupuncture method standard."

"Neiguan acupoint straight insertion 15mm, twirling frequency 120 times/min"

"Insert the needle obliquely 10mm from the Renzhong Acupoint toward the Nasal Septum direction!"

"Needling parameters: Sparse-Dense Wave (2/15hz), intensity to the degree of slight facial muscle fasciculation!"

"..."

Fang Ziye probably woke up around seven o'clock in the morning; only Luo Tingzhu, Lan Tianluo, and the others were on duty in the operating room.

After Fang Ziye woke up, he was quickly guided to the Canteen to start eating, and then was guided to the Villa Area to rest and sleep again.

Fang Ziye merely went to look at Chen Song once more, and saw that Chen Song had opened his eyes, his gaze deep; although very weak, he had genuinely, undeniably woken up.

After that, Fang Ziye ate two full bowls of Rice, then climbed onto his own bed and slept a sound, satisfying sleep...

October 7, 17:35 in the afternoon!

When Fang Ziye opened his eyes, Luo Tingzhu was still by his side, breathing lightly in sleep; she held Fang Ziye's right Arm in her embrace, both hands clamped like a hoop, fundamentally unwilling to let go.

Fang Ziye could only force himself to rally his Spirit, opened his Mobile Phone, and saw the time.

Then he narrowed his eyes, and saw light from the Corner of the curtain penetrating in, a Light Beam diffusing in the space.

The messages in the Mobile Phone were calm, no Missed Calls, no Unread Emails!

Time was tranquil, a beauty by his side; the familiar and unique faint fragrance on Luo Tingzhu's person wafted over intermittently.

This feeling, truly good.

Perhaps Fang Ziye's action of looking at his Mobile Phone disturbed Luo Tingzhu; Luo Tingzhu's green tresses stirred first, then her head began to turn, immediately followed by a shake, and her two eyes showed.

"Senior Brother, what time is it?" Luo Tingzhu's Nuonuo voice was slightly hoarse, a cold not ruled out.

"Five thirty-six in the afternoon." Fang Ziye said.

"I also slept for five hours?" Luo Tingzhu slowly sat up; only then did Fang Ziye feel his Right Hand, which had been pressed numb, regain Freedom, and he hurriedly grasped in the air.

"How is Dean Chen's condition?" Fang Ziye continued to ask.

Fang Ziye only vaguely remembered that Chen Song had Woken Up.

"The person woke up, and is Alive, but seems to have Acquired Muscle Weakness! ~"

"Bilateral Upper Limbs Range of Motion lost seventy percent, Bilateral Lower Limbs Range of Motion also lost Ninety Percent, may need Rehabilitation."

"Speech also not very fluent."

"Doctor Chen Guangbai and Professor Wang Qishan said Dean Chen this is Qi Substituting Death, I also don't know how it will be later! ~" Luo Tingzhu said while tying up her Hair.

Fang Ziye Hear, his eyes slightly lowered.

Actually Fang Ziye's heart was somewhat Disappointed.

ICU Acquired Muscle Weakness, Fang Ziye had Hearsay, but currently Modern Medicine cannot Explain it, only possibly related to the different Syndrome each individual suffers, ultimately losing part of Capability.

Afterwards can also Rehabilitate, but Rehabilitation effect varies by Individualized Teaching.

"Also pretty good! ~"

"Ups and downs for so long!" Fang Ziye replied.

Luo Tingzhu nodded: "Dean Chen is very happy, he said intermittently, Dead Pulse can also be resolved."

"The ancients' Cognition was ultimately limited! ~"

"Traditional Chinese Medicine is a philosophy, philosophy is also one of the Disciplines, Disciplines will develop."

Fang Ziye Hear then smiled again, after getting a good grip on his Right Hand, Fang Ziye encircled Luo Tingzhu in one loop, then both hands began to clasp round and round.

Luo Tingzhu's body faintly stiffened, she gave Fang Ziye a sidelong glance, but also knew she couldn't shake off these two salty pig hands.

"Senior Brother? When you do Surgery, it's different from now." Luo Tingzhu Upper Teeth biting Lower Lip, lip color paling white between the bite.

"Doing Surgery is doing Surgery."

"Now is now, not illegal, not violating Morality! Not acting the hooligan, afraid of what? ~" Fang Ziye embraced Luo Tingzhu's Back, pressed tight against his own chest, carefully savoring the full fragrance in embrace Tactile Sensation.

Luo Tingzhu also had No Way with Fang Ziye.

Before Fang Ziye had a collecting habit, now still has Hand Fidgeting Habit, what can be done?

Just as Fang Ziye said, not illegal, not violating Morality, moreover not acting the hooligan.

"Senior Brother you are essentially a hooligan." Luo Tingzhu raised her Chin, hoarse voice said!

Fang Ziye Hear, hurriedly released Luo Tingzhu: "You go pour yourself a cup of Hot Water, take some Cold Medicine, then drink some Congee, properly Condition and rest a bit! ~"

"I'll go check on Dean Chen Song again."

Luo Tingzhu Turn Head, softly said: "You want to go see your medal of merit, right?"

"Don't talk nonsense! ~"

"At least can't say it so directly." Fang Ziye Stood Up, while putting on Clothes, hummed a sentence.

Life and Death ups and downs can all be Reversed by oneself!

A doctor's medal is never hung on the body, but Walks in the world.

(Chapter End)