Chapter 109: then title translation, then ===GLOSSARY=== with list of named entities appearing in these lines
Wan Bo Ping (Wan Bo Ping) is not in the glossary; it is a person's name. The pinyin should be Wan Bo Ping. Also, son (generic, not a specific name) and Mr. (generic). Therefore we need to create an entry for Wan Bo Ping.
Hu Xiaotian (Hu Xiaotian) is already in the glossary. The term Grand Master chair is a generic term, not a specific name. Therefore we need an entry for Hu Xiaotian.
Wan Bo Ping appears again, and the term meaning manager Wan Zhangchun appears. This is a person named Wan Zhangchun, who is not in the glossary. Additionally, the term meaning tea cup (Chazan) appears and is already in the glossary as an object. Therefore we need to add an entry for Wan Zhangchun.
Wan Boping, who had been navigating the marketplace for many years, immediately understood his meaning and whispered, "Sir, as long as you cure my son, I will pay you one hundred taels of gold."
The term Second Young Master is a generic title, not a specific name.
Wan Boping silently cursed the boy for being black-hearted; let alone Qingyun County, even looking across the whole Xichuan, those who could afford this consultation fee could be counted on one's fingers, and I still don't know how good your medical skill really is, yet you've already started raising the price. But Wan Boping now has no other option; seeing Hu Xiaotian speak with such full confidence, he can only hold some expectation for him—no matter what, first agree and then talk later, for he's just a country doctor; if he cures my son, we'll talk later, but if he lacks that ability, I will never forgive him. Wan Boping said: "As long as you can cure my son, I will add another one hundred taels of remuneration on top of this."
Hu Xiaotian said: "Mere words are worthless! Let's first draw up a contract."
Wan Boping sneered: "Sir, you underestimate me, Wan. Go ask around—I've been in business for so many years, when have I ever gone back on my word?"
Wan Bo Ping appears again, and Qingyun might be an abbreviation for a county, but we already have Qingyun Xian, so a separate entry is not needed.
Wan Ting Chang appears. He is not in the glossary. Also, brother is a generic term. Therefore we need an entry for Wan Ting Chang.
Hu Xiaotian smiled: "No need for proof; besides me, you have no better choice."
Wan Tingchang said to his father: "Father, don't believe him; I see he's nothing but a bragging liar, just trying to swindle us out of money..."
"Shut up!" Wan Boping roared, then turned to Hu Xiaotian, already putting on a humble and courteous facade: "Money is no problem. I just don't know how you intend to treat my son."
Hu Xiaotian said: "I just said there is a blood clot in his cranial cavity; to save him we must remove the clot."
"How can the blood clot be removed?" Wan Boping felt extremely nervous; with his limited medical knowledge he simply couldn't imagine. How could one extract the blood clot from his son's cranial cavity?
Hu Xiaotian said: "The only method is to open a window in his Skull, then we can extract the clot."
Wan Boping sucked in a breath of cold air; the method Hu Xiaotian described was actually a most straightforward neurosurgical plan, but in this time and place, on this continent, to Wan Boping and everyone else it seemed utterly unthinkable, shocking and outrageous.
Wan Ting Chang appears again, and the term jianghu wandering doctor is a generic description, not a specific name.
Murong Feiyan is in the glossary. The term two servants is a generic term.
Wan Boping, after all, is an old sly fox. Although he cannot be certain how superb Hu Xiaotian's medical skill is, but from Hu Xiaotian's displayed confidence and his analysis of the son's condition, he has already begun to waver. Up to now, all the noted physicians in Qingyun County have been summoned by him, yet upon seeing the son's condition, they all shook their heads and sighed, helpless. Some even made a diagnosis. Their diagnosis was the same as Hu Xiaotian's earlier, but even after making a diagnosis, no one came up with any treatment plan; they all effectively sentenced the son to death. Hu Xiaotian is the first person to clearly propose a treatment plan.
Gazing at his son, who was like a dead man, Wan Boping understood. For now he can only take a risky gamble; perhaps this young physician truly possesses superb skill, or maybe it's just treating a dead horse as alive. If we delay any longer, I fear my son won't even have a sliver of hope left. Wan Boping said: "Sir, if you cure my son, I am willing to pay you two hundred gold, but you must guarantee my son's safety!"
Hu Xiaotian thought to himself, "Even if I kill your son, it would just be an accident, not a medical malpractice; what can you do to me?" He rose again and said: "Wan Yuanwai, given your son's condition, even if Hua Tuo were resurrected, there would be no absolute certainty. I cannot guarantee it, after all, anything could happen during the treatment; the only thing I can guarantee is that I will do my utmost. By the way, add one more clause to the contract: if any mishap occurs during the procedure, the responsibility is yours alone, and I bear none."
Wan Boping understood, realizing this kid guarantees nothing yet still wants him to write a contract; Wan Boping steeled himself, fine, let's write it! This is Qingyun County, and moreover it's on my Wan family's turf—I don't believe you kid would dare play any tricks; if something really happens, I'll make you regret ever being born into this world.
Wan Boping had someone fetch brush, ink, paper, and inkstone; while he was there writing the contract, Hu Xiaotian had him send someone to the Fulai Inn to find Liang Da Zhuang and bring his surgical instrument case. Relying solely on the instruments he brought from the capital is not enough for a craniotomy; Hu Xiaotian also had the Wan family prepare hammers, forceps, and chisels—these tools could come in handy during the craniotomy. He had the servants help prepare; all surgical sheets, gauze, etc., were boiled for sterilization.
He also fetched candles and a bronze mirror to increase the lighting in the room.
The Wan family looked bewildered—was this fellow trying to treat an illness or chisel stone? Was he a physician or a stonemason? But the Wan family, being wealthy, satisfied every one of Hu Xiaotian's demands.
After everything was ready, Hu Xiaotian first had the barber they'd previously summoned shave Wan Ting Sheng's head clean; this was no prank—medically it's called preparing the skin, the purpose being to fully expose the surgical site to avoid intra- and postoperative infection.
Yuan Shi Qing appears; he previously gave Hu Xiaotian some anesthetic drugs. This is a person's name not in the glossary, so we need an entry for Yuan Shi Qing. Murong Feiyan also appears again.
For patients with epidural hematoma, the earlier the treatment, the higher the chance of survival. Hu Xiaotian naturally understands this principle, although he has performed many surgeries since arriving on this continent, but a craniotomy is still his first time doing it; it should be said that he is still taking considerable risk—Hu Xiaotian's own risk is secondary; the patient's risk is greater. Especially, Hu Xiaotian's motive for performing surgery on Wan Ting Sheng today is not pure; the boy's life or death is not that important to him. He has also considered the worst outcome: if Wan Ting Sheng truly dies during the procedure, the Wan family will certainly not let it go. However, with the contract in hand, it is enough to disentangle liability; even if the Wan family tries to throw their weight around, if I reveal my true identity, I imagine you wouldn't dare move against me.
After disinfecting with strong alcohol, Hu Xiaotian picked up the scalpel and cut open the patient's scalp. Although he disdained Wan Ting Sheng's character, once the surgery began he would involuntarily set aside his prejudices; in the eyes of a true physician, a patient has no good or bad. A doctor's duty is to save the life before him; to rescue the dying and heal the wounded is his responsibility—whether this person deserves to die is a question to consider only after he has been saved.
The scalpel cut through skin, subcutaneous tissue, and the galea aponeurotica, with each segment clamped using skin hooks. In the absence of an electric cautery to stop bleeding, Hu Xiaotian used an iron rod heated red in the brazier as a makeshift hemostat, and the room filled with a scorched smell.
After cutting the scalp, he performed blunt dissection of the loose connective tissue beneath the galea aponeurotica, flipping the base of the skin flap.
Although Murong Feiyan had experienced countless battles, large and small, and had taken dozens of lives under his command, seeing Hu Xiaotian's current actions also made him feel chilled to the bone. Shocking and horrifying, he truly didn't know whether the man had a heart of iron, remaining expressionless throughout—could he really be a reincarnated murderous maniac?
Although Hu Xiaotian held the scalpel, he was not there to kill but to save; after successfully separating the scalp layer, the subsequent work was so gruesome that Murong Feiyan could hardly bear to watch—next came the craniotomy.
Li Yi Feng appears; he gave him his surgical instruments. This is a person's name not in the glossary, so we need an entry for Li Yi Feng.
Murong Feiyan never imagined that Hu Xiaotian would actually use such a brutal, crude method to perform a craniotomy, hearing the ping-pong-pong knocking sounds, seeing Hu Xiaotian's focused, all-out effort, it resembled that of a single-minded stonemason. At this point Murong Feiyan's face turned pale, not out of worry for the patient but because he was frightened by Hu Xiaotian's actions—who would dare say this fellow isn't a demon reborn; this is hardly saving a person; it's outright killing. Murong Feiyan was already imagining the possible outcomes should things go wrong: the second son of the Wan family would surely die, and hundreds of people in the Wan manor would rise up against them. She took a deep breath, apparently preparing to be ready to flee at any moment.
The clanging sounds inside made the waiting relatives outside also feel their hearts pound; this noise was clearly the hammer striking the chisel—could this Mr. Hu, the physician, really intend to use this method to smash open the young master's skull?
Wan Ting Sheng's skull still had considerable hardness; just to chisel open the skull and lift the bone flap took up half an hour of Hu Xiaotian's time. Hu Xiaotian narrowed his eyes to peer into the opening he'd made in Wan Ting Sheng's skull, but unfortunately the light was too weak to see clearly. He turned to Murong Feiyan and said, "Help me adjust the bronze mirror, focus the light on this opening."
Murong Feiyan felt faint, sweat drenching her delicate frame, her stomach churning with nausea, but she couldn't vomit now, lest she vomit into Wan Ting Sheng's skull and cause trouble. Looking again at Hu Xiaotian, his hands smeared with fresh blood, he looked like a veritable bloodthirsty maniac; his gaze fixed on Wan Ting Sheng's skull—good heavens! A hole the size of a fist had been punched into the skull, Hu Xiaotian, Hu Xiaotian! Do you really think you're selling watermelons, just making an opening to peek inside? Murong Feiyan, frightened, closed her eyes again.
Only lacking one Monthly Ticket to reach two thousand, I earnestly ask everyone to help; to show sincerity, Zhangyu will send up the eighth chapter, and please those who hold a Monthly Ticket cast this one, Zhangyu thanks you.
End of Chapter
