Chapter 1143: with translation of chapter title
Your technical skills are solid, but being a doctor—especially at a grassroots hospital—often diagnosing a patient doesn't rely on skill alone but on other factors..." He said, Director Pan turned his head, looked toward the door, "For example, like this."
The reason I'm not saying anything is to let you experience it yourself, feel it, and work out a set of methods that work for you. After I'm gone, you won't be clumsy.
After all, as long as I'm here, I can shoulder any enormous responsibility. If I'm not around, it simply won't work." Director Pan said calmly.
Zheng Ren finally realized what important thing he had overlooked back then in the Emergency Department of City First Hospital.
You little rascal, you've really made it!" Director Pan slapped Zheng Ren's shoulder with a thud, "In just a few months, you went to 912. Many things don't apply there.
Speaking, Director Pan lowered his voice and laughed heartily, feeling utterly refreshed.
There's nothing to regret, only the pride and joy of watching one's own little beast grow up to become king and dominate.
Zheng Ren still didn't speak, his heart fluttering a little.
Returning to the ICU, he glanced at the patient, then had Director Pan take Wang Qiang to the operating room to prepare, while he personally escorted the patient there.
The journey from the ICU to the operating room was a repeated, frantic probing of the edge of hell's gate (404).
If the patient makes it to the operating room and surgery begins, they will survive. But if something happens on the way there, Zheng Ren can't do anything about it.
After all, this is the aorta!
Bleeding, death—only in an instant.
All the imagined mishaps didn't happen; Zheng Ren calmly took the patient to the emergency operating room, chatting lightly along the way to ease the patient's anxiety.
Arriving at the operating room, they gently lifted the patient onto the operating table, and Zheng Ren turned to scrub his hands.
Boss Zheng, let me be your assistant." Wang Qiang followed over, naturally scrubbing his hands together.
Zheng Ren didn't say anything, just nodded.
Actually, with Zheng Ren's skill, he doesn't need an assistant at all. But they meant well—just a phone call and they came rushing from Eryuan Hospital to deliver supplies, which is also a favor.
Seeing Zheng Ren nod, Wang Qiang felt happy.
He hadn't realized that the person beside him was actually a world-class expert; he'd just thought he was an exceptionally lucky resident chief in the Emergency Department. So Wang Qiang had never imagined how precious it would be to personally witness Zheng Ren performing surgery.
He never expected the opportunity to fall from the sky; the little deer with a beard and splinters in his heart began to tremble and bump around anxiously.
Wang Qiang went to disinfect, while Zheng Ren directly laid out the sheet. This time Zheng Ren didn't take the carotid artery route but went via the femoral artery.
He punctured, inserted an arterial sheath, and Zheng Ren began the blind procedure.
Wang Qiang said, "Boss Zheng, I told Teacher Gao and Teacher Liu about your return; they said they'll be here shortly."
Thus we need to include Teacher Liu.
Continue scanning.
They're coming." Zheng Ren habitually crossed his hands, chatting casually with Wang Qiang.
His interventional surgery skills are top-notch, surpassing all interventional doctors worldwide by one or two levels, existing in a domineering fashion.
As for Wang Qiang's realm, in Zheng Ren's eyes, it basically doesn't exist.
Aortic dissection, the condition is serious, but the surgery is relatively simple. Apart from Director Miao's case, any other complications don't count as anything to Zheng Ren.
I heard you're back, Teacher Gao is especially happy, saying today's surgery is postponed and he'll drag you into a teaching surgery no matter what." Wang Qiang chuckled and said.
Let's talk later." Zheng Ren said lightly.
Huh?" Wang Qiang blinked.
Angiography." Zheng Ren suddenly said lightly.
Wang Qiang was still surprised by Zheng Ren's polite refusal of a teaching surgery when he heard him say angiography.
How fast? The screen in front just lit up, and after Zheng Ren said angiography, he began stepping on the line.
However, the catheter had just reached the right position, waiting for the contrast agent to enter the blood vessels to see the patient's vascular condition.
How fast? Wang Qiang had never seen a blind procedure go straight into the blood vessels, stepping on the line and immediately doing angiography.
Although puncturing the femoral artery and passing through the iliac trunk into the abdominal aorta isn't difficult, it still needs to be done under visual guidance.
The blind procedure—
Pop!" The hemostatic forceps struck Wang Qiang's left radial styloid.
Surgery, focus." Zheng Ren said lightly.
He was already used to having a hemostatic forceps at hand during surgery; if something wasn't right, he'd just tap it—more effective than talking.
Many professors like to scold people and throw instruments. Zheng Ren doesn't like either, finding it tasteless.
Tapping the hemostatic forceps once feels especially satisfying; in an instant Zheng Ren's mood lightens. The gloom in his heart also dissipates a little.
Uh... Wang Qiang winced in pain.
The pain lasted only a moment and caused no real injury. He broke out in sweat on his back, watching the live teaching surgery, seeing the hemostatic forceps fly around with constant popping sounds—he found it quite enjoyable, but the feeling of it striking his own wrist was completely different.
Pop!" Another soft sound.
What are you thinking about?" This time Zheng Ren really seemed a bit displeased, his words carrying a hint of blame.
This is an emergency rescue surgery—how could you zone out twice in a row?!
Wang Qiang broke into a sweat, immediately cleared away all distracting thoughts, and focused on starting the angiography.
The high-pressure injector pushed the contrast agent into the aorta, clearly showing extensive tearing in the patient's thoracic and abdominal aorta.
Stent." As soon as Zheng Ren finished speaking, Wang Qiang opened a stent and handed it to him.
This is the most basic procedure; as long as you don't lose focus, there's no problem.
Zheng Ren slipped the stent in; it was a Long Wind brand, one he was very familiar with.
…… (ellipsis) no.
Director Pan sat outside watching; as the contrast agent entered, it showed the patient's aorta had a severe tear, and he nodded and smiled.
Zheng Ren, this kid, is truly trustworthy.
Aortic dissection, this kind of emergency, even in the provincial capital, would at least need a vascular CTA to confirm diagnosis.
But Zheng Ren's skill is high; he confirmed it with just an ultrasound. Director Pan also had no doubts, even personally going to explain the condition to the patient's family.
Such confidence is rare indeed.
Wang Zong fell silent.
He also wasn't hoping Zheng Lao Ban would make a misdiagnosis; rather, he felt it was somewhat unbelievable. Just going down and taking a casual look, he discovered the error in the diagnosis. For such patients, the standard procedure is to send them to the Orthopedics Department, and then…
Just thinking about the patient dying suddenly in the middle of the night, although it had nothing to do with him, it was the Orthopedics doctors' responsibility, but Wang Qiang instantly recalled his years of medical practice and immediately realized that perhaps several patients had died because he had failed to detect similar conditions.
In an instant, his sweat poured down.
All his previous pride and conceit vanished like smoke.
It seems that compared to Zheng Lao Ban, he is still far behind.
End of Chapter
