Chapter 1377: 1336 Possibly Have to Be a Student for Life
Zheng Ren was especially powerless.
The small hospital was lacking in this regard—missing everything, could only make do.
For ordinary outpatient surgery, like the TIPS procedure just done, it's fine to say a few things. But for emergency resuscitation, there's not even a ventilator—what the hell are we supposed to do……
No ventilator, no anesthesiologist—they're probably all waiting in the big operating room.
Theoretically, patients can have local anesthesia; in Pengxi Xiang all patients receive local anesthesia.
But the situation is different.
The patients in Pengxi Xiang are all in severe hemorrhagic shock, half-dead, lying on the operating table and barely moving.
But this little patient keeps twitching, which will cause huge trouble for the interventional procedure!
No time! If we had someone fetch a ventilator from the Big External Operating Room, Zheng Ren reckons it would take at least ten minutes.
If we happen to be missing some kind of tube in the rush and have to go get it, a round trip of ten minutes would be screwed.
Let's do local anesthesia.
The rest, we'll make up for with technique.
The patient's lower back was padded with a sterile sheet by the experienced expert team's doctors, and Zheng Ren and Liu Xu zhi went to scrub up together.
By then, Liu Xu zhi could no longer keep up with Zheng Ren's pace.
He struggled to be faster, even faster, but couldn't let Boss Zheng go do the disinfection.
But he caught a glimpse of Zheng Ren completing the six-step hand wash cleanly, and went straight to the operating room.
In the panic, the scrub brush fell into the sink, making a crisp sound.
"Little Feng, get the instruments." Zheng Ren began disinfecting, saying to Feng Xu Hui.
Feng Xu Hui opened the big box, took out the relevant consumables, and placed them on the sterile tray.
"Gelatin sponge, first ten pieces." Zheng Ren said in a low voice.
Feng Xu Hui's heart gave a jolt.
I brought 24 gelatin sponges—that's enough for 3–8 tables of surgery, I thought it would be enough under normal circumstances.
I didn't expect to encounter such a patient; Chief Zheng just said we'd need ten right off the bat. And if anything goes wrong later, who knows how many more we'll need.
I hope what I brought will be enough, Feng Xu Hui thought silently.
The lead door shut; the expert team members inside didn't leave, and compared with the previous batch of observers on the platform, they got a huge advantage.
They got to watch Zheng Lao Ban personally perform a TIPS procedure, and also observe an emergency surgery for a complex pelvic arterial‑venous plexus trauma.
Leaving at a time like that would be outright stupid.
The surgery may be simple, but the expert team was watching the technique! After completing the TIPS procedure at 16× speed, all the experts, professors, and department heads were left dazed and enamored.
Disinfecting, laying the sheets—speed was lightning fast. Although fast, there was no omission; the sterile work was quite solid.
Zhou Chun Yong squeezed into the crowd; he definitely wanted to see Zheng Ren's technique.
The technique of emergency surgery differs from that of outpatient TIPS surgery; in a race against time, a doctor's basic skills shine even more.
Zhou Chun Yong didn't help; he just watched quietly.
He knew that, given Zheng Lao Ban's level, he didn't need to lend a hand—just learning would be enough.
The patient's posture was quite odd; the femoral artery segment on the right thigh was relatively high, making puncture difficult.
Zheng Ren shouted for a few experts and professors to help hold the patient.
Now the situation is urgent; he couldn't bother checking which professor from which world‑famous hospital each was. Anyway, anyone idle behind him had to pitch in.
Zhou Chun Yong was sly; he had anticipated this, so he didn't push too far forward. When Zheng Ren shouted in various ways, driving the professors to fix the patient, only then did he steadily take his place behind Zheng Ren, securing the best spot to observe Zheng Ren's technique closely.
Oh, blood flashed on the needle; the arterial sheath was then secured, and we began advancing the guide wire.
It wasn't a regular guide wire but a microguidewire. Zheng Lao Ban's skill is high; the microguidewire overcame the complex forces inside the vessel and went straight to super‑selective, and Zhou Chun Yong silently nodded in approval.
I could do it too, but my success rate would be slightly lower.
If I were to take the stage now, I'd surely play it safe, not be so aggressive—use a coarse guide wire and coarse catheter, do angiography first, then go to the microguidewire; that wouldn't waste much extra time.
Although the steps are more, the advantage lies in stability.
If the microguidewire fails to achieve super‑selection, it would waste even more time.
Without touching the line, Zheng Ren performed cross‑hand manipulation, and the microguidewire swiftly entered the femoral artery.
Why hasn't the doctor on this side come up yet? Zhou Chun Yong was a bit unhappy. But he didn't even notice that by the time this step was done, only 52 seconds had passed.
When the line was touched, the microguidewire happened to be at the branch of the internal iliac artery.
The microcatheter entered, and we injected the drug.
Countless fireworks bloomed.
At the same time, super‑selection had already begun; the contrast agent was still flowing in the vessel, and the microguidewire had already kept up.
Microcatheter, gelatin sponge—one piece, two pieces, three pieces……
It took a full five pieces of sponge to completely plug the thickest blood vessel.
The guide wire continued with super‑selection.
Zhou Chun Yong felt that although it's called super‑selection, the whole process he saw showed no trace of its difficulty.
When he first started learning interventional surgery, he thought super‑selection should be defined as ultra‑difficult selective arterial angiography.
Yes, it's ultra‑difficult.
But for Zheng Lao Ban, ultra‑difficult super‑selection seems almost easy.
Although Zhou Chun Yong felt he was like a brain‑dead fan endlessly hyping Zheng Lao Ban's surgical skill, after seeing it repeatedly he realized he still underestimated it.
This guy has no limit, or rather, his limit is beyond my ability to gauge with my own level.
Liu Xu zhi went up, found he couldn't help with anything, could only lightly hold the guide wire. But then Liu Xu zhi realized this spot was practically the best place on the observation platform……
Zhou Chun Yong felt a sense of loss, as the five blood vessels were occluded one after another; he glanced at the clock—just over twelve minutes—and didn't know the exact seconds.
Legend has it that during earthquake relief, Zheng Lao Ban completed a complex pelvic bone fracture interventional embolization in 15 minutes.
Zhou Chun Yong thought this was just a rumor spreading, including what Feng Xu Hui just said—that Zheng Lao Ban stood continuously for three days and three nights, performing 100 Shou Bing a day—was not very credible.
But now it seems the rumor was actually a bit conservative.
Zheng Lao Ban's level is higher than the rumor suggests.
Damn it! Zhou Chun Yong unconsciously cursed, not at anyone, just an expression of feeling.
As the Leader of the Capital Hepatobiliary Intervention Department, Zhou Chun Yong's Technique level had been recognized by everyone.
How many Interventional surgeries for high-ranking Leaders, academicians of the Academy of Sciences and Academy of Engineering had he performed? Zhou Chun Yong couldn't remember.
He once thought his level was high enough, even first-rate in the world.
But when Zheng Lao Ban emerged, he realized his level was truly insufficient.
He formerly thought that humbly seeking instruction was a lofty attitude; only because of his earnest desire for academic level would Zheng Lao Ban guiding his Shou Bing arise.
After learning, who would still care about this little doctor?
Just being able to treat him as a friend would be nice; as for academic status… hey!
But an emergency rescue Shou Bing told Zhou Chun Yong that this student would probably be stuck as such for life.
End of Chapter
