Chapter 1919: and then the title translation, then ===GLOSSARY=== with list of named entities appearing in these lines, using exact En

How many hands?

Four hands.

Zheng Ren finished asking and strode in.

Upstairs, just as he pushed the door open, Zheng Ren saw Xie Yiren hurrying with a sterile package toward the Shujian.

"Yi Ren, I'm coming." Zheng Ren shouted from behind.

"Wow, you came up so fast!" Xie Yiren exclaimed.

"You're faster than me."

"I had lunch with the head nurse of the operating room this afternoon, so I didn't sleep." Xie Yiren's eyes narrowed like a crescent moon as she refused Zheng Ren's outstretched hand, saying, "Hurry up and get ready; I heard the patient has a lung torsion."

"Mm-hmm." Zheng Ren nodded repeatedly, his attitude extremely agreeable.

"Are you hungry? I have two small cakes and some chocolate; what would you like to eat?" Xie Yiren asked.

"Not hungry..." Zheng Ren sensed things were taking a turn for the worse and abruptly changed the subject, "Why did you invite the head nurse to eat?"

"We're always doing surgery; if we can't maintain a good relationship with this head nurse, it'll be inconvenient." Xie Yiren said cheerfully, "Don't faint from hunger; are you really okay?"

"Uh, it's fine, it's fine."

"You fainted once before, but I haven't seen it since. Was that on purpose?" Xie Yiren leaned in and whispered to Zheng Ren.

"Definitely not." Zheng Ren blurted out a reckless remark.

As they were speaking, the doors of the operating room swung open and a patient was pushed in.

"I'll go rescue." Zheng Ren said hurriedly.

"Mm." Xie Yiren grabbed the surgical kit and sprinted toward the operating room.

Zhou Litao appeared ahead; he didn't go inside, just delivered the patient to the doorway. Seeing Zheng Ren already changed, Zhou Litao's heart steadied somewhat.

"The patient is having difficulty breathing, low oxygen saturation, widespread bubbling sounds in both lungs, mainly on the right. Heart rate is rapid with supraventricular tachycardia." Zhou Litao quickly reported the condition.

"Understood." Zheng Ren helped lift the patient onto the operating room's cart and quickly pulled it toward the fourth operating room.

"That fast?" Su Yun, having just changed clothes and come up, saw Zheng Ren bringing the patient inside; he steadied the cart's rear and said, "Boss, the patient's family will be here in a few minutes; they said the police brought them."

"The police?"

"They got lost and couldn't find 912. The police, hearing that someone at home needed emergency surgery, checked with Fang Lin and brought the patient here."

"Is Director Lin downstairs?"

"Yes."

Zheng Ren relaxed, quickly pushed the patient into the operating room, and several people, scrambling, lifted the patient onto the operating table.

"Boss Zheng, which side?" Lao He asked.

"The right side."

"Good." Lao He felt reassured.

In thoracic surgery, a key point of open-chest procedure is single-lung ventilation. After entering the thoracic cavity, the lung on the side of the incision must be collapsed, which provides excellent exposure of the operating field.

This is the anesthesiologist's job, though many anesthesiologists fail to achieve it.

Since the patient is an emergency case, Lao He hadn't reviewed any imaging or the patient beforehand, so he needed to ask.

The patient's body showed large patches of cyanosis, was comatose, breathing was irregular, and there were signs of deep, labored breathing.

Deep, labored breathing, also known as Kussmaul breathing, indicates excessive carbon dioxide retention in the body, signaling the onset of acidosis.

Remove the patient's clothing; if there's no time, cut or tear it off.

Su Yun went straight to scrub up, while Zheng Ren inserted a urinary catheter and positioned the patient.

This is an emergency patient, specifically a lung torsion case; there's no time to wait for Su Yun to complete all these preparations.

"Boss Zheng, a colleague from the Legal Department said the patient's family has agreed to the surgery livestream and has already signed." Hu Yan Hui said at the doorway.

"Alright, after disinfecting and laying out the sterile sheet, then put on the livestream glasses." Zheng Ren turned to go scrub up, leaving the operating table for Su Yun.

Soon, Fang Lin also ran up.

"Boss Zheng, the signatures downstairs are all done." He said hurriedly.

Zheng Ren realized that completing the signatures in such a short time likely meant Fang Lin had previously printed the pre‑operative instructions on A4 paper, leaving the patient's name and other details blank to be filled in by hand after the surgery.

"Mm." He replied, strode to the sink, and began scrubbing his hands.

As Fang Lin passed the Shujian, he glanced at the patient's oxygen saturation and felt a chill.

Ventricular rhythm, oxygen saturation below 80%; this indicates worsening condition, with the lung torsion having effectively "buttoned" the arterial and venous systems.

"Damn it!" Fang Lin thought in frustration, and while jogging he also began scrubbing his hands.

"Boss Zheng, is it appropriate to livestream such a critical patient?" Fang Lin asked anxiously while scrubbing his hands.

For surgery livestreams, stability is key.

In the past, 912 has also hosted world‑top or domestic‑top experts who performed livestreamed demonstration surgeries at certain academic conferences.

But those patients were heavily screened and selected.

Any case where a mistake could occur is replaced outright; only the simplest procedures can be livestreamed, which is an industry rule.

With an emergency lung torsion case, Boss Zheng wants to livestream… Fang Lin's heart began to race.

"Let's give it a try." Zheng Ren said, "Hurry up and start the broadcast right away."

After saying that, he tossed the brush into the sink with a clang.

Returning to the operating room, Zheng Ren disinfected, put on his attire, and lowered his head so Hu Yan Hui could help him put on the livestream glasses.

"Boss, wait a moment." Su Yun said, "I need to connect the microphone."

"You do your thing; I'll start the broadcast first." Zheng Ren said.

The surgery had been rehearsed over twenty times in the system operating room; Zheng Ren knew time was tight. After laying out the surgical drape, he didn't wait for the suction device or electrocautery to be ready, reaching out and slapping the willow‑leaf blade into his palm.

"Gauze." Zheng Ren said in a low voice.

At the same time, the surgery livestream also began.

Only a few scattered people were strolling in Xinglin Yuan when they happened to encounter the opening of the surgery livestream room, and they all felt a surge of delight.

The sudden opening of the surgery livestream room meant that an emergency surgery needed to be performed.

Hopefully it's not appendicitis, please don't let it be appendicitis… Everyone prayed as they clicked into the surgery livestream room.

"Boss, slow down!" Su Yun had just connected the mic, seeing Zheng Ren make one cut and blood gush out, he shouted anxiously.

Zheng Ren ignored him, instead he slapped the knife to one side and began separating the muscle layer.

Slow down? What slow down? It simply can't be slow!

In the livestream room, the few doctors who had entered first were all stunned.

The surgery livestream room rarely connects the mic; it seems that aside from that long coronary interventional surgery, there has basically never been a situation where the mic was connected.

Yet this time they actually heard a voice.

Slow down…

Before a few people could react, they saw blood splattering everywhere in the operating field.

Damn, this surgery is performed with such abandon!

You don't even use the electrocautery? You don't know how to open the chest layer by layer?

If it had been a few months ago, the hot-tempered doctors would have already started cursing. But the doctors who could wander aimlessly in Xinglin Yuan all, to some extent, admired this surgeon.

Someone quick-witted opened the backend wanting to view the medical records.

As a result, they discovered that the medical records had not been uploaded at all, which meant this was a standard emergency surgery!

"Hey, hey? Xiao Hu, can you hear me?" Su Yun stood at the assistant's position, one hand arranging the electrocautery to prepare for hemostasis, while the other began testing the mic.