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Chapter 1964: with translation of chapter title

~7 min read 1,264 words

"Zheng Lao Ban, you're free now, could you tell me how you just inserted the stent?" Head of Vascular Department leaned over and asked.

He wore a mask, almost covering half his expression.

But from the eyes visible outside, Zheng Ren could feel the Head of Vascular Department's inner pleasure and anticipation.

Is this what fans are like? Zheng Ren felt a bit confused.

Normally only internet celebrities have fans, but how come upon arriving at the Medical University Affiliated Hospital, I first met an anesthesiologist asking for my autograph, and then the Head of Vascular Department hurried over to chat with me.

Seems quite annoying; should I wear a mask when I go out in the future?

Zheng Ren thought and thought, his thoughts drifting far and becoming vague.

"Pa~" Zheng Ren's hemostatic forceps trembled in his hand.

"Boss, what are you thinking about?" Su Yun asked.

"Um... I was thinking about how I just inserted the stent, how should I put it, this person..."

"My surname is Ma, Ma Liang, the Ma Liang of Divine Brush Ma Liang." Head of Vascular Department said with a chuckle.

"Director Ma, that's how it is." Zheng Ren said: "Doing many Shou Bing procedures gives one a sense of anatomical structure; you can understand that, right?"

Ma Liang, Director Ma thought for a moment and nodded.

At this point he stopped joking or speaking excitedly, and instead carefully pondered Zheng Ren's words.

Familiarity with human anatomical structure? That's what Zheng Lao Ban meant; Ma Liang pretended to understand.

"After I came in, seeing the situation on the operating table, I already had some cognition of the patient's anatomical structure in my mind. For example, the puncture site of the femoral vein, the distance to the inferior vena cava, etc." Zheng Ren said solemnly, spouting nonsense.

"……"

Not to mention Ma Liang, Professor Zhan, even damn Su Yun was confused.

Just one glance, and you can understand the anatomical structure? You can even estimate the distance. Like a biochemical soldier's mechanical eye, directly seeing through, with all the data laid out clearly?

"You can already operate without X-ray guidance?" Ma Liang asked in astonishment, posing a very fantastical question.

"I mean, with enough practice you naturally get a feel for it, but that doesn't mean you can forego X-ray." Zheng Ren said: "This time it was just luck; the inferior vena cava was straight, its structure simple, hardly any variation. So by looking at the patient's build, I could roughly estimate the length the guidewire would enter."

"Um... what about the bleeding point?"

"It's there on the endoscopic equipment, although it's a bloody mess, but you can still somewhat discern the surrounding tissue structure. Different density, different density..." Zheng Ren began to regret in his heart.

I should act aloof; staying silent would have been right.

This kind of thing, you can't mention the System Space; the more you explain, the wronger it gets.

Trying to cover one lie with another is absolutely impossible. In the end, the things I need to explain keep increasing.

Moreover, Su Yun this guy is nearby, his eyes are sharp.

Zheng Ren still remembers that when he came in, the endoscopic screen was all red, nothing visible.

Forget it, just spout nonsense; I didn't expect their level to be insufficient.

Su Yun stared blankly at Zheng Ren, this guy's level already this high? No way! Back then...

"Boss..."

"Zheng Lao Ban, I've brought Miss Xie in." Gao Shaojie appeared just in time, relieving Zheng Ren, "Send the instrument box for another high-temperature sterilization; it will take 20 minutes."

"Oh, okay." Zheng Ren said: "Where's Yi Ren?"

"She went to change clothes, she'll be here soon." Gao Shaojie said, feeling moved inside, looking at Zheng Lao Ban's entourage, going out to do surgery, he actually even brought an assistant and instrument nurse.

This is something he hasn't seen; when Zheng Ren did surgery abroad, he even brought the anesthesiologist.

Zheng Ren opened the warm saline gauze; really unwilling to chat, the more he spoke the more mistakes, the recent Shou Bing, he simply couldn't explain it.

Then let's do the Shou Bing.

The tumor tissue is located at the right renal hilum, the bulk of the tumor lies posterior to the inferior vena cava, locally adhesions are severe, the tumor invades the inferior vena cava and right ureter, and its boundaries with surrounding organs are unclear.

In plain terms, it's stuck together horribly.

Zheng Ren began to dissect the peripheral parts; at this moment his hand speed wasn't increased, Su Yun was a bit leisurely.

"Professor Zhan, what are you thinking? You can't see it from the films? With such severe adhesions, you're still doing endoscopic surgery?" Su Yun said.

Professor Zhan felt distressed in his heart, head lowered, blood pressure 182.

"Just this, I estimate Boss can't finish it with endoscopy." Su Yun continued to nag, "Where does your inexplicable confidence come from?"

Professor Zhan used the retractor, exposing Zheng Ren's operating field, blood pressure 184.

"Boss, I think an incision below the 12th rib would be better." Su Yun watched Zheng Ren performing simple dissection and offered his opinion.

"Normally that's the case, but there's bleeding now; the opening you made so boldly beside the rectus abdominis isn't just to prepare for suturing the inferior vena cava, is it?" Zheng Ren said.

"I'm just following your orders; take a look, be decisive." Su Yun grabbed an electrocautery device and started going "pa-pa-pa" to stop bleeding.

When we rushed in, many places were oozing blood.

Especially then, blood pressure was a bit low, some capillaries were collapsed. But after talking for twenty minutes, blood had already been transfused in; now the patient's systolic blood pressure is 100 mmHg, and some vessels have reopened.

"I'm here." Xie Yiren walked in and said.

"First go up, Director Lin, don't let your instrument nurses leave yet, counting is too troublesome." Zheng Ren said: "Keep an eye on the instruments; send up the sterilized surgical instrument box; the surgery is expected to last long, about three to four hours, needing your cooperation."

"Um, okay." Director Lin stood to the side, having already seen all the unfolding events, dazzled.

Ma Liang, Director Ma directly "defected and rebelled", Director Lin also felt helpless.

What has this Zheng Lao Ban done? How can the esteemed head of the vascular surgery department be fawning over a junior doctor like flattering the manager, standing aside attentively serving?

Sigh, Director Lin let out a breath.

"The adhesions are really severe; can we dissect them loose, Boss?" Su Yun said without much confidence.

"Are there one or two sets of microscopes?" Zheng Ren asked.

"Definitely two sets!"

"Then that works." Zheng Ren said: "There are some places I can't manage alone."

Su Yun's hand paused slightly; such severe adhesions? Even the Boss can't perform this surgery.

Zheng Ren looked at the right kidney tumor that had wrapped the inferior vena cava in a mess, and he recalled what happened when Big Pig Trotter first appeared.

A top-level General Surgery Department Shou Bing basically doesn't need Charles's instruments, nor does it need Zeiss's Microscope; everything relies on tactile sense, and the impossible Shou Bing was smoothly completed.

But Zheng Ren still couldn't do it now.

Tactile sense, the tactile sense that Charles spoke of, is that feeling of a top-level Shou Bing.

Zheng Ren suddenly reached out and lightly touched the inferior vena cava. Although separated by sterile Gloves, he seemed able to feel that elasticity of the inferior vena cava's outer membrane.

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End of Chapter

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