Chapter 2071: then translation of title

Received the call, Zheng Ren, who was about to get off work, got into the car at the fastest speed and rushed straight to the Tumor Hospital.

Because it was a cardiac foreign body, Zheng Ren was very cautious, bringing everyone, even calling the anesthesiologist Lao He to come along.

All the personnel took two cars. When getting in the car, Zheng Ren also felt a bit dazed, his Medical Team had unknowingly grown to this extent.

Originally Lin Yuan should have stayed behind with Chang Yue to write the medical records, but she insisted on going along and guaranteed that all work would be completed with overtime after the surgery.

Zheng Ren also couldn't be bothered to manage; he knew he wasn't a qualified Medical Group Leader. Because his desire for control wasn't that strong, the doctors under him were basically left to their own devices.

"Boss, what's the situation over there?" After getting in the car, Su Yun finally had a chance to ask.

"They said the PICC catheter had dislodged, time unknown, and it couldn't be removed via Interventional surgery."

"Could it be a pulmonary artery thrombosis? That would be troublesome." Su Yun frowned.

Like the time at the International Hospital rescuing Taiwan, it was just a big scaffold that had just fallen into the heart; the surgery difficulty was still manageable.

But a dislodged foreign body of unknown timing means the surgical risk is huge.

Zheng Ren didn't discuss the condition with Su Yun; instead, he closed his eyes, preparing to go to the System Operating Room to perform surgery and see what should be done.

Ding dong~

The long-unheard System Quest notification sounded in his ear.

【Urgent Quest: Interventional surgery that must not fail.

Quest content: Use Interventional surgery to remove the dislodged PICC catheter. Because the patient is in late-stage tumor, the massive trauma of open-chest surgery would cause continuous deterioration of immunity. If the dislodged catheter cannot be removed via Interventional surgery, the patient will die soon.

Quest time: 12 hours.

Quest reward: 100000 Experience Points, 10000 Skill Points, Grandmaster Level Skill Book ×1.

This quest name…

Zheng Ren froze for a moment, looking at the System Panel, and after a few seconds understood the reasoning.

The logic is simple: the patient is not someone who was previously healthy, but rather diagnosed with late-stage tumor, the flame of life already dim and dark.

Interventional surgery only involves a needle puncture, which the patient's body can tolerate. After all, Interventional surgery causes minimal trauma to the patient, almost no impact.

But if it were changed to open-chest surgery, splitting the sternum and opening the mediastinum, even if the surgery speed is extremely fast, the trauma to the patient would still be considerable.

In layman's terms, this is called 'opening the chest damages the vital energy.'

How long the patient can survive after the surgery is truly uncertain.

It's possible that even if the surgery goes very smoothly and successfully, the patient, due to poor physical condition, cannot withstand the surgical blow and quickly develops multi-organ failure and dies directly.

Performing surgery does not benefit the patient; rather, it may shorten their survival time.

Such surgery is better not done.

But…

In short, this is a dilemma.

The quest title given by Big Pig Trotter is cold and merciless—'Interventional surgery that must not fail.' What the hell is this?

Zheng Ren also felt helpless; after reading the quest description, he entered the System Operating Room and clicked to purchase system surgery time.

The System Operating Room rose up from the ground; Zheng Ren worried that Su Yun's chatty talk would waste his precious Surgical Training Time, so he immediately dove in.

Upon entering the System Operating Room, Zheng Ren first glanced at the patient's data.

He was instantly stunned.

The PICC catheter has been dislodged for at least one month!

Normally, PICC catheter maintenance is once a week. Heparin sodium and other anticoagulants need to be infused to prevent clot formation inside the catheter.

But dislodged for one month……Could it be that it hasn't been maintained at all normally?

As for what exactly happened on the patient's side, Zheng Ren didn't bother to think about it. Thinking about it is useless; the urgent priority now is to remove the dislodged PICC catheter.

Zheng Ren first inserted a 6F sheath into the left central vein, guided the septal defect occlusion with a basket catheter, entered via the left median cubital vein to the left subclavian vein, snared the PICC tip; the first attempt failed, the second succeeded.

For Zheng Ren at the peak of Interventional surgery, two attempts in the capture process were already the maximum.

Any more would be utterly impossible!

This step many people would fail, but this does not exist in Zheng Ren's world.

However, after grasping the PICC catheter, Zheng Ren applied slight force, but the catheter seemed to be sewn in place by sutures, utterly immobile.

This should be due to adhesions formed at the catheter's cardiac end; Zheng Ren made the judgment immediately. However, he did not give up, after all this is the System Operating Room, where he can make mistakes without fear.

Force, again force…

Surgery failed, experimental subject died.

If one way doesn't work, change to another method.

During the second surgery, Zheng Ren inserted a 6F sheath via the right femoral vein for exploration.

Using the right coronary artery angiographic catheter as a guide, he sent the basket catheter to the right ventricle, but the proximal end of the PICC tube had already entered the right pulmonary artery; after multiple attempts, the basket catheter failed to capture the PICC tube.

Nevertheless, this didn't stump Zheng Ren; he sent the right coronary artery catheter into the right pulmonary artery, manipulating the catheter, attempting to pull the proximal end of the PICC tube back into the right ventricle.

But this operation failed again.

The proximal end of the PICC tube is deeply embedded in the thrombus, making it impossible to use the looped head of the basket catheter to lasso it like a rope catching a horse.

Zheng Ren, helpless, had to first perform thrombolysis, flushing the clot with Urokinase, gradually removing the thrombus via Interventional surgery.

Afterward, he grasped the PICC tube from a slightly farther position, then, after closing it, used the front end of the basket catheter to pass over the tricuspid valve, gradually rubbing away the catheter's adhesions.

Atrial fibrillation……experimental subject died.

Experimental subject died……

Experimental subject died……

Experimental subject died……

Zheng Ren didn't know how many times the surgery had failed with the experimental subject dying.

For him at the peak of Interventional surgery, it was unimaginable that pure Interventional surgery would fail so many times.

In other words, patients at the Tumor Hospital should not be treated with interventional surgery; they should undergo open-chest surgery, open the heart, perform blunt dissection, and remove the PICC tube.

But, that was a patient with late-stage tumor.

Zheng Ren knew they could give in.

That way, a large amount of surgical training time could be saved. What needs to be done is to go to the Tumor Hospital, after angiography tell everyone where the surgical difficulty lies.

Doing this would be the most 'economical', the most 'cost-effective', and most in line with one's own 'interests'.

But life is not a game; what one faces is not an experimental subject, but a living person, not a cold number.

Regardless of why, neither the patient whose PICC tube had come loose a month ago nor their family still knew. When one encountered this, one must spare no effort to try to save the patient's life.

Surgical training time trickled away; Zheng Ren began dissecting the experimental subject after the eighth failure, clearly dissecting the structure, directly facing the condition of the experimental subject.