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Chapter 230: with translation of chapter title

~8 min read 1,428 words

Zheng Ren puts on Lead clothing, scrubs his hands, puts on Surgical gown, steps onto the platform.

Shen Boshi laid out the forms, seeing Director Kong not going up onto the platform, the one who came up was actually Zheng Ren, somewhat unexpected.

"Little Shen, you be Zheng Lao Ban's assistant." Director Kong said: "Hurry up."

Shen Boshi had no objection; the boss had spoken, what else could he possibly oppose?

He nodded, turned to scrub his hands, and put on Sterile surgical gown.

Lin JiaoJiao lay flat on the Operating table; Zheng Ren would not waste even a second, immediately beginning the Radial artery puncture.

One needle drew blood, placed the arterial sheath, directly inserted the Microguidewire. Blind puncture, extremely fast speed; Shen Boshi finished scrubbing, picked up a Surgical gown and put it on, while the nurse was tying the straps, he suddenly heard Zheng Ren say in a low voice: "Speed up."

Shen Boshi stared for a moment.

Talking to himself? No way.

Who does he think he is! Really taking himself as the boss? Just a doctor from a small place, I normally put on sterile gown—what right does he have to urge me?

Many senior doctors, to show off their authority, constantly nitpick in small places, to the point that junior doctors suffer mental breakdowns, even unable to endure humiliation, and thus many angrily resign.

But those are senior doctors from our own hospital; even if excessive…… they are still senior doctors, and they have that right.

"You, a doctor from elsewhere, what gives you the right to talk to me like that?!" Shen Boshi glanced sideways at Zheng Ren, expressing his anger with his eyes.

Bullying in the Operating Room, although not as common as campus bullying, is also a widespread phenomenon.

Many professors of Flying Knife, because the instruments don't feel right in their hands, often throw things around.

But…… it's just putting on clothes, you damn awesome bit! Shen Boshi was furious.

"Hurry up! Dilly-dallying, just waiting for you to get on the platform, we're about to start the angiography." Director Kong, in the control room, didn't see Shen Boshi's expression or eyes, but seeing his actions a bit slow, he scolded.

"……" Shen Boshi was dazed all at once.

In the time it took me to scrub my hands, they're about to start the angiography over there?

No way.

His thoughts raced a hundred times, but with Director Kong's order, his movements visibly sped up by two beats; the nurse behind tied the straps, he walked to the sterile table, picked up Gloves and put them on.

After putting on his clothes, Shen Boshi stood beside Zheng Ren; the nurse left the Operating Room, and the heavy Lead door closed silently.

Shen Boshi was astonished to see that the Radial artery puncture was already done; Zheng Ren performed Cross-hand operation, not only had the Microguidewire been fully placed, but the Microcatheter had also been inserted somehow. However, the motion stopped there, obviously waiting for him.

Has it already reached the position? Shen Boshi felt a bit dazed.

"High-pressure injector." Zheng Ren glanced at Shen Boshi, seeing him a bit dazed, slightly displeased, and said in a low voice.

"Uh……" Shen Boshi dared not drift off, immediately took the other end of the Microcatheter and connected it to the high-pressure injector.

As the high-pressure injector was opened, Zheng Ren immediately began stepping on the pedal.

The signal transmitted to the monitor opposite the operator; Shen Boshi was astonished to find that the Microguidewire happened to be located on the inner upper wall of the proximal segment of the ICA bulge.

The ophthalmic artery mostly originates from the inner part of the proximal segment of the ICA bulge. Being able to blind-puncture, the Microguidewire's position happened to be just right there; just this tiny detail made Shen Boshi's just-arisen anger instantly turn to nothing.

Shen Boshi felt a bit guilty, not daring to even look at Zheng Ren.

This isn't bullying; it's my own stupidity.

What they say is right…… If it were our own boss, probably a Hemostatic Forceps would be flung over and smash into me.

In front of outsiders, I must certainly not embarrass Director Kong; Shen Boshi immediately warned himself.

Director Kong cares most about face; if I embarrass him, I might not even be able to graduate.

Gathering his spirits, Shen Boshi was astonished to discover that Zheng Ren had already begun Super-selective procedure. On the image, the ophthalmic artery region was completely blank, proving that area had no blood supply.

What should be done next? Place the catheter for thrombolysis?

"Urokinase, 100ml saline, 300,000 units, prepare for thrombolysis." Zheng Ren said in a low voice.

Shen Boshi completely failed to keep up with Zheng Ren's pace, still thinking.

After waiting a few seconds, Zheng Ren saw Shen Boshi had not moved, and bumped him with his right shoulder, saying, "Call the nurse, prepare the medicine."

"……" Shen Boshi subconsciously tapped the mic, "Prepare the medicine."

Zheng Ren had already closed the line; the nurse opened the Lead door and entered, Zheng Ren said: "100ml saline, 300,000…… give 500,000 units of Urokinase, prepare for thrombolysis."

This dosage is a bit large; Zheng Ren considered that time was pressing, the patient is not old, a short-term large dose of Urokinase impact should not be a big problem.

The nurse acted swiftly, quickly prepared the Urokinase, and installed it onto the Electronic injector.

Zheng Ren stepped on the pedal again, carefully observing the position of the Microcatheter.

"Did you move?" Zheng Ren's voice carried a rare hint of anger.

"Huh?" Shen Boshi was dumbfounded, wondering if he had moved.

At that very moment, the mic in the control room was turned on, and Director Kong's voice came through: "Little Shen, what are you doing! You can't even hold a Catheter steady!"

Shen Boshi was about to cry.

Did I make a mistake? No.

Laying out the forms, scrubbing hands, putting on sterile gown—everything was by the book.

Yes, he didn't make a mistake, but his various operations couldn't keep up with Zheng Ren's speed.

Zheng Ren was like a Ferrari at full throttle, while Shen Boshi was like a thirty-year-old broken Jetta; he completely couldn't keep up with Zheng Ren's speed, to the point that unconsciously he moved the Microcatheter a bit, forcing the Super-selective procedure to be redone, wasting at least several minutes.

Zheng Ren said nothing, didn't complain, continued stepping on the pedal, and re-performed the Super-selective.

After the Super-selective was completed, the thrombolysis injector injected a high concentration of Urokinase into the Blood Vessel ahead of the ophthalmic artery.

Zheng Ren handed the Microcatheter to Shen Boshi, instructing: "The Microcatheter must not move; if it moves, we'll have to redo the Super-selective, which is very troublesome."

Shen Boshi burst into tears, I know…… just now…… who the hell knows what's going on.

In Interventional surgery, Shen Boshi has also done plenty, at least at an expert level. But compared to Zheng Ren, this is utterly incomparable.

If it were a routine Outpatient procedure, with Zheng Ren slowing his hand speed a bit, Shen Boshi might be able to keep up with his operations.

But Lin JiaoJiao has an ophthalmic artery occlusion; the shorter the recanalization time, the better. Zheng Ren had his hand speed fully open, and Shen Boshi hadn't expected Zheng Ren's hand speed and surgical proficiency to be so high, leaving him dazed all at once.

"Director Kong, what do you think?" With Shen Boshi supporting the Catheter, Zheng Ren with his arms crossed, entered the control room and asked.

"There is a blockage ahead; thrombolysis can be effective. But high molecular weight hyaluronic acid will not dissolve." Director Kong furrowed his brow as he said.

If it were a thrombus blockage, it wouldn't be this complete in a short time. It is estimated that during the hotel discussion of the condition, Zheng Ren's statement is correct.

Part of the hyaluronic acid entered the ocular artery; high molecular weight hyaluronic acid blocked the ocular artery, leading to ischemia of the retinal artery.

This... is troublesome.

"You, can you undergo Shou Bing?" Zheng Ren nodded, but then immediately looked at Su Yun.

"It's just one jin of alcohol; I feel nothing at all." Su Yun blew the black hair from his forehead, handsome as hell.

Zheng Ren didn't continue speaking, but instead looked at Director Kong.

Director Kong hesitated for a moment, but still nodded.

"Scrub up, go on stage." Zheng Ren immediately said.

◈

End of Chapter

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