Chapter 2370: 2375.2289 Exquisitely Detailed Operation

2375.2289 Exquisitely Detailed Operation

"Chief Zheng." Chang Yue led the little girl, standing in front of Zheng Ren.

Seeing the little girl not having the cold aloofness and fear of keeping people at a distance, but instead showing a few more signs of trust, Zheng Ren was also very impressed with Chang Yue. As long as she was willing, it seemed anyone could become friends.

Whether it's the young "mature" little girl in front of us, or the many patients and their families from Hai Cheng back then, they are all the same.

Except for herself as the Medical Team Leader.

Back then she was sent to the Medical Department, which wasn't without reason.

"It's fine." Zheng Ren was thinking wildly in his heart, and said aloud: "Consider it avoidant-restrictive food intake disorder; just correct it a bit."

"What should we do?" Chang Yue asked seriously.

"Now she only drinks porridge every day, gradually turning into food puree, for example yogurt, applesauce, pudding."

After a few days of adaptation, it becomes a coarser-textured food puree, like oatmeal porridge, mashed potatoes, etc. Then she can eat slightly softer solid foods, such as Rice, noodles, bread, potatoes.

"That simple?" Chang Yue looked at Zheng Ren in surprise.

"Not simple at all." Zheng Ren chuckled and wanted to pat the little girl's head, but saw she made a slight dodging motion, but instantly reacted and forcibly stopped.

The little girl's movement was stiff, as if she were full of vigilance against this malicious world. Zheng Ren withdrew his hand, not wanting to stimulate her.

"Wait for her grandfather to come back, sign the Agreement, after the Shou Bing the old man will soon be able to have the tube removed and go home." Zheng Ren withdrew his hand and smiled: "Seeing the patient improve, her problem will also get better quickly. What I just said was a small matter; the main thing is still the Shou Bing."

Although Chang Yue felt Zheng Ren's words were too simple, after all this time, she still had considerable trust in her Boss's diagnosis and treatment of diseases.

Chief Zheng said so, so let's do that.

Zhou Litao was busy; this evening for some reason, the Emergency Department was like a boiling pot. Patients with minor injuries and illnesses kept coming, leaving no time to receive Zheng Ren.

Zheng Ren also didn't have much mind to linger in the Emergency Department.

Fang Lin's patient situation is somewhat special; if we do the Shou Bing tomorrow afternoon, I still need to do several more trainings in the System Operating Room.

The completion of this patient's Shou Bing is less than 95%, Zheng Ren also doesn't dare to directly perform the Shou Bing. Thinking of so many postoperative complications, he gets a bit of a headache.

Chang Yue said she would stay to keep the little girl company, watching her eat.

The night passed without words.

The next day was still normal rounds and Shou Bing; after finishing lunch at noon, Zheng Ren sat in the usual place in the System Library to read.

After 1 p. m. in the Afternoon, Su Yun told Zheng Ren that the patient's son had returned.

The two went up to check the situation, seeing the lawyer of Xinglin Yuan discussing the relevant legal procedures with the patient's son.

He was about fifty years old, with a face full of deep wrinkles; not only dirt, but the wrinkles seemed mixed with concrete debris.

Whatever the lawyer said, he responded meekly; it seems he still has some fear of suited lawyers in his heart.

"Let's prepare for the Shou Bing." Zheng Ren, seeing no problem, then said to Su Yun.

Su Yun saw that the patient's son's appearance differed somewhat from her imagination, and didn't say anything else. After finishing the legal procedures this way, Fang Lin will give the pre-op instructions and then go up.

Lao He had already prepared all the anesthesia-related matters; during the Shou Bing, propofol and analgesics were ineffective, and the preparations for intubation were all ready.

Regardless of whether Zheng Lao Ban can always complete the Shou Bing smoothly, Lao He's preparations are always made as if a major accident might occur, being careful and cautious, like walking on thin ice.

Regarding Lao He's such attitude, Zheng Ren expressed great satisfaction.

After 1 hour 22 minutes, Fang Lin sent the patient to the Operating Room.

With mask anesthesia, Zheng Ren understood that the biggest goal of Interventional surgery is to preserve the patient's lung function. He took a deep breath, steadied his emotions, then waited for the anesthesia to take effect, and began to explore with the Fiber Bronchoscope.

As the probe went in, Zheng Ren discovered that the main lesion was in the left intrinsic upper lobe, while the posterior and anterior distal segments also had small lesions.

After using a balloon to occlude the left upper lobe intrinsic segment, he began to observe the chest bottle.

The bubbles in the closed chest drainage bottle were few, but could not completely disappear; Zheng Ren suspected that the lesion in the left intrinsic upper lobe might have a communicating branch.

Subsequently, he continued to advance the bronchoscope further inside.

On one hand, he wanted to explore as much as possible; on the other hand, he wanted to avoid causing excessive irritation to the patient's airway.

Zheng Ren felt it was extremely difficult.

Even for him, whose interventional level is at the peak, this operation also made him feel a bit of a headache.

Su Yun was assisting carefully on one side, and quickly discovered that the previously anticipated leaking communicating branch ranged from the left upper lobe's lingula, left lower lingula, left lower lobe posterior segment, and left lower lobe anterior basal segment.

The range is too wide; if all were plugged, the patient's respiratory function could not be guaranteed.

Su Yun stared intently at the Charitis system pressure waveform chart, her brows tightly furrowed.

"Boss, what should we do next?" Su Yun asked.

"The Charitis system pressure waveform chart may have a possibility of false positives; in the patient, the pressure waveform of the left upper lobe's posterior and anterior segments is obviously wider than the other subsegments; the main lesion is definitely certain; for confirming the communicating branch, we still need to combine other localization methods." Zheng Ren said lightly, and immediately began testing.

Su Yun focused and cooperated.

He saw his own Boss use a balloon to occlude the left intrinsic upper lobe, using gelatin sponge to occlude the left lingula and left lower lobe posterior segment, then lowered his head to look at the closed chest drainage bottle.

The bubbles in the bottle disappeared; Su Yun immediately explained this to Zheng Ren, ruling out lateral branch ventilation of the left lower lobe basal segment.

Zheng Ren then slowly removed the gelatin sponge from the left lower lobe posterior segment; the bubbles in the closed chest drainage bottle still did not appear, indicating that the lateral branch ventilation of the left lower lobe posterior segment had a minor effect.

The Shou Bing was done very slowly and meticulously; the observation time was longer than the operation time.

Zheng Ren used a one-way valve to occlude the left intrinsic upper lobe, using gelatin sponge to occlude the left lingula; the bubbles in the closed chest drainage bottle completely disappeared.

About half an hour later, he slowly reduced the pressure, removed the gelatin sponge from the left lingula, and no bubbles appeared in the closed chest drainage bottle.

Finally, Zheng Ren implanted only one one-way valve in the left intrinsic upper lobe; the left lingula's communicating branch was not further processed.

Although only one one-way valve was left, the meticulousness of the operation and exploration during the Shou Bing was astonishing.

The entire Shou Bing took nearly three hours; Fang Lin marveled at Zheng Lao Ban's stability and patience.

When the Shou Bing was finally completed, just as at the beginning, Zheng Lao Ban's hands were steady, as if they had never changed.

"Done?" Seeing Zheng Lao Ban remove the tube, Lao He gave medicine, and Fang Lin asked softly.

"Hmm, probably no problem." Zheng Ren looked at the system giving a 98% Shou Bing success rate, and said softly.

Fang Lin saw that the water column in the closed chest drainage bottle fluctuated well, but no bubbles emerged; he also felt a sense of relief in his heart.