Chapter 2764: 2566 Changing Person Makes One Doubt Life (Alliance Leader Instant Noodles Flying Plane Bonus Chapter 1)

"Zheng Lao Ban, awesome!" Director Qiu said. This time it wasn't empty flattery; he was speaking the truth.

Yesterday we removed a free-floating Kocher needle; the case was just unusual, so you couldn't tell whether the surgery was good or not. Uh… the free-floating adhered Kocher needle was indeed handled skillfully, but that's all it was—just skillful.

But today Zheng Lao Ban stopped the chest closure, almost causing an unpleasant scene. Director Qiu now calmed down, reflecting on what just happened, and the more he thought about it, the more he admired him.

The ECG waveform is related to the radial artery pressure wave—no one denies that. But few can see it; even knowing just the basics counts as a pretty good anesthesiologist.

That doesn't matter; what matters is that Zheng Lao Ban spotted it several minutes ahead and could confidently and firmly stop the surgery from continuing.

If he had no confidence, would he dare tell the surgeon to reopen the chest bone that had already been wired shut?

If opening it again caused no problem for the patient, this would spread far and wide, affecting Zheng Lao Ban's academic standing.

He must be confident; it's a difference in realm. Director Qiu felt moved. Zheng Lao Ban so young could win a Nobel Prize—indeed, fame has its reason.

"Zheng Lao Ban, how did the valve obstruction happen?" Director Xu asked doubtfully, "I paid attention to everything I should have, yet I didn't expect a valve obstruction."

"It's fine; surgery always has various abnormalities. I also noticed that during your operation you paid attention to key points—for example, worrying about the suture causing valve obstruction, you looked twice and then observed for 3′12″, which is already very careful."

Zheng Ren said with a smile.

Director Xu felt grateful, but then a sense of solemnity rose deep inside him.

Did Zheng Lao Ban even notice that I observed for 3′12″? I only remember observing for two or three minutes, but if you asked Director Xu to say how long he looked, he wouldn't know.

"Furthermore, the biological valve itself or tissues/foreign objects affecting its activity can cause obstruction. I see you also noted this, so we can rule it out."

"As for thrombosis causing valve obstruction after cardiopulmonary bypass, I checked the drug dosage—no problem." Zheng Renyi said while glancing at the machine readouts.

"Then…" Director Xu asked doubtfully.

"It's a problem inherent in the patient's physiology and anatomy, unavoidable. That's why our work is risky—even if you notice everything, you might still not avoid it. In 912, the urology department performed a transurethral prostate resection; our director was extremely careful, yet an explosion still occurred during the operation, rupturing the bladder."

Upon hearing this, everyone felt deeply moved.

Even with extra caution, you can only reduce the chance of secondary injury; you can never completely avoid it. Since humanity hasn't fully understood its own body, trying to avoid all complications is like talking in one's sleep.

Zheng Lao Ban discovered and avoided the problem without arrogance, simply listing the points and even going over Director Xu's many details—this person is truly not ordinary.

"Zheng Lao Ban, Doctor Su, how did you two discover it?" After Director Qiu repeatedly remarked that Zheng Lao Ban was not ordinary, he raised this question of interest.

"Director Qiu, if you were on the operating table, how would you judge?" Su Yun countered.

"Intermittent or persistent dissociation between the ECG waveform and arterial pressure monitoring, with only a pressure wave every few ECG cycles and the pressure wave gradually flattening, is a reliable basis for diagnosing acute mechanical valve dysfunction." Director Qiu said.

"Yeah, the initial fluctuation isn't obvious, but if you look closely, you see 0.8 waveform separations per minute. Perhaps it's machine interference or measurement error, but you still need to observe more." Su Yun laughed.

In less than a minute, Director Qiu sighed, realizing he couldn't detect this situation. Even if he did, he couldn't firmly tell the surgical chief to redo the work.

In the end, Zheng Lao Ban is still awesome!

"At first you definitely couldn't tell that the valve obstruction was due to mitral valve chordal rupture; at this point the anesthesiologist must make a quick judgment." Zheng Ren smiled.

"Rule out whether the radial artery pressure line is patent, whether the patient has severe left ventricular failure, whether volume is deficient, whether vasodilator dosage is appropriate, whether anesthesia is too deep, and whether there is fish protein allergy."

"I just took a look—everything's fine, so we can only wait or directly reopen the chest to see the situation." Zheng Ren said: "Because I'm a surgeon, I'm more aggressive. Rather than chatting at the operating table, it's better to open up and look directly at the heart. This is the strongest evidence; if direct vision shows a problem, then it's confirmed."

"What if there's no problem?" Director Qiu asked doubtfully.

"Just close the chest—do you really want to leave it open like watching a movie?" Su Yun said.

""

Director Qiu was speechless—so simple?! Indeed, after a second sternotomy, if there's no issue you definitely have to close the chest. But at that point the anesthesiologist has to face the surgeon's wrath!

Boundless fury!

Interfering with the surgery yet unable to explain why—will they still have any face left?

Seeing Director Qiu's outward expression, Zheng Ren knew what he was thinking and gently said, "Director Qiu, we in medicine shouldn't take risks just for face."

Director Qiu took a deep breath, regarding Zheng Lao Ban's words……

"Boss, only you would dare say that. It's not about face, it's about credibility. This misjudgment—what will the surgeons think? If something goes wrong next time, crying 'wolf' too often will make nobody believe you." Su Yun directly retorted.

These words hit Director Qiu right in the heart.

Never mind the past when we assigned Old Bao a table—we couldn't afford such a blunder; even now, assigning a table to an equally senior surgeon, we can't allow a mistake. Once credibility is lost, no one will listen to what we say.

"Don't mind him, Director Qiu." Su Yun continued, "In his past life he saved the whole universe; every judgment was right, his luck's nothing to complain about—it can't be copied. If we could copy it, we'd just paste it, and everyone's luck would be this good."

"This is rich clinical experience." Zheng Ren thought of the system operating room and emphasized the phrase.

"What clinical experience? I saw the waveforms didn't match just now. If you say we should simply rule out machine power interference, I'm the first to object." Su Yun said.

Zheng Ren chuckled; this guy is capable enough to dare question himself—no matter how many setbacks, his persistence can't be extinguished.

Replace him with someone slightly less capable, and they'd start doubting life itself—just like Director Qiu.