Chapter 436: 428: Few People, Many Procedures

Gao Shaojie immediately got up and ran.

As a doctor, the reaction when encountering an emergency is always the same.

Adrenaline surged, the crackling of high-energy phosphate bonds breaking inside the body sounded as if right beside the ear, clearly audible.

He quickly ran to the elevator, saw the gurney just entered, and followed it in.

Inside the elevator, the cramped space made the bloody smell thicker, thick enough to make breathing difficult.

Gao Shaojie glanced at the ECG monitor on the gurney: blood pressure unmeasurable, heart rate 160/min, oxygen saturation 80%.

Hemorrhagic shock, at the very least, Gao Shaojie had his own assessment.

That technician... was he pinching the patient's hepatic pedicle to reduce bleeding as much as possible? There's hardly any blood left to lose, right?

Su Yun knelt on the gurney, a few drops of fresh blood staining her black hair at the forehead, yet she remained stubbornly, firmly fluttering.

"Boss, you want a hybrid surgery?" Su Yun on the gurney asked calmly, completely without panic.

"The liver suffered massive crush injury, shattered to pieces." Zheng Renye replied just as calmly: "We need interventional surgery to precisely locate the bleeding, then preserve as much liver as possible."

"..." Gao Shaojie stared, stunned.

This is practically a corpse—can it still be saved?

"The OR has prepared the chest bottles, right?" Zheng Ren asked.

"Yes." Su Yun replied briefly, because the elevator had reached the third-floor OR.

Gao Shaojie helped pull the gurney out of the elevator, sprinting toward the OR.

Though called "mad dash," the speed wasn't particularly fast.

After all, someone was kneeling on the gurney staunching bleeding; if we jolted and flung the technician off, what then?

The technician is young; a fall wouldn't matter, but he's holding the patient's hepatic pedicle.

If too much force is applied, the hepatic pedicle tears, and the patient is truly done for.

"Director Pan, emergency, John Doe, liver rupture, blood pressure unmeasurable, I'm going into surgery." Zheng Ren finished the last call and walked into the OR.

No Xie Yiren, only a circulating nurse bustling about inside.

The surgery downstairs probably isn't finished yet.

They lifted the patient onto the operating table; the circulating nurse moved with a blur, trotting along and muttering busily.

Su Yun gripped the hepatic pedicle, watching Zheng Ren scrub up, don lead clothing, disinfect, and chuckled: "Boss, aren't you especially unaccustomed to this?"

Zheng Ren ignored him, disinfecting as fast as possible.

"What procedure?" Su Yun, seeing Zheng Ren ignore her and feeling bored, dropped the joking attitude and asked seriously.

"Open the abdomen, explore, and simultaneously perform interventional angiography to find the bleeding vessel." Zheng Ren said.

Half a bottle of povidone-iodine, several soaked gauze pads, a hasty disinfection—Zheng Ren immediately began laying out the surgical drape.

He deliberately left the right femoral artery exposed, for use in the interventional angiography.

"Boss, you're really bold—just the two of us, how many procedures are you planning? You can't use me like this." Su Yun's tone made one want to fling the disinfectant tray at his head.

"No problem, I can do it." Zheng Ren said: "Even if I can't, I have to; the liver is ruined, just doing a hepatectomy won't suffice."

After laying the drape, Zheng Ren scrubbed again, donned a surgical gown, and stepped up onto the table.

He didn't let the circulating nurse come up; instead he stood in the first assistant's spot, acting as the instrument nurse, clamping the blade with a hemostat and attaching it to the handle.

After disinfecting and drying, following the previous wound, he made one incision, cutting a 15 cm surgical opening.

Zheng Ren then used the disinfected tourniquet to make a sheath, wrapping it around the patient's hepatic pedicle with appropriate tightness, freeing Su Yun's hands.

Su Yun immediately went to scrub up and disinfect.

Gao Shaojie came over to look, his heart filled with shock.

The patient's right liver lobe hardly existed anymore—shattered into fragments that couldn't be pieced together.

The left liver lobe also had partial rupture.

If only the right lobe were pulverized, simply removing it would suffice.

But since the left lobe is also injured, does that mean we have to remove it all?

"Su Yun, hurry up—I need to do the angiography." Zheng Ren shouted.

Although Su Yun was already about to take off, Zheng Ren still looked down on her.

"Chief Zheng, may I try going up?" Gao Shaojie volunteered.

Haicheng Shi Yiyuan has only two people; we must do both surgery and interventional procedure, while downstairs another surgery is wrapping up—busy as hell.

Standing here watching at this moment is inappropriate.

Although not filed with the Medical Department, although not invited, despite all the irregularities, Gao Shaojie still stepped forward to help.

"Who are you..." Zheng Ren hesitated.

This guy has already forgotten who Gao Shaojie is.

"..." Gao Shaojie speechless—turns out, in Zheng Ren's heart, I'm merely an insignificant extra...

No, not even a bit part—just a background extra.

The kind that brings their own boxed meal.

"Chief Zheng, important people forget things." Gao Shaojie gave an embarrassed laugh: "I'm Gao Shaojie, Deputy Chief of the Intervention Department at the Medical University Affiliated Hospital."

"Oh oh, then it's trouble for you." Zheng Ren didn't stand on ceremony and immediately agreed.

If Professor Rudolf Wagner were here, that would be great—unfortunately this patient arrived at the worst time; not only is it after hours, but they're also rushing to do radiofrequency ablation over there.

Zheng Ren also felt helpless.

As for this doctor claiming to be the Deputy Chief of the Intervention Department at the Medical University Affiliated Hospital—whether or not he is, if he can't do the surgery well, a kick will send him off the table.

Whether good or not, a single puncture is enough to judge.

Now the patient's blood pressure is nearly zero; successfully placing an arterial sheath is something an ordinary doctor couldn't do.

"The lead clothing is over there—put it on, hurry!" Zheng Ren didn't stand on ceremony; he just shouted.

Su Yun scrubbed hands, didn't wear a surgical gown, and instead first placed a closed chest tube in the patient's right chest wall between the 6th and 7th ribs.

Gurgling gas was drawn out, bringing dark‑red blood.

"Chu Yanran, once the anesthesia is done you go out first." Zheng Ren said.

Chu Yanran shook head and said, "Occasionally eating some thread, no problem."

Anesthesia is already finished, the double-lumen tube has long been inserted, but the patient's blood pressure and heart rate have problems; as an anesthesiologist, they dare not leave.

Zheng Renye didn't insist either, saying, "Go put on lead clothing."

"Mm." Chu Yanran went next door to get a lead clothing and put it on.

The lead clothing is very big, hanging on Chu Yanran's body, swaying, making one feel Chu Yanran's small frame could be crushed at any moment.

"Get blood! Find an emergency department nurse to wait for blood, hurry!" Zheng Ren shouted.

The circulating nurse was already busy to the point of confusion, put in the gastric tube and urinary tube, prepared a sterile pack, prepared a chest bottle for Su Yun, just about to prepare negative pressure suction, hearing Zheng Ren's shout, promptly agreed.

Everything is important, but there's definitely not enough staff.

Wang Qiang put on lead clothing along with Gao Shaojie, originally intending to be Gao Shaojie's assistant.

Seeing the circulating nurse busy to no end, they said: "I'll take care of this side; if you don't understand something, ask me. You go urge blood!"

"Who are you?"

"Eryuan Intervention Department Deputy Chief Wang Qiang."