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Chapter 438: 430 I'm Here to Study

~7 min read 1,263 words

"Hurry up!" Zheng Ren said impatiently while treating the laceration of the left liver lobe.

This kind of attitude is the usual tone senior doctors use to look down on juniors during emergency resuscitation.

As a senior doctor himself, Gao Shaojie is very familiar with the feelings of those undergoing surgery.

He never expected that after earning his doctorate at Columbia University, he would one day hear someone scold him like this.

But they're right.

Gao Shaojie had no retort; even an angiography would take three to five minutes to place the catheter, yet who would have thought that a right hepatic lobectomy would be faster than his own angiography!

This Chief Zheng truly lives up to being the inpatient chief of the Emergency Department.

Performing interventional surgery……is just his side job……

Gao Shaojie was speechless; he could only focus more on the surgery. Having already been silently rebuked, did he still need to be pointed at and scolded? He couldn't afford to lose face before that person!

Finally, the microcatheter reached the target position.

"Chief Zheng, I'm about to cross the line," Gao Shaojie announced.

"Hmm." Zheng Ren had finished suturing the liver laceration and began checking for any other bleeding points.

Crossing the line, the microguidewire and microcatheter were advanced further, super-selectively positioned, and angiography began.

A small amount of contrast agent leaked from the sutured edge of the left liver lobe, which is normal, and Zheng Ren paid no attention.

The caudate lobe had a tiny opening that oozed a little contrast agent.

Zheng Ren simply sutured it shut.

After exploring the entire abdominal cavity, with the help of interventional angiography, no active bleeding was found; they irrigated and closed the abdomen.

At that moment, the nurse who had drawn blood came running back, arms full of blood bags.

"Hey you, go warm up the blood," Zheng Ren said.

"Okay." Gao Shaojie felt nothing wrong and instantly adapted to the role of a junior doctor.

It had been years since he felt this way; although the one giving orders was a young inpatient chief, Gao Shaojie didn't feel anything amiss.

They're capable, the surgery is lightning fast! This is the ultimate badass thing—what's there to argue about?

Besides, he was preparing to learn TIPS surgery from Chief Zheng; sooner or later he'd be a junior doctor anyway, so he didn't mind this moment.

He pulled out the tube and had Wang Qiang apply pressure to stop the bleeding.

Actually, the patient's condition didn't require compression at all—there was hardly any bleeding. But that was for now.

If they waited until resuscitation succeeded and the patient's blood pressure rose, bleeding would soon occur.

Gao Shaojie stepped down, removed his sterile gloves, took several bags of fresh frozen red blood cells from the circulating nurse, warmed one bag with his body and another with his hands.

"Boss, what about the chest cavity?" Su Yun asked in the form of a question, but his meaning was already clear.

"Change position, prepare for thoracotomy," Zheng Ren said.

The surgery was lightning fast—hepatic resection, hemostasis, exploration, and abdominal closure took less than half an hour in total.

Gao Shaojie had grown numb to it.

What general surgeon wouldn't know how to perform a thoracotomy? He simply didn't bother with such things.

Their TIPS surgery is still world-class; isn't opening the abdomen and resecting the liver just as fast?

Zheng Ren and Su Yun turned the patient onto the left lateral position, then redid the sterilization and laid down the drapes.

"Boss, what about the gaha?" Professor Rudolf Wagner's voice came from the operating room doorway.

"Prepare for thoracotomy," Zheng Ren replied perfunctorily, his tone dripping with perfunctoriness and impatience.

But the professor didn't feel that way at all, and bluntly said: "Boss, just now you did radiofrequency ablation..."

"Shut up and step aside to wait for the patient to be lifted!" Zheng Ren snapped.

Gao Shaojie finally felt more balanced; it seemed Chief Zheng still considered him usable. They dressed down the German professor like scolding a dog.

Professor Rudolf Wagner felt helpless, walking dejectedly to the operating area, muttering as he went that it was a waste of life and such.

However, he merely muttered under his breath, never daring to let Zheng Ren hear it.

Su Yun glanced sideways; Zheng Ren didn't know from when, but whenever a major resuscitation occurred, his aura would surge.

"Fugui'er, come back," Zheng Ren suddenly said.

Professor Rudolf Wagner's face lit up with delight; he immediately turned and briskly walked to Zheng Ren's side, saying as he walked: "Boss, just now the radiofrequency..."

"Go warm up the blood," Zheng Ren said coldly.

"Pfft..." Su Yun couldn't help but laugh.

"Hurry up," Zheng Ren urged when he saw the professor stunned.

"Back where we're from, machines do this sort of thing," Professor Rudolf Wagner said, unwilling but still obediently taking a bag of fresh frozen red blood cells and warming it with his hands.

"Zheng Ren, shall we open the chest?" Xie Yiren asked sweetly.

"Hmm. Prepare the thoracotomy pack," Zheng Ren said, his tone instantly softening considerably.

Compared to his tone with the professor, the difference was worlds apart, causing everyone to glance askance.

Xie Yiren didn't notice, gave a crisp acknowledgment, and then went on to prepare the supplies skillfully.

Under the pressure infusion system, bag after bag of blood was pumped in, and the patient's blood pressure began to show.

With the position set, Xie Yiren's side had already changed into clothes, standing beside Zheng Ren at the patient's leg.

He reached out, and the knife handle slapped into his hand.

It felt great to have an instrument nurse.

They made the skin incision, performed blunt dissection, used electrocautery for hemostasis, and opened the chest with a retractor.

They told Chu Yanran to switch to single-lung ventilation, collapsing the right lung to expose the field of view.

The patient had five fractured ribs, a defect in the right lower lung, and damage to the diaphragm.

This was nothing; Zheng Ren had the circulating nurse call thoracic surgery to send down rib clamps.

Repaired the lung rupture wound, repaired the diaphragm, checked the bleeding point, all done, Thoracic Department Inpatient Chief Cao Guozhen panting grabbed the rib forceps and rushed to the emergency operating room.

"Chief Zheng, you're doing our thoracic department's emergency again, give me something to eat." Cao Guozhen said, half-serious, half-joking.

"Thoracoabdominal combined injury, the right lobe liver laceration can't be sutured, otherwise you come?" Su Yun directly retorted.

"..." Cao Guozhen dare not offend this little master. If we really start spraying, whether we can out-spray or not aside, going back we'll be beaten to death by the little nurses in the department.

"Thanks, Chief Cao." Zheng Ren said lightly.

"Chief Zheng, don't be polite." Cao Guozhen said, dumping the rib forceps from the sterile package onto the instrument table.

He glanced sideways, there were two more strangers in the room, he glanced at Gao Shaojie, his eyes conveyed a question.

"What are you doing, you shifty-eyed rat?" That's the Deputy Chief of the Intervention Department at Medical University Affiliated Hospital, Gao Shaojie. Su Yun's mouth never utters pleasant words.

Cao Guozhen knows his conduct and doesn't mind.

Huh? Medical University Affiliated Hospital? Intervention Department Deputy Chief?

"Teacher Gao, Greeting, are you here for the Flying Knife?" Cao Guozhen greeted with a hearty smile, very sociable.

"I'm here to learn surgery from Chief Zheng." Gao Shaojie smiled and said frankly.

"..." Cao Guozhen spat a mouthful of old blood onto the ceiling.

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End of Chapter

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