Chapter 64: with translation of chapter title

"The surgery has progressed to this point, and the doctors in the Xinglin Garden can all understand it." No Chinese.

"【3】 Contains: surgery, Xinglin Garden." Good.

"Whether one can do it is one thing, but if you can't understand, that's going too far." Good.

No glossary terms.

"This basic quality is still possessed by many doctors who have formal medical training." Good.

No.

"Next we should remove the stones, everyone thought. Indeed, having already opened the common bile duct, the next step is to cut open and extract the stones to relieve the patient's obstructive jaundice symptoms." Good.

"No glossary terms (maybe common bile duct not in list)." Good.

"Zheng Ren reached out and slapped a specially made stone forceps into his hand. This is standard equipment in the operating room, though it's rarely used. Xie Yiren has been watching Zheng Ren's movements, and whenever he needs it, the appropriate instrument is passed to him." Good.

"【11】 Contains: Zheng Ren, operating room, Xie Yiren." Good.

"In the live broadcast room, many people feel envy and jealousy." Good.

No.

"Look at their instrument nurse, truly skilled. Look at our own, each one has a worse temper than the last; for such an unconventional maneuver as passing the stone forceps, you can only know if reminded." Good.

No.

"In many cases, only after being reminded do they discover that the stone forceps aren't even set up, and they have to send the circulating nurse to the sterilization room to fetch a sterile stone forceps pack." Good.

No.

"Going back and forth just wastes a few minutes; how could the operator in the live broadcast be so relaxed and carefree?" Good.

"【19】 Contains: minutes." Good.

"What's worse, the stone forceps aren't even sterilized……That's practically a nightmare!" Note: we used two dots? The original had four dots? We used two dots and then three dots? We'll keep as "……" maybe but that's not Chinese. We'll keep as "……". It's fine.

No.

"Envy aside, life still has to go on." Good.

No.

"The forceps go into the common bile duct, one piece, two pieces, three pieces…… Wait, why is the solid shape so strange? Could it not be stones?" Good.

No.

"【In my years of clinical experience, it looks like parasites in the bile duct.】" Good.

No.

"【With many years of clinical experience, what are you bragging about? Senior directors with lots of clinical experience don't even know how to get onto Xinglin Garden.】" Good.

"【29】 Contains: Xinglin Garden." Good.

"【I'm 59 this year, counted as a senior director with extensive clinical experience, but I keep up with the times—do you have a problem with that?】" Good.

No.

"In the Xinglin Garden live broadcast room, the topic went off track instantly." Good.

"【33】 Contains: Xinglin Garden." Good.

"However, judging from the strange shape, it certainly doesn't look like a simple gallbladder stone." Good.

No.

"After removing stones from the gallbladder duct and left and right hepatic ducts, the operator in the live broadcast began flushing

No.

Then, the surgery, which is rare, began to pause.

Contains: surgery.

Hey hey, is the livestream lagging? If you see the bullet comments, please reply.

No.

I feel the same; seeing your call lifts my spirits.

No.

It's not lag; the surgeon is preparing the next equipment, likely a cholangioscope.

No.

After confirming it wasn't a network or livestream problem, the unusually rare suspension of the surgery sparked countless comments.

Contains: surgery.

Everyone wondered what had happened.

No.

Maybe they went to have diarrhea; I once had acute enteritis, and after an appendectomy I went to the bathroom eight times, each time having to scrub my hands and change clothes. After scrubbing, I felt the urge to go again. That harrowing experience still feels suffocating when I recall it; I could use some comfort.

Contains: appendectomy (appendectomy). Also possibly surgery? It says "one appendectomy surgery". That's appendectomy plus surgery. But we have the term appendectomy.

Perhaps they are opening the gallbladder to check for any cancerous changes.

No.

Perhaps the surgeon fainted.

No.

Among hundreds of comments, everyone was chatting lively, yet no one worried about the surgery.

Contains: surgery.

Joking aside, just their skill in blunt dissection and anatomical knowledge suggests the surgeon is probably a professor in their sixties, possibly unable to perform a grade‑three surgery.

Contains: blunt dissection, surgery.

In the operating room, Zheng Ren halted and had Chu Yan zhi open the instrument he had purchased from the system mall, place the fiberscope on the tray, and then put on the connector himself so he could view the fiberscope's image with his own eyes.

Contains: operating room, Zheng Ren, Chu Yan zhi, system mall.

Chu Yan zhi and Zheng Ren are both 172 cm tall. To place the connector on Zheng Ren's head, she fetched a stool.

Contains: Chu Yan zhi, Zheng Ren.

Thus we have Chu Yan zhi, Zheng Ren."

"Director Zheng, where did this instrument come from?" Chu Yan zhi had observed similar surgeries at West China, but had never seen this instrument before.

Contains: Director Zheng, Chu Yan zhi, West China, surgery.

"I made it myself." Zheng Ren's one sentence killed the conversation.

Contains: Zheng Ren.

"Stingy." Chu Yan zhi said crossly: "You never tell me what you need; why won't you just tell me?"

Contains: Chu Yan zhi.

Zheng Ren also felt helpless; he couldn't tell Chu Yan zhi about the system mall. If he fabricated a place, what would she do if she went shopping there? It's better to just brush it off.

Contains: Zheng Ren also, Chu Yan zhi, system mall.

Suddenly his thoughts raced like an unleashed wild dog; if a woman had a system mall, wouldn't she reap big rewards on Double 11?

Contains: 系統商城.

After fitting Zheng Ren with the equipment, Chu Yan zhi said excitedly: "Sis, if the surgery succeeds, we could probably publish an SCI paper."

Contains: Zheng Ren, Chu Yan zhi, surgery.

"It should be possible, or the kind with an impact factor above 3." Chu Yanran sat quietly beside the ventilator, holding the surgery record sheet, calmly observing the various data displayed on the ventilator and monitor, thereby adjusting the medication dosage.

Contains: Chu Yanran, influence, quiet, surgery.

Only during surgery do the Chu sisters behave completely differently.

Contains: surgery, Chu sisters.

Zheng Ren doesn't understand; is this some rare way to tell the twins apart?

Contains: Zheng Ren.

The image in the Xinglin Garden livestream flickered, then switched to the fiberscope's view.

Contains: Xinglin Garden.

Whoa, it's an electronic fiberscope!

No.

High‑end; we here constantly flush with a 5‑fr urinary catheter to check for any residual stones.

No.

I have a professor who uses a fiberscope, but it's rarely used; many people struggle with it, especially using forceps under the fiberscope to extract tiny residual stones—such microscopic work is practically on par with neurosurgery.

No.

As the camera moved inward, the image made the livestream atmosphere turn solemn.

No.

The comments faded as usual; everyone stared in shock at the white threads attached to the bile duct wall, all astonished.

No.

Damn, it's not gallstones but parasites!

No.

Those white threads are definitely not pus from inflammation; they are slender parasites attached to the cystic duct.

No.

Most of the removed stones are also parasites encased in inflammation secreted by the body and then calcified.

No.

Who can tell me what to do if we encounter parasites? Waiting online—this is urgent.

No.

A young doctor is messing around in the livestream.

No.

Normally, once someone starts joking, others join in; the same happens in the operating room, and even more so in the livestream.

Contains: operating room.

But this time the livestream was unusually cold; a lone comment drifted from the right to the left of the screen, and no one reacted.

No.

The young doctor wisely fell silent.

No.

All the doctors watching the video livestream had a bad feeling that this surgery might go awry.

Contains: surgery.

Would they just observe it, then symbolically nudge the parasite, see how firmly it's attached, realize removing it could damage the bile duct lining, and then give up?

No.

This possibility is extremely high!

No.

Even without being able to see the masses of white‑thread‑like parasites up close, everyone felt satisfied.

No.

Moreover, most people have blind faith in the livestream's surgeon, believing he can do anything; since he dares to go live, he would have anticipated this situation.

No.

Recalling the period when Shou Bing paused, many doctors began to be astonished.

Could it be that the practitioner has already diagnosed the patient as having a parasitic bile duct obstruction, and the Surgical Instruments are already prepared?

Even if they are prepared, there's nothing that can be done about it.

So far, the parasite removal Shou Bing is still only in the preliminary trial stage. After all, the likelihood of parasites appearing in the population of developed regions is low, and most parasitic diseases occur in Feizhou.

Moreover, expecting some medical expert to specially research the Shou Bing technique for extracting parasites...... is basically impossible.

Even if the doctors are willing, out of great love and boundless compassion, those medical equipment companies that are profit-driven also refuse to independently design a set of equipment for use in Shou Bing, right?

Even if it is designed, the purchasing power in Feizhou is also very limited.

So far, this Shou Bing has evolved from the "simple" obstructive suppurative bile duct incision and drainage procedure into an unknown technique.

What exactly should the practitioner in the livestream do to complete this Shou Bing of unknown difficulty?

Or is he just wanting to observe a bit and then give up?