Chapter 666: with translation of chapter title
"Boss, I feel I must be overly tired." Su Yun's voice sounded like a haunting.
Zheng Ren knew that since yesterday he had been in a state of tension and excitement, plus the freezing rain on the night road; upon arriving at South River Town he had been engaged in tense rescue all along, even an ironman couldn't endure.
Su Yun was still okay; those students had already exhausted all their energy. Really couldn't endure, so they found a spot to nap, woke startled from sleep, got up and continued search and rescue.
"If you're tired, just sleep a bit; anyway, doing Shou Bing with an incision, there's not even a retractor, so you're not needed." Zheng Ren trudged through the rain curtain looking for Zhao Yunlong's figure.
"Hearing you say local anesthesia for splenectomy and liver repair, I think I must have schizophrenia." Su Yun's eyes lacked luster, his black long hair limp and wet, sticking to his handsome face.
"Hmm, schizophrenia isn't bad either." Zheng Ren offhandedly agreed, "At least when you encounter something, someone can discuss it with you. If you could split into a dozen personalities, plus a few girls, you could chat with yourself till the end of time."
"..." Su Yun cursed inwardly, Zheng Ren this guy really is otherworldly. How long has he been tossing about, how does he still have abundant energy?
His way of speaking remained unpleasant, and he was absent-minded.
Su Yun truly had no energy to argue with Zheng Ren; his brain felt like it had shut down, besides sleeping he didn't want to do anything.
"I'll go rest a while, half an hour." Su Yun swayed his shoulders, lacking any vigor.
Zheng Ren led Su Yun to a shady spot under a tree, took off his outer coat and threw it to him.
Su Yun wasn't polite either; although all his clothes were soaked, a little extra still helped keep warm.
His inner sweater had kept the newborn warm; now beneath his camouflage uniform was a vacuum, chilly.
If another freezing rain came, he'd likely freeze to death in his sleep.
Visibility was poor, so Zheng Ren raised his voice shouting to find Zhao Yunlong.
Soon, a tall figure broke through the rain curtain, hurrying over.
"Chief Zhao, the critically wounded can't hold on; I want to perform Shou Bing on them." Zheng Ren didn't waste words; at this time, any talk only served to drain the little energy left.
"Shou Bing?" Zhao Yunlong looked especially irritated, his forehead swollen, bleeding, eyes bloodshot, full of red veins, "What Shou Bing are you using?"
"Local anesthesia, I still have an incision pack." Zheng Ren said: "The incision can be flushed and reused. At this point we can't consider too much."
Zhao Yunlong remained silent, sharing Su Yun's thought, wondering if he had misheard.
"Find syringes, lidocaine, gauze; that's all." Zheng Ren wasn't consulting Zhao Yunlong, he was informing him.
At the scene, Zhao Yunlong was the oldest and held the highest rank, so after arriving he had been in charge of directing rescue operations.
Medicines were scarce; every item had to be carefully budgeted for future needs.
"Comrade Zheng Ren..." Zhao Yunlong hesitated a moment.
He knew the condition of the critically wounded: lacking medicine and drugs, severe hemorrhagic shock, even the most ordinary saline solution was only carried in small amounts.
Blood volume was severely insufficient; enduring would still mean death.
Let's give it a try; what if Zheng Ren really had a method? Zhao Yunlong immediately made up his mind.
Although Zheng Ren's suggestion sounded unreliable, at least it was a proactive measure, and currently the only viable option apparent.
Let's try; if it fails, that's fate.
Zhao Yunlong called over a few young trainees and lifted a critically wounded person into the tent.
Normally nobody would pick up the plastic sheet tossed on the ground, but now it's a precious strategic resource, covering only the critically wounded. As for the others, they can huddle under the twisted trees for warmth.
There's also nothing much to prepare; "out of ammunition and food" best describes the current situation.
Zhao Yunlong knew that outside there were undoubtedly countless troops and firefighters, anxious as fire, pressing forward despite aftershocks, mudslides, and flying debris; rescue was merely a matter of time.
But whether these critically wounded could last until then was uncertain.
He sighed, seeing the team bring the critically wounded over, and thus accepted this point.
Zheng Ren began local disinfection; Zhao Yunlong entered the tent and asked, "Chief Zheng, let me help."
"No need." Zheng Ren shook his head.
Zhao Yunlong's eyebrows twisted as if wringing out water.
Zheng Ren didn't explain either; time was pressing, he was also exhausted, mentally drained.
Compared to others, Zheng Ren not only had experienced everything, but also trained in local anesthesia Shou Bing for over ten days in the System Space.
Although his stamina was still sufficient, that deep-seated fatigue could not be wiped away no matter what.
Zhao Yunlong quietly watched Zheng Ren's movements: preoperative preparation, then putting on Gloves, disinfection, holding the blade in his hand, making an 8cm incision, not a millimeter off.
Incising the skin, there was no bleeding.
It wasn't that Zheng Ren's skill was high, but the patient was already in severe hemorrhagic shock; the superficial Capillaries had constricted, the body's self-regulation directed all blood to vital organs.
Blunt Dissection, skilled and swift.
Zheng Ren didn't inject local anesthesia all over; instead, after injecting a small amount at several points, he continued the procedure.
Zhao Yunlong simply couldn't understand Zheng Ren's technique.
He was a doctoral student from a formal program, and also the kind of young talent who had already achieved some standing.
No medical school teaches students to use local anesthesia to perform grade-three or higher Shou Bing; even if a rural barefoot doctor in the past performed local anesthesia Shou Bing, the grading would never reach grade three or higher.
Barefoot doctors only did appendectomies; local anesthesia splenectomy? Never done before, never even heard of.
Zhao Yunlong watched silently; in less than a minute Zheng Ren had performed Blunt Dissection of skin, subcutaneous tissue, fat, and muscle, reaching the peritoneum.
Opening the peritoneum, dark red blood welled out.
Zhao Yunlong finally saw a scene he would never forget—Zheng Ren's left hand reached in, while his other hand occasionally slipped a syringe through the narrow gap to inject local anesthesia.
Zheng Ren spent most of the time using the Hemostatic Forceps in his right hand to assist his left, completing all preparations for the splenectomy.
The patient showed no reaction, lying pale and motionless on the ground.
Could he be dead…? Zhao Yunlong gently felt the critically wounded's radial Artery.
There was a faint Fluctuation; blood pressure estimated around 50 mmHg.
Can local anesthesia really work? Zhao Yunlong somewhat didn't understand. He hadn't learned it from textbooks; the most he knew was acupuncture anesthesia researched since the 1950s.
However, after diluting a vial of lidocaine with saline and using only half of it, Zheng Ren, amidst a pool of blood, extracted the spleen that had a large opening.
Really no need to act as an assistant; even if one wanted to, there was no Operating Field. Zheng Ren was working blindly, using his hands to feel, relying on touch to sever ligaments and cut off the splenic pedicle.
"Zheng... Chief Zheng... have you studied?" Zhao Yunlong stared, dumbfounded.
"Director Pan of Hai Cheng has said several times, he used to be a military doctor." Zheng Ren flung the pot at Director Pan.
"Military doctor? I'm also a damn military doctor, how come nobody ever taught me this kind of Shou Bing?!" Zhao Yunlong thought, bewildered.
End of Chapter
