Chapter 690: then translation of title

"What is the guidewire?" Zheng Ren asked.

"Cook's."

"Okay." Zheng Ren didn't pick either; he had studied several types of guidewire privately. At his level of surgery, the minute differences in elasticity among guidewires are quite obvious.

There's no good or bad, only differences in how they're used. In those fine details, the magnitude of force, the judgment of angle, the differences are great.

Cook...

"Microguidewire." Zheng Ren reached out.

Director Jiang's motion was a bit slow, and it was a few seconds later before the guidewire was placed in Zheng Ren's hand.

Zheng Ren inserted the microguidewire into the arterial sheath and began to advance along the guidewire.

"Doctor Zheng, at 912, how many times did you perform surgery when you went on stage?" Director Jiang asked.

"Um, I just arrived at 912; previously I worked at Haicheng Shi Yiyuan in Northern Province. I've done quite a few surgeries, don't worry, no problem." Zheng Ren performed cross-hand operation, and without waiting for Director Jiang to react, he added, "Step on the line."

Director Jiang felt as if he had just taken the microguidewire out of its sterile packaging, and not only had the microguidewire gone in, but the microcatheter had been sent in as well—was it time to step on the line?

Intervention Department doctors generally don't like to step on the line too much; although they wear lead clothing, it's still better to ingest as little radiation as possible.

However, he wasn't the assistant; the operator was still a doctor who had come from the front line. Out of respect, Director Jiang didn't question Zheng Ren's words and began to step on the line.

While stepping on the line, he finally recalled what Zheng Ren had just said.

"You just went to the 912 Hospital?"

"Yeah." Zheng Ren lifted his head to look at the screen, but the contrast agent still hadn't appeared.

"Inject the medicine." Zheng Ren said helplessly, really not cooperating.

"That fast?" Director Jiang glanced, then immediately flustered began to inject the contrast agent.

Normally, one places the guidewire in position, then advances the catheter, begins to step on the line, and observes the catheter's position. Only when everything is ready can one inject the medicine.

This guy is something—blind operation, not just going straight with the microguidewire, but also blindly manipulating both guidewire and catheter into the branch of the internal iliac artery. Having gotten to this point in the surgery, Director Jiang could only marvel.

The contrast agent diffused, and Zheng Ren knew what was going on.

Earlier, looking at the pelvic X‑ray, Zheng Ren tried to mentally simulate a three‑dimensional CT image of the pelvic vasculature.

During the last surgery in Nanchuan Town, after experiencing the lethal threat of strong aftershocks, he felt he had made considerable progress and wanted to give it a try. The post‑contrast image before his eyes seemed capable of presenting a three‑dimensional form…

But such an operation really isn't suitable right now; as soon as Zheng Ren thought of it, he felt his head heating up.

He immediately suppressed that thought at the time.

To do such an energy‑consuming thing, wait until returning to the Imperial Capital, where there will be plenty of time. For now, just getting the surgery done well is enough.

"Um…" Director Jiang froze for a moment, habitually lifting his head to look at the screen, about to ask Zheng Ren how many pelvic fracture embolization procedures he had performed.

But before he could finish the thought, he saw the microguidewire already entering a very fine branch of the internal iliac artery.

The speed was so fast that the contrast agent that had diffused earlier hadn't yet dissipated.

Super‑selective this fast? Or just luck? Director Jiang stared blankly for a moment.

In the time he was dazed, the microcatheter also went in.

The operating room fell silent; Zheng Ren stared at the opposite image, focused and earnest. Director Jiang's mind was full of why it was so fast, completely unaware that they had already moved to the next step.

Not to mention super‑selecting a tiny branch of the internal iliac artery; even if… well, never mind, if it were me doing it, I probably wouldn't have finished arterial puncture yet. The patient is in hemorrhagic shock, the femoral artery is as thin as paper; even if I used a syringe to aspirate, I'd have to be careful. Succeeding in three to five punctures would already be pretty good. Thinking and thinking, Director Jiang drifted off again.

After a few seconds of silence, Zheng Ren felt somewhat helpless.

"Director Jiang, it's time to inject the embolic agent." Zheng Ren said helplessly.

"Um…" Director Jiang came to his senses, flustered about to press the contrast agent injection button, when he heard Zheng Ren's voice: "You pressed the wrong button—no need for contrast, just embolize directly."

"…" Director Jiang was completely dumbfounded.

So confident?

This kid is capable; where does this confidence come from?

But Director Jiang didn't voice any objection; instead, he picked up the syringe and began to push the embolic agent.

After the embolization was completed, Zheng Ren continued with super‑selection.

Like an F1 car with the throttle floored, Zheng Ren's hand speed is absolutely something Director Jiang cannot keep up with.

Director Jiang stood on the platform, gradually becoming bewildered.

Not knowing how to do the surgery isn't a big deal after all; after all, crossing specialties is like crossing mountains—expecting a doctor who does cardiac interventions to perform pelvic fracture embolization is a rather unreliable notion.

But not being able to do it wouldn't matter; failing to keep up as an assistant is already going too far.

Gradually, Director Jiang drifted to the side, discovering that this young Doctor Zheng, operating on his own, was actually a bit faster than when working together with him.

This is a rather helpless discovery; Director Jiang felt he had become a superfluous appendage… disliked…

After embolizing the four branch vessels, Zheng Ren was about to withdraw the catheter when Director Jiang wondered aloud: "Doctor Zheng, shouldn't you take an image to have a look?"

"Huh?" Zheng Ren's hand speed surged, he focused intently, and upon hearing that question he was also a bit surprised.

But he immediately reacted, looking at Director Jiang, and said blandly: "Normally one would do imaging to confirm, but it's not that the patient is… less one procedure saves time. I'm fairly certain about this spot; whether or not to image makes no difference."

Having said that, Zheng Ren still proceeded, pulling the microcatheter back to a position before the internal iliac artery branch and began imaging.

Just as he said, there was no contrast leakage, and several severely injured branches of the internal iliac artery were embolized very completely.

The surgery completion rate was 98%, which Zheng Ren had already confirmed. Big Pig Trotter is still quite effective; if not now, when would we use it?!

And the reason the completion rate didn't reach 100% was that the optimal surgical treatment window was missed, not because there was any problem with his own surgery.

Zheng Ren had already grown accustomed to Big Pig Trotter's pickiness.

"Um…" Director Jiang instinctively glanced at the electronic clock in the operating room and found that less than twenty minutes had passed.

Is it over? Is it really over just like that?

Assisting Professor Mu on that side, it seems like one surgery takes about an hour.

Back then, Director Jiang was terrified by Mu Tao's level, astonished to the point of being heavenly.

But faced with Zheng Ren's hand speed and surgery completion rate, all of Director Jiang's senses have grown dull, and he has even begun to doubt life.

It must be that I haven't rested well recently, it must be. These aren't real... How nice it would be if these were real... Director Jiang is conflicted, dazed.

"Director Jiang, have someone send the patient down, then bring the next patient up," Zheng Ren said.

"Oh... okay, okay." Director Jiang felt his heart heavy, thinking he hadn't helped at all, completely wasting a bottle of purified water for hand washing and a set of sterile gown.

By the way, there was also a pair of sterile gloves.

"Boss, your hand speed is impressive." The airtight lead door opened, and Su Yun walked in to help lower the patient, saying with a smile.

"Well, the last surgery was underground in the ruins; when the aftershocks first came, I was a bit scared. Then I thought, fear is useless—you don't need to run from minor tremors, you can't escape major ones, and if you die, you die. Afterwards I focused on the surgery, as if I had grasped some kind of key," Zheng Ren said.

Ruins... surgery... death...

Several key words flashed through Director Jiang's mind like a violent aftershock, roaring in his heart.

He couldn't help but fall silent.

If it weren't for the many wounded still waiting for surgery behind him, Director Jiang would really want to burst into tears.

But now he doesn't even have the right to cry. Outside, countless wounded await treatment; crying? Even if he wanted to, he'd have to wait until the earthquake relief effort is over.

"Doctor Zheng, you've worked hard." Director Jiang lifted the post-op patient down and said, "Rest a while; I'll bring the next patient up, and I'll call you again after the disinfection is finished."

"Huh?" Zheng Ren wondered, "Why is there such a long interval in between?"

"" Director Jiang completely failed to keep up with Zheng Ren's rhythm, standing there stunned.

"Director Jiang, you send a patient in, then go get the next patient, while arranging people outside to apply pressure to stop the bleeding. When this surgery is done, the surgeon doesn't step down but directly does the next surgery. Your people just need to handle pushing the patients." Su Yun explained Zheng Ren's meaning in full.