Chapter 738: with translation of title line (which is line [1] but we need to translate the title itself)

727 thoracic surgery, who will lend a hand?

If it were at Haicheng Shi Yiyuan, Zheng Ren would absolutely not…… try not to exceed the normal medical process, taking the patient directly onto the operating table. Violating the medical process, once someone complains, reporting to the medical mediation committee, a doctor's professional future could possibly end there.

But after experiencing the baptism of blood and fire on the front lines, he seems to have undergone some changes. Moreover, now belonging to extraordinary times, expediency is called for.

"Director Chen, I am confident in this patient's diagnosis; please believe me." Zheng Ren said seriously to Director Chen.

His tone remained gentle; although his face bore bruises, looking somewhat disheveled, his brows and eyes nevertheless conveyed a sense of trustworthiness.

Director Chen recalled seeing Zheng Ren perform an interventional surgery at Pengxi Township Hospital.

Just looking at his youth, his skill is certainly not low.

Not only is it not low, it's so high that even lifting one's head cannot see the top.

Although Director Chen is old, he is not muddle-headed. Especially when he was young, back then seeing a patient didn't involve today's rigorous procedures and formalities. Procedural justice? It simply didn't exist.

Many years ago, various auxiliary examination equipment were not complete. A good doctor would glance at the patient, do a physical exam, look at the films, give a diagnosis, then proceed with treatment. One could say everything was rather crude, even somewhat rudimentary.

But Director Lao Chen is accustomed to this medical model.

If a younger doctor were substituted, they wouldn't hesitate as Director Chen does. To go straight to surgery without doing a vascular 64-slice CT is no joke.

But after Director Lao Chen pondered the possibility of this matter, he waved his hand and said, "I'll contact the operating room; if the blood pressure drops by 10 mmHg, we'll go straight in."

Zheng Ren nodded, while Su Yun watched the old man with interest.

Still having to wait for the word, Zheng Ren and Su Yun saw Director Lao Chen go off to get busy, and Su Yun asked, "No examination, just go up?"

"You've encountered a patient with cardiac tamponade; isn't it the same to just open the chest in the emergency department?"

"Can it be the same? My fingers…" he said, and Su Yun paused, his facial expression somewhat strange.

He had already guessed what Zheng Ren was going to say next.

Feeling for cardiac tamponade with one's fingers versus looking at the films makes a huge difference from one's own perspective, but from Zheng Ren's perspective, there is no difference at all.

This guy…… Su Yun shook his head, didn't curse Zheng Ren.

"If you're tired, take a break; this time going up, the surgery might take a long time." Zheng Ren did a Ge You slump, already almost lying flat.

"Boss, do you really have to push yourself this hard? Director Jiang's precedent is right there." Su Yun said.

"It's fine; the follow-up medical team is said to be coming up soon, we can go down to rest anytime. Before we go down, let's do a few more cases. And I'm still young, cerebrovascular…" he said, his voice growing fainter until it disappeared.

Su Yun, however, felt no sleepiness at this moment; he stared at that CT sheet, examining it seriously, his eyes narrowed to a slit, and in the gap faintly reflected the light of the viewbox, like a gemstone glittering.

Ten or more minutes later, Director Lao Chen brought people to receive the patient and bring him onto the operating table.

He repeatedly cautioned, insisting that the patient be moved gently, with no violent motions.

For a patient with aortic dissection, once the body position changes, it will cause blood pressure to spike suddenly, then tear the inner and outer layers of the blood vessel, resulting in sudden death.

Su Yun, at Haicheng Shi Yiyuan, has seen at least more than ten patients who, because interventional surgery couldn't be done at the city's first hospital, were prepared for transfer.

The patient didn't think it was a serious illness, believing the doctor was just scaring him. He even refused bed rest, moving carefully. As soon as he sat up, a change in body position directly killed him.

A person whose vital signs were completely normal just a second ago died in an instant, a clean-cut death.

This disease is truly malignant.

What's rare is that Director Lao Chen actually trusts Zheng Ren this much; this guy has no luck with women, but he's quite popular with elders.

In Hai Cheng, there's Director Pan backing him; going to Di Du, Director Kong treats him quite well; coming to the frontline to support, he gained Director Chen's favor.

Although it's of no use…… Su Yun glanced askance at Zheng Ren, seeing him sleeping soundly. His face was covered in bruises; although his visage should have been a mess, it exuded an indescribable sense of trust.

Su Yun exhaled, unconsciously blowing the black hair on his forehead. But the surgery had lasted too long; that strand of black hair had been pressed down and couldn't float up.

He placed the film into its sleeve, and before Director Lao Chen brought people to send the patient onto the operating table, he put it on the cart.

"Where's Doctor Zheng?" Director Lao Chen asked.

"He's asleep; I'll go up first, start disinfecting, just call him from this side." Su Yun said offhandedly.

Director Lao Chen knew this was due to being up too long; let alone sitting, even standing one could fall asleep.

He also had no objection, and brought the patient onto the operating table.

"Director Chen, is this kind of surgery done by the vascular department or the interventional department? What brand of stent-graft is used?" Zheng Ren's voice came from behind.

"When did you wake up?" Su Yun frowned slightly, turned his head, and said, "How did you get up?"

"That'll do; I can't sleep soundly anyway. When we return to Di Du, find a place to get a good few days' sleep." Zheng Ren was listless, his steps wobbling.

Su Yun didn't stop him either; after listening to Director Chen nag a few sentences, he went to the door of the Big External Operating Room.

In a large tertiary hospital, the Big External Operating Room has several hybrid operating tables.

As interventional surgery sees ever more clinical application, doctors at large tertiary hospitals have also become accustomed to hybrid surgery.

But the volume is still not large, and the most frequent users are orthopedic doctors.

After open reduction of a fracture, taking a film once fixed gives people peace of mind. After joint replacement, taking a film is also very reassuring.

But using the hybrid operating room in this way is somewhat wasteful.

"Doctor Zheng, the vascular doctors are busy with surgery and can't come down for now; you'll have to work hard on this side." Director Lao Chen said.

Zheng Ren nodded; he had already anticipated this situation.

It would be strange to have idle doctors; being able to free up an operating table for oneself, and a hybrid one at that, already shows Director Chen's considerable clout.

Being able to perform surgery in the Big External Operating Room also roughly matches Zheng Ren's mental expectation.

Director Chen led the doctors to lift the patient, while Zheng Ren and Su Yun went to change clothes.

Just after putting on the isolation gown, a voice came from the hallway: "Who's free! Come lend a hand!"

After waiting a few seconds, no one spoke.

"Thoracic surgery, Manager Shao is doing it; who will lend a hand?" the circulating nurse shouted at the top of her lungs.

Zheng Ren gave a bitter smile.

It's probably that all the doctors are already exhausted, and even someone to assist at the table can't be found. Having a doctor who can do the main incision is already good enough; as for assistants, just grabbing any intern or trainee to lend a hand will do.

But after several days and nights, even someone to lend a hand can't be found.

Really not possible, we can only have the instrument nurse help. But if we do that, the surgery will be quite slow.

Su Yun raised her eyebrows and said, "Boss, you go handle the peritoneal membrane frame yourself; I'll do a thoracic surgery to refresh myself?"

It was phrased as a question, seeking Zheng Ren's opinion.

Zheng Ren smiled and said, "Go ahead."

Su Yun came fully alive, stuck her head out, and shouted, "How many hands?"

"Three hands." The circulating nurse was happy, although she didn't know who started the conversation, but having someone join the surgery is always good.

"Boss, I'm going!" Su Yun hurriedly put on the sterile cap, while tying the mask strap, she said, "You don't do thoracic surgery either, it's suffocating me."