Chapter 74: with translation of chapter title
Preoperative preparation was already complete, efficiency extremely high, the doctors and nurses of City First Hospital displayed the expected quality.
Nobody wishes for a young woman who has never given birth to spend her whole life unable to become a mother.
The obstetrics director Su Yun was explaining things to the patient's family; she simply did not believe Zheng Ren's words. Giving Director Pan face was merely an excuse, because preparing the surgery and readying blood both take time. But the longest time was still spent on the patient's family.
How to convince the patient's family and tell them this bad news without causing a dispute—that is a skill in itself.
So, Director Su Yun decided to give it a try for now.
As long as it doesn't delay his own surgery, what's wrong with trying?
The heads of other departments stood in the observation room, looking through the thick lead glass at Zheng Ren operating alone in the Operating Room.
"I heard he did 49 appendectomies in one night just a few days ago," asked Anesthesiology Department Director Wang.
"Hmm, this young man has high skill, can get the job done, and is solid." Director Pan gave Zheng Ren an affirmative reply.
High skill, ability to work, willingness to work—this is almost the highest praise for a doctor.
Su Yun stood at the back, leaning against the wall, a strand of black hair hanging down, beautiful beyond words. He silently watched Zheng Ren's movements in the Operating Room, uh, opened the puncture kit, his movements very practiced. Local anesthesia, also quick.
Using the Seldinger technique for femoral artery puncture, with an integrated vascular sheath, also very practiced, completely unlike a novice; this surgery seems to be getting more and more interesting.
Su Yun's eyes lit up.
If in the hospital cafeteria or walking on the street, he would surely turn heads countless times, and many bold girls would come up to chat him up. But in the observation room outside the Operating Room, nobody paid attention; everyone was intently watching Zheng Ren's every step, regardless of whether they could understand.
Xinglin Yuan livestream room, once again began streaming.
Hundreds of doctors rushed in excitedly within a minute; as soon as they arrived, before even looking at the case, they started flirting, as if they had come to the Operating Room to observe surgery, regardless of whether they could understand, first chatting up the young, attractive instrument nurse in the Operating Room to ease the tense, awkward atmosphere.
【The operator has started surgery again, truly dedicated.】
【I've watched the worm-extraction surgery ten times over, making the prostatic fluid boil.】
【Moderate high temperature can kill sperm vitality; you don't want to use a condom anymore? By the way, never believe this— the ring isn't safe either.】
【Agreed, a few days ago our hospital delivered a baby boy who was clutching a ring at birth.】
【This kid's life is truly big; I pray for a touch, for good luck, for the Ou Emperor.】
Basically everyone present are surgeons; regardless of skill level, their hand speed is comparable to that of professional esports players; when they start flirting, comments fly everywhere, the atmosphere... can be considered harmonious.
But soon, the comments disappeared.
They noticed that the operator in the livestream room was performing local infiltration anesthesia, and it was not a large-area subcutaneous local infiltration anesthesia.
The syringe needle only went in a tiny bit; after injecting the anesthetic, no medication was left in a large subcutaneous area, but it was pulled out directly.
【I don't understand, what is this master doing?】
【Looking at the position, it's the groin; could it be a femoral artery stripping?】
【After femoral artery stripping, what can you do? Even a heart bypass doesn't need an artery. Could it be an open thrombectomy? Congratulations to the vascular surgery colleagues, you now have a new surgery to observe and learn.】
After a few comments floated by, they stared in surprise to see the puncture needle and vascular sheath appear in the operating field.
Then the guidewire was inserted rapidly.
After the guidewire had entered a certain length, the livestream picture panned up, a screen appeared, the screen lit up, showing the guidewire moving through the blood vessel.
【Actually an interventional surgery? Did the streamer change person?】
【Same feeling, this nameless ID, could it be a promotional account of some private hospital? Choosing certain surgeries as advertisements?】
【Although I also feel it's similar, reason tells me that a private hospital wouldn't do a simple inguinal hernia repair— a few hundred bucks per case— what profit would they have?】
【A private hospital wouldn't do 49 appendectomies in one night, would it?】
Amid everyone discussing the operator's background, the guidewire had already gone along the femoral artery into the bilateral internal iliac arteries to perform angiography.
Contrast agent was injected, and then at the uterine position a dark cloud of smoke rose.
Although they don't understand interventional surgery, the attending surgeons all know that the smoke there means leakage of contrast agent.
Looking at the extent of the smoke, the amount of contrast agent leakage is still large. In other words, the patient is bleeding heavily.
【I'm a vascular surgery doctor; the guidewire the operator is using seems not to be a regular cobra guidewire, looks awkward, really soft.】
【But going from the femoral artery into the bilateral internal iliac, the operator seemed to have completed it in one go, without repeated attempts. If using a cobra guidewire, I... probably couldn't guarantee success either.】
【Where did this monster come from? Using unwieldy equipment yet achieving the best effect?】
Outside the Operating Room in the observation room, there are two 40-inch LCD screens transmitting the intraoperative image.
Everyone present are director-level experts; although they don't perform interventional surgery, they can still criticize and nitpick.
Not everyone can perform surgery. But spraying people— who can't do that?
Especially the ICU director, who fundamentally had no expectation that Zheng Ren could complete the surgery smoothly. He was waiting for Director Su Yun to finish communicating with the patient's family, then let this farce end and start the cutting surgery.
But…… this surgery, there's nothing wrong with it……
Arterial puncture— see blood at first prick.
Just this point alone is something not everyone can accomplish. After all, patients with hemorrhagic shock have very low blood volume and collapsed blood vessels. But thinking back to the nitrite poisoning incident a few days ago, the ICU director felt this could also be understood.
Then the guidewire entered; Zheng Ren opened the imaging system inside, the image was transmitted, and the ICU director saw the guidewire exactly at the branch of the internal iliac artery.
Saying nothing else, just this sense of touch is enough to make people praise it repeatedly.
Angiography showed massive bleeding inside the uterus, more than previously estimated.
The ICU director was a bit anxious; if the bleeding volume is large, after Director Su Yun finishes communicating, if the family agrees to uterus removal…… the patient might not be saved.
In the Xinglin Yuan livestream room, facing such a large mass of bleeding, the doctors also began to tense up.
Although they didn't even know where the patient was or who they were, out of instinct they all entered rescue mode.
【Whoa, this big bleeding point! Which major artery ruptured?】
【What else could it be? Surely it's premature placental abruption, tearing the uterine artery.】
【Blood pressure keeps dropping; the patient could at any moment suffer cardiac arrest from hemorrhagic shock!】
【Master, this is emergency rescue, not…… Holy cow, he dares to livestream this? Does he have that much confidence?】
The data on the monitor told everyone in the Xinglin Yuan livestream and the observation room that the patient's bleeding was enormous, already on the verge of sudden death.
End of Chapter
