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Chapter 743: with translation of chapter title

~7 min read 1,240 words

The first half?

Intervention, clot removal. The anesthesiologist said, "I've performed interventional surgery with neurointervention under general anesthesia before, but I've never seen such a high level."

…… Lu Zewi, although he is a cardiothoracic surgeon, still has some understanding of this thrombectomy procedure.

Judging by the extent of skin necrosis in the casualty, the acute phase has surely passed; could thrombectomy still succeed?

The chance of removing a fresh clot is much higher than that of removing an old clot.

The operator is just one person, manipulating the guidewire and catheter—that's skilled. Thrombectomy is also not vague at all; one grab, it's accurate. The anesthesiologist's saliva was almost spraying out, if not for wearing a sterile mask.

But even with a sterile mask, Lu Zewi felt saliva splashing onto his face.

The usually calm anesthesiologist has become especially excited.

Is it because the volunteer's leg was saved? Or because of a spectacular thrombectomy?

Lu Zewi didn't know; he was just quietly listening.

Because it's been over ten hours, the lower limb arteries are full of clots; the operator takes them out one by one, quickly and steadily, able to thread the guidewire into even the smallest vessels. The anesthesiologist said, "It's like reaching into a bag to take something out—that's the feeling."

Reaching into a bag to take something out…… Is it really that simple?

If it were really that simple, the success rate of thrombectomy for cerebral thrombosis wouldn't have remained low all along.

The instrument nurse never spoke, but kept staring inside through the leaded glass.

"Really awesome! When the casualty was brought in, I thought they'd definitely need an amputation. Old Lu, guess what I thought when I heard Director Chen say we should try to preserve it?" The anesthesiologist leaned over to Lu Zewi and whispered.

The casualty's leg was saved; obviously the anesthesiologist was especially happy, talking a lot more.

"You wouldn't guess that Director Chen gave the operator inside a difficult problem, would you?" Lu Zewi said.

"Surely? The leg is all black, yet it can be saved? That's nonsense." The anesthesiologist said, "But when the operator asked about the time, they said they could give it a try. Old Director Chen was also reassured, didn't even look, just said they were going to check the wards."

How old is Old Director Chen?

You think, when you came, he had already retired; now he's seventy-two. The anesthesiologist said, "The old guy has a hot temper, but you can tell he really appreciates that young doctor inside."

…… Lu Zewi was speechless.

Young doctor? He's the rising star of cardiothoracic surgery in the imperial capital…… Boss!

That's certainly not a small-time doctor.

Getting Su Yun's approval isn't that much better than getting a local department head's approval.

But Lu Zewi didn't say those words out loud.

Although I graduated from West China, I feel that coming to the provincial hospital is a bit of a waste of talent, but since I'll be working here in the future, it's better not to voice these thoughts.

"Truly, no wonder Director Chen appreciates him—I'm just wondering how he can even do orthopedic surgery!" The anesthesiologist watched as the two inside began preparing for angiography, curiously saying, "When did interventional doctors become this capable?"

"I feel……" Lu Zewi paused a moment, then said, "I know that assistant inside; they're from cardiothoracic surgery."

…… The anesthesiologist was stunned.

Just as they were speaking, the screen lit up.

Intraoperative catheter angiography—this kind of thing doesn't waste too much time for Zheng Ren.

On the screen in the operating room, a stream of black contrast agent could be seen with the naked eye, like rushing water, straight toward the leg.

Lu Zewi and the anesthesiologist both held their breath, beginning to feel tense.

The instrument nurse didn't know what was happening, just staring at someone inside, looking a bit dazed.

The major arteries were all clear, and the capillaries spread to every corner of the limb. Seeing the capillaries spreading like tree roots, a feeling of relief arose in both of their hearts.

Success!

The anesthesiologist slapped his palm with a fist, making a smacking sound.

Lu Zewi also exhaled, seeing the capillaries in the foot begin to spread; he knew that as long as the compartment syndrome was resolved, the casualty's leg would be saved.

And with the vessels opened, it can reduce osmotic pressure, decrease exudation, improve the microenvironment, and to some extent also alleviate the response of compartment syndrome.

Awesome!

No wonder that guy Su Yun willingly calls him boss.

Really fucking awesome!

Lu Zewi cursed in his heart.

When emotions run high, not saying something leaves the inner resentment unvented. Since the earthquake relief began, this resentment has lingered in the depths of the heart, hard to let go.

In the operating room, Zheng Ren began to withdraw the tubes.

"Boss, your orthopedic surgery skills aren't bad either." Su Yun said while bandaging the casualty.

Not bad. Zheng Ren smiled.

Just before the surgery, after receiving the patient sent by Director Chen, with no orthopedic doctors around, he directly used an intermediate skill manual, and trained in the system operating room for hundreds of orthopedic surgeries, before getting on stage.

Thanks to completing the final stage of the pearl on the crown, Zheng Ren finally had surgical training time to squander.

Because he was in a hurry, Zheng Ren vaguely saw that the skill tree had changed, but he didn't have time to examine it closely before rushing out to perform the surgery.

After a bit of rest, he wanted to take a close look; Zheng Ren thought to himself.

"What surgery can't you do? Tell me, I'll go learn." Su Yun complained: "I can learn after just two glances; I feel you can do it without even looking. This feeling isn't great, boss."

Isn't that bad?

My feeling isn't good. Su Yun glanced at Zheng Ren and said: "Boss, could you take care of the emotions of your flawless assistant beside you?"

Going back, could we not do thoracic surgery anymore?

Su Yun was about to say okay, but then he thought: if he doesn't do thoracic surgery, that means he also can't do……

Indeed, he felt a bit stifled; Su Yun wanted to retort but didn't know what to say.

Going back, he must strive; he thought to himself.

Seeing the surgery end, the instrument nurse rushed in to help Su Yun bandage the casualty. Zheng Ren took off his sterile gown and walked out.

"Please tell Director Chen, the Shou Bing is done; post-op you must be careful, and at any time go on VSD negative pressure." Zheng Ren said.

"Don't worry, you've already taken care of the Shou Bing; if you can't keep up after the Shou Bing, causing the condition to worsen, would you still have the face to be a person?" The anesthesiologist said sincerely.

"Anyway, just do your best."

"As for whether it succeeds or not, in the end, as long as you have no regrets, that's enough."

"Let Director Chen send the next wounded up; on this side, ten Minute and you can go down." Zheng Ren said.

"Please rest for a moment."

"No, let's talk after finishing the Shou Bing."

"The anesthesiologist moved his mouth but didn't speak."

"Finish the Shou Bing? I'm afraid there are still four or five days, and the Shou Bing won't be finished."

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End of Chapter

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