Chapter 869: 853 Music in the Operating Room

This is an unexpected joy, beyond Zheng Ren's expectations.

Could it be the effect of luck +16? Zheng Ren especially hated the Big Pig Trotter. No explanation given, he couldn't predict it in advance, unable to maximize the effect.

However, there's nothing to be done; the Big Pig Trotter is just like that.

Chatting with Professor Yang all the way, they settled some details. Professor Yang was also generous, saying he would directly inform the patient's family about the surgery live broadcast as early as possible.

As for the surgery live broadcast, communicating with the patient's family from the start, as opposed to informing them only before surgery, yields a completely different effect.

If Professor Yang could achieve this, for Zheng Ren it would be another surprise.

Professor Yang was in a hurry to go to the outpatient clinic; patients there had piled up like a mountain, and he had to finish seeing today's appointments before getting off work.

Thinking of going home on time was out of the question; after seeing the registered patients, he still had to go to the ICU to check on today's patients before it could be considered done.

Zheng Ren arrived at the Operating Field and saw that the Urology Department's surgery was nearing its end.

The separation of the adrenal tumor was especially clean; where there was invasion, a segmental resection was performed, without removing the entire kidney.

On the monitor, the patient's vital signs were stable; after removing the adrenal tumor, no low-probability complications such as sudden blood pressure drop or disappearance occurred.

Yu Zong saw Zheng Ren standing behind Director Miao and smiled, saying, "Zheng Lao Ban, did you just go to the rescue?"

"Yeah, malignant hyperthermia." Zheng Ren glanced at the Operating Field and said softly.

"This rare disease of the Anesthesiology Department, Zheng Lao Ban, have you studied it too?" Director Miao placed the cutting and suturing device aside, stepped down, and faced Zheng Ren.

"I've seen it in journals, have an impression." Zheng Renrang made way, speaking respectfully.

"Young man, you have a good memory." Director Miao also showed no extra expression; the first and second assistants handled the final surgical cleanup, while he went to another Operating Field.

Over there, the skin had already been opened, waiting for a renal segmental resection.

Zheng Ren just smiled, not following Director Miao away. He had no interest in the Urology Department; it was only because this patient himself had participated in a hospital-wide consultation that he came up to take a look.

He hadn't expected to encounter a rare case of malignant hyperthermia.

Yu Zong waited for Director Miao to leave, then chuckled and said, "Zheng Lao Ban, what is malignant hyperthermia?"

Not being in the Anesthesiology Department, it's normal not to know about malignant hyperthermia.

Even among those in anesthesiology, 90% don't know what malignant hyperthermia is. After all, it's a rare complication, and once it occurs… basically there's no saving.

Knowing too much yet being helpless, the person is already done for.

"Malignant hyperthermia isn't our surgical department's business." Zheng Ren subconsciously still considered himself a general surgeon, saying it naturally.

"It is the only hereditary disease that can be triggered by routine anesthetic drugs to cause perioperative death. It is a subclinical muscular disease, meaning the patient shows no abnormality normally, but during general anesthesia, upon exposure to volatile inhaled anesthetics and depolarizing muscle relaxants, skeletal muscle rigidity occurs, generating large amounts of energy, leading to a sustained rapid rise in body temperature."

"Is it treatable?"

"It's not treatable; if it weren't for Xiehe's Anesthesiology Department researching malignant hyperthermia and having dantrolene available, this patient would probably have died." Zheng Ren spoke frankly.

"Just now Lao He went to take a look, came back and said you were directing the rescue." Yu Zong glanced at the anesthesiologist and said, "You scared me."

The anesthesiologist's surname is He; that's the Lao He Yu Zong was referring to.

He kept staring at Zheng Ren, still finding it hard to believe, lowering his voice and saying, "Zheng Lao Ban, when I went in I saw our director squatting to check urine output, which frightened me."

"……" Zheng Ren couldn't respond.

"Our director usually gives a full-blown scolding for a single misspoken word. How did you manage that?" Lao He looked around furtively, especially behind him, looking three times to make sure the director wasn't there before speaking.

Saying things behind the director's back, if he happened to appear behind you unnoticed, embarrassment would break out instantly and spread all over.

Lao He was also careful; it seemed he hadn't been spared from scolding by Director Xu of the Anesthesiology Department.

Zheng Ren thought back and also didn't have much memory.

"I don't know either," he said. "I took a look, confirmed it was malignant hyperthermia, then started the rescue. This disease isn't common; I figured those present had no experience, so I just said a few things." Zheng Ren now recalled, also feeling some regret.

"Come to think of it, I'm used to being the Inpatient Chief back home, so I shouted out of habit." Zheng Ren said: "Teacher He, please also tell the brothers, any offense, please forgive."

"How could that be!" Lao He looked at Zheng Ren in surprise and said, "I've worked in the Operating Room for over ten years and never seen a case. What the books say, I forgot it all when nervous. I reckon if I were on scene, I'd wish someone would direct the rescue."

"Hehe." Zheng Ren gave a dry laugh.

"How did it succeed later?" Lao He asked.

"The director called and borrowed dantrolene from Xiehe. Intravenous injection, plus a micro-pump continuously infusing, should bring it under control soon." Zheng Ren said.

"During the New Year's class reunion, it was said that Xiehe had already detected a malignant hyperthermia gene." Lao He said: "But I think it's useless; one test costs several thousand, for a one-in-a-hundred-thousand chance, I think patients would find it hard to accept."

"Hmm, I think so too. However, Xiehe having the drug puts my mind at ease. If it were my hometown, encountering a malignant hyperthermia patient would mean just waiting for death." Zheng Ren now recalled, also feeling especially fortunate, whether for the patient or the hospital.

If it were in Hai Cheng… the consequences would be unbearable to imagine.

They chatted for a while, from malignant hyperthermia to Lao He's school days, when the teacher lectured on various cases. Zheng Ren also gossiped about many case reports from memory, and the atmosphere in the Operating Room finally became harmonious.

Talking and laughing, this is what an Operating Room should be, this is the Operating Room of memory.

"Zheng Lao Ban, I heard you recently performed an emergency liver hydatid cyst excision?" Lao He suddenly recalled this and asked.

"Yes."

"What a pity, I wasn't on duty that day. Next time we have a chance to catch a case, what music do you like to listen to? I'll download it when I go back." Lao He asked.

"Does our Operating Room have a sound system?" Zheng Ren asked.

"Generally, professors who return from overseas studies like to listen to music while operating." Lao He laughed: "If the skill is high enough, they can even make the surgery follow the musical rhythm."

"That's all nonsense," Zheng Ren just replied with a chuckle.

Regarding playing music in the Operating Room, Zheng Ren didn't care. His surgeries are fast; listening to a bit of music is pointless.

With that time, the surgery would already be finished.

……

……

Note: Malignant hyperthermia is infrequent, rare; a few years ago Shanghai didn't have dantrolene, not sure if it does now.

In short… let's hope we don't encounter it.