Chapter 884: 867 Dirty Work (Part 1)

Colon tumor, need a stent? Zheng Ren heard Professor Yang say that, first he was stunned, then he gave a wry smile.

But this seems unrelated to Professor Yang, he's in hepatobiliary surgery, colon tumor is general surgery's work.

Seeing Zheng Ren's wry smile and confusion, Professor Yang sighed and said, "Everyone's gone to the front line, each hospital leaves one team-leading professor. Our general surgery department is big, more have gone. Old Feng from general surgery does over ten surgeries a day, he's worn out sick, resting a day."

This morning the inpatient chief ordered a consultation, asking intervention to see about placing a stent. Zhao Wenhua, that damn guy, said they also have no one, can't keep up with the surgeries!

Saying that, Professor Yang opened his mouth and started cursing.

"Old Feng sent me to see what's going on, Zhao Wenhua this coward keeps making excuses, sometimes saying the surgery volume is large, sometimes saying the tumor is blocked and he can't do it, it's pissing me off." Professor Yang was so angry his hair stood on end.

Zheng Ren listened quietly, he pretty much already knew what was going on.

For colon tumor, preoperative enema, clean the intestinal tract, then remove the tumor, anastomose the remaining intestine, that's the usual surgical situation.

Some patients are discovered relatively late, because of intestinal obstruction they come to the hospital for diagnosis and treatment.

Before interventional surgery existed, such patients, unable to prepare the intestine, could only leave a stoma on the abdominal wall, wait a few months, then do a secondary anastomosis.

After all, without intestinal preparation, above the obstruction site is full of retained feces, countless bacteria. Even if forcibly anastomosed, due to severe infection, the anastomosis won't heal.

With interventional surgery, if the obstructed part has a local gap and the guidewire can pass, a stent can be placed. The stent's force against the tumor props open the intestine.

Then we can prepare the intestine, the surgery also avoids a stoma, allowing primary anastomosis.

Whether from the angle of preventing tumor metastasis or improving patient quality of life, interventional intestinal stenting is a procedure that greatly benefits the patient.

After many years of clinical department coordination, general surgery has gradually become accustomed to the intervention department's pattern of preoperatively placing stents for such patients.

But,

There is one problem.

This surgery,

is especially dirty.

After the stent goes in, when the obstructed spot opens, huge abdominal pressure will turn the retained feces into a spray, directly—shooting out.

Not to mention the surgeon and assistant, they're definitely covered in feces.

The smell in the whole operating room will also become like a cesspool.

This is a surgery that patients and general surgery want to do, but intervention would rather not do if they can avoid it.

Doing this surgery, income doesn't increase, but the workload multiplies many times over. Especially that smell of retained feces……

It can make people sick from the stench.

Zheng Ren used to be a general surgery doctor, he naturally knows the ins and outs.

Earlier, because Haicheng Shi Yiyuan had no intervention department, when encountering such patients they all had to do a stoma surgery, waiting for secondary anastomosis.

Zheng Ren also knows why Zhao Wenhua doesn't want to do it.

The surgery isn't difficult, but being sprayed head‑to‑toe with retained feces, the smell lingers for days, that feeling is unpleasant.

He hesitated a moment.

He really needed to think it over; he'd done similar surgeries in general surgery, but that was at least a year ago. Even now, just mentioning it, Zheng Ren can still faintly smell that odor.

"Brother Yang, why don't I do it?" Zheng Ren said.

"..." Professor Yang, how could he not have considered Zheng Ren before? But Zheng Ren's team does TIPS surgery research; usually the 912 consultations and such have nothing to do with him.

Cooperating on TIPS surgery is fine. But assigning someone to do this dirty work is really not appropriate.

"I'll do it, when can the patient go up?" After his psychological defense opened a crack, Zheng Ren no longer held back.

"Whatever the retained feces smell… it's still important. But given we have medical means, and I'm capable, I can't just watch the patient undergo a secondary anastomosis."

Zheng Ren said, already thinking about how to apologize to the head nurse and nurses of the intervention operating room.

Otherwise cleaning up the aftermath would also work, but just thinking about it makes his head feel like it's splitting.

This feces‑scooping work is essentially different from general surgery's feces‑scooping.

General surgery says it's scooping feces, but in this situation they'd definitely have to cut open, use the suction device to draw out, then open and remove the remaining retained feces. If it's too dry, they can also put a sterile plastic sleeve over the intestine and slowly pull out the feces bit by bit.

But the surgery we're about to do will surely spray us all over……

Zheng Ren almost burst into tears.

To be honest, I really can't blame Zhao Wenhua for not doing it. This surgery is just damn filthy.

Summoning courage, Zheng Ren cast aside his miscellaneous thoughts, telling himself firmly that this was all just work.

Professor Yang stared for a moment, then patted Zheng Ren on the shoulder.

"Boss Zheng, then I'll trouble you."

"Brother Yang, cut the formalities, it's making my scalp tingle." Zheng Ren chuckled and said, "I'll ask if there's a slot; if there is, I'll call you. Can that side go up anytime?"

Actually, that's a bit redundant.

It's not a sterile surgery, the patient still can't eat or drink, so naturally they can go up anytime.

"Can." Professor Yang hesitated a bit; this isn't Boss Zheng's regular duty. But… he hesitated again, then gave Zheng Ren's shoulder a heavy pat.

"No need to be polite, I'll go back and wait for your word." Professor Yang left directly, somewhat flustered.

If it were another team-leading professor here, Professor Yang wouldn't act like this. Boss Zheng is the team Director Kong recruited for the Nobel Prize project; the intervention department's surgery really has nothing to do with them.

And yet I'm making Boss Zheng do this surgery—it's simply too much.

Forget it, I won't dwell on this; later I'll help Boss Zheng elsewhere as much as I can, that's all.

Professor Yang thought as he jogged away, leaving Zheng Ren's sight. He felt that behind him, Zheng Ren was like a soldering iron—if he walked slower, he'd get hurt.

Zheng Ren sighed, didn't call, but went straight to the intervention operating room. He felt somewhat pressured; he's not Director Kong, to do such a dirty surgery he'd have to first play the servant in the operating room.

Bowing repeatedly, apologizing to the operating room head nurse, Zheng Ren also promised to clean up the operating room. The head nurse's face looked grim, but she didn't refuse; she just gave Zheng Ren a fierce glare and told him to send the patient.

Having settled one issue, Zheng Ren immediately called Professor Yang, telling general surgery to send the patient up.

Preoperative briefings and such, Zheng Ren doesn't need to worry about. If general surgery can't even handle this little thing, what's the point of doing a half‑ass surgery?

Zheng Ren also didn't call Su Yun and the professor; for this kind of thing, it's better to come himself. But he still has one problem: what to do about Xiao Yi Ren.

Just thinking of Xie Yiren gave Zheng Ren a splitting headache.

Forget it, forget it—just grit your teeth and go through with it.

Zheng Ren never dwells on what he doesn't understand; he'll just kick Xiao Yi Ren out when the time comes and clean up the mess himself.

While changing clothes, Zheng Ren snatched a quick smoke, trying to recall the taste of tobacco, not thinking about the surgery soon to come.