Chapter 914

895 Still doing the surgery?

"Which part of the full-body composite trauma is the most severe?" Su Yun asked.

Fang Lin spread his hands, indicating he didn't know either.

Director Kong and Director Miao chatted while quickly changing into isolation gowns. Director Miao had arrived early and already finished changing. When they saw Director Kong and the others coming up, they didn't rush in but sat on a chair in the changing room, occasionally glancing at Zheng Ren.

Zheng Ren didn't chat like Su Yun and Fang Lin; he quietly and quickly changed clothes, then stood behind Director Kong, waiting for the old director to enter together.

"Zheng Lao Ban, you used to be the inpatient chief of the Emergency Department in Hai Cheng, right?" Director Miao suddenly asked.

Zheng Ren nodded and smiled.

"I've done a flying knife procedure once at Haicheng Shi Yiyuan," Director Miao said. "The Emergency Building was built too far ahead. The northeast is losing population, so patient numbers may not drop much, but there are too few doctors—it's useless."

"Just a general ward, doing a few minor general‑surgery procedures," Zheng Ren said politely.

"The porcelain‑gallbladder surgery—was it you and Xiao Yang who did it? I saw the video; few people can completely detach that kind of gallbladder." Director Miao shook her head slightly and said, "Zheng Lao Ban, you don't have kids yet, so why did you choose interventional radiology?"

Director Kong's face looked a bit grim, but what Director Miao said was also something he worried about.

Why are there so few interventional doctors, and why is their technical skill lower than that of doctors in other departments?

Interventional radiology is indeed an emerging discipline, but the main issue is radiation exposure.

This is an exchange of health for health.

Using the doctor's health to buy the patient's health. Wearing dozens of pounds of lead clothing all day to perform surgery, besides being busy and tired, they also have to ingest radiation.

Moreover, young doctors cannot perform procedures before having children; even if they do, they need to avoid radiation for six months to a year while preparing to have kids.

This greatly delays doctors' growth.

Director Miao is sharp‑eyed; it seems she gets along well with Director Kong, has no reservations, and directly hits the sore point.

"I've just been the inpatient chief, recently got a girlfriend, and haven't thought about having kids yet." Zheng Ren laughed. "Doing interventional surgery was also accidental. Back in Hai Cheng I encountered a patient with scarred pregnancy. At the time I didn't think much about whether to save the uterus or the life—I just went ahead."

Hehe, you self-taught little guy, how can others survive, right, Director Kong. Director Miao said with a hehe.

Live however you like; if you lack skill, you can't blame Zheng Ren.

While speaking, they had already changed clothes, and the group hurriedly rushed to the Emergency Department Operating Room.

After coming downstairs, a doctor in his thirties pressed the doorbell, entered, put on Shoe Covers and a sterile gown, donned a cap, and walked in.

He was short, or rather very short, holding a film in his hand, the film almost touching the ground.

"Director Miao, Director Kong, come up here." The doctor greeted, rushing over.

"Xiao Zhou, how did you come?" Director Miao asked.

This is Zhou Litao, the Inpatient Chief of the Emergency Department; Director Miao and team often receive kidney stone patients during season changes, so the Urology Department and Emergency Department interact frequently, and the two know each other.

"The film has come out; I brought it up to see if there's anything we can do." Zhou Litao sighed, grabbed the film and hurried into the Operating Room.

Any problem?

"The head is fine, but there are multiple injuries in the abdominal cavity: liver, spleen, both kidneys..."

Both kidneys?

Both kidneys!

Zheng Ren's dopamine surged again inside his body.

Even if one kidney is removed due to paralysis, it's fine; but both kidneys are injured—can this person still survive? Even if rescued, without kidneys, how can one live?

I took a look, the Shou Bing... Director Miao, take a look, should we still do the Shou Bing? Zhou Litao first placed the abdominal CT plain scan on the viewbox, sighed, "The twin brothers are both done for. One lies here, the other in the EICU, with severe full-body burns. Wanting to graft skin, we can't find a decent piece. After much effort, we established a Vein access at the heel. Soon transferring to the Burn Department, even keeping one breath alive will be hard."

Zheng Ren was speechless, first glanced at the patient.

The System Panel had already begun fading from crimson to white; even with the 912 Emergency Department's 120 Emergency measures, it still couldn't halt the patient's loss of life.

Normally, a direct laparotomy would suffice. The Emergency Department also ordered a CT, which at least wastes several Minute.

Zheng Ren had done this before, knew the score; it seems the 912 Emergency Department's level is indeed high. He had confidence in performing a CT; a single detail reveals much.

Having a CT and not having one are two different concepts. For example, whether there is head bleeding can be determined by physical exam. But with minor bleeding, the patient is unconscious, signs not obvious, nobody can judge well.

With auxiliary examinations, clarifying priorities, rescue can be targeted.

On the patient's System Panel, a string of diagnoses, the most striking being this diagnosis of bilateral kidney trauma.

"Zheng Lao Ban, you're here?" Professor Yang had arrived earlier at the Emergency Department Hybrid Operating Room, looking at the patient's ECG Monitor with worry. Seeing Zheng Ren enter, he greeted.

"Brother Yang, I'm here." Zheng Ren said, then without further pleasantries with Professor Yang, he turned to look at the patient's full-abdomen CT.

Zheng Ren had no interest in the liver and spleen injuries.

What's there to say about hemostasis? If worse comes to worst, remove the spleen, suture the liver plus Interventional embolization, the patient definitely won't die.

However, the massive retroperitoneal hematoma plus the bone fracture visible on CT layers, and the shattered appearance of both kidneys, are chilling.

This can't be repaired, Zheng Ren thought.

But as Zheng Ren, who especially has a keen sense, he knows his Urology Department level is just that of an Inpatient Chief; whether it can be repaired still depends on Director Miao's opinion.

"First open up, let's go together with General Surgery, make a big incision, take a look." Director Miao sighed, saying: "Not necessarily can we repair it, just try."

Just being able to try is fine; Zheng Ren felt somewhat relieved.

"Ding-dong~" the System Quest's sound rang in Zheng Ren's ear.

Uh... there's still hope! Zheng Ren's blood pressure surged.

The Big Pig Trotter still makes sense; at least so far, it hasn't issued Zheng Ren any impossible task.

Zheng Ren hurriedly glanced at the task.

It's not about looking at the quest reward, but rather the quest content; referring to the patient's condition diagnosis gives a rough idea.

【Emergency Quest: Is there a way to have both in the world?

Quest Content: Complete the Emergency Rescue of identical twins.

Quest Reward: The quest is rated S-rank, with a high chance of failure, prize TBD.

Quest Time: 1 day.】

I'm going...

Zheng Ren cursed in his heart.