Chapter 97

0095 The suffering of an interventional doctor, you don't know.

The lead clothing equipped by the system seems no different from that stocked at City First Hospital; color and style are almost identical—if you threw them on the lead clothing rack, Zheng Ren himself couldn't tell them apart.

But the system's Big Pig Trotter provides no explanation whatsoever—how radiation energy is converted, it's basically just a dew drop. Besides, there's only one lead garment, lacking lead skirt, lead cap, eye protection, and other matching equipment.

Who cares!

Zheng Renye had no time to study it; he first put on the lead clothing, then put on the other garments. At that moment, the Chu Family Sisters were quickly administering general anesthesia to the patient.

Interventional embolization surgery doesn't require general anesthesia, but the patient is in shock; if they become agitated and the guide wire breaks inside the blood vessel… then there will be trouble.

Scrub up, put on the sterile surgical gown, general anesthesia ends, and the surgery officially begins.

"Have you ever done an interventional procedure?" Zheng Ren asked.

Su Yun changed her clothes, stood beside Zheng Ren like a shadow. Zheng Ren didn't think he would have such a handsome shadow, always feeling awkward.

"I haven't." Su Yun seemed to smile, her eyes narrowing, looking quite lovely.

"……" Zheng Ren was speechless.

"Just watching you do it once, I basically understand what it means." Su Yun said seriously.

Damn, you think you're a Saint Seiya? As long as you aren't beaten to death, you'll get stronger?!

Zheng Ren was speechless, but having an assistant is definitely much better than that isolated and helpless situation, right?

Just treat it as bringing along an intern.

Patient blood pressure 60/40mmhG, Zheng Ren didn't waste words with Su Yun, he started taking out the puncture kit bag, and after opening it took out all the puncture tools.

Disinfect, puncture, and get blood on the first try.

This is real skill, honed by Zheng Ren practicing hundreds of times on experimental subjects in the System Operating Room, and then practicing hundreds of times on nitrite poisoning patients.

Su Yun's eyes lit up suddenly.

If getting blood on the first try during the previous placental abruption patient's surgery was a low-probability event for Zheng Ren, then doing it again this time means the significance is worth pondering.

With such low blood pressure, still succeeding on the first try can only be said that Zheng Ren's skill is very high.

Although Su Yun has a sharp tongue, his eyesight and looks are both excellent.

"Microguidewire." Zheng Ren, holding the arterial sheath, reached out.

Before his words even finished, a microguidewire was promptly handed to him.

Zheng Ren stared, this guy is impressive—never having assisted in surgery before, yet he knows exactly what I want to do next.

This coordination is as skilled as when I work with Xie Yiren doing surgery.

Xie Yiren only gained this skill after working as an instrument nurse in the operating room for several years; how could this hateful guy have it? Could it really be as he said, that you learn it after just one look?

Tsk tsk, he really is a genius.

While Zheng Ren thought, his hand didn't pause; the microguidewire smoothly entered the femoral artery via the arterial sheath.

Xinglin Yuan, the live broadcast room, with barrage comments flying everywhere.

【Just now they were doing splenectomy and liver repair, and now they're actually starting pelvic fracture interventional embolization? Which hospital is this public account from?】

【Don't talk nonsense; my Title: Teacher called Xinglin Yuan and said the signal source is at Jianda Mengte li'er Medical Center.】

【Eh? It's actually Bai Qiu'en's hometown? Are you saying old Mr. Bai Qiu'en is doing a live broadcast teaching everyone surgery?】

Under the lure of some mysterious force, things have already been twisted into an unrecognizable state.

But no matter who is performing the surgery—foreigner or Chinese, public or private hospital—the operator's or operators' skill level is top-notch, and nobody can deny that.

Now people are more inclined to believe that different people are doing different surgeries, so the claim that the videos come from Jianda has gained many people's approval.

【Any Intervention Department colleagues, could you explain this surgery?】

【Yeah, I can't understand it at all. But I've encountered such a patient once; our hospital has no Intervention Department, so after explaining to the family we got consent for surgery, and once we opened the retroperitoneum, blood sprayed everywhere. There's basically no way to treat it……】

【Thanks for the invite! Pelvic fracture interventional embolization mainly targets bleeding from the two major internal and external iliac arteries. Vein injury, under high pressure from a retroperitoneal hematoma, will close off, resulting in little bleeding. But the internal and external iliac arteries are different. Simply put, the internal iliac artery can be completely occluded without causing bodily ischemia symptoms……】

The one answering the question in a pretentious manner is an Intervention Department Doctor from a third-tier city.

He is troubled, because aside from using the interventional techniques he learned to place stents in cardiology, few people know their other uses.

Since the last time the live broadcast room streamed the interventional surgery treatment for placental abruption, he has watched it over and over, and finally he confidently believes his skill might be comparable to that expert with a hint of legendary aura.

Even if there is a gap…… it's not that big, right?

This conclusion gave him infinite confidence; he has always been looking forward to the expert opening another interventional surgery live broadcast.

Being an Intervention Department Doctor is lonely.

Because even in his own hospital, 95% of people don't understand interventional surgery, let alone ordinary folks.

So he comes to Xinglin Yuan every day, to the live broadcast room, just waiting for such an opportunity—to stand before thousands of doctors and properly popularize interventional surgery.

【Why? Won't tying off such a large blood vessel cause ischemia?】

【Go look at an anatomy book and carefully see how many arterial branches are near the internal iliac artery. But the external iliac artery is different; if directly occluded, it will cause femoral artery blockage, bodily symptoms will appear, and severe cases can lead to lower limb necrosis. Therefore, the difficulty of the surgery lies in the super-selective catheterization of the external iliac artery.】

【I roughly understand, but how difficult is this surgery?】

【I've done over twenty cases, averaging four hours. The hardship of Intervention Department Doctors, you don't understand.】

In Xinglin Yuan, the Intervention Department Doctor from a third-tier city is popularizing the most basic common knowledge; the live broadcast image has appeared, the microguidewire is in super-selective position, the microcatheter then enters, and a spring ring directly occludes the internal iliac artery.

【The surgery is being done faster than you said.】

【Such a neat surgery, OP, are you impressed?】

【Of course I'm impressed, but I said, the difficulty of this surgery isn't in occluding the internal iliac artery, but in the super-selective catheterization of the external iliac artery.】

On the numeric screen behind the barrage, a microguidewire has already begun super-selective catheterization of the external iliac artery.

The microguidewire is very soft and thin; trying to enter a blood vessel branch not much thicker than it is extremely difficult.

For example, holding a whip and hitting a ping-pong ball two meters away is already very difficult; the difficulty of vascular super-selective catheterization is over ten times that, giving a rough idea.

【Look, now the real difficulty is just beginning.】

The Intervention Department Doctor began to introduce. Don't talk about Xinglin Yuan; even nationwide, the Intervention Department is a rare specialty, and in third-tier cities there is usually only one hospital with an Intervention Department, with three to five doctors performing interventional surgery.

In a second-tier city, perhaps there would be two hospitals with an intervention department, but certainly no more.

Otherwise, each year a huge number of liver cancer patients would flood into Modu Liver and Gallbladder Hospital, receiving interventional treatment at a rate of fifteen minutes per case.

For truly super-selective liver cancer treatment, fifteen minutes is far from enough; even just imaging takes about that long.

But with many patients and few doctors, we can only do it like pulling up radishes without washing off the mud.

In Xinglin Yuan, the intervention department doctor, who usually never gets a chance to speak, finally had an opportunity to show what he'd learned, and he began to talk at length.

【Just reaching super-selective to a level‑2 blood vessel isn't enough; to avoid damage as much as possible, one should ideally reach a level‑4 blood vessel. That's why each pelvic fracture embolization hemostasis procedure takes so long.】

This intervention department doctor stared at the phone keys, typing out what he wanted to say one character at a time, feeling exceptionally happy.

Finally, one day he could let everyone know the benefits of interventional surgery; although he wasn't the one performing the live‑streamed surgery, he was still very happy.

What's more, being able to lecture thousands of doctors on pelvic fracture embolization treatment gave him a sense of elation that made him feel light‑headed.

Because he had been staring at the phone screen, his vision was a bit blurry.

On the numerical image behind the barrage… how had the super‑selective fourth‑branch of the deep circumflex iliac artery already finished, and imaging begun?

No, he must be seeing things; the intervention department doctor shook his head and blinked hard. Looking closely, in the time it took him to type, the super‑selective of one branch of the deep circumflex iliac artery had already been completed, the bleeding point had been found, and the operator was now performing the embolization.

Heavens! Do we have to be this fast? Is this the 'three‑second real man'?