The Surgeon's Studio c1-799

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The Surgeon's Studio c1-799 Page 65

by Black Ursa Prime


  Feng Xuhui instantly recognized him.

  He hurried forward and asked, "Yes?"

  "My name is Li Huai. Whatever happened just now was an accident, so please forgive me. I beg you, please think of me as a fart and let me go." The man repeatedly bowed, beyond subservient, as if he was merely an insignificant speck of dust.

  "My lover has a malignant tumor and I desperately need money for consultation. Please, I beg you."

  Feng Xuhui's expression darkened as this was the culprit who had driven a tri-wheeled motorcycle into Professor Pei earlier this afternoon. However, he was reluctant to say anything further due to Li Huai's financial difficulties and humility.

  Financial compensation was obviously not a viable option, not that it would be significant to someone like Professor Pei. Besides, Li Huai could end up divorced and his lover too poverty-stricken for consultation, an undesirable outcome for all involved.

  Therefore, Manager Feng decided to give him some advice and forgive him.

  However, Chang Yue, who was pushing Professor Pei out of the interventional radiology suite, immediately froze and stared unblinkingly at Li Huai for a few seconds before a question squeezed past her gritted teeth. "Li Huai? Are you thirty years old?"

  "Huh." The question startled Li Huai, but he promptly smiled and answered, "Yes, you have great observation."

  "Your birthday falls on the second of November?" asked Chang Yue with a penetrating glare.

  "..." Li Huai was dumbfounded.

  Accurately guessed a man's age was possible, but how did she know his birthday? Was it possible that she had thoroughly investigated him after the accident?

  This very thought sent a chill down Li Huai's spine and he forgot to answer her question.

  "Your ex-wife is Zheng Yunxia?" She ignored his silence and drilled harder.

  It was him!

  Zheng Ren had been confused when Chang Yue, a kind and gentle soul, started interrogating the pathetic tri-wheeled motorcyclist, but now he understood everything perfectly.

  Anyone, even the slowest of mind, would know that something was definitely wrong.

  "Zheng Yunxia?" Professor Pei asked, "Isn't she the patient from earlier?"

  "Yes, Professor Pei." Chang Yue stopped inquiring further, averted her gaze and pushed the wheelchair to the elevator. "Your current wife also has a malignant tumor? How unfortunate."

  Chang Yue explained Zheng Yunxia's situation to Professor Pei along the way.

  Li Huai remained behind, desolate.

  Even though drunk driving a tri-wheeled motorcycle was a felony, it was not a conventional motor vehicle, which meant there was still room to bargain.

  Li Huai had spent a considerable amount of effort persuading his current brother-in-law to release him on bail through various connections.

  However, legal processes such as civil damage compensation were obligatory, and if the victim raised an objection, the drunk driving offense alone would be enough to send him to a detention center for at least half a month.

  Since when had Zheng Yunxia developed such a good relationship with these doctors? Staring blankly at the departing group, Li Huai tried to summon his courage and plead for mercy, but he immediately changed his mind after recalling Chang Yue's piercing gaze.

  Why would he approach them and get humiliated again when his lie had just been exposed?

  However, if he chose not to go…

  Forsaken and regretful, he was caught in a dilemma, but that remorse soon changed to shame and rage. That f*cking b*tch, she had developed such a good relationship with doctors and kept it a secret from him!

  …

  …

  When Zheng Yunxia returned to the emergency ward, Professor Pei insisted on checking on her in order to be able to finally relax.

  Nausea and vomiting were common side effects of chemotherapy, so Zheng Yunxia was advised to tilt her head to the side to prevent aspiration pneumonia.

  The surgery had been successful and its outcome satisfying. Since Changfeng Microinvasive Surgery had acquired the best materials for publication possible, Feng Xuhui was insightful enough to promise Chang Yue that justice would be served.

  Everyone was greatly satisfied.

  Traditionally, they had to bring the professor from Sorcery Capital to a meal and see him off after the surgery was over. That way, it would be easier to contact him in the future as a social connection had been established.

  Old Chief Physician Pan asked Zheng Ren to rest in the emergency department out of worry that he was bone-tired. Yang Lei was instructed to stay back as well to manage any urgent situation that could arise while Zheng Ren had a break in the meantime.

  The night was getting late, and the wind mercilessly rammed falling snowflakes into the window.

  Zheng Ren and Yang Lei chatted in the office.

  They had both gotten along well during their time in the first general surgery department.

  Yang Lei's parents were laid-off workers in Sea City of average affordability, but he was very enthusiastic and always invited Zheng Ren to his house for dinner after work.

  He did not have innate talent, but was a hard worker who constantly devoted himself to work wholeheartedly and without complaint. However, his efforts had gone unnoticed as if he was invisible.

  Despite the intense pressure of the moment, Yang Lei had been Zheng Ren's informant for a major event that had happened some time ago.

  Even though Zheng Ren had not mentioned it again, this kindness would forever be well-remembered.

  Yang Lei was deeply impressed by Zheng Ren's abilities and envious of his proficiency in surgery as well. However, he completely understood that a person's success was due to innate talent, personal effort and fate.

  Outside raged a swirling storm of screaming white, but it was warm and cozy inside the office, as if spring had fallen. Zheng Ren was lazily sitting at his desk and chatting leisurely with his good friend in an office; it was likely the most comfortable moment of his entire life.

  It would be even better if they were not in the hospital, being constantly on edge for potential emergency cases.

  Yang Lei had ordered food online. As they waited for it to arrive, an alarm rang out in both the nurses' station and one of the wards.

  There was a thirty-percent chance that the alarm in the nurses' station meant an emergency consultation.

  What about the ward, though? Everything had been fine during the ward round just now.

  Zheng Ren stood up, wondering what was going on.

  Chapter 121 - Heavy Postpartum Hemorrhage

  Yang Lei darted to the ward, and Zheng Ren saw the son of the middle-aged female patient, who had undergone an appendectomy yesterday, storming out of the ward as if the whole world had upset him.

  Perhaps it was not a major issue at all. However, a nurse then yelled, "Chief Zheng, there is an emergency in the obstetrics department!"

  "Yang Lei, will you be fine here?" asked Zheng Ren.

  "Don't worry, I'll handle it. Off you go," said Yang Lei after glancing at the situation upon reaching the ward entrance.

  The obstetrics and gynecology department had recently become greedy. Initially, they rarely had any contact with the emergency department, so they had no choice but to brace for trouble encountered in their own department.

  Once they had witnessed the true power of interventional radiology and realized that it could easily achieve great wonders unattainable by surgery alone, they began diverting all sorts of problems to the emergency department.

  The chief resident on duty was almost in tears when Zheng Ren arrived at the obstetrics department. "Chief Zheng, please take a look at the patient."

  "Don't panic, what's wrong?" asked Zheng Ren.

  "Twenty minutes ago, a patient with postpartum hemorrhaging after a caesarean section was transferred from Laohugang. After I finished her registration and examined her, all her family members had disappeared," said the obstetrics chief resident in terror.

&n
bsp; This was actually more common in the emergency department than in the obstetrics department.

  Before the abolishment of the one-child policy, every family would treat a primigravida with the utmost care, which was why the possibility of a critically-ill pregnant woman being abandoned in the hospital had never occurred to the obstetrics chief resident.

  However, based on years of experience in the medical field, she could tell that she had unknowingly walked a tightrope, and any mismanagement would lead to her inevitable demise.

  Zheng Ren asked, "Where is the patient?"

  The obstetrics chief resident immediately brought Zheng Ren to the treatment room.

  A thick metallic scent assailed his nostrils before he even reached the door.

  Zheng Ren's heart sank immediately. If he could smell the blood from here, how serious was the patient's condition?

  Quickening his pace, he entered the treatment room and saw an ashen-faced woman lying on a heavily-bloodstained stretcher trolley.

  "The patient was transferred to the obstetrics ward twenty minutes ago and was diagnosed with postpartum hemorrhage. Her blood pressure at the time was 50/30mmHg and heart rate was at 132 beats per minute. During physical examination, we removed the v.a.g.i.n.a.l packing and noticed that the v.a.g.i.n.a—" The obstetrics chief resident, already in distress, was mechanically blurting out medical history as if Zheng Ren was her superior.

  Zheng Ren presumed she had many negative outcomes on her mind at the moment.

  "Your judgment," said Zheng Ren.

  "This is her second parity. We suspect the heavy postpartum hemorrhage was caused by an unligated uterine artery," concluded the obstetrics chief resident neatly.

  She was already agitated. How was she going to acquire signatures on the informed consent doc.u.ments when the patient's family had gone missing? Not every clinician knew how to handle this type of situation.

  Anonymities were regularly seen in the emergency and general surgery departments, and was thus not considered a serious issue, but in the obstetrics department… This was actually her first time encountering an unidentified patient.

  "Prepare for surgery." Zheng Ren quickly made up his mind as he knew that time was not on their side. "There are a few things that require your immediate attention. First, send blood samples to the blood transfusion department and ask them to speed up blood compatibility tests. We need ten units of red blood cells and 1000mL of plasma, and another set with the same amount as backup."

  The obstetrics chief resident nodded vigorously.

  Dazed and confused, all she could do was to obey commands.

  "Secondly, call the medical administration division and tell them you've received an unidentified patient and failed to obtain informed consent for the operation. I'll perform the surgery and you'll handle these processes. Make sure the medical administration division is present on the scene, do you copy?!"

  "Got it." The obstetrics chief resident continued to nod.

  "Third, find an obstetrics superior to take it from here," Zheng Ren finally said.

  Everything began to run smoothly as long as someone was in control of the situation. As the patient was being wheeled to the emergency operating theater, Zheng Ren called the interventional radiology suite to prepare the necessary surgical equipment.

  Since this was a new project that had only been recently launched, the nurses on duty tonight were unfamiliar with it and could only perform basic tasks.

  Zheng Ren had few complaints as the learning process required time. Besides, was it not the wrong time to do so?

  When the stretcher trolley reached the emergency interventional radiology suite, an obstetrics junior doctor and a nurse from the suite began transferring the patient onto the bed.

  They did so in a pool of crimson fluid. It was a bloody scene.

  Without wasting any time on observation, Zheng Ren quickly opened up the storage room, searched for the required surgical supplies and passed them to the nurse. Then, he put on his lead apron, scrubbed up and applied the surgical dr.a.p.es on the operative site.

  'Many hands make light work.' Zheng Ren sighed.

  Perhaps it would have been better if Su Yun was here.

  It was easy to become extravagant if one had been frugal before, but the reverse was difficult. Once Zheng Ren had experienced the benefits of being a hands-off boss, he had grown unaccustomed to performing everything personally.

  When preparations were complete, a bell rang out in Zheng Ren's ears.

  The fickle-minded System had appeared just in time to assign him a mission.

  [Emergency Mission: Distortion of Human Nature or Loss of Moral Values

  [Task: Save a patient with heavy postpartum hemorrhage.

  [Reward: Passive ability—Luck +2.

  [Time: 2 hours.]

  Zheng Ren was taken by surprise in the middle of preparation.

  The fickle-minded System had taken the unprecedented step of offering a passive attribute, and this time, it was the Luck stat.

  Even though he had never played online games, he had read many novels involving them. Thus, he knew Luck was a godlike ability, unparalleled compared to all other attributes.

  Why would the System award him Luck? That was strange.

  Zheng Ren picked up an introducer sheath and an angiographic needle after applying the surgical dr.a.p.es. The surgery officially began.

  At the same time, it was broadcast live through the account in Xinglin Garde, which had gone silent for two days.

  [Wow, the god hasn't appeared for a long time.]

  [Another emergency case; are there that many emergency surgeries in Canada? I'm starting to doubt that capitalism is the root of all evil. This host surgeon is on hand no matter what time it is.]

  [I think something is wrong here. I just returned from studying abroad, and the situation seems to be different from what I've learned so far. However, it's difficult to explain right now.]

  Just like readers requesting chapter updates before the release of one, everyone leisurely gave their opinions before the surgery had even started.

  Zheng Ren, who had acquired the Master rank in interventional radiology, could feel that his maneuvering had become more proficient, presumably due to the six to seven rapid main artery superselections during Zheng Yunxia's surgery giving him a qualitative upgrade under pressure.

  As the comments passed, the micro-guidewire was already in place. Zheng Ren then turned on the imaging system and began inserting the microcatheter.

  [Postpartum hemorrhage, a diagnosis that gives me a headache.]

  [There is a wall next to you, so go ahead and bang your head against it. You'll feel better afterward.]

  [Honestly, it isn't really difficult. The only reason you feel that this case is tricky is that your hospital doesn't have interventional radiology, leaving hysterectomy as your only option. In that case, communicating it to family members will require extreme skill. My heartfelt gratitude to all my colleagues working in the interventional radiology department. Salute.]

  [Ninety percent of hospitals don't have interventional radiology, alright?! Be careful, your boastful statement might bring you misfortune.]

  Four to five comments floated past the screen, and in that time, the microcatheter was already in position. Then, Zheng Ren started creating angiographic images.

  The patient had a malformed uterine artery with a branch running across the uterus, the reason for her heavy postpartum hemorrhage.

  Perhaps the surgeons at the township hospital in Laohugang had failed to notice this mutated blood vessel.

  Chapter 122 - The First Phase of Distortion of Human Nature: Completed

  Not every surgeon in Sea City General Hospital would have noticed this type of blood vessel, and any intraoperative mismanagement would undoubtedly have disastrous consequences.

  Therefore, it was necessary to check for any actively bleeding sites after surgery.

  For example, had this patient's condition been d
etected sooner, she could have undergone another surgery to stop the bleeding, but under the current circ.u.mstances, the risks were extremely high.

  "Chief Zheng, please wait a moment. We're delivering the blood bags now," said the obstetrics chief resident through the intercom.

  The lead door opened as soon as Zheng Ren turned off the imaging system. The obstetrics chief resident and an obstetrics nurse working overtime in the emergency department rushed into the suite with the blood bags.

  The bags, which had been thawed using their own body temperatures, were placed on the pressurized infusion device and their contents injected into the patient's veins.

  With that done, the obstetrics chief resident darted out again.

  "What about preoperative informed consent?" asked Zheng Ren.

  "The staff in the medical administration division just arrived. I'll handle it right away." Her figure disappeared, leaving only a trailing response.

  Following the closure of the lead door, the surgery resumed.

  When the culprit was located, subsequent procedures were plain and simple.

  The microcatheter was inserted, the absorbable gelatin sponge injected for embolization and angiography once again performed. After ensuring that the "smoke" had disappeared, the surgery was declared successful.

  In Xinglin Garden, every doctor was learning something new after successive observations of massive hemorrhages being treated with interventional radiology.

  [Interventional radiology is really useful for the emergency treatment of hemorrhaging.]

  [Using surgery to treat internal medicine cases and replacing conventional surgery with minimally-invasive surgery will become norms in the future. If the issues with radiation exposure are minimized further, interventional radiology is bound to be the shining star in the coming era.]

  [It's not that easy. I think only future technology will be capable of enhancing it.]

  [Bullsh*t. The da Vinci Surgical System has gone online, go and check it out. I really hope a company will emerge out of nowhere and start to mass-produce awesome robots to replace interventional radiology, just like unmanned aerial vehicles.]

 

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