He really had to get Chang Yue to make the professor leave.
Right now, he would much rather perform the surgery solo than endure the constant interruptions brought upon by Professor Rudolph.
The sudden change in salutations was definitely Chang Yue's doing as well.
He continued to ignore the professor as he completed imaging of the left uterine artery, where superselection continued; the guide wire ended up in one of its smaller arterial branches.
Ten minutes later, the professor was silent.
The procedure was a novel method in treating adenomyosis!
Accuracy of the superselection could rival that of a robot. Despite using a guide wire one size thicker than what Professor Rudolph was used to, Zheng Ren had managed to select each arterial branch on his first attempt and follow through with embolization. The process was repeated like clockwork.
Two vessels in and Professor Rudolph realized what Zheng Ren's plan was.
The man was using interventional embolization to eliminate all potential cl.u.s.ters that could develop into adenomyoma.
Reckless was the wrong word to describe this man.
Upon his realization, the professor assisted Zheng Ren in silence.
His change in attitude gave Zheng Ren a taste of what it was like to have an extremely adept assistant.
Su Yun was great but lacked knowledge of interventional procedures and methods.
The professor was able to sense what Zheng Ren wanted to do and make the necessary adjustments.
With him as an assistant, the surgery proceeded 30% quicker than usual.
[The surgeon's hands seem faster again. Am I the only one who noticed?]
[Yeah. I feel this surgery might be easier?]
[Hey. It's fine if you're uninformed but there is a line!]
Doctors who could not make sense of the procedure left the Xinglin Garden livestream. Most of the remaining viewers treated the livestream like a chatbox.
The few who actually understood the surgeon's methods turned off commentary and watched the stream in earnest.
A small-town interventional surgeon was off to a corner of his office, also watching on his phone with rapt attention.
The hospital prohibited phone usage during working hours.
Despite the rule, he did not want to pass up the opportunity to learn from an expert.
Adenomyosis!
It had come under his knife a few times, but most had been failures; even the successes remained mysteries to him.
He was curious as to what the surgeon would do. is northeastern slang, referring to a youngest sister or a very young girl in general.A play on Baidu, the search engine.
Chapter 321 - A Habit of Surgeons
Initially, the interventional doctor could not make sense of anything as the superselective catheterization was not targeted. After reading through the patient's profile, though, he realized that the surgeon had no related imaging for visual reference.
It was a semi-urgent surgery.
Radiography revealed signs of abnormalities in the stratum basalis of the endometrium.
The tissue distribution was not homogeneous; it was thicker in certain areas.
What would he do in that position?
He put himself in the surgeon's shoes. In such a situation, superselection ought to be done to the 4th-grade artery. However, those arteries were extremely thin and challenging, requiring at least half an hour to successfully superselect even one.
I would take at least half a day to supeselect them all by his estimations, even though the arteriography only displayed a single side of the uterine arteries.
Onscreen, a thick and stiff guide wire successfully passed through a vascular curvature.
The interventional doctor fell into deep thought. He just witnessed a minor adjustment to the movement of the guide wire. How had the surgeon managed to do that?
He began twisting motions with his right thumb and index finger as if he was the one standing at the operating table carrying out the surgery.
After a while that seemed anywhere between a moment and an eternity, a lightning bolt shot through his mind and ripped an opening in its dark night sky.
Right! That was it!
Tilting the angle of the guide wire down by 15 degrees by twisting it between the thumb and index finger, with the middle finger as basal support, could ease it through a large curvature!
Despite staring at the screen, his mind was elsewhere.
The joy that had come with the realization that he could improve his skills suddenly dissolved into nothingness.
He watched in shock; the surgeon had completed all superselective catheterizations and embolizations while he had been processing their surgical technique.
There was a tightness in his c.h.e.s.t. He knew there was a disparity in skill between himself and the surgeon, but he had not expected the gulf to be so wide…
Despite his sudden enlightenment, the interventional doctor could not see himself catching up with the surgeon; it only made the techniques and methods on display more apparent.
The distance between them grew further apart.
Hmm? This particular superselection seemed rather interesting. The doctor did not have time to sulk and focused on the surgical field.
He had encountered such an artery several days ago during superselection when performing interventional treatment of liver cancer.
No matter how hard he tried, he had been unable to finish the superselective catheterization.
However, this surgeon had made it seem like a walk in the park. The guide wire looked alive, smoothly swimming through the arteries.
From his angle, it ought to be done like this…
The interventional doctor once again moved his fingers accordingly.
In the interventional operating room in Sea City General Hospital, only the low hum of the machine was audible in the enclosed room. With Professor Rudolf Wagner assisting Zheng Ren with each superselection, the entire surgery was smooth sailing.
Each region with basal cell hyperplasia was embolized without any injury to the patient's normal endometrium.
The surgery was performed precisely, with so much detail that it was beyond the professor's current knowledge.
However, it was also done incredibly fast. Even for areas where superselection was more challenging, the professor watched Zheng Ren steadily insert the guide wire without any anticipated complications.
Professor Rudolf Wagner was bewildered. He knew that Zheng Ren was very skillful.
But could a man really be that good?
Within 30 minutes, the left uterine arteriography showed that all of the abnormal branches had been embolized. Even if he were equipped with a high-quality guide wire and conducting the surgery in a Heidelberg operating room, he would require at least an hour to finish everything.
Hmm, at least… maybe an hour and a half.
A few of those areas would have been insurmountable to him, as well.
The difficulty of this surgery was… incredible!
[I am so bored, can someone explain what the surgeon was doing?]
[He embolized the mutated areas of adenomyosis. It's very interesting, each step was absolutely enticing.]
[I can't understand at all cause I'm just a general surgeon.]
Several specialists were already mystified by Zheng Ren's methods of operation, let alone those without specializations.
Despite all of them being doctors, in such an era of sub-specialization, they only had a rough understanding of what had just transpired.
The discoloration of the mutated endometrium was apparent.
One by one, each region was embolized and radiographed by Zheng Ren. There were no longer any discolored mutated tissues on the left region supplied by the uterine arteries.
The surgery was halfway done.
After the guide wire was removed, he performed superselective catheterization on the right side of the uterine artery.
The
surgery was successful. After half an hour, all the discolored regions on the right side of the uterine arteries were completely superselected and embolized.
Radiography confirmed that everything had cleared up.
When Zheng Ren removed the guide wire and the guide catheter, the surgery was over.
Professor Rudolf Wagner had been silent the whole time. Not a single word had left him up to the very end.
He had made the right choice staying behind!
Out of habit, Zheng Ren abruptly left the operating table, but noticed the professor doing the exact same thing…
Huh, was this a habit of surgeons?
Who would stop the bleeding if both of them left?
Su Yun was usually the one in charge.
Zheng Ren laughed. Since his clothes were still clean, there was no need for him to scrub in again.
He turned around and applied pressure on the insertion point with sterile bandages.
Only then did Professor Rudolf Wagner remember that he was not in a Heidelberg University operating room and that he was not the surgeon, but an assistant.
He turned around and said in embarrassment, "Mr. Zheng, leave it to me."
Zheng Ren did not hear the man as a chime rang in his ear.
[Emergency Mission: Save People from Misery Completed
[Mission: Treating symptoms but not the root cause is meaningless. Please complete one case of emergency rescue and cure the patient's hidden health condition. Surgery completion 100%, perfect review.
[Mission Rewards: 2,000 skill points, 20,000 experience points.
[Mission Time: 7 days, 2 days 7 hours 14 minutes spent. Remaining time awarded, 4 days 16 hours 46 minutes.]
Mission complete? There were more skill points awarded than usual on top of almost five days of surgery time. It was indeed a fulfilling mission.
Zheng Ren had never paid attention to it, however. In his opinion, the surgery was long-term and could not be treated like an emergency.
Were it not for the patient's continuous agitation, Zheng Ren would never have begun the mission even if it expired.
He felt as if he had returned to Imperial Capital. The abundant rewards aside, he had managed to practice TIPS surgery, and in doing so, earned more skill points.
The Grandmaster rank of 30,000 skill points had once been an unachievable peak to him. Looking back at it, the Legend rank of 100,000 skill points did not seem so impossible now.
Zheng Ren's mind was occupied by thoughts of how much more successful his surgeries would be at Legend rank as he put on the sterile bandages.; he was so zoned out that he completely ignored the professor.
Professor Rudolf Wagner was at a loss. Had he made Zheng Ren angry?
Occasionally, in exasperation, he would carry out tasks outside his responsibility to remind other researchers that he could fire them at any time.
Was Zheng giving the same hint?
…
…
Author's Note:
In one of the chapters, I saw some of you guys discussing the problem of binge writing. I dare not do that, and I won't. No matter the surgery, the first time would be more detailed, but any similar ones after will be summarized and breezed through. That's because I don't want to keep recycling the same old thing. For example, appendectomies have already faded from sight. TIPS surgery will also be relegated to the background soon after. There are many new and refreshing surgeries and cases to write about, so don't worry. The main storyline will focus on interesting and bizarre diseases and surgeries. I won't touch a lot on societal issues, it's too brutal.
Chapter 322 - Emergency
"Zheng… Boss, let me do it," Professor Rudolf Wagner said meekly, like a child who had made a mistake.
It did not matter to Zheng Ren who ought to be pressing on the wound. As he was about to turn down the offer, he remembered that he had an emergency to attend to as well.
"You take over, then," he said.
Only then did the professor proceed to put pressure on the wound to stop the bleeding, relieved. This time, he did not go on about surgical supplies in Heidelberg that could have reduced the time required for hemostasis.
Zheng Ren left the operating table and went to the changing room, keeping on the lead apron until he reached the operating console room.
"What condition is Su Yun dealing with?"
As he said that, Su Yun entered the room. "Hmm? You're finished?"
"What kind of patient was it?"
"Acute appendicitis, laparoscopic appendectomy. I brought along Yang Lei and finished the surgery," Su Yun said as he approached the operating bench, examining the images from the surgery.
"Boss Zheng, your temple is too small for its deity," he teased, "I bet Professor Rudolf hasn't done such chores for several decades."
Through the leaded glass, Zheng Ren glanced at the professor in the operating room diligently applying direct pressure for hemostasis, and felt nothing out of the ordinary.
It was just a normal task that needed to be carried out by hand.
The professor was also human; there was nothing fantastic about him.
More importantly, the professor's skill… there was nothing exceptional.
Fifteen minutes later, the bleeding stopped and some of them transferred the patient carefully onto the stretcher trolley. As his family members held the elevator open, Chu Yanran sat on the trolley and pumped the breathing bag all the way to the ICU.
The patient would be in much less pain after post-surgery acute ischemic necrosis.
Even the pain of ischemic necrosis was incomparable to the fourth-grade agony of adenomyosis.
Zheng Ren was finally relieved, having completed all the surgeries at hand.
From the ICU, he went to the gastroenterology department to check on the TIPS surgery patient, who was recovering well with no hematemesis since the night before. There was only a slight increase in blood ammonia levels but no signs of hepatic encephalopathy.
His condition was promising. Zheng Ren decided to practice another round in the System's operating room before the next scheduled TIPS surgery.
Practice was not affected by luck points, which made it a true reflection of his basics. Successful training surgeries in the System meant that he would perform better in reality.
He returned to the emergency ward. It was as if the whole world had quietened down.
Zheng Ren sat on a chair and recalled the events of the past few days. He did not feel any less busy with flexible shifts.
From this point onward, he would probably be called from "home" to perform surgeries every day.
Such was life.
…
The patients in the ward were all stabilized. Zheng Ren went for lunch and had a 30-minute nap before waking up to read.
At 3.30 p.m., he brought Su Yun to the emergency department to check on the observation unit.
Zheng Ren decided to leave work on time if it was not too busy and there were no misdiagnoses. He was still deciding whether to treat Xie Yiren to dinner or a movie…
Whenever he thought of movies, Su Yun's story resurfaced and haunted him.
New Year's Day was around the corner. There had been an outbreak of influenza over the last few days and the emergency ward was filled with patients.
Zheng Ren heard a doctor from the emergency internal medicine unit complain about running out of Tamiflu.
This was beyond the pay grade of a chief resident. Zheng Ren decided to report it to Old Chief Physician Pan.
Suddenly, the high-pitched ring of the 120 emergency call began to blare, but Zheng Ren did not pay it much heed.
There was a special 120 emergency team with specifically assigned paramedics.
A nurse picked up the phone right as the bell pierced the air.
A few seconds later, a doctor and nurse came running from the office with an emergency toolkit, heading for the side door. There was a 120 ambulance parked outside it at all times like a soldier poised to charge int
o battle.
Wondering wha patient it would be, Zheng Ren walked to the chief's office.
As he raised his hand to knock on the door, it suddenly opened and Old Chief Physician Pan rushed out with a serious expression on his face, shouting down the corridor, "120 dispatch, hold on!"
Zheng Ren froze.
The 120 ambulance had to adhere to a strict schedule. They had to be dispatched within three minutes of a call.
What was Old Chief Physician Pan trying to do?
"There's an accident in the No. 9 Elementary. They reported someone with serious injuries. The city council called and requested specialists join in with the emergency rescue," Old Chief Physician Pan said sternly, "I was about to, but since you're here, you should go."
"Yes!" Zheng Ren replied immediately.
He turned and sprinted to the side door.
No. 9 Elementary was the ninth elementary school in Sea City. 120 command had contacted the hospital just as Old Chief Physician received orders from the city council.
They had bypassed the hospital's top management to save time. Zheng Ren could feel the tension in the atmosphere.
As for what had happened, Zheng Ren dared not and did not want to guess.
A few years back, there had been brutal assaults in kindergartens and elementary schools in other cities. Zheng Ren despised such people; no one had the right to take revenge on society by attacking those places.
These people were sc.u.m, cowards who were too afraid to attack a.d.u.l.ts and chose to lash out at children instead!
Zheng Ren rushed to the 120 ambulance and jumped in, closing the door behind him and saying in a commanding tone, "Turn on the sirens and drive as fast as you can!"
"Okay!" the driver answered, and the siren began wailing.
"Is the ventilator functioning properly?" Zheng Ren began checking on the ambulance's equipment.
"Yes, we check them daily," a nurse replied.
Ambulances in the city had been standardized a year ago. They were all Mercedes-Benz, equipped with aspirators and oxygen supplies.
"What about the others?"
"There are designated staff to check the endotracheal intubation packages, surgical kits, central venous catheter puncture kits, dextrose and emergency drugs," the nurse answered immediately.
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