[You guys can do it even without an interventional doctor. It's quite easy to do the lumbar artery embolization with a Gelfoam sponge.]
[if it was that easy, would the professor be doing this? Why do I feel that besides the appendectomy that I missed, the surgeon's broadcasts are becoming less frequent but with an improvement to surgery quality over time? All of his surgeries are extremely difficult to pull off.]
Before the surgery had begun, everyone was happily exchanging their views and opinions.
In the hybrid operating room, Professor Rudolf had inserted the catheter in the femoral artery and fixed the arterial sheath in place, waiting to assist Zheng Ren in surgery.
The professor had gone down a rabbit hole with no end.
Only a few days ago, Professor Rudolf Wagner was the world's top surgeon. He had probably not done any preoperative work for at least a decade long.
However, he had accepted his fate in such a short period of time and became an "excellent" assistant.
Zheng Ren was used to Su Yun inserting the arterial sheath beforehand so that he could start the surgery immediately. However, he was not bothered by whether it was Su Yun or Professor Rudolf doing the preop.
He went on the operating stage and inserted the micro-guide wire. The surgery had now officially started.
When Zheng Ren intentionally avoided the lumbar artery and started the embolization on other smaller branches, many experienced orthopedic surgeons went berserk.
[What surgical method is this surgeon applying? Isn't the surgery over after inserting the Gelfoam sponge into the lumbar artery? The main event is the vertebral resection.]
[Ya, why is the surgeon performing embolization on the branches?]
[That's so strange.]
Everybody was baffled on why he was trying to complicate such a "simple" surgery.
Indeed, more artery embolization would significantly reduce blood loss but at the same time, it would amplify the overall risks.
It was not worth it.
Time passed as Zheng Ren embolized one artery after another with the assistance of Professor Rudolf Wagner.
Even the professor could not understand his methods at the beginning.
However, he was still the world's top interventional surgeon. He understood Zheng Ren's intention 5 minutes into the embolization.
Professor Rudolf could sense Zheng Ren's ambition to "complicate" this surgery.
What was supposed to be a simple surgery had turned into a complicated operation.
Was this the reason why Zheng Ren brought him along to the 64-slice CT scan with three-dimensional image reconstruction? Was he trying to show him something?
Once again, Professor Rudolf was overthinking and got all excited.
Based on his professional judgment, Professor Rudolf had guessed that Zheng Ren also did a 64-slice CT scan with three-dimensional image reconstruction prior to performing the prostate interventional surgery.
Zheng Ren must be trying to teach him the embolization techniques through this surgery.
What a selfless young man, Professor Rudolf Wagner thought.
The professor paid full attention since it was related to the prostate embolization surgery, which was his main concern.
Dr. Zhou was totally lost in the middle of watching Zheng Ren and the German Professor from the operating console room.
He did not know much about interventional surgery, but the surgeons from Imperial Capital told him that it would only take around twenty minutes.
How long had it been?
Chapter 343 - A Surgery That Will Leave Female Doctors In Tears and Male Doctors Speechless
It seemed like Dr. Zheng was not up to their standards, Dr. Zhou judged silently.
It was fine as long as he could get the job done because he did not know how to perform the surgery himself.
Dr. Zhou had a kind personality. Even though he had never done any research on interventional surgery, he did not complain when Zheng Ren took longer than expected. Instead, he thought of how tough it must be for Zheng Ren.
In a third-tier or fourth-city like Sea City… It was considered lucky to have someone who knew how to perform interventional surgery. If Zheng Ren was not here, they might not have been able to invite the professor from Imperial Capital.
Who would want to risk having their patient bleed out 5 to 6 liters of blood after surgery?
He took his phone and started communicating with Professor Tian from Imperial Capital.
Dr. Zhou described the situation to him, saying that the surgery had been going on for more than an hour.
The professor from Imperial Capital told him not to worry. For a rural area to be able to handle interventional surgery, it meant that they were coping very well.
Suddenly, a thought emerged in Dr. Zhou's mind. This professor from Imperial Capital was his mentor while he was pursuing his further studies. He vaguely remembered hearing him mention of Heidelberg University.
He hesitated for a moment before sending out a text.
[Professor Tian, I remember that you told me that you studied in Germany before?]
[Yes, I have a PhD from Heidelberg University.]
Professor Tian from Imperial Capital replied.
Dr. Zhou shuddered internally. No wonder Heidelberg University sounded so familiar to him. Professor Tian had graduated from there.
No wonder.
Another question came to his mind. It was not his intention to embarrass Zheng Ren but merely out of curiosity.
[Professor Tian, do you know Professor Rudolf Wagner from Heidelberg University?]
He messaged him without hoping for an answer.
A world-class university would have countless professors. Professor Tian was just a postgraduate student, so how many professors would he have gotten to know then?
However, he got a reply shortly after sending the text out.
[Of course I know him. He's the world's top interventional professor. I even studied interventional surgery under him for a period of time. Lumbar artery embolization may seem easy on the surface but is very technical.]
Dr. Zhou was completely stunned…
Could it be? The name that Chief Zheng had mentioned... Had he heard wrongly?
It was definitely impossible. Why would a professor from Heidelberg University who had taught Professor Tian surgery come all the way to Sea City?
Dr. Zhou mocked his own ridiculous imagination.
[Professor Rudolf Wagner only needs 5 minutes to perform a lumbar artery embolization. He works at an incredibly fast pace.]
Professor Tian replied to Dr. Zhou with another text.
Dr. Zhou chuckled. He must have heard the name wrongly. An hour and a half had passed and the surgery was still not finished.
Dr. Zhou kept his phone after arranging to pick up the professor from the airport tomorrow morning.
The broadcasting room in Xinglin Garden was very quiet. All the orthopedic surgeons were in a daze, and even the interventional doctors were dumbfounded.
The surgery was extremely intricate.
In comparison to the surgeon's operation, the lumbar artery embolization performed by the orthopedics surgeon…was rubbish.
Could theirs even be considered surgery?
Look at how he was doing it!
The orthopedics surgeon watched the usual arteries and new ones get embolization one after the other. They put themselves into the surgeon's shoes and were surprised by the magnitude of blood loss that could be prevented.
Of course, those who managed to come up with this conclusion were all skilled surgeons.
For instance, doctors like Dr. Zhou, who could only rely on inviting other professors to perform the vertebral resection, had no idea what Zheng Ren was doing.
All the interventional doctors were in awe. Looking at the hair-like arteries and capillaries being embolized one after another, there was only a single thought in their minds—this surgeon was truly amazing.
The ones w
ho failed to understand did not know how to comment, while the ones who did were so shocked that they were at a loss for words.
There was rare silence in the Xinglin Garden's broadcasting room.
Another half an hour had passed and the surgery was finally completed. A stream of comments like bullets started filling the screen for almost 10 minutes after the broadcast had ended.
[My goodness… That was f*cking incredible!]
[That was the best partner an orthopedic surgeon could get. If our hospital has an interventional doctor like him, I'm up for resectioning any part of the vertebra!]
[I estimate that the bleeding would be less than 1 liter. This is a figure that no one has dared to hope for. It's a miracle.]
[1 liter? Are you joking? How bad are your skills? I think it would be capped at 600 mL.]
[This is a surgery that'll leave female doctors in tears and male doctors speechless. I'm really jealous. I think our hospital is offering a fellowship in Canada. I must fight for it this time.]
[Host, please send my regards to the surgeon. I'm looking forward to seeing you in the broadcasting room.]
[Stop dreaming, do you think you can get onto the live surgery broadcast as an exchange student? Have you seen the surgeon's assistant? Regardless of general surgery or interventional surgery, all his assistants have shining credentials.]
[You make me feel hopeless…]
Comments rained on like bullets. The interventional doctor from Horqin Right Middle Banner remained silent.
All enthusiasm and excitement from succeeding in the mesenteric artery embolization surgery was gone.
What he had just witnessed was the vast distance between him and the surgeon, devastating his pride.
However… What else could he do? The surgeon had the skills of a world-class physician! It was understandable that he could not compare.
Chief Han from the orthopedic department also had no idea what was going on in the live surgery broadcast. He gave a few glances and proceeded to start a drinking competition with the general surgery chief.
The interventional doctor was disappointed as they did not know how to appreciate the top-class surgery presented right in front of them.
He felt so depressed, it was as if all the air had been s.u.c.k.e.d out of his lungs. This was not the way of becoming a doctor!
Nevertheless, he seemed so out of place in an environment like this.
He had no one to blame if he got sidelined and bullied.
Should he spend all his time at social events to entertain others? If he did, would he have any time left to study?
The interventional doctor was lost in his dilemma.
…
In the emergency operating room of Sea City General Hospital, Zheng Ren removed his sterile gown and kept his lead vest into the System before entering the operating console room.
"Brother Zhou, the surgery is done."
"Thanks for the trouble."
"No worries. There shouldn't be much bleeding tomorrow," Zheng Ren said confidently.
"Hmm?" Dr. Zhou was a little surprised. "I've prepared 20 units of red blood cells and plasma."
"Just hold on to it. There's no hurry to retrieve them. I was thinking that if the professor from Imperial Capital has the skills that I expected from him, the patient would only lose around 500 mL of blood and might not even need a transfusion," Zheng Ren said.
"..." Dr. Zhou noticed that Chief Zheng was really good at being boastful.
The global standard for the bleeding volume of a vertebral resection was under 2 liters. It was already remarkable if one could keep it under the standard volume.
Did he just say 500 mL?
Was he out of his mind?
However, Dr. Zhou had always been very feminine and gentle, so the smile on his face never faltered.
He just smiled politely after hearing Zheng Ren's "boasts".
After all, Zheng Ren had willingly stayed behind to help him with the surgery.
He could not look down on him due to his gloating post-surgery.
Chapter 344 - A Movie Date
Zheng Ren glanced at his watch. Fifteen minutes had passed. Professor Rudolf Wagner was still applying pressure to stop the bleeding. He seemed to have lost track of time.
"Lil Fugui!" Zheng Ren called out.
"What's the matter?" The professor was startled for a while before he regained his composure and answered the call.
Dr. Zhou shuddered. A country-like Fugui was appalling enough.
When the professor spoke in a pure Northeastern dialect that was rarely heard even in the Northeastern region, it was the last straw that finally broke Dr. Zhou.
What in the…
"It's time, wrap it with compression bandages and hand over the patient to Brother Zhou." When Zheng Ren finished saying that, Xie Yiren had appeared in front of the professor with the compression bandages in her hands.
"Brother Zhou, I'm not following the patient back," Zheng Ren said with a smile. "As usual, just remove the compression bandages after 24 hours. However, since you guys are performing the vertebral resectioning, you should listen to the Imperial Capital professor."
Dr. Zhou was still immersed in the Northeastern slang that Professor Rudolf had just used.
He nodded his head in a daze after hearing what Zheng Ren had said.
"Right, Chief Zheng. I'll be picking up Professor Tian tomorrow. After the surgery and postoperative care, I'll take you out for a meal," Dr. Zhou said. "Thanks for the favor."
"No problem," Zheng Ren said before chuckling.
After transferring the patient onto the stretcher trolley, Dr. Zhou waved his hand at him before pushing the patient out together with another orthopedic doctor.
The operating room finally quieted down.
"Lil Fugui, you should head back to the hotel and rest," Zheng Ren said to Professor Rudolf when he was finished with work.
"Boss, remember to page me if you have an emergency interventional surgery tonight," the professor said, reluctant to leave.
If the doctors from the Xinglin Garden were in shock, it seemed that the professor was the one who had truly become enlightened by the crux of the surgery.
Professor Rudolf felt as if he were back in his internship days. His entire body was energized and emergency surgery did not seem so dreadful after all.
"It's after work hours and your personal time, Lil Fugui." Zheng Ren waved his hand.
The name Lil Fugui seemed to roll off the tongue better.
It was a good name.
"No, Boss. F*ck personal time." The professor gave a reassuring gesture and said, "I'm your assistant now. You have to call me if there's an operation."
"Okay." Zheng Ren had been scouting around after sending the patient away. Xie Yiren and the circulating nurse were busy cleaning the surgical waste in the operating room and sterilizing the area. He thought about it several times before making a decision.
Zheng Ren went to the changing room together with the professor. He then chased the professor back home before taking out his phone to text Xie Yiren over WeChat.
[Any suggestions for dinner tonight?]
She should be busy because Zheng Ren did not receive an immediate reply. He gripped his phone tightly and placed it into his coat pocket, using his hand to feel the vibrations as he feared that he would not hear WeChat's notification ringtone.
Zheng Ren quietly sat in the changing room and waited.
Should he ask Xie Yiren out for a movie tonight?
This was a problem.
Since Su Yun had told him about the story, Zheng Ren was fixated on the movie theater scenario as if under a spell.
He had only watched a handful of movies. He could not even remember which way the cinema doors open, not to mention the fact that he was about to watch a movie together with the girl he liked.
Zheng Ren's palms turned clammy at the thought of it.
His mind was blank, like a soldier about to go into battle.
> His phone rang and vibrated 3 times, startling Zheng Ren who was entirely focused on waiting for her reply.
He took his phone out of his pocket, both anxious and excited. He was disappointed to find that the message was from Su Yun.
[Boss, Yang Lili's in the diuretic phase. She had more than 100 mL of urine per hour for three consecutive hours.]
Uhm, this was good news. Entering the diuretic phase meant that she had regained a certain level of kidney function after renal reperfusion.
As long as it did not progress to urinary incontinence, the injury would heal over time.
[Is she conscious?]
Zheng Ren replied.
[She can open her eyes but is still in a fuzzy state. You can reduce the dosage of sedative tomorrow, but that's a problem for tomorrow. I'm going back to sleep. If there's any emergency surgery tonight, please don't call me. I can't take it anymore.]
[Go ahead.]
The image of Su Yun sitting in the ICU appeared in Zheng Ren's mind, his messy fringe resting sluggishly on his forehead.
He laughed.
The possibility of the emergency rescue being a success was increasing. Su Yun had done a good job.
While he thinking halfway, Xie Yiren sent a text on WeChat.
[There's a newly open Cantonese restaurant. I heard that the chef is from Shunde. Do you want to try it?]
Zheng Ren had no idea that the most authentic Cantonese cuisine originated from Shunde. To a person who had no d.e.s.i.r.e to eat when he was not hungry, bland and healthy Cantonese cuisine did not sound appetizing at all.
However, if it meant he could have dinner with Little Yiren… He would be happy no matter what.
After a brief moment of hesitation, Zheng Ren had a determined expression on his face.
[Let's go watch a movie after dinner?]
Zheng Ren could feel his heart beating strongly as if it was about to jump out of his mediastinum when he pressed the send button.
Even his ribcage and sternum could not hold back his pumping heart.
The high-energy phosphate bonds of ATP were breaking up, supplying ample energy. Zheng Ren was so pumped up that he could clearly hear voices from the microscopic world.
The Surgeon's Studio c1-799 Page 163
