Chapter 701 - Comparison (Part Two)
"Next..." This sentence echoed in Liu Xuzhi's heart. During the entire surgery, Zheng Ren only said this one sentence. The surgery was done just like that? Yes, it was! Liu Xuzhi did not stand there foolishly. He did not think about whether the surgeon in Xinglin Garden's live broadcast room or the tired and bruised surgeon in front of him was stronger. He would have plenty of time to think about this kind of problem in the future. But now, the important thing was to send the patient down after the surgery and bring another patient up. He had always remembered his purpose for coming here. Looking at Doctor Zheng who was walking a little unsteadily, Liu Xuzhi really could not believe that the steady hand and precise movements during surgery just now came from a pair of hands in such a state. Soon, the next patient was carried to the operating table. Liu Xuzhi seized the time to scrub his hands and prepare to disinfect them. Liu Xuzhi was a small figure who had always been very invisible ever since he started working. He was aware of this. Even though Zheng Ren looked very young to the point that he looked like a child who had just started work, his skill level was so high that Liu Xuzhi did not dare to take him lightly. In his heart, he regarded Zheng Ren as a professor who thought he was from the Imperial Capital. A small task like disinfection would definitely be his responsibility. Zheng Ren was also stunned for a moment. It would definitely be good if someone sterilized the patient for him instead. After inserting the radiographic films into the radiographic film viewer, Zheng Ren focused on looking at the radiographic films. After an endless amount of surgeries and the surgery where he had almost been buried underneath ruins, it was as if a fire had been quenched inside him. Zheng Ren once again bravely advanced, and his interventional surgery level had improved tremendously. It was only the most 'basic' radiographic film but at this moment, Zheng Ren had a different idea in his mind. The most primitive data was reassembled in his mind as Zheng Ren began to work as his own personal software to create it into his own 64-slice CT scan with 3D-image reconstruction. Just trying to visualize it in his mind made Zheng Ren feel dizzy. He could not think about these things now, Zheng Ren immediately realized. Liu Xuzhi saw that Zheng Ren was still shaking on the spot and said carefully, "Teacher Zheng, please take a few minutes to rest. I'll call you after I'm done with the disinfection and the artery cannulation. What do you think?" Zheng Ren turned his head and gave Liu Xuzhi a smile. "No need. I'm fine," Zheng Ren said faintly. At this moment, he even somewhat missed Su Yun who was in the operating theater next door. Although he had received countless days of surgery training in the System's operating theater—which lasted for a few days without rest—it was still alright. At that time, there was no hunger or fatigue in the System's space. As long as he could endure loneliness, boredom, and monotony, it was enough. But now, Zheng Ren was really tired. Even if he restrained the delusion of being persecuted in his heart and drank up all the energy drinks stored in the System space, he could not withstand the waves of fatigue that surged up like a tide. It was good if Su Yun was there. That chatterbox could always find a variety of topics to talk about. Perhaps if he said something, he would be more energetic? "Teacher Zheng, you're really good at surgery." Zheng Ren was thinking about it when Liu Xuzhi spoke while disinfecting. This was the standard operating theater atmosphere. How could they not speak while being face-to-face? "Oh, it's alright," Zheng Ren replied. "Teacher Zheng, are you logged into Xinglin Garden?" Liu Xuzhi asked. The disinfection was already half done. "When I just graduated, I occasionally went to take a look. However, I've been busy with work recently so I haven't been signed in for two years," Zheng Ren said. "That's such a pity," Liu Xuzhi said. "Teacher Zheng, recently, an unfamiliar account has appeared in Xinglin Garden. It has opened a surgery live broadcast room to broadcast all kinds of high-difficulty surgeries." Zheng Ren smiled. How could he take such sensationalism seriously? "Teacher Zheng, everything's been disinfected." Liu Xuzhi's hands and feet were agile. The oval pliers pinched the edge of the curved plate and the metal buckle made a cracking sound. The two of them went to scrub their hands, disinfect, and prepare for surgery. "Sometimes, interventional surgery will also be broadcasted live in Xinglin Garden's live broadcast room," Liu Xuzhi said. "Oh, is their skill level good?" Zheng Ren felt that it was quite good to say a few words. His attention seemed to have been diverted a little and he was no longer so tired. "It's especially high." Liu Xuzhi brushed his hands and said, "Once, our hospital encountered a patient with mesenteric artery embolism. The general surgery department was unable to perform the surgery. I watched the surgical demonstration in Xinglin Garden's live broadcast room and performed it on my own afterward." "Oh, I'm assuming it was part of the mesenteric artery that was embolized, resulting in the intestinal necrosis. Then, according to the condition of the necrotic border, you'd have to perform an intestinal resection surgery." Zheng Ren finished brushing his hands, picked up a piece of iodoform gauze, and began to disinfect it. "Yes, that sort of thinking is very rare." "Yes, but this is a special case so we should try to use it as little as possible. Last year, I also performed a case. However, do you not know how to perform general surgery?" Zheng Ren asked in return. "Yes."Liu Xuzhi was stunned for a moment. Wasn't it very normal for interventional surgeons to not know how to perform general surgery? What was so strange about it? "Then you are indeed very courageous. The general surgeons in your hospital are also not bad. I embolized and removed the intestines myself, so I know what I'm doing. It's very rare for you to believe in your general surgeon's standards." After Zheng Ren finished speaking, Liu Xuzhi felt as if a bucket of cold water had been poured over his head. He was in high spirits but now, he was scared. Zheng Ren mentioned a possibility in his words—after Liu Xuzhi completed the interventional embolization, the general surgery department did not dare to continue through. Perhaps their standard was limited and they could not. If that was the case, it would be a major medical accident. Damn it... Liu Xuzhi felt excited then and proud of the results afterward. However, he was now scared. Why didn't he think of this? Seeing that Liu Xuzhi was silent, Zheng Ren recalled what he had said. The current Zheng Ren basically relied on his body's instincts and physical memory to speak and do things. If it were any other time, Zheng Ren would not have said those words just now. He realized what the problem was as he smiled and comforted Liu Xuzhi, "It's okay. I'm just saying one possibility. Intestinal resection and anastomosis are some of the simplest surgeries. However, the surgical grade is relatively high so you have to be careful. Most people who are an attending physician or above in the general surgery department can do it." Liu Xuzhi's face was full of tears. He wanted to show off a little but did not expect that Zheng Ren would 'beat him up' so badly that his face was bruised and swollen. Zheng Ren put on his clothes and stood in the main surgeon's position. The circulating nurse quickly left and closed the air-tight lead door. "Teacher Zheng, have you ever performed an operation to embolize the transverse lumbar artery before a vertebral body resection?" Liu Xuzhi asked, unwilling to give up. In his opinion, the surgeon in Xinglin Garden's live broadcast room was the most powerful. However, he had seen with his own eyes that Doctor Zheng's surgical skill was higher. He was always a little unconvinced and wanted to find all kinds of examples to prove...the skills of the surgeon in the live broadcast room. "I've done it before. I had to do a 64-slice CT scan with 3D-image reconstruction in advance too. Once the reconstruction is done, the surgery is secondary."
Chapter 702 - Comparison (Part Three)
"64-slice CT scan with 3D-image reconstruction?" Liu Xuzhi was stunned for a moment. Zheng Ren's side had already completed the puncture. He crossed his left and right hands and began the blind operation with the micro-guide wire. "Yes, the blood supply of the vertebral body is too rich. If we don't embolize it, we'd have to just cut it off and the amount of blood loss would be around 5,000 ml. Therefore, we have to carry out the interventional embolization in order to ensure the surgery's success and reduce the patient's postoperative compl
ications," Zheng Ren said as he began to step on the line. The micro-guide wire and micro-catheter were already placed at the branch of the internal iliac artery. "Inject the medicine," Zheng Ren said. Liu Xuzhi moved in a trance. He pushed the contrast agent into the high-pressure injector and carried out the contrast. He quickly recalled in his mind that the livestream surgery had indeed done a 64-slice CT scan with 3D-image reconstruction. However, Liu Xuzhi did not pay special attention to the 64-slice CT scan with 3D-image reconstruction. His attention was focused on the surgeon's operation in Xinglin Garden's live broadcasting room. According to Reacher Zheng, the 64-slice CT scan with 3D-image reconstruction was key to the whole operation? While he was superselecting, Zheng Ren said, "The 64-slice CT scan with 3D-image reconstruction can find many small blood vessel branches of the vertebral body that need to be removed so that you can perform a detailed embolization. This ensures that the amount of blood loss during the surgery is less than 1,000 ml. If the surgeon's skill level is high, it can be up to 500 to 600 ml." "Is that so?" Liu Xuzhi had no idea at all. In Xinglin Garden's live broadcast room, only the embolization of the transverse lumbar artery was broadcasted live. After that, the surgery to remove the vertebral body was not shown. Doctor Zheng said it with great certainty, but was it true? "It's about this number," Zheng Ren said while continued, "Push the embolic agent." "Oh, oh." Liu Xuzhi quickly picked up the injector beside him, pulled out the embolic agent, and began to push it in. "64-slice CT scan with 3D-image reconstruction is a very important auxiliary examination method. You have to study and learn it well. This kind of reconstruction is especially helpful for interventional surgery. It can clarify the approach so that you avoid operating blindly." After Liu Xuzhi pushed the embolic agent, Zheng Ren began the next step of the selection. "Teacher Zheng, the surgeon in Xinglin Garden's live broadcast room also did the interventional treatment for liver cancer. I saw the information provided before that there was a 64-slice CT scan with 3D-image reconstruction. Each of the blood vessels supporting the tumor was shown." Liu Xuzhi continued to recall. "Well, that's why the 64-slice CT scan with 3D-image reconstruction is very important." After Zheng Ren finished the selection, he instructed Liu Xuzhi to start the embolization again before continuing, "Department Chief Kong of the Department of Interventional Medicine at Imperial Capital Hospital and I have conducted scientific research on the interventional treatment of small-node liver cancer. The 64-slice CT scan with 3D-image reconstruction is a very important component." Zheng Ren finished the selection of another blood vessel. As Liu Xuzhi pushed the medicine, he thought that perhaps these were too common and there was really no way to compare the difference. Just like an appendectomy, wasn't it just that even if it was a fancy surgery technique was used? What else could it be? Out of instinct, Liu Xuzhi still wanted to protect the unknown surgeon in Xinglin Garden's dignity. Subconsciously, Liu Xuzhi had already regarded him as a mentor for his medical career. This Teacher Zheng seemed to be very skilled but was definitely still inferior to the Xinglin Garden surgeon. It was just that his own skill level was too low so he could not tell where the difference was! Liu Xuzhi was in a daze for a moment. He let his mind wander as he pushed the medicine. The most awesome surgical method for the surgeon in Xinglin Garden's surgery live broadcast room was definitely the new standard of diagnosis and treatment for TIPS surgery. But should he say it out loud? This was an emergency rescue. What if it really hit Teacher Zheng's morale? However, perhaps he could give teacher Zheng some ideas. When the earthquake relief was over, he might be able to go to Xinglin Garden to take a look. Yeah, it was probably best to tell him. Liu Xuzhi pushed the medicine and put the injector at hand. He looked at four small bleeding branches of the internal iliac artery that had been embolized and three that had been completely ignored. While he waited mechanically for the push, he said what was on his mind. "Teacher Zheng, the surgeons in Xinglin Garden's live broadcast room have also made new innovations in the diagnosis and treatment of TIPS surgery." "Oh?" Zheng Ren said while he was superselecting. "Is it the kind that uses a special catheter to mark the portal vein?" Liu Xuzhi smiled. Finally, there was something that Teacher Zheng did not know. It seemed that the level of the surgeons in Xinglin Garden was still a little higher. To create a brand-new surgical method was something that only a genius could do! "No." "Oh? No? Then it can't be that he used nuclear magnetic resonance imaging to determine the location of the puncture point, right?" Zheng Ren said lightly. That simple sentence was like a bolt of lightning that struck Liu Xuzhi's head. He... He... Didn't he say that he hadn't watched anything from Xinglin Garden for years? Then why did he know how to use nuclear magnetic resonance imaging to determine the approach for TIPS surgery? Could it be that he was just casually saying that when in fact, he was also a fan of the people in Xinglin Garden's live broadcast room? "Teacher Zheng, you must be joking. Do you watch the stream on Xinglin Garden too?" Liu Xuzhi said very gently. There was no need for him to argue with Zheng Ren. "I haven't. Prepare to push the medicine," Zheng Ren said. "Then how did you know that the new approach of the TIPS surgery was determined by nuclear magnetic resonance imaging?" Liu Xuzhi asked. "Medication." Zheng Ren did not answer. He only told Liu Xuzhi to inject the medicine. Zheng Ren did not take what Liu Xuzhi said to heart. He took everything literally and then used his words to relieve his fatigue and sleepiness. Seeing that Liu Xuzhi had finished embolizing the last branch of the internal iliac artery, Zheng Ren withdrew the tube and said, "Because this method was first created by me... Later, Lil Fugui also gave some advice." First created... Liu Xuzhi was stunned. Bragging? How could he brag like that? First created! This teacher Zheng really dared to say such a thing. He could only say it in front of him but these words could not be spread. When it came to academic matters, it was very likely to attract the disp.l.e.a.s.u.r.e of a world-class demon. Liu Xuzhi was also thinking too much but still tried his best to remain calm. He must not tell anyone about this. Doctor Zheng must be too tired so he just blurted out nonsense. "Next!" Zheng Ren walked past Liu Xuzhi, pressed the button on the intercom, and roared. Uh... So fast... Liu Xuzhi only noticed at this time that the surgery was actually completed during their short chat. "Thank you. I'm more energetic now." Zheng Ren smiled, straining the bruise next to his eyes. After the smile, he frowned. It hurt. "Teacher Zheng, I don't dare to talk nonsense about such a thing," Liu Xuzhi said seriously. He felt that he needed to remind Doctor Zheng. "Uh... The latest issue of The New England Journal of Medicine has my thesis that has been published. Didn't you notice?" Zheng Ren called for people to come in and carry the injured as he said, "However, I myself haven't read it yet but it was probably published around last December. It shouldn't be the latest issue anymore." Liu Xuzhi was dumbfounded. There was already a thesis? Could it be that what Doctor Zheng said about being the first one was true? Did the surgeon from Xinglin Garden's live broadcast room learn it from him? What was going on?
Chapter 703 - Forgot About Your Lack Of Knowledge
"Oh, by the way, what's your name?" After the surgery, the injured person was carried off and the next injured person was carried up. Zheng Ren used the intermission period to ask Liu Xuzhi that question. Liu Xuzhi sweated profusely. After performing surgery, he did not even introduce himself. Was it because Teacher Zheng looked young and he was careless? Liu Xuzhi immediately suppressed the surprise in his heart and said apologetically, "Teacher Zheng, my name is Liu Xuzhi. May I ask if you work in the Imperial Capital Hospital?" "Yes, I just went over." Zheng Ren turned around to brush his hands. "Go to the other operating theater and see if you can help them out there. I chatted for a while and feel more energetic." "Uh..." Liu Xuzhi was very helpless but when he heard what Zheng Ren said, he habitually respected Zheng Ren's opinion and turned around to leave. Anyway, now that he knew that he worked at the Imperial Capital Hospital, this was a good opportunity. If he had time, he would go there to study. The surgeon in Xinglin Garden was elusive. It had been a long time since he had started a live br
oadcast. Moreover, according to teacher Zheng, his skill level was higher than surgeon from Xinglin Garden. He could not go abroad, but he should be able to go to the Imperial Capital Hospital to further his studies. Ever since he watched the surgery live broadcast in Xinglin Garden, Liu Xuzhi had the idea of going to further his studies. However, after seeing the surgeon's skill in the operating theater, he did not want to find a random place to study. If that was the case, he might as well watch the live broadcast at home. But now... Liu Xuzhi thought to himself. He turned around and left the operating theater with the nurse. The airtight lead door was closed as surgery began once again. When he came to another operating theater, Liu Xuzhi saw a different scene. Mu Tao was lying on the sofa, half asleep and half awake. In the operating theater, Su Yun was performing the surgery alone. Liu Xuzhi knew that everyone was very tired. If they could sleep, they would sleep for a while. Otherwise, they would not be able to perform surgery. As for Teacher Zheng, he was a monster. He had only performed surgery once. After chatting for a while, Liu Xuzhi had already labeled Zheng Ren as a monster. "Hey, who's that? Are you the new doctor?" The intercom in the operating theater was suddenly switched on and Su Yun's voice was heard. Is he asking me? Liu Xuzhi adjusted himself and immediately said to the microphone, "Hello, teacher. I'm an intervention doctor who came down from the frontline. Can I go in and help you in the operating theater?" "Oh? You're quite polite. Come in and chat with me for a while. I'm so sleepy." Su Yun was doing the superselection on screen. He had napped on and off a few times before so he was much more energetic. This teacher seemed to be easy to talk to, so Liu Xuzhi made a judgment to 'court death'. He saw that there was no line inside, so he immediately opened the airtight lead door and entered the operating theater from the operating room. He called the circulating nurse and washed his hands in front of the sink in the other corridor. After putting on his clothes, Liu Xuzhi consciously stood at the assistant's position. He wanted to help Su Yun hold the guide wire but saw that this teacher's technique was the same as teacher Zheng's next door. He crossed his left and right hands. This kind of technique made Liu Xuzhi feel useless. He could not help even if he wanted to. Was he supposed to act as a nurse and continue pushing the medicine? Or was he just here to chat to make this practitioner feel more energetic? "What's your name?" Su Yun asked. His words were more direct and sounded quite rude. However, Liu Xuzhi knew that in this kind of situation that communication was very direct. In the face of the hellish situation, no one had the patience to exchange pleasantries and perfunctory greetings. On the other hand, this person came up to him and asked him questions. It seemed that he was a little better than Teacher Zheng next door. Teacher Zheng only remembered to ask him at the end. "Teacher, hello. My name is Liu Xuzhi." "Oh, my name is Su Yun. Don't call me teacher. Just call me Brother Yun," Su Yun said casually. Liu Xuzhi was speechless. This guy did not look like much. How could he call him brother right away? Moreover, he didn't look that old. Was it really okay to call him brother? That was what he thought. However, Liu Xuzhi was used to being a coward. He could call anyone anything they wanted him to. He wouldn't lose sleep over whether to call him brother or not. "When did you come up?" Su Yun asked as he operated. "I came as soon as I got the news. I came a little late. It was already 16 hours after I received the mission," Liu Xuzhi said politely. It was rare to receive a mission in 16 hours. "Oh, by that time... We were almost in Nanchuan Town," Su Yun calculated and began to recall. Although it was only a few days, it was as if many years had passed. Some things were intentionally or unintentionally forgotten. It took a lot of effort to recall them. Silent, Liu Xuzhi received a critical hit once again. "You came quite quickly. Where was the rescue?" Su Yun asked. However, this guy was only asking questions absentmindedly to talk to him. He did not expect to receive a reply from Liu Xuzhi at all as he said, "Forget it. It doesn't matter where we are. It's good as long as we survive. When we entered the mountain, we saw tens of thousands of dragonflies pouncing on us like dark clouds. Did you see them outside?" Liu Xuzhi felt like he was being despised. Outside? He was at the frontline, alright. But compared to Nanchuan Town, it had been nothing. This person's words were really unpleasant to hear. He was full of arrogance and directly looked down on him. Liu Xuzhi quickly corrected his view of Su Yun and gradually returned to the impression he should have. "I met a lot of big mosquitoes outside. I couldn't chase them away and they bit me until my whole body was covered in blisters. One day, I fell asleep in a daze and dreamed that the mosquitoes were as big as people and flew over me, darkening the sky." Liu Xuzhi was still very honest. He didn't retort Su Yun but instead, told him about his own dream. "If only I were as ignorant as you." Su Yun sighed and said out of habit, "Sometimes, ignorance is bliss. If I had such a dream, my first thought would be that insects can't grow that big." Liu Xuzhi was stunned. How could this person say that he was ignorant so directly? Did he still have any basic manners? "Insects don't have the heart structure of mammals and don't exchange blood with oxygen. Their blood can't carry oxygen so their oxygen circulation can only be naturally spread through the body by air." Su Yun looked at the screen in front of him. He was seriously doing the super selection while his mouth moved out of habit. To Su Yun, these things were fragments of knowledge that he had memorized in his mind. He did not even need to use his brain to find them as they just casually came forth. "If insects can grow so big, they will die immediately. Old Liu, let me tell you, we are all materialists. Next time you have such a dream, you must open your eyes wide and see how these mosquitoes die." Liu Xuzhi's face was once again filled with tears. He did not want to have such a dream. He still had to open his eyes wide and see how the big mosquito would die? Wasn't this nonsense? "Oh, right, I forgot that you lack the knowledge and don't know about these sorts of things." Su Yun's selection was successful. His right hand clenched into a fist and he encouraged himself, "Push the medicine and embolise!"
The Surgeon's Studio c1-799 Page 333
