If he really could not do it, he could only ask the scrub nurse to help. However, if that was the case, the surgery would be done rather slowly.
Su Yun raised his eyebrows and said, "Boss, you can go lower the peritoneum shelf by yourself. I'll perform a c.h.e.s.t surgery as a refresher?"
He was using a question to seek Zheng Ren's opinion.
Zheng Ren smiled and said, "Go ahead."
Su Yun completely came to life. He stuck his head out and shouted, "How many hands do you need?"
"At least three." The circulating nurse was very happy. Although she did not know who was the one who had spoken up, it was always good to have someone follow in for the surgery.
"Boss, I'll be going!" Su Yun seized the time to put on a sterile hat. While he was putting on a mask, he said, "You're not going to perform a thoracic surgery either. It's so frustrating."
Chapter 728 - Are You Su Yun?
Su Yun ran out excitedly. Zheng Ren laughed in his heart. It was not easy for a doctor from the cardio surgery department to follow him in performing general surgery and interventional surgery for a few months.
He had also performed cardio surgery in Sea City General Hospital but the numbers were sparse.
It was really difficult for him.
After changing his clothes, Zheng Ren walked into the surgery room.
Chief Chen stood at the hybrid operating room's entrance and waved at Zheng Ren. He walked straight over. Outside the operating theater, there were a few doctors who were extremely tired. They laid on the sterile, dark green clothes and curled up their bodies, fast asleep.
This place was no longer as neat and solemn as before. There was more tiredness and chaos.
However, there was nothing he could do. He was high on energy drinks and on the verge of collapse. Furthermore, these doctors could not hold on at all. How was Su Yun? His body should be good enough, right? Zheng Ren felt like he would not be able to hold on any longer.
Zheng Ren carefully walked past the doctors who were resting in the operating theater's corridor. He tried to keep the sound of his footsteps as quiet as possible so that he would not disturb them.
When he passed by the third operating theater, Zheng Ren took a glance inside. He saw that Su Yun had already finished brushing his hands and was putting on his clothes. On the operating table, a doctor was performing surgery.
Obviously, the doctor did not expect that someone would jump up and down to help him set up the operating table. He had long been prepared to perform the surgery alone.
"Doctor Zheng, the shelf is made by Medtronic. Are you used to it?" Chief Chen asked.
"It's fine. It's good as long as there's a shelf. It's a very simple abdominal aortic dissection. As long as it's a straight shelf, it's fine," Zheng Ren said.
Chief Chen did not request to go on stage this time. He had seen Zheng Ren perform an embolization operation for severe pelvic fracture so he knew the standard of his left and right hand cross operation. He would not be of much help if he went on stage.
The patient's surgical position was already set. Zheng Ren washed his hands and disinfected them as Chief Chen left the operating theatre.
"Chief Chen, send up the patients who need amputation," Zheng Ren said.
Chief Chen nodded and began to make the call. He did not go by himself. He still had some doubts about Zheng Ren's diagnosis.
Although he had convinced himself in the ward that this was a special period and that the angiography could be considered a diagnosis, Chief Chen was still worried and wanted to stay to take a look.
The airtight lead door was closed. Chief Chen saw that Zheng Ren had started to perform the puncture. Ten seconds later, the guide wire catheter was already in place.
This speed... This confidence... Chief Chen felt a little emotional.
The screen on the operating table lit up. Just as Chief Chen had imagined, the guide wire catheter was already in the abdominal aorta.
Chief Chen saw that the abdominal aorta's intima had signs of tearing. The length was about 10cm!
In other words, the diagnosis was slightly late. Even if he doubted the diagnosis and requested a 64-row CT scan of the blood vessel, the patient would still die.
The diagnosis was correct and timely. If handled properly, the patient's life would most likely be saved.
Chief Chen was very relieved and a little proud. Under such circ.u.mstances, how many people would dare to trust Doctor Zheng without holding anything back?
The contrast agent had not completely dispersed. Just as Chief Chen observed the length of the abdominal aorta's intima tear, he saw Zheng Ren start to lower his stance along the guide wire.
This type of abdominal aortic dissection was many times simpler than treating patients with thoracic aorta.
Type 1 thoracic aortic dissection aneurysm had several branches, including the very important branches of the large blood vessels in the neck that supplied blood to the head.
These branches absolutely could not be occluded. Otherwise, the patient would die of cerebral ischemia before he left the stage.
According to its location, type 1 thoracic aortic dissection aneurysm could be done with either a stent or as a surgical operation. As for the 10cm-long tear, only a surgical operation or an aortic arch like a nose replacement could be done.
As for the abdominal aorta, it could be done by making way for a few main branches.
From the patient's angiogram, there were no branches of large blood vessels.
A membrane stent was opened and pressed against the blood vessel wall, pressing on the torn position of the abdominal aorta. Zheng Ren inserted the catheter in again and cautiously performed an angiogram.
The abdominal aorta dissection disappeared and the blood flow was smooth.
The surgery was very smooth. It ended in a few minutes. Chief Chen knew that after the interventional surgery entered the clinic, the treatment of this kind of disease was not the focus. The focus was on the diagnosis.
No matter what type of dissection it was, the characteristic of aortic dissection was where the problem lied. Only by timely diagnosis and appropriate treatment could the patient's life be saved.
It seemed that there was not much meaning for him to stay. Chief Chen began to call the doctors to urge them to push the patients who needed to be amputated up.
After the pressure to stop the bleeding was over, the next patient was also pushed up.
Zheng Ren took a glance and saw that Su Yun had not come out yet.
He knew that the surgical time in the Department of Thoracic Surgery was relatively long. At the end of the last century and the beginning of this one before there were thoracoscopy and electrocautery, 500ml of blood was obtained from the thoracotomy. It took at least one hour.
At that time, surgery for esophageal carcinoma was basically a one-day operation.
Su Yun's technique was fast and he had the corresponding high-value medical supplies he needed. It would not take him so long to settle the esophageal carcinoma but he would not be as arrogant as to rush things either.
Zheng Ren was busy. In the third operating theatre, the thoracic department Chief Resident, Shao Hua, had passively changed from a surgeon to an assistant.
The doctors who came to help did not say a word. They were working at full speed.
This surgery's patient was diagnosed with complicated explosive injuries, severe traumatic wet lung, ruptured lung, and hemopneumothorax.
After he opened his c.h.e.s.t, sweat started to appear on Shao Hua's forehead.
His lungs were filled with a large number of ruptures. If it were not for the fact that both sides of his lungs were the same, he would have had his heart lobotomized.
While he was looking for the ruptures bit by bit and suturing them one by one, the assistant went on stage.
Shao Hua did not have the time to ask the doctor who came up to help him which department he was from. Anyway, it was already good enough that someone was helping h
im with the retractor.
However, when this person came up, he did not have the sense to use the retractor at all. He stretched out his hand and the scrub nurse at the side table handed the retractor to him. However, he simply slapped the patient's leg directly.
He asked for a needle holder, small needles, and fine thread. Then, he started suturing together with Shao Hua.
Shao Hua was a little unhappy. As someone who came to help at the last minute, couldn't he have some sense of propriety?
However, in less than three minutes, Shao Hua knew that he was wrong.
The person who did not have any sense of propriety was not the unfamiliar doctor opposite him but himself.
In the time it took him to stitch up a wound, the other side had stitched up three to five. The needle and thread moved at an extremely fast speed, but at the same time, it was very stable. Even the curve was flawless, making it pleasing to the eye.
This was... Shao Hua felt a little uncomfortable but was more curious on who he was.
In more than ten minutes, the dozens of small wounds on the upper and lower lobes of the left lung were all closed. After the warm saline was poured into the c.h.e.s.t, the anesthetist began to expand his lungs.
The door of the operating theatre opened, and a person rushed in while in a hurry.
"I fell asleep. Shao Hua, how far into the surgery are you? I'm sorry for the wait," the person said anxiously as he walked.
Before Shao Hua could react, the man walked behind him to take a look at the surgery. He asked in surprise, "Are you done?"
As he spoke, he raised his head and glanced at Su Yun.
"Are you...Su Yun?"
Chapter 729 - The Difference Depended On His Mood
Su Yun was observing whether there were bubbles in the warm saline water. When he heard the voice speak up, he knew who it was.
Without raising his head, he asked, "Old Lu?"
Uh... The person who came in was stunned. He did not expect to know who he was without raising his head after meeting him a few years ago.
If Zheng Ren was here, he would definitely be ashamed.
Zheng Ren would definitely not know who he was face to face, but Su Yun could tell just by listening to his voice.
"You don't even call me 'Brother Yun'? Why are you still calling me Su Yun?" Su Yun's eyes were staring at the water's surface, trying to determine whether the bubbles were coming from his lungs or from the air acc.u.mulated in his c.h.e.s.t.
This was a test of skill but for Su Yun, it was not difficult at all.
The person who had just rushed over was a doctor there, Lu Zewei. He was a doctor from Huaxi's cardiosurgery department. After graduating, he had come to Chengdu Provincial Hospital a few years ago and was about to lead the team.
"Brother Yun, why are you here?" Lu Zewei did not get angry when he heard Su Yun's sarcastic tone. Instead, he smiled apologetically.
"I went to the front and just came down," Su Yun said as he used a pair of lung forceps to pinch the left lung's lower lobe. He accurately found two missing wounds on the back and began to suture.
Lu Zewei was not surprised. He was used to it and said, "If I had known that Brother Yun was here, I would have stayed down and slept for a while longer. These past few days have been exhausting."
"I just came up to help. I have other surgeries to do later." As he spoke, the needle and thread had already sewn up the two wounds. The scissors appeared in Su Yun's hand like magic and cut the thread. It was a brilliant technique.
Zheng Ren also used this technique but it was usually much simpler. He was not as flashy as Su Yun but his speed was slightly faster.
"Huh?" Lu Zewei was stunned.
He thought to himself, 'You're a c.h.e.s.t doctor. What are you going to do if you don't perform a c.h.e.s.t surgery?'
Although he thought so, Lu Zewei did not say it out loud.
Brother Yun in front of him had a high standard, but his temper was not very good. His sharp and unkind mouth was famous amongst all the young doctors.
After not seeing him for a few years, his words were still as sharp and unkind as before. Lu Zewei fell silent.
His lungs swelled again. Su Yun then said, "Close the c.h.e.s.t and change positions."
"There seem to be air bubbles..." Chief Shao was halfway through his sentence when he felt someone pushing him from behind.
It was Professor Lu? What did he mean?
Shao Hua could not make a good judgment of the specific situation, so he fell silent.
After all, Lu Zewei was already leading a team. He belonged to the category of a senior doctor. On the operating table, he had the final say.
"Alright, I'll close the c.h.e.s.t when you come up. The Boss's surgery should have been done long ago." Su Yun began to close his c.h.e.s.t with the needle and thread.
"Oh? Brother Yun, did you come with the boss? I heard that you went back to your hometown?"
"Yes, I didn't want to be a doctor at that time. The whole situation was boring. It was a good place to just retire and wait for death. However, I met my boss and now I'm going back to my hometown, the Imperial Capital," Su Yun closed his c.h.e.s.t and chatted idly.
Lu Zewei sighed in his heart as he looked at Su Yun. He was a postgraduate student and all the top three hospitals in the Imperial Capital were like his own backyard. He could come and go as he pleased.
A long time ago, he heard from his classmates in the Imperial Capital that Su Yun did not stay in the Imperial Capital and rejected all offers to stay back in his hometown. At that time, he was quite sad. Was the future star of the cardiosurgery department going to 'die' just like that?
However, he did not expect that Lu Zewei would come back just like that. Unlike him, who could not even leave Huaxi behind, he could only come to Chengdu Provincial Hospital to be a leading professor.
However, Sea City... Was there any famous cardio department professor in that small city?
Lu Zewei was a little puzzled.
After five to six minutes, the c.h.e.s.t was closed. Su Yun let the anesthesiologist expand the patient's lungs. He took a look at the c.h.e.s.t bottle, then took off his gloves and walked off the stage.
"Old Lu, I'll find you later for a drink after this." Su Yun patted Lu Zewei's shoulder and walked out of the operating theater.
Lu Zewei smiled bitterly and did not dare to reply.
He changed his position from the left c.h.e.s.t to the right c.h.e.s.t before opening the stage again.
It was not until the c.h.e.s.t was opened that Chief Shao had the time to ask, "Professor Lu, that person just now looked very young. Who was he?"
"Hmm?" Lu Zewei chuckled and fell silent.
Speechless, Chief Shao felt that something was not right but he could not ask further.
It was not until his c.h.e.s.t was opened that Lu Zewei said, "He's a postgraduate student from Concorde and is known as the cardiosurgery department's rising star at the Imperial Capital. A few years ago, I was doing a project in Huaxi and met him."
"Rising star? The people at the Imperial Capital really dare to brag."
"They don't dare to speak such nonsense." Lu Zewei turned his head cautiously. He glanced at Su Yun who still had his back turned and then said seriously, "You can't afford to offend this person. Keep your voice down."
"Huh? Does he have some sort of powerful backer?"
"No, it's because he performs surgery very well. It's so good that you can't imagine it." Lu Zewei sighed and continued, "Don't think that he's just a postgraduate student. When he was about to leave the Imperial Capital back then, many teachers wanted him to become a PhD graduate without taking any exams. However, he didn't want it. He left just like that."
That was not a big deal. There were plenty of PhD students who didn't take any exams, right? Shao Hua nagged in his heart.
"You won't believe me even if I tell you everything. You followed him in the surgery just now. How much difference do you think there is between the two of
you?" Lu Zewei asked.
"His level is indeed higher than mine..."
"If you come into contact with him in the future, you will realize that no matter what kind of surgery it is, his level is higher than yours. Sometimes, it's just a little higher, sometimes it's a lot. How much higher depends on his mood. But no matter how much higher it is, you just can't catch up." Lu Zewei acted as if he were telling a sad story.
"Hurry up and finish the surgery. Don't get distracted," Lu Zewei urged. "Later, I'll go and see which boss he came with. I'm really curious. Do you think there is any famous expert and professor in Sea City?"
"Where is Sea City?" Shao Hua was stunned.
Lu Zewei shook his head and sped up his pace.
Curiosity overcame fatigue. He braced himself and performed the surgery cleanly and efficiently, displaying almost 120% of his strength.
However, judging from the time spent on the surgery, there was still a gap between him and Su Yun.
After the surgery, Lu Zewei took the opportunity to take off his gloves, sterile surgical gown, and went to the operating theaters one by one.
No... No... Still no...
There were only two hybrid operating rooms left. Lu Zewei was a little confused. Usually, the people who used the hybrid operating room were from either the orthopedics department or the vascular surgery department. Could it be that Brother Yun had changed professions?
He was very confused. He thought about it again and did not feel that he had missed anything.
If he said that he had come with his boss, he would definitely be the assistant. If he looked from the outside, he could see the back of the surgeon and the front of the assistant.
Not to mention, even if Su Yun was wearing a hat and a mask, he could easily recognize his face. In other words, he was extremely recognizable.
When he walked out of the hybrid operating room, Lu Zewei absent-mindedly glanced at him but just so happened to see Su Yun lowering his head to perform surgery.
Uh... Was it really a hybrid surgery?
He saw that the scrub nurse was also inside, so he knew that she was not stepping on the line. Because of this, he quickly walked in through the operating theater's door.
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