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 h.o.m.ogeneous; 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 pa.s.sed 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 chest. 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 a.s.sisting 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 antic.i.p.ated 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 a.s.sistant.
He turned around and said in embarra.s.sment, “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 refres.h.i.+ng 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.