“Doctor Ling!”
“Doctor Ling…”
The gentlemen and ladies in the operating theater greeted Ling Ran seriously when they saw Ling Ran.
Ling Ran gave a smile that met social expectations and asked, “What’s the situation now?”
“Injury from a sharp utensil. Massive blood loss, palpitation with short breath. He has all of the medical signs from Beck’s triad…” Yu Yuan quickly reported the situation. She was the fastest learner in Ling Ran’s treatment group. When other doctors were still learning about surgeries related to the field of hepatobiliary and pancreatic surgery, Yu Yuan had immediately started to learn cardiovascular surgery on her own.
Ling Ran started preoperative preparation while listening. Cardiac trauma repair was not difficult, but it depended on how fast the hospital admitted the patient and the greatest challenge depended on how fast the hospital could maintain the patient’s condition.
However, that was provided if the success rate of the hospitals and doctors were high enough, and they must try to save every patient with cardiac trauma.
And the patient in front of them was in an emergency state. Beck’s triad meant low blood pressure, expansion of the carotid artery, and weak heart sounds. They were the main symptoms of acute cardiac tamponade. If this happened in the clinical situation, such patients basically did not need any further examination to confirm that they had acute cardiac tamponade.
It was not because other examinations were useless, but the checking process was time-consuming, and the patient’s life was already flowing away.
“Open the chest.” Ling Ran did not waste his breath speaking. He went straight to cut the chest from the center.
The assistants had nothing much to say and could only cooperate with Ling Ran while there was a slight worry in their hearts.
Compared with hepatectomy or hand surgery, Ling Ran was not reputed in cardiovascular surgery and had not performed any cases with glamorous results to serve as his achievements. Therefore, many people could not help but be concerned.
The endotherm knife was placed at the center of the chest bone and incised the soft tissue.
“Goitre retractor.
“Curved forceps.
“Sternum saw. Test it.”
Ling Ran spent less than twenty seconds using each instrument before he changed to another one. However, the nurses of the Department of Surgery cooperated perfectly with him. For senior nurses who always participated in cardiovascular surgeries, the standard chest opening procedure was not difficult for them.
Wang Jia humbled herself and let the nurses of the Department of Surgery help. If she participated in a hepatectomy surgery, she could pass the instrument to the chief surgeon with her eyes closed. But if it were cardiovascular surgery, it was inevitable that she would have to learn everything again.
“Stop the ventilation.” Ling Ran turned on the sternum saw to check whether it was functioning normally. He was holding the sternum saw with a single hand, and he looked as if he was holding the thick handle of a gun.
Huo Congjun, who was at the visitation room, had stopped breathing too.
The surgery in front of him was indeed too tense for him. After all, cardiovascular surgeries were different from other internal organ surgeries. Other internal organ surgeries provided chances for the surgeon to mend their mistakes if they did any, but if anything happened during cardiovascular surgery, most of the time, there would be no chance for them to do anything about it.
Huo Congjun turned around and looked at Department Director Kang, smiling. “Old Kang, your body still looks quite fit. Do you have any secrets for maintaining such good health?”
“I’m only fifty years old.” Department Director Kang was embarrassed and angry. He was like an angry pig that was waiting for its slaughter.
Huo Congjun was not worried that Department Director Kang had just made things difficult. He still smiled like a kind old person. “When you just joined the hospital, I can still remember the time you were known as a young and promising lad. Sigh, in just the blink of an eye, you’ve become fifty years old…”
Department Director Kang snorted and disapproved of Huo Congjun’s friendly act. From his perspective, Huo Congjun’s friendly act was just like a pig breeder feeding his pigs before he could sell them. His purpose was to make them heavier and definitely not because of his love for the pigs.
However, Huo Congjun’s words still made Department Director Kang feel happy.
Young and promising was indeed the tag used to describe Department Director Kang. After all, he was a doctor who performed cardiovascular surgery. Twenty years ago, when Department Director Kang was one of the members of the Cardiothoracic Department and was the chief surgeon for cardiovascular surgery, he impressed many people. During that time, all forms of extracorporeal circulation in cardiovascular surgery were major surgeries that required everyone in the hospital to help. When there was no professional ICU around, the head nurse of the Department of Surgery would specially arrange a group of young nurses to serve Department Director Kang’s patient.
Later… because Department Director Kang was not good at maintaining and developing cardiovascular surgery, he could have already set up a Cardiovascular Surgery Center and be proud like Huo Congjun.
Anyway, when he remembered the years when he was filled with a burning passion, Department Director Kang naturally became more excited, and the way he looked at Huo Congjun became gentler. He thought, ‘If problems occur in Ling Ran’s surgery and Huo Congjun still behaves nicely, I’d go and help. It’s not a big deal for me to help, but what should I ask for? Is it too much to ask for a color doppler ultrasound in exchange?”
Department Director Kang was letting his mind run, and a faint smile was seen on his face.
Huo Congjun saw it and knew that the foundation he set up had taken effect. He then immediately slapped his thigh. “By the way, my family made me some yogurt and said that the yogurt is good for the stomach. Surprisingly, it tastes quite good. You over there, please go and take it for me from the fridge.”
The resident doctor who was nearest to the door trembled and ran out of the visitation room in such great excitement it was as if he instantly got a new name. He came back with the yogurt while panting for breath and handed it to Department Director Kang and Huo Congjun. He smiled and said, “It’s still cold.”
“If you stir it a bit, it will taste better.” Huo Congjun took the yogurt and said, “You, don’t I still have a pack of hazelnuts and dried fruits in my fridge? Please go and get it.”
“Yes.” This time around, there was another resident doctor who was beside the door was named “You”.
“Let us wait for a while.” Huo Congjun smiled, and his gaze traveled to the lower floor.
When Department Director Kang held the cold yogurt, he could sense the strong attitude from Department Director Huo. His expression became calmer while he observed Ling Ran’s operation. He said, “The chest has been sawn open. Hemostasis at the cut was well performed. As expected of a doctor who often performs hepatectomy. The incision site looks good, but if we look from the sternal angle and appendix ensiformis, it seems a bit too large.”
“The incision is too big?” Huo Congjun purposely asked Department Director Kang so that he could have a chance to speak and be pleased with himself for it.
Department Director Kang fell into the trap indeed and said, “Doctor Ling’s incision is the type shown in teaching materials. The advantage is in its full exposure. It will allow the internal part of the thoracic cavity to be seen clearly. However, we do not make such an incision anymore. The patient is a man of society as well, and he’ll still hope to look nice after the surgery. Therefore, we will usually make a smaller and shorter incision for aesthetic purposes.”
“The exposure is lower, but if you consider other aspects, it has its advantages as well.” Huo Congjun helped Department Director Kang add to his statement.
“Yes, that’s what I meant.” Department Director Kang was very satisfied with being praised. He felt that Huo Congjun was no longer as much of an eyesore when he looked at him now.
As the department director of a small department, it had been some time since Department Director Kang was treated with the sincerity and respect that a major department director like Huo Congjun received.
Department Director Kang took up the yogurt and sniffed it. He then narrowed his eyes.
“Take note of the replenishment of blood supply.” Ling Ran’s voice could be heard from the lower floor. When the nurses and doctors looked down from the visitation room, they were very tense.
If this happened at other operating theaters, the tense situation would make everyone shut up and remain silent in the surgery. Some might even let their emotions run. The chief surgeon would scold someone, while in his heart, he would curse another.
Whereas everyone in Ling Ran’s operating theater was focused, and no one even peeked at Ling Ran. That was because they were tense.
Ling Ran gently pressed on the tear in the patient’s heart with his finger, and the flowing blood immediately became thinner and slower. It was as if a river had turned into a stream, or when a man stopped peeing and was currently flicking his w*ener to clean it off.
“Suture.” Ling Ran extended his hands. When he drew it back, he poked through the heart accordingly.
First suture…
Second suture…
“Okay. We’re done with the suture.” Ling Ran had made two sutures and sutured the cardiac tear, which was not too large.
Cardiorrhaphy was commonly used for small traumatic wounds like this. Patients who had larger wounds would have a drastically lower chance of surviving before they reached the hospital.
Everyone in the operating theater and visitation room was relieved.
*Bang*
The second-generation “You” pushed open the door of the visitation room and brought with him a basket of dried fruits, hazelnuts, and preserved fruits.
Huo Congjun looked downward and saw that they were finishing off the surgery. Then, he looked at the basket. He found it a waste as he picked up one-quarter of the walnuts, put it into Department Director Kang’s yogurt, and said, “Eat it.”
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“Doctor Ling!”
“Doctor Ling…”
The gentlemen and ladies in the operating theater greeted Ling Ran seriously when they saw Ling Ran.
Ling Ran gave a smile that met social expectations and asked, “What’s the situation now?”
“Injury from a sharp utensil. Massive blood loss, palpitation with short breath. He has all of the medical signs from Beck’s triad…” Yu Yuan quickly reported the situation. She was the fastest learner in Ling Ran’s treatment group. When other doctors were still learning about surgeries related to the field of hepatobiliary and pancreatic surgery, Yu Yuan had immediately started to learn cardiovascular surgery on her own.
Ling Ran started preoperative preparation while listening. Cardiac trauma repair was not difficult, but it depended on how fast the hospital admitted the patient and the greatest challenge depended on how fast the hospital could maintain the patient’s condition.
However, that was provided if the success rate of the hospitals and doctors were high enough, and they must try to save every patient with cardiac trauma.
And the patient in front of them was in an emergency state. Beck’s triad meant low blood pressure, expansion of the carotid artery, and weak heart sounds. They were the main symptoms of acute cardiac tamponade. If this happened in the clinical situation, such patients basically did not need any further examination to confirm that they had acute cardiac tamponade.
It was not because other examinations were useless, but the checking process was time-consuming, and the patient’s life was already flowing away.
“Open the chest.” Ling Ran did not waste his breath speaking. He went straight to cut the chest from the center.
The assistants had nothing much to say and could only cooperate with Ling Ran while there was a slight worry in their hearts.
Compared with hepatectomy or hand surgery, Ling Ran was not reputed in cardiovascular surgery and had not performed any cases with glamorous results to serve as his achievements. Therefore, many people could not help but be concerned.
The endotherm knife was placed at the center of the chest bone and incised the soft tissue.
“Goitre retractor.
“Curved forceps.
“Sternum saw. Test it.”
Ling Ran spent less than twenty seconds using each instrument before he changed to another one. However, the nurses of the Department of Surgery cooperated perfectly with him. For senior nurses who always participated in cardiovascular surgeries, the standard chest opening procedure was not difficult for them.
Wang Jia humbled herself and let the nurses of the Department of Surgery help. If she participated in a hepatectomy surgery, she could pass the instrument to the chief surgeon with her eyes closed. But if it were cardiovascular surgery, it was inevitable that she would have to learn everything again.
“Stop the ventilation.” Ling Ran turned on the sternum saw to check whether it was functioning normally. He was holding the sternum saw with a single hand, and he looked as if he was holding the thick handle of a gun.
Huo Congjun, who was at the visitation room, had stopped breathing too.
The surgery in front of him was indeed too tense for him. After all, cardiovascular surgeries were different from other internal organ surgeries. Other internal organ surgeries provided chances for the surgeon to mend their mistakes if they did any, but if anything happened during cardiovascular surgery, most of the time, there would be no chance for them to do anything about it.
Huo Congjun turned around and looked at Department Director Kang, smiling. “Old Kang, your body still looks quite fit. Do you have any secrets for maintaining such good health?”
“I’m only fifty years old.” Department Director Kang was embarrassed and angry. He was like an angry pig that was waiting for its slaughter.
Huo Congjun was not worried that Department Director Kang had just made things difficult. He still smiled like a kind old person. “When you just joined the hospital, I can still remember the time you were known as a young and promising lad. Sigh, in just the blink of an eye, you’ve become fifty years old…”
Department Director Kang snorted and disapproved of Huo Congjun’s friendly act. From his perspective, Huo Congjun’s friendly act was just like a pig breeder feeding his pigs before he could sell them. His purpose was to make them heavier and definitely not because of his love for the pigs.
However, Huo Congjun’s words still made Department Director Kang feel happy.
Young and promising was indeed the tag used to describe Department Director Kang. After all, he was a doctor who performed cardiovascular surgery. Twenty years ago, when Department Director Kang was one of the members of the Cardiothoracic Department and was the chief surgeon for cardiovascular surgery, he impressed many people. During that time, all forms of extracorporeal circulation in cardiovascular surgery were major surgeries that required everyone in the hospital to help. When there was no professional ICU around, the head nurse of the Department of Surgery would specially arrange a group of young nurses to serve Department Director Kang’s patient.
Later… because Department Director Kang was not good at maintaining and developing cardiovascular surgery, he could have already set up a Cardiovascular Surgery Center and be proud like Huo Congjun.
Anyway, when he remembered the years when he was filled with a burning passion, Department Director Kang naturally became more excited, and the way he looked at Huo Congjun became gentler. He thought, ‘If problems occur in Ling Ran’s surgery and Huo Congjun still behaves nicely, I’d go and help. It’s not a big deal for me to help, but what should I ask for? Is it too much to ask for a color doppler ultrasound in exchange?”
Department Director Kang was letting his mind run, and a faint smile was seen on his face.
Huo Congjun saw it and knew that the foundation he set up had taken effect. He then immediately slapped his thigh. “By the way, my family made me some yogurt and said that the yogurt is good for the stomach. Surprisingly, it tastes quite good. You over there, please go and take it for me from the fridge.”
The resident doctor who was nearest to the door trembled and ran out of the visitation room in such great excitement it was as if he instantly got a new name. He came back with the yogurt while panting for breath and handed it to Department Director Kang and Huo Congjun. He smiled and said, “It’s still cold.”
“If you stir it a bit, it will taste better.” Huo Congjun took the yogurt and said, “You, don’t I still have a pack of hazelnuts and dried fruits in my fridge? Please go and get it.”
“Yes.” This time around, there was another resident doctor who was beside the door was named “You”.
“Let us wait for a while.” Huo Congjun smiled, and his gaze traveled to the lower floor.
When Department Director Kang held the cold yogurt, he could sense the strong attitude from Department Director Huo. His expression became calmer while he observed Ling Ran’s operation. He said, “The chest has been sawn open. Hemostasis at the cut was well performed. As expected of a doctor who often performs hepatectomy. The incision site looks good, but if we look from the sternal angle and appendix ensiformis, it seems a bit too large.”
“The incision is too big?” Huo Congjun purposely asked Department Director Kang so that he could have a chance to speak and be pleased with himself for it.
Department Director Kang fell into the trap indeed and said, “Doctor Ling’s incision is the type shown in teaching materials. The advantage is in its full exposure. It will allow the internal part of the thoracic cavity to be seen clearly. However, we do not make such an incision anymore. The patient is a man of society as well, and he’ll still hope to look nice after the surgery. Therefore, we will usually make a smaller and shorter incision for aesthetic purposes.”
“The exposure is lower, but if you consider other aspects, it has its advantages as well.” Huo Congjun helped Department Director Kang add to his statement.
“Yes, that’s what I meant.” Department Director Kang was very satisfied with being praised. He felt that Huo Congjun was no longer as much of an eyesore when he looked at him now.
As the department director of a small department, it had been some time since Department Director Kang was treated with the sincerity and respect that a major department director like Huo Congjun received.
Department Director Kang took up the yogurt and sniffed it. He then narrowed his eyes.
“Take note of the replenishment of blood supply.” Ling Ran’s voice could be heard from the lower floor. When the nurses and doctors looked down from the visitation room, they were very tense.
If this happened at other operating theaters, the tense situation would make everyone shut up and remain silent in the surgery. Some might even let their emotions run. The chief surgeon would scold someone, while in his heart, he would curse another.
Whereas everyone in Ling Ran’s operating theater was focused, and no one even peeked at Ling Ran. That was because they were tense.
Ling Ran gently pressed on the tear in the patient’s heart with his finger, and the flowing blood immediately became thinner and slower. It was as if a river had turned into a stream, or when a man stopped peeing and was currently flicking his w*ener to clean it off.
“Suture.” Ling Ran extended his hands. When he drew it back, he poked through the heart accordingly.
First suture…
Second suture…
“Okay. We’re done with the suture.” Ling Ran had made two sutures and sutured the cardiac tear, which was not too large.
Cardiorrhaphy was commonly used for small traumatic wounds like this. Patients who had larger wounds would have a drastically lower chance of surviving before they reached the hospital.
Everyone in the operating theater and visitation room was relieved.
*Bang*
The second-generation “You” pushed open the door of the visitation room and brought with him a basket of dried fruits, hazelnuts, and preserved fruits.
Huo Congjun looked downward and saw that they were finishing off the surgery. Then, he looked at the basket. He found it a waste as he picked up one-quarter of the walnuts, put it into Department Director Kang’s yogurt, and said, “Eat it.”
If you find any errors ( broken links, non-standard content, etc.. ), Please let us know so we can fix it as soon as possible.
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