The Surgeon's Studio

Panda Novel

Chief Jiang had performed hundreds and thousands of circulatory interventional surgery and had seen many more surgeries. Some of them were done on his end, some were while wearing lead clothes and watching from behind teachers, and some were while sitting beside the operating room and watching on a screen.

However, this was the first time Chief Jiang had seen such a view from the operating table.

On the upper left field of his vision was the screen. The image on the screen was the angiogram of the last patient who had been embolized. He knew that the area would soon start moving. What appeared was the condition of his coronary artery.

Whether it was an anterior myocardial infarction or not, he would know with just a glance.

Not only that, he suddenly realized that he could observe Zheng Ren’s surgery from the patient’s perspective.

Just as he thought of this, Chief Jiang suddenly realized something—would Doctor Zheng be doing interventional surgery that was usually done by the circulatory surgery department?

As this thought arose in his mind, the mind that had just calmed down suddenly became nervous as a sharp pain came from the anterior region of his heart.

“Expand the crown!” Zheng Ren immediately said when he saw that the electrocardiogram displayed on the ECG monitor was beginning to become chaotic.

The nurse at the side table immediately began to inject medicine into Chief Jiang.

“Old Jiang, can’t you be more obedient?” Su Yun was a little impatient.

It was mainly because he was familiar with Chief Jiang. Su Yun knew that the more casually he spoke on stage, the more his nervousness would be alleviated. After all, he had never seen Zheng Ren perform interventional surgery on the heart. If he acted as if he was facing a great enemy, the consequences would probably be very serious.

However, he did not expect that he would still have an acute heart attack.

“I… I’m just…wondering if Doctor Zheng will do it.” After the medicine was injected, Chief Jiang felt that the pain in the anterior region of his heart became slightly better.

“Lie down. If he can’t do it, no one will,” Su Yun said disdainfully. “The Nobel Prize judge, Dr. Mehar…”

“Don’t talk about that. Once he gets excited, his blood vessels will spasm. If he has another attack, it will be even more troublesome,” Zheng Ren said calmly.

“Such a good-for-nothing!” Su Yun glanced at Chief Jiang and reprimanded him.

In just a few words, the local anesthesia at the radial artery of the wrist, the artery sheath, and the catheter had already been inserted.

Zheng Ren began to step on the line, and the contrast agent was injected into Chief Jiang’s coronary artery.

Chief Jiang tilted his head to look at the screen and sighed. This speed was as fast as ever. So was he. What was he worried about?

Brother Yun had mentioned the Nobel Prize. Perhaps things would be alright. Chief Jiang stopped pondering on all his tumultuous thoughts and looked at the screen to empty himself.

But before he could empty himself, his thoughts were immediately interrupted by the angiogram on the screen.

The angiogram found that the left anterior descending artery had a limited severe centripetal stenosis. The stenosis was almost at a hundred percent, and the length of the lesion was about 10 to 15mm.

There was no obvious abnormality in the circumflex artery. The second moderate centripetal stenosis of the right coronary artery was about 50% and the length of the lesion was about 15mm.

The diagnosis was correct. This diagnostic level was really awesome! Chief Jiang was impressed.

Some hints could be given on the electrocardiogram but it was still very difficult to make such an accurate judgment.

“Boss, you said it’s been almost two hundred years since Bernard first inserted a catheter into an animal’s heart in 1844. I feel that there hasn’t been any breakthrough with interventional surgery of the heart.” Su Yun said something completely out of nowhere as he looked at Chief Jiang’s imaging.

“It shouldn’t be calculated like that.” Zheng Ren removed the catheter and said, “If we start calculating, I think it was in 1929 when the German doctor Forssmann first inserted a urinary catheter into his elbow vein and sent it through the superior vena cava into the right atrium. We can only say that interventional surgery of the heart truly began then.”

As he spoke, Zheng Ren had already sent a 7f JL4.0 catheter through the blood vessel sheath to the opening of the left anterior descending artery. He first sent the 0.014′′ PTCA lead wire to the distal end of the left anterior descending artery.

“Remove the embolic catheter,” Zheng Ren said.

The scrub nurse in her own lead apron followed him in and handed him a catheter. Su Yun opened the packaging. “You said that robotic surgery could be carried out within 20 years. Other than not eating the thread, there was no other progress. Using da Vinci robotic surgery for thoracic surgery and general surgery is like making a mockery of all our hard work.”

“As long as it can treat the illness. To actually solve these problems from the root cause, we’d have to study biochemistry and genetics.” Zheng Ren sent the embolized catheter near Chief Jiang’s left anterior descending artery.

Chief Jiang felt that this was what the atmosphere in the operating theater was supposed to be.

The surgeon and the assistant chatted with each other. It was simple and relaxed. It was not like before when everyone was doing surgery in silence and countless patients were waiting for treatment. The pressure was so great that it made people feel like they would collapse at any moment.

All of a sudden, he felt as if his entire life had returned to normal.

However, he was now a patient lying on the operating table. Other than that, everything else was normal.

Oh, there was something else that was not normal. That was Zheng Ren’s hand speed. It was simply too fast!

After removing the embolic catheter and entering, he did not seem to think much. In fact, Chief Jiang did not feel anything at all. The embolic catheter on the screen carried a black thing and began to walk out.

Was it completed just like that?

Chief Jiang was very confused.

If he were to remove this kind of fresh embolic catheter himself… His technical level was not up to par, so he could only allow the catheter to dissolve the embolic catheter.

If he could remove it, he would also have to add a filter and be careful with fear of crushing the fresh embolic catheter and causing more unpredictable complications.

He was not like Zheng Ren, who casually placed the embolic catheter in place, clamped the embolic catheter, and walked out.

“Doctor Zheng, what technique did you use here?” Chief Jiang looked at the screen and asked blankly.

The fresh blood clot was as tender as tofu. It was extremely difficult to remove completely.

Therefore, Chief Jiang could not help but ask such a question.

Zheng Ren smiled and said, “Now is not the time to discuss such things. The earthquake relief has ended. If you have time, you can come to the Imperial Capital Hospital to find me.”

Chief Jiang nodded. This was something they could talk about another time. Doctor Zheng had agreed to meet him at the Imperial Capital Hospital for him to study the technique.

But this time, his mood changed a little.

Doctor Zheng was really awesome. He was not pretending or bragging.

Soon, the image of the catheter disappeared. Su Yun used a piece of sterile gauze to catch the fresh embolus.

On the white gauze, the purplish-black embolus that was about 1cm seemed so ferocious.

It was the same clot that blocked the coronary artery just now and almost took Chief Jiang’s life.

“Old Jiang, take a look.” Su Yun moved to gauze toward his side. Zheng Ren was afraid that the clot would fall off at any moment.

However, Su Yun’s hands were usually quite concise so it was not a problem.

“You’re already in such a bad shape and are still freaking screaming for help. You’re wasting my time.” Su Yun’s temper was boundless and the way he spoke did not change.

Chief Jiang rarely saw fresh blood clots. As for his own, this was really the first time.

He smiled. It turned out that it did not hurt when the blood clot was removed.

“Boss, you said that the left anterior descending artery is 100% blocked. Why doesn’t he have any reaction?” Su Yun asked.

“He’s too nervous. His body has accumulated too much lactic acid so he doesn’t feel the pain clearly… Uh, that still doesn’t seem right,” Zheng Ren said and could not continue.

These weren’t reasons. Even Zheng Ren felt it was far-fetched to say it out loud.

That was because the thought that crossed his mind was the fact that Chief Jiang was simply hot-blooded.