Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
Ling Ran read the mission seriously one more time.
Doctors had heard a lot of cardiac trauma repair, yet they rarely encountered it.
They seldom saw it because patients with penetrating cardiac injury were relatively rare, but they heard it many times before because cardiac trauma repair had opened the path for people to explore the field of cardiovascular surgery so that people in the medical field were familiar with it.
In the past, the father of surgery, Theodor Billroth said something that was a classic. “Anyone who attempts heart surgery will fall into disrepute.”
This sentence had a far-reaching influence since he was the authority in the field of surgery in the past. So, for a long time, no medical student tried to touch the heart again.
It was only three years after Billroth’s death that Louis Appia, a Frankfurt doctor, successfully performed a cardiac trauma repair.
It was hard to say whether Doctor Appia was ready and was waiting for the opportunity to perform this surgery or whether he was just a pure genius with great luck, so much so that the first time he ran into a rare patient with a heart injury for the first time, he actually successfully performed cardiac trauma repair on him.
At any generation, cardiac surgery was extremely difficult, and it was practically a quagmire.
In 1896, though, on the twenty-second year of Emperor Guangxu’s rule over China, when surgeons performed cardiac surgeries, their scalpels also moved with much greater precision and confidence.
During that time, there was no cardiopulmonary bypass, and of course, for many years after that, there was no cardiopulmonary bypass either. At that time, this technique had not been refined just yet, and it was not great, but what was great was that during the nineteenth century, there were practically no blood transfusion techniques available. This meant that when a surgeon performed a heart surgery, it would be an extremely high-end surgery where the heart would beat nonstop right when the surgeon performed open-heart surgery, and the surgeon could not even think about getting any blood transfusion.
In terms of risks, there were not many medical surgeries that were more dangerous than this.
From another point of view, however, being able to complete cardiac trauma repairs using such an outdated surgery technique in such a dangerous environment meant that the technique was not actually that hard.
In fact, if anyone just listened to the description of the surgery, it was actually very easy.
Doctor Appia’s original words were: I decided to open the chest through the fourth intercostal space on the left… enlarge the pericardial rupture, expose the heart, remove the blood and blood clots. I then found a 0.6 inches rupture on the surface of the right ventricle. Next, I pressed on the rupture with my fingers to stop the bleeding. I used a fine intestinal needle and silk thread to perform a knot during diastole. When the third suture was completed, the amount of bleeding was obviously reduced and was under control…’
In other words, there were two most important surgery steps for Doctor Appia. The first step was to stop bleeding with his hands and control the cardiac rupture. The second step was to quickly do a triple suture on the heart before it even figured out what was happening.
This was the first successful heart surgery in human history.
Up to now, there was no doubt that the conditions for the surgery had been upgraded, and the steps of the surgery had also changed. But the main steps had not changed much.
The surgeon had to locate the rupture at the heart, push it down to control it, and when the heart was beating at the slowest, suture the rupture.
If Ling Ran were given a chance, he might be able to complete such a cardiac trauma repair independently with his current skills.
However, if and only if there was no suitable opportunity, even in the current medical environment, Ling Ran would not want to touch a heart at all.
Without enough accumulation of experience, Ling Ran would not want to touch a heart recklessly.
Doctor Appia, who was the first person to complete a cardiac surgery in human history, operated on one hundred and twenty-three patients who required cardiac trauma repair, and the mortality rate was at sixty percent. Therefore, the risk of experimental surgery was huge.
However, the skill was given by the system, and he would not have to worry so much about experimenting.
Therefore, he should place great emphasis on completing this quest.
Ling Ran closed his eyes and pondered about it before he opened his eyes and looked into the ICU. Then, he began to think about how to go in and help.
Although the Intensive Care Department was a small department, it was a complete department. When people from other departments came in to help, that person might seem as if he did not have a legitimate reason to help at all…
There was only one Department of Hepatobiliary and Pancreatic Surgery and He Yuanzheng. It was not easy to find another easy, friendly, gentle, and kind department and department director.
“Zuo Cidian.” Ling Ran decided to give the problem to someone else. “What can I do to help the patient in the ICU?”
“Huh?” Zuo Cidian was prepared to flatter the Wang siblings. After he heard Ling Ran’s question, he decided to serve Ling Ran instead. “Doctor Ling, even though the ICU is busy, they do have enough manpower inside. Let’s not go in and help.”
The ICU was not similar to the Emergency Department. It did not have periods of time where it had the most patients or least patients. For hospitals like Yun Hua Hospital, the ICU was basically always at max capacity. There would always only be three beds left out of the twenty beds they had. The three empty beds did not mean that there were no patients for them, but they were kept empty for maneuvering purposes so that they could avoid losing their composure when they had to handle emergencies.
The ICU was just as busy today, but it was only because it was just full of patients. When the doctors in the ICU came together to work, they would still be able to take care of them.
Ling Ran looked inside and said in a very determined tone, “I’m going in to help.”
“Fine… whatever you say.” That was all Zuo Cidian could say. Ling Ran’s skills were really great, but his personality…
Zuo Cidian gritted his teeth. What was there to be picky about surgeons’ attitudes? Compared with other surgeons who were perverted, arrogant, egotistical, had low self-esteem, had manic issues, and had anger issues, Ling Ran’s personality was so much better.
“Let’s go into the ICU in the name of making a ward round.” After Zuo Cidian thought long and hard about it, he whispered, “Let’s present our ward round as a fait accompli first. You’ll go in for the ward rounds first, and when you encounter critically ill patients… Well, if you go in for about twenty minutes or half an hour at most, you’ll have a great chance of meeting critically-ill patients. Then, you can participate in the surgery. Once everyone starts to get busy, they won’t care about you anymore. If you are lucky, you might rescue one or two patients.”
“One or two is too few,” Ling Ran said.
“Just help in resuscitating the patients first. I’ve taken a look, there are still many patients in the ICU today, and the severity of their illnesses is high as well. Just linger around for a while, and you might be able to join the rescue.” Zuo Cidian could only spontaneously think of a normal lousy idea that was not really a lousy idea.
Ling Ran nodded in agreement. This plan was not so complicated.
Zuo Cidian sighed as he watched Ling Ran wash his hands. He took out his phone and prepared to dial the number of an attending physician he was familiar with. Ling Ran’s treatment group often came to the ICU for their ward rounds. The first step of the plan was certainly not a problem.
Wang Chuanwen looked at Zuo Cidian and sighed. He could not help but come to a misunderstanding and said, “Doctor Zuo, Doctor Ling doesn’t actually need to show us his skills or anything. No matter how his performance is, it doesn’t affect our decision whether we will donate or not.”
“Huh? Oh, it’s nothing…” Zuo Cidian was stunned for a while before he registered what he meant. Wang Chuanwen thought that Ling Ran wanted to go to the ICU to show off.
But even though Zuo Cidian did not think so, he could not stop the Wang brothers from thinking that way. But even if they thought of it that way, it did not matter.
Zuo Cidian made another call again with a perfunctory tone, saying that Ling Ran wanted to go for his ward rounds and so on…
A few moments later, Ling Ran came in with his hands held over his chest.
“Doctor Ling, you may enter after you get dressed,” Zuo Cidian told Ling Ran.
Ling Ran nodded then looked at the Wang siblings.
All four of the Wang siblings looked up and smiled in approval.
Ling Ran said in puzzlement, “Why are they still here? You can send them away now.”
The Wang siblings could not help but feel shocked.
Zuo Cidian then understood what Ling Ran was thinking. He quickly smiled at Wang Chuanwen and the others. “I’m sorry, let’s head back first. Visiting hours are actually over.”
All four of the Wang siblings were led back to the elevator with dazed looks on their faces. They felt that something was wrong.
