Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
Huo Congjun gave Wei Qing a scrutinizing look, as if he was looking at a supreme grade steak and was wondering whether he wanted it well-done, medium raw, or raw, to the point that he could tear it off with his teeth.
The temperature in the room increased slightly. That was because the staff had increased the temperature of the air conditioner a little according to Huo Congjun’s personal request.
“Old Ding, it’s your turn. Just say what you want to say.” Wei Qing could feel the pressure and immediately said that.
The Digestive Surgery Department was also a department separated from the General Surgery Department. As an associate chief physician of the General Surgery Department, Wei Qing felt that he was better than an associate chief physician of the Digestive Surgery Department.
Associate Chief Physician Ding of the Digestive Surgery Department pursed his lips bitterly and felt embarrassed to pass the baton to others again. He coughed and drank some water before he looked at the report in his hands. He let it go and decided to switch directions and said, “From the perspective of the Digestive Surgery Department, surgery is already a kind of palliative care for patients with hepatic metastasis from gastric cancer. Right now, the patient’s body condition is not quite ideal for surgery, and we think that it is pointless to carry out the surgery. We suggest a chemotherapy plan for this patient. Hmm… let’s see if single drug chemotherapy using capecitabine can help to eliminate the disease…”
According to the previous plan designed by the Digestive Surgery Department, they still supported the idea of surgery. Since they were all from the Surgery Department, resection would always be their first choice. If it were not possible to cut it or they did not have the skill to do so, they would only think about other methods of interference or use drugs.
However, if Associate Chief Physician Ding looked at the original plan right now, he felt that he would be criticized by Ling Ran until he died. So, he decided to go against the flow instead. At least, he would then be criticized to death for his ideals.
Ling Ran listened carefully to the comments by Associate Chief Physician Ding, and just as expected, he was stunned.
Associate Chief Physician Ding showed a smile when his goal was achieved. When he smiled, he opened his mouth slightly and showed that his lips were a light pink, just like a medium raw steak, and he thought. ‘If you want to go against surgeons, you’ll have to use the methods used by internists against surgeons. If you discuss surgery plans with a surgeon like Ling Ran and your skills aren’t as good as his, you might end up destroyed. Besides, I wouldn’t dare to mention plans that are too difficult, or else I’ll be asked to make a practical demonstration. And the plan which I’m quite adept with can do nothing for a surgery at this level.’
The doctors from other departments also looked enlightened. All doctors in the room were cut from the same cloth, and they could immediately see through the trick used by Associate Chief Physician Ding.
Some of them even stared at Ling Ran with amused expressions. They wanted to see how he would handle this.
Ling Ran thought for a while.
He had done many researches since he went back for Young Dai’s medical case.
Ling Ran should be the most suitable surgeon to perform surgical resection for hepatic metastasis from gastric cancer, since he knew subtotal gastrectomy and had Perfect Level Hepatectomy. However, there would always be better paths to be taken or unique solutions for each specific patient.
If diseases were treated as exam questions, then if the patient’s symptoms were more commonly seen, that also meant that the doctors would know more prerequisite conditions as to whether the patient could receive surgery, and they could also provide even more solutions to treat the patient. The success rate of the answers they provided would also be higher. Most of the time, if they followed the prescribed order in providing treatment for the patient, the results they obtained would be the best for the patient.
Yet, for patients like Young Dai, it would be very unlikely to obtain the best possible treatment outcome, because not only did the patient not provide a lot of prerequisite conditions for him to receive surgery, he also gave a lot of limitations.
Ling Ran had actually thought about Associate Chief Physician Ding’s reply before. Although he did not go into details about it, he did indeed consider things from this aspect.
“Even palliative care means a lot for the patient.” Ling Ran stopped for a while and said, “It’s understandable that all of you think that it’s impossible to perform the surgery. Okay. Let’s end our discussion of the topic here.”
Those few words from Ling Ran could be considered to be a conclusion for the Digestive Surgery Department’s words, and the conclusion went along the lines of: Your skills suck.
Everyone could understand what he meant. Associate Chief Physician Ding from the Digestive Surgery Department even shouted in his heart, ‘I did not say it’s impossible to perform the surgery!’
He did not shout it out because he knew that he really could not do anything for the patient.
He was not the only one. The other chief physicians and associate chief physicians from the Digestive Surgery Department were not able to do it either.
So… It was truly due to their subpar skills that they could do nothing about the patient…
Associate Chief Physician Ding of the Digestive Surgery Department felt depressed but soon realized the problem with his idea just now. ‘I actually thought that it was fine regardless of whether the patient receives surgery or not, and I was fine with the patient receiving combined therapy or single drug chemotherapy using capecitabine. This ended with me randomly choosing a plan to fight against Ling Ran’s thought of using surgery to treat the patient.
‘But at the end of the day, all the other plans were not ideal.’
Or rather, at the deepest part of Associate Chief Physician Ding’s mind, he felt that there was no longer any way to treat the patient. If he were to give any comment about this, then he would say that there was no longer any hope for the patient.
In his point of view, regardless of whether the plan was good or not, the difference would just be extending the patient’s life by either one month or three months.
Most importantly, he still could not tell which plan was the best and which plan was the worst.
Associate Chief Physician Ding raised his head and looked around. He felt like laughing when he saw the others’ expression. He thought, ‘These people might actually be thinking about resorting to desperate measures to treat someone who is already dying.’
Associate Chief Physician Ding turned around and looked at Ling Ran. His expression was a little skeptical as he wondered whether Ling Ran could really cure the patient.
“Ahem…” Huo Congjun took a cup of water and moisturized his throat. He did not hide how pleased he was with the situation and gently said, “Next.”
“Old He, go on.” The director of the Oncology Department directly mentioned He Yuanzheng’s name.
Unlike other surgery departments, who sent their associate chief physicians over, the Oncology Department sent their department director over. Since they were all from the surgery department, they knew Huo Congjun and Ling Ran’s strategy well. Hence, the chief physicians refused to come over.
On such occasions, all the department directors were supposed to be dignified in appearance. Naturally, the department director of the Oncology Department would not want to come out and embarrass himself. So, He Yuanzheng, who was the weakest in the room, had to be pushed to the spotlight.
Previously, although the Department of Hepatobiliary and Pancreatic Surgery was a small department, it was still quite terrifying when the board of the Department of Hepatobiliary and Pancreatic Surgery at Yun Hua Hospital was lit up. However, since the Emergency Medical Center kept invading the Department of Hepatobiliary and Pancreatic Surgery’s territory, He Yuanzheng’s status had dropped tremendously, and his status right now was about the same as an associate chief physician of a major department.
That was how hospitals worked. Doctors with hospital beds and surgery cases could walk around with their backs straight even if their skills were a little lousy. However, for someone whose status had plummeted like He Yuanzheng’s, he could hardly walk around with dignity, unless he submitted to Ling Ran completely.
After all, He Yuanzheng was not a doctor originally from Yun Hua Hospital. His foundation was not stable, and he did not have a lot of skills. Hence, it was only par for the course that he would soon reach his end.
He Yuanzheng looked around and saw Wei Qing from the General Surgery Department and Associate Chief Physician Ding from the Digestive Surgery Department toying with their cups. The Department of Interventional Services just started playing with his cup. The associate chief physician from the Pathology Department had become bored of playing with his cup, and he looked up. When he met He Yuanzheng’s gaze, he immediately felt that toying with cups was fun.
He Yuanzheng made his resolve, straightened his neck, gritted his teeth, raised his head, frowned, opened his eyes wide, and said with a loud voice, “Doctor Ling, why don’t you tell us what you plan to do?”
