Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
At the center of the surgical floor in Yun Hua Hospital, the door of the Class 100 Laminar Flow Operating Room was labeled with blue characters that spelled “extra sterile”. The room was spacious and bright…
A cute-looking scrub nurse lowered her head while she organized the instruments, the anesthetist lowered his head, organizing the… files in the computer, and He Liang lowered his head with a nervous expression… managing the patient’s thoracic cavity.
Department Director Kang raised his head and was as proud as an old lion that had been chased out from his pride.
His lionesses were slowly leaving him.
Department Director Kang did not care about the attitude of the lionesses. He looked at Ling Ran with a complicated expression. There were a lot of emotions mixed together on his face, and even he could not tell just what kind of emotions he felt.
Was he angry? A bit.
Was he surprised? A lot.
There was also regret, jealousy, admiration, repentance, reflection…
If not for the fact that Department Director Kang still had some sense left in him, he would have thrown the forceps in his hands and let Ling Ran suture the wound.
If he did that, he might create some problems for Ling Ran because Ling Ran was pressing on the patient’s wound with one of his hands. It would be a little difficult for him to only use one hand to expose the surgery field.
Even if He Liang and Huo Congjun were there to help, due to the level of their skills, they would have to be busy for a while as well.
Nonetheless, Department Director Kang knew that it would only take a while.
Furthermore, the result would be something he could not accept.
Should he let Associate Hospital Director Zhou, one of the members of the hospital’s top management, get a chance to observe Ling Ran perform a cardiovascular surgery independently? Whether the surgery was difficult or not, once the chief surgeon performed cardiovascular surgery, he was already considered qualified.
Besides, today’s surgery was not that difficult.
Cardiac trauma repair was like an appendectomy in cardiovascular surgery, but what was the death rate for appendectomies? A person may find it hard to find a death even if they looked at every single case, and they would only be able to find one among a thousand cases or one among ten thousand cases. However, it was normal for the survival rate of cardiography to be at around 86% to 94%.
There were patients who injured their inferior vena cava as well as their back, and they eventually died on the operating table.
If Ling Ran did not help, even Department Director Kang could not guarantee whether the patient today would leave the operating theater alive.
Twenty years ago, he could still be more confident. Although his confidence level had increased a lot, now…
“Scalpel.” Department Director Kang extended his hand as if he was not aware of the awkward atmosphere. He started to enlarge the incision on the patient to provide larger exposure.
Ling Ran’s hand was still pressed on the patient’s heart, and Department Director Kang pretended that he did not know.
After all, he was determined to practice the principle of look not, ask not, and speak not.
He Liang continued to work as Department Director Kang’s assistant.
Usually, he would say something that annoyed others, but he dared not do so today.
Department Director Kang was not considered a very fierce surgeon when he scolded people in comparison to other surgeons, but his nagging was still really annoying.
The person who was most suited to be scolded by Department Director Kang was He Liang. Therefore, he was the most careful one.
Everyone had something on their minds, but no one was willing to speak. The operating theater slowly became silent.
Be that as it may, the speed of the surgery increased, and the accuracy improved as well.
Ling Ran smiled in satisfaction. Indeed, as long as everyone did their job and did not chat too excitedly, efficiency could be increased, and there would be an upgrade in their abilities too.
“He Liang, you’ll do the suturing.” When Ling Ran saw that the incision had been enlarged and that the exposure was pretty much perfect, he automatically gave up his chance to suture the wound.
Huo Congjun, who was ready to provide backup to Ling Ran at any moment, could not help but smile in relief. He was still thinking about what to do if Ling Ran made Department Director Kang feel embarrassed.
Certainly, they should still treat the patient as they were supposed to according to the steps, but Huo Congjun had to prepare for an attack and save up some saliva so that he could make Department Director Kang obey them willingly nonetheless.
However, Huo Congjun never thought that Ling Ran would willingly let He Liang suture the cardiac rupture.
He did not hand the chance over to Department Director Kang. After all, Department Director Kang was the chief surgeon, and he would definitely not be satisfied if he was instructed by Ling Ran. Although Ling Ran was from the Emergency Department, if he insisted on suturing the patient, in pleasant terms, that meant that he did not respect the department director. In unpleasant terms, that meant he was not respectful of others.
He Liang was truly the most suitable choice. He was young, capable, and someone who could be scolded…
Huo Congjun nodded slightly. Since Ling Ran appointed He Liang, it meant that he had grown.
He Liang had no other option. He looked at Department Director Kang subconsciously and soon realized he had made a mistake.
Department Director Kang only stared at him coldly without saying anything.
Coincidentally, He Liang could only perform suturing. His department director may have been useless, but Huo Congjun and Associate Department Director Zhou were not. They did not need to say anything else. They could just look for an excuse and send him to help the poor, which could easily make him lose 33.1 pounds of weight.
He Liang lowered his head again like an assistant dog. He asked tamely for the thread and needle, speaking in a low voice, “I haven’t sutured this spot before.”
“Insert the needle from the position of my finger.” Ling Ran started to teach him without any hesitation.
“Alright.” That was the only reply He Liang dared to give. He was just like an intern, and he held the needle with a trembling hand.
“Wait for a while… Hold your hand more steadily.” Ling Ran could tell He Liang’s condition and reminded him emotionlessly.
Ling Ran was truly experienced when it came to teaching others in performing surgery or spoon-feeding others during surgery.
He had performed many freelance surgeries within the Changxi Province, and finishing the surgery was not his goal every time.
Patients who invited freelance surgeons over usually aimed to get better treatment. However, it was different in different hospitals with different doctors. Many doctors invited freelance surgeons over to learn. For example, the First People’s Hospital of Wuxin City invited freelance surgeons so that they could learn hepatectomy and be independent when they performed the surgery later on.
Such an act was just like asking the supplier to provide the production skills after purchasing the products. It was normal in Chinese companies, and as long as the price was reasonable, they would help the buyers achieve their goal.
Ling Ran usually did not mind teaching his skills to other doctors.
In fact, with the series of freelance surgeries he had performed, Ling Ran even gained a lot of experience in teaching.
When dealing with doctors like He Liang who had some skills but no confidence, Ling Ran would explain in detail, “Normally, you can use a simple interrupted stitch or horizontal mattress suture on all layers of the muscle for a cardiac rupture like this. Just use whichever you’re more competent with. But for this position, to avoid affecting the blood supply, you can suture on both sides of the rupture and use intersecting traction to stop the bleeding temporarily…”
He Liang quietly listened without a word. Ling Ran only mentioned the suturing technique for normal cardiac trauma. He was quite familiar with the technique as well.
But as Ling Ran explained things, He Liang slowly calmed down.
‘That’s right. I’m just suturing for a cardiac trauma in a bad position. Who would’ve sutured every location, right? It’s the same as other surgeons executing the same plan in a different position.’
When He Liang thought about that, his hand stopped trembling while he held the needle.
Ling Ran helped him pull the thread, and within a short time, the patient’s cardiac rupture was sutured.
Both of them cooperated well, as though they had cooperated for many years.
He Liang sensed kindness. He felt more comfortable working together with Ling Ran than Department Director Kang, whom he was more familiar with.
At that moment, he could not help but look at Department Director Kang for a while.
Department Director Kang still lowered his head like an old lion that refused to take defeat lying down. He would wait for Ling Ran to leave before he regained his power.
“Wash it, then perform sternal closure.” Yet, Ling Ran did not want to leave.
What a joke. There was no way he would run after performing bleeding control. He took a lot of effort to get there.
Ling Ran did not mind the effort in performing the surgery, though, and told He Liang to rinse the pericardial cavity and perform drainage tubing as well as multi-layer sternal closure.
Department Director Kang was stunned. He could only raise his hands in front of him and observe from the side without feeling humiliated.
It was fortunate that he did not need to wait for a long time. The sternal closure was faster than usual because of Ling Ran.
Even so, the length of time for the sternal closure was long enough that Department Director Kang was able to observe Ling Ran’s operation carefully.
It was simple, straightforward, and careful.
Ling Ran’s operation was just like a standard answer that made anyone who saw it enlightened, but at the same time, frown and fall into deep thought.
Department Director Kang raised his head slightly, and countless thoughts flashed through in his mind.
‘How can he be so powerful?
‘If he’s so powerful, what should I do?
‘Which direction should the Department of Cardiovascular Surgery progress to if that’s the case?’
