The Surgeon’s Studio Chapter 361 - Treatment Only

Chapter 361: Treatment Only

“Chief Kong, have you asked them?
“Oh, oh, right. Give me a minute to write it down.”
Zheng Ren grabbed a pen and a piece of A4 paper as he spoke and wrote down the treatment the patient received in Imperial Capital.
They were all experienced doctors and would not beat around the bush. Although they were rather reserved, they got to the gist of things when they did say something.
The treatment process in Imperial Capital was similar to Zheng Ren’s plan: an intravenous injection of low molecular weight heparin and thrombolysis. They were worried about thromboembolism, so they placed an inferior vena cava (IVC) filter to block blood clots.
Of course, the patient would need to undergo an abortion.
Due to her unique condition, her thrombocytosis could not be reduced if her pregnancy was not terminated. It would result in the continuous production of blood clots.
Zheng Ren hung up the phone relieved when he heard that their treatment process was similar to what he expected.
He continued to talk to the patient’s family members and let them sign the consent form. Zheng Ren then handed over the preoperative briefing to Yang Lei, who was on shift, before returning to the operating room.
Professor Rudolf Wagner had already put on a surgical gown. He was sitting on a white bench while he waited, bored, for the thrombolysis to complete.
The patient’s vitals had gradually stabilized; the oxygen saturation in his blood rose to 90%.
This was the reason why we should visit the hospital at the onset of the disease in order to receive timely treatment. If there was a slight delay, the recovery period would not be so simple.
“Lil Fugui, how long has the thrombolysis been going on?” Zheng Ren asked.
“We administered urokinase 15 minutes ago. Looks like it’s almost done,” Professor Rudolf Wagner said. “Boss, the surgical tools you chose are really poor in quality.”
Zheng Ren was defenseless against the professor’s criticisms on Changfeng Microinvasive Surgery.
He did not have the contacts of large importing manufacturers, thus he could not access the tools right away when he needed them. Even though Changfeng’s tools were lower-quality replicas, they could ship them on schedule and their prices were more affordable.
That was better than nothing.
Sea City General Hospital did not purchase these surgical tools and consumables because they did not offer this surgery, nor did they have a vascular surgery department to perform this interventional surgery.
Therefore, they had no choice but to make a temporary purchase. This was the responsible decision for both the hospital and the patient.
Regarding the tools’ functionality… Zheng Ren knew that they were inferior to those manufactured by international companies.
The professor’s criticisms were reasonable.
Feng Xuhui was standing in the corner of the console room. His expression dropped when he heard what the professor said.
Chief Zheng better not stop using his company’s products. He had to hold onto this lifeline no matter what.
“No worries. I can manage with these.” Zheng Ren laughed before leaving to change and scrub in.
Feng Xuhui felt slightly relieved when he heard Zheng Ren’s words.
‘However, it was not a long-term solution. He had to report to Chairman Ma in the upcoming meeting so that they wasted no time and could start improving their craft and material quality,’ Feng Xuhui thought.
After administering the thrombolytic agent, urokinase, for half an hour, Zheng Ren had finished scrubbing in and went to the operating table to prepare for surgery.
The lead door closed slowly. Zheng Ren got into position with the professor as his assistant.
IVC filter placement was generally a simple procedure. The most difficult part was the pulmonary embolism during the emergency rescue, and the patient had stabilized. Therefore, Zheng Ren did not go to the System for solo training and started operating right away.
The professor performed the puncture for the catheter to administer the thrombolytic agent. Zheng Ren inserted the 9F filter delivery sheath and placed the filter through it.
The filter manufactured by Changfeng Microinvasive Surgery was a replica of the Simon Nitinol IVC filter.
The filter was shaped like a mushroom, made up of two sections: the roof-shaped head and pyramid-shaped tail.
With a unique structure like that, it had a major advantage. The Simon Nitinol IVC filter was a fourth-generation filter, a modified creation that incorporated all of the benefits of the previous models.
The mushroom-shaped structure could block blood clots which would cause pulmonary embolism from passing through the filter.
Even though Changfeng’s technology was more backward and crass, the filter was made with nickel-titanium shape-memory alloy without cutting any corners.
Zheng Ren was fine with that.
He turned on the radiation when the filter entered the femoral vein and was placed in the inferior vena cava.
Zheng Ren slowly pushed the filter along the inferior vena cava until it reached the lowest renal vein and turned it on.
This was because the blood flow and blood pressure at the lowest point of the renal vein could aid with the complete resolution of blood clots.
Most importantly, the placement of the filter in this manner would preserve kidney functions and prevent the risk of subsequent complications.
Zheng Ren started the pulmonary angiography after the filter was in place.
He was relieved to find that most of the emboli in the pulmonary arteries had dissolved.
After switching off the equipment, Zheng Ren left. The professor remembered that he was responsible for applying pressure for hemostasis post-surgery. He did not make the same embarrassing mistake last time by leaving with Zheng Ren.
Zheng Ren changed out of his clothes while they performed hemostasis.
The entire surgery took less than an hour. Most of the time was used for the thrombolysis treatment for the pulmonary arteries.
This was also because they discovered it early and managed to provide timely treatment.
Zheng Ren felt that this girl was really lucky to survive two pulmonary embolism attacks.
He could not help but wonder if she would learn from this experience so that in the future…
Who knew what would happen in the future. Zheng Ren was only responsible for treating the patients’ diseases. He had no right to interfere with their personal lives.
If the patient’s parents had no control over their own child, who was he to intrude?
Zheng Ren removed the lead apron after leaving the operating table and stored it into the System. He then approached Old Chief Physician Pan and stood beside him.
“You brought her here?” Old Chief Physician Pan asked.
“Yep.” Zheng Ren nodded. “I went out with Yiren for a meal and saw this girl suffering from an acute pulmonary embolism, so we brought her back for emergency rescue.”
“She’s very lucky,” Old Chief Physician Pan sighed. “How did she get it at such a young age?”
“Likely from her pregnancy. Her platelet levels were elevated, resulting in the accumulation of small emboli in the lower extremity arteries. These emboli traveled into the bloodstream and lodged in the pulmonary artery,” Zheng Ren replied.
Old Chief Physician Pan had encountered a case similar to this, but the surgical treatment was not as advanced back then, so they could only treat it with thrombolysis.
In fact, most of the patients passed away before they were even diagnosed with pulmonary embolism.
The advancement of medical techniques had allowed physicians to treat many diseases that were incurable in the past. Old Chief Physician Pan was deeply moved by this.
The patient was sent to ICU upon the completion of hemostasis.
Zheng Ren felt rather embarrassed. He had been sending more patients to the ICU after he was transferred to the emergency ward.
Would the ICU turn into a personal care unit for the emergency ward?
Zheng Ren communicated with the ICU doctor before leaving to tend to the patient’s family members.
The patient’s father looked as if he had aged so much within those few hours. His crow’s feet were so deep, looking haggard and sorrowful.
A successful emergency rescue should be a joyous occasion, but what about the future?
Only heaven knows.