YM778.TV Chapter 52: Show Off Skills (Part 2)
In the peritoneal dialysis room, everyone had donned surgical gowns and stood around, not knowing what to do, a bit awkward!
Especially Comrade Li Baoshan, the veteran!
As a renowned doctor, he did not know what to do, which was quite an embarrassing situation.
But seeing that Chen Cang seemed overwhelmed, Li Baoshan, having already changed into his surgical attire, simply went over and said, “Shall I help you?”
Chen Cang nodded, “Thankyou, Director, please hold the clamps for me.”
Li Baoshan nodded.
Hao Xuliang, the Hospital Director, also came from a surgical background, but he had gone into administration, and half of his skills were lost!
Nevertheless, he said, “I’ll prepare the instruments for you!”
Chen Cang nodded, “I appreciate it, Director Hao.”
Hao Xuliang smiled, “No trouble at all…”
And so, the most prestigious operation ever performed in the Second Provincial Hospital began, with the famous provincial doctor Li Baoshan holding retractors and the Deputy Director Hao Xuliang passing instruments!
However, Chen Cang did not get carried away. He knew that this kind of fame could only last for three years.
By now, Li Baoshan had lost his earlier nervousness. Surgical procedures may vary, but the principles stay the same, and Old Li knew the human anatomy better than his own face.
Although he did not know how to perform a peritoneal dialysis catheter placement, it was only because he had never learned it.
Moreover, he had seen pigs run, even if he hadn’t eaten pork before, right?
After this time, Li Baoshan was determined to make sure everyone in his department learned peritoneal dialysis!
Chen Cang cautiously said, “Pull it closer, I am going to make the incision.”
Li Baoshan was very cooperative.
Chen Cang was meticulous and focused because the incision needed to be as small as possible to avoid leakage.
Chen Cang instructed, “Lift the peritoneum, lift it together, I’ll count to three -1,2,3!”
“Be very careful not to clamp the omentum or the intestines; don’t touch them!”
Li Baoshan nodded earnestly, like a medical student who never stops learning, facing his senior physician.
Chen Cang repeatedly admonished, “Lift it properly.”
Li Baoshan nodded!
As Chen Cang turned to get the needle and thread for suturing, he saw that Director Hao had already prepared it and handed it over.
Chen Cang nodded in approval and began the purse-string suture of the peritoneum. Chen Cang was very professional and meticulous about suturing; during the whole procedure, he ensured that the needle and thread did not catch the omentum or intestines to prevent possible displacement or adhesion of the catheter!
After completing the suturing, Chen Cang picked up the peritoneal dialysis catheter and carefully inspected it.
He soaked both cuffs thoroughly, squeezing out the air inside to facilitate tissue adhesion with the cuffs.
This also reduced the chances of leakage and infection!
Upon seeing this, Xu Aiping nodded at Director Yang and said with a smile, “This young doctor is very professional! And… the most important thing is that he seems to have a special sense for surgery, his grasp of the details is very precise; he has paid attention to all the important points. But… I bet he hasn’t performed many catheter insertions. To reach this level, it’s all down to talent! And such talent is really rare!”
“This is a young man with a great sense for surgery!”
Old Yang was stunned to hear such high praise from Xu Aiping.
When placing the guidewire, Chen Cang deliberately left 2cm at the distal end to avoid damaging the organs and tissues within the abdominal cavity.
The final step!
Inserting the peritoneal dialysis catheter!
Chen Cang lightly touched the peritoneum and gently inserted the peritoneal dialysis catheter along the abdominal wall, a process that relied entirely on feel!
A sensation of emptiness came, okay!
He secured the inner cuff and gently withdrew the guidewire.
At this point, Li Baoshan could only look on; he simply did not know what to do.
Chen Cang said, “100ml of saline plus heparin…”
Hao Xuliang was startled, then nodded quickly, beginning to prepare!
It was a success!
Chen Cang took a deep breath.
He was somewhat nervous!
Not because the surgery was particularly difficult, but because the procedures were so delicate that they required his full command to avoid complications.
Every step was tense and exhilarating!
Next was to close the peritoneum.
He thought about gently lifting the peritoneum and tightening the purse-string below the inner cuff… tie a knot!
Finally, it was the subcutaneous tunnel; guided by a tunnel needle, he created a shallow arc along the natural path of the catheter to the left of the incision, brought out the peritoneal dialysis catheter, and connected it to the titanium connector and the short tube on the outside.
Suture!
Suture the subcutaneous fat and the skin!
Li Baoshan stood there, watching Chen Gang’s step-by-step operation, and nodded to himself in approval!
Although he didn’t understand the peritoneal dialysis catheter placement procedure, he understood surgery!
Chen Gang’s operation was meticulous!
Quick eyes, steady hands, and careful attention to detail!
These are the natural gifts required in an excellent surgeon!
After covering the wound with a dressing, Chen Cang grinned, “Success!”
Next was to proceed with dialysis treatment through the peritoneal dialysis machine.
It went smoothly!
At this moment, Xu Aiping smiled in the video, “Director Hao, this doctor has a delicate technique, skilled technic, rich experience in catheter placement, and a firm grasp on the key points of peritoneal dialysis. This catheter placement is a standard case of surgical anatomical placement, and I even want to use this video as teaching material for my students!”
Because this operation was basically a textbook case, devoid of the “slick” maneuvers and habits of older doctors, it was a pristine surgical anatomical catheter placement.
That’s right!
Pristine!
This adjective is the most appropriate to describe Chen Gang’s surgery just now!
“So there is no need for me to advise, this doctor can entirely assist the patient with peritoneal dialysis. However… we should exchange insights when we get a chance. I noticed that this young doctor has made significant achievements in peritoneal dialysis catheter placement, perhaps we could have a discussion sometime.”
Old Yang too couldn’t help but smile, “Director Hao, are you showing off to me? Haha, alright then, I wish you smooth work, and we have things to take care of.”
Hao Xuliang felt a sense of pride, “Thank you for your hard work, Director Yang, Director Xu!”
His gaze at Chen Cang was filled with gratification once again.
After speaking, he turned off the video.
Leaving a group of people standing there, dumbfounded!
It was a bit… inconceivable, marveling at the feat!
Yes, that’s right!
No one had expected Chen Cang to be capable of performing peritoneal dialysis.
[Ding! Li Baoshan’s affection +5.]
Chen Cang felt elated; Old Li’s affection had climbed even higher. However… today he achieved a small victory: assisting Li Baoshan, a nice feeling worth savoring.
At this very moment, everyone on the scene looked at Chen Cang differently.
Who would have thought that at such a critical juncture, it would be Chen Cang, the temp, who stepped forward!
Hao Xuliang also came over and nodded at Chen Cang, “Not bad! Very good indeed, your name is Chen Cang, right? Our hospital needs talents like you.”
Chen Cang gave an embarrassed smile, “Director Hao, it’s what I ought to do… I also hope to become a member of our hospital!”
Implied meaning: if only you could sort out my staff position sooner… I’m still a temp.
[Ding! Vice Director Hao Xuliang’s affection +5.]
Next, Chen Cang continued to the second patient’s peritoneal dialysis catheter placement, and this time Li Baoshan took up the role of the assistant voluntarily.
This time it went smoothly, actually, the catheter placement was not difficult; it only seemed challenging because it hadn’t been done before. But the three of them coordinated perfectly!
With the catheter placement complete, they could now proceed to dialysis.
The placement for the two patients was completed, and the mood among those present gradually started to relax.
The Second Provincial Hospital was one of the main bases for the rescue work, but the heaviest burden didn’t lie here. It was a thousand meters away at the First Affiliated Hospital of Dongda.
The First Affiliated Hospital of Dongda had always been the largest emergency rescue base and a critical emergency center for the entire Anyang City.
At this moment, the First Affiliated Hospital of Dongda was a hive of activity!
After all, most of the critically ill patients had been brought to this hospital.
WangXiangjun, the Chief of Emergency at the Municipal People’s Hospital, was already sweating bullets from his workload!
This place bore the lion’s share of responsibility for the rescue work, and the entire hospital’s emergency department was, in fact, the largest in Anyang City.
It was also the first hospital in Dongyang Province to have a peritoneal dialysis machine!
At this moment, what Wang Xiangjun regretted most was not having properly learned the cloning technique in school; otherwise, he could have managed the workload now!
Several critically ill patients lying on the hospital beds needed immediate surgery!
The whole surgical department of the hospital had entered into overdrive!
And at this time, a doctor from the peritoneal dialysis room came rushing over, “Chief! We’re almost out of dialysate!”
Upon hearing this, Wang Xiangjun flared up, “If it’s out, then go find the Head Nurse or the Pharmacy Department to restock immediately, what do you need me for!”
The doctor sighed helplessly, “Chief, it’s not that the peritoneal dialysis room is out, it’s the whole hospital. We’re running low on both peritoneal dialysate and hemodialysis fluid, and currently, we still need to perform peritoneal dialysis for at least eight patients!”
WangXiangjun’s expression changed dramatically at this revelation, “Hold on, you wait for me!”
ps: It’s a new week again, and as an old hand, I’m brazenly asking for rewards. The signing list now mainly relies on rewards to rank, and I too wish to bask in the joy of appearing on it. I’m relying on all the generous support of my readers. Rest assured, all rewards will be met with additional chapters, with one extra chapter for every 10,000 received, and promises will be kept when the book is published (I keep a notebook for this), thank you, and please lend your support.