Healing Doctor
Chapter 115 Disrupting the Event
Chapter 115 Disrupting the Event (Bonus Chapter by Alliance Leader Zhang Linmin x1)
Ding Yifan sat in the front row, watching his own surgery, and even he found it pleasing to the eye.
Superselection to grade 3 arteries is very difficult. Many years ago, 912 explored a new surgical technique to treat benign prostatic hyperplasia with prostate embolization. Because it was difficult to superselect vessels with a diameter similar to grade 3 or 4 arteries, this project ended without success after many years.
With the advancement of technology, I never imagined that I would be able to surpass 9/12.
Feeling smug, Ding Yifan thought that if he were to take this surgical recording to the competition in Shanghai, he should at least be in the top five.
Top five in China, hey!
Ding Yifan felt smug.
Suddenly, a commotion arose behind him. The sound wasn't loud, but Ding Yifan could hear suppressed gasps of alarm.
Yes, that's the effect.
If they actually shouted it out loud, it would look a bit fake. After watching their own surgical recordings, the directors of lower-level hospitals wanted to exclaim in surprise but felt embarrassed. So, they let out a suppressed scream, which had the best effect and was the most vivid.
Ding Yifan's face showed an expression of pure, unadulterated satisfaction.
But a few seconds later, he realized something was wrong.
Looking back, I saw a few people surrounding an unknown junior director in Ningbo. They were looking at something on a laptop and weren't watching my surgery.
Ding Yifan suddenly became furious.
"Hey you guys, what are you doing?" Ding Yifan stood up, put his hands behind his back, and asked in a cold voice.
"what!"
One of the directors knew Ding Yifan and could tell that Ding Yifan was unhappy. He also knew that it was impolite to be distracted in this kind of situation.
I wanted to leave, but my eyes were unknowingly drawn to the video on Director Sui's computer.
That little vixen was so alluring that he lingered there, unable to tear himself away. As for Ding Yifan…
"Director Ding, I'm sorry, Director Sui has an operation here, I just need to take a look." The man gave a haphazard explanation without thinking.
Ding Yifan frowned, feeling particularly unhappy.
What is this? This is called crashing the party!
A Class II Grade A hospital in Ningbo didn't have an interventional radiology department before. It seems that a doctor from the north pioneered the interventional radiology department.
In Ding Yifan's world, doctors without a lineage of medical expertise are the most looked down upon.
Not to mention grassroots schools, even at Peking Union Medical College Hospital, graduate students and doctoral students from West China Medical Center are considered to have impure bloodlines and are looked down upon.
What are you doing?
Ding Yifan cursed inwardly, but a gentle smile appeared on his face.
He learned this from his boss. Although it looked similar but not quite the same, Ding Yifan thought it was really cool.
He walked over with his hands behind his back, and the people around the computer tactfully made way for him. But Ding Yifan noticed that their eyes remained fixed on the computer screen, not looking away for even a second.
What amazing skills could a doctor who couldn't even afford food in the north and could only perform surgery at a second-tier hospital in Ningbo have? Ding Yifan decided to teach him a lesson.
"This is... um... we met once, you must be Director Sui." Ding Yifan finally remembered Director Sui's name.
"Director Ding, I'm so sorry, I'm really so sorry," Director Sui apologized quickly.
"Can you postpone your surgery?" Ding Yifan said calmly, suppressing his displeasure. "The organizing committee sent you an invitation. Although this is a competition, the main purpose is for everyone to exchange ideas, learn from each other, and improve together."
"It's not very appropriate for you to be holding a private meeting backstage."
Director Sui sighed helplessly, blaming himself for being so impulsive. He had seen that the competition was over and the judging was next, so he was eager to see what Old Zhao was showing off to him.
As a result, Ding Yifan was attracted.
"Director Ding, no..."
"What do you mean 'is it or not'? Let's all see it together," Ding Yifan laughed. "It's surgery, isn't it?"
"Yes, hemostatic embolization treatment for bleeding after partial nephrectomy."
"Put it down!" Ding Yifan waved his hand dismissively. "How can you possibly see clearly with just a laptop?"
"Director Ding, I didn't mean that..."
Director Sui wanted to explain, but he stopped himself under Ding Yifan's stern gaze.
"Let's release it so everyone can see it." Ding Yifan pretended to be magnanimous, but in his heart he was already planning how to find fault with the surgery later.
Since you dare to come and challenge us, you should be prepared to be crushed to pieces.
At least within academia, this arrogant and ignorant guy should be eliminated.
The academic world is notoriously cutthroat, but Ding Yifan didn't find it particularly surprising. His boss was just that domineering, and Ding Yifan learned that trait from him.
Director Sui was helpless. When the staff came to get the laptop, he also felt that the laptop screen was a bit small and some technical details were not clear. He thought that a high-definition projector would be better.
So Director Sui, unaware of the situation, kept helping out.
In Ding Yifan's eyes, this scene turned into Director Sui meticulously preparing a surgical video, but instead of uploading it through official channels, he used tricks to attract other people's attention.
Ding Yifan considered this behavior to be utterly despicable and vile.
Soon, without anyone introducing the doctor who sent the surgery, the surgical video began to be played.
"what?"
At the very beginning, Ding Yifan suddenly exclaimed "Eh!"
Ding Yifan is familiar with emergency treatment for bleeding after partial nephrectomy, and he often collaborates with the urology department to help them with their problems.
The familiar microguidewire travels through the blood vessel, and just ahead is the bifurcation point, from which the renal artery branches off.
However, the microguidewire was not prepared in advance; it looked like it was going directly to the liver.
Ding Yifan thought this was simply hilarious.
What kind of nonsense is this? They can't even do the simplest procedure of connecting the abdominal aorta to the renal artery properly. Is this all they can do?
So he let out a sound of surprise.
But a few seconds later, Ding Yifan froze.
The microguidewire ignored the surging blood flow in the abdominal aorta and made no prior preparations. It jerked as it turned and entered the renal artery on the affected side.
I go!
Seeing the big picture from small details, Ding Yifan became serious with just this skill.
The microguidewire continues to advance, a catheter is inserted, angiography is performed, and after locating the bleeding vessel, the microguidewire advances again.
Superselective renal artery to renal segment artery transfer is still not difficult for the surgeon; it can be done in one go, as if driving on a six-lane road with no obstruction.
Most of the doctors present were unaware of what had happened, but they burst into applause after witnessing such a brilliant operation.
The fact that such superselection can be completed in one go means that the surgeon's skill level is quite high.
Some doctors have even begun to speculate that this might be a surprise surgery secretly left by the organizing committee.
The best is saved for last, even surpassing the surgery performed by Director Ding Yifan.
The surgery should be finished here; a coil will be used to embolize the bleeding artery. Although at least 20% of kidney function will be lost, it's better than dying.
but!
The surgery is still ongoing.
The microguidewire continues to move downwards.
Ding Yifan seemed to be staring directly at the sun, his pupils suddenly shrinking as if he had received an overdose of barbiturates intravenously.
Are we going to keep going down? What is he going to do?
Next are level 4 blood vessels, with a diameter similar to a .18 guidewire.
Ding Yifan couldn't guess what the surgeon was going to do next. If he were to perform the surgery, this would be enough; it was already perfect.
The room fell silent.
Everyone felt that there was something wrong with their eyesight.
Everyone here is a seasoned surgeon; even if you haven't performed similar surgeries, you've seen them before.
This superselection step is not impossible, but while the patient's blood vessels are bleeding profusely as if a tap has been turned on, we still need to strive for perfection.
This is irresponsible towards the patients!
Which is more important: a 20% loss of kidney function or hemorrhagic shock and patient death?
Similar ultra-long-range attempts require at least 3-5 tries to succeed, "wasting" 20-30 minutes.
The patient is highly likely to die from bleeding during this period.
However, the surgeon continued to maneuver the microguidewire downwards, smoothly entering the next level of blood vessel at the branch of the renal segmental artery without any difficulty whatsoever.
I go!
This is a pre-recorded surgery video. The surgeries submitted are carefully selected, unlike live broadcasts which are full of unexpected events.
Everyone could guess that it would succeed, but no one expected it to succeed on the first try.
The room fell silent, but someone quickly realized that the surgical recording must have been edited and that they hadn't noticed the time.
Ding Yifan thought so too, and his gaze shifted to the time in the upper left corner.
Another injection of barbiturate was administered intravenously. The drug diffused rapidly, inhibiting Ding Yifan's multisynaptic response, reducing facilitation while enhancing the inhibitory effect.
The opening of the Cl- channel instantly increases the permeability of Cl-, causing hyperpolarization of the cell membrane.
At the same time, the excitatory response caused by depolarization after glutamic acid acts on the corresponding receptor is blocked, resulting in central inhibition.
Ding Yifan's pupils shrank to the size of pinpoints.
That's impossible!
The timeline clearly shows that the surgery, from start to superselective entry into the next level artery of the renal segmental artery, took only 8 minutes and 12 seconds!
In other words, the superselection just now was a successful one, not an edited version.
Who performed such amazing surgery!
It was a guess, it must have been a guess, everyone, including Ding Yifan, had this thought in their minds.
Even Director Sui thought so.
Yesterday's surgeon seemed to have traveled through time; in the subsequent surgery, he took practical action and slapped everyone across the face.
After superselection, the coil was inserted to embolize one branch of the bleeding artery, and then the microguidewire was superselected again.
It still only takes one try!
This time, many people are paying close attention to the time, staring intently to see if there are any signs of editing.
Unfortunately, the surgery was performed in one go, without any trace of editing.
The next branch below the renal segmental artery was successfully superselected again, the coil was inserted, and the bleeding stopped.
The emergency surgery, which is normally extremely difficult, was performed in a way that felt rather tedious by the surgeon.
It's as simple as removing a lipoma.
This feeling of effortless mastery made Ding Yifan feel very unreal.
After the surgery, a professor from the organizing committee went on stage and clicked to replay the video.
Such high-level surgeries are rare; you can never get enough of seeing them.
After a brief moment of reflection, Ding Yifan suddenly calmed down. This was someone trying to sabotage the event! It definitely was!!
(End of this chapter)
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