Healing Doctor

Chapter 598 An Unsolvable Problem (Bonus Chapter x4 by Alliance Leader shyn307)

Interventional surgery only requires two doctors, but this surgery required three people to stand on the stage. Director Li Ming from the First Affiliated Hospital became a background figure, standing on the stage handing instruments to Lin Jiuze and Ji Xiang.

Lin Jiu then began the surgery. His technique was extremely skilled. He performed the puncture, inserted the vascular sheath, and began superselection.

The popliteal artery is located near the popliteal fossa. Angiography revealed a thrombus approximately 4 cm long.

What's troublesome is that the popliteal artery is densely covered with atherosclerotic plaques of varying sizes. These plaques exist on the blood vessel wall like hidden reefs, making them one of the contraindications for thrombectomy.

Lin Jiuze's hands were very steady. Once he decided to perform the surgery, he did not hesitate at all. The thrombectomy catheter successfully penetrated the embolus that had only formed a few hours ago and arrived below the thrombus.

Open the latch umbrella; the lower section expands, and Lin Jiu pulls it out slightly.

He didn't exert any force; instead, he stared intently at the screen without blinking.

On the screen, after the thrombectomy umbrella opens and touches the blood vessel wall, less than a millimeter below is an arteriosclerotic plaque.

Surgery should not be forced; using brute force will likely cause problems—this is basic common sense.

The surgery, which had been progressing smoothly, came to a halt here, and Lin Jiu hesitated.

"The next step is catheterization," Ling Tian said confidently. "Boss, what exactly is Lin Jiu thinking?"

"I don't know," Qin Chu said softly, his eyes fixed on the screen, watching to see what Lin Jiuze was going to do.

Although the photographer wasn't a professional doctor and the angles he provided were a bit off, Qin Chu and Ling Tian's professional skills were top-notch.

Such a large atherosclerotic plaque was right under the thrombectomy umbrella, and Lin Jiuze's operation was extremely professional. The thrombectomy umbrella was only a few tenths of a millimeter away from the plaque, which can be described as quite amazing.

But so what!

Would he dare to pull out the latch?

As soon as he moves, the thrombus remover pulls the plaque along with it, and the plaque pulls on the arterial wall.

If you don't apply enough force, the blood clot won't come out; if you apply too much force, the popliteal artery will tear within seconds, requiring surgical intervention.

Has he lost his mind?!

Qin Chu's face grew increasingly grim. What was originally an extremely simple matter could have been resolved with Lin Jiu simply scolding Ji Xiang in the hospital room, but he insisted on making a fuss.

Now look what's happened, we're stuck in a difficult situation.

"Strange," Ling Tian murmured, resting his chin on his hand.

No matter how they thought about it, Qin Chu and Ling Tian couldn't understand why Lin Jiu insisted on performing this surgery.

He had clearly refused the surgery.

On the screen, Ji Xiang lowered his head slightly and communicated with Lin Jiu.

This scene was seen in previous episodes, except that the person Ji Xiang was talking to back then is now standing to the side acting as an instrument nurse.

Lin Jiuze and Ji Xiang remained motionless at the operating table, and there was no sound in the program, not even in the comments section.

It was so quiet, it didn't look like a variety show at all.

At this moment, it's more like an academic conference showing a surgical video, with doctors in front of the screen holding their breath, imagining what to do next.

Boston Scientific's thrombectomy catheter was only approved by the FDA in 21, and no one in China has performed a similar procedure yet.

But the principle behind thrombectomy is very simple and easy to understand.

The problem lies in the plaques caused by arteriosclerosis.

Ji Xiang and Lin Jiu exchanged words for about ten seconds. Lin Jiu seemed to be hesitating, but time was of the essence. Every minute wasted could change the outcome of the surgery.

"What are they talking about?" Director Liu asked, puzzled.

In fact, he already had the answer in his mind—copy the previous conversation between Ji Xiang and Director Li Ming, and then have Ji Xiang carry out the operation.

But this time the situation is completely different.

Since its introduction, the thrombectomy catheter has been refined and improved by surgeons at many world-renowned hospitals, including Massachusetts General Hospital, who have continuously identified problems and made improvements until it reached its current form.

Among these practitioners was Lin Jiuze.

As for Ji Xiang, Director Liu even suspected that this was the first time Ji Xiang had ever seen a thrombectomy catheter.

What suggestions can he offer?

"Old Bai, I don't understand," Director Liu said in a deep voice.

"I didn't understand it either," said Director Bai.

"..." Boss Ding Xiang was taken aback. "Gentlemen, haven't you always been very optimistic about Ji Xiang? Now it's obvious that he's encountered a problem, and Ji Xiang wants to step in to solve it. What's so hard to understand?"

Director Liu gave a wry smile.

Ding Xiang was an outsider, so he thought there was no problem.

Any doctor or surgeon, if they had a couple of extra peanuts while drinking, wouldn't have said such a thing.

"Let's drink, let's drink." Ding Xiang raised his glass. "You two are overthinking it. Didn't Director Liu just call Ji Xiang? There's nothing wrong on the other end, so don't worry."

"The key issue is that the surgery is unlikely to succeed."

Director Bai didn't move, while Director Liu raised his glass and clinked it against Boss Ding's.

"What if Dr. Ji Xiang knows magic?"

"Oh?" Director Liu took a sip of his drink and looked at Ding Xiang with a smile. "Men under forty only know one type of fire magic."

"Ah!" Ding Xiang was stunned, and he subconsciously showed a longing expression.

"Prostatitis," Director Liu said with a smile. "How about that? Flame magic, also fire-attribute."

"Tch," Ding Xiang said disdainfully, "You've probably worn your staff bald from all the rubbing it around."

After exchanging a few jokes, Ji Xiang and Lin Jiu moved slightly in the frame.

Lin Jiu then moved up half a step, giving half of the area where the practitioner was operating to Ji Xiang.

Sure enough, I was right!

Sure enough, Ji Xiang was about to take action!

Moreover, Ji Xiang obtained Lin Jiuze's consent, and there seemed to be no conflict between the two.

How exactly did he convince Lin Jiuze?!

This question arose in the minds of Director Liu and Section Chief Bai.

There was no time to complain that the production team had omitted the most crucial steps, or that these "useless" people hadn't even recorded it. Director Bai and Director Liu watched the surgery intently.

Ji Xiang asked Director Li for two micro-guidewires and inserted them into the vascular sheath.

"Won't the guidewire get tangled in the blood vessel?" Director Liu was dumbfounded.

"have no idea."

The surgery had progressed to this point, and even Director Bai didn't know what to do next. Ji Xiang's skill and understanding had surpassed Director Bai's comprehension; Director Bai even guessed that Ji Xiang's knowledge of surgery and disease was ahead of its time.

With the camera focused on the screen opposite the surgeon, Ji Xiang kept stepping on the lines, and the two micro-guidewires moved slowly forward in the blood vessel.

The micro-guidewire was moving rather slowly, unlike when Lin Jiuze inserted the guidewire earlier. Ji Xiang was having a hard time with each step.

When the microguidewires reached the thrombus, after penetrating the thrombus, the two microguidewires seemed to have not followed properly, as if they were tied in a knot.

"..." Director Liu's palms were sweating as he read.

If it's knotted, that's troublesome; it's better to just surgically cut open the blood vessel and remove the thrombus.

These are not the key issues. The main problem is that, given Director Liu's clinical skills, after watching this surgery for so long, he still doesn't understand what Ji Xiang is trying to do.

"It's knotted..."

No, there isn't.

(End of this chapter)