Healing Doctor

Chapter 786 deal, delay no more

"Teacher Meng, I think it's my inner demon." Ji Xiang felt that Meng Qingfei was exaggerating.

"It's like long-distance running; the sooner you reach your limit, the better. The professional term is something like 'hitting the wall,' I heard an athlete say that. Professional athletes' hitting the wall is very vague; it's also called 'secondary breathing' or something."

Meng Qingfei's words were somewhat confused and complicated, but Ji Xiang understood the general meaning.

He thought about it carefully and realized that it seemed somewhat similar to his own situation, and they could be compared.

"Doctor, do you think everyone is the same when facing life and death?" Meng Qingfei laughed. "That's right, that's right, reaching the extreme at this age. By the way, did you get better later?"

"Okay, I quickly calmed myself down. It took less than 10 minutes, and the surgery was completed smoothly afterward."

Meng Qingfei smiled and pondered, looking even happier than if he himself had overcome a towering obstacle.

"Work hard in the future. But you're more worldly-wise than I was when I was young, so you'll go further. Back then, I genuinely believed that as long as you were skilled, nothing else mattered."

Meng Qingfei looked at Ji Xiang and asked, "Did you know about the competition between two candidates for the director of a large hospital?"

"Emmm, I've heard of it. It happened many years ago, before I was even born, right, Teacher Meng?"

Ji Xiang and Meng Qingfei started speaking in riddles.

"Yes," Meng Qingfei said. "In my opinion at the time, the one with the higher level should be the dean. But another person took advantage of his study abroad and seized the dean position with lightning speed, which was really shameless. But the way he managed things later on was no joke."

Ji Xiang knew a little about this story, and he looked at Meng Qingfei with a smile.

"And the one with the better skills later went to Tianjin. How should I put it?" Meng Qingfei tapped his head. "He's a blockhead, there's nothing I can do about it."

"Professor Meng, your statement is a bit..."

"Hehe, these are just my own thoughts. By the time I figured it out, I'd be almost forty. It's like that thing about not being able to perform surgery. If it happened in your twenties, you could be brave and diligent. But if it's in your forties or fifties, you might be getting Alzheimer's."

Ji Xiang and Meng Qingfei chatted idly, while Dr. Meltz was on the phone in the cold wind outside the Second Affiliated Hospital, completely freezing.

"Jones, I've encountered a patient," Dr. Meltz briefly recounted what he had seen and heard.

"Why would it be a patent foramen ovale? How could it possibly be a patent foramen ovale? What is the relationship between the foramen ovale and neurological abnormalities? Do you have any recent successful research?"

"My dear Melz, are you interested in cardiac surgery? For God's sake, you should stick to your joint surgeries. You have no idea how envious I am of you."

"Jones, I...I'm asking you why!" Dr. Meltz said somewhat impatiently.

"You didn't have the surgery? No way!"

These words stirred up painful memories for Dr. Meltz, who retorted angrily, "Jones! I've just run into a problem, damn it! Stop teasing me!"

"I'm about to have surgery."

"Explain yourself before you go on stage!"

The doctor on the other end was somewhat surprised, after all, Dr. Meltz was an expert in sports medicine, and he couldn't understand why Dr. Meltz would suddenly become interested in cardiac surgery.

However, Dr. Jones could already hear the fury in Dr. Meltz's voice over the phone.

"The foramen ovale is a slit in the middle of the atrial septum, located at the upper edge of the primary atrial septum, at the junction of the first atrial septum and the lower edge of the secondary atrial septum, which is the second atrial septum. It is usually covered by a thin sheet of the primary atrial septum."

"Before birth, the fetus does not establish pulmonary circulation. Therefore, during the fetal period, the foramen ovale acts as a physiological channel, like a valve, allowing blood to flow only from right to left, while preventing blood from flowing backward from right to left, so that blood flows from the right atrium to the left atrium, maintaining blood circulation in the fetus."

Dr. Meltz forced himself to listen for a few minutes before interrupting Jones.

"I want to know why, not listen to you talking to me about damn embryology and regional anatomy."

"Mertz, you're in a bad mood today. Did something go wrong during your surgery because of a patent foramen ovale? That would be really bad news."

"No, I'm at a community hospital!" Dr. Meltz emphasized. "Tell me why you need surgery. Damn, it's so cold in here."

Dr. Meltz shivered and complained about the cold wind in the parking lot of the Second Affiliated Hospital.

The exact mechanism by which patients with patent foramen ovale experience migraines is still unclear.

Some scholars believe that microthrombi or headache triggers such as serotonin may be present. These substances are typically filtered in the lungs, and if there is an excess of these substances that are not deposited or inactivated in the lungs, increased pressure in the right atrium, such as during coughing, shortness of breath, or diving, can cause venous blood to flow from the right atrium into the left atrium, resulting in a right-to-left shunt.

"Right-to-left shunts are usually asymptomatic, but can occur in the right heart system, which is the venous system, with thrombi in substances such as the deep veins of the lower extremities or the pelvic veins."

"Fat emboli that form after surgery or trauma. They travel with the bloodstream to the right heart and enter the left heart through the patent foramen ovale. The emboli then travel through the arterial system to the brain, causing cerebral vascular embolism, which can produce symptoms."

"The patient has no history of surgery or trauma and is a young woman. Young!!!"

Dr. Meltz emphasized that he was waving his arms as if battling the cold wind outside the Second Affiliated Hospital.

"Yes, most patients with severe headaches caused by patent foramen ovale are under 45 years old, which is not surprising," Dr. Jones' cheerful voice came through. "Mertz, what I said above is just speculation, but at least it sounds true."

picture!

Dr. Meltz is about to erupt.

"I estimate that those theories will be overturned soon, but there are no large-scale research samples yet."

Why?

"Because this type of disease can now be treated with interventional closure surgery, which is a very minor and simple procedure," Dr. Jones said. "Clinically, there are already simple solutions, so who would bother to research why?"

"In young migraine patients, after ruling out other causes of arterial embolism, it is necessary to be alert to the possibility of patent foramen ovale. Early detection and treatment can eliminate symptoms."

"Just remember to get more tests done if a young patient has persistent headaches. Just follow the insurance company's procedures and there won't be any problems."

"Dear Melz, do you understand what I mean? This is just a minor issue, don't worry about it too much. But if you're interested in cardiac surgery, you can come to me for specialized research."

Dr. Meltz had a difficult situation he couldn't express.

He would never say that he was facing an arrogant and domineering demon king, and that just when he was certain that the patient had a neurological disease, the demon king suddenly appeared and told him that the patient had congenital heart disease.

The knights were defeated by the Great Demon King; the script was definitely not written that way!

Dr. Meltz clenched his fists, rubbing his face in anger at the arrogant young doctor who had stood before him!

"It really has nothing to do with your sports medicine, and cardiac surgery doesn't have much research on patent foramen ovale either, so don't even think about it," Dr. Jones suggested.

A biting wind howled, and snow began to fall. After hanging up the phone, Dr. Meltz took a deep look at the Second Affiliated Hospital.

An ambulance arrived with sirens blaring, and a person covered in blood was carried off it.

Dr. Meltz couldn't understand why the young doctor had come to the emergency room.

To gain more clinical experience? All young doctors will have some interest in the emergency room at some point in their careers.

This was the original reason Dr. Meltz came up with.

However, regarding the headache caused by the patent foramen ovale, Dr. Meltz vaguely guessed that the young doctor's skill level was extremely high, even far exceeding his own understanding of medicine.

Therefore, Dr. Meltz rejected his previous idea.

Damn it, he's just a young doctor, how could he have such a strong illusion?

After watching his surgery and learning how to do it, Dr. Meltz was already imagining himself taking advantage of the Great Demon King's momentary lapse in attention, snatching the sword, and then slaying him.

Dr. Meltz was quite confident about the surgery, assuming that the young doctor must have paid attention to some details in his new technique.

You can understand the whole process by just watching the surgery once.

After all, I've performed countless similar surgeries myself; the underlying principles are largely the same.

Dr. Meltz felt that he had only been temporarily deceived by "magic"—no! He had been deceived by the Demon King's dark magic.

Just wait and see!

Dr. Meltz took a deep breath, trying to suppress the burning fire within him.

But the cold wind mixed with snowflakes was inhaled into his respiratory tract, and the violent coughing made Dr. Merz very uncomfortable.

This damn weather, this damn devil!

……

The next day, Wenban Yama arrived at the Second Affiliated Hospital.

To Dr. Meltz's delight, Lin Jiuze and the young demon king did not drive him away or chase him off while he was by Lin Jiuze's side.

They pretend they don't exist as long as they don't speak.

This is the arrogance of the Great Demon King! He believes he can't learn that damned surgery, Dr. Meltz is increasingly certain.

Every arrogant person will get what they deserve!

The villain dies from talking too much!!

Wenbanyama's postoperative recovery is not going well, with severe local tissue adhesions. If the rehabilitation plan is followed, it will take at least six months before he can return to the field.

Moreover, both lateral movement and the first step over an opponent will affect the starting speed.

But this was all that Dr. Meltz and his medical team could do, and Dr. Meltz didn't believe anyone could do it better than him!

Because Wenban Yama's team had all the necessary documents, after arriving at the Second Affiliated Hospital and undergoing several relevant examinations, they submitted the surgery order and prepared for the surgery.

Dr. Meltz went to bed early to rest and conserve his energy.

But that night, Dr. Meltz tossed and turned, and every time he closed his eyes, all he could see was the image of that damned young devil.

He was arrogant, unruly, and impolite; he disrupted the balance of the industry. Even top athletes sought him out for surgery, paying exorbitant prices.

$900 million, that damn green paper.

These are all damned accusations. Dr. Meltz has sealed the Great Demon King away in his heart and placed countless curses upon him.

On the morning of the surgery, Dr. Meltz arrived at the hospital with dark circles under his eyes.

His concern was that Lin Jiuze would prevent him from going to the operating table to watch the surgery.

Dr. Melz even contacted his friends at the embassy beforehand, prepared to use all available resources to exert pressure if they refused.

But what I expected didn't happen. The young demon king didn't seem to realize that he was about to steal his sword, and Dr. Meltz happily followed along to the surgery.

As he put on the lead apron, Dr. Meltz grumbled about how worn and tattered it was.

He wore a full lead apron and refused Lin Jiu's request to observe him in the operating room.

If you're going to watch the surgery, you should stand in the closest possible position; otherwise, you might as well not watch at all!

Dr. Meltz was full of confidence in himself.

Wenban Yama is 2.23 meters tall, and after gaining muscle, he is no longer the skinny guy he was before the draft.

He lay on the operating table, just as he had done in Massachusetts a few months earlier.

Dr. Meltz watched silently as the airtight lead door closed, leaving only two surgical teams, an instrument nurse, and the lead physician from the Wenban Yama Medical Team in the operating room. He then approached Ji Xiang from behind.

Lin Jiu was performing the puncture, while the young Demon King was doing the final disinfection.

Following the outer side of the previous incision, the young demon king patiently removed the scar tissue.

Dr. Meltz scoffed. It was all just for show; Wenban Yama wouldn't care, and nobody else would either.

It's not like plastic surgery, there's no point in making it so smooth. The focus of the surgery is inside.

Dr. Meltz gave this step a very low rating.

Lin Jiuze's surgery proceeded quickly: catheter placement, superselection, and angiography began.

It really was an imaging procedure! Dr. Meltz was surprised to find that, just as rumored, it was a hybrid surgery.

The moment the angiography was completed, the young demon king had already cleaned up the adhesions and was preparing to suture the poorly healed areas from the previous surgery.

The technique for clearing the adhesions was good, but that wasn't important; Dr. Meltz watched the surgery intently.

We're not getting to the main point yet!

He roused himself and prepared to study diligently, a crucial step in seizing the sword from the Great Demon King.

The young Demon King looked up, glanced at the image being projected, and then began to match it.

Before the anastomosis, he asked for a pair of scissors and cut open some parts of the sutured area from the previous surgery.

Dr. Meltz was somewhat puzzled, as a destructive surgery would be unnecessary under normal circumstances.

The Great Demon King is courting death.

This should have been the focus of the surgery, but even with Dr. Merz's many years of rich clinical experience and the experience accumulated from countless surgeries, he still didn't know what the young "big devil" was doing.

Ji Xiang cut off a portion of the tissue and began suturing.

His suturing seemed haphazard; some tissues weren't even aligned properly.

That's it?

Dr. Meltz could hardly believe his eyes.

He raised his hand to remove the lead glasses, rubbed them vigorously, and then looked at them carefully again.

That's it!

Indeed, the young Demon King did not do anything beyond his common sense; he simply skillfully cleaned the connective tissue adhesions and stitched them up again.

The crucial step must have come after this; perhaps they invented some magical medicine!

Dr. Meltz's gaze fell on the instrument table in front of Tang Yan.

All the equipment was very ordinary; there were no new devices at all.

Why?!

The surgery was completed so quickly; there was nothing beyond my comprehension.

Apart from Lin Jiu's pretense of creating an imaging effect, there are no other details that differ from existing procedures.

If there is a chance, the young master's "rough" handling during suturing leaves Dr. Merz somewhat bewildered.

"Get ready to rinse." Ji Xiang asked for warm salt water.

"This is it!" Dr. Meltz's eyes lit up.

If someone possessed a legendary potion, they wouldn't store it in a punctured bottle, but rather place it in a saline solution bottle for casual use.

definitely is!

Dr. Meltz "discovered" the essence of the problem.

But they were so careless and wasteful when using warm salt water, as if it really was a 0.9% sodium chloride solution.

Dr. Meltz dismissed his own opinion, and as the young Demon King began stitching up the skin, he recalled the entire surgical procedure.

The Great Demon King hid his sword very well. Dr. Meltz was surprised to find that he had observed the entire surgery but had not figured out how it should be performed.

F！

Dr. Meltz cursed inwardly.

The young demon king must have known that he was coming to steal his sword, so he didn't care whether Wenban Yama could recover his health or not, and he still wanted to hide his sword!

That's so despicable and shameless!

Dr. Meltz cursed inwardly.

Even so, Wenban Yama had no chance of recovery after the surgery!

Originally, the team at Viktoria Yamazha were planning to let the young man participate in the playoffs and put on a dominant performance, after all, it was the year of his contract.

After the playoffs, Wambano will be able to sign the biggest contract in history.

However, all of this was completely shattered by the young Demon King.

He charged Wenban Yama a staggering $900 million for surgery, but he didn't perform the surgery properly!

Dr. Meltz's mind raced, conjuring up countless conspiracy theories.

So what's the next step?

What would you do if you were in that situation?

Dr. Meltz knew that if his second surgery failed, he would loudly proclaim how badly the first surgery had been performed, which was why the second surgery had failed!

Shameless!!

Judas was simply a traitor who betrayed Jesus for 30 pieces of silver!

"Dr. Ji Xiang, is the surgery already finished?" Dr. Meltz, feeling uneasy as he thought of conspiracy theories, decided to strike first.

"yes."

"But I didn't see you do anything, you just cleared the adhesions in the local connective tissue."

"Then what else do you want to do?"

Ji Xiang asked as he sewed the leather.

really!

The young Demon King's words confirmed Dr. Merz's suspicions.

He would attribute all the problems to the first surgery and find all sorts of reasons to shirk his responsibility.

"F***!" Dr. Merz abandoned all gentlemanly manners and cursed bluntly.

"What did you say?" Ji Xiang turned around, his eyes narrowed into slits.

"Are you going to say that the first surgery was particularly bad, which led to the failure of your second surgery?! That must be it. You're despicable and shameless, trying to blame all the mistakes on me and my medical team." Dr. Meltz could no longer suppress his anger and said what he had expected the big devil to say in advance.

"The first surgery was performed normally, without any obvious mistakes."

"!!!"

Dr. Meltz was stunned.

The Great Demon King didn't admit that his surgery was bad?

This shouldn't be!

"Damn!"

Ji Xiang said disdainfully.

The operating room fell silent instantly.

Deng Chaohong looked up at Ji Xiang in disbelief, while Tang Yan stared wide-eyed at him.

In their impression, Ji Xiang was usually gentle and easy-going during surgery. He would at most drive a car and would never swear or throw instruments.

Even when his surgery went wrong due to nervousness in Shanghai, he managed to adjust himself instead of shifting the pressure onto others.

What's wrong with me today?

Ji Xiang actually started swearing, and it seemed to be the way he used to swear when he was in college.

Will that blond, blue-eyed foreigner be angry?

What would happen if getting angry led to a foreign dispute?

Tang Yan was a novice, and although Deng Chaohong was a seasoned veteran, he had never encountered a similar situation before.

Seeing this scene, everyone was so frightened that they couldn't speak.

But to everyone's surprise, Dr. Meltz was not angry; instead, a smile appeared on his face.

"Fuck you, fuck your mother!" Ji Xiang turned around and continued to curse.

Everyone was speechless.

Dr. Meltz remained unresponsive. After making a puzzled expression, he spoke a few words to the head of the Wenbanyama medical team before turning and leaving.

"Xiao Ji, why are you swearing? That's not a good idea," Deng Chaohong asked.

"Teacher Deng, I didn't swear." Ji Xiang squinted his eyes.

"I think 'diao' is a Cantonese swear word, handsome," Deng Chaohong said helplessly, adding "handsome" at the end to show that he had some understanding of the dialect.

"No, I meant 'deal,' which translates to 'good,' that's all," Ji Xiang explained.

"!!!"

"!!!"

"!!!"

In the operating room, countless exclamation marks appeared above everyone's heads.

"What about what you said later about 'fuck your mother'?" Tang Yan asked.

Ji Xiang glanced at her and said, "Really, what kind of foul language does a young girl like you use?"

"You said it!"

"I said deal, delay no more!" Ji Xiang said, repeating all the letters again.

Everyone was speechless.

"He asked me if I would blame the failed surgery on the first one, and I said no. That's ridiculous, Dr. Lin. Does Massachusetts General Hospital often try to shift blame too?"

"Well, shirking responsibility exists everywhere. Doctors at Massachusetts General Hospital are human too, and they're no exception," Lin Jiu replied helplessly after a few seconds of pause.

"Hehe." Ji Xiang finished sewing the last stitch, turned around and left the stage.

"Delay no more?" Tang Yan carefully considered what Ji Xiang had just said.

"Xiao Tang, it's not easy to learn good things, but it's easy to learn bad ones." Deng Chaohong sighed. "Don't learn these things from Xiao Ji. Especially when there are external experts, don't say anything. If people misunderstand, the experts might smash the equipment."

"ha!"

(End of this chapter)